CN101229408B - Portable terminal and health management method and system using portable terminal - Google Patents

Portable terminal and health management method and system using portable terminal Download PDF

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Publication number
CN101229408B
CN101229408B CN2008100056849A CN200810005684A CN101229408B CN 101229408 B CN101229408 B CN 101229408B CN 2008100056849 A CN2008100056849 A CN 2008100056849A CN 200810005684 A CN200810005684 A CN 200810005684A CN 101229408 B CN101229408 B CN 101229408B
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China
Prior art keywords
user
medicine
data
patient
terminal
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CN2008100056849A
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Chinese (zh)
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CN101229408A (en
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佐佐木敏明
须釜定之
堤孝义
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Canon Inc
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Canon Inc
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Priority claimed from JP2000365935A external-priority patent/JP2002165887A/en
Priority claimed from JP2000365939A external-priority patent/JP4332293B2/en
Priority claimed from JP2000365937A external-priority patent/JP4323709B2/en
Priority claimed from JP2000365938A external-priority patent/JP2002169889A/en
Priority claimed from JP2000365936A external-priority patent/JP4454835B2/en
Application filed by Canon Inc filed Critical Canon Inc
Publication of CN101229408A publication Critical patent/CN101229408A/en
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Abstract

A portable terminal carried and owned by each user is provided with a display screen, a communication unit, a memory storing personal information about each user, and an input/output device such as an inhaler. A database that communicates with each portable terminal is provided with a personal information storage unit storing the personal information about each user carrying the portable terminal, a medical information storage unit storing information about a medical facility, a drugstore, a medicine, and the input/output device, and a communication unit for communicating with each portable terminal. In the database, the user of the portable terminal is identified by collating the part of the information transmitted from the communication unit with information stored in the personal information storage unit. When a specific signal is transmitted from the communication unit, communication is performed with a medical facility while information, of the information stored in the medicine information storage unit, which is necessary for the user is provided for the portable terminal as an emergency measure. This makes it possible to properly and quickly handle an emergency.

Description

The system of portable terminal device, health control method and use portable terminal device
The application is application number the dividing an application for the patent application of " system of portable terminal device, health control method and use portable terminal device " that be 200510062724.X, denomination of invention.
Technical field
The present invention relates to adopt a kind of a kind of health control method and system of portable terminal device, and more particularly relate to be used for to have a kind of radio communication function through method and system-this portable terminal device of management that the input-output apparatus that utilizes a kind of portable terminal device and the health control that is used to support the user carries out user's personal information.
The invention still further relates to a kind of method of a kind of portable terminal device with an inhaler and this inhaler of control, and more specifically to a kind of portable terminal device with a kind of radio communication function be used to support a kind of input-output apparatus of health control and a kind of method of controlling this inhaler.
In addition; The present invention relates to have a kind of a kind of portable terminal device and a kind of method of controlling this inhaler of inhaler, and more particularly relate to have a portable terminal device of a storage device and be used for tiny form discharge of medicament of dripping and a kind of method that makes a user can suck a kind of inhaler of this medicine and drive this inhaler.
Further; The present invention relates to a kind of prescription and confirm householder method and system, and more particularly relate to a kind of the prescription and confirm that householder method and system-this method and system are used for confirming a prescription the user that the terminal help that a medical facilities is installed carries a kind of storage card.
In addition; The present invention relates to a kind of inhaler and a kind of discharge head control method; And more particularly relate to a kind of inhaler-this inhaler and be used for tiny form discharge of medicament of dripping and make the user can suck this medicine, and relate to a kind of discharge head control method that is used for this inhaler.
Background technology
Along with recent medical science and the reach of science, people's average life has prolonged, and we have experienced aged society.On the other hand, because change, environmental pollution, virus, the antibacterial of dietary habit and living environment, new disease occurs with infecting.This has caused the worry of people about health.In so-called advanced country, receive with the life style diseases associated-such as diabetes and hypertension-the increase of number of influence produced problem.
The increase synchronised with patient's number is failed in the increase of the number of medical facilities.In addition, in certain areas, the medical facilities that people can be visited usually.In this case, the measure that people are thoughtful of the future comprises the policy of dealing with these situation.
Telemedicine System and family health care management system thereby be suggested, they make the old people can receive doctor's diagnosis and carry out daily health control with the people that infirmities of age influences with receiving with the life style diseases associated.
A kind of common setting of this system; Be that relevant individual installs a terminal in its family; And with this terminal through a communication line (such as the Internet) be connected to medical facilities or in the heart a server, thereby input/transmission is measured the value such as blood pressure and body temperature to the answer of medical treatment inquiry and from this terminal.Nurse or doctor check the data of collecting in this server subsequently and return expression has N/R information or message.
In order to manage such medical system, need be with the medical data base of the data of user's clinography (clinical chart) of the form electronical record of electronics clinical chart and this electronics clinical chart of storage, various measured values etc.Electronics clinical chart and medical data base about such have proposed various schemes from various fields.
The electronics clinical chart is for preventing that malpractice and mala praxis (these have become problem) from being effective.A large amount of attention all concentrates on the electronics clinical chart through its content being announced to patient or patient's family and on the means as the right to know that satisfies the patient.
The terminal of in above-mentioned medical system, using comprises the general purpose personal computer with display screen and input equipment and can measure the special-purpose terminal such as the particular value of blood pressure.
When the equipment such as a general purpose personal computer was used as a terminal, the setting and the operational approach thereof that are used for this equipment became complicated.This has limited the people that can use this terminal.
Suppose the employing special-purpose terminal.In the case, if the user has multiple disease and need carry out various measurements, the user must use a plurality of special-purpose terminals.This is cumbersome operation and has increased user's burden.
In a kind of traditional medical system, if for example the user has a kind of chronic disease etc. and need regularly take medicine, the user must ownly manage a kind of medicine, and system side does not have support function.Therefore, the burden of user management medicine can not be reduced.
More particularly, at the trouble diabetics of falling ill at present, the patient who suffers from the insulin dependency diabetes of type I must regularly take insulin, because pancreas excreting insulin not.Taking at present of insulin carried out through subcutaneous injection.This has caused very big physiology and psychological burden to the patient.
In order to reduce this patient's burden, developed a kind of pen-type injector, it has thin syringe needle, and the patient is felt bitterly hardly.The type I diabetics is often worked as normal person, and just these patients must regularly take insulin.It is difficult that such patient takes insulin at reasonable time, because this patient is unwilling under other people situation on the scene, to inject, even use pen-type injector.
In the case, a kind of method is with the form discharge of medicament of droplet and makes them reach pulmonary with inhaled air, thereby takes medicine through lung rather than injection.
Yet, in a kind of like this suction scheme, because different and different along with the patient of the purpose amount that sucks and suction speed, thereby be difficult to make effectively all patients to take medicine.Therefore, this scheme does not have actual use.
Suppose that the patient can oneself take medicine easily.In the case, problem is the management of patients situation of having taken wrong medicine or not taken the medicine of suitable amount or having taken medicine at the interval of mistake how.
A kind of terminal of in traditional medical system, adopting to be in order designing in the family that is installed in the user, rather than to design in order carrying.Thereby, if on road being worse off or unexpected variation taken place of patient, just suitable treatment can not be provided.
This also is applicable to operating insurance system.More particularly, when receiving medical advice or treatment medical facilities, the patient shows health insurance cards (in Japan) or the ID card (in the U.S.) that insurance company sends usually.Yet the content of on such insurance card or ID card, writing does not comprise any information needed that is used for emergency.
For example; Write on title and the place of name that content on the health insurance cards of Japan includes only patient's oneself name, relatives, address, company, type, insurance card number and the medical therapy record (concise and to the point clinical history) of insurance, but do not comprise any information about a clinical chart, prescription etc.In the U.S., write on a content on the ID card include only the individual number, insurance details etc., but do not comprise any information of relevant clinical chart or prescription.
Therefore, need a kind of method of accurately and effectively carrying out medical advice and treatment, this data base to be used for format management with electronic data about individual clinical chart and medical information according to a kind of data base.
Summary of the invention
The present invention considers above-mentioned situation and makes; And its first purpose provides a kind of health control method and the system that utilizes a kind of portable terminal device; This method and system can match with a data base of the various medical informations of storage, and suitably and promptly deals with an urgent situation.
Second purpose of the present invention; Provide a kind of portable terminal device with an inhaler; And a kind of control method that is used for this inhaler, it can be managed medicine exactly according to prescription and be fit to each user's emission control, thereby takes medicine effectively.
The 3rd purpose of the present invention provides a kind of health control method and system that adopts a kind of portable terminal device, and it can carry out efficacious therapy through in the privacy of protection personal data, sharing information.
The 4th purpose of the present invention provides a kind of portable terminal device and a kind of method that drives this inhaler, the suction efficiency when this method has been improved the inhaler discharge of medicament with an inhaler.
The 5th purpose of the present invention provides a kind of a kind of method and system of confirming that is used to support a prescription, and this method and system makes it possible to definite medicine of suitably effectively writing out a prescription and need take for each patient.
The 6th purpose of the present invention provides a kind of inhaler and a kind of discharge head control method, and it can prevent that the patient from loading wrong medicine and operating inhaler by error, and also makes the patient accurately and easily oneself take medicine.
In order to realize first purpose; According to a first aspect of the invention; Provide a kind of health management system arranged; Be used to manage each user's who carries a portable terminal device health; It comprises: the storage device and being used to that for carrying a kind of portable terminal device that is provided with by a user, this portable terminal device has a display screen, be used to visit the radio communication device of predetermined cordless communication network, be used to store user's personal information is supported a kind of input-output apparatus of user's health control; And; A data base comprises the medical information storage device of the information of the relevant medical facilities of relevant each user's who carries this portable terminal device of storage personal information storage device, the storage of personal information, medicine shop, a kind of medicine and this input-output apparatus; And; Be used for the communicator that communicates through this cordless communication network and this portable terminal device; Wherein this radio communication device beginning during with the communicating by letter of this data base transmission be stored in the part of the personal information in this storage device; And this data base comprises: recognition device is used for discerning the user of portable terminal device through comparing this message part that sends from radio communication device with the information that is stored in the personal information storage device; And; The emergency blood processor; It obtains activating to be stored in medical facilities this medical information storage device with its information according to the information of sending from this radio communication device when having sent a specific signal from radio communication device and communicates and to this portable terminal device the information that is stored in this medical information storage device is provided, and this information is that the user of identification is needed.
In addition; In order to realize first purpose; According to first aspect of the present invention; A kind of health control method is arranged, be used to manage each user's who carries a kind of portable terminal device health, comprising: be the input-output apparatus that this portable terminal device provides a display screen, the storage device and being used to of personal information that is used to visit radio communication device, the storage user of a predetermined cordless communication network is supported user's health control; A data base is provided, is used for communicating with each portable terminal device with personal information storage device, this data base has: store the personal information storage device about each user's of carrying this portable terminal device personal information; The medical information storage device of the information of the relevant medical facilities of storage, medicine shop, a kind of medicine and this input-output apparatus; And; Communicator is used for communicating with this portable terminal device, when beginning communicates with this data base, sending the part of the personal information that is stored in this storage device, in the data base, discern through comparing this message part that sends from radio communication device and information being stored in the personal information storage device, and provide its information to be stored in medical facilities this medical information storage device to one of communicating by letter during from this radio communication device transmission and information-this information in this medical information storage device of being stored in is that the user who is identified of portable terminal device is needed when a signal specific quilt by this radio communication device through this cordless communication network.
This set or processing by first aspect of the present invention; When signal specific by when this portable terminal device sends; The user of this portable terminal device obtains identification; Thereby this user can be communicated with medical facilities or required information is provided, thereby suitably and promptly handle a kind of emergency to the user that this is identified.
In order to realize second purpose; According to a second aspect of the invention; A kind of portable terminal device is provided; Its suitably is provided with entrained by user and comprise that storage device-this information of the personal information of storing relevant user comprises about the information of this user's clinical chart and prescription; And comprise a kind of inhaler that is used for discharging a kind of medicine with the tiny form of dripping, comprise an emission control system that sucks this inhaler of profile control that is used for according to the user, thereby make the user suck this medicine according to the information of this prescription.
In addition; In order to realize this second purpose, according to a second aspect of the invention, a kind of control method that is used for a kind of inhaler is provided; This inhaler is used for discharging a kind of medicine and making a user suck these with the tiny form of dripping; This inhaler is that a kind of portable terminal device provides, and this portable terminal device suitably is provided with entrained by user and comprise the storage device of relevant this user's of storage personal information, and this information comprises the information about this user's clinical chart and prescription; And this method comprises according to user's a suction profile controls the step of the discharging of medicine, thereby makes the user suck this medicine according to the information of prescription.
By the setting or the processing of second aspect of the present invention, the dosage of medicine can be managed according to prescription at interval with taking accurately, and suitable emission control carried out according to each user's suction profile, thereby takes medicine effectively.
In order to realize the 3rd purpose; According to a third aspect of the present invention; Provide a kind of health management system arranged; Be used to manage each user's who carries a kind of portable terminal device health, comprise: a portable terminal device, its suitably is provided with an input-output apparatus supporting user's health control with storage device and being used to entrained by user and that comprise the radio communication device that is used to visit a predetermined cordless communication network, storage user's personal information; A data base; It comprises the personal information storage device of the personal information of storing each user who carries portable terminal device; The medical information storage device of the information of the relevant medical facilities of storage, medicine shop, a kind of medicine and this input-output apparatus; And be used for through this cordless communication network, be installed in each medical facilities and a medical facilities terminal linking to each other with this data base through a scheduled circuit and being installed in each medicine shop and terminal, medicine shop linking to each other with this data base through a scheduled circuit and the communicator that communicates with this portable terminal device, wherein this data base is that each item of information that is stored in this personal information storage device and the medical information storage device is set an access right with respect to each portable terminal device, this medical facilities terminal and this terminal, medicine shop.
In addition; In order to realize the 3rd purpose; According to a third aspect of the present invention; A kind of health control method is provided; Be used for each user who carries portable terminal device being carried out health control through utilizing a kind of portable terminal device; This portable terminal device is the storage device of the personal information that is provided with in order to be carried by the user and comprise the radio communication device that is used to visit a predetermined cordless communication network, storage user and the input-output apparatus of supporting user's health control; And adopted a data base; This data base comprise storage carry portable terminal device each user personal information personal information storage device, storage medical facilities, medicine shop, a kind of medicine and this input-output apparatus information the medical information storage device and be used for through this cordless communication network, be installed in each medical facilities and medical facilities terminal linking to each other with this data base through a scheduled circuit and the terminal, medicine shop that is installed in each medicine shop and links to each other through a scheduled circuit with this data base, wherein this method comprises with respect to each portable terminal device, medical facilities terminal and terminal, medicine shop being to be stored in the step that each item of information in personal information storage device and the medical information storage device is set a kind of access right in the data base.
Setting or processing by the 3rd aspect of the present invention; Through in this data base, storing various personal data and medical data and the access right through setting each terminal and in the privacy of protection personal data, share this information, and realized efficacious therapy as electronic data.
In order to realize the 4th purpose of the present invention; According to a fourth aspect of the present invention; A kind of portable terminal device is provided, it be the information that is provided with in order to be carried and comprise the personal information of storing relevant user-comprise relevant user's clinical chart and prescription by the user-storage device and an inhaler, this inhaler is used for discharging a kind of medicine and making the user suck these with the tiny form of dripping; Comprise driving control device; Be used for an a kind of parameter that predetermined time interim change is relevant with the discharging of this medicine, this time interim user carry out this suction, thereby make the user can according to the prescription information and suck medicine effectively.
In addition; In order to realize the 4th purpose of the present invention; According to a fourth aspect of the present invention, a kind of method of a kind of inhaler that drives a kind of portable terminal device is provided, this portable terminal device is in order to be carried and to be provided with by the user; The storage device that comprises the personal information that is used to store relevant user; This personal information comprises user's clinical chart and prescription, also comprises a kind of inhaler, and this inhaler is used for discharging a kind of medicine and making the user suck these by this portable terminal device with the tiny form of dripping; And change a parameter relevant, thereby make the user suck this medicine effectively according to the information of writing out a prescription with the discharging of this medicine in scheduled period that the user carries out this suction.
By the setting or the processing of the 4th aspect of the present invention, when inhaler was used to discharge of medicament, the parameter relevant with the discharging of this medicine obtained changing according to for example sucking speed.This can be through delivering to the efficient that lung improves suction to a large amount of medicines.
In order to realize the 5th purpose, according to a fifth aspect of the present invention, provide a kind of prescription to confirm back-up system, comprising: a storage card is used to store personal information clinical chart and prescription that comprises about each user; A data base, it has the information of storage about the corresponding relation between a kind of symptom and a kind of drug prescription; And; A kind of medical facilities terminal; It is set in each medical facilities, has a groove that is used to insert this storage card, and links to each other with this data base through a predetermined circuit; This prescription confirms that back-up system is suitable for supporting the prescription that carries storage card shutoff user at the medical facilities terminal to confirm; Wherein when user's storage card is inserted into this medical facilities terminal, this terminal is according to relevant this user's personal information and be stored in the information in the medical information storage device, provide the prescription that is suitable for this user and the medicine that will take.
In addition; In order to realize the 5th purpose; According to a fifth aspect of the present invention; Provide a kind of prescription to confirm the support method; Be used to support store storage card, a data base and this medical facilities terminal that comprises about the personal information of the information of each user's clinical chart and prescription through utilization; And be that the user who carries a storage card who goes out at a medical facilities terminal confirms prescription; This data base has the medical information storage device of the information of the corresponding relation between storage a kind of symptom and a kind of drug prescription, and this medical facilities terminal is installed in each medical facilities, has a groove inserting this storage card, and link to each other with this data base through a scheduled circuit, wherein this method comprise when user's storage card is inserted into this medical facilities terminal according to relevant user's personal information and the information in the medical information storage device of being stored in provide about prescription being suitable for this user and the step of information of a kind of medicine that will take.
By the setting of the 5th aspect of the present invention, can be through the medicine that utilizes prescription suitably and effectively confirming to be applied to each user about the information of each user's clinical chart and prescription with about the information of the corresponding relation between a kind of symptom and a kind of drug prescription and each user to take.
In order to realize the 6th aspect of the present invention; According to a sixth aspect of the invention; A kind of inhaler is provided, has been used for discharging a kind of medicine and allowing the user to suck this medicine, having comprised: storage device with the tiny form of dripping; Be used to store relevant this user's personal information, comprise information about the prescription that is used for this user; A jar, a coding that wherein includes medicine and have the type that is used to discern the medicine that is comprised; A discharge head is used for the medicine that provides from this jar with the tiny form of dripping discharging; And discharging allows device, only is used for showing being under the consistent situation at medicine that when reading this coding, is included in jar and a kind of comparing result of medicine on writing on this prescription, just allows the operation of this discharge head.
In addition; In order to realize the 6th purpose of the present invention; According to a sixth aspect of the invention; A kind of discharge head control method that is used for a kind of inhaler is provided, and being included as this inhaler provides: a kind of storage device, and this memory device stores is relevant for a user's personal information-the comprise information about a prescription that is used for this user; A jar, it includes this medicine and has the coding of the type that is used to discern the medicine that is comprised; And a discharge head is used for discharging the medicine that provides from this jar with the tiny form of dripping, and wherein said method may further comprise the steps: when reading this coding, compare a kind of medicine that writes on the prescription with the medicine that is included in this jar; And, have only the operation that when correlated result shows both consistent, just allows discharge head.
By the processing of the 6th aspect of the present invention, when utilizing this inhaler to take medicine, can prevent that the patient from loading wrong medicine and operating inhaler by error, and this patient can accurately and easily oneself take medicine.
From below in conjunction with the description that accompanying drawing carried out, it is obvious that other features and advantages of the present invention will become.Identical in the accompanying drawings label is represented identical or similar part.
Description of drawings
Accompanying drawing as the part of this description has shown embodiments of the invention, and is used to explain principle of the present invention with this description.
Fig. 1 is the block diagram that shows the overall setting of a kind of medical treatment & health management system according to an embodiment of the invention;
Fig. 2 A and 2B have shown the data that will handle among the embodiment shown in Figure 1;
Fig. 3 is the block diagram that shows the setting of a user terminal among the embodiment shown in Figure 1;
Fig. 4 is the flow chart that shows the suction operation that utilizes user terminal shown in Figure 3;
Fig. 5 has shown the flow process of a kind of medicine among the embodiment shown in Figure 1;
Fig. 6 has shown the data flow among the embodiment shown in Figure 1;
Fig. 7 is a flow chart, has shown the processing in a kind of consulting that utilizes a kind of medical facilities terminal;
Fig. 8 is a flow chart, has shown the processing in the medicine supply;
Fig. 9 is used to explain a kind of emergency notice pattern; And
Figure 10 is the flow chart that shows the processing that is used for a patient.
The specific embodiment
Describe most preferred embodiment of the present invention in detail according to accompanying drawing now.As a health management system arranged embodiment of the present invention, a kind of medical treatment & health management system will be described.
(the overall setting)
Fig. 1 is the block diagram of demonstration according to the overall setting of a kind of medical treatment & health management system of this embodiment.As shown in Figure 1, this embodiment comprises a data base 100, medical facilities terminal 110, drug company terminal 120, terminal, medicine shop 130 and user terminal 200A to 200N.Fig. 1 has shown each in data base 100, medical facilities terminal 110, drug company terminal 120 and the terminal, medicine shop 130.But obvious is that this set is an example, and various piece can comprise a plurality of identical parts.In addition, Fig. 1 has only shown four user terminal 200A to 200N (following type of possession is called a user terminal 200).In reality, can connect a lot of user terminals.
Fig. 2 A and 2B have shown the data that will handle in this embodiment.As shown in Figure 2, this embodiment handles following data with as relevant relevant each the individual data that will deposit: master data, comprise address, title, date of birth, contact method, occupation, place of working, or the like; Recognition data; Comprise ID (all distributing under the situation of relevant number at everyone is a number, otherwise is an insurance card number etc.), Personal Numbering number, such as the alphabetic character of a password and biometrics authentication data-such as fingerprint, voice fingerprint, palmmprint, looks, pupil or retinal vessel pattern; The health insurance data, comprise number, type, service recorder, or the like; Be used for each individual electron medical treatment and prescription data (electronics clinical chart), comprise search record, prescription, administration data, the record of being in hospital, disease history, family's disease history or the like; And, the measured value data that obtain through health inspection.The data of specified medical facilities also obtain as personal data handling like urgent contact method and inhaler setting data (will describe in the back).
In addition, shown in Fig. 2 B, the data of handling as medical data are: the medical facilities data comprise number of registration, place, contact method, registered doctor, facility or the like; The drug company data, comprise number of registration, place, contact method, operation medicine, scale, or the like; The medicine store data, comprise medicine, the pharmacists of number of registration, place, contact method, operation title, or the like; Drug data comprises medicine name, curative effect, side effect etc.; And inhaler data (not shown) comprises the data of the processing and the maintenance of relevant inhaler.
All these data all are stored among the data base 100.The data of relevant each personal also are stored in each user terminal 200 with a kind of form of removable storage card.
Data base 100 is medical data bases, and it for example is installed in the predetermined scope, for example within administrative area, and is used for storing each habitant's in this district personal data and medical data.This data base 100 can be installed in the specialized facilities or specified special hospital in this administrative area.Corresponding database is connected with each other, thus the time given habitant when will an area outside this residential area receiving medical care or leaving this residential area, can required data be conducted interviews.
Medical facilities terminal 110 is installed in each medical facilities, and links to each other with this data base 100.Medical facilities terminal 110 has a groove, wherein can insert the storage card of user terminal 200.In once seeking advice from; The storage card of the user terminal 200 that carries the patient the doctor or the nurse of this medical facilities work is inserted in the medical facilities terminal 110; Reading personal data, thereby use the reference data of these data as consulting about this patient who needs medical examination.Doctor or nurse also according to the result of consulting, upgrade the data of the electronics clinical chart in data among the data base 100 and patient's the storage card.
The prescription data that will write down at this moment comprises an expiry date.When the patient seeks advice from once more, set a new expiry date as required within expiry date.
In consulting, the doctor is with reference to medical data and personal data about this patient.If the patient suffers from syndrome (for example suffering from viscera disease and heart disease simultaneously), the doctor utilizes above-mentioned data data as a reference when confirming suitable prescription content.In the case, the doctor can offer the patient to this information to pay the utmost attention to the desirable prescription of patient.
If each patient's DNA analysis result is recorded on patient's the storage card or among the data base 100, so-called gene diagnosis then capable of using and gene therapy technology are confirmed prescription, rather than adopt traditional average/statistical technique.
Drug company terminal 120 is installed in each pharmaceuticals and with data base 100 and links to each other.Data base 100 conducted interviews from this terminal the people of pharmaceuticals work and to upgrade with the inventory data of checking the medicine relevant medical facilities or the medicine shop and to the shipping data of the medicine that provides.In addition, this people handles the production control data according to these data.
Terminal, medicine shop 130 is set in each medicine shop and with data base 100 and links to each other.This terminal has a groove, wherein can insert the storage card of user terminal 200.The people who is operated in this medicine shop inserts terminal, medicine shop 130 to the storage card of this user terminal 200 that a client carries to read client's prescription data.In addition, this people conducts interviews with the client's that reads this medicine shop of visit prescription data from this terminal to data base 100 and compares the corresponding data these data and the data base 100.When these two data were consistent each other, this people was sold to this client to corresponding medicine.This people upgrades the administration data in data base 100 and client's the storage card according to the medicine of selling subsequently.
In the case, if in data base 100, obtained depositing in advance as replacer's a people's biometrics authentication information, the people outside the patients such as kinsfolk, caregiver oneself also can access medicine.
If this user has a capital company, credit card company of number of the account etc. in advance the contract that carries out ecommerce is arranged with it, this user can pay through user terminal 200 when buying medicine, and actually at the scene pays for this medicine.This is suitable for consulting and the medicine expense of paying medical facilities.
User terminal 200 is portable and lightweight, so that the user can carry it all the time.Concrete individual corresponding of each terminal and one also comprised removable storage card-this storage card and stored the above-mentioned data about user oneself.This terminal has a kind of radio communication function and is used to support a kind of input-output apparatus of user's health control, and links to each other with data base 100 through radio communication as required.
(user terminal)
Fig. 3 is the block diagram of the setting at explicit user terminal 200.The user terminal 200 of this embodiment comprises a controller 201, and this controller 201 comprises: a CPU is used to control whole terminal; An inhaler 202 is with the input-output apparatus that acts on the health control of supporting the user; A communication unit 203 is used for support of wireless communication; An internal storage 204 is used for storage control program and various data; A storage card 205 is used to store personal data; An I/O interface 206; Key switch 207 comprises one ten keypad and various switch, such as emergency notice (emergency) switch; A demonstration/voice-output unit 208 comprises a liquid crystal display, mike, speaker or the like; A detector 209 is used for biometrics and differentiates; And such as secondary cell, as the rechargeable battery (not shown) of power supply.
Inhaler 202 comprises a jar 2022B, wherein stores the predetermined amount of liquid medicine; A discharge head 2022A, be used for tiny drip or the form discharging of microdroplet from this medicine of this jar supply; A control unit 2021 is used for assembly 2022 is driven/controls; And a detector 2023 is used to read a coding that is attached on an assembly or the jar or the state (negative pressure) of surveying user's suction.Inhaler 202 discharges the tiny liquid medicine that drips form according to utilizing heat to form the ink-jet scheme of mist or float.When the user sucked it, this medicine was taken by user's health through lung.
This instructions of taking has replaced the instructions of taking that adopts syringe, thus drug administration and psychology that has reduced the patient and physiological load that convenient patient oneself carries out.
Communication unit 203 suitably is provided with, and with according to the appropriate communication scheme, through adopting key switch 207 and demonstration/voice-output unit 208 and communication data, carries out the wireless voice communication with data base 100.
Though not to the radio communication that will adopt specifically describe; The scheme that in the GSM that can obtain at present (for example cell phone system, PHS system or automobile telephone system), satellite system or Bluetooth system, adopts can both obtain adopting.
Internal storage 204 can be read-only storage medium, such as ROM or storage medium able to programme, so that the user can change or upgrades through 203 pairs of programs of communication unit.
Storage card 205 is storage medium re-recordable, removable at least, such as semiconductor storage medium, MO, CD-R, CD-RW or pocket disk.
I/O interface 206 is by suitably design, when measuring blood pressure, blood glucose, body temperature, urine protein etc. as the user or printing its measurement data, connects outside input-output apparatus 250-selectively such as various detector for measuring and printer.
User terminal 200 in this embodiment is mutually comprehensive with inhaler 202.Yet this inhaler 202 can be the equipment of removable separation, as one of outside input-output apparatus 250 grades, like Drug therapy equipment and above-mentioned detector for measuring.
Identification detector 209 is to be used to utilize fingerprint, voice fingerprint, palmmprint, looks, pupil or retinal vessel pattern etc. that the user is carried out the detector that biometrics is differentiated, so that have only the people of registration can use user terminal 200.
Though do not show; User terminal 200 has a kind of navigation feature, is used for through adopting the radio intensity of wave that receives from a base station of GPS or wireless telephony network to survey the current location at terminal and utilize cartographic information to represent to the path near medical facilities or medicine shop.
(safety measure)
The medical treatment & health management system of present embodiment must be by suitably configuration so that with the satisfactory way protected data because the data of this system handles be relevant privacy and be important medical data.In addition, in order to prevent malpractice or operation mistake, this system must suitably be configured to prevent failure operation.
For example, data preferably additionally write (addition record) or mode is stored among the data base 100 so that only allow.Yet a special person in charge can be carried out overwrite to old data when backuping to another storage medium to data.For the excessive increase of the desired volume of the storage card that compresses user terminal 200, the data that surpassed predetermined year number can be by overwrite.
Data base 100 has set an access right with respect to each data item at each terminal that data base 100 is connected to, and these terminals comprise medical facilities terminal 110, drug company terminal 120, terminal 130, medicine shop and user terminal 200.
More particularly; Medical facilities terminal 110 can conduct interviews to all data among the data base 100, but a part that is merely able to the data of data, clinical chart to the service recorder of the health insurance cards that carry about the path of the data of medical facilities, visit medical facilities and measured value data that physical examination obtains etc. writes.Terminal, medicine shop 130; When the storage card of client's user terminal is inserted into terminal, medicine shop and ID when consistent each other; Can conduct interviews to individual prescription data and medication data, but be merely able to visit the data of relevant medicine and the data of relevant pharmaceuticals usually.Terminal, medicine shop 130 is merely able to visit the data of relevant medicine and the data of the inventory status in relevant medical facilities and medicine shop.
In addition, ID, Personal Numbering number, password etc. must be transfused to, to operate each in these terminals.Through adopting and user terminal 200 similar detectors, also can carry out biometrics and differentiate.
Because data base 100 links to each other with user terminal 200 through radio, must take strict especially safety measure.User terminal 200 is merely able to visit relevant user's personal data and is merely able to the data that measurement obtained that service recorder (medication data) and user oneself to medicine carry out write.As user during,, also differentiate through adopting identification detector 209 to carry out biometrics except utilizing such as ID, Personal Numbering number, the discriminating of the alphabetic character of password from user terminal 200 accessing databases 100.In data communication, a kind of encryption technology is preferably used for anti-heads and extraction.
In this embodiment, open user's prescription drug has also been taked safety measure, to prevent to use mistake, medication errors and operation mistake.
When carrying out medication through the inhaler 202 that utilizes user terminal 200, an assembly 2022 or a jar 2022B are changed into new at every turn.Therefore, whether each assembly or jar are all packed independently, be opened so that the user can discern it easily.For medication each time, one of above-mentioned part can according to the medicine that will adopt or discharge method and changed into new.For simplicity, suppose that a jar 2022B obtains changing.
When each medication being had only a jar be replaced, a discharge head is used repeatedly.But in order to guarantee high discharge performance, when a given assembly is used for predetermined times or assembly predetermined period is over and done with after being loaded, preferably a kind of warning is provided, the assembly that more renews with the prompting user with sound or image.In addition, this discharge head is preferably by such design, and a heater that promptly is used to produce heat energy obtains breaking off, and carries out actual suction operation to forbid the user.When a new assembly was loaded, the user will import its ID or password and differentiate obtaining once more.
The drug administration of mistake preferably is prevented as follows.A kind of optics or readable coding are attached on jar 2022B.When jar 2022B was loaded onto user terminal 200, this information encoded quilt compared with the drug data that is written on the electronics clinical chart that stores in the storage card 205.If medicine or the patient that jar has been loaded, the patient attempts to take above the specified amount of doctor that comprise with the inconsistent medicine of this electronics clinical chart take medicine with unsuitable interval; Then a warning is provided, and actual suction operation is under an embargo through image or sound.
Be attached to assembly 2022 to a kind of similar coding, can prevent effectively that also wrong assembly is loaded.In addition, because each total Chengdu has an electric terminal that is used to be connected to control unit 2021, the type of assembly can obtain identification through utilizing this terminal.
If exhausted jar is reinstalled the medicine new use of laying equal stress on, the purity of medicine can worsen maybe, and bacterial infection possibly take place.This can effectively be prevented as follows.Jar outer wall process with metal, thereby prevent to recharge or above-mentioned coding by overwrite or write again, to prevent after medicine is used, reading this coding.Perhaps, jar or medicine itself can be gone up various colors for corresponding prescription, thereby make the user can discern them easily, and perhaps whole inhaler is partly all changed into new when using different drug, to prevent the mixing of medicine.
In addition, in order to take medicine according to prescription with appropriate intervals, the patient preferably is told and takes the time of medicine by image, sound, vibration etc.
In the practical operation of inhaler, the user preferably need import ID or the password of oneself, to differentiate individual's identity once more.In addition, when the user operation mistake had been taken place or detected equipment fault in operation, the operation of inhaler was preferably stopped guaranteeing safety immediately.
Because user terminal is battery-driven in this embodiment, use up the operation below requiring sucking operating period in order to prevent battery.The dump power of battery obtains inspection.If can not once suck operation, suck operation and be under an embargo with remaining electric power.Perhaps, after several suction operations, the patient must be apprised of battery in advance and will use up.In addition, if the dump power of battery diminishes, operator scheme will be switched to battery saving mode-wherein make power consumption be lower than normal discharge mode through for example prolonging drain time.
In addition, keep high discharge performance for the discharging surface (nozzle) of protecting discharge head and from the angle of health, nozzle surface is added a cover to prevent lip-deep drug residue dry and fixing, and prevents unnecessary drug leakage.This lid preferably constitutes an integral body with one of inhaler lid.
(emergency notice)
User terminal 200 in this embodiment through at patient's state flip-flop or taken place to depress emergency notice (promptly) the switch preset time on the key switch 207 at user terminal 200 continuously when unusual, and enters into the emergency notice pattern.
Fig. 9 has shown an example of the content of emergency notice pattern.As shown in Figure 9, when in this embodiment user terminal entered into the emergency notice pattern, a menu window obtained showing.If operate in the predetermined period of user after this menu window is shown, then judge serious situation has taken place, and emergency notice is carried out.Under this emergency notice pattern, ambulance is called out automatically and a notice is delivered to preset communication center automatically, such as the one family member.
The item of preparing on the menu screen for emergency notice comprises with a specified doctor gets in touch, notifies extra medical content, appointment emergent management content, navigation, emergency speech to communicate by letter or the like.
" emergency speech communication " if by user oneself carry out-user oneself can carry out, thereby get in touch to get in touch to provide about user's oneself information or with doctor or family with emergency facilities.
" navigation " is to represent that according to being stored in medical data among the data base 100 near one medical facilities or medicine shop maybe can provide the function in path in the place of the medicine that the patient uses.
(assembly and jar)
Assembly in the present embodiment is according to the ink-jet scheme that adopts heat and with the tiny form discharge of medicament of dripping.This scheme is identical with the so-called bubble jet scheme that in resembling the PRN device of printer, adopts basically.Yet, this scheme discharge head with jar on have that some characteristic feature-they are different from the characteristic in the PRN device.
For example, a discharge head is processed with the material that is coated with gold, ceramic material or glass material.In addition, the shape of the setting of exhaust openings (nozzle) and each exhaust openings obtains changing according to the type and the administrated method (for example whether need arrive lung) of the medicine of discharging.
Need be comprised in a medicine in the jar can so that the user can visually check surplus, perhaps can be mixed with a kind of saccharide or many saccharides (tending to pyrogenic) by painted in advance mutually, is changed owing to heating with the character that prevents medicine.Further; Will be included in the amount of the medicine in the jar; Through when discharging taking place when wrong or sucking and recover to handle required medication amount before or after operating and be added on the required medication amount of a drug in the operation; And preferably confirmed, thereby when carrying out suitable emissions operation, reserve certain medication amount.
Jar in this embodiment has dual structure.That is outer wall, processing with metal etc. forms an integral body with the inwall that the compliant member that changes according to the medication amount that comprises with its shape is processed.This jar is different from outside the China ink jar that adopts in the common ink-jet scheme, is that it had not both had inner porous assimilate not have air connectivity hole yet.
Jar obtains packing and supply, for example once supplies the jar of predetermined number.In the case, preferably together packing be useful on keep discharge head and device and anchor clamps (such as the dropper and the moisture absorption net of sterilizing).
As stated, in this embodiment, when carrying out medication at every turn, jar 2022B all changed into one new, and assembly 2022 also obtains replacing the medication of pre-determined number after or with predetermined interval.The assembly of changing obtains effective recycle as follows with jar.
Assembly is made by pharmaceuticals with jar and is offered the patient through the medicine shop that belongs to medical facilities.As stated, when the patient will obtain an assembly or jar, this patient inserted storage card in medical facilities terminal 110 or the terminal, medicine shop 130.The prescription data that is stored in the storage card is compared with the prescription data that is stored among the data base 100 subsequently.Because drug data has comprised the data of the medicine that uses in the past, whether the patient had used the assembly of same type or jar to know easily.
If the patient used same type assembly or jar, the patient with this assembly or jar and with it change one new.In the case, if the information whether expression assembly or jar have been collected also is recorded in the change in the drug data as the drug use record, collection can be carried out more reliably.
Assembly or jar are collected into pharmaceuticals through medical facilities or medicine shop.The outward appearance of assembly or jar and function obtain inspection.The assembly or the jar that can further obtain using obtain clean.Sterilization also has been re-filled medicine.After information encoded on assembly or jar was rewritten, it was reused.
(sucking operation)
Use the actual suction operation of user terminal 200 in this embodiment below in conjunction with the flow chart description of Fig. 4.
At first, whether inspection has carried out the adjusting of taking (step S301) to medicine.This adjusting operation comprises the initial step (step S302) of depositing such as the data of the dosage of a drug and medication interval, confirms that through measuring each user's amount of air drawn the test of a conditions of discharge and a profile sucks step (step S303) and checks that whether this adjusting is owing to testing the determination step (step S304) that suction is suitably carried out.
This adjusting operation is when diagnosing out the necessary bedding and clothing time spent of a kind of medicine, under an expert (for example doctor's) guidance, carrying out.The amount of air drawn that measures, the profile of measurement and the conditions of discharge of confirming as the inhaler setting data, and are stored in the storage card 205 of data base 100 and user terminal 200.
In order to carry out actual suction operation, assembly and/or jar are loaded onto (step S305) on the inhaler 202.For the user can be operated, user's discriminating is differentiated combining of means according to one of ID, Personal Numbering number and password with a kind of biometrics such as fingerprint subsequently, and carried out (step S306).
Before reality sucks operation,, carried out inhaler/recovery and handled (step S307) through adopting the device that sucks anchor clamps (jig) such as.The user places the exhaust openings end of inhaler user's mouth and carries out subsequently and sucks operation (step S308).When detecting user air-breathing with detection of negative pressure device etc., inhaler begins discharge of medicament.When medicine was discharged, user terminal preferably produced a kind of signal sound etc.After repeating to suck several times and when having discharged the medicine of scheduled volume (step S309), suck operation and stop the user.The end that sucks is preferably notified by signal sound or demonstration.
(drive controlling of emissions operation)
In this embodiment, liquid medicine obtains discharging according to the ink-jet scheme that adopts heat with the tiny form of dripping.In this scheme, a kind of drive waveforms has formed the shape of pulse, counts with the dripping of number control discharging according to pulse.This scheme thus be suitable for to the discharging amount of liquid manage accurately.
Yet, in this embodiment, in order to be used for this scheme the purpose of medical therapy, emission control be with PRN device in different modes carry out.More particularly, PRN device is through printing the China ink discharging to the print media such as paper.In contrast to this, inhaler in this embodiment must discharge a kind of medicine with the form of mist or float, and makes this medicine arrive pulmonary with user's inhaled air.
Therefore, must control, be decreased to each size than common PRN device medium and small the size of Duoing, and discharge dripping of suitable amount reliably with so little size.If each size reduces, the kinetic energy that drips of discharging reduces.Need not resembling in PRN device, these, and can not collide each other along dripping of various directions dischargings along almost direction discharging.
Therefore, in this embodiment, the profile (pattern) that driving parameters sucks according to air obtains changing.For example, when sucking air, the unit in the time inhaled air bigger in the zero hour, and reduce before just finishing sucking.Thereby, if medicine is being discharged repeatedly in once sucking (one to two second), be first emissions operation with last emissions operation set different mass rate of emissions, different driving frequency, or the like.Perhaps, emission scenary, each size and main dripping/secondary ratio that drips can access change.The sequential that these driving parameters change preferably with the medicine that will use be stored in the storage card relatively.
Further, the profile that air sucks, because age, sex, body constitution, or the like, and change along with different people.Therefore, even to identical prescription, these profiles must obtain meticulous adjusting (tuning) according to different users.This operation will combine the step S302 to S304 in the flow chart of Fig. 4 and the part described and obtain describing.
In order to check whether suction is carried out exactly, dripping of discharging preferably obtains monitoring by optical detecting gear.In the case, suitably carried out if suck, a warning preferably obtains producing.As a kind of detection method, for example, survey reflected light, refracted light, transillumination or scattered light or with a kind of coloring material of medicament mixed or the method for fluorescent agent, perhaps adopt a kind of method of laser, can obtain adopting.
(flowing of medicine)
Below in conjunction with Fig. 5 flowing of medicine in the present embodiment (assembly and jar) described.
The medicine of being processed by a pharmaceuticals is supplied to medical facilities and medicine shop.Suppose a user (patient) owing to need take medicine Xiang doctor's inquiring.In the case, if for example this user visits medical facilities for the first time, this user has received the medicine of predetermined number of days from the pharmacy of the medical facilities of its inquiring.
In the second time or the visit of inquiring subsequently, the user accepts medicine in the same manner as described above from the pharmacy of these medical facilities.At this moment, accepted in the past and the medicine that uses has been changed into newly, and the data of new medicine are written into the administration data of electronics clinical chart.
If do not need inquiring, the user can receive medicine from a medicine shop.In the case, received in the past and the medicine that uses is also changed into newly, and the data of new medicine are written into the administration data on the electronics clinical chart through using terminal, a medicine shop.
Used medicine from the patient receives is collected into pharmaceuticals and obtains recirculation in the above described manner from medical facilities or medicine shop.
(data flow)
Fig. 6 has schematically shown data flow in this embodiment.
As shown in Figure 6, according to the health management system arranged data base 100 who has as master component of this embodiment, it is with a kind of concentrated mode management data.Each terminal is also with a kind of data of nonconcentrated mode managerial demand.
Drug data is read from data base 100 in medical facilities terminal 110.In an inquiring; Patient's personal data are read at medical facilities terminal 110 from the storage card of user terminal 200; Compare these data and the data of reading, and write data base 100 and patient's storage card to the data of health insurance cards and electronics clinical chart from data base 100.
The inventory data that the medicine in relevant medical facilities and medicine shop is read from data base 100 in drug company terminal 120, and write data base 100 to the data of the medicine that is loaded and transported as shipping data.If a kind of new medicine is developed or new curative effect comes to light, drug company terminal 120 writes data base 100 to new drug data.
When the patient visited the medicine shop, prescription data and administration data were read from the storage card of patient's user terminal 200 in terminal 130, medicine shop, and compared these data and the prescription of reading from data base 100.The administration data of the medicine of buying about the patient is written into storage card and data base 100.
By the measurement data that patient oneself utilizes a kind of medical diagnostic equipment or outside medical facilities, obtains, be written into the storage card of patient's user terminal 200.This measurement data as required, through medical facilities terminal 110, and is written into data base 100.In addition, in response to the request from the patient, the data of electronics clinical chart or near relevant medical facilities or the navigation data in medicine shop are read from data base 100.
(concrete example)
Below describing through utilizing according to the health management system arranged of this embodiment is the mode that some patients carry out health control.
Suppose in following object lesson; Each patient has had the user terminal 200 with a storage card, and this storage card sends and store master data, recognition data, health insurance data and management data by the medical facilities that public organizations or patient such as public sector accept regular medical examination.
(1) accepts the patient of insulinize
Fig. 7 and 8 flow chart have shown the example of the processing of when carrying out inquiring and medicine is provided, carrying out respectively.Need the patient's of insulinize a example will combine these flow charts and obtain description.
Patient A its blood sugar level of in once regular medical examination, being told is high, thereby near the medical facilities having visited are to carry out inquiring.This patient takes off storage card and gives the doctor it from its user terminal.The doctor inserts a medical facilities terminal (step S701) to this patient's storage card.This patient is subsequently Xiang doctor's inquiring (step S702).As the result of inquiring, this patient is diagnosed as suffers from type I insulin dependency diabetes, and this patient must regularly take insulin medicament.As prescription drug, a kind of intermediary medicine was confirmed with mixing of a kind of direct medicine, and the patient is asked to take in 30 minutes before breakfast and lunch each medicine of 20 units.Xiang doctor's inquiring the time, confirmed the number of times of taking of standard, and formed an electronics clinical chart (step S703).
The data of this electronics clinical chart are written into the storage card and the data base 100 of patient's user terminal 200.At this moment, the data of the data of the photo of patient's face and patient's fingerprint are written into as authentication data.Patient A has selected lung to suck conduct and has taken the method (step S704) of insulin, and will adopt the inhaler of user terminal 200 for the first time.
As combine the step S302 to S3044 of Fig. 4 described, about the inhaler setting data of patient A is deposited at (step S705) among this storage card and the data base under doctor's guidance.
After aforementioned above-mentioned processing, prescription data obtains generation/renewal (step S706), and patient's storage card taken off and return to patient (step S707) from medical facility terminal, thus the processing when being through with inquiring.
Patient A is carrying pharmacy that user terminal 200 comes medical facilities to receive a kind of medicine.This patient gives the people who is responsible in pharmacy the storage card of oneself, and this people inserts medical facilities terminal (step S801) in pharmacy to this storage card by a kind of ID and fingerprint this patient is differentiated (step S802).This people is subsequently through comparing the prescription data in the storage card and the data among the data base and this prescription data being checked (step S803).If inconsistent each other at step S802 or these data of S803, processing is interrupted, and patient's corresponding information of being told.
Because consistent each other in these data of step S802 and S803, this responsible people one month with insulin give patient A (step S804).This insulin is comprised in the assembly, and this medicine kit that the patient accepts also comprises suction anchor clamps.This medicine is that this fact of supply has for the first time obtained inspection (step S805).Information such as the amount of the insulin that receives, date, expiry date, interval etc. as administration data, is written into storage card and data base (step S807).Storage card is removed and returns to patient (step S808) subsequently.
Work as when patient A goes back home, represent that the warning sound of a kind of standard setting time is sent, and patient A takes out an assembly (its each encapsulate) from the medicine kit that receives.The patient carefully opens encapsulation and confirms not have drug leakage.The patient is loaded into this assembly on the inhaler subsequently.When this assembly was mounted, user terminal compared the information of the assembly that is written in prescription data and loading on the electronics clinical chart in the storage card and the type and loading time of demonstration assembly on display.
As combine the step S306 to S309 among Fig. 4 described, the user obtain by ID or fingerprint differentiating and utilize anchor clamps suck/recovery operation after, the user sucks insulin and has accomplished oneself through suction and taken operation.The date that the patient carries out the suction operation is stored in the storage card.
Worked as in several days when the patient regularly repeats this suction operation, the patient on the way feels and feels bad.Near the patient comes through the navigation feature of utilizing user terminal subsequently medicine shop is measured its blood sugar level, and is stored in measurement result in the storage card.Because this measured value is higher slightly than normal value, the patient is sent to the data base to the data that are stored in the storage card, and utilizes the emergency notification function of user terminal and the doctor who is responsible for to get in touch, thereby passes through voice communication request doctor's indication.
Another day, the patient comes its medicine shop of being familiar with, because patient's insulin at hand used up soon, and finds that the medicine shop has been out of stock.Patient thereby through utilizing navigation feature search has come near in stockit is available medicine shop.The patient has received new assembly according to the described step of step S801 to S804 among above combination Fig. 8.In the case, because this medicine is not supply for the first time, flow process proceeds to step S806 to return exhausted assembly from step S805.At terminal, medicine shop, the administration data among storage card and the data base obtains upgrading, and the inventory data of medicine obtains upgrading.Storage card is returned to the patient subsequently.
(erection can not situation)
Below in conjunction with the flow chart description of Fig. 7 and 8 erect can not example.
Patient B is come medical facilities to accept inquiring.The patient gets next storage card and gives a doctor it from its user terminal.The doctor inserts this storage card a medical facilities terminal (step S701) and carries out inquiring (step S702).As the result of inquiring, the patient is suffered from erection by diagnosis can not.Subsequently according to doctor's inquiring, confirm that needs of patients sucks through lung to take GTH three months.Confirm that this medicine will supply by week, and the patient will take this medicine according to the interval that the patient confirms as required.Above-mentioned information is written in storage card and data base's the electronics clinical chart (step S703).
Under doctor's guidance, about the inhaler setting data of patient B is deposited among storage card and the data base, like integrating step S302 to S304 among Fig. 4 described (step S705).Simultaneously, the data of mug shot and fingerprint also newly are written in the authentication data.
When above-mentioned finishing dealing with, doctor's generation/renewal prescription data (step S706) is taken off patient's storage card from medical facility terminal, and returns to patient (step S707) to it, thereby accomplishes the processing in the inquiring.
Patient B is being carried the pharmacy that user terminal 200 is come medical facilities, and gives the people who is responsible in the pharmacy storage card.The people that should be responsible for inserts in the medical facilities in pharmacy (step S801) to this storage card by ID and mug shot the patient being differentiated (step S802), and through comparing the prescription in the storage card and the prescription among the data base and it being checked (step S803).The people that should be responsible for gives patient B (step S804) medicine in a week subsequently.This medicine is with the form of a jar and a new type that exchanges, and the medicine kit that receives also comprises a kind of suction anchor clamps.This people confirms that this medicine is supply (step S805) for the first time, and writing storage card and data base (step S807) such as the medication amount of accepting, date, expiry date and drug data at interval.This people takes off this storage card and it is returned to patient (step S808).
Patient B is taken out jar and is loaded into it on the assembly as required from medicine kit, and oneself takes this medicine through sucking according to desirable curative effect application time, as in the situation of (1).
The medicine that receives was used up after a week, thereby patient B is come the medicine shop.The process that the patient describes according to the step S801 to S804 among above combination Fig. 8 receives a new jar.In the case, because this medicine is not supply for the first time, flow process proceeds to step S806 from step S805, to return exhausted jar.At terminal, medicine shop, the drug data among storage card and the data base obtains upgrading with the inventory data of this medicine, and storage card is returned to the patient.
(3) people of hope smoking cessation
The people's who hopes below in conjunction with the flow chart description of Fig. 7 and 8 to give up smoking example.
Patient C comes medical facilities to receive treatment, and its objective is smoking cessation.This patient gets next storage card and gives a doctor with it from user terminal.The doctor goes forward side by side this patient's a storage card medical facilities terminal of insertion (step S701) to practise medicine and treats inquiry (step S702).The doctor confirms according to this medical treatment inquiry and inquiring that this needs of patients sucks through lung and takes a kind of medicine, little by little to reduce the absorption of nicotine.Confirm that this medicine will supply weekly, and the maximal dose of every day will reduce gradient according to a predetermined concentration and confirm.Above-mentioned information is written into the electronics clinical chart (step S703) among storage card and the data base.
The inhaler setting data of relevant patient C under doctor's guidance, is deposited among storage card and the data base, as combining the step S302 to S304 described (step S705) of Fig. 4.Simultaneously, the photo of face and the data of fingerprint are also newly write as authentication data.
In the case, inhaler is by like this control, and promptly when the patient sucked this medicine with predetermined interval or shorter interval, the nicotine of every day was taken in and reduced, and the patient is under an embargo with this medicine of amount suction of the maximal dose that surpasses every day.In addition, inhaler is by like this control, though the dosage in i.e. the previous day less than this maximal dose, remaining medication amount is not added on the medication amount of next day data yet.
When above-mentioned finishing dealing with, prescription data obtains generation/renewal (step S706), and patient's storage card is by being taken off and return to patient (step S707) from medical facility terminal, thus the processing when finishing inquiring.
Patient C carries the pharmacy that user terminal 200 is come medical facilities, and gives the people who is responsible in the pharmacy storage card of oneself.This people inserts storage card at the medical facilities terminal (step S801) be installed in the pharmacy differentiating this patient (step S802) by ID with facial photo, and through comparing the prescription in the storage card and the prescription among the data base and the prescription in the storage card being checked (step S803).The people that should be responsible for gives patient C (step S804) medicine in a week subsequently.This medicine is with the form of jar and the new type that exchanges, and the medicine kit that receives also comprises a kind of suction anchor clamps.This people confirms that this medicine is supply (step S805) for the first time, and writes storage card and data base (step S807) to amount, expiry date and the interval such as the medicine that receives.This people takes off storage card, and it is returned to patient (step S808).
Patient C takes out jar every day several times from medicine kit, be loaded into it on the assembly, and suck and oneself take medicine by lung resembling in the situation (1), with replacement smoking.
The medicine that receives was used up after a week, thereby patient C comes another medical facilities.A doctor inserts the medical facilities terminal to the storage card of patient C; According to reducing gradient through reading out the concentration of setting from the data of the electronics clinical chart of patient C; Set the maximal dose of every day and suck the sucting number of operation each time, and write new prescription.In addition, inhaler is according to this new prescription and adjusted.
The patient receives a new jar according to resembling the processing that the step S801 that is combined in Fig. 8 in the above-mentioned situation and S804 describe in the pharmacy of medical facilities.In the case, because medicine is not supply for the first time, flow process proceeds to step S805 to S806, to return exhausted jar.Medical facilities terminal in the pharmacy, the drug data of the medicine among storage card and the data base and inventory data obtain upgrading, and this storage card is returned to the patient.
(4) inpatient
Situation below in conjunction with the flow chart description inpatient of Figure 10.
In once regular medical examination, patient D gastric cancer that comes to light.Thereby this patient comes medical facilities to carry out resection operation.In these medical facilities, doctor inserts a medical facilities terminal (step S1101) to this patient's storage card with through reading the medical examination in the past X-ray photograph image of stomach function regulating as a result, and diagnoses, and undergo surgery (step S1102).
The doctor produces a kind of electronics clinical chart (step S1103) that comprises a kind of medication treatment according to surgical outcome after operation.The storage card of patient D is moved toward a bedside terminal, and the bed in the hospital at this terminal and patient D place links to each other (step S1104), and responsible people is that doctor or nurse are deposited (step S1105).
The terminal of this bedside is a correction at medical facilities terminal 110, and has almost the setting identical with user terminal 200, and just inhaler 202 has been omitted.Yet this terminal has wide display, to obtain better visuality.Patient's name, the title of disease and symptom are displayed on this display screen all the time
The treatment of each day of carrying out for doctor or nurse, doctor or nurse discern patient (step S1106) according to symptom that on display screen, shows and name, and input doctor or nurse's ID is to read electronics clinical chart (step S1107).This doctor carries out it subsequently and handles, and perhaps doctor or nurse carry out required inspection or management (step S1108).Prescription data obtains upgrading (step S1109) according to the data that produced.
When the past during predetermined period, patient's condition is improved, and the patient is allowed to leave hospital (step S1110).When the patient left hospital, storage card was returned to patient (step S1111).
(effect of embodiment)
As stated, this embodiment has following effect.
(1) various personal data and drug data all are also can being stored among the data base of electronization, thereby can obtain effective medical care precess by information sharing.
(2) personal data about privacy can be protected through the access right of setting each terminal and individual identification.
(3), promptly can suitably and promptly be handled because each user terminal all has the emergency notice pattern.
(4) utilize user terminal rather than resemble injection of the prior art and take medicine, make patient oneself can take medicine easily, thereby reduced patient's psychology and physiological load.
(5) from the inhaler discharge of medicament, driving parameters obtains changing according to sucking speed etc., delivering to a large amount of medicines in lung, thereby has improved suction efficiency.
(6) through adopting inhaler taking in the medicine, can be through carrying out suitable emission control according to each patient's amount of air drawn and profile, and take medicine effectively.
(7) when a patient oneself takes medicine, the patient can be prevented from loading wrong medicine or operating inhaler by error.
(8) by the controller of user terminal, the dosage of medicine and medication interval can be managed according to prescription data accurately.
(9) because the supply of medicine and take and obtained record, the medicine that each patient uses can access accurately with stock and manage.In addition, exhausted assembly can be accurately controlled with jar.
(10) prescription data also is stored in the storage card of each user terminal.This makes that each user can be according to a prescription, through reading the geographic data at relevant user place, and receives medicine.
(11) navigation feature of each user terminal is convenient to the visit near or suitable medical facilities or medicine shop.
(other embodiment)
The foregoing description has exemplarily shown the medical treatment & health management system.Yet the present invention can be applied to various other application.
For example; The present invention can be applied to a kind of system; Be used to indicate each user policy ground to go on a diet and, but utilize and an above-mentioned similar user terminal of user terminal and a terminal that is installed in the sports club etc., carry out health exercise and improve looks according to preset program; Perhaps, the inhaler of above-mentioned user terminal can be used to take healthy required vitamin and the mineral rather than the medicine of appropriate amount.
When the present invention was used to the such application beyond the medical use, the data and the function of each user terminal that are stored in data base and each terminal can obtain changing as required.
In addition; The present invention can be used as a medical treatment & health management system by this way; It is the suction treatment that the above-mentioned inhaler of user terminal is used to an asthma disease patient; Or a kind of drug administration in this patient's body, and this patient takes this medicine with injection or mode for oral administration.
This health management system arranged setting is not limited to the foregoing description.For example, this data base can be comprised in this medical facilities terminal.
Owing to can make a lot of various embodiment under the premise without departing from the spirit and scope of the present invention, it should be understood that to the invention is not restricted to its specific embodiment, and only be defined by the claims.

Claims (5)

1. portable terminal device, its suitably is provided with entrained by the user, comprising:
Storage device is used to store the personal information about this user, and this personal information comprises the suction profile about the information of this user's clinical chart and prescription and this user, and said suction profile is indicated the change in time of user institute amount of air drawn;
Inhaler is used for tiny form discharge of medicament of dripping and makes this user suck these; And
Driving control device, be used to control inhaler with change according to said suction profile and once suck in the parameter that is associated of repeatedly medicine discharging, said parameter comprise in size, mass rate of emission and the driving frequency of dripping one of at least.
2. according to the terminal of claim 1, further comprise the detector of the suction speed that is used to survey the user, and said driving control device changes this parameter according to the signal from said detector.
3. according to the terminal of claim 1, wherein this parameter comprises that these master drips/the secondary ratio that drips.
4. according to the terminal of claim 1, wherein this parameter comprises an emission scenary.
5. according to the terminal of claim 1, wherein said inhaler comprises and is used for the discharge head of discharge of medicament through utilizing heat energy.
CN2008100056849A 2000-11-30 2001-11-30 Portable terminal and health management method and system using portable terminal Expired - Fee Related CN101229408B (en)

Applications Claiming Priority (12)

Application Number Priority Date Filing Date Title
JP365337/2000 2000-11-30
JP2000365935A JP2002165887A (en) 2000-11-30 2000-11-30 Portable terminal provided with inhaler and control method for inhaler
JP2000365939A JP4332293B2 (en) 2000-11-30 2000-11-30 Inhalation device and discharge head control method
JP365939/2000 2000-11-30
JP2000365937A JP4323709B2 (en) 2000-11-30 2000-11-30 Method for controlling inhaler and discharge head
JP2000365938A JP2002169889A (en) 2000-11-30 2000-11-30 System and method for supporting prescription decision
JP2000365936A JP4454835B2 (en) 2000-11-30 2000-11-30 System and method for health management using portable terminal
JP2000365337A JP4454834B2 (en) 2000-11-30 2000-11-30 System and method for health management using portable terminal
JP365937/2000 2000-11-30
JP365938/2000 2000-11-30
JP365935/2000 2000-11-30
JP365936/2000 2000-11-30

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CN101229408B true CN101229408B (en) 2012-12-12

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CN101229408A (en) 2008-07-30
CN101229407A (en) 2008-07-30

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