JP4169686B2 - Health diagnosis system, inspection method, and health check vehicle - Google Patents

Description

  The present invention relates to a health checkup system, an inspection method, and a health checkup vehicle.

The Occupational Safety and Health Act stipulates that “Total Health Promotion plan (THP)” is an obligation of the employer, and the content is “Promotion of health maintenance” dated September 1, 1988. It is shown in the "Guidelines for Public Notice No. 1".
Therefore, based on the policy of the Ministry of Labor and Welfare, the Labor Standards Inspection Office obliges more than 50 offices to contract with industrial physicians, and obliges workers to conduct health examinations at least once a year.
In the future, the scale of establishments with more than 50 employees will be revised to more than 30 people, and further, part-time workers will be required to undergo health examinations.
Under such circumstances, the state of the health checkup business has been reviewed more than ever in the offices and also in the medical institutions.
Health checkups are stipulated by the Industrial Safety and Health Act. In other words, workers must have a medical examination by a doctor at the time of hiring or once a year if they work constantly.

  Examinations and measurement items for health check-ups include surveys of past and work history, examinations for the presence of subjective and objective symptoms, height, weight, visual acuity, hearing, chest x-ray examination, blood pressure measurement, An anemia test, a liver function test, a blood lipid test, a blood glucose test, a urine test, and an electrocardiogram test are performed with the same contents even if a doctor visits once a year and the test is not omitted.

  These examinations and measurements are usually performed in a plurality of rooms, and the last two items (hereinafter referred to as examinations) are a survey of the past history and work history, and a test for the presence or absence of subjective and objective symptoms. Usually, it is judged by a doctor's examination.

  A person who has received a medical examination has a predetermined form received at the reception and moves each measurement point in order to perform measurement and examination. Measurement data of height, weight, visual acuity, hearing ability, and blood pressure is written on an entry form, and a doctor performs a diagnosis in consideration of these measurement data. In recent years, with the development of digital X-rays and the miniaturization of printers, the results of chest X-ray examinations and electrocardiograms can be referred to at the time of medical examination.

  For blood pressure measurement, anemia test, liver function test, blood lipid test, blood glucose test, and urine test, the collected blood or urine is transported to a separate laboratory or other facility and a dedicated device is used. Usually, it is not referred to at the time of medical examination.

  The blood used in these tests is discarded after the test, and a new blood is collected when retesting is performed.

  The test results will be notified to the examinee by mail, etc. at a later date, and the examinee will check his / her health condition by looking at this result, and if there is an abnormality, perform a reexamination or treatment at the designated date and time. It will be.

  When retesting a blood test, collect new blood and increase the number of blood test items from the first test. As other inspections, for example, echo inspection, CT inspection, camera inspection, and the like may be performed.

  Conventionally, a worker who wants to receive a medical examination often visits a medical institution or uses a medical examination bus such as a medical examination center.

  On the other hand, in recent years, the measurement apparatus has been reduced in size and space-saving, and there is also a technology that uses a computer to transmit information such as the state of the user's body from a remote location and perform online automatic diagnosis. It has been devised (see Patent Document 1).

JP 2001-344340 A (page 2-16, FIG. 1)

  However, as described in Patent Document 1, online diagnosis is useful when only data is transmitted from a remote location, but from the body of the patient such as a blood test or urine test. It is not possible to conduct tests that require direct collection of the test object. Since blood and urine test data are not available at the time of a doctor's examination, there is a problem in that it is impossible to examine in detail a part of the body that may be abnormal.

In addition, since it takes about one week to 10 days for the test results to be sent, if the number of health checkups increases in the future, it will be necessary to undergo further work-ups or urgent re-examinations. If it is necessary, it is possible that the consultation will be delayed.
In addition, depending on the test result, treatment may be necessary, but the start of this treatment may be delayed.

  On the other hand, in a normal medical examination, a retest notification is made after the day of blood collection. At this time, since the blood collected last time has already been discarded, it is necessary to collect blood again. It takes time and effort, and the results of the health check cannot be compiled quickly.

  In addition, it is difficult for a physically handicapped person to go back and forth between the home and the hospital many times for medical examinations, and it is necessary to reduce such labor.

  Therefore, a problem to be solved by the present invention is to provide a health diagnosis system, an inspection method, and a health diagnosis vehicle capable of quickly summing up the results of health check.

  In order to solve the above-mentioned problems, the health diagnosis system of the present invention performs a test and measurement of a blood test computer connected to a blood test apparatus that tests collected blood and outputs blood test data, and a part other than blood. A test and measurement computer connected to a test and measurement device for outputting test and measurement data, a diagnostic computer having diagnostic data input means for inputting diagnostic data as a result of examination by a doctor, the blood test computer, the test and measurement computer, and Each connected to the diagnostic computer, storing identification information acquisition means for acquiring identification information for identifying each examinee, a comparison data file for storing reference range data of a blood test, and the blood test data, A test data file for storing test measurement data and diagnostic data is recorded. Blood test data for acquiring blood test data from the blood test apparatus, the blood test computer comprising: a storage means configured to store the blood test computer, the test measurement computer, and a main server connected to the diagnostic computer. Acquisition means; transmission means for transmitting the acquired blood test data to the main server in association with the identification information acquired by the identification information acquisition means connected to the blood test computer; identification information from the main server; Receiving means for receiving an additional inspection item associated with the identification information, wherein the inspection measurement computer acquires inspection measurement data from the inspection measurement device, and the acquired inspection measurement data. For the identification information connected to the test measurement computer. And transmitting means for transmitting to the main server in association with the identification information acquired by the means, and the diagnostic computer receives the identification information and blood test data and test measurement data associated with the identification information from the main server. Receiving means, and transmitting means for transmitting the diagnostic data input by the diagnostic data input means to the main server in association with the identification information acquired by the identification information acquisition means connected to the diagnostic computer, The main server is transmitted from the blood test computer and comparison data storage means for storing the reference range data of the blood test performed by the blood test apparatus in the comparison data file in association with each test item of the blood test. Blood test data, tests sent from the test measurement computer Test data storage means for storing measurement data and diagnostic data transmitted from the diagnostic computer in the test data file in association with identification information, blood test data stored in the test data file, and comparison data file The stored reference range data is read and compared for each test item. When the blood test data is not included in the reference range of the corresponding reference range data, it is determined as an abnormal value, and the read blood test data has an abnormal value. Comparing means for adding data and writing to the test data file, and searching the blood test data in the test data file, and if the abnormal value data is not included, the test associated with the identification information A data file is transmitted to the diagnostic computer together with identification information, and the abnormal value data is When are rare, the blood test computer, characterized in that it comprises a re-inspection processing means for transmitting in association with the inspection items to add to the identification information.

  The identification information is used for personal authentication, and includes, for example, a code using a biological feature such as a fingerprint or an iris, or a code created from a signature, in addition to a combination of a password and ID such as a password. The ID is also included in the identification information. The identification information acquisition means has a function of reading the identification information using physical means such as magnetism, electricity, and light.

  The blood test computer, the test measurement computer, and the diagnosis computer each transmit blood test data, test measurement data, and diagnostic data to the main server each time the test or measurement of each examinee is completed.

  A plurality of blood test computers and test measurement computers may be provided, and the case where a plurality of blood test computers and test measurement computers are provided is also included in the present invention. Moreover, the case where the function of the main server is divided and provided is also included. Further, the present invention includes a case where the main server, blood test computer, test measurement computer, and diagnostic computer are constituted by one computer.

  The blood test apparatus and the blood test computer are also included in the present invention when each function is provided in one apparatus, and each of the functions of the test measurement apparatus and the test measurement computer is provided in one apparatus. It is.

  The inspection data storage means, the comparison means, and the re-inspection processing means of the main server operate in order in conjunction with each other. That is, after the blood test data is transmitted to the main server, the test data storage unit operates, the comparison unit operates after the test data storage unit, and the retest processing unit operates after the comparison unit.

  Specifically, after the blood test data is transmitted to the main server, the main server stores the blood test data in the test data file by the test data storage means, and compares the blood test data with the reference range data by the comparison means. When the blood test data is out of the reference range, abnormal value data is added to the blood test data. When abnormal value data is included in the blood test data, the retest processing means transmits the test item to be added to the blood test computer in association with the identification information.

  The blood test device performs a test for the test item to be added, and after receiving the test item to be added, the blood test computer acquires blood test data for each test item added from the blood test device and transmits it to the main server To do.

  The main server stores the blood test data for the added test item in the test data file.

  Since the main server detects an abnormal value included in the blood test data and transmits an additional test item to the blood test computer, the test can be performed before discarding the blood after the test.

  The diagnostic computer receives blood test data and test measurement data from the main server. This blood test data also includes data of added test items.

  When diagnostic data is input to the diagnostic computer, the diagnostic computer transmits this diagnostic data to the main server.

  When a doctor makes an examination, blood test data including additional items can be referred to in addition to test measurement data. That is, all data other than direct medical examinations are available.

  The diagnostic data input means inputs reinspection instruction information by a doctor's examination in the diagnosis data, and inputs reinspection instruction information from the diagnostic data stored in the inspection data file to the main server. If this instruction information includes an instruction for re-examination on the day, the medical record is transmitted to the inspection and measurement computer connected to the main server together with the identification information associated with the diagnostic data. If there is no re-inspection instruction, the inspection data file stored in the storage means is taken out, and a fine inspection processing means for calculating the cost for each inspection item and creating an inspection result file is provided. Can be done quickly.

  Whether or not a close examination is necessary is determined by a doctor's diagnosis, and a consultation schedule is determined by a meeting with the examinee.

  The day means the day on which the medical examination was performed. “When there is no instruction for re-inspection on the day” includes a case where there is an instruction for another day even if there is an instruction for re-inspection.

  When conducting a close examination, a predetermined procedure is usually performed at the reception, and a separate check is performed after a new chart is issued, apart from a medical checkup chart. For this reason, the paperwork time becomes longer and the preparation time until the start of the close inspection becomes longer. However, by providing the close inspection processing means, it is immediately determined that the close inspection will be performed on the day, and the preparation for the close inspection is immediately started. Can start. In addition, the detailed inspection includes the case where the first inspection item is measured again and the case where a new inspection item is measured, and the inspection measurement computer and the inspection measurement device which are not used in the first inspection are used. There is also a case.

  Identification information acquisition means for setting the identification information as a predetermined ID, entering a barcode corresponding to each ID in a collection container for collecting a sample such as blood or urine, and reading the identification information provided in the collection container Is a bar code reader, and the other identification information acquisition means is a card reader device that reads a card to which identification information corresponding to the ID is input, the management of the identification information and the configuration of the identification information acquisition means are simplified. Can be.

  A password such as a password can be set for the ID. “Enter barcode” includes not only direct entry but also printing or attaching a label on which a barcode is printed.

  Since the barcode can be created from a predetermined ID, it can be prepared before reception by the examinee. When a bar code is used, there are fewer errors and fewer failures than a two-dimensional code or the like. In particular, since a barcode is written in the collection container, mistakes such as data exchange are prevented when an identification number is associated with blood test data or test measurement data.

  If the identification information is a fingerprint, and a collection container for collecting a sample such as blood or urine is provided with a mount on which a fingerprint can be transferred, and the identification information acquisition means is a fingerprint authentication device, personal authentication can be performed reliably. It becomes difficult to be used illegally. Further, since the fingerprint is transferred to the collection container, it is not necessary to prepare a collection container associated with the identification information in advance, and the work is simplified.

  A health check vehicle according to the present invention is characterized in that the health check system according to any one of claims 1 to 4 is provided in one vehicle.

  Since the health checkup system is provided in one vehicle, the vehicle can be circulated by dividing the area of the local government where the health checkup is performed into small districts with this vehicle, which improves convenience. .

  In addition, since it is possible to carry out health examinations by moving over a wide area, it is not necessary to install expensive medical devices and equipment used for health examinations in each hospital, thereby eliminating the cost of equipment purchase and waste of storage space. be able to.

  The test method of the present invention includes a blood test computer connected to a blood test apparatus that tests collected blood and outputs blood test data, and test measurement that performs test and measurement of parts other than blood and outputs test measurement data A test measurement computer connected to the apparatus, a diagnostic computer having diagnostic data input means for inputting diagnostic data as a result of examination by a doctor, and the blood test computer, the test measurement computer, and the diagnostic computer, An identification information acquisition means for acquiring identification information for identifying each examinee, and a comparison data file for storing blood test reference range data are stored, and the blood test data, the test measurement data, and the diagnostic data are stored. Storage means for storing a test data file to be stored; A test method using a health diagnosis system having a computer, a test measurement computer, and a main server connected to the diagnostic computer, wherein the blood test is performed by the blood test device in the comparison data storage means of the main server Storing the reference range data in the comparison data file in association with each test item of the blood test, the identification information acquiring means of the blood test computer acquiring the identification information of the examinee, and the blood Blood test data acquisition means of the test computer acquires blood test data for each test item from the blood test apparatus, and the blood test data is sent to the main server together with the identification information acquired by the transmission means of the blood test computer. Transmitting, and at the main server, the blood test Blood test data is received from the computer, and the blood test data is stored in the test data file in association with identification information by the test data storage means of the main server; A step of reading out blood test data stored in the data file and reference range data stored in the comparison data file, comparing each test item, and blood read out by the retest processing means of the main server; When the test data is not included in the reference range of the corresponding reference range data, it is determined as an abnormal value, the abnormal value data is added to the read blood test data and written to the test data file, and added to the blood test computer Transmitting the inspection item to be associated with the identification information; and The identification information acquisition means of the fixed computer acquires the identification information of the examinee, and the inspection measurement data acquisition means of the inspection measurement computer acquires inspection measurement data for each inspection item from the inspection measurement device. Transmitting the data to the main server together with the acquired identification information by the transmission means of the inspection measurement computer; receiving the inspection measurement data from the inspection measurement computer at the main server; A test data storage means for storing in the test data file in association with identification information, and a blood test data and test measurement associated with the identification information of the examinee from the test data file and the identification information in the main server; Reading data and transmitting it to said diagnostic computer The identification information acquisition unit of the diagnostic computer acquires the identification information of the examinee, and the diagnostic data input by the diagnostic data input unit of the diagnostic computer is transmitted together with the identification information acquired by the transmission unit of the diagnostic computer. Transmitting to the main server; receiving diagnostic data from the diagnostic computer at the main server; and storing the diagnostic data in the examination data file in association with identification information by the examination data storage means of the main server. And a step.

  When blood test data contains abnormal values, the test items to be added to the blood test computer are sent, so the test can be performed again before discarding the collected blood, without burdening the examinee. In addition, it is possible to carry out a close examination and save labor of hospital staff.

The present invention has the following effects.
(1) The health check system of the present invention includes retest processing means for transmitting test items to be added to the blood test computer in association with identification information when the blood test data includes abnormal value data. Therefore, the blood test computer can perform the test before discarding the blood after the test, and can quickly summarize the results of the health check.

(2) Search the main server for reexamination instruction information from the diagnostic data, and if there is an instruction for reexamination on the day, send a chart to the inspection measurement computer, and if there is no instruction for reexamination on the day Provides detailed inspection processing means to calculate the cost for each inspection item and create an inspection result file, so that it is possible to quickly prepare for detailed inspections and to quickly aggregate the results of health examinations. it can.

(3) If the identification information is ID, a barcode is written in the collection container, the identification information acquisition means is a barcode reader, and the other identification information acquisition means is a card reader device, management of identification information and identification information The configuration of the acquisition means can be simplified, the interruption of diagnosis due to a failure can be prevented, and the results of the health check can be quickly aggregated. Further, since the identification information is displayed on the collection container, mistakes such as data change when the identification number is associated with blood test data or test measurement data can be prevented, and the reliability of the test can be improved.

(4) If the identification information is a fingerprint, and the collection container is provided with a mount on which the fingerprint can be transferred, and the identification information acquisition means is a fingerprint authentication device, personal authentication can be surely performed and it is difficult to use illegally. , Improve system reliability. In addition, since the fingerprint is transferred to the collection container, it is not necessary to prepare a collection container associated with the identification information in advance, which simplifies the operation and prevents mistakes such as data exchange and simplifies system operation. become.

(5) In the test method of the present invention, when the read blood test data is not included in the reference range of the corresponding reference range data, it is determined as an abnormal value, and the test data is determined by adding the abnormal value data to the read blood test data. Since it has a step of writing to the file and sending the test item to be added in association with the identification information to the blood test computer, the test can be performed again before discarding the collected blood, which is a burden on the examinee. It is possible to carry out a close inspection without spending time, and to save the labor of hospital staff.

(6) Since the health check vehicle according to the present invention is provided with a health check system in one vehicle, the vehicle circulates by dividing the area of the local government where the health check is performed into each small area. Can improve convenience. In addition, since it is possible to carry out health examinations by moving over a wide area, it is not necessary to install expensive medical devices and equipment used for health examinations in each hospital, thereby eliminating the cost of equipment purchase and waste of storage space. be able to.

Embodiments of the present invention will be described below.
(First embodiment)
FIG. 1 is a schematic configuration diagram showing a connection state of the health check system according to the first embodiment of the present invention, FIG. 2 is a plan view of a health check facility using the health check system, and FIG. 3 is the health check system. It is explanatory drawing showing exchange of data. As shown in FIGS. 1 to 3, the health diagnosis system 1 of the present invention includes a whole blood test apparatus 12 and a biochemical test apparatus 17 that are examples of blood test apparatuses that test collected blood and output blood test data. An electrocardiogram measuring device 10, a pulmonary function testing device 11, and a height and weight measuring device 13, which are examples of a blood test computer 5, 8 to be connected, and a test and measurement device that performs test and measurement of parts other than blood and outputs test measurement data , Visual examination device 14, blood pressure measurement device 15, urine examination device 16, hearing examination device 18, and test and measurement computers 4, 6, 7, 9, 9a connected to CR (Computed radiography) device 18a, and results of examination by a doctor As a diagnostic computer 37 having diagnostic data input means 60 for inputting diagnostic data, and a comparison data file 5 for storing blood test reference range data And storage means 58 for storing a test data file 57 for storing blood test data, test measurement data and diagnostic data, and blood test computers 5, 8, test test computers 4, 6, 7, 9, 9a. And the main server 2 connected to the diagnostic computer 37 via the hub 3.

  The electrocardiogram measurement device 10 and the lung function test device 11 are connected to the test measurement computer 4. The height and weight measuring device 13, the visual acuity testing device 14, and the blood pressure measuring device 15 are connected to the test measurement computer 6. The urine test device 16 is connected to the test measurement computer 7. The hearing test device 18 is connected to the test measurement computer 9. The CR device 18a is connected to the inspection measurement computer 9a.

  The whole blood test apparatus 12, the urine test apparatus 16, and the biochemical test apparatus 17 are connected to barcode readers 19, 20, and 21, which are examples of identification information acquisition means for acquiring identification information. An electrocardiogram measuring device 10, a lung function testing device 11, a height and weight measuring device 13, a visual acuity testing device 14, a blood pressure measuring device 15, a hearing test device 18 and a diagnostic computer 37 have an ID card 22 on which the identification number of the examinee is recorded. A card reader (not shown) serving as identification information acquisition means capable of reading is respectively incorporated or connected. The test measurement computers 4, 6, 7, 9, 9 a, the blood test computers 5, 8, and the diagnostic computer 37 are the test measurement devices 10, 11, 13, 14, 15, 16, 18, 18 a and the blood test devices 12. , 17, the barcode readers 19 to 21, and the card reader, the identification information can be acquired from the collection container (not shown) and the ID card 22.

  A collection container for collecting a sample such as blood or urine is provided with an identification unit in which a barcode that can be read by the barcode readers 19 to 21 is written. This barcode is obtained by encoding an ID assigned in advance for each examinee, and identification information corresponding to this ID is also input to the ID card 22.

  As shown in FIG. 2, the health check facility 23 is installed in a rectangular area in the hospital. The installation area has a passage 24 through which the examinee can pass, and an entrance 25 is provided at one end of the passage.

  A reception unit 26 and a waiting room 27 are provided in the vicinity of the entrance / exit 25 of the passage 24, and the room on the right side from the entrance 25 toward the passage 24 is, in order from the front, the blood collection chamber 28, the urine collection chamber 29, the examination chamber 30, and an electrocardiogram. A chamber 31, a pulmonary function examination chamber 31a, and an X-ray room 32 are arranged. Further, in the room on the left side from the entrance 25 toward the passage 24, a measurement room 33, a data intensive processing room 34, and an examination room 35 are arranged in this order from the back side. The electrocardiogram room 31, the X-ray room 32, the pulmonary function examination room 31a, and the measurement room 33 constitute an examination measurement unit.

  The examinee enters each room while passing the passage 24 on the right side. The blood collection room 28, the test measurement units 31, 31a, 32, and 33, and the examination room 35 are provided in order on the right side in the traveling direction of the examinee. That is, the blood collection chamber 28 is arranged at a position closest to the entrance of the passage 24 among the blood collection chamber 28, the test measurement units 31, 31 a, 32, 33 and the examination room 35. It is arranged at the nearest position.

  The laboratory 30 is provided with blood test computers 5 and 8 and a test measurement computer 7. A urine test device 16, a biochemical test device 17 and a whole blood test device 12 are also provided in the test room 30.

  The electrocardiogram room 31 is provided with a test measurement computer 4 and an electrocardiogram measurement apparatus 10. In addition, a lung function testing device 11 is provided in the lung function testing room 31a.

  The X-ray room 32 is provided with a test measurement computer 9a and a CR device 18a.

  In the measurement chamber 33, inspection measurement computers 6 and 9 are provided. Further, the height / weight measuring device 13, the visual acuity testing device 14, the blood pressure measuring device 15, and the hearing test device 18 are arranged in a line in the measurement chamber 33.

  The main server 2 is provided in the data central processing chamber 34.

  The reception unit 26 is provided with a reception computer 36 connected to the main server 2, and the reception computer 36 can receive an inspection result file from the main server 2. The reception computer 36 is connected to a printer (not shown) that is an example of a printing unit that prints the result data.

  As shown in FIG. 3, the main server 2 includes a medical examination server 53 that stores data relating to health examinations, and a medical server 54 that processes medical office work such as issuance of medical records and payment of expenses. Each of the examination server 53 and the medical server 54 includes transmission / reception means (not shown).

  The examination server 53 includes comparison data storage means 61 for storing each examination item performed by the whole blood examination apparatus 12 and the biochemical examination apparatus 17 and reference range data corresponding to each examination item in the comparison data file 56.

  The blood test computers 5 and 8 include blood test data acquisition means 71 for acquiring blood test data for each test item from the whole blood test device 12 and the biochemical test device 17, and the obtained blood test data as a barcode reader 20, 21 includes a transmission unit 62 that transmits the identification information associated with the acquired identification information to the examination server 53, and a reception unit 63 that receives the identification information and an additional examination item associated with the identification information from the examination server 53. .

  The inspection measurement computers 4, 6, 7, 9, 9a acquire the inspection measurement data acquisition means 72 for acquiring inspection measurement data from the inspection measurement devices 10, 11, 13, 14, 15, 16, 18, 18a connected thereto. The inspection measurement data acquired for each inspection item from the inspection measurement devices 10, 11, 13, 14, 15, 16, 18, 18a is associated with the identification information acquired by the barcode reader 19 and the card reader, respectively. And a transmission means 64 for transmitting to 53.

  In addition to the diagnostic data input means 60 for inputting diagnostic data, the diagnostic computer 37 includes a transmitting means 65 for transmitting the inputted diagnostic data to the examination server 53 in association with the identification information acquired by the card reader, and the examination server 53. Receiving means 66 for receiving identification information and blood test data and test measurement data associated with the identification information.

  The examination server 53 includes examination data storage means 67, comparison means 68, and reexamination processing means 69.

  The test data storage means 67 includes blood test data transmitted from the blood test computers 5 and 8 in association with identification information for each test item, and test measurement transmitted from the test measurement computer 6 in association with identification information for each test item. The data and the diagnostic data transmitted in association with the identification information from the diagnostic computer 37 are stored in the examination data file 57 in association with the identification information.

  The comparison means 68 is stored in the comparison data file 56 and the blood test data stored in the test data file 57 in association with the transmitted identification information after the blood test data is transmitted from the blood test computers 5 and 8. The reference range data is read out, compared for each test item, and when the blood test data is not included in the reference range of the corresponding reference range data, it is determined as an abnormal value. In addition, the data is written in the inspection data file 57.

  The retest processing means 69 searches the blood test data in the test data file 57 associated with the identification information used by the comparison means 68 after the comparison by the comparison means 68, and when abnormal value data is not included. Transmits the examination data file 57 associated with the identification information to the diagnostic computer 37 together with the identification information. If the blood test data includes abnormal value data, the test item to be added is transmitted to the blood test computers 5 and 8 in association with the identification information.

  Further, the examination server 53 and the medical server 54 are provided with a detailed examination processing means 70. The precision inspection processing means 70 retrieves reinspection instruction information from the diagnostic data stored in the inspection data file 57, and when there is a reinspection instruction and the reinspection date matches the date at the time of retrieval. Of the inspection measurement computers 4, 6, 7, 9, 9a connected to the examination server 53 and the fine examination measurement computer 55 connected to the medical server 54, the examination measurement apparatuses 10, 11, 13, A medical chart is transmitted to those connected to 14, 15, 16, 18, 18a together with identification information associated with the diagnostic data. If there is no re-inspection instruction or the re-inspection date does not match the date at the time of retrieval, the inspection data file 57 stored in the storage means 58 is taken out, and the cost for each inspection item is calculated and inspected. A result file 59 is created. The medical server 54 transmits the medical chart and creates the examination result file 59.

  The precision test measurement computer 55 is connected to a precision test measurement device such as a blood test device, a biochemical test device, or a CT (Computed Tomography) test device.

  Next, an inspection method using the health diagnosis system of the present invention will be described.

(Reference range data input S1)
The comparison data storage means 61 of the main server 2 inputs the test items of the tests performed by the whole blood test device 12 and the biochemical test device 17 and the reference range data corresponding to the test items, and stores them in the comparison data file 56. To do. As the reference range data, a value that becomes a normal value is input if it is within the range.

  The whole blood test apparatus 12 performs an anemia test, and the test item is the number of red blood cells. The biochemical test device 17 performs a liver function test, a blood lipid test, and a blood glucose test. Transpeptidase), ALP (alkaline phosphatase). The reference range data can be inputted by the examination server 53 and can also be inputted from the blood test computers 5 and 8.

(Blood test data acquisition S2)
The bar code readers 20 and 21 of the blood test computers 5 and 8 acquire the identification information of the examinee, and the blood test data acquisition means 71 obtains blood for each test item from the whole blood test device 12 and the biochemical test device 17. Test data is acquired, and this blood test data is transmitted to the screening server 53 together with the acquired identification information by the transmitting means 62. The order in which blood test computers 5 and 8 transmit blood test data to screening server 53 is not defined, and either may transmit data first.

(Blood test data storage S3)
The test server 53 receives blood test data from the blood test computers 5 and 8 and stores this blood test data in the test data file 57 in association with the identification information by the test data storage means 67 of the test server. The inspection data file 57 is stored separately for each identification information.

(Comparison S4)
The comparison means 68 of the examination server 53 reads the blood test data stored in the test data file 57 and the reference range data stored in the comparison data file 56 and compares them for each test item. Then, it is determined whether or not the blood test data is included in the range of the reference range data.

(Re-inspection data transmission and abnormal value data addition S5)
When the read blood test data is not included in the reference range of the corresponding reference range data by the retest processing means 69 of the examination server 53, it is determined as an abnormal value, and the abnormal value data is added to the read blood test data and the test is performed. While writing in the data file 57, the test item to be added is transmitted to the blood test computers 5 and 8 in association with the identification information. When the read blood test data is included in the reference range of the corresponding reference range data, the test data file 57 is not changed.

  The blood test computers 5 and 8 that have received the additional test items measure the additional test items using the whole blood test device 12 and the biochemical test device 17. Additional test items include, for example, total protein, albumin, total bilirubin, LDH (lactate dehydrogenase), and amylase. The measurement is performed in the same procedure as the blood test data acquisition S2, and then the blood test data for the additional test items is written in the test data file 57 in the same procedure as the blood test data storage S3.

(Inspection measurement data acquisition S6)
The card reader 19 of the test measurement computer 4, 6, 7, 9, 9 a and the built-in card reader acquire identification information of the examinee, and the test measurement data acquisition means 72 acquires the electrocardiogram measurement device 10, pulmonary function test. Test measurement data is acquired for each test item from the device 11, the height and weight measurement device 13, the vision test device 14, the blood pressure measurement device 15, the urine test device 16, the hearing test device 18 and the CR device 18a, and this test measurement data is acquired. The identification information is transmitted to the examination server 53 together with the identification information.

  The electrocardiogram measurement apparatus 10 measures an electrocardiogram. The electrocardiogram is acquired as image data. The pulmonary function testing device 11 measures vital capacity, and the height / weight measuring device 13 measures height and weight. The visual acuity test device 14 measures visual acuity, and the blood pressure measurement device 15 measures blood pressure. The urine test device 16 performs a test on the collected urine, and the test items are urine sugar, urine protein, and urine occult blood. The hearing test device 18 measures the hearing ability, and the CR device 18a takes a radiograph. The X-ray photograph is acquired as image data.

(Inspection measurement data storage S7)
The examination server 53 receives examination measurement data from the examination measurement computers 4, 6, 7, 9, 9 a, and the examination data storage means 67 stores the examination measurement data in the examination data file 57 in association with the identification information. . Either blood test data or test measurement data may be stored first.

(Inspection measurement data transmission S8)
The examination server 53 reads the identification information of the examinee and the blood test data and the test measurement data associated with the identification information from the examination data file 57 and transmits them to the diagnostic computer 37. The examination server 53 can automatically input a finding when there is no abnormality in each item of the blood test data and the test measurement data.

  When one of blood test data and test measurement data is not included in the test data file 57, it is not transmitted. Further, when the blood test data includes an abnormal value and the additional test item data is not included, the blood test data may not be transmitted until the additional test item is written. Alternatively, when the identification number data is transmitted from the diagnostic computer 37 and the identification server 53 receives the identification number data, this step (S8) may be started.

(Diagnostic data transmission S9)
The card reader incorporated in the diagnostic computer 37 acquires the identification information of the examinee, and transmits the diagnostic data input by the diagnostic data input means 73 to the screening server 53 together with the acquired identification information. The diagnostic data is input by a doctor.

(Diagnostic data storage S10)
The examination server 53 receives diagnostic data from the diagnostic computer 37, and the diagnostic data is stored in the examination data file 57 in association with the identification information by the examination data storage unit 67. If there is a need for reexamination, the diagnostic data includes a reexamination instruction and its date as reexamination instruction information.

(Re-examination search S11)
The examination server 53 retrieves reexamination instruction information from the diagnostic data stored in the examination data file.

(Reinspection instruction S12)
If there is a reexamination instruction in the retrieved diagnostic data and the reexamination date matches the date at the time of the search, the reexamination instruction information is transmitted to the medical server 54 and the precision connected to the medical server 54 The medical record is transmitted to the test measurement computer 55 together with the identification information associated with the diagnostic data. This medical record includes inspection measurement items.

(Inspection result file creation S13)
If there is no reexamination instruction or the reexamination date does not match the date at the time of retrieval, the examination result file creation instruction information is transmitted to the medical server 54. The medical server 54 retrieves the examination data file 57 stored in the storage unit 58, calculates the cost for each examination item, and creates the examination result file 59. That is, the inspection result file 59 includes inspection data and inspection costs.

The created inspection result file 59 is transmitted to the reception computer 36, and the reception computer 36 prints this inspection result file 59.
Inspection is performed in this way.

  Next, the procedure for using the health check facility using the health check system will be described.

  A medical examination examiner informs a hospital where the medical examination system 1 is installed in advance of necessary items. The examination server 53 assigns an identification number to each examinee when a necessary item such as the name of the examinee is input. In addition, the ID card 22 corresponding to the identification number is created before the examinee comes to the reception unit 26. Further, a barcode corresponding to the identification number is printed on a label, and is affixed to an identification portion of a blood test collection container and a urine test collection container.

  The examinee who receives the medical checkup is confirmed to be the person himself / herself at the reception unit 26 and receives the ID card 22.

  The examinee proceeds along the passage 24 and blood is collected in the blood collection chamber 28. The collected blood is immediately carried to the examination room 30.

  A part of the blood is subjected to a general blood test using the whole blood test apparatus 12 as it is, and the other blood is separated into a clot and serum using a centrifuge, and then the biochemical test apparatus 17 is used. And perform a biochemical test on the serum.

  The examinee goes to the urine collection chamber 29 after blood collection is completed. Here, first, preparation for inspection is performed by reading the barcode of the inspection container with the barcode reader 19. Next, the test paper is immersed in urine, and the test paper is placed on the urine test apparatus 16. The urine test device 16 automatically performs a test subdivided into 10 items.

  The examinee then goes to the electrocardiogram room 31. In the electrocardiogram room 31, an electrocardiogram is measured after undressing. Data measured by the electrocardiogram measuring apparatus 10 is analyzed by an electrocardiograph incorporating an analysis apparatus.

  Lung function tests are performed only when necessary. When the lung function test is performed, the lung function test apparatus 11 is used in the lung function test room 31a after the end of the electrocardiogram measurement.

  The examinee then goes to the X-ray room 32. In the X-ray room 32, a chest X-ray examination is performed using the CR examination apparatus 18a. The time has been shortened because the clothes have been undressed at the time of ECG measurement.

  The examinee then goes to the measurement room 33. In the measurement chamber 33, height, weight, blood pressure, visual acuity, and hearing are inspected using the height / weight measuring device 13, the visual acuity testing device 14, the blood pressure measuring device 15, and the hearing test device 18.

  The examinee then goes to the examination room 35. In the examination room 35, a doctor is examined.

  It takes about 20 minutes for blood test data to be written to the test data file 57 after blood collection is completed, but other test measurement data is written almost simultaneously with the measurement, so that the examinee goes to the examination room 35. The doctor can check the blood test data and the test measurement data on the screen of the diagnostic computer 37. Note that when the examination server 53 or the diagnostic computer 37 does not include blood test data and test measurement data within the normal range, warning information can be added. For example, the warning can display the abnormal value in the data displayed on the screen in a color different from the normal value, and this configuration allows the doctor to easily determine whether there is an abnormality.

  The doctor checks blood test data and test measurement data, examines the examinee, and inputs the findings (diagnosis data) to the diagnostic computer 37.

  If the examinee conducts a re-examination on the day, he / she goes to the reception after receiving a close examination in another room. Then, at the reception desk, he / she asks about future treatment schedules, receives the results of the medical examination, and leaves the hospital.

If re-inspection is performed on another day, or if re-inspection is not necessary, it goes directly to reception. He receives the results of the health checkup and leaves the hospital. The ID card 22 can be taken home as it is and used as a next visit card.
Since the ID card 22 itself does not store the results of medical examination, medical data, etc., other people cannot read the results of the medical examination from the ID card 22. In addition, by setting a personal identification number in the ID, even in the hospital, only the administrator and a specific person cannot enter the password to output the medical data recorded on the server. You can pay careful attention to security.

(Second Embodiment)
The health diagnosis system of the second embodiment is different from the first embodiment in that the identification information is a fingerprint and the identification information acquisition means is a fingerprint authentication device, and the other configuration is the first embodiment. Is the same.
The identification part of the inspection container is provided with a mount capable of transferring a fingerprint. The examinee collects urine and blood after transferring the fingerprint on the mount.
Hospital staff can save the trouble of printing a label with a bar code on a test container in advance. In addition, there is no need to mix inspection containers.
Fingerprint registration is performed in advance at the reception.
(Third embodiment)
FIG. 4 is a plan view showing a state in which the health diagnosis system is provided in one vehicle. The health checkup system has the same function as the health checkup system of the first embodiment. As shown in FIG. 4, a vehicle 41 provided with a health checkup system has a driver seat 42 on the right front side and an entrance 43 on the front end of the left side surface.

  A urine collection chamber 44 and an X-ray chamber 45 are provided at the rear end of the vehicle 41, and a main medical examination unit 46 that performs blood collection, each examination, and each measurement is disposed at the center of the vehicle 41. The passage 52 is provided so as to surround the main medical examination unit 46.

  The main examination unit 46 includes a reception and blood collection unit 47 having functions of a reception and blood collection unit, a laboratory / computer room 48 having a function of blood test unit, an electrocardiogram room 49, height, weight, blood pressure, It has a measurement room 50 for measuring visual acuity and hearing ability, and an examination room 51 having the function of an examination room. The reception and blood collection unit 47 is arranged at a position closest to the entrance / exit 43. The electrocardiogram chamber 49 and the measurement chamber 50 constitute an inspection / measurement unit.

  A main server (not shown) is provided in the laboratory / computer room 48, and a blood test computer, a test measurement computer, and a diagnostic computer (not shown) connected to the server are a reception / blood collection unit 47, a test room The computer room 48, the electrocardiogram room 49, the measurement room 50, and the examination room 51 are provided. A printer is connected to the blood test computer of the reception and blood collection unit 47.

  The main server, blood test computer, test measurement computer, and diagnostic computer are the same as the main server 2, blood test computers 5, 8, test measurement computers 4, 6, 7, 9, 9a and diagnostic computer 37 of the first embodiment. It has the same function.

  The vehicle 41 is formed in such a size that it can move on a general road without any special permission, and can be used while driving to a corner of a housing complex or a mountain village and parked.

The examinee moves clockwise along the passage 52.
First, go to the reception and blood collection unit 47 to receive an ID card and collect blood. The collected blood is transported to the adjacent laboratory / computer room 48 where a predetermined test is performed. If the blood test data includes an abnormal value, the additional test item is tested again.

The examinee then goes to the electrocardiogram room 49 and measures the electrocardiogram.
Next, urine is collected in the urine collection chamber 44. The collected urine is transported to the laboratory / computer room 48 for a predetermined test.

  The examinee then goes to the X-ray room 45 and performs a chest X-ray examination. And it goes to the measurement room 50 and measures height, weight, blood pressure, visual acuity, and hearing ability. The verification time of the identification number in the measurement chamber 50 is limited to one time, and the measurement time can be shortened.

  Next, the examinee goes to the examination room 51 and receives a doctor's examination. The examination computer in the examination room 51 receives the blood test data obtained by analyzing the collected blood and other test measurement data, so that the health condition of the examinee can be checked in detail and appropriate examination is performed. be able to.

  If there is no abnormality as a result of the medical examination, the ID card is returned at the reception and blood collection unit 47, the medical examination result printed by the printer is received, and the person leaves the vehicle.

  If an abnormality is found by medical examination, an instruction is given to have a re-examination at a nearby hospital. In this case, it is possible to carry the examinee on the vehicle 41 to the hospital after completion of the health examination. is there.

  It is also possible to provide a slope or an elevator device at the entrance / exit 43 of the vehicle so that the vehicle can be lifted and lowered by a wheelchair.

  This health checkup system can be used for general health checkups under government-sponsored adult diseases, corporate general checkups (Ministry of Labor), and other health checks. In the future, exercise prescriptions will be possible after a health checkup.

  INDUSTRIAL APPLICABILITY The present invention is useful as a health diagnosis system, an inspection method, and a health check vehicle for collecting the results of health check.

It is a schematic block diagram which shows the connection state of the health diagnostic system of the 1st Embodiment of this invention. It is a top view of the health check equipment which installed the health check system. It is explanatory drawing showing exchange of the data of the health checkup system. It is a top view which shows the state which provided the same health-diagnosis system in one vehicle.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Health checkup system 2 Main server 3 Hub 4 Test measurement computer 5 Blood test computer 6 Test measurement computer 7 Test measurement computer 8 Blood test computer 9 Test measurement computer 9a Test measurement computer 10 Electrocardiogram measurement device (test measurement device)
11 Lung function testing device (testing and measuring device)
12 Whole blood test equipment (blood test equipment)
13 Height / weight measuring device (test measuring device)
14 Eyesight testing equipment (testing and measuring equipment)
15 Blood pressure measurement device (test measurement device)
16 Urine test equipment (test measurement equipment)
17 Biochemical testing equipment (blood testing equipment)
18 Hearing test device (test and measurement device)
18a CR device (inspection measurement device)
19-21 Bar code reader (identification information acquisition means)
22 ID card 23 Health checkup equipment 24 Passage 25 Entrance 26 Reception part 27 Waiting room 28 Blood collection room 29 Urine collection room 30 Examination room 31 ECG room (examination measurement part)
31a Pulmonary function test room (examination measurement part)
32 X-ray room (inspection measurement unit)
33 Measurement room (Inspection and measurement unit)
34 Data Central Processing Room 35 Examination Room 36 Reception Computer 37 Diagnostic Computer 41 Vehicle 42 Driver's Seat 43 Entrance / Exit 44 Urine Collection Room 45 X-ray Room 46 Main Examination Department 47 Reception / Blood Collection Department 48 Laboratory / Computer Room 49 ECG Room 50 Measurement Room 51 Examination room 52 Passage 53 Examination server 54 Medical server 55 Detailed examination measurement computer 56 Comparison data file 57 Examination data file 58 Storage means 59 Examination result file 60 Diagnostic data input means 61 Comparison examination data storage means 62 Transmission means 63 Reception means 64 Transmission means 65 Transmitting means 66 Receiving means 67 Examination data storage means 68 Comparison means 69 Reexamination processing means 70 Fine examination processing means 71 Blood test data acquisition means 72 Test measurement data acquisition means 73 Diagnostic data storage means

Claims (6)

A blood test computer connected to a blood test device that tests the collected blood and outputs blood test data;
A test and measurement computer connected to a test and measurement device that performs test and measurement of parts other than blood and outputs test and measurement data;
A diagnostic computer having diagnostic data input means for inputting diagnostic data as a result of examination by a doctor;
Identification information acquisition means connected to the blood test computer, the test measurement computer and the diagnostic computer, respectively, for acquiring identification information for identifying each examinee;
Storing a comparison data file storing reference range data of a blood test, and storing means for storing a test data file storing the blood test data, the test measurement data, and the diagnostic data, the blood test computer, An inspection measurement computer and a main server connected to the diagnostic computer,
The blood test computer includes blood test data acquisition means for acquiring blood test data from the blood test apparatus, and identification information acquired by the identification information acquisition means connected to the blood test computer. Transmitting means for transmitting to the main server in association with the receiving means, and receiving means for receiving identification information and additional inspection items associated with the identification information from the main server,
The inspection measurement computer includes inspection measurement data acquisition means for acquiring inspection measurement data from the inspection measurement apparatus, and identification information acquired by the identification information acquisition means connected to the inspection measurement computer for the acquired inspection measurement data. Transmission means associated with the transmission to the main server,
The diagnostic computer receives identification information from the main server, blood test data and test measurement data associated with the identification information, and diagnostic data input by the diagnostic data input means to the diagnostic computer. Transmission means for transmitting to the main server in association with the identification information acquired by the connected identification information acquisition means,
The main server is
Comparison data storage means for storing the reference range data of the blood test performed by the blood test apparatus in the comparison data file in association with each test item of the blood test,
Test data storage for storing blood test data transmitted from the blood test computer, test measurement data transmitted from the test measurement computer, and diagnostic data transmitted from the diagnostic computer in the test data file in association with identification information Means,
The blood test data stored in the test data file and the reference range data stored in the comparison data file are read and compared for each test item, and the blood test data is included in the reference range of the corresponding reference range data A comparison means for determining an abnormal value when it is not, and adding the abnormal value data to the read blood test data and writing it to the test data file;
When the blood test data in the test data file is searched and the abnormal value data is not included, the test data file associated with the identification information is transmitted to the diagnostic computer together with the identification information, When the abnormal value data is included, a health checkup system comprising retesting processing means for transmitting the test item to be added in association with the identification information to the blood test computer. The diagnostic data input means is for inputting instruction information for reexamination by a doctor's examination included in the diagnostic data,
The main server retrieves reexamination instruction information from the diagnostic data stored in the inspection data file, and if the instruction information includes a reexamination instruction for the day, an inspection connected to the main server The medical record is sent to the measurement computer together with the identification information associated with the diagnostic data. On the other hand, if there is no instruction for re-examination on the day, the inspection data file stored in the storage means is taken out and the cost for each inspection item is extracted. The medical examination system according to claim 1, further comprising a close examination processing means for calculating the above and creating an examination result file.   The identification information is a predetermined ID, and a barcode corresponding to each ID is entered in a collection container for collecting a sample such as blood or urine, and the identification information for reading the identification information provided in the collection container The acquisition unit is a barcode reader, and the other identification information acquisition unit is a card reader device that reads a card in which identification information corresponding to the ID is input. Health checkup system.   The identification information is a fingerprint, a collection container for collecting a sample such as blood or urine is provided with a mount capable of transferring the fingerprint, and the identification information acquisition means is a fingerprint authentication device. Item 3. The health diagnosis system according to Item 1 or 2.   A health checkup vehicle comprising the health checkup system according to any one of claims 1 to 4 in one vehicle. A blood test computer connected to a blood test device that tests the collected blood and outputs blood test data;
A test and measurement computer connected to a test and measurement device that performs test and measurement of parts other than blood and outputs test and measurement data;
A diagnostic computer having diagnostic data input means for inputting diagnostic data as a result of examination by a doctor;
Identification information acquisition means connected to the blood test computer, the test measurement computer and the diagnostic computer, respectively, for acquiring identification information for identifying each examinee;
Storing a comparison data file storing reference range data of a blood test, and storing means for storing a test data file storing the blood test data, the test measurement data, and the diagnostic data, the blood test computer, A test method using a health diagnosis system having a test measurement computer and a main server connected to the diagnostic computer,
Storing the reference range data of the blood test performed by the blood test apparatus in the comparison data storage means of the main server in the comparison data file corresponding to each test item of the blood test;
The identification information acquisition means of the blood test computer acquires the identification information of the examinee, and the blood test data acquisition means of the blood test computer acquires blood test data for each test item from the blood test apparatus. Transmitting blood test data to the main server together with the acquired identification information by the transmitting means of the blood test computer;
Receiving blood test data from the blood test computer at the main server, and storing the blood test data in the test data file in association with identification information by the test data storage means of the main server;
A step of reading the blood test data stored in the test data file and the reference range data stored in the comparison data file by the comparison means of the main server and comparing each test item;
In the retest processing means of the main server, when the read blood test data is not included in the reference range of the corresponding reference range data, it is determined as an abnormal value, and the abnormal value data is added to the read blood test data to add the abnormal value data. Writing to the test data file and transmitting the test item to be added in association with the identification information to the blood test computer;
The identification information acquisition means of the inspection measurement computer acquires the identification information of the examinee, and the inspection measurement data acquisition means of the inspection measurement computer acquires inspection measurement data for each inspection item from the inspection measurement device. Transmitting the inspection measurement data to the main server together with the acquired identification information by the transmission means of the inspection measurement computer;
Receiving inspection measurement data from the inspection measurement computer at the main server, and storing the inspection measurement data in the inspection data file in association with identification information by the inspection data storage means;
In the main server, reading identification information of the examinee and blood test data and test measurement data associated with the identification information from the test data file, and transmitting to the diagnostic computer;
The identification information acquisition unit of the diagnostic computer acquires the identification information of the examinee, and the diagnostic data input by the diagnostic data input unit of the diagnostic computer is transmitted together with the identification information acquired by the transmission unit of the diagnostic computer. Sending to the server;
Receiving diagnostic data from the diagnostic computer at the main server, and storing the diagnostic data in the examination data file in association with identification information by the examination data storage means of the main server. Inspection method to do.

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