JP2006276922A - Emergency system and patient information sharing method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an emergency system capable of quickly determining a medical facility suitable for a patient's condition and capable of receiving a patient, and enabling information sharing among doctors of a plurality of medical facilities. I will provide a.
One of a plurality of hospitals 2 distributes patient information transmitted from an information processing apparatus included in an ambulance 1 to information processing apparatuses in another hospital 2. Each of the information processing apparatuses in the plurality of hospitals 2 receives information transmitted from the other apparatuses and transmits the information to the information processing apparatuses in the other hospitals 2 and the information processing apparatuses included in the ambulance 1. Further, based on a comparison between the receiving destination inquiry information transmitted from the information processing apparatus provided in the ambulance 1 and the acceptability determination information held by the hospital information management server 3, the identification information of the medical facility that can be accepted by the patient is determined.
[Selection] Figure 1

Description

  The present invention relates to an emergency system, a patient information sharing method, and a program for sharing information on a patient being transported by an ambulance between a receiving medical facility and an ambulance.

Conventionally, patient information obtained by ambulances (for example, status, pulse, etc.) can be obtained by the emergency team by directly contacting the receiving hospital or the emergency center with a mobile phone. Hospitals and emergency centers determine whether they can be accepted and notify the emergency team. Patent Document 1 discloses that patient information (patient images, vital signs, voices, etc.) acquired by an ambulance is transmitted to an emergency center using a quasi-zenith satellite, and the patient is determined after the receiving hospital is determined. Technology for transferring captured images, vital signs, and audio has been released.
JP 2004-126751 A

The means of finding the hospital to receive a patient to be transported by an ambulance differs from local government to local government.There are local governments that receive instructions from the emergency center and the ambulance crew determines the transport destination. Some local governments make decisions by directly contacting the hospitals that are candidates for transport. Since this is related to the locality of each municipality, it is not possible to unify the decision method of one receiving hospital. However, in the above-mentioned Patent Document 1, since it is necessary to inquire about the receiving destination via the emergency center, it takes time to notify the receiving hospital of the state of the patient being transported by an ambulance. Even if an ambulance crew member directly contacts a candidate hospital for transportation, taking into account the patient's condition, etc., if the hospitalized patient at the receiving hospital is full, contact the hospital. Must be repeated.
In addition, in order to make appropriate preparations for arrival at the host hospital, the doctor at the host hospital will refer the patient's family doctor to the previous doctor's history of previous visits, etc., and determine the optimal treatment for the patient. You may need to communicate with other doctors. However, according to the conventional technology, information is shared only between two facilities of the emergency center and the receiving hospital, and information cannot be shared by three or more persons including the third facility.

  Therefore, the present invention can quickly determine a medical facility that is suitable for the patient's condition and can accept the patient, and can share information among doctors of a plurality of medical facilities. An object is to provide an emergency system, an emergency information sharing method, and a program therefor.

  The present invention has been made to solve the above-described problems, and is an emergency system that shares information on a patient transported by an ambulance between the information processing device provided in the ambulance and the information processing device provided in the medical facility. The information receiving device for receiving information on the patient transmitted from the information processing device provided in the ambulance is an information processing device in any one of the plurality of medical facilities, and the received information, Information distribution means for distributing to any one or more of information processing devices of other medical facilities among the plurality of medical facilities, each of the information processing devices of the plurality of medical facilities transmitted from another device An information sharing means for receiving information and transmitting the information to an information processing apparatus in another medical facility or an information processing apparatus included in the ambulance, an emergency system.

  According to the present invention, in the above-described emergency system, one or more of the information processing devices included in the medical facility, or another information processing device connected to the emergency system stores acceptance determination information on each of the medical facilities. Based on the comparison between the acceptability determination information storage means to be received and the acceptance destination inquiry information transmitted from the information processing device provided in the ambulance and the acceptability determination information, identification information of the medical facility that can be accepted by the patient is determined. The medical facility determining means, and receiving facility information transmitting means for transmitting identification information of the medical facility that can be received by the patient to an information processing device provided in the ambulance.

  According to the present invention, in the above-described emergency system, when the information processing apparatus of the medical facility including the information distribution unit receives an input server change instruction, the patient is included in the information processing apparatus included in the ambulance. Server change instruction means for transmitting an information processing device of another medical facility that is the transmission change destination of the information, and the information processing device provided in the ambulance is based on reception of the server change notification, The information processing apparatus of the other medical facility of the said transmission change destination is provided with the server change means which transmits the said patient's information.

  The present invention is also a patient information sharing method in an emergency system for sharing information of a patient carried by an ambulance between an information processing device provided in the ambulance and an information processing device provided in a medical facility, In the information processing apparatus of any one of the medical facilities, the information receiving means receives the patient information transmitted from the information processing apparatus included in the ambulance, and the information distribution means receives the received information. Information distributed to one or more of information processing devices of other medical facilities among the plurality of medical facilities, and information sharing means transmitted from other devices in each of the information processing devices of the plurality of medical facilities Is transmitted to an information processing apparatus in another medical facility or an information processing apparatus included in the ambulance.

  Further, the present invention provides the above patient information sharing method, wherein one or more of the information processing devices provided in the medical facility, or the availability determination information storage means of another information processing device connected to an emergency system is the medical facility. Each acceptance / rejection determination information is stored, and the medical facility determination means can accept the patient based on a comparison between the reception destination inquiry information transmitted from the information processing device provided in the ambulance and the acceptance / rejection determination information. The medical facility identification information is determined, and the reception facility information transmitting means transmits the medical facility identification information that can be received by the patient to the information processing apparatus provided in the ambulance.

  According to the present invention, in the above-described patient information sharing method, the ambulance is provided when the server change instruction unit of the information processing apparatus of the medical facility including the information distribution unit receives the input server change instruction. A server change notification indicating an information processing apparatus of another medical facility that is a transmission change destination of the patient information is transmitted to the information processing apparatus, and a server change unit of the information processing apparatus included in the ambulance includes the server change Based on reception of the notification, the patient information is transmitted to an information processing apparatus at another medical facility to which the transmission is changed.

  According to the present invention, patient information transmitted from an ambulance can be shared among a plurality of medical facilities, and further, information can be shared between medical facilities using a communication tool of each hospital. Therefore, it is possible to make appropriate preparations at the medical facility of the transport destination by grasping in advance the state of the patient transported by an ambulance, and to share information with other medical facilities such as the patient's family hospital Therefore, a medical history of a patient can be confirmed by a doctor at a medical facility as a transportation destination.

Further, according to the present invention, the ambulance is notified of information on acceptable medical facilities based on the acceptance determination information. Therefore, an ambulance member who rides on an ambulance only needs to make an inquiry about the recipient. Information on the facility can be obtained by an ambulance, and the patient can be quickly transported to the receiving medical facility.
Further, according to the present invention, the information on the patient transmitted from the ambulance is directly transmitted to the hospital of another modified medical facility by the server change notification. For example, after the medical facility where the patient is accepted is determined, etc. An information processing apparatus in a medical facility such as an emergency center can withdraw from the information sharing network.

  Hereinafter, an emergency system according to an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a block diagram showing a configuration of an emergency system according to an embodiment of the present invention. In this figure, reference numeral 1 is an ambulance, 2 is a hospital (medical facility), and 3 is a hospital information management server that determines a medical facility for receiving a patient carried by the ambulance. And the information processing apparatus (in-vehicle terminal, in-vehicle GW (gateway) and other devices) provided in the ambulance 1, the information processing apparatus (facility GW, facility terminal) provided in the medical facility such as the hospital 2, and the hospital The information management server 3 is connected via a communication network such as the Internet. In this embodiment, data transmitted and received by each device via the Internet is encrypted.

  FIG. 2 is a block diagram showing a configuration of an emergency system when one of the medical facilities is an emergency center that receives a communication from an ambulance and designates a hospital to receive a patient. As shown in this figure, instead of the hospital 2, an emergency center or the like that receives a communication from an ambulance and designates a hospital to receive a patient may be used. In that case, the hospital information management server 3 may be provided in an emergency center, for example.

  FIG. 3 is a block diagram showing a configuration of an emergency system when there is a facility GW in only one medical facility. As shown in this figure, there is an information processing apparatus that becomes a facility GW only in one medical facility, and facility terminals of other medical facilities (hospital 2) are under the network of the facility GW of the one medical facility. The configuration may be a connected terminal.

FIG. 4 is a diagram showing functional blocks of the in-vehicle terminal and the in-vehicle GW provided in the ambulance.
As shown in this figure, the in-vehicle terminal 11 includes a communication processing unit 111 that transmits / receives information to / from the in-vehicle GW 12, a control unit 112 that controls each processing unit of the in-vehicle terminal 11, and a display unit 113 that displays information on a monitor or the like. And a transmission destination selection function unit 114 that receives selection of a medical facility (hospital 2 or emergency center) that is a transmission destination of information on the patient to be transported. The in-vehicle GW 12 is a communication processing unit 121 that transmits / receives information to / from the information processing apparatus of the in-vehicle terminal 11 or a medical facility, a control unit 122 that controls each processing unit of the in-vehicle GW 12, and a medical device provided in an ambulance. The information conversion function part 123 which converts the acquired patient information into a specific data format, and the database 124 which memorize | stores various information are provided. The in-vehicle terminal 11 and the in-vehicle GW 12 are connected via a communication network in an ambulance, and this communication network includes a medical device (for example, a device that acquires information such as heart rate, blood pressure, and electrocardiogram) and a patient. The camera etc. which shoots the state of are connected. The in-vehicle terminal 11 is provided with a microphone function for acquiring voice in the ambulance. The function of the in-vehicle GW 12 may be provided in the same server as the function of the in-vehicle terminal 11.

FIG. 5 is a diagram showing functional blocks of a facility GW and a facility terminal provided in a medical facility such as a hospital.
As shown in this figure, the facility GW 13 includes a communication processing unit 131 that transmits / receives information to / from the in-vehicle GW 12 provided in the facility terminal 14 and the ambulance via the communication network, and a control unit that controls each processing unit of the facility GW 13. 132 and a terminal management function unit 133 that distributes patient information transmitted from facility terminals 14 and ambulances of other hospitals.
In addition, the facility terminal 14 writes on a communication processing unit 141 that transmits / receives information to / from the facility GW 13, a control unit 142 that controls each processing unit of the facility terminal 14, video and audio acquired by a camera or a microphone, and a whiteboard. The information sharing unit 143 that receives data of embedded characters and figures and transmits the data to other hospitals 2 and ambulances 1, and the communication that outputs video and audio transmitted from other hospitals 2 and ambulances 1 to a monitor or speaker A function unit 144 and a database 145 that stores various types of information are provided. The facility GW 13 and the facility terminal 14 are connected via a communication network in a medical facility such as the hospital 2. Here, the function of the facility GW 13 and the function of the facility terminal 14 may be provided in the same server.

FIG. 6 is a functional block diagram of the hospital information management server. FIG. 7 is a diagram showing data stored in the database of the hospital information management server.
As shown in FIG. 6, the hospital information management server 3 controls the communication processing unit 31 that transmits and receives information to and from medical facilities such as the ambulance 1 and the hospital 2 via the communication network, and each processing unit of the hospital information management server 3. The medical facility that determines the identification ID of the medical facility that is the recipient of the patient based on the comparison between the control unit 32 that performs the operation and the acceptance destination inquiry information received from the in-vehicle terminal 11 of the ambulance and the acceptance determination information stored in the database The determination part 33 and the database 34 which memorize | stores the acceptance decision | availability determination information for every medical facility are provided. Here, the acceptance / rejection determination information is, for example, the number of vacant bets in the hospital 2, the type of medical condition, and the like, and is information used for determining acceptance / rejection to a medical facility such as a hospital. In addition, the acceptance / rejection determination information may be the number of doctors capable of emergency treatment, acceptable internal medicine, and information on the type of surgery. This acceptance / rejection determination information is recorded in the database 34 as shown in FIG. 7 in association with the identification ID of each medical facility.

FIG. 8 is a diagram showing a processing flow of determination of a transmission destination of patient information and transmission of the patient information in the emergency system.
FIG. 9 is a diagram showing a processing flow for changing a delivery destination of patient information in the emergency system.
FIG. 10 is a diagram illustrating a processing flow in which the in-vehicle terminal changes the transmission destination of patient information in the emergency system.
Next, the processing flow of each device in the medical system of this embodiment will be described with reference to FIGS. 8, 9, and 10.
Here, for each code of the facility GW 13 and the facility terminal 14, the facility GW of the emergency center is 13a, the facility terminal is 14a, the facility GW of the first receiving hospital 2 is 13b, the facility terminal is 14b, and after the change The facility terminal of the new receiving hospital 2 is 14c. A correspondence relationship such as a family hospital in place of the first receiving hospital 2 and a general hospital in the transfer destination instead of the new receiving hospital 2 may be used.
First, referring to FIG. 8, an ambulance crew member who rides on the ambulance 1 inputs an instruction for receiving a destination inquiry and a type of a medical condition of the patient to the in-vehicle terminal 11 during transportation of the patient. Then, the transmission destination selection function unit 114 of the in-vehicle terminal 11 instructs the communication processing unit 111 to transmit the reception destination inquiry information to the hospital information management server 3 stored in advance. Then, the communication processing unit 111 transmits acceptance destination inquiry information to the in-vehicle GW 12 (step S101). The communication processing unit 121 of the in-vehicle GW transfers the information to the hospital information management server 3 (Step S102). Here, the hospital information management server 3 may be provided in a communication network in the hospital 2 or may be connected to the Internet. The receiving destination inquiry information includes at least an ID corresponding to the type of medical condition of the patient being transported and an identification ID of an ambulance.

  In the hospital information management server 3, when receiving destination inquiry information is received, the medical facility determination unit 33 compares the acceptance determination information recorded in the database 34 with the reception destination inquiry information based on an instruction from the control unit 32. (Step S103). Then, for example, the medical facility determination unit 33 reads the medical facility ID recorded in the database 34 in association with the medical condition information matching the medical condition included in the receiving destination inquiry information, and corresponds to the medical facility ID. The ID of the medical facility with the largest number of accepted bets attached and recorded in the database 34 is determined as the ID of the receiving medical facility (step S104). For example, the ID of the area where the patient is transported is included in the receiving destination inquiry information, and the ID of the medical facility associated with the ID of the area is set as the ID of the receiving medical facility. It may be determined. Moreover, the ID of the patient's family hospital can be input according to the patient's instruction. In that case, it is determined whether or not the number of bets recorded in the database 34 in association with the ID of the primary hospital is 1 or more, and whether or not the primary hospital is acceptable. When the control unit 32 of the hospital information management server 3 determines the ID of the receiving medical facility, the control unit 32 notifies the receiving medical facility (hospital 2) by returning the ID of the medical facility to the in-vehicle GW 12 of the ambulance. (Step S105). The in-vehicle GW 12 transfers the received medical facility ID to the in-vehicle terminal 11 (step S106). In the in-vehicle terminal 11, the control unit 112 reads the hospital name and map information from the storage unit such as a database based on the ID of the medical facility and displays the hospital name and map information on the monitor (step S107). As a result, the ambulance crew can obtain information on the appropriate medical facility such as the hospital 2 with the ambulance 1 only by making an inquiry about the recipient, so that the patient can be quickly transported to the recipient medical facility. it can.

  When the emergency crew member designates the receiving hospital 2 displayed on the monitor in the in-vehicle terminal 11, the control unit 112 of the in-vehicle terminal 11 issues a communication connection instruction to the facility GW 13a of the emergency center, for example. (Step S108). At this time, the control unit 112 of the in-vehicle terminal 11 transmits the ID of the receiving hospital 2 to the in-vehicle GW 12. Then, the control unit 122 of the in-vehicle GW 12 performs connection processing with the facility GW 13a (step S109). At this time, the ambulance ID is notified to the facility GW 13a. When the connection with the facility GW 13a is completed, the in-vehicle GW 12 uses the ID of the receiving hospital 2 and various information (blood pressure, electrocardiogram, heart rate) and the patient information received from the medical device via the communication network in the ambulance. The captured image or in-car audio of the patient is transmitted to the emergency center facility GW 13a together with the ID of the receiving hospital 2 (step S110). When the vehicle-mounted GW 12 transmits patient information to the facility GW 13a, the information conversion function unit 123 converts the patient information acquired by the medical device provided in the ambulance into a specific data format.

  Then, the terminal management function unit 133 of the facility GW 13a in the emergency center transmits the ambulance ID, the ID of the receiving hospital 2, the patient information, the captured image, and the in-vehicle voice to the facility terminal 14a in the emergency center (step S111). The information sharing function unit 143 of the facility terminal 14a distributes the ambulance ID, the patient information, the captured image, and the in-vehicle voice to the facility terminal 14b of the receiving hospital 2 based on the ID of the receiving hospital 2. (Step S112). Then, the facility terminal 14a in the emergency center and the facility terminal 14b in the receiving hospital 2 output the patient information and the captured image and sound in the ambulance to a monitor and a speaker (steps S113 and S114). A function unit that outputs the patient information and the captured image and sound in the ambulance to a monitor and a speaker is a communication function unit 144. The facility terminal 14a does not deliver the ambulance ID and patient information, the captured image or sound in the ambulance to the facility terminal 14b of the hospital 2 to which the facility is received, but the terminal management function unit 133 of the facility GW 13a in the emergency center. You may make it perform the process of the delivery. The information sharing function unit 143 of the facility terminal 14a receives, for example, information written on a whiteboard connected to the network in the facility from the communication processing unit of the whiteboard as data, The whiteboard data may be transmitted to the facility terminal 14b of the hospital 2. This makes it possible to share information between the emergency center and the receiving hospital 2.

  In addition, when the information sharing function unit 143 of the facility terminal 14b in the receiving hospital 2 transmits video and audio acquired by the camera and microphone of the hospital 2 to the ambulance, the facility ID of the receiving hospital 2 Video and audio information is transmitted to the emergency center facility terminal 14a (step S115). From the emergency center facility terminal 14a to the emergency center facility GW 13a (step S116) and the in-vehicle GW 12 (step S117) 11 (step S118). Then, the facility terminal 14a of the emergency center and the in-vehicle terminal 11 of the ambulance can check the video and audio of the receiving hospital 2 by outputting the received video and audio.

Next, processing when the facility terminal of the emergency center distributes information on the patient of the ambulance to the two receiving destination medical facilities will be described.
From FIG. 9, the in-vehicle GW 12 of the ambulance transmits the patient information to the emergency center facility GW 13a (step S201), and the emergency center facility GW 13a distributes the patient information to the facility terminal 14a in the emergency center (step S201). In step S202, the facility terminal 14a in the emergency center outputs patient information to a monitor or a speaker (step S203). The facility terminal 14a delivers the patient information to the facility terminal 14b of the original receiving hospital 2 (step S204). Then, the facility terminal 14b of the hospital 2 before changing the receiving destination outputs the patient information to a monitor or a speaker (step S205). In addition, for example, when the receiving hospital 2 once determined is changed, the facility ID of the new hospital 2 to be changed is input by the person in charge to the facility terminal 14a in the emergency center ( Step S206). Then, the facility terminal 14a distributes the patient information to the facility terminal 14c of the new hospital 2 (step S207). Then, the facility terminal 14c of the new hospital 2 after changing the receiving destination outputs the patient information to a monitor or a speaker (step S208). This process is, for example, a process when the first receiving destination is a patient's home hospital but is changed to a large general hospital or the like as the situation deteriorates. In this case, the doctor at the primary hospital shares information to convey the history of the medical condition to the doctor at the general hospital. For example, the facility terminal 14 is used to share information on patient charts and radiographic data. This processing is performed by the information sharing function 144 of the facility terminal 14. When the receiving hospital is determined, the emergency center finishes the process of determining the receiving hospital, and performs processing that deviates from information sharing. Hereinafter, the process will be described.

  From FIG. 10, the person in charge of the emergency center inputs a server change instruction to the facility terminal 14a, and also inputs the facility GW 13b, which is the transmission destination of new patient information in the in-vehicle GW 12 of the ambulance after the server change (step). S301). Then, the terminal management function unit 133 of the facility terminal 14a sends a server change notification to the facility GW 13b and the facility terminal 14b of the hospital 2 that originally delivered the patient information and the facility GW 13c of the hospital that has become a new receiving destination. Information is transmitted (steps S302 to S304). Then, when the information (ack) notifying the reception of the server change notification is received from the facility GW 13b and the facility terminal 14b of the hospital 2 that originally delivered the patient information and the facility GW 13c of the hospital that became the new receiving destination (step) S305 to S307), the facility terminal 14a information sharing function unit 143 in the emergency center transmits server change notification information to the in-vehicle GW 12 of the ambulance via the facility GW 13a (step S308). The information of the server change notification includes the ID of the facility GW 13b that is the transmission destination of the patient information of the in-vehicle GW 12 in the ambulance after the new server change.

  Next, the control unit 122 of the in-vehicle GW 12 in the ambulance replies information (ack) informing the reception of the server change notification to the facility terminal 14a via the facility GW 13a (step S309), and the ID of the facility GW 13b included in the server change notification Based on the network address or the like recorded in the database 124 in association with the communication, the communication connection is made to the facility GW 13b (step S310). At this time, the ambulance ID and the ID of the facility terminal of the delivery destination (the terminal in the emergency center and the terminal of the new receiving hospital 2) are transmitted to the facility GW 13b. The in-vehicle GW 12 transmits the patient information to the facility GW 13b (step S311). Then, the terminal management function unit 133 of the facility GW 13b transmits the patient information to the facility terminal 14b, and the facility terminal ID (the terminal in the emergency center and the new receiving hospital 2 terminal) serving as the delivery destination. Notification is made (step S312). Then, the facility terminal 14b reads from the network address database 145b of the distribution destination based on the ID of the facility terminal of the distribution destination, and retrieves the patient information from the facility terminal 14a (terminal in the emergency center) and the facility terminal 14c (new receiving destination). It is distributed to the terminal of hospital 2 (step S313, step S314). And each facility terminal 14a, 14b, 14c outputs a patient's information to a monitor or a speaker (steps S315-S317). Thereby, the information of the patient of the ambulance can be confirmed at the original receiving hospital 2, the new receiving hospital 2, and all the facility terminals 14a to 14c of the emergency center.

  When the person in charge of the emergency center inputs an instruction to withdraw from information sharing to the facility terminal 14a (step S318), the information sharing function unit 143 of the facility terminal 14a passes through the facility GW 13b that receives patient information from the ambulance after the change. The facility terminal 14b is notified of information sharing withdrawal information (step S319). Thereby, the subsequent patient information is transmitted from the in-vehicle GW 12 of the ambulance to the facility GW 13b (step S320), from the facility GW 13b to the facility terminal 14b (step S321), and the facility terminal 14b is a new receiving destination. The patient information is distributed only to the facility terminal 14c (step S322). The facility terminal 14b and the facility terminal 14c output patient information (steps S323 and S324). As a result, the facility terminal 14b and the facility GW 13b of the emergency center can be removed from the information sharing network, and the doctors of the hospital 2 that received the ambulance and the hospital 2 that received the new ambulance can receive information. Sharing a patient's medical condition.

FIG. 11 is a first diagram showing a network configuration of the emergency system.
In this figure, when there are a plurality of ambulance hospitals, the ambulance system transmits patient information to a facility GW provided in a predetermined hospital among the plurality of hospitals, and the information is stored in the predetermined hospital. The structure which a facility terminal delivers to the facility terminal of another hospital is shown.

FIG. 12 is a second diagram showing the network configuration of the emergency system.
This figure shows a network configuration in the case where each information processing device of the hospital having the facility GW that has received the patient information from the in-vehicle terminal of the ambulance in FIG. 11 withdraws from the information sharing. This figure shows a configuration in which a hospital facility terminal having a facility GW that newly receives patient information from an in-vehicle terminal distributes the patient information to other hospital facility terminals that share information.

FIG. 13 is a third diagram showing the network configuration of the emergency system.
This figure is a diagram showing a network configuration when one hospital in FIG. 11 is an emergency center. The patient information distribution method is the same as that shown in FIG.
FIG. 14 is a fourth diagram showing the network configuration of the emergency system.
This figure shows a network configuration immediately before the emergency center of FIG. 13 leaves the information sharing.

FIG. 15 is a fifth diagram showing the network configuration of the emergency system.
This figure is a diagram showing a network configuration when a hospital facility GW and an in-vehicle GW of an ambulance are connected to the hospital information management server 3. The control unit 32 of the hospital information management server 3 receives the acceptability determination information from the hospital facility terminal, and records the acceptability information in the database 34 for each hospital identification ID.

  The above-described in-vehicle terminal 11, in-vehicle GW 12, facility GW 13, and facility terminal 14 each have a computer system. Each process described above is stored in a computer-readable recording medium in the form of a program, and the above process is performed by the computer reading and executing the program. Here, the computer-readable recording medium means a magnetic disk, a magneto-optical disk, a CD-ROM, a DVD-ROM, a semiconductor memory, or the like. Alternatively, the computer program may be distributed to the computer via a communication line, and the computer that has received the distribution may execute the program.

  The program may be for realizing a part of the functions described above. Furthermore, what can implement | achieve the function mentioned above in combination with the program already recorded on the computer system, and what is called a difference file (difference program) may be sufficient.

It is a block diagram which shows the structure of the emergency system by one Embodiment of this invention. It is a block diagram which shows the other structure of the emergency system by one Embodiment of this invention. It is a block diagram which shows the other structure of the emergency system by one Embodiment of this invention. It is a figure which shows the functional block of the vehicle-mounted terminal with which the ambulance by one Embodiment of this invention was equipped, and vehicle-mounted GW. It is a figure which shows the functional block of the facility GW and the facility terminal with which the medical facility by one Embodiment of this invention was equipped. It is a figure which shows the functional block of the hospital information management server by one Embodiment of this invention. It is a figure which shows the data which the database of the hospital information management server by one Embodiment of this invention hold | maintains. It is a figure which shows the determination of the transmission destination of the patient's information in the emergency system by one Embodiment of this invention, and the processing flow of the transmission. It is a figure which shows the processing flow which changes the delivery destination of the patient's information in the emergency system by one Embodiment of this invention. It is a figure which shows the processing flow in which the vehicle-mounted terminal changes the transmission destination of patient information in the emergency system by one Embodiment of this invention. 1 is a first diagram illustrating a network configuration of an emergency system according to an embodiment of the present invention. FIG. It is a 2nd figure which shows the network structure of the emergency system by one Embodiment of this invention. It is a 3rd figure which shows the network structure of the emergency system by one Embodiment of this invention. It is a 4th figure which shows the network structure of the emergency system by one Embodiment of this invention. It is a 5th figure which shows the network structure of the emergency system by one Embodiment of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Ambulance 2 ... Hospital 3 ... Hospital information management server 11 ... In-vehicle terminal 12 ... In-vehicle GW
13 ... Facility GW
14 ... Facility terminal

Claims (6)

An ambulance system for sharing information on a patient carried by an ambulance between an information processing device provided in the ambulance and an information processing device provided in a medical facility,
The information processing apparatus of any one of the plurality of medical facilities is
Information receiving means for receiving patient information transmitted from the information processing device provided in the ambulance,
An information distribution means for distributing the received information to any one or a plurality of information processing apparatuses of other medical facilities among the plurality of medical facilities;
Each of the information processing devices in the plurality of medical facilities
Information sharing means for receiving information transmitted from another device and transmitting it to an information processing device of another medical facility, or an information processing device provided in the ambulance,
An emergency system characterized by comprising. One or more of the information processing devices provided in the medical facility, or other information processing devices connected to an emergency system,
Acceptability determination information storage means for storing acceptance determination information of each of the medical facilities;
Medical facility determination means for determining identification information of a medical facility that can be accepted by the patient, based on a comparison between the reception destination inquiry information transmitted from the information processing device provided in the ambulance and the acceptance determination information;
Receiving facility information transmitting means for transmitting identification information of medical facilities that can be received by the patient to an information processing device provided in the ambulance;
The emergency system according to claim 1, comprising: An information processing apparatus of the medical facility comprising the information distribution means,
Server change that transmits a server change notification indicating an information processing device of another medical facility that is a transmission change destination of the patient information to the information processing device provided in the ambulance upon receiving the input server change instruction With instruction means,
The information processing apparatus provided in the ambulance is
The server change means which transmits the said patient's information to the information processing apparatus of the other medical facility of the said transmission change destination based on reception of the said server change notification is provided. The Claim 1 or Claim 2 characterized by the above-mentioned. The described emergency system. A patient information sharing method in an emergency system for sharing information of a patient carried by an ambulance between an information processing device provided in the ambulance and an information processing device provided in a medical facility,
In the information processing apparatus of any one of the plurality of medical facilities,
The information receiving means receives patient information transmitted from the information processing device provided in the ambulance,
An information distribution means distributes the received information to any one or a plurality of information processing devices of other medical facilities among the plurality of medical facilities,
In each of the information processing devices of the plurality of medical facilities,
The information sharing means receives information transmitted from another device and transmits it to an information processing device in another medical facility or an information processing device provided in the ambulance. In one or more of the information processing devices provided in the medical facility, or other information processing devices connected to an emergency system,
The availability determination information storage means stores acceptance determination information for each of the medical facilities,
The medical facility determination means determines the identification information of the medical facility that can be accepted by the patient, based on a comparison between the reception destination inquiry information transmitted from the information processing device included in the ambulance and the acceptance determination information,
5. The patient information sharing method according to claim 4, wherein the receiving facility information transmitting means transmits identification information of medical facilities that can be received by the patient to an information processing apparatus provided in the ambulance. In the information processing apparatus of the medical facility provided with the information distribution means,
When the server change instruction means accepts the input server change instruction, the information processing apparatus provided in the ambulance indicates a server change indicating an information processing apparatus of another medical facility that is a transmission change destination of the patient information. Send notifications,
In the information processing apparatus provided in the ambulance,
6. The server change means, based on the reception of the server change notification, transmits the patient information to an information processing apparatus of another medical facility to which the transmission is changed. The patient information sharing method described.

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