1320156 九、發明說明： 【發明所屬之技術領域】 ' 本發明係與醫療昭，古關 七> 土 路執行的整合性醫療透過網際網 與模式。 縻*、、'匕及何生教育系統、方法 【先前技術】 長兩以内:卜？民：；遍抱怨在就診過程中總是三 „„ 挂卜5虎、.候珍和領筚B專問j gg. , ^ 4短，衛生教育（保健、‘用、‘ ^ P看病時 根據89牟丨〗H^口療用樂說明）時間短。 對a灣 、團法人台灣醫療改革基金合斜 療？質民意調查結果顯。iii 幫他看病，1中有8〇/f ^刀在里以下的時間 10分鐘以上的的民眾不超過2分鐘；看1320156 IX. Description of the invention: [Technical field to which the invention pertains] 'The present invention is related to the medical care, the ancient customs and the seventh; the implementation of the integrated medical through the Internet and the mode.縻*,,匕匕和何生教育***,方法 [Prior Art] Within two long: Bu? People:; complaining in the process of the treatment is always three ... „ 挂 5 5 tiger,. Hou Zhen and Ling 筚 B special question j gg., ^ 4 short, health education (health, 'use, ' ^ P according to the disease according to 89牟丨〗 H^ Oral therapy notes) The time is short. To the Bay, the Taiwan Medical Reform Fund, and the treatment? The results of the quality poll were obvious. Iii Help him see a doctor, 1 in 8 〇 / f ^ knives in the following time 10 minutes or more of the people no more than 2 minutes; see
U 上的/、百兩成。這種*士莫it2：JL_UA 於自已的病情與用藥普遍不清^。 於民眾對 明或說明不清的；；程3 况的有54.5% ;治療方法夫却日日从本嚴直轾度未 份^調可以發現，台灣醫療5院所對3〇%。由這 Ζ藥的說明普遍不足。•，然大部*的2 i疾病和 m人所領用之藥品資訊標示在$袋'm 說。傳統式衛教方式對於特殊^们病別^人提供解 =的保健、1藥指導和自我照；辅 求病人到院，個別說明，有此導專夕以要 座、病友會方式，邀請民眾辦理講 但是卻礙於人力、•間與地點的限5豕：參加塵 泛性的推廣。故其困難在於：（ 而無法j 到院一次，與醫師及衛教師作對二3個月才 T TF面對面衛教十幾分 5 1320156 鐘，因此對病人之平時自我照護訊息掌握， 很少有計劃性衛教及按衛教步騾實行。 ㈡=衛2具不足，且需到醫院= 教造成病人之不便性。 有鑑於上述的諸多缺失，與透過網際網路監 =病人的^關技術或其他已發表之文獻概述如 後。Kwon專人建立糖尿病網際網路監測系 供病人傳送及登錄關於他們自己測量的飯前飯後 血糖值和用藥狀況（含包括胰島素類型和劑量和 =服的藥物資訊），協助醫師審查病人的病情發 展，並依照病人輸入的檢測值適時的去 ，量和修正治療方式，也透過網路系 ，人自我照濩建議。（KWOn H，Clio J，Kim H，Song ,Ko S, Lee J, Kim S, Chang S, Kim H, Cha B ee K, Son H, Lee J, Lee W, Y〇〇n K Establishment blood glucose monitoring system using the internet, Diabetes Care, 27 (478-483)2004.) #视等人的研究主要以醫療團隊在網路上 Ϊ諮詢服務’其系統缺乏整合病人在醫 ίίίί ，亦未提供依病人個人病情發展所 =衛生教育。本發明主要在於結合病人在醫 ^就醫的資訊’治療和照護的資訊以及依病人病 =所而要的教育資訊，提供病人在網路上查閱 照護和衛教資訊，藉此達到疾病管理和 維達健康的目標。 ^ ^且，隨著網路應用的普遍化，一般民眾開 ^上恢f網路上獲取醫療知識和尋求醫療支援或 =二。根據文獻調查，醫療院所在網路上適當的 緹供民眾健康教育可以改善病人滿意度和病人自 6 1320156 我照顧能力。然而’網站 問題。首先’ ϋ些資訊主要是一般=兩種 如產生疾病的原因，症狀， =”、，召’.例 再者’-般民眾有時广Λ己二療广方， 自我照顧教育也因人而異，因資訊和 病人提供疾病衛生教育，有時 r其次，以上網站系 衛教資訊。本申“ ΐ 改善以上提出病術生教月網路辅助模型以 【發明内容】 育方^ ϊ=目前網路上所提供病人的疾病照護教 而病人又需要充實自己的疾病 y予％自我照護的技能，本發明之目的即是 新的方法、系統以及模*，以病人在醫 =& n *治療及檢驗檢查結果為誘因，使用網際 *為媒介，讓病人離開醫院以後可以透過網 ，的獲取自己在醫院的治療及檢驗檢查結 处，錯此進行病人的衛生教育及提高疾病管.理技 犯，使得病人能夠穩定病情，促進康復。 _ ^為了達到上述之目的，本發明提供一種透過 f際網路的整合性醫療照護和衛生教育方法，包 i:列步驟：（1)提供一醫療資料庫，包含一病人 ^含病人基本資料、掛號資料與就醫紀錄）、 W院的治療及檢驗檢查結果和藥物資訊；（2)提 1320156 供一教案編輯功旎，包含衛教單張、 的製作及管理；（3)提供一衛教資料 $ 件；(4)”f病人W療資料與該衛 $因而形成-病人疾病管理及衛 貧料總歸戶進行存取或劉覽。 對該病人 如前所述的^法，更包含—通知 ♦ 所變動時，即通知二戶= 異常監測警示機制以及一返診提醒機制旯匕3 如前所述的方法，其中該通知機制係選自電 :郵件、w訊服務、電話語音、呼叫器訊號或傳 如前所述的方法，其中該醫療資料庫包 ϋ基本資料4，<係存有病人過去病史、過敏史； 一诀院檢驗檢查-貝料庫，係存有一病人於醫院内 的檢驗檢查資料；一醫院掛號紀錄 人的掛號信息一處方，係包含了對 =的治療打為與樂物資訊；以及一病人自我檢查 =果係該病人於醫院外’由病人自己進行“ 如前所述的方法，更提供有一歸戶 以及一帳號暨權限管理機制，而其中步驟（5)是包 含下列步驟.（5-1)該用戶進入該帳號暨權限管理 機制；（5-2)該用戶在進入該歸戶管理機制，對於 該病人醫療資料庫、該病人衛教資料庫 人資料總歸戶進行管理。 ^前所，的方法，其中該帳號暨權限管理機 制即是對於該病人醫療資料庫、該病人衛教資料 1320156 .庫，以及該病人資料總歸戶，進t 如前所述的方法，其中該衛‘;; 教育資料與藥物教育資料Q 午匕s濩理 為了達到上述之目的，本發明 過網際網路的整合性醫療照護和 ，透 包含一醫療資料庫，包含—病人資料 資料、掛號資料與就醫紀錄）、在醫I 基本 驗檢查結杲和藥物資訊；一衛教資 衛教文件；一病人資料總歸戶，係整人=二二 人有關的於該醫療資料庫中的該病人;:二， 於該衛教資料庫中的該衛教文件，而以^及 及其就診時間為歸戶的依據，其中該:$ 庫、該衛教貧料庫以及該病人資料總戶^ 1二 一網路2服器之内使一用戶端得透過網際 該病人_貝料總歸戶進行存取或瀏覽。*子 如上所述的系統，其中該醫療資料人. 一醫院檢驗檢查資料庫，係存有一病人於内 的檢驗檢查資料；一醫院掛號紀錄，係存^， 人的掛號信息；一處方，係包含了對於該 資料。 乂汉病人自我檢查 ^上所述的系統，其中該伺服器内更入一 歸戶官理機制以及一帳號暨權限管理機制。各 如上所述的系統，其中該歸戶管理人 κ該管理、對於該衛教資料二 &理以及對於該病人資料總歸戶的管理。 ，上所述的系統，更包含一病人資料 !荜口2:特定病人，自-檢驗檢查資料； 樂物貝枓庫以及一門診紀錄中，擷取盥誃 9 1320156 $么有關的資料，並加以整合成為一個案病歷資 料權。 更包含一子系統，該子系 其中該衛教文件更包含護 如上所述的系統 統是衛生教育系統。 如上所述的系統 理資料與藥物資料。 θ種結合醫院就醫與衛教功能，透過網際網 提供病人或其家屬醫療照護及衛生教育模 $ ’其動作如下：（1)提供一衛教系統；（2)由一醫 ^評估一病人的衛教需求，並將對於該病人所進 一醫療及照護行為、一藥物資訊及一檢驗檢 :資料提供給該衛教系統；（3)該醫師將該衛教需 〔轉介與一衛教師；（4)該衛教師編輯建立電子化 ί ί文件，（5)該衛教師將該衛教需求設計成一個 二H丈，並將該個案衛教輸入該衛教系統，且接 ϊ i該衛教系統的一異常警示；(6)該病人將自 查值輸入該衛教系統，在該衛教系統内進行 二洶，又，該病人自該衛教系統接收一返診通知， 提醒該病人回醫院接受追蹤診療 透過該衛教系、统，查詢該病人的衛二(:)該西師 7¾ Ϊ Ϊ 2模式，其中動作(3)中該醫師係透 過一電子轉介皁，進行轉介。 处 如上所述的模式，其中動作（5 該 更在該衛教系統内，做成該衛教紀』教師 如上所述的模式，其中該動作（6)中，該 在該衛教系統内所查詢者，即是該病人 為、用藥資訊與該檢驗檢查資ί L貫施方式】 4參見® 1H發明透過網際網路的整人 1320156 性醫療照護與衛生教育系統運作 其中揭示了下列步驟，首先二法不意圖。 療資料庫230。此資料庫所包含^杈，醫 醫院内中與醫療有關的各種資、而7甘丄疋在一 .. 1王貝竹，.而.其中义以金 病人、醫師、衛教師、檢驗師、藥師、、 一 護理人員等一切與醫療相關的二 是健，、 醫療鱼昭噂的眘枓A較氐關欠的人士所執行的有關 二縻π產的貝枓為西療資料庫23〇所 ，，又以本發明而言，較受關注的 與照護資料。 』疋闲人的西療/ on the U, one hundred and two. This kind of *simo it2: JL_UA is generally unclear about its own condition and medication. The public is unclear or unclear; there is 54.5% of Cheng 3's condition; the treatment method is not clear from the strictness of this day, and it can be found that Taiwan Medical 5 Institute is 3〇%. The description of this drug is generally inadequate. • However, most of the 2 i diseases and medication information used by m people are indicated in the $ bag'm. The traditional way of teaching and learning provides special solutions, health care, medicine guidance and self-photographing for patients who are sick and sick; assisting patients to go to the hospital, and individually explaining that they have invited the people in the way of the seat and the patient association. Handling the lectures but it is due to the limitation of manpower, room and location: Participate in the promotion of dusty generality. Therefore, the difficulty lies in: (and can not go to the hospital once, with the doctor and the teacher for two or three months, T TF face-to-face teaching is more than a dozen points 5 1320156 clock, so the patient's usual self-care message is mastered, there are few plans Sexual education and practice in accordance with the teaching steps. (2) = Wei 2 is inadequate, and need to go to the hospital = teach the inconvenience caused by the patient. In view of the above-mentioned many shortcomings, and through the Internet monitoring = patient's technology or Other published literature is summarized as follows. Kwon has established a Diabetes Internet Monitoring System for patients to transmit and log on their own measured pre-meal blood glucose values and medication status (including information on insulin type and dose and medication). ), assisting the physician to review the patient's condition, and according to the patient's input of the test value, the amount and correction of the treatment, and through the network, the person self-care advice. (KWOn H, Clio J, Kim H, Song , Ko S, Lee J, Kim S, Chang S, Kim H, Cha B ee K, Son H, Lee J, Lee W, Y〇〇n K Establishment blood glucose monitoring system using the internet, Diabetes Care, 27 (478 -4 83) 2004.) #视等人的研究I mainly use the medical team to consult the service on the Internet. 'The system lacks integrated patient care _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Information on treatment and care, as well as information on treatment and care according to the patient's illness, provides patients with access to care and education information on the Internet to achieve disease management and health goals. ^ ^ Moreover, with the generalization of Internet applications, the general public has access to medical knowledge and medical support or =2. According to the literature survey, appropriate health education for the public on the medical institution's network can improve patients. Satisfaction and patient self-care ability from 6 1320156. However, 'web site problem. First of all', some of the information is mainly general = two reasons such as the cause of the disease, symptoms, = ",, call '. Time is wide-ranging, and self-care education varies from person to person. Because of information and patients, it provides disease health education. Sometimes, the second is the website. This application "Improve the above-mentioned network-assisted model of the doctor-study month" [invention content] 育方^ ϊ = the current disease care teaching of the patients provided on the Internet and the patient needs to enrich his own disease y to % self-care Skills, the object of the present invention is a new method, system and model*, which is based on the patient's medical treatment and the results of the examination and examination, using the Internet* as a medium to allow the patient to leave the hospital and then pass through the network. Get your own treatment and inspection at the hospital, wrongly carry out the patient's health education and improve the disease management. The technical personnel can stabilize the patient's condition and promote rehabilitation. _ ^ In order to achieve the above purpose, the present invention provides an integrated medical care and health education method through the f network, package i: steps: (1) provide a medical database containing a patient ^ containing patient basic information , registration information and medical records), W hospital treatment and inspection results and drug information; (2) 1320156 for a teaching plan editorial, including the production and management of the health education leaflet; (3) provide a teaching materials $ pieces; (4) "f patients with W treatment data and the health of the $ thus formed - the patient's disease management and health and poor materials are generally visited by the household or Liu. The patient's method as described above, more includes - notification ♦ When the change is made, the two households are notified = abnormal monitoring warning mechanism and a return reminding mechanism 旯匕 3 The method as described above, wherein the notification mechanism is selected from the group consisting of: mail, t-mail service, telephone voice, pager The signal or the method as described above, wherein the medical database contains basic information 4, <a patient has a past medical history, a history of allergies; a brothel inspection check-before, a patient is in the hospital Inspection and inspection data A hospital registration documentary registration information for a prescription, including the treatment of = for sex information; and a patient self-examination = the patient is outside the hospital 'by the patient himself' The method further provides a home account and an account and rights management mechanism, wherein the step (5) comprises the following steps: (5-1) the user enters the account and rights management mechanism; (5-2) the user is entering The household management mechanism manages the patient's medical database and the patient's health information database. ^Previously, the method, wherein the account and rights management mechanism is for the patient medical database, the patient's health information 1320156. The library, and the patient data total homing, into the method as described above, wherein卫';; Educational Materials and Drug Education Materials Q 匕 匕 濩 为了 In order to achieve the above objectives, the present invention has integrated medical care for the Internet and includes a medical database containing patient data and registration materials. And medical records), medical examinations, medical examinations, and drug information; one health education and education documents; one patient data total household, the whole person = two people related to the patient in the medical database; Second, the health education document in the health education database, and the basis of the ^ and its visit time as the household, wherein: $ library, the health education library and the patient data total household ^ 1 2 Within a network 2 server, a user terminal can access or browse through the Internet. * The system as described above, wherein the medical data person. A hospital inspection and inspection database, is stored in a patient's inspection and inspection data; a hospital registration record, is stored ^, the person's registration information; a prescription, Contains information about this. The self-examination of the Shuhan patient ^The system described above, in which the server is further categorized into an account management mechanism and an account and rights management mechanism. Each of the systems described above, wherein the registrar manager κ manages, manages the pedagogical data, and manages the total homing of the patient data. The system described above further includes a patient data! 荜口2: specific patient, self-inspection examination data; music object 枓 枓 and a clinic record, 盥誃 13 13 1320156 $ related information, and Integrate into a case medical record right. It also includes a subsystem in which the educational document is more inclusive. The system described above is a health education system. Systematic data and drug data as described above. θ combines hospital medical and health education functions, providing medical care and health education models for patients or their families through the Internet. The actions are as follows: (1) providing a health education system; (2) evaluating a patient's health by a doctor Teaching needs, and providing medical and nursing behavior, a drug information and a test for the patient: information to the health education system; (3) the physician needs to refer to the teacher and the teacher; (4 The editor of the Guardian establishes an electronic ί 文件 file, (5) the Guardian’s teacher designs the faculty’s needs into a syllabus, and enters the case into the Guardian System, and then the Guardian System An abnormal warning; (6) the patient inputs the self-check value into the health education system, and performs a second check in the health education system. The patient receives a notification of returning from the health education system to remind the patient to return to the hospital. The follow-up diagnosis and treatment is conducted through the Department of Health Education, and the patient's Wei Er (:) The Western Division's 73⁄4 Ϊ Ϊ 2 mode is used. In the action (3), the physician conducts a referral through an electron transfer soap. In the mode as described above, wherein the action (5 is more in the teaching system, the teaching of the teachings) is as described above, wherein the action (6) is in the teaching system The inquirer, that is, the patient, the medication information and the inspection and inspection method] 4 See® 1H invention through the Internet's whole person 1320156 sexual medical care and health education system operation reveals the following steps, first The second method is not intended. The medical database 230. This database contains ^杈, medical hospitals and various medical related funds, and 7 Ganzi in one.. 1 Wang Beizhu, and. Physicians, health teachers, inspectors, pharmacists, and a nursing staff, all of which are related to medical care, are health care, and the medical fish 噂 噂 枓 枓 枓 氐 氐 氐 氐 氐 氐 执行 执行 人士 人士 人士 人士 人士 人士For the Western Medicine Database, 23, and for the purposes of the present invention, more attention and care materials.
再來是步驟（2)提供一衛教資料庫24〇，包 衛I = Ϊ ί文件240 1，此為任何一個有關於護理 教月的文件的統稱，詳言之，衛生教育包含 性的内容，以及技術性的内容。知識性的 奋諸如疾病及其併發症的認識、症狀的表現鱼 f理二藥物的種類及其使用方法、飲食與運動^員 ° 若以糖尿病而言，還包含了足部護理等照護 ^内容。而技術性的内容則包含了注射方式與器 盆的使用、檢查器材的使用、自我監測技巧等等， f中f以糖尿病而言，就是胰島素注射方法、胰 ，素筆針的使用方法、血糖自我監測的技巧等 等上述的各個關於護理衛生教育的内容通常是 ，衛教師編訂’經過醫師的審核後即執行，如果 2其他的慢性疾病或是需要長期監測照護的病人 傷患’則可能需要其他相關的醫療專業圑隊加 ^ ’共同安排病人傷患於出院後的照護，又，這 些文件可以是文件檔（D〇C、ρρτ、PDF)，亦可為 圖形槽（JPG)、影音檔（AVI、MPG)，並儲存於上 述的衛教資料庫240中。 此外’在步驟（2)中，衛教資料庫240本發明 11 1320156 衛匕；藥nsr牛=庫2402’包含-藥物 的統稱一洋iH;有關於藥物教育的文件 ί頊：i、適應症、副作用、用法用量、“ U的内ίΐΡ:ίϊ;上述的各個關於藥： ί=ί要長期監測照護的病人傷患，則。能二ί 傷㈡團；的=文二同安排= 的一蔓)，^ 剔、MPG)，竭於上述的衛教“庫： # ίϊί步？(3):整☆該病人資料與該衛教文 件，並因而形成一病人資料總歸戶。 總歸戶的功能主要是以病人的藥物、檢驗檢杳料 =生教育以及看診，期τ分類，作為歸戶一 據，將病人該次的就醫資料與所接受缸又 容，組織成以特定病人為提供對象的個人^内 j:化的病歷庫句話說’這個病歷庫即j將 某一病人的看診日期、使用藥物、檢驗檢杳夺 衛生教育等内容加以完整的呈現出來，以^@、 或及其家屬可以在醫院外獲取這些資料。更病人 歸戶更可成為 國際往來頻繁 二當病人於國 員可以透過網 如病史、過敏 進一步來說，這個病人資料總 一個可攜式病歷；由於現代社會r 而容易，透過這個病人資料總歸戶 外需要醫療照護時，國外的醫護人 際網路獲取該病人相關疾病資料， 12 1320156 療和檢Ϊ檢查值等’協助醫師了解該病人 :快速的作出正確的診斷和治療，增進病 對，二接受一用戶端1透過網際網路 人貢料總歸，211進行存取㈣覽。—如 文字所 本發明為了讓病人及其家屬可 ί逾Ϊ可以查询。所以透過了網際網路，使得取 子化的病人資料和衛生教育内容，即病歷盥 病歷，衛教對病人才是有實益的。. 的 性醫ΐίίϋ i亡發明透過網際網路的整合 示的不單只是本發明的系統而。，ί暗ΐ I本么明的運作模式與機制。在見 】於=可分為三個部分，其圖是用中；^發 又服器」’其三則是病歷與衛教資料 ι σ機制3。又，在用戶端1的部分可以县、广/ 3、衛教師、復健師、系統管理者等，這丙丨用 U ^網際網路（internet)與網路伺服器2連‘用 -衛=内，f包含一醫療資料庫230、 3教貝枓庫240、一歸戶管理機制210、— 中制以及一帳號暨權限管理機制200。1 王t她^療資料庫230與衛教資料庫240與歸戶2 ;m〇連線，藉由歸戶管理機制加匕; 類…進一步的以病人個人 口為一病人資料總歸戶。其中衛教資料庫24〇 ^ 13 1320156 還包含一護理衛教文件次 教文件資料庫24〇2 貝料庫24〇1與一藥物衛 暨權限管理機制2⑼鱼===端1則就透過帳號 以便獲取各個用戶所及1:2理機制210連線’ 機制220亦鱼醫疼資粗=到的k息。此外，通知 料庫23〇内g 庫230連線，依據醫療資 端！發出通Ϊ 疋的數值之時，即可對用戶 請繼續參閱圖2，Then again, step (2) provides a health education database 24〇, package I = Ϊ ί file 240 1, which is a general term for any document related to nursing education month, in detail, health education contains sexual content, And technical content. Knowledge, such as the understanding of diseases and their complications, the manifestations of symptoms, the types of fish, the use of drugs, and the use of food, exercise and exercise. In the case of diabetes, it also includes care such as foot care. . The technical content includes the use of injection methods and pots, the use of inspection equipment, self-monitoring skills, etc. f, in terms of diabetes, is the method of insulin injection, pancreas, the use of plain needles, blood sugar Self-monitoring techniques, etc. The above-mentioned various aspects of nursing health education are usually that the teacher's book is executed after the doctor's review, if 2 other chronic diseases or patient injuries requiring long-term monitoring care may be needed Other related medical professional teams add ^ 'to arrange for patient care to be taken care of after discharge. Moreover, these documents can be file files (D〇C, ρρτ, PDF), or can be graphic grooves (JPG), audio and video files. (AVI, MPG) and stored in the above-mentioned educational database 240. In addition, in step (2), the health education database 240 invention 11 1320156 defending; medicine nsr cattle = library 2402 'contains - the generic name of the drug Yiyang iH; there are documents about drug education 顼: i, indications , side effects, usage and dosage, "U's internal pressure: ϊ ϊ; each of the above mentioned drugs: ί = ί patients with long-term monitoring of care, then. Can be two injuries (two) regiment; = text 2 with the arrangement = one Man), ^ tick, MPG), exhausted from the above-mentioned health education "library: # ϊ ϊ step? (3): The entire patient data and the health education document, and thus the total patient data. The function of the total households is mainly based on the patient's drugs, inspection and inspection materials = birth education and visits, period τ classification, as a household account, the patient's medical information and the accepted cylinders are organized into specific The patient is the person who provides the object. The sentence of the medical record is: 'This medical record library is j. The date of a patient’s visit, the use of drugs, and the inspection and inspection of health education are fully presented. @, or their family members can obtain this information outside the hospital. More patient registrars can become more frequent international exchanges. When patients are able to use the network, such as medical history and allergies, this patient data is always a portable medical record. Because of the modern society, it is easy to use this patient data. When medical care is needed, the foreign medical network will obtain the relevant disease information of the patient, 12 1320156 treatment and examination value, etc. 'Assist the physician to understand the patient: quickly make the correct diagnosis and treatment, improve the disease, and accept A client 1 accesses the Internet through the Internet, and 211 accesses (four). - As the text, the invention can be inquired for the patient and his/her family to be able to pass. Therefore, through the Internet, the patient information and health education content, that is, the medical history and medical records, are beneficial to the patient. The integration of the inventions through the Internet is not just a system of the present invention. , ί ΐ ΐ I Ben Mingming's mode of operation and mechanism. See 】 = can be divided into three parts, the figure is used; ^ hair and service" "the three are medical records and health education information ι σ mechanism 3. In addition, the part of the user terminal 1 can be county, wide / 3, health teacher, rehabilitation teacher, system administrator, etc., and this is connected with the network server 2 by U ^ Internet (Internet) Within, f contains a medical database 230, 3 teaching Beiku library 240, a home management mechanism 210, - system and an account and rights management mechanism 200. 1 Wang t her treatment database 230 and education database 240 and the household 2; m〇 connection, through the household management mechanism to strengthen; class ... further to the patient's personal mouth as a patient data total household. The health education database 24〇^ 13 1320156 also contains a nursing education document secondary education document database 24〇2 shell library 24〇1 and a drug health and rights management mechanism 2 (9) fish === end 1 through the account In order to obtain the user's 1:2 mechanism 210 connection 'the mechanism 220 is also a fish doctor's pain = the k interest rate. In addition, the notification library 23 is connected to the g library 230, based on medical resources! When you send out the value of Ϊ ,, you can continue to refer to Figure 2 for the user.
廣泛的來說，苴主要的；；^病歷貧料整合機制3 料、檢驗檢查結果整，病人就醫資 看診日期為整合依據，^ ^貝汛等，亚以病人 資料，而此資料、g木^蝻取某一病人每次就醫的 常是戶籍資料^二：該=本資料，通 所接受之治療及昭蠖杆^、下=看5乡預約日期， 處置（如門玲手術耸Y為，通吊是用藥處方以及 在病歷資^及=結】驗= 醫；訊)’與用藥資料庫35 L掛Ϊ: 付存在於網路伺服器2内，之， i疋為網路伺服器2内相同元件的備份、i製 :而，$貧料整合機制3則是將檢資 而與用藥資料庫35 人32\%疋广對”病人，通過一資料擷取與整 二 的仃為’而再產生一個案病歷資料檔3 i， 山it個案病歷負料檔3 i亦通過網際網路供用戶 k 1取用。 請參閱圖3 ’為本發明透過網際網路的整人 子醫療照護及衛生教育系統實施例的示意圖。& 14 1320156 !配合^述，2部分的圖式及其說明。進 ί診ϋ療Λ料庫230的部分’更包含醫院掛號、 用ί # 士 r々預約紀錄，醫院檢驗檢查資料，醫院 處方(各種治療及照護行為），以 治；可說是在醫院内所進行的 醫Ϊ資ίϋί i 病人自我檢查值也儲存於 =^貪科庫230中。醫療資料庫23〇之目 G病ΐΓϊ療時程極長’ *其像是糖尿病結 的生理狀、:>?:处2此為了犯夠即時的了解病人 & /才此在生理狀況出現了變化時，w Ϊ方：可：針對此-變化，提供因應的對 ί間：：ί ί Π病人在到醫院的交通與等待的 j Υ於几長而造成浪費，醫療器材業 s展出數種讓病人可以自行檢杳 ^ 尿病而言.，有舒柔接“且：2益#，如以糖 庫23ί ΐ m所測得的數值上傳到醫療資料 ，，由他們判斷該病人的生理情f 7: 以:庫：：？存内容已於圖^圖2以 负所6己载，於此不再贅述。 中在醫療資料庫23〇内所揭 預匕ΪΓί錄’係存有該病人的掛號和*4 J 9 ^心’而醫院檢驗檢查資料庫，係存古 ^人於醫院内的檢驗檢查結果， 广 ;方：包含了對於該病人所做的治以 以在歸戶管理機制21〇(請配合圖2)及的部；仃 典二為—病人個案資料總歸戶211、— i 41 2 1 2、以及一藥品資料管理2 1 3 ’在病人_ 〜F戶211中，病人方面可以針對其基本資 15 咖156 2 : J:等部分進行修改，或查詢各次的門診紀 ί教^等檢=查結果1藥教育資訊、護理 師2 2專。在衛教文件管理212的部分，衛教 窝並衛生教育相關文件的編排與撰 轉介病人做出安排’即依據醫師的 以垣：：：士容’安排護理衛教内容，還可 管理上教播案夾。至於藥品資料 稱、句拉J1對於醫院所使用的各種藥品的名 進r = Ϊ、外硯、效用、副作用及注意事項等， 化Τ ί，的更新，、尤其是把醫師藥品處方以Π語 Ψ , 化的方式撰寫成一般民眾較能夠理解的 匕:以期f確用*，並且亦可使病人可以 完Ii ΐ的藥品知識，這對提昇病人用藥安i及 -善整體醫療照護品質，大有助益。樂文王及 凊繼續參閱圖3，其中在帳 :::是針對各個不同的用戶」加以區；理： ^ 、便利管理之目❸，用戶1方面可以分Ϊ 至於装1仙，人12、衛教師13、系統管理員14 了 理：J他：人貝如復健師、營養師、藥劑師、護 權限4使：Iϊ ί:ί ί與的相關角色分別授與 請部訊。 =更區分為一異常監控以：· 2中2=機： 人提醒機制222。關於里常龄# = _」以及一病 部分，如以糖尿病患者而吊言的 巧值如空腹血糖值和糖化：= 中值範圍時或病人登錄自我檢香$ $ = f不在正 常時，本系統將發出電子郵件^^，變化異 這些量測結果是否需要處理Ui;; ’檢視 右有異常發生，衛 16 1320156 教師可以用電話通知病人，也可以 人提醒機制222發出電子郵件或行動電話簡二 (short message service , SMS)提醒 ^ ^ 返診檢查。關於病人提醒機帝 病人預約返診時間或最近一次病人沾疋利用 計算J礎，當在預定返診曰前一週以 ί ΐ:: ί ί 3醒本系統將主動發出電子郵件或行 7訊k醒病人返診檢查。衛教師也可以讯 ίίίϊ醒機制222,讓系統每隔設定時間自ίBroadly speaking, 苴 major;; ^ medical history and poor materials integration mechanism 3 materials, inspection and inspection results, the patient's medical consultation date is the basis for integration, ^ ^ Bellow, etc., Asian and Israeli patient data, and this information, g Wood ^ 蝻 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一 某一, Tong Hang is a prescription for medication and in the medical record ^ and = knot] test = medical; news) 'with the drug database 35 L hanging: payment exists in the network server 2, which is the network server 2 The same component backup, i system: And, the poor material integration mechanism 3 is to check the capital and the drug database 35 people 32 \% 疋 ” "patients, through a data acquisition and the whole two 'And then generate a medical record data file 3 i, the mountain it case medical record negative file 3 i also through the Internet for users k 1 to use. Please refer to Figure 3 'is the invention through the Internet for the entire human health Schematic diagram of an embodiment of the care and health education system. & 14 1320156 ! With the description, the two parts of the diagram and its description. The part of the ί ϋ ϋ 230 230 230 ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' The patient's self-examination value is also stored in the =^ 科科库230. The medical database 23 〇 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目 目;?: 2 in order to make an instant understanding of the patient & / when the physiological situation has changed, w Ϊ: can: for this - change, provide the corresponding ί:: ί ί Π patient in The traffic to the hospital and the waiting for a long time caused waste, and the medical equipment industry exhibited several kinds of cases for patients to check their own urinary diseases. There is a soft connection "and: 2 benefits #, such as The value measured by the sugar bank 23ί ΐ m is uploaded to the medical data, and they judge the patient's physiological condition f 7: to: library::? The contents of the memory are already shown in Figure 2, and are not described here. In the medical database, the pre-existing 匕ΪΓ 录 录 ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' Guang; Fang: Contains the treatment for the patient to be in the household management mechanism 21 (please match Figure 2) and the Ministry; the second is - patient case data total household 211, - i 41 2 1 2 And a drug data management 2 1 3 'in the patient _ ~ F household 211, the patient can be modified for its basic resources 15 156 2 : J: and other parts of the clinic, or check the outpatient clinic = Check the results 1 drug education information, nurses 2 2 special. In the part of the management document management 212, the layout of the health education and health education related documents and the referral of the patient to make arrangements, that is, according to the doctor's advice:::Shi Rong' arrangements for nursing and teaching content, but also management Teaching the broadcast folder. As for the drug information, the sentence of Jura J1 for the various drugs used in the hospital, such as r = Ϊ, external hemorrhoids, utility, side effects and precautions, etc., update, especially the prescription of doctors and drugs as proverbs Ψ, the way of writing is more understandable to the general public: in order to ensure the use of *, and also allows patients to complete the Ii ΐ drug knowledge, which enhances the patient's medication and quality of the overall medical care, large It helps. Le Wenwang and 凊 continue to refer to Figure 3, where the account::: is for each different user" zone; reason: ^, the convenience of management, the user 1 can be divided as for the installation of 1 sen, people 12, Wei Teacher 13, system administrator 14 Reason: J He: Renbeiru rehabilitation teacher, dietitian, pharmacist, guardian authority 4: Iϊ ί: ί ί and related roles are separately invited to the Ministry of Information. = more differentiated into an abnormal monitoring to: 2 2 2 = machine: person reminder mechanism 222. About Li Changling # = _" and a part of the disease, such as the value of diarrhea in patients with diabetes such as fasting blood glucose and glycation: = median range or patient registration self-scenting $ $ = f is not normal, this The system will send out an email ^^, whether the measurement results need to process Ui;; 'There is an abnormality in the right view, Wei 16 1320156 The teacher can notify the patient by telephone, or the person reminder mechanism 222 can send an email or a mobile phone. Second (short message service, SMS) reminder ^ ^ return check. Regarding the patient reminding the patient to make an appointment for the time of returning to the clinic or the latest patient's use of the calculation basis, when the patient is scheduled to return to the clinic one week ago, the system will automatically send an e-mail or a 7-k signal. Wake up the patient for a checkup. The Guardian can also call the ίίί wakeup mechanism 222 to let the system automatically set at any time.
僅口ί外：病人提醒機制222亦不單僅 要的。 至於圖2 圖2及其說明 睛參閱圖 對所有的病人，尤其是慢性病患者“是：分： 中的病歷資料整合機制3，請參 ，於此不再贅述。 / 1 ” 4，為本發明透過網際網路並具 ΐ尸Ϊ ΐ之醫療照護模式的示意圖。這個模式 ΐί u t為Λ’主要可分為四個部分，首先 敕 人為糖尿病人12，衛教師1 3，以 ς 口尘糖尿病衛教網路系統4 ,透過此圖可以 後者與前三者之間的互動，本發明所提 if包含的動作如下，首先是動作（1):.提 系統4，此系統如圖3所揭示者。接著 ♦ # 2、),.由一醫師11評估一糖尿病人12的衛 ί 1，並將對於該病人12所進行的一治療及照 Ϊ ί及一檢驗檢查資料提供給該衛教系統，此 i I 7示「擷取個案就醫用藥和檢驗檢查資料. ^是動作（3):該醫師將該衛教需求轉介與一 甲13，即圖中所示「轉介衛教個案」。之後 17 13-20156 該ί教師13將該衛教需求設計成-個 案俯，亚將該個案衛入 個 接收來自該衛教系餘4的一里$ =敬糸統4，且 示「登錄衛教個案'以及「昱常V不，K中所 人12將自我檢查^該 12自該5教系統接收-返診通；;句提二；病人 醫二接文追蹤診療；即圖中所示錄n☆回 ΐ i L查尋」與「預約和緊急返診：杳—提醒」、衛 、虚人上Λ師透過該衛教系統4,杳古旬4 病人1 2的侑教紀錄， 一”旬该 資料」。 I圃Τ所不查閱病人衛教 服菸Ϊ ί明的運用領域在於醫療照護與衛生教女 =在醫療院所就醫的病歷、二d人’ 教：講義及教材(包 生教育模式，在網路=續曼性病衛 產生警示訊息約就；曰期， 對糖尿足，增進病人 方面’利用警示訊息巧’另- 病人按時返診檢查，做好斿f r機制，協助 護與促進健康的功效。自我健康官理，達到維 再者，本發明係運用 、、周際網路，提供新的慢 18 1320156 性病衛生教育服務 人重要的就醫資訊 助醫師和衛教師審 的衛生教育課程。 戶整合’並以多面 用戶如醫師、病人 的查詢其所欲得知 易的獲得適合自己 同時本發明也利用 立提醒病人提醒機 理。 本發明所專注 方案有： 一、 結合醫院 供慢性病病人個人 續醫院衛生教育效 到此方案的技術是 電子病歷包括諸如 方、彳欢驗檢查的結 所接受的衛生教育 以歸戶整合，並以 糖監測項目、衛生 結構面向’利用網 的衛教内容是醫師 而提供的’所以病 與自己病情相關的 教育效果，做好自 二、 提供提醒 案的技術特點是： 模式，在 和他們自 查病人的 本發明則 向方式展 、衛教師 的資訊， 病情的疾 行動通信 制，協助 這個模式 己測量的 病情發展 更將這些 現相.關資 、一般民 讓病人在 病知識和 技術和電 病人做好 下，整 血糖值 ，給予 資訊加 料，讓 眾可以 網路上 照護技 子郵件 自我健 合病 ，協 適當 以歸 各個 輕易 很容 能。 ，建 康管 解決習用技術之問題所提供以 病歷與衛教資訊，在 病歷及所需要的衛生 果’做好自我疾病管 整合慢性病病人在醫 看5乡就醫及預約資料 果等照護資訊以及在 =容等，轉換成電子 藥物、醫院檢驗檢查 教育、就醫曰期和看 路’提供病人存取。 根據病人自己病情的 人或其家屬很容易就 衛生教育資料，持續 我疾病管理。 病人返診治療機制， 分析病人在醫院所作 網路上提 教育，持 理。而達 療院所的 、用藥處 醫療院所 媒體，加 、自我血 診醫師等 因為醫院 發展需要 可以獲得 醫院衛生 達到此方 的檢驗檢 咪 0156 ㈡在；：己所量測的血糖值，若有里常 U預約時間及超過某一設定的 U出提醒通知’提醒病人返；治1而未 模式了達到的人做好疾病自我管理 从、逆到此方案的技術特點县，I# 户 Ζ理一方面需要病人自己加強；2病自我 的加以關心和提ξ本mj：f要旁人不斷 業人昌a μ =本案不但結合衛教和護理糞 & ^知識，透過電腦技術以及網路 ^ 二限制的特點，在網路提供疡子不又時 知熾和照護技能，而且，^刭火二要的相關疾病 =要返矽治療時，主動發出提 ^ ， 人返診治療，協助做好自我疾病管k醒病 楚的i ϊ上之敘述，並與習用技術相比，可以、生 六文直ϊ本案的優點，對於病人的照護和教言^ 卓有貢獻，是對於提昇國人健康，^ 所不可或缺的發明。 、平皿可 ^發明遭熟習技術領域之人所任為匠思之修 7固皆不脫本發明申請專利範圍之 之c 【圖式簡單說明】 圖丨’為本發明透過網際網路的整合性臀 照護與衛生教育方法的示意圖；i。〖生面療 昭镬發明透過網際網路的整合性醫療 …、》隻一衛生教月糸統的示意圖； 圖3，為本發明透過網際網路的整合 照護與衛生教育系統實施例的示意圖； _ '、 圖4 ’為本發明透過網際網路並具有衛教功 能之醫療照護與衛生教育模式的示意圖 1320156 。 【主要元件符號說明】 I :用戶、用戶端 II :醫師 1 2. ·病人 1 3 :衛教師 14 :系統管理員 2 :網路伺服器 200 :帳號暨權限管理機制 2 1 0 :歸戶管理機制 2 11 :病人個案資料總歸戶 ® 2 1 2 :衛教文件管理 2 1 3 :藥品資料管理 220 :通知機制 221 :異常監測及警示 222 :提醒機制 . 230:醫療貧料庫. 240 :衛教資料庫 240 1 :護理衛教文件資料庫 2402 :藥物衛教文件資料庫 書 3 :病歷資料整合機制 4 :整合型糖尿病衛教網路系統 31 ： 個 案 病 歷 資 料 標 32 資 料 擷 取 與 整 合 33 檢 驗 檢 查資 料 庫 34 門 診 紀 錄 35 用 藥 資 料 庫 21Only the mouth: the patient reminder mechanism 222 is not only necessary. As for the figure 2 and Fig. 2 and the description of the eye, all the patients, especially the chronically ill patients, are: the medical record integration mechanism of the disease: 3, please refer to it, and will not be repeated here. / 1 ” 4, the present invention A schematic diagram of a medical care model through the Internet and with a corpse. This mode ΐί ut is Λ 'mainly can be divided into four parts, first of all, the person who is a diabetic 12, the faculty of the teacher 1 3, to the mouth of the diabetes diabetes education network system 4, through this figure can be between the latter and the former three The interaction of the present invention is as follows. First, the action (1): the system 4, which is disclosed in FIG. Then ♦ # 2,), a physician 11 evaluates a diaphysis 12 of a diabetic 12 and provides a treatment and photo for the patient 12 and a test data to the health education system. i I 7 shows "taking medical records and inspection data for cases. ^ is action (3): The physician referred the requirements of the education to one A13, which is the "referral of the case of education" as shown in the figure. After 17 13-20156, the teacher 13 designed the education requirement as a case-by-case, and the case was sent to receive a one-year from the faculty of the Ministry of Education, $=Kyoto 4, and Teaching case 'and '昱常V不, K in the person 12 will self-examination ^ The 12 received from the 5 teaching system - back to the clinic;; sentence mention two; patient doctors two text tracking medical treatment; that is shown in the figure Record n ☆ ΐ ΐ i L search and "reservation and emergency return: 杳 - reminder", Wei, imaginary priest through the health education system 4, 杳 旬 4 4 patient 1 2 侑 teaching record, a " This information is available." I 圃Τ 不 查阅 病人 病人 病人 病人 病人 病人 ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί ί = = = = = = = = = Road = continue to send a warning message to the ward of the disease; in the flood season, for the diabetic foot, improve the patient's 'use of warning messages clever' another - the patient returned to the doctor on time to check the 斿fr mechanism to help protect and promote health The self-health principle, the realization of the peacekeeping, the invention is the use of, the network, to provide a new slow 18 1320156 STD health education service personnel important medical information to help physicians and health teachers review the health education curriculum. 'And the multi-faceted users such as doctors, patients query what they want to know easy to get suitable for themselves. At the same time, the invention also uses the reminder to remind the patient to remind the mechanism. The focus of the invention is as follows: 1. Combining the hospital for patients with chronic diseases to continue hospital hygiene The technology used to educate this program is that electronic medical records include health education, such as party and health check-ups, for household integration, and monitoring with sugar. The project and health structure are oriented to 'the use of the network's health education content is provided by the physician's disease. The disease is related to the condition of the disease. The technical characteristics of providing the reminder case are: mode, in the self-examination of patients The invention provides information about the mode exhibition, the information of the teacher, the disease communication system of the disease, and assists the development of the condition measured by the model, and the current situation, the capital, and the general population let the patient in the disease knowledge and technology and the electric patient Next, the whole blood sugar value, give information to feed, so that the public can take care of the technology on the Internet to self-health, and it is easy to be able to return to each other. The Jiankang tube solves the problem of using the technology to provide medical records and health education. Information, in the medical record and the required health fruit 'Do a good self-discipline integration of chronic disease patients in the medical care of 5 townships and appointment information and other care information and in = Rong, etc., into electronic drugs, hospital inspection and inspection education, medical advice Period and the way to 'provide patient access. According to the patient's own condition, the person or his family can easily get health Breeding materials, continue my disease management. The patient return treatment mechanism, analyze the patient's education on the Internet in the hospital, and take care of it. And the hospital, the medication clinic, the media, plus, self-healing doctors, etc. because of hospital development Need to get the hospital hygiene to reach this side of the inspection and detection of the microphone 0156 (two) in;: the blood glucose value measured, if there is a regular U reservation time and more than a certain U out of the reminder notice to remind the patient to return; Those who have not achieved the model do a good job of self-management of the disease, and reverse the technical characteristics of the program. I# households need the patient to strengthen on the one hand; 2 care for the self and care for the self. Industry Chang a μ = This case not only combines the knowledge of education and nursing dung & ^ knowledge, through the characteristics of computer technology and network ^ two restrictions, in the network to provide ulcers and care skills, and, ^ Fire II related diseases = when you want to return to treatment, take the initiative to send out, people return to treatment, to help self-discipline, the narrative of the disease, and compared with the conventional technology, can be compared , Born six straight text ϊ advantage of the present case, for patient care and contribute to teach Introduction ^ Zhuo, is to improve the health of the people, ^ indispensable invention. The plate can be invented by people who are familiar with the technical field. It is not limited to the scope of the patent application of the present invention. [Simplified illustration of the drawing] Figure 丨 is the integration of the invention through the Internet. Schematic diagram of hip care and health education methods; i. 〖 面 疗 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 镬 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过 透过_ ', Figure 4' is a schematic diagram of the medical care and health education model of the invention through the Internet and with the function of education. 1320156. [Description of main components] I: User, User II: Physician 1 2. Patient 1 3: Guardian 14: System Administrator 2: Web Server 200: Account and Rights Management Mechanism 2 1 0 : Home Management Mechanism 2 11 : Patient Case Data Total Ownership ® 2 1 2 : Guardian Document Management 2 1 3 : Drug Data Management 220 : Notification Mechanism 221 : Abnormal Monitoring and Alert 222 : Reminder Mechanism. 230: Medical Poor Stock. 240: Guard Teaching Database 240 1 : Nursing Education Document Database 2402: Drug Education Document Database 3: Medical Record Data Integration Mechanism 4: Integrated Diabetes Education Network System 31: Case Medical Record Data 32 Data Acquisition and Integration 33 Inspection and inspection database 34 outpatient records 35 medication database 21