Online medical examination system

Abstract

To improve convenience for both of patients and medical institutions.SOLUTION: An online medical examination system 1 is provided, comprising: a management server 2 storing medical data of a client; a client terminal 3 which is used by a client (patient) of online medical examination; and a plurality of medical institution terminals 4 used in a plurality of medical institutions. The client terminal 3 instructs disclosure permission for each item of medical data. The management server 2 sets the disclosure permission for each item of the medical data according to the instruction of the disclosure permission, and allows only the medical data related to the item for which disclosure is permitted, to be displayed on a display portion of the medical institution terminal out of pieces of the medical data. The medical institution terminal can request the disclosure permission of the medical data for which the disclosure is not permitted.SELECTED DRAWING: Figure 17

Description

[Technical field]

[0001] The present invention relates to an online medical treatment system for remotely providing medical treatment via, for example, information and communication devices. [Background technology]

[0002] Conventionally, a display system has been proposed as an example of a system for storing an individual's medical records in relation to online medical care (see Patent Document 1). In the conventional system described in Patent Document 1, an individual's (patient's) medical records are owned by the patient, and the patient is able to set access permissions associated with the medical records. A wearable device used by a healthcare provider such as a doctor can access parts of the patient's medical records based on the access permissions and display the authorized medical records.

[0003] However, in conventional systems, not all medical records necessary for carrying out medical treatment are necessarily disclosed, and there are cases where the medical records disclosed are insufficient for what the doctor requires. In such cases, medical treatment cannot be carried out appropriately, which is inconvenient and difficult for both patients and medical institutions (medical staff). [Prior art documents] [Patent documents]

[0004] [Patent Document 1] JP 2020-505675 A Summary of the Invention [Problem to be solved by the invention]

[0005] In view of the above-mentioned problems, an object of the present invention is to provide an online medical consultation system that can improve convenience for both patients and medical institutions. [Means for solving the problem]

[0006] This invention is an online medical consultation system comprising a management server that stores a client's medical data, a client terminal used by the client, and a plurality of medical institution terminals used by each of a plurality of medical institutions, wherein the client terminal is equipped with a disclosure instruction unit that instructs disclosure permission for each item of the medical data, the management server is equipped with a disclosure permission setting unit that sets disclosure permission for each item of the medical data in accordance with the instructions of the disclosure instruction unit, and a display control unit that enables only medical data relating to items that have been permitted for disclosure to be displayed on the display unit of the medical institution terminal, and the medical institution terminal is equipped with a disclosure request unit that requests permission to disclose the medical data that has not been permitted for disclosure. Effect of the Invention

[0007] According to the present invention, it is possible to provide an online medical examination system that can improve convenience for both patients and medical institutions. [Brief description of the drawings]

[0008] [Figure 1] FIG. 1 is an explanatory diagram showing an example of the configuration of an online medical consultation system according to the present invention. [Diagram 2] FIG. 13 is an explanatory diagram of a screen configuration of a disclosure permission setting screen. [Diagram 3] FIG. 13 is an explanatory diagram of the screen configuration of a requester's home screen. [Figure 4] FIG. 13 is an explanatory diagram of the screen configuration of a doctor search screen. [Diagram 5] FIG. 13 is an explanatory diagram of the screen configuration of a medical treatment request information input screen. [Figure 6] FIG. 13 is an explanatory diagram of the screen configuration of a medical treatment request information confirmation screen. [Figure 7] FIG. 13 is an explanatory diagram of a screen configuration of a chat list display screen. [Figure 8] FIG. 13 is an explanatory diagram of the screen configuration of a message list display screen. [Figure 9] FIG. 4 is an explanatory diagram of the screen configuration of a chat screen. [Figure 10] FIG. 13 is an explanatory diagram of the screen configuration of an examination request notification screen. [Figure 11]FIG. 13 is an explanatory diagram of the screen configuration of an inspection agency selection screen. [Figure 12] FIG. 13 is an explanatory diagram of the screen configuration of an examination reservation screen. [Figure 13] FIG. 13 is an explanatory diagram of the screen configuration of a test result notification screen. [Figure 14] FIG. 13 is an explanatory diagram of the screen configuration of a home screen on a medical institution side. [Figure 15] FIG. 13 is an explanatory diagram showing an example of a screen configuration of a medical data display screen. [Figure 16] FIG. 13 is an explanatory diagram showing an example of a screen configuration of a medical data display screen when a medical image is displayed. [Figure 17] FIG. 13 is an explanatory diagram showing an example of a screen configuration of a medical data display screen when a request for disclosure of medical data is made. [Figure 18] FIG. 13 is an explanatory diagram showing an example of the screen configuration of a medical data display screen when a request for disclosure of test results is made. [Figure 19] FIG. 13 is an explanatory diagram showing an example of a screen configuration of a medical data display screen when making an examination request. [Figure 20] FIG. 13 is an explanatory diagram showing an example of the screen configuration of a medical data display screen when a medical care note is displayed. [Figure 21] FIG. 4 is an explanatory diagram of a screen configuration of a transmission information display screen. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0009] The online medical examination system of the present invention allows a patient to receive medical examinations from a doctor online from the comfort of his or her own home, and can also receive medical examinations from multiple doctors. Therefore, a patient can get a second opinion, or can designate multiple doctors with different specialties as a medical team for the patient and receive online medical examinations that combine the knowledge of the doctors in each speciality. Online medical examinations using this online medical examination system are preferably performed on the metaverse, but can also be performed in a form that utilizes an online conference or chat function using video and audio. Hereinafter, an embodiment of the present invention will be described with reference to the drawings.

[0010] Figure 1 is a block diagram showing an example of the system configuration of an online medical consultation system 1. The online medical consultation system 1 is a system for providing or supporting a remote medical consultation service (hereinafter referred to as "online medical consultation") between a doctor (medical professional) and a patient.

[0011] 1, the online medical consultation system 1 includes a management server 2, a plurality of client terminals 3, and a plurality of medical institution terminals 4. The management server 2, each of the plurality of client terminals 3, and each of the plurality of medical institution terminals 4 are connected to each other so as to be able to communicate with each other via a communication line (network) 5 such as the Internet.

[0012] The requester terminal 3 is a terminal used by a requester (patient) of online medical care, and the medical institution terminal 4 is a terminal used by medical professionals at a medical institution. For example, a medical institution is typically a hospital or a clinic, but also includes testing institutions that perform medical tests. Furthermore, a medical professional is typically a doctor, but also includes nurses, midwives, physical therapists, occupational therapists, orthoptists, speech-language-hearing therapists, diagnostic radiologists, clinical laboratory technicians, dentists, etc., and is anyone involved in medical care.

[0013] The online medical consultation of the present invention is a remote medical consultation between a medical professional and a patient-client, where the client uses a client terminal 3 and the medical professional uses a medical institution terminal 4, via the client terminal 3 and the medical institution terminal 4.

[0014] The management server 2 is configured as a general-purpose server computer, and the client terminal 3 and the medical institution terminal 4 are configured as general-purpose computers (terminals) such as a tablet PC, desktop PC, notebook (laptop) PC, or mobile terminal (e.g., smartphone). The management server 2 may be configured as one server computer or multiple server computers. In addition, a part or the whole of the management server 2 may be a cloud server. The management server 2, each of the multiple client terminals 3, and each of the multiple medical institution terminals 4 are capable of executing an application for the online medical consultation service.

[0015] The management server 2 includes a control unit 21, a communication unit 22, and an auxiliary storage unit 23, and in addition to the function of managing various data, has a function as a web server for displaying web pages on the display unit of an external computer. The communication unit 22 and the auxiliary storage unit 23 are each connected to the control unit 21.

[0016] The requester terminal 3 includes a control unit 31, an input unit 32, a display unit 33, a communication unit 35, and an auxiliary storage unit 36. The input unit 32, the display unit 33, the communication unit 35, and the auxiliary storage unit 36 ​​are each connected to the control unit 31.

[0017] The medical institution terminal 4 includes a control unit 41, an input unit 42, a display unit 43, a communication unit 45, and an auxiliary storage unit 46. The input unit 42, the display unit 43, the communication unit 45, and the auxiliary storage unit 46 are each connected to the control unit 41.

[0018] The control unit 21 has a calculation unit 24 and a main memory unit 25, and executes various calculations and control operations in the management server 2. The control unit 31 has a calculation unit 37 and a main memory unit 38, and executes various calculations and control operations in the client terminal 3. The control unit 41 has a calculation unit 47 and a main memory unit 48, and executes various calculations and control operations in the medical institution terminal 4.

[0019] The calculation unit (24, 37, 47) is a calculation processing unit including a CPU or an MPU. The main memory unit (25, 38, 48) has a RAM (DRAM) and a ROM. The RAM is used as a work area and a buffer area for the calculation unit (24, 37, 47). The ROM stores the startup programs of the management server 2, the client terminal 3, or the medical institution terminal 4, default values ​​for various information, and the like.

[0020] The input unit (32, 42) has input components that accept operation inputs from a client or medical staff, and an input detection circuit that is interposed between the input components and the calculation unit (37, 47). The input components are, for example, a touch panel and / or hardware operation buttons or keys. The touch panel can be of any type, such as a capacitive type, an electromagnetic induction type, a resistive film type, or an infrared type. The input detection circuit outputs an operation signal or operation data corresponding to the operation of each input component to the calculation unit (37, 47).

[0021] The display unit (33, 43) has a display and a display control circuit interposed between the display and the calculation unit (37, 47). For example, an LCD (liquid crystal display) or an organic EL display can be used as the display. The display control circuit has a GPU and a VRAM. Under the instruction of the calculation unit (37, 47), the GPU uses image generation data stored in the RAM to generate display image data in the VRAM for displaying various screens on the display, and outputs the generated display image data to the display.

[0022] The communication unit (22, 35, 45) has a communication circuit for connecting to the communication line 5. The communication circuit is a wired communication circuit or a wireless communication circuit, and communicates with an external computer (external device) via the communication line 5 according to instructions from the control unit (21, 31, 41).

[0023] The auxiliary memory unit (23, 36, 46) is composed of other non-volatile memory such as an HDD, SSD, flash memory, EEPROM, etc., and stores programs and various data used by the calculation unit (24, 37, 47) to control the operation of the management server 2, the client terminal 3, or the medical institution terminal 4.

[0024] The auxiliary storage unit 23 of the management server 2 stores a management program 23a for executing various operations of the management server 2 in this system, and management data 23b required for using this system. The management program 23a includes a communication program for accessing (establishing communication with) an external computer (requester terminal 3 or medical institution terminal 4), a medical information management program for managing data related to medical care (medical data) for each requester, a disclosure permission setting program for setting disclosure permission for the medical data, a display control program for controlling disclosure / non-disclosure (display / non-display) of the medical data according to the disclosure permission setting for the medical data, a program for selecting and executing various functions provided by the management server 2, and the like. The management data 23b includes at least data of the requester (requester data) registered in this system, medical data of each requester, and the like.

[0025] The medical data is data on the client's medical history at medical institutions, examination results, and various test results. The medical data is created when the client is registered in the online medical consultation system 1 or when the client first visits a medical institution after registration, and is updated every time the client visits a medical institution or when the client undergoes various tests and the results of the tests are available.

[0026] For example, the medical data may be automatically acquired from computers of various institutions (computers providing medical data), such as computers of testing institutions that perform medical tests, computers of medical institutions, and computers of public institutions such as health centers, that may handle the medical data. At this time, the medical data registered in the computer providing medical data is linked to some personal data (personal information), such as name, health insurance card number, or My Number. The management server 2 compares the personal data linked to the medical data registered in the computer providing medical data with the personal data included in the client data, and registers the acquired medical data linked to the matching client data. In this way, medical data is accumulated as the client visits a medical institution or undergoes an examination.

[0027] The computer providing the medical data may be not only the medical institution terminal 4 included in the online medical care system 1, but also an external computer not included in the online medical care system 1. The medical data 66 may be uploaded by the requester himself / herself from the requester terminal 3.

[0028] Management program 23a and management data 23b are read out from auxiliary storage unit 23 and stored (expanded) in main storage unit 25 (RAM) as necessary. The operation of management server 2 is realized by calculation unit 24 executing management program 23a expanded in main storage unit 25 (RAM).

[0029] The auxiliary memory unit 36 ​​of the requester terminal 3 stores a requester program 36a for executing various operations of the requester terminal 3 in this system in response to operational inputs by the requester, and requester data 36b required for using this system.

[0030] Requester program 36a and requester data 36b are read out from auxiliary storage unit 36 ​​as necessary and stored (expanded) in main storage unit 38 (RAM). The operation of requester terminal 3 is realized by calculation unit 37 executing requester program 36a expanded in main storage unit 38 (RAM).

[0031] The requester program 36a includes at least a communication program for accessing (establishing communication with) an external computer (the management server 2 or the medical institution terminal 4), an instruction program for issuing an instruction (instruction for permission to disclose) related to the disclosure setting of medical data, and a program for selecting and executing various functions provided in the requester terminal 3. The requester data 36b includes at least data of the requester required in this system.

[0032] The auxiliary memory unit 46 of the medical institution terminal 4 stores a medical institution program 46a for executing various operations of the medical institution terminal 4 in this system in response to operational inputs by medical personnel, and medical institution data 46b required for using this system.

[0033] The medical institution program 46a and the medical institution data 46b are read out from the auxiliary storage unit 46 as necessary and stored (expanded) in the main storage unit 48 (RAM). The operation of the medical institution terminal 4 is realized by the calculation unit 47 executing the medical institution program 46a expanded in the main storage unit 48 (RAM).

[0034] The medical institution program 46a includes at least a communication program for accessing (establishing communication with) an external computer (the management server 2 or the client terminal 3), a disclosure request program for requesting permission to disclose medical data that has not been permitted to be disclosed, a medical information management program for managing medical data for each client, etc. The medical institution data 46b includes at least data of medical institutions required in this system.

[0035] The configurations of the management server 2, the client terminal 3, and the medical institution terminal 4 shown in FIG. 1 are merely examples, and are not limited thereto. For example, the management server 2 can be connected to computers of medical institutions, and computers of public institutions such as health centers, ward offices, city offices, and town halls. The client terminal 3 and the medical institution terminal 4 may have a voice call function and may be equipped with components related to this call function (such as a speaker and a microphone). Furthermore, the client terminal 3 and the medical institution terminal 4 may have a video call function in addition to the voice call function and may be equipped with components related to the video call function (such as a camera).

[0036] An operation example of the online medical care system 1 will be described below with reference to Fig. 2 to Fig. 21. First, the operation of the client terminal 3 will be described. When an application for the online medical care service is executed on the client terminal 3, various operation screens are displayed on the display unit 33 (display) of the client terminal 3. Note that the following system operation example will be described taking as an example a case where the medical worker is a doctor.

[0037] As the first operation screen, a disclosure permission setting screen 100 as shown in Fig. 2 is displayed on the display unit 33. The disclosure permission setting screen 100 is a screen for setting disclosure permission (disclosure / non-disclosure) for each item of medical data. The disclosure permission setting screen 100 has a disclosure permission setting section 101 and a setting save button 102. The setting save button 102 functions as a software key (operation button). Hereinafter, the software key will be simply referred to as a "button".

[0038] In the disclosure permission setting section 101, the name of each medical data item is displayed, and check boxes 101a, 101b are provided in positions corresponding to the name of each item. When a check mark is displayed, the item is disclosed (medical data permitted for disclosure), and when a check mark is not displayed, the item is not disclosed (medical data prohibited for disclosure). By operating (selecting) the check boxes 101a, 101b, it is possible to switch between displaying / hiding the check marks (disclosure permitted / disclosure prohibited).

[0039] Furthermore, medical data items include major categories such as "physique" and "physical test," and there are minor categories under these major categories. Under the major category "physique," there are minor categories such as "height" and "weight." Major category items are provided with major category check boxes 101a, and minor category items are provided with minor category check boxes 101b. By operating the major category check boxes 101a, it is possible to collectively switch between displaying and hiding check marks for all items included in the major categories. Also, by operating the minor category check boxes 101b, it is possible to individually switch between displaying and hiding check marks for each minor category.

[0040] In the example shown in Figure 2, only a portion of the medical data items are displayed, and by scrolling the screen, other medical data items can be displayed and check marks can be turned on or off for each item.

[0041] When the setting save button 102 is operated (selected), the disclosure permission / disclosure prohibition setting for each item of medical data is saved (confirmed) based on whether a check mark is displayed or hidden when the setting save button 102 is operated. Here, data on the confirmed disclosure permission / disclosure prohibition setting (disclosure permission / disclosure prohibition instruction data) is transmitted from the client terminal 3 to the management server 2, and the disclosure permission / disclosure prohibition setting is managed by the management server 2.

[0042] Once the disclosure permission / prohibition setting for each item of medical data has been determined, the client's home screen 110 as shown in Fig. 3 is displayed on the display unit 33. The client's home screen 110 has a new arrival notification section 111 that notifies the user of new information, a doctor selection button 112 for selecting a doctor who will provide online medical care, a chat function button 113 for conducting medical care chats with doctors, a bulletin board function button 114 for using the medical care bulletin board, and a request button 115 for requesting an online conference.

[0043] When the doctor selection button 112 is operated (selected), a doctor search screen 120 as shown in Fig. 4 is displayed on the display unit 33. The doctor search screen 120 is a screen for selecting a doctor to request online medical treatment, and has a name search section 121 for searching by doctor's name, a symptom search section 122 for searching for doctors based on symptoms that can be examined, a medical subject search section 123 for searching for doctors based on medical subjects, and a history search section 124 for searching past medical treatment history.

[0044] The name search section 121 has a text box (input field) that accepts text input. In the name search section 121, a doctor's name can be entered in whole or in part to perform a search (personal name search). Each of the symptom search section 122, medical subject search section 123, and history search section 124 functions as an operation button.

[0045] Although not shown in the figure, when the symptom search unit 122 is operated (selected), a screen is displayed in which a symptom such as "fever," "headache," or "nausea" is selected and a list of doctors who can treat the symptom is displayed. The requester can select a doctor to request online medical treatment from the list of doctors who can treat the symptom.

[0046] In addition, when the medical subject search unit 123 is operated (selected), a screen is displayed in which a medical subject such as "internal medicine," "ophthalmology," or "respiratory medicine" is selected and a list of doctors corresponding to the medical subject is displayed. The requester can select a doctor to request online medical treatment from the doctors corresponding to the medical subject displayed in the list.

[0047] Furthermore, when the history search unit 124 is operated (selected), a screen is displayed that lists doctors who have treated the patient in the past (who have a medical history). The requester can select a doctor to request online medical treatment from the doctors displayed in the list. The medical treatment history data for each requester is managed by the management server 2, and the medical treatment history data is updated every time an online medical treatment is performed.

[0048] When a doctor to be requested to provide online medical care is selected, a medical care request information input screen 130 as shown in FIG. 5 is displayed on the display unit 33. The medical care request information input screen 130 is a screen for inputting medical care request information such as name and symptoms. The requester can select multiple doctors to provide online medical care from, and can also select multiple doctors with different specialties as the requester's medical group (group) rather than simply selecting multiple doctors. When requesting online medical care, a response deadline can be set several hours to several days after the request.

[0049] The medical treatment request information input screen 130 has a name input section 131 for inputting the requester's name, a furigana input section 132 for inputting the furigana of the requester's name, a date of birth input section 133 for inputting the requester's date of birth, a symptom summary input section 134 for inputting a summary of the subjective symptoms, a detail input section 135 for inputting details of the subjective symptoms, and a decision button 136. Each of the name input section 131, the furigana input section 132, the date of birth input section 133, the symptom summary input section 134, and the detail input section 135 has a text box (input field). The requester's name, the furigana of the requester's name, and the requester's date of birth may be automatically input from the beginning in an editable state based on the requester data 36b. Then, when the decision button 136 is operated (selected), the medical treatment request information input to each section of the medical treatment request information input screen 130 when the decision button 136 is operated is decided. The medical treatment request information input screen 130 may be provided with a deadline input section for inputting a deadline.

[0050] When the medical treatment request information is determined, a medical treatment request information confirmation screen 140 as shown in Fig. 6 is displayed on the display unit 33. The medical treatment request information confirmation screen 140 is a screen for confirming the medical treatment request information and requesting online medical treatment, and has a medical treatment request information display section 141, an important matter confirmation section 142, and a request button 143.

[0051] The medical request information display section 141 displays the medical request information entered on the medical request information input screen 130. The important matter confirmation section 142 displays items such as the fact that the medical request information may be disclosed to a doctor and that medical treatment may be refused, and is provided with check boxes 142a for indicating consent to each item. The request button 143 cannot be operated (selected) until all the check boxes in the important matter confirmation section 142 are checked, and can be operated (selected) when all the check boxes 142a in the important matter confirmation section 142 are checked.

[0052] When the request button 143 is operated (selected), in the online medical consultation system 1, request data including medical consultation request information is sent to the medical institution terminal 4 of the medical institution to which the requested doctor belongs. When the requested doctor accepts the request for online medical consultation, the online medical consultation is carried out. Note that the doctor who has received the request for online medical consultation can also prepare an estimate of medical expenses including medical fees and present it to the requester before actually providing medical care. In this case, a screen may be presented to the requester for him / her to refer to the estimated amount and make a final decision on whether or not to request online medical consultation.

[0053] Online medical treatment in the online medical treatment system 1 is performed using a chat function. For example, a chat list display screen 150 as shown in Fig. 7 is displayed on the display unit 33. The chat list display screen 150 is a screen for displaying a list of chats (medical treatment chats) between doctors, and has a list display section 151 in which chat partners are displayed in a list.

[0054] The list display section 151 is provided with selection buttons 152 for selecting a chat partner (doctor) who is currently providing online medical care or has previously provided online medical care. If there are unread messages, an unread mark 152a is displayed near the selection button 152 or overlapping the selection button 152. If there are multiple chat partners, multiple selection buttons 152 are provided. If there are multiple selection buttons 152, the selection buttons 152 can be rearranged according to the reception time or the number of unread messages.

[0055] 8 may be displayed on the display unit 33 instead of the chat list display screen 150. The message list display screen 160 is a screen for displaying a medical chat between doctors or a list of messages related to medical treatment, and has a list display section 161 in which messages are displayed in a list.

[0056] The list display section 161 is provided with a message display section 162 that displays the contents (summary) of messages. For unread messages, an unread mark 162a is displayed near the message display section 162 or overlapping the message display section 162. If there are multiple messages, multiple message display sections 162 are provided. If there are multiple message display sections 162, the message display sections 162 can be rearranged according to the reception time, etc. The chat list display screen 150 and the message list display screen 160 can be switched by an appropriate operation (for example, a tab operation, etc.).

[0057] When any of the selection buttons 152 is selected on the chat list display screen 150, a chat screen 170 as shown in Fig. 9 is displayed on the display unit 33. The chat screen 170 is a screen for exchanging messages between the client and the doctor who is the chat partner.

[0058] The chat screen 170 has a timeline display section 171. In the timeline display section 171, outgoing messages 172 sent and incoming messages 173 received from the chat partner (doctor) are displayed in chronological order. In the timeline display section 171, one of the left and right sides is the user (outgoing messages 172) and the other is the chat partner (incoming messages 173), and the timeline display section 171 is displayed in a manner that allows the user to understand sending and receiving at a glance. For example, a similar chat screen is displayed on the doctor's side (medical institution terminal 4 side), but the left and right sides of the timeline display section 171 are swapped on the doctor's screen.

[0059] A message input section 176 having a text box is provided below the timeline display section 171, and a transmission message 172 can be input and transmitted in the message input section 176. For example, a client and a doctor who is his / her chat partner can conduct a medical interview through an exchange of messages in the timeline display section 171.

[0060] In addition to the sent messages 172 and received messages 173, the timeline display section 171 may also display a disclosure request message 174 and an inspection result message 175.

[0061] The disclosure request message 174 is a message displayed when a doctor who is the chat partner requests the disclosure of medical data that is prohibited from disclosure, and displays information such as the items of medical data requested to be disclosed. The disclosure request message 174 also functions as an operation button, and when the disclosure request message 174 is operated (selected), it switches to a disclosure permission setting screen related to the disclosure request. The disclosure permission setting screen related to the disclosure request can be a screen that displays only the items related to the disclosure request from the disclosure permission setting screen 100 (see FIG. 2).

[0062] Furthermore, when an online medical consultation is performed, a doctor may request a specific medical test for the client in order to understand the client's symptoms and health condition. When a medical test is requested (test request) in this way, a test request notification screen 180 as shown in Fig. 10 is displayed on the display unit 33. The test request notification screen 180 is a screen for notifying the client of the contents of the test request, and has a test request display section 181 and a reservation setting button 182.

[0063] The examination request display section 181 displays the details of the requested medical examination (examination request details). Although not displayed in the example shown in FIG. 10, the examination request display section 181 may display the specific name of the examination (for example, "blood test," "urine test," "chest x-ray," etc.). When the reservation setting button 182 is operated (selected), an examination institution selection screen 190 as shown in FIG. 11 is displayed on the display section 33. The examination institution selection screen 190 is a screen for selecting an examination institution or medical institution (hereinafter collectively referred to as "medical institution for examination") for reserving a medical examination, and has a list display section 191 and a map display section 192.

[0064] The list display section (list presentation section) 191 displays a list (presented in list format) of medical institutions for examination that can perform the requested medical examination. The medical institutions for examination displayed in the list are arranged in order of proximity to the current location or address of the client based on the location data if the client terminal 3 is able to acquire the location data, or based on the address if the client data 36b includes address information of the client. The list display section 191 also has reservation buttons 191a corresponding to each of the medical institutions for examination displayed in the list.

[0065] Medical institutions for examinations that can perform the requested medical examination are displayed on a map in the map display section 192. For example, the locations of the medical institutions for examinations are indicated by mark images 192a in the map display section 192. The mark images 192a also function as operation buttons.

[0066] When the reservation button 191a or the mark image 192a is operated (selected), an examination reservation screen 200 as shown in FIG. 12 is displayed on the display unit 33. The examination reservation screen 200 is a screen for reserving a medical examination by specifying a medical institution for the examination, and has a reservation date setting section 201 for setting a reservation date at the medical institution for the examination selected on the examination institution selection screen 190, a time setting section 202 for setting an examination time (examination start time), and a confirmation button 203 for confirming the reservation. Note that, for the reservation date and examination time, the date and time when the examination can be performed (reservable) may be automatically input from the beginning. When the confirmation button 203 is operated (selected), the reservation for the medical examination is confirmed. Thereafter, the requester can undergo the medical examination at the medical institution for the examination that has been reserved at the reserved date and time.

[0067] When the test results are obtained after the requester undergoes a medical test, the test result data is transmitted from the medical institution for the test to the management server 2 and is managed by the management server 2. Here, in the management server 2, the test result data is automatically permitted to be disclosed to the requesting doctor (medical institution terminal 4) according to the disclosure permission setting program. When the test result data is acquired by the management server 2, a test result message 175 is displayed in the timeline display section 171 on the chat screen 170 between the requester and the doctor who requested the medical test (see FIG. 9). Here, the test result message 175 also functions as an operation button, and when the test result message 175 is operated (selected), a test result notification screen 210 as shown in FIG. 13 is displayed on the display section 33.

[0068] The test result notification screen 210 is a screen for checking the test results, and has a client information display section 211 that displays the client's personal data, a test result display section 212 that displays an overview of the test results, a message send button 213 for sending a message to the requesting doctor, and an email send button 214 for sending an email to the requesting doctor.

[0069] In the online medical consultation service, the client terminal 3 operates according to the above flow. Next, a description will be given of the operation of the medical institution terminal 4. When the application of the online medical consultation service is executed on the medical institution terminal 4, various operation screens are displayed on the display unit 43 (display) of the medical institution terminal 4.

[0070] First, as a basic operation screen on the medical institution terminal 4 side, a medical institution home screen 300 as shown in Fig. 14 is displayed on the display unit 43. The medical institution home screen 300 has a request display section 301 that displays a list of requests for online medical care (medical care requests), a request content display section 302 that displays detailed content of a medical care request selected from the medical care requests displayed in the list in the request display section 301, a medical data display section 303 that displays medical data of the person requesting the medical care request, a reject button 304 for rejecting the medical care request, and an accept button 305 for accepting the medical care request.

[0071] Here, only medical data that is permitted to be disclosed is displayed in the medical data display section 303, and medical data that is not permitted to be disclosed (prohibited disclosure data) 303a is hidden. For example, the display area of ​​the prohibited disclosure data 303a is made unrecognizable as medical data by obscuring characters (such as "※※※"), leaving spaces blank, or filling in the area.

[0072] When the reject button 304 is operated (selected), online medical treatment is not performed between the doctor and the client. In this case, the client terminal 3 is notified of the rejection, and the client can request online medical treatment from another doctor.

[0073] When the accept button 305 is operated (selected), online medical consultation is performed between the doctor and the client. The online medical consultation may be performed by telephone or video call using a voice call function or a video call function, in addition to using the chat function as described above. In addition, in relation to the online medical consultation, the medical data of the client who has accepted the online medical consultation can be viewed on the medical institution terminal 4. A medical data display screen 310 as shown in Figs. 15 to 20 is displayed on the display unit 43.

[0074] As shown in FIGS. 15 to 20, the medical data display screen 310 has at least a function switching section 311 and a basic information display section 312 that displays the client's basic information (such as name, sex, date of birth, and desired appointment date and time).

[0075] The function switching section 311 is provided with a plurality of function selection buttons 311a-311h for switching the type of data to be displayed in detail or for switching other functions that can be executed on the medical data display screen 310. Different types of data or functions are assigned to each of the plurality of (eight in this embodiment) function selection buttons 311a-311h.

[0076] Specifically, the first function selection button 311a is assigned a function of displaying representative data from the medical data, the second function selection button 311b is assigned a function of displaying health check-up data from the medical data, the third function selection button 311c is assigned a function of displaying medical image data from the medical data, the fourth function selection button 311d is assigned a function of displaying health record data (health record intended for the requester to manage his or her own health) from the medical data, the fifth function selection button 311e is assigned a function of making a disclosure request for medical data, the sixth function selection button 311f is assigned a function of making a disclosure request for medical test result data from the medical data, the seventh function selection button 311g is assigned a function of requesting an examination, and the eighth function selection button 311h is assigned a function of displaying medical notes.

[0077] Fig. 15 shows a state where the first function selection button 311a is selected. As shown in Fig. 15, when the first function selection button 311a is selected, a representative data display section 313 that displays representative data (representative data) of medical data is displayed in the space on the right side of the screen. For example, representative data is the latest examination data including a comparison with past examination data. However, only medical data that is permitted to be disclosed is displayed in the representative data display section 313, and disclosure-prohibited data 313a is not displayed. For example, the display area of ​​the disclosure-prohibited data 313a is made unrecognizable as medical data by obscuring characters, leaving spaces blank, filling in spaces, etc.

[0078] Fig. 16 shows a state where the third function selection button 311c is selected. As shown in Fig. 16, when the third function selection button 311c is selected, a medical image display section 314 that displays medical images is displayed in the space on the right side of the screen. The medical images displayed on the medical image display section 314 refer to images obtained by medical examinations such as X-ray photography, angiography, computed tomography (CT), magnetic resonance imaging (MRI), scintigraphy, positron emission tomography (PET), or endoscopy.

[0079] FIG. 17 shows a state where the fifth function selection button 311e is selected. As shown in FIG. 17, when the fifth function selection button 311e is selected, a disclosure request section 315 for making a disclosure request for prohibited medical data is displayed in the space on the right side of the screen. In the disclosure request section 315, the name of each item of medical data (prohibited data) is displayed, and a check box is provided at the corresponding position. If a check mark is displayed, the item is a target item of the disclosure request (data subject to the disclosure request), and if no check mark is displayed, the item is not a target item of the disclosure request (data not subject to the disclosure request). The check mark can be displayed / hidden by operating (selecting) the check box.

[0080] Further, the disclosure request section 315 is provided with a confirm button 315b and a cancel button 315c. When the confirm button 315b is operated (selected), a disclosure request for the disclosure requested data is executed based on whether the check mark is displayed or not when the confirm button 315b is operated. When a disclosure request for the disclosure requested data is executed, a corresponding disclosure request message 174 is automatically generated and transmitted to the requester (to the chat screen 170 with the target requester). On the other hand, when the cancel button 315c is operated (selected), the data input in the disclosure request section 315 is canceled (all check marks are removed).

[0081] FIG. 18 shows a state where the sixth function selection button 311f is selected. As shown in FIG. 18, when the sixth function selection button 311f is selected, a test result disclosure request section 316 for making a disclosure request for test result data among the medical data prohibited from disclosure is displayed in the space on the right side of the screen. The test result disclosure request section 316 displays a list of test result data that has not been disclosed, and a disclosure request button 316a corresponding to each of the listed test result data is provided. The disclosure request button 316a can be operated (selected) individually. When the disclosure request button 316a is operated (selected), a disclosure request for the corresponding test result data is executed. When a disclosure request for the test result data is executed, a corresponding disclosure request message 174 is automatically generated and sent to the requester (to the chat screen 170 with the target requester). The test result data that has not been disclosed is, for example, test result data other than the test result requested by the doctor himself, test result data when a patient is examined at another medical institution, etc.

[0082] FIG. 19 shows a state where the seventh function selection button 311g is selected. As shown in FIG. 19, when the seventh function selection button 311g is selected, an examination request section 317 for making an examination request is displayed in the space on the right side of the screen. The examination request section 317 is provided with a search condition setting section 317a for setting conditions for searching for candidates for medical institutions for examination, and a list display section 317b for displaying a list of candidates for medical institutions for examination. In the search condition setting section 317a, conditions for searching for candidates for medical institutions for examination can be set by specifying an area (prefecture or city, ward, town, or village). In the list display section 317b, selection buttons 317c corresponding to each of the candidates for medical institutions for examination displayed in the list are provided. The selection buttons 317c can be operated (selected) individually. When the selection button 317c is operated (selected), an examination request is executed specifying the corresponding medical institution for examination.

[0083] FIG. 20 shows a state where the eighth function selection button 311h is selected. As shown in FIG. 20, when the eighth function selection button 311h is selected, a medical note display section 318 that displays a medical note is displayed in the space on the right side of the screen. A medical note refers to a medical practitioner's opinion on a client, such as a doctor or a medical technician. The medical note display section 318 is provided with a display section 318a that displays a created medical note, and an editing section 318b for editing the medical note. The editing section 318b has a text box that accepts text input, a cancel button 318c that discards the contents input in the text box, and a confirm button 318d that confirms the contents input in the text box.

[0084] As described above, functions can be switched appropriately on the medical data display screen 310. The doctor then starts the online medical consultation at the scheduled date and time, and provides medical care to the client through the medical data disclosed on the above-mentioned medical data display screen 310 and message exchanges on the chat screen 170 (see FIG. 9).

[0085] In addition, in the online medical consultation system 1 of this embodiment, the chat function can also be used between medical professionals. The basic function of the chat function is the same as the chat function between medical professionals and clients, but when using the chat function between medical professionals, they can share (communicate) communication information as confidential information that cannot be referenced by the client. Communication information is, for example, findings and opinions from a medical perspective about the condition or situation of the client.

[0086] FIG. 21 is an explanatory diagram of the screen configuration of the transmission information display screen 320. The transmission information display screen 320 shown in FIG. 21 is a screen for communicating transmission information as confidential information. The transmission information display screen 320 is provided with a list display section 321 in which messages transmitted from other medical staff (medical institution terminal 4) are displayed in a list, a content display section 322 in which the content of a selected message is displayed, and a transmission information display section 323 in which the transmission information included in the selected message is displayed. The transmission information display section 323 displays a mark image 323a indicating that the transmission information as confidential information is displayed. That is, the transmission information (confidential information) is displayed on the screen in a confidential state with a display indicating that it is confidential. In addition, in the transmission information display screen 320, it is also possible to input text data as transmission information and transmit it to the medical institution terminal 4. That is, the transmission information display screen 320 also functions as a transmission information transmitting / receiving section for transmitting and receiving transmission information between a plurality of medical institution terminals 4.

[0087] With the above configuration and operation, according to the present invention, the requester can freely set the disclosure permission of his / her own medical data, and the medical institution (doctor) can request the disclosure permission as necessary. Therefore, the requester only needs to disclose the minimum medical data, and the medical institution (medical worker) can confirm the necessary and sufficient medical data, improving the convenience of both the requester (patient) and the medical institution.

[0088] Furthermore, according to the present invention, when a request for a medical test (test request) is made from the medical institution terminal 4, medical institutions for the test that can perform the medical test are presented to the requester, making it easier to select a medical institution for the test, which is convenient for the requester.

[0089] Furthermore, according to the present invention, permission to disclose medical data, including the results of a medical test, is automatically set for the medical institution terminal 4 that requested the medical test, so that the medical institution (doctor) that requested the test can check the test results unconditionally, which is convenient for the medical institution.

[0090] Furthermore, among the medical data for which disclosure has not been permitted, permission to disclose medical data including test result data of past medical tests can be requested individually, which is convenient for the medical institution.

[0091] According to the present invention, a patient can receive medical treatment from a doctor online while staying at home, and can easily receive medical treatment from multiple doctors by selecting multiple doctors to request online medical treatment. Therefore, a patient can easily receive a second opinion from a doctor different from the doctor who first treated the patient. In addition, a patient can specify multiple doctors with different specialties as a medical group, and receive online medical treatment that combines the knowledge of the doctors in each speciality. Online medical treatment using this online medical treatment system can be performed in the form of an online conference using video and audio, or on the metaverse. In addition, online medical treatment using the online medical treatment system of the present invention can be performed by exchanging messages and data alone, so that it can be performed in real time or non-real time. In the case of non-real time, the client's symptoms can be treated by many doctors, including multiple doctors with different specialties, multiple doctors with different specialties, and foreign doctors, and a treatment plan can be considered from multiple angles, resulting in more appropriate medical treatment. Non-real time online medical treatment is suitable for cases where there is time to consider a treatment plan, such as chronic illnesses (not acute illnesses) such as lifestyle-related diseases. On the other hand, when treating acute illnesses, real-time treatment allows for early response.

[0092] The online medical treatment system of the present invention corresponds to the online medical treatment system 1 of the above embodiment, and similarly, the management server corresponds to the management server 2, the client terminal corresponds to the client terminal 3, the medical institution terminal corresponds to the medical institution terminal 4, the disclosure instruction unit corresponds to the instruction program and the control unit 31 that operates according to it, the disclosure permission setting unit corresponds to the disclosure permission setting program and the control unit 21 that operates according to it, the display control unit corresponds to the display control program and the control unit 21 that operates according to it, the disclosure request unit corresponds to the disclosure request unit 315 or the examination result disclosure request unit 316, the examination request unit corresponds to the examination request unit 317, the presentation unit corresponds to the list display unit 191, and the transmission information transmission and reception unit corresponds to the transmission information display screen 320, but this invention is not limited to this embodiment and can be various other embodiments. Also, the screens and specific configurations listed in the above embodiment are examples and can be appropriately changed according to the actual product.

[0093] According to the present invention, a patient can request a doctor registered in the online medical system 1 to view and diagnose his / her medical data and images through the communication line 5. The present invention can also be implemented in non-real-time, so there is no time constraint such as a waiting time, and the patient only has to set a deadline for when he / she wants an answer, which is convenient for both the patient and the medical institution (medical worker). That is, the present invention realizes a virtual medical institution, and the patient can receive an opinion or diagnosis from a doctor designated by the patient, a conference can be held by forming a medical group of multiple doctors of the patient's choice, and the present invention can also be applied to a doctor asking for the opinion of another doctor, and other benefits can be enjoyed by the patient. Furthermore, in the present invention, the virtual medical institution and the actual testing institution are linked, so that if the data or images provided by the patient are insufficient for diagnosis, the patient can place an order for an examination at a testing institution that can perform the necessary examination. [Industrial Applicability]

[0094] The present invention can be used in industries where medical treatment is performed remotely through information and communication devices. [Explanation of symbols]

[0095] 1. Online medical treatment system 2. Management server 21...Control unit 22…Communications Department 23…Auxiliary storage unit 3...Client terminal 31...Control unit 32...Input section 33…Display section 4. Medical institution terminal 41...Control unit 42...Input section 43...Display section

Claims

1. An online medical care system including a management server that stores medical data of a client, a client terminal used by the client, and a plurality of medical institution terminals used by each of a plurality of medical institutions, The client terminal, a disclosure instruction unit for instructing permission for disclosure for each item of the medical data; The management server includes: a disclosure permission setting unit that sets disclosure permission for each item of the medical data in accordance with an instruction from the disclosure instruction unit; a display control unit that enables only medical data related to items permitted for disclosure among the medical data to be displayed on a display unit of the medical institution terminal; The medical institution terminal includes: a disclosure request unit for requesting permission to disclose the medical data for which disclosure has not been permitted; Online medical consultation system.

2. The medical institution terminal includes: a test requesting unit for requesting a predetermined medical test for the requester, The management server includes: a presenting unit which, when a request for the medical test is made, presents to the requester via a requester terminal a medical institution capable of carrying out the medical test; The online medical consultation system according to claim 1.

3. The disclosure permission setting unit sets a disclosure permission for medical data including a result of the medical examination to a medical institution terminal that has requested the medical examination. The online medical consultation system according to claim 2.

4. The disclosure request unit is Request permission to disclose medical data that has not been authorized for disclosure, including the results of past medical tests The online medical consultation system according to claim 3.

5. The medical institution terminal includes: The device includes a transmission information transmitting / receiving unit for transmitting and receiving predetermined transmission information as secret information that cannot be referenced by the client between the device and other medical institution terminals.

5. An online medical consultation system according to claim 2.

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