WO2001097111A1

WO2001097111A1 - Second opinion acquisition assisting system and second opinion acquiring method

Info

Publication number: WO2001097111A1
Application number: PCT/JP2000/006582
Authority: WO
Inventors: Hideki Kosaku; Satoshi Ikeda
Original assignee: Kabushiki Kaisha Toshiba
Priority date: 2000-06-15
Filing date: 2000-09-25
Publication date: 2001-12-20

Abstract

A second opinion acquisition assisting system for enabling a patient to be diagnosed by a third party while the patient is under a specific medical institution. The name of the patient, the name of the department that the patient is consulting, and the name of the hospital are inputted through a patient terminal to access a medical information provider. The medical information provider has a database where doctors and medical institutions that agree to provide a second opinion are stored by department. An appropriate doctor or medical institution is selected and asked to make a second opinion. Information that the doctor or medical institution is asked to make includes the patient information inputted through a patient terminal and data on the current treatment of the patient read out of the specific medical institution. The asked doctor or medical institution make a diagnosis on the basis of the information and sends the results of the diagnosis as a second opinion to the requester. A second opinion acquiring method is also disclosed.

Description

Specification

Second opinion acquisition support system and second opinion acquisition method

Technical field

The present invention relates to a third-party diagnosis (secondary diagnosis) performed by a doctor other than the attending physician at the same medical institution or a doctor at another medical institution while a patient is being referred to a specific physician (the attending physician). Opinion), a second opinion acquisition support system and a second opinion acquisition method.

Background art

Recently, patients and doctors are becoming more aware of informal consultations where doctors inform patients of their medical conditions in detail and perform procedures such as surgery with the agreement of both parties. . The changes in patient awareness have been so great that there is a growing call to know in advance the information about the treatments they will receive. Although the attending physician has explained to the patient so that it is easy to understand, sometimes it has been difficult for the patient to fully understand the situation.

The causes are as follows: (1) The cause of the disease cannot be clearly identified by conventional diagnoses and tests; (2) Doctors do not have enough time to explain to patients; (3) Patient knowledge (4) The doctor's explanation ability is not sufficient. In particular, when a patient becomes seriously ill, treatment such as surgery takes the life and death of the patient, and many voices request detailed information on the disease.

However, if the patient does not get At present, only the information from the attending physician is available, and it is difficult to obtain a third-party diagnosis (second opinion) by another physician. If the patient is out of the hospital, if the result of the diagnosis by the attending physician is unsatisfactory with the treatment policy, the patient cannot go to another physician, but is economical and time-consuming. It is practically impossible to have multiple doctors at the same time.

On the other hand, even the attending physician may not have experience or knowledge in some cases and would like to hear a third-party diagnosis (second opinion) by another physician. However, in such a case, although it is not possible to listen to the doctors in the same hospital personally, it is related to the patient's privacy, so it is necessary to consult a doctor at another medical institution. It is not possible to listen to the current situation.

As mentioned above, in the past, patients were required to obtain a second opinion of another physician other than the attending physician while on the way to a medical institution, or the attending physician gave a second opinion to another physician. It was difficult to find.

Therefore, the present invention can obtain a second opinion of another physician other than the attending physician while the patient is at a medical institution, or the physician can ask another physician for a second opinion. The purpose is to provide a second opinion acquisition support system and a second opinion acquisition method that can be easily performed.

Disclosure of the invention In order to achieve the above object, the present invention is configured as follows.

According to one aspect of the present invention, a method for acquiring a diagnosis result of a patient by a third party via a network includes the steps of: Access to a medical condition database that stores information of a third party who has previously agreed to make a diagnosis; and A third-party extraction step of extracting an appropriate third party for requesting a diagnosis based on the medical condition input by the caster; and It includes a diagnosis requesting step for requesting, and a third-party diagnosis result transmitting step for transmitting the result of the diagnosis requested in this step to a person who has requested the diagnosis.

Thus, the patient's physician can obtain a third-party diagnosis while the patient is at a particular medical institution.

According to another aspect of the present invention, a method of obtaining a diagnosis result of a patient by a third party via a network includes a medical condition of a patient requesting a diagnosis by a third party and a medical institution currently undergoing the diagnosis. Access to a medical condition database that stores information of a third party who has previously approved the diagnosis and a medical condition database in which a diagnosis is input from a terminal at the terminal; A third party extraction step of extracting an appropriate third party to request a diagnosis based on the entered medical condition; and a diagnosis requesting step of requesting the third party extracted in this step to request the diagnosis of the patient. And A third-party diagnosis result transmitting step of transmitting the result of the diagnosis requested in this step to the patient.

Therefore, the patient can obtain a third-party diagnosis while at a particular medical institution.

According to another aspect of the present invention, a method for obtaining a diagnosis result of a patient by a third party via a network includes the steps of: Access to the medical information database, which stores the medical condition input step for inputting the diagnosis result at the medical institution from the terminal and the information of a plurality of third parties who have agreed in advance to perform the diagnosis. A third-party extraction step for extracting an appropriate third party to request a diagnosis based on the medical condition input in the input step, and a third party extracted in this step. A diagnosis requesting step of requesting a diagnosis of the patient, and a third-party diagnosis result transmitting step of transmitting a result of the diagnosis requested in this step to a person involved in the diagnosis of the patient. I do.

Therefore, when a patient is at a particular medical institution, those involved with the patient can obtain a third-party diagnosis.

According to still another aspect of the present invention, the medical information database stores information of a plurality of third parties who have previously agreed to make a diagnosis, and a third information stored by this means. Means for extracting a third party to diagnose the patient from the information of the patient based on the medical condition of the patient for whom a diagnosis by a third party is requested by the third party or information on the diagnosis at the medical institution currently undergoing the diagnosis. Become.

Therefore, when a patient is at a particular medical institution, A medical information database is obtained from which the patient or a person related to the patient can obtain a third-party diagnosis.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 is a diagram showing a configuration example of a first embodiment of a second opinion acquisition support system according to the present invention.

FIG. 2 is a diagram for explaining a procedure flow of a first embodiment of a second opinion obtaining method according to the present invention.

FIG. 3 is a diagram showing an example of an input screen when a patient requests a second pinion in the first embodiment of the present invention.

FIG. 4 is a diagram showing an example of an input screen when requesting a request for disclosure of medical data in the first embodiment of the present invention.

FIG. 5 is a diagram showing an example of a request screen for requesting a second opinion from a medical information provider in the first embodiment of the present invention.

FIG. 6 is a diagram showing an example of an input screen when creating a second answer in the first embodiment of the present invention.

FIG. 7 is a diagram showing an example of a display screen when a plurality of physicians provide second opinion responses in the first embodiment of the present invention.

FIG. 8 is a diagram showing an example of an input screen for introducing a physician who has submitted a second opinion when a request is made by a patient in the first embodiment of the present invention.

FIG. 9 is a diagram showing an example of an output screen when the reservation of the doctor who has submitted the second opinion is confirmed in the first embodiment of the present invention. FIG. 10 is a diagram showing an example of a screen for receiving information for understanding the contents of the second item in more detail in the first embodiment of the present invention.

FIG. 11 is a diagram for explaining the flow of procedures in a second embodiment of the second opinion obtaining method according to the present invention.

FIG. 12 is a diagram showing an example of an input screen when the attending physician requests a second opinion in the second embodiment of the present invention.

FIG. 13 is a diagram showing a configuration example of a second opinion acquisition system according to a second embodiment of the present invention.

BEST MODE FOR CARRYING OUT THE INVENTION

Hereinafter, embodiments of a second opinion acquisition support system and a second opinion acquisition method according to the present invention will be described with reference to the drawings.

First embodiment

FIG. 1 shows a first embodiment of a second opinion acquisition support system according to the present invention. A large number of medical institutions (or individual physicians) A, B, ... 22a, 22b, ... are connected to a network 21 such as the Internet, and a large number of patients a, bc ,… Terminals 23a, 23b, 23c, ... are connected. Each medical institution consists of a terminal 27 and a database 28. A medical information provider 26, which is composed of a terminal 24 and a medical information database 25 and is the center of this system, is also connected to the network 21. This system builds a network of physicians and medical institutions who submit second opiones upon request, and the medical information provider 26 agrees with the intent of this system. Make a contract with a doctor or medical institution to provide a second opinion (cost, information disclosure obligation, confidentiality obligation, etc.). The second opinion's response may be free, but may be paid if necessary. The costs will normally be borne by the patient, but may be borne by the health information provider 26 if it is sponsored and operated. The cost may be paid by the patient directly to the provider of the second opinion or may be paid through the medical information provider 26. Hospitals and other medical institutions contract with the entire institution for billing and settlement purposes, requiring a second opinion for the medical institution, and individual physicians belonging to the medical institution are directly in charge of second operations. It is often the case that you do not have to be turned on. However, individual physicians at medical institutions may contract directly with the provider. It is advisable to sign a contract with as many doctors and medical institutions as possible. In addition, each physician and medical institution must inform in advance that other physicians will cooperate in creating a second opinion (disclose the current medical data of their patients to other physicians). I understand. On the other hand, contracts should be made with physicians and medical institutions that require a second service so that medical data of other physicians and patients at medical institutions are not disclosed.

The list of contract physicians or medical institutions is stored in the medical information database 25 for each specialty as shown in Table 1. This list should also contain information for searching for locations, years of experience of physicians, etc. In addition, there are several types of health insurance, depending on the medical institution and physician. If this is only the case, information on the type of health insurance should be added to the list so that the medical institution and physician to whom the health insurance that the patient has can apply can be selected. Also preferred Table 1

The medical information provider 26 also collects information on medical information, and stores academic conference papers, general medical information, and information on each medical institution in the medical information database 25 to respond to medical conditions. Patients will be able to provide necessary information such as disease names and appropriate medical departments to enter appropriate medical departments.

It should be noted that the information in the medical information database 25 is not simply provided, but may be provided by appropriately processing such as performing statistical processing according to a patient's request. Based on this information, the patient can easily understand his / her medical condition and can be fully convinced and receive appropriate treatment.

In the present invention, the subject who seeks the second opinion may be the patient or the attending physician. First, as a first embodiment, a case where a patient seeks a second opinion will be described. FIG. 2 shows a first embodiment of a method for acquiring a second opinion mainly by a patient according to the present invention.

Patient a is consulted at medical institution A, and after examination and examination, a diagnosis is made. The patient is instructed by the attending physician about the medical condition. Treatment is started when patient a understands the explanation of the attending physician and is satisfied with the diagnosis and treatment plan. However, sometimes the physician's diagnosis and / or treatment strategy may not be satisfactory. In such a case, according to the present invention, the patient can request the medical information provider 26 to obtain a second opinion without actually visiting another doctor.

Patient a first activates the second opieon billing application on his terminal 23a. When the application is started, a second pinion request screen as shown in FIG. 3 is displayed on the display unit of the terminal 23a. On the request screen, enter the patient's name, the consultation number on the consultation card, the name of the medical department currently undergoing consultation, the name of the medical institution, the first consultation time, and other remarks. Of these, the items to be entered for the name of the department to be consulted, the name of the medical institution to be consulted, and the time of the first consultation are predetermined in advance, so by clicking on the list item on the right side The options are displayed, and one of them can be selected by clicking. In the other remarks column, enter the items that you want to give to the doctor who diagnoses the second opinion in advance from the patient, for example, using the keyboard.

Patient a enters the required items on the second opinion request screen shown in Fig. 3 and then clicks the "Send" button 31 in the lower right. Then, a request for a second opinion request including the input information is sent to the terminal 24 of the medical information provider 26 via the network 21 (step S11). To cancel the request for the second pinion request, click “Cancel” button 32.

The terminal 24 of the medical information provider 26 receives the request for the second ovenion, and then receives detailed medical data (pattern data) of the patient a, such as the diagnosis and examination data of the patient a by the attending physician. To obtain the opinion from the attending physician, the request data for the second opinion request is transmitted to the medical institution (in this case, medical institution A) where the patient a is being examined, and a request for disclosure of the medical data is made. Medical treatment data refers to data obtained as a result of diagnosis, such as diagnostic image data, electrocardiograms, and blood test results, in addition to medical record data. At medical institution A, which receives the request for disclosure, the patient is collated based on the patient's name and consultation number. If the consultation number included in the request for disclosure does not match the consultation number for the patient held by the medical institution, notify the provider and reject the request for the second opinion. If they match, a medical data disclosure request screen as shown in FIG. 4 is displayed on the display unit of the terminal 27 of the medical institution A (step S12). The items included in the request to disclose medical care data (Fig. 4) are those in which the name of the medical institution being examined is deleted from the request for second opinion request (Fig. 3). On the disclosure request screen, under the title, “A patient at your medical institution has made a request for a second opinion regarding the following cases. Please disclose it. "

Next, in step S 13, the doctor at medical institution A reads the current medical data of patient a from database 28 and passes the medical data through terminal 27 to terminal 2 of medical information provider 26. Send to 4. The provision of the patient's medical data (reading and transmission) may be performed automatically by the terminal 27 based on each item of the disclosure request, instead of being performed by the doctor. In this case, it is not necessary to display the disclosure request screen shown in FIG. 4 on the terminal 27 of the medical institution A.

On the other hand, in parallel with step S12, the medical information provider 26 accesses the medical information database 25 from the terminal 24, and obtains the second information on the medical care department (eg, internal medicine) entered by the patient a. Request a search for medical institutions and physicians who provide the opinion (Step S14). The medical information database 25 creates a list of doctors who can provide a second opinion regarding internal medicine, and returns the test results (doctor name list) to the terminal 24 of the medical information provider 26 ( Step S15).

The medical information provider 26 selects a doctor appropriate for diagnosing the patient from the list of doctor names based on the medical care data based on a specialty field or the like. The number of doctors to be selected is not limited to one, and may be plural. This number may be specified by the patient, or if the number of physicians listed is small, do not select and request all applicable physicians to request a second opinion. Is also good. The operator of the provider 26 contacts the patient and asks the patient directly about the medical condition, and guesses a possible disease name from the situation. You may choose an appropriate physician based on this. Also, the provider 26 may be able to specify a patient instead of selecting a doctor. In this case, at the time of restoration, the patient may specify search conditions, and the patient may specify the search conditions. For example, it may be possible to make a list by specifying a doctor at a university hospital or a private practitioner, the age of a doctor, or the university where the doctor is from. If more than one physician is listed, the physician who is eligible for the health insurance covered by the patient will be given priority. This is because, as described later, if the doctor who created the second opinion can expect more appropriate treatment than the treating doctor, the treating doctor may be changed. When a provider requests a second opinion from multiple doctors, it is preferable to obtain the patient's consent by e-mail or the like. The reason for this is that as the number of second opinion requesters increases, the number of people who know the patient's medical data increases, which may cause problems in terms of privacy.

In step S16, a second opinion reply request is transmitted to the selected physician (here, medical institution B), and the terminal 27 displays a sec- ondary message as shown in Fig. 5. Display the opinion response screen. This is accompanied by the medical data of patient a obtained from medical institution A to date. On the second opinion response request screen, under the title, `` The patient has requested for the following cases, please give me a second opinion, '' and a second opinion response And other precautions are displayed as shown. At the medical institution B, the reception and secretariat judges whether or not to receive this request, and if the request is received, clicks the “Request” button 53 and the medical information provider 2 Inform 6 that you understand. On the other hand, if you want to refuse to submit a second opinion for this matter, you can click the “Request not accepted” button 54 to provide the medical information provider. 26 You can tell that you want to refuse to submit a second opinion. If you receive a request, send the request to the appropriate physician over the hospital network.

The answer request screen shown in Fig. 5 is also displayed on the terminal of the doctor who was asked to answer the second opinion. By clicking the "medical data" button 51, the physician can see the medical data by the physician currently working on the patient a. If there is a shortage in this medical data, click the “Request supplemental data” button 52 to display the mail creation screen (not shown), and point out the missing data. Then, an e-mail can be sent to the medical institution A who is currently undergoing medical examination, and supplementary data can be sent. Alternatively, the patient can be queried directly or via the provider 26. In addition, if the patient needs to be examined, inform the provider 26 of the item. This may be done by the attending physician or by a physician who makes a second opinion; the choice is left to the patient. If the physician who creates the second obi-on conducts the examination, the provider 26 may schedule the examination at the request of the patient, or provide the physician who creates the second obi-on. We can also arrange transportation reservations to your location.

When the necessary information has been gathered and the second opinion has been determined, the doctor activates the second opinion answer application on his terminal 27. When the application starts, an answer screen as shown in Fig. 6 is displayed. On the response screen, under the title of “Second opinion answer”, note the input, request number of second opinion, patient name, diagnosis result, diagnosis reason, diagnosis doctor name, this opinion The input field for the name of the input user is displayed. The "List" button is displayed on the right side of each column for the diagnosis result, the name of the diagnosing physician, and the name of the input person. By clicking these buttons, the options are displayed and these are displayed. You can choose from among them. In this display screen, the input name of the second opinion is also entered because if a different person is used than the diagnosing physician, the responsibility of the doctor when the diagnosis is incorrectly conveyed is clarified. To do that.

After the information about the second opinion is entered in the diagnosis reason field on the input screen in Fig. 6, click the "Send" button 61 provided at the lower right. Then, the second opinion response information is sent to the medical information provider 26 (step S17). The provider 26 also has the information (consisting of the items shown in Fig. 6, but without the precautionary notes at the time of entry below, the list items, the send button 61, and the cancel button 62). ) Is transmitted to the terminal 23 a of the patient a, and is displayed on the display unit (step S 18).

If you ask more than one doctor for a second opinion Click the next screen button (not shown) to display them sequentially, or, as shown in Fig. 7, list the reason for diagnosis and the name of the diagnosing physician for each diagnosis result. May be presented.

If patient a obtains a second opinion and as a result, it is expected that the doctor who responded to the second opinion is expected to perform more appropriate examination and treatment than the attending physician. In some cases, there is a demand to change the attending physician. In this case, by clicking the name of the doctor who answered the second opinion on the second opinion display screen (not shown) of the terminal 23 a of the patient a, for example, as shown in FIG. A screen for introducing the doctor as shown is displayed. On this screen, the request number of the second opinion, the name of the doctor who answered the second opinion, the name of the medical institution, the traffic to the medical institution, etc. are displayed. If you want to know more about the displayed medical institution, you can click the “Details of medical institution” button 71 to display the details.

If patient a wishes to have a medical examination at the above medical institution, enter the desired date and time to receive the medical examination in the column of “reservation desired date and time”. At this time, you can also click the “List” on the right side and select the desired date and time from the list. After entering or selecting the desired date and time of the consultation, click the "Reservation Request" button 72 at the bottom left to change the consultation medical institution to the terminal 24 of the medical information provider 26. (Step S19).

In response, in step S20, the medical information provider 26 transmits the patient a from the terminal 24 to the terminal 27 of the medical institution B. Make an inquiry as to whether you can get a medical examination at the desired date. As a result, if an appointment can be made (step S21), a response to the effect that the appointment has been completed is displayed on the screen of the terminal 23a of the patient a as shown in FIG. 9 (step S21). twenty two ) . Patient a can finally confirm that he / she has reserved an appointment with medical institution B on the screen in FIG. 9, and clicks the “confirm” button 81 to end the procedure. At this time, it is preferable to notify the original medical institution A that the provider 26 or the patient himself / herself has been referred to the medical institution B in the future.

The application for appointment from the patient terminal 22a to the medical institution B was made via the medical information provider 26, but the appointment application was made directly to the medical institution B who submitted the second dopion. You may do so. Of course, some medical institutions can be provided by the medical information provider 26, and other medical institutions can be applied directly to the relevant medical institution. If appointments for consultation are made centrally at the terminal of the medical information provider 26, there is an advantage that re-reservations can be made flexibly and efficiently when canceling reservations between medical institutions.

If the patient does not understand or wants to know more about the second opinion, contact the healthcare provider 26 for more information about the diagnosis, as shown in Figure 10. May be obtained.

Second opinion respondents get the right price. Therefore, when the provider 26 sends the second service to the patient, the provider 26 charges the predetermined amount to the patient. Billing amount May be the same for each second opinion request, or may be an amount corresponding to the number of physicians who responded to the second opinion. Provider 26 remits the consideration from the amount obtained from the patient to the medical institution that created the second opinion.

As described above, according to the first embodiment, when a patient requests a second opinion from a professional, the provider causes the attending physician to disclose his or her own medical data and apply this medical data. You can send it to another physician to make a diagnosis and get a second opinion. For this reason, a second opinion can be easily obtained even for a patient who cannot afford time, such as a hospitalized patient.

Hereinafter, another embodiment of the second opinion acquisition support system according to the present invention will be described. In the description of the other embodiments, the same parts as those of the first embodiment are denoted by the same reference numerals, and detailed description thereof will be omitted.

Second embodiment

In the first embodiment, the case in which the patient requests a second opinion has been described, but not only the patient but also a person related to the patient, for example, the attending physician or the medical institution seeks the second opinion. An example will be described. The attending physician seeks a second opinion so that the patient can be fully informed.

The block diagram of the system configuration of the second embodiment is the same as the block diagram of the first embodiment, and therefore is not shown.

Referring to FIG. 11, a second ovignon according to the second embodiment is shown. A method for acquiring the application will be described.

When _a doctor at medical institution A who is examining patient _a attempts to obtain a second opinion for patient a, the doctor first sends a message from medical institution A's terminal 27 to medical information provider 26. Access and request a second opinion. In this case, unlike the case in which the patient a requests the second opinion, a detailed situation such as a symptom can be input.

The physician first activates the second opinion request application on his terminal. When the application is started, a second opinion request screen as shown in Fig. 12 is displayed on the display of the terminal. This claim request screen is the same as the screen of the first embodiment shown in FIG. 3, in which the disease name, degree / progression, treatment policy, prescribed drug name, used device name, first opinion, etc. are entered. . Medical treatment data is attached. When the input is completed, a request for a second opinion is sent to the medical information provider 26 by clicking the "Send" button 101 (step S11). 1).

In step S112, the medical information provider 26 accesses the medical information database 25 from the terminal 24 and obtains information on the patient's condition based on the information included in the second service request. Request a search for medical institutions and doctors who will provide Second Dupont (Step S112). Subsequent operations are the same as in the first embodiment, and a description thereof will not be repeated.

In this way, the physician at medical institution A has a second opinion, or objective, with another physician regarding his or her patient. Can obtain a comprehensive diagnosis. The second observation is reported to the requesting physician or medical institution and is used to discuss the patient's subsequent treatment policy, etc. It is also recommended that the patient report it directly to the patient if he wishes. If a non-patient requests a second opinion, it is preferable that the patient's approval be required to disclose medical data to the second opinion creator from the viewpoint of protecting the privacy of the patient. .

Third embodiment

FIG. 13 shows the system configuration of the third embodiment. This system includes a network 91, and networks 92a, 92b,... Of the medical institutions A, B,... Connected to the network 91, respectively, and a patient terminal. It consists of 93 a, 93 b, and 93 c, a medical information provider terminal 94, and a medical information database WWW server 95.

The difference from the first and second embodiments shown in FIG. 2 is that the medical information database 95 is directly connected to the network 91. Therefore, it is possible to directly access the medical information database 95 from a patient terminal or a terminal of a medical institution. In each of the first and second embodiments, a request for a second opinion from a patient or a doctor is once received by the medical information provider terminal, and the medical information database is accessed to select an appropriate doctor. Was. However, it is necessary to directly access the second opinion acquisition support system without going through the medical information provider terminal, send the patient's medical condition, etc. to the extracted third party and request the second opinion. If you do The person or physician can more quickly find the appropriate department or medical institution. In addition, since the information is stored in the medical information database 95 not only from the medical information provider terminal 94 but also directly from each medical institution, the information is stored in the medical information provider terminal 94. The burden is small, and there is an advantage that medical information can be efficiently accumulated.

The present invention is not limited to the embodiments described above, and can be implemented in various modifications. For example, patient diagnostic records have traditionally been stored in paper format, but in recent years have been recorded electronically (electronic medical records). If the medical institution where the patient was first consulted records the patient's diagnostic record in an electronic medical record, the doctor who creates the second opinion will ask for a second opinion response. It would be nice to be able to refer to electronic medical records. The medical information provider 26 requests the patient's attending physician to disclose the electronic medical record and forwards it to the second opinion creator. As a result, when requesting a second opinion request, it is possible to save the trouble of inputting the patient's medical condition and medical data at the medical institution currently receiving the medical examination.

In recent years, there has been an attempt to prepare an electronic medical record for each citizen and record personal medical information continuously. In such a case, the patient will be given permission to read the medical record information, so that the patient can request a second opinion and the medical record information will be automatically obtained. Can be forwarded to the second opinion creator. In other words, by requesting a second ovenion request from a patient, the chart managed by the patient is It can be regarded as giving permission to reference information to a third party.

The network can be built on a global scale, but the translation should be added to the application and the screen display should be in the language of the terminal owner. As a second opinion, not only the diagnosis results and reasons for diagnosis, but also treatment policies based on the diagnosis results, information on the number of days and costs for treatment, etc. Providing a number of facilities can also provide patients with much information for selecting a medical institution and increase the convenience of patients.

The second opinion claimant is not limited to the patient and the attending physician, but may be anyone related to the patient (family, relatives, etc.).

Industrial applicability

As described above, according to the present invention, it is possible to obtain a second pinion of a physician other than the attending physician while the patient is in the course of being involved in a medical institution, or to allow the attending physician to obtain a second pinion from another physician. Because it is easy to seek an opinion, patients can learn more about their medical condition, and informal consultants who perform procedures such as surgery with the agreement of the doctor and the patient can be provided. It is easily realized.

Claims

The scope of the claims

1. A method of obtaining a patient's diagnosis result by a third party through a network,

A medical condition input step for inputting from a terminal a medical condition of a patient requiring diagnosis by a third party and a diagnosis result at a medical facility currently undergoing medical examination;

Access to a medical information database that stores information of a plurality of third parties who have agreed to make a diagnosis in advance, and request an appropriate diagnosis based on the medical condition input in the medical condition input step. A third party extraction step of extracting a third party,

A diagnosis requesting step of requesting a third party extracted by this step to diagnose the patient;

A third-party diagnosis result acquisition method, comprising: a third-party diagnosis result transmission step of transmitting a result of the diagnosis requested in this step to a person who has requested the diagnosis.

2. A method of obtaining a patient's diagnosis result by a third party via a network,

A third party extraction step of accessing the medical information database from the medical information provider terminal in response to the medical condition entered in this step and extracting an appropriate third party to request a diagnosis; A diagnosis requesting step of requesting a third party extracted in this step to diagnose the patient from the medical information provider terminal When ,

A third-party diagnosis result transmitting step of transmitting a result of the diagnosis requested in this step to a person who has requested the diagnosis from the medical information provider terminal.

3. A method for obtaining a patient diagnosis result by a third party via a network,

A medical condition input step for inputting from a terminal the medical condition of the patient for which a diagnosis is required by a third party and the diagnosis result at the medical facility currently undergoing medical examination;

Access to a medical information database that stores information of multiple third parties who have agreed to make a diagnosis in advance, and request an appropriate diagnosis based on the medical condition input in the medical condition input step. Third-party extraction steps to extract

A third-party diagnosis result acquiring step of transmitting a result of the diagnosis requested in this step to the patient;

4. In the method described in claim 3, by requesting a diagnosis from a patient by a third party, the third party is considered to have given permission to refer to the chart information managed by the patient to the third party. Acquisition method of tripartite diagnosis results.

5. A method for obtaining a patient's diagnosis result by a third party through a network,

The condition of the patient seeking diagnosis by a third party and any A medical condition input step for inputting a diagnosis result at a medical facility from a terminal,

A third-party extraction step that accesses the medical information database from the medical information provider terminal in response to the medical condition input in this step and extracts an appropriate third party to request a diagnosis A diagnosis requesting step in which the medical information provider terminal requests the third party extracted in this step to diagnose the patient;

Transmitting a result of the diagnosis requested in this step from the medical information provider terminal to the patient.

6. In Claims 3, 4, or 5, appointment for a consultation with a third party who made a diagnosis transmitted to the patient in the Third Party Diagnosis Result Transmission Step A third-party diagnosis result acquisition method that further includes a step of prompting a response as to whether or not to perform the diagnosis.

7. A method of obtaining a patient's diagnosis result by a third party via a network,

A medical condition input step for allowing a person involved in the diagnosis of the patient to input the medical condition of the patient and the diagnosis result at the medical facility currently undergoing medical examination from a terminal;

Access to a medical information database that stores information of a plurality of third parties that have previously agreed to make a diagnosis, and request an appropriate diagnosis based on the medical condition input in the medical condition input step. Third-party extraction steps to extract third parties and

Diagnosis of the patient to a third party extracted in this step A diagnosis requesting step for requesting

A third-party diagnosis result obtaining method, comprising: transmitting a result of the diagnosis requested in this step to a person involved in the diagnosis of the patient.

8. A method of obtaining a patient's diagnosis result by a third party via a network,

A medical condition input step of allowing a person involved in the diagnosis of the patient to input the medical condition of the patient and the diagnosis result at the medical facility currently undergoing medical examination from a terminal;

The medical information provider terminal accesses the medical information database in response to the medical condition entered in this step and extracts the appropriate third party to request a diagnosis. A diagnosis requesting step for requesting a diagnosis of the patient from the medical information provider terminal to a third party extracted in this step;

Transmitting the result of the diagnosis requested in this step from the medical information provider terminal to a person involved in the diagnosis of the patient; Acquisition method.

9. A method of obtaining a patient's diagnosis result by a third party via a network,

An electronic medical record information acquisition step that retrieves information on the electronic medical record in which the medical conditions of the patient requiring diagnosis by a third party and the diagnosis at the medical facility currently undergoing diagnosis are stored electronically, and the diagnosis is performed Remembers information from multiple third parties who have agreed in advance A third party extraction step of accessing a medical information database to be extracted and extracting an appropriate third party to request a diagnosis based on the medical condition acquired in the electronic medical record information acquisition step;

A diagnosis requesting step of requesting a third party extracted in this step to diagnose the patient,

A third-party diagnostic result acquisition method, which includes a third-party diagnostic result transmitting step of transmitting a result of the diagnosis requested in this step to a person who has requested a diagnosis by a third party.

10. A means for storing information of a plurality of third parties who have agreed in advance to make a diagnosis,

A third party who diagnoses the patient based on the medical condition of the patient who seeks a diagnosis by the third party from the information of the third party stored by this means or the information of the diagnosis at the medical institution currently undergoing the medical examination A medical information database for obtaining a third-party diagnosis result, comprising:

1 1. A first step that prompts the second opinion claimant to enter patient identifying information;

A second step of obtaining medical data of a current patient from a medical institution on which the patient is currently based on the patient specifying information; and a number of doctors who have contracted the obtained medical data and the patient specifying information in advance. The third step is to send to at least one of the patients and ask for diagnosis.

A fourth step of transmitting any one of the diagnosis results to the claimant;

A method for obtaining a second opinion, comprising:

12. The method for acquiring a second opinion according to claim 11, wherein the first step displays a second opinion request screen on a screen of a patient or a terminal of a physician of the patient. How to get a second opinion.

13. The method for acquiring a second opinion according to claim 12, wherein the second step is, when a patient requests a second opinion, to a terminal of a medical institution to which the attending physician belongs. A second audio acquisition method, comprising: displaying a screen requesting disclosure of medical data of a patient; and reading the medical data from a database by the medical institution based on the request screen.

14. The method for acquiring a second opinion according to claim 1 or 2, wherein the second step includes, when the attending physician requests the second observation, attaching the medical data of the patient to the request. How to get a second dopione.

15. The method for acquiring a second opinion according to claim 11, wherein the third step includes at least one of a plurality of doctors based on the patient identification information. Choose one person How to get a second opinion.

16. The second opinion acquisition method according to claim 11, further comprising a step of charging the second opinion requester for a fee.

17. The method for obtaining a second opinion according to claim 11, wherein at least one of the plurality of doctors consulted in the third step is diagnosed. Appoints a consultation A second audio acquisition method further comprising a step for supporting this.

18. The second opinion acquisition method according to claim 11, wherein the fourth step is to transmit information on future treatment in addition to the diagnosis result,

1 9. A server that stores information on a large number of doctors and medical institutions who have previously agreed to provide a second opinion, and is connected to the server via the network to request a second opinion In a second opinion acquisition support system comprising a terminal used by a patient, and a patient database for storing patient medical data,

Means for inputting, from the terminal, information for specifying a patient, including a medical department that the patient is receiving;

Means for selecting at least one institution from among the number of doctors and medical institutions according to the medical department;

Read the medical data of the patient from the patient database and send the medical data and the patient identification information to the selected one physician or one medical institution and request a patient diagnosis Means to

A second pinion acquisition support system, comprising: means for transmitting a diagnosis result made by one physician or one medical institution to the terminal.