JP2013085626A - Health control system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a health control system capable of reporting real-time notice data to medical experts of different combinations every home blood pressure-measured value respectively exceeds a prescribed range of two stages.SOLUTION: The health control system includes a first terminal device, a second terminal device and a central apparatus. The central apparatus has a recording means for recording the first blood pressure range and second blood pressure range related to the discrimination data of a subject. The second blood pressure range is wider than the first blood pressure range. In a case that the blood pressure value of the subject received from the first terminal device is present between the first and second blood pressure ranges recorded by the recording means, the central apparatus transmits the discrimination data and blood pressure data of the subject to the second terminal device related to the discrimination data of the subject. Further, in a case that the blood pressure value of the subject received from the first terminal device is out of the second blood pressure range, the central apparatus transmits the discrimination data and blood pressure data of the subject to a plurality of second terminal devices related to the discrimination data of the subject.

Description

  The present invention relates to a health management system.

  There is a system that supports the health management of the elderly. For example, Patent Document 1 discloses a system that constantly monitors the biological information of the elderly and confirms safety by telephone when the value of the biological information exceeds a specified value. Further, Patent Document 2 discloses a system for determining that an abnormality has occurred in the health condition of an elderly person and notifying an alarm when the deliverable delivered to the elderly person has not been taken out of the delivery box even after a predetermined time has elapsed. Is disclosed.

JP 2007-310518 A JP 2005-236681 A

  However, the system according to Patent Document 1 is intended to detect changes in physical condition and does not prevent injury or illness. Therefore, the anxiety of elderly people about health cannot be resolved. In addition, the system according to Patent Document 2 only indirectly monitors the health status of the elderly from daily operations, and the health status determination result based on the monitoring is low in reliability. Furthermore, the system according to Patent Document 2 does not always detect the health status of the nearest elderly person.

  The present application has been made in view of such circumstances. The purpose is to provide a health management system capable of notifying attention information in real time to different combinations of medical professionals each time the home blood pressure measurement value exceeds the prescribed range of two stages.

The health management system according to the present application receives the received identification information and blood pressure value of the subject to the central device, and receives and receives the identification information and blood pressure value of the subject from the first terminal device. A central apparatus for transmitting to the second terminal device determination results obtained by determining the identification information of the subject and the blood pressure value of the received subject based on a blood pressure range pre-associated with the identification information, and blood pressure information including the blood pressure value; A health management system comprising a plurality of second terminal devices that receive subject identification information and blood pressure information from the central device, wherein the central device is preliminarily associated with the subject identification information. And a wider second blood pressure range including the first blood pressure range and a plurality of second terminal devices associated with the identification information of the subject, and a received blood pressure value of the subject Means for transmitting subject identification information and blood pressure information to the second terminal device recorded by the recording means when it is between the first blood pressure range and the second blood pressure range recorded by the recording means; If the received blood pressure value of the subject is outside the second blood pressure range recorded by the recording unit, the subject identification information and blood pressure information are transmitted to the plurality of second terminal devices recorded by the recording unit. Means.

  The health management system according to the present application includes a first terminal device, a second terminal device, and a central device. The central apparatus has recording means for recording a first blood pressure range and a second blood pressure range that are associated in advance with the identification information of the subject. The second blood pressure range includes the first blood pressure range and is wider than the first blood pressure range. When the blood pressure value of the subject received from the first terminal device is between the first blood pressure range and the second blood pressure range recorded in the recording means, the central device displays the subject identification information and blood pressure information To the second terminal associated with the identification information. The blood pressure information includes a determination result related to the blood pressure value determined based on the first blood pressure range and the second blood pressure range associated with the identification information of the subject, and the blood pressure value. In addition, when the blood pressure value of the subject received from the first terminal device is outside the second blood pressure range recorded in the recording unit, the central device uses the subject identification information and blood pressure information as the subject identification information. Transmit to a plurality of associated second terminal devices. The blood pressure information includes a determination result related to the blood pressure value determined based on the second blood pressure range associated with the identification information of the subject and the blood pressure value.

  The health management system according to the present application is configured such that the central device determines whether the central device can communicate with the second terminal device, and determines that the determination device cannot communicate with the second terminal device. And a third terminal device associated with the second terminal device based on the identification information of the subject, the third terminal device comprising the central device The identification information of the subject and the blood pressure information are received from.

  In the health management system according to the present application, when the central device determines that communication with the second terminal device is not possible, the central device transmits the identification information and blood pressure information of the subject to the outside. The health management system includes a third terminal device associated with the second terminal device based on the identification information of the subject. The third terminal device receives the identification information and blood pressure information of the subject from the central device.

  The health management system according to the present application is characterized in that the third terminal device is portable.

  In the health management system according to the present application, the third terminal device is portable.

  The health management system according to the present application includes a display device that displays information, and the first terminal device is configured to accept a measurement time of a blood pressure value, and a scheduled time zone for blood pressure measurement is recorded and accepted. A recording unit that records the blood pressure value and the received measurement time or the reception time; and an output unit that outputs information to the display device. The output unit includes a measurement time or reception time corresponding to the scheduled time zone. When no blood pressure value is recorded in the recording means, information relating to blood pressure measurement is output to the display device.

  The health management system according to the present application includes a display device that displays information. The first terminal device stores a scheduled time zone for blood pressure measurement, and has recording means for recording the received blood pressure value and the measurement time of the received blood pressure value or the reception time of the blood pressure value. When the blood pressure value at the measurement time or the reception time corresponding to the scheduled time zone of the blood pressure value is not recorded in the recording unit, the first terminal device outputs information related to the blood pressure measurement to the display device.

  In the health management system according to the present application, the first terminal device accepts two pieces of information separately, and when the accepting unit accepts one piece of information, the fact is not passed through the central device or not. And a means for notifying the second terminal apparatus, and a means for notifying the central apparatus when the receiving means receives other information.

  In the health management system according to the present application, the first terminal device receives two pieces of information separately. Of the two pieces of information, one piece of information is a discontinuation due to poor physical condition regarding a physical exercise or walking test performed by the subject. Of the two pieces of information, the other information is cancellation due to a physical exercise or walking test performed by the subject other than poor physical condition. When the first terminal device accepts one piece of information, the first terminal device notifies the second terminal device associated with the identification information of the subject with or without the central device. When receiving the other information, the first terminal device notifies the central device to that effect.

  According to the health management system according to the present application, it is possible to notify attention information in real time to different combinations of medical professionals each time the home blood pressure measurement value exceeds the two-stage specified range.

It is the figure which showed the structural example of the elderly person walk assistance system which concerns on Embodiment 1 of this invention. It is a block diagram which shows the hardware structural example of a household terminal. It is a block diagram which shows the hardware structural example of a hospital terminal. It is a block diagram which shows the hardware structural example of a database server. It is explanatory drawing which shows the record layout of an expert information table. It is explanatory drawing which shows the record layout of an elderly person information table. It is explanatory drawing which shows the record layout of an exercise | movement classification information table. It is explanatory drawing which shows the record layout of an exercise intensity information table. It is explanatory drawing which shows the record layout of an exercise content information table. It is explanatory drawing which shows the record layout of a walk test information table. It is explanatory drawing which shows the record layout of a test evaluation item table. It is explanatory drawing which shows the record layout of a training management table. It is explanatory drawing which shows the record layout of a walk test management table. It is explanatory drawing which shows the record layout of an inquiry result information table. It is explanatory drawing which shows the record layout of a blood-pressure measurement result table. It is explanatory drawing which shows the record layout of a training result table. It is explanatory drawing which shows the record layout of a walk test result table. It is explanatory drawing which shows the record layout of a walk test result detailed table. It is explanatory drawing which shows the record layout of a guidance management table. It is explanatory drawing which shows the record layout of an advice table. It is explanatory drawing which shows the record layout of a guidance reservation table. It is the flowchart which showed the flow of the walk assistance operation | work. It is the flowchart which showed the flow of the work which an expert performs. It is explanatory drawing which shows an example of the authentication screen which an expert uses. It is explanatory drawing which shows an example of an elderly person information screen. It is explanatory drawing which shows an example of a content test setting screen. It is explanatory drawing which shows an example of a training and a walk test prescription screen. It is explanatory drawing which shows an example of a training and a walk test prescription screen. It is explanatory drawing which shows an example of an elderly person information screen. It is a flowchart about the process which displays a participant record. It is a flowchart about the process which extracts the display subject person of a participant record. It is a flowchart about the process which extracts and displays data. It is a flowchart about the process which extracts and displays data. It is a flowchart about the process which extracts and displays data. It is a flowchart about the process which extracts and displays data. It is the flowchart which showed the flow of extraction / display processing of guidance day data. It is explanatory drawing which shows an example of a guidance reservation screen. It is explanatory drawing which shows an example of a guidance reservation change / deletion screen. It is explanatory drawing which shows an example of a guidance / test / training record display screen. It is explanatory drawing which shows an example of an online guidance start screen. It is explanatory drawing which shows an example of a walk test result display screen. It is explanatory drawing which shows an example of the advice and finding entry column input screen. It is a flowchart about the process which displays the result of a walk test. It is explanatory drawing which shows an example of the advice and observation column reference screen displayed on a hospital terminal. It is explanatory drawing which shows an example of an online guidance notice display screen. It is explanatory drawing which shows an example of an offline instruction | indication screen. It is explanatory drawing which shows the other example of a walk test result display screen. It is a flowchart about the flow of operation | movement of a home terminal. It is explanatory drawing which shows an example of an elderly person authentication screen. It is explanatory drawing which shows an example of a recording screen. It is explanatory drawing which shows an example of a walk test result display screen. It is explanatory drawing which shows an example of a blood pressure trend screen. It is the flowchart which showed the flow of the process for performing a blood pressure trend screen display. It is the flowchart which showed the flow of the process which displays the blood-pressure measurement result preserve | saved at the temporary table. It is explanatory drawing which shows an example of a guidance date confirmation screen. It is explanatory drawing which shows an example of an inquiry screen. It is explanatory drawing which shows an example of a training test stop screen. It is explanatory drawing which shows an example of a blood pressure / pulse measurement screen. It is explanatory drawing which shows an example of a blood pressure / pulse NG display screen. It is explanatory drawing which shows an example of a blood pressure / pulse display screen. It is explanatory drawing which shows an example of a selection screen. It is a flowchart about the flow of a process of a training and a walk test. It is a flowchart about the flow of a process of a training and a walk test. It is a flowchart about the flow of a process of a training and a walk test. It is a flowchart about the flow of a process of a training and a walk test. It is a flowchart about the flow of a process of a training and a walk test. It is explanatory drawing which shows an example of a training menu display screen. It is explanatory drawing which shows an example of an exercise | movement image display initial screen. It is explanatory drawing which shows an example of an exercise | movement transition screen. It is explanatory drawing which shows an example of an exercise | movement video display screen. It is explanatory drawing which shows an example of a training completion screen. It is explanatory drawing which shows an example of a walk test menu screen. It is explanatory drawing which shows an example of a model image display screen. It is explanatory drawing which shows an example of a walk test implementation screen. It is explanatory drawing which shows an example of a test transition screen. It is explanatory drawing which shows an example of a test result display screen. It is the block diagram which showed the structural example of the elderly person walk assistance system which concerns on Embodiment 2. FIG. It is a block diagram which shows the hardware structural example of a server. It is explanatory drawing which shows the record layout of an elderly person expert relation table. It is explanatory drawing which shows the record layout of an expert contact information table. It is explanatory drawing which shows the record layout of a blood pressure pulse NG table. It is explanatory drawing which shows an example of a content test setting screen. It is explanatory drawing which shows the record layout of a blood-pressure measurement time table. It is explanatory drawing which shows an example of a blood-pressure measurement time setting screen. It is explanatory drawing which shows an example of a blood pressure measurement alert screen. It is a flowchart which shows an example of the procedure of a blood pressure measurement alerting process. It is explanatory drawing which shows an example of a home blood pressure caution screen. It is a flowchart which shows an example of the procedure of a caution information transmission process. It is explanatory drawing which shows an example of an inquiry screen. It is a flowchart which shows an example of the procedure of the process by a household terminal. It is explanatory drawing which shows an example of an exercise | movement image display initial screen. It is explanatory drawing which shows an example of a training test stop screen. It is a flowchart which shows an example of the procedure of a process of a training and a walk test. It is explanatory drawing which shows an example of an elderly person physical condition attention screen. It is a flowchart which shows an example of the procedure of an elderly person's poor physical condition notification process.

Hereinafter, the present invention will be described in detail with reference to the drawings showing embodiments thereof.
Embodiment 1
FIG. 1 is a diagram showing a configuration example of an elderly walking support system according to Embodiment 1 of the present invention. The elderly walking support system includes a medical institution system 1 and a home system 5. The medical institution system 1 and the home system 5 are connected by a communication network 13 such as the Internet.

  The medical institution system 1 is a specialist (doctor, physiotherapist, work, etc.) that prescribes, instructs, or intervenes in training (physical exercise) for elderly users, such as hospitals, clinics, rehabilitation centers, day care centers, etc. It is set up in the place where therapists work. The medical institution system 1 includes an in-hospital terminal 2, a database server 3, and a camera 4.

The database server 3 includes information on elderly people, information on specialists, exercise content used when exercising, content information such as test content used for walking tests (walking tests), history information such as exercise results and walking test results, etc. Is remembered. Details will be described later.
The camera 4 has a built-in microphone and is connected to the hospital terminal 2. Video and audio transmitted from the camera 4 to the hospital terminal 2 are transmitted to the home system 5 via the communication network 13.

  The home system 5 includes a home terminal 6, a camera 7, a display device 8 such as a television receiver, a remote controller receiver / transmitter 9 (hereinafter abbreviated as “remote controller receiver / transmitter 9”), a walking measurement sensor 10 (measuring instrument). ), A blood pressure monitor 11, a television receiver remote controller (hereinafter abbreviated as “remote controller”) 12, and a printer 14.

The home terminal 6 includes a personal computer, a set top box, and the like.
The camera 7 has a built-in microphone and is connected to the home terminal 6. Video and audio transmitted from the camera 7 to the home terminal 6 are transmitted to the medical institution system 1 via the communication network 13.
The display device 8 displays an image output from the home terminal 6 and reproduces sound.
The remote control receiver / transmitter 9 receives a signal from the remote control 12 used when an elderly person who is a user operates the home terminal 6, and transmits the received signal to the home terminal 6.

The walking measurement sensor 10 is worn by an elderly person when performing a training or a walking test. The walking measurement sensor 10 includes an acceleration sensor and an angular velocity sensor. The acceleration or angular velocity measured by the walking measurement sensor 10 is sent to the home terminal 6 by wireless communication or the like.
The sphygmomanometer 11 is used to measure the blood pressure or pulse rate of an elderly person before and after training or before and after a walking test. It is done. The home terminal 6 sends the received blood pressure value or pulse rate to the database server 3.
The printer 14 prints blood pressure measurement results and the like on paper.

FIG. 2 is a block diagram illustrating a hardware configuration example of a home terminal. The home terminal 6 includes a CPU (Central Processing Unit) (output means, notifying means) 61, a RAM (Random Access Memory) 62, a ROM (Read Only Memory) 63, an input unit 64, a display output interface unit (output means). 65, a communication unit (notifying unit) 66, an interface unit 67, a data storage unit (recording unit) 68, a remote control interface unit (accepting unit) 69, and a wireless interface unit 70.
The CPU 61 executes a control program stored in advance in the ROM 63 so as to function as the home terminal 6 of the system of the present application. Data temporarily generated during execution of the program, data acquired from the outside, and the like are stored in the RAM 62.

The input unit 64 is a keyboard, a mouse, or the like. Since an elderly person who is a user uses the remote controller 12 as an input device, the input unit 64 is used by an administrator during initial setting or maintenance.
The display output interface unit 65 outputs an image or sound to be presented to an elderly person. The display output interface unit 65 is connected to the display device 8, and the output image or sound is displayed or reproduced by the display device 8.

The communication unit 66 transmits / receives data to / from the medical institution system 1 via the communication network 13. The interface unit 67 acquires an image or sound from the camera 7 with a built-in microphone. The interface unit 67 transmits data to be output to the printer 14.
The data storage unit 68 is, for example, a hard disk or a large capacity memory. The data storage unit 68 stores sensor data such as acceleration or angular velocity measured by the walking measurement sensor 10 in the sensor data storage area 68a and blood pressure value data or pulse rate data measured by the sphygmomanometer 11 respectively. The data is stored in the area 68b or the pulse rate data storage area 68c. The data storage unit 68 stores the walking test result obtained by analyzing the acceleration or angular velocity measured by the walking measurement sensor 10 in the walking test result storage area 68d.

The remote control interface unit 69 analyzes the operation command signal of the remote control 12 received from the remote control transmitter / receiver 9.
The wireless interface unit 70 transmits / receives data to / from the walking measurement sensor 10 or the sphygmomanometer 11.

FIG. 3 is a block diagram illustrating a hardware configuration example of the hospital terminal 2. The in-hospital terminal 2 includes a CPU 21, a RAM 22, a ROM 23, an input unit 24, a display unit 25, a communication unit 26, and an interface unit 27.
The CPU 21 is configured to function as the in-hospital terminal 2 of the present system by executing a control program stored in the ROM 23 in advance. Data temporarily generated during execution of the program, data acquired from the outside, and the like are stored in the RAM 22.

The input unit 24 is a keyboard, a mouse, and the like, and inputs elderly person information registration, training or walking test prescription data, and the like.
The display unit 25 outputs an image or sound to be presented to the expert.

The communication unit 26 transmits / receives data to / from the home system 5 or the database server 3 via the communication network 13. The interface unit 27 acquires images and sounds from the camera 4 with a built-in microphone. The acquired video and audio are transmitted to the home system 5 via the communication network 13.
Both the in-hospital terminal 2 and the home terminal 6 are connected to cameras 4 and 7 having built-in microphones. By appropriately controlling the transmission and reception of video and audio in the hospital terminal 2 and the home terminal 6, a telephone call can be performed between the hospital terminal 2 and the home terminal 6. The control means for making a telephone call may be provided in each of the hospital terminal 2 and the home terminal 6, or one of the hospital terminal 2 or the home terminal 6 may be provided. Further, another computer such as the database server 3 may be provided.

FIG. 4 is a block diagram illustrating a hardware configuration example of the database server 3. The database server 3 includes a CPU (transmission means, determination means) 31, a RAM 32, a ROM 33, an input unit 34, a display unit 35, a communication unit (transmission unit) 36, and a database unit 37.
The CPU 31 executes a control program stored in advance in the ROM 33 so as to function as the database server 3 of the system of the present application. Data temporarily generated during execution of the program, data acquired from the outside, and the like are stored in the RAM 32.

The input unit 34 is a keyboard, a mouse, or the like, and is used for inputting setting information such as database table definitions and data. The display unit 35 displays database definition information, database table contents, and the like.
In addition, since an expert registers data etc. using the hospital terminal 2, the input part 34 and the display part 35 of the database server 3 are mainly used by a system administrator.
The communication unit 36 transmits / receives data to / from the in-hospital terminal 2. In addition, data is transmitted to and received from the home system 5 through the communication network 13.

  The database unit 37 stores various data such as expert information, elderly information, exercise content information, and information on walking tests as a data table. Various kinds of stored data are registered, updated, or deleted under the control of the hospital terminal 2 or the home terminal 6.

Next, the data table stored in the database unit 37 will be described.
The database unit 37 includes an expert information table 37a, an elderly person information table 37b, an exercise classification information table 37c, an exercise intensity information table 37d, an exercise content information table 37e, a walking test information table 37f, a test evaluation item table 37g, and training management. Table 37h, walking test management table 37i, inquiry result information table 37j, blood pressure measurement result table 37k, training result table 37m, walking test result table 37n, walking test result detail table 37p, instruction management table 37q, advice table 37r, instruction reservation A table 37s is stored.

  The expert information table 37a is a table for storing information about experts. FIG. 5 is an explanatory diagram showing a record layout of the expert information table 37a. The expert information table 37a includes, as items, an expert ID, an expert number, a password, a communication ID, a communication PW, a name, a deletion flag, an update date, and a creation date. The expert ID is a primary key, and a serial number is automatically assigned by the database when data is created. Expert No. is a number that is input when the expert receives authentication. Here, for the sake of simplicity, the same ID as the expert ID is assigned, but the present invention is not limited to this, and any combination of alphanumeric characters may be used. The password is also entered by an expert when receiving authentication. Here, a 4-digit number is used, but the present invention is not limited to this, and any combination of alphanumeric characters may be used. The communication ID and the communication PW are used when receiving authentication in the videophone system in order to communicate with the elderly in real time, and register the same one set in advance in the videophone system. The name is the name of the expert. The deletion flag is for logically deleting data. A value of 0 is treated as valid data, and a value of 1 is not treated as valid data as deleted. The date when the record was last updated is registered as the update date. The date when the record was newly created is registered as the creation date.

  The elderly person information table 37b is a table for storing basic information about elderly persons. FIG. 6 is an explanatory diagram showing a record layout of the elderly person information table 37b. The elderly person information table 37b includes, as items, elderly person ID, elderly person number, password, communication ID, communication PW, name, gender, age, height, weight, normal walking, full power walking, TUG, FR, FSS, ADL (Activities of Daily Living), walking ability determination result, systolic blood pressure reference value, diastolic blood pressure reference value, training count, training selection, expert ID, deletion flag, update date, and creation date.

An elderly person ID (subject identification information) is a primary key, and a serial number is automatically assigned by a database when data is created. The elderly person No is input when the elderly person is authenticated. Here, for the sake of simplicity, the same ID as the elderly person ID is assigned, but the present invention is not limited to this and any combination of alphanumeric characters may be used. Similarly, a password is entered by an elderly person when receiving authentication. Here, a 4-digit number is used, but the present invention is not limited to this, and any combination of alphanumeric characters may be used.
The communication ID and the communication PW are used when receiving authentication by a videophone system for communicating with an expert in real time, and the same ID set in advance as the videophone system is registered.

The name is the name of the elderly person. The sex and age of the elderly are registered respectively. Height and weight are registered for the elderly.
From normal walking to FSS, the result of a walking test performed in the presence of an expert described later is registered. For normal walking, the result of a 10 m walking test is registered. The result of 10m full power walking test is registered in full power walking. In the TUG, the result of a 3m TUG (Timed up and Go) test is registered. In the FR, the result of the functional reach test is registered. The result of the Four Square Step test is registered in the FSS.

ADL is an evaluation of how much independent daily activities such as meals, movement between chairs and beds, adjustment, toilet operations, bathing, etc. can be performed independently. The results mainly evaluated by occupational therapists are be registered.
As the walking ability determination result, the walking ability of the elderly determined by the expert from the result of the walking test is registered. Here, as an example, there are three stages of A, B, and C in descending order of ability.

The systolic blood pressure reference value and the diastolic blood pressure reference value are reference values used to determine whether or not the blood pressure of the elderly is normal. For example, an expert determines the value with reference to the blood pressure value measured at rest. Decide and register.
As the number of training times, the number of times of training within a predetermined period, for example, within one week is registered. The training selection is information about whether or not the elderly person is allowed to select and perform one or more of the plurality of prescribed trainings instead of performing all of the plurality of prescribed trainings.

  In the expert ID, the ID of the expert who is in charge of the elderly is registered. The deletion flag, the update date, and the creation date are the same as those of the expert information table 37a described above.

The exercise classification information table 37c is a table that stores exercise classification setting information. FIG. 7 is an explanatory diagram showing a record layout of the exercise classification information table 37c. The exercise classification information table 37c includes, as items, a classification ID, a classification number, a name, an expert ID, an update date, and a creation date.
The classification ID is a primary key, and a serial number is automatically assigned by the database when data is created. The classification number is a number used for display. The name is the name of the classification. The expert ID stores the ID of the expert who created and updated the classification. The update date and creation date are the same as those of the expert information table 37a described above.

The exercise intensity information table 37d is a table that stores exercise intensity information. FIG. 8 is an explanatory diagram showing a record layout of the exercise intensity information table 37d. The exercise intensity information table 37d includes, as items, an intensity ID, an intensity No, a name, an update date, and a creation date.
The strength ID is a primary key, and a serial number is automatically assigned by the database when data is created. Intensity No is the number of exercise intensity displayed on the screen. The name is the name of strength. The update date and creation date are the same as those of the expert information table 37a described above.

The exercise content information table 37e is a table that stores information about each exercise content used for training. FIG. 9 is an explanatory diagram showing a record layout of the exercise content information table 37e. The exercise content information table 37e includes items such as content ID, No, classification ID, strength, name, time, number of times, animation, expert ID, update date, and creation date.
The content ID is a primary key, and a serial number is automatically assigned by the database when data is created. No is the number of the exercise content displayed on the screen. The classification ID indicates the classification corresponding to the exercise content, and stores the value of the classification ID in the exercise classification information table 37c. The intensity indicates the exercise intensity of the exercise content, and an intensity ID value in the exercise intensity information table 37d, for example, 1 is stored if the intensity is low. The name stores the name of the exercise content. The time is the time required for the exercise content, and the number of exercises is stored as the number of times. The moving image stores the moving image file name of the exercise content. The expert ID stores the ID of the expert who created and updated the data. The update date and creation date are the same as described above.

The walking test information table 37f is a table in which information about the walking test is stored. FIG. 10 is an explanatory diagram showing a record layout of the walking test information table 37f. The walking test information table 37f includes, as items, a test ID, a test number, a name, a moving image, sound, an expert ID, an update date, and a creation date.
The test ID is a primary key, and a serial number is automatically assigned by the database when data is created. The test number is a test number displayed on the screen. The name is the name of the test. As for the moving image, the file name of the moving image file in which the model image of the test is recorded is stored. As the voice, the file name of the voice file in which voice guidance to be played during the test is recorded is stored. The expert ID stores the ID of the expert who created and updated the test. The update date and creation date are the same as those of the expert information table 37a described above.

The test evaluation item table 37g is a table that stores the names of evaluation items obtained by the walking test. FIG. 11 is an explanatory diagram showing a record layout of the test evaluation item table. The test evaluation item table 37g includes item ID, item No, item name, expert ID, update date, and creation date as items.
The item ID is a primary key, and a serial number is automatically assigned by the database when data is created. Item No. is the number of the item displayed on the screen. The item name is the name of the evaluation item. The expert ID stores the ID of the expert who created and updated the test. The update date and creation date are the same as those of the expert information table 37a described above.

The training management table 37h is a table that stores a training menu prescribed for the elderly. FIG. 12 is an explanatory diagram showing a record layout of the training management table. The training management table 37h includes, as items, a management ID, an elderly person ID, an order, a content ID, an update date, and a creation date.
The management ID is a primary key, and a serial number is automatically assigned by the database when data is created. The ID of the elderly who is the subject of the prescription is stored as the elderly ID. As the order, the order of executing a plurality of exercises included in the training menu is stored. The content ID stores the content ID of the exercise content information table 37e. The update date and creation date are the same as those of the expert information table 37a described above.

The walking test management table 37i is a table that stores a walking test prescribed for the elderly. FIG. 13 is an explanatory diagram showing a record layout of the walking test management table 37i. The walking test management table 37i includes, as items, a management ID, an elderly person ID, an order, a test ID, an update date, and a creation date.
The management ID is a primary key, and a serial number is automatically assigned by the database when data is created. The ID of the elderly who is the subject of the prescription is stored as the elderly ID. As the order, the order of executing a plurality of walking tests included in the walking test menu is stored. As the test ID, the test ID of the walking test information table 37f is stored. The update date and creation date are the same as those of the expert information table 37a described above.

The inquiry result information table 37j is a table that stores the results of an inquiry conducted by an elderly person prior to training or a walking test. FIG. 14 is an explanatory diagram showing a record layout of the inquiry result information table 37j. The inquiry result information table 37j includes, as items, an inquiry ID, an elderly person ID, a time, an inquiry result, an update date, and a creation date.
The inquiry ID is a primary key, and a serial number is automatically assigned by the database when data is created. The ID of the elderly who is the subject of the inquiry is stored as the elderly ID. The time is the time when the interview was conducted. As for the interview result, good or bad is memorized based on the answer of the elderly. The update date and creation date are the same as those of the expert information table 37a described above.

The blood pressure measurement result table 37k is a table that stores the results of blood pressure measurement performed before and after the training or walking test. FIG. 15 is an explanatory diagram showing a record layout of the blood pressure measurement result table 37k. The blood pressure measurement result table 37k includes, as items, a blood pressure measurement result ID, an inquiry ID, a training result ID, a management number, a sphygmomanometer model number, a measurement time, a maximum blood pressure, a minimum blood pressure, a pulse, the number of measurements, a standard NG flag, an update date, and creation Including day.
The blood pressure measurement result ID is a primary key, and a serial number is automatically assigned by the database when data is created. The inquiry ID is any value of the inquiry ID in the inquiry result information table 37j. By storing the inquiry ID performed before the blood pressure measurement in the inquiry result information performed immediately before the blood pressure measurement, it is associated with the inquiry result.

The training result ID is one of the result IDs stored in the training result table 37m, and is associated with the training result. The training result ID is stored for the measurement result immediately before the training and the measurement result immediately after the training. Training result ID is not memorize | stored about the measurement result performed when performing the walking test. In the case of a gait test, it remains NULL.
In addition, when a walking test is performed after the training is performed, a result measured between the training and the walking test is treated as a measurement after the training is performed, and a training result ID is stored. Conversely, when training is performed after the walking test is performed, the result measured between the walking test and the training is treated as a measurement after the walking test, and the training result ID is not stored and remains NULL.

The management number is used to associate a series of measurement results. Since the first measurement result is abnormal, the same management number is assigned when blood pressure is measured twice in succession.
The model number of the sphygmomanometer 11 used for the measurement is stored as the sphygmomanometer model number. As the measurement time, the measured value is stored as the time when the blood pressure is measured, the maximum blood pressure, the minimum blood pressure, and the pulse. When the measurement is performed twice, 1 is stored in the first measurement result and 2 is stored in the second measurement result.

  As the standard NG flag, 1 is stored when the maximum blood pressure or the minimum blood pressure is not within the predetermined range, or when the pulse value exceeds the predetermined value. Otherwise, 0 is stored. The update date and creation date are the same as those of the expert information table 37a described above.

The training result table 37m is a table that stores the results of training performed by the elderly. FIG. 16 is an explanatory diagram showing a record layout of the training result table 37m. The training result table 37m includes, as items, a result ID, an inquiry ID, a content ID, a training time, a result, a start time, an end time, an update date, and a creation date.
The result ID is a primary key, and a serial number is automatically assigned by the database when data is created. As the inquiry ID, any value of the inquiry ID stored in the inquiry result information table 37j is stored and associated with the inquiry result. As the content ID, any value of the content ID stored in the exercise content information table 37e is stored, and is associated with the exercise content. Training time is the time required for training. As a result, the result of training is stored, and OK is stored when it is successfully completed, and NG is stored when it is stopped halfway. The start time and end time are the start time and end time of training, respectively. The update date and creation date are the same as those of the expert information table 37a described above.
If the exercise content being trained and the next exercise content are interrupted and terminated, the result of the exercise content scheduled to be performed next is stored as NG.

The walking test result table 37n is a table that stores the results of the walking test. FIG. 17 is an explanatory diagram showing a record layout of the walking test result table 37n. The walking test result table 37n includes, as items, a result ID, an inquiry ID, a management number, a test result, an analysis time, a comprehensive evaluation, an update date, and a creation date.
The result ID is a primary key, and a serial number is automatically assigned by the database when data is created. As the inquiry ID, any value of the inquiry ID stored in the inquiry result information table 37j is stored and associated with the inquiry result. In the management number, a management number is stored. As the test result, OK is stored when the test is completed normally, and NG is stored when the test is not completed normally, such as when the test is terminated halfway. As the analysis time, the time required for the analysis until the evaluation result is obtained from the sensor data obtained by the walking test is stored. The comprehensive evaluation stores a total evaluation score determined by taking all analysis result evaluation items into consideration. The update date and creation date are the same as those of the expert information table 37a described above.

The walking test result detail table 37p is a table for storing the walking test result details. FIG. 18 is an explanatory diagram showing a record layout of the walking test result detail table 37p. The walking test result detail table 37p includes a result detail ID, a result ID, an evaluation, an update date, and a creation date as items.
The result detail ID is a primary key, and a serial number is automatically assigned by the database when data is created. As the result ID, any value of the result ID of the walking test result table 37n is stored, and is associated with the walking test result. The evaluation stores the score for each analysis result evaluation item. The evaluation is stored in the ascending order of the item number in the ascending order of the result detail ID, and the evaluations for the analysis result evaluation items are stored in the ascending order of the item numbers. The update date and creation date are the same as those of the expert information table 37a described above.

The instruction management table 37q is a table for storing a history of instruction. FIG. 19 is an explanatory diagram showing a record layout of the instruction management table 37q. The guidance management table 37q includes, as items, a management ID, a blood pressure difference, a pulse, a guidance time, an expert ID, an update date, and a creation date.
The management ID is a primary key, and a serial number is automatically assigned by the database when data is created. As the blood pressure difference, the larger difference value is stored between the difference between the highest blood pressure value measured on the guidance day and the highest blood pressure reference value, or the difference between the lowest blood pressure value measured on the guidance day and the lowest blood pressure reference value. . The maximum blood pressure reference value and the minimum blood pressure reference value are stored in the elderly person information table 37b. As for the pulse, the pulse rate is stored. The instruction time is registered as the time required for instruction, and the expert ID is registered as the expert ID. The update date and creation date are the same as those of the expert information table 37a described above.

The advice table 37r is a table that stores advice given to the elderly by an expert. FIG. 20 is an explanatory diagram showing a record layout of the advice table 37r. The advice table 37r includes items such as an advice ID, an elderly person ID, an advice date, a management number, advice, a finding, an update date, and a creation date.
The advice ID is a primary key, and a serial number is automatically assigned by the database when data is created. The elderly person ID stores the ID of the elderly person who is the subject of the advice. The advice date is the date when the expert gave advice to the elderly. The management number contains any value of the management ID stored in the guidance management table 37q, and is associated with the guidance management table 37q. As for advice, the contents of advice given to elderly by experts are stored. As for the findings, the findings recorded by experts are stored. The update date and creation date are the same as those of the expert information table 37a described above.
Note that the difference between advice and findings is that advice is presented to the elderly, whereas findings are not presented to the elderly.

The guidance reservation table 37s is a table for managing the status of guidance reservation. FIG. 21 is an explanatory diagram showing a record layout of the guidance reservation table 37s. The guidance reservation table 37s includes, as items, a reservation ID, a management number, an elderly person ID, a start time, an end time, an update date, and a creation date.
The reservation ID is a primary key, and a serial number is automatically assigned by the database when data is created. As the management number, the management ID of the guidance management table 37q issued after the guidance is given is stored. The ID of an elderly person who is an instruction target is stored as the elderly person ID. As the start time and end time, the time including the date on which guidance is scheduled is stored. The update date and creation date are the same as those of the expert information table 37a described above.

Next, an outline of walking support work handled by this system will be described.
FIG. 22 is a flowchart showing the flow of walking support work.
First, an expert causes an elderly person who is a user to perform a detailed walking test in a hospital or the like under his / her presence (S1). The expert determines the walking ability (physical ability) of the elderly based on the result of the walking test (S2). The expert prescribes training based on the determination result of walking ability (S3).
By using this system, the expert allows an elderly person to perform training according to the prescribed content at home (S4). Wait for a predetermined period, for example, one week (S5). When the predetermined period has elapsed (YES in S5), the expert uses the present system to allow an elderly person to perform a simple walking test at home (S6). Using this system based on the training results and walking test, the expert gives guidance to the elderly (S7). As a result, it is determined whether a prescription review is necessary (S8). If the expert determines that a review of the prescription is necessary (YES in S8), the expert reviews the prescription (S9). Returning to S4, the elderly are trained under a new prescription.
If the predetermined period has not elapsed (NO in S5), the execution status of the training is confirmed, and it is determined whether intervention is necessary (S10). When intervention is necessary (YES in S10), the expert contacts the elderly person by telephone or the like, and listens to their physical condition and training status (S11). Based on the content heard, it is determined whether a prescription review is necessary (S8), and a necessary response is performed. If no intervention is required (NO in S10) or no review of the prescription is required (NO in S8), it is determined whether to continue the training (S12). If it is determined that the training cannot be continued even if the prescription is reviewed due to physical factors, it is determined whether there is a factor that prevents the training from continuing due to other reasons. When training is continued (YES in S12), the process returns to S4. If the training is not continued (NO in S12), the process ends.

The detailed walking test performed by the above-described specialist or the like is performed, for example, as follows. 1) 10m normal walking test, 2) 10m full power walking test, 3) 3m TUG (Timed up and Go)
) Test, 4) 4 square step test, 5) Functional reach test.
The contents of each test are described below.

1) 10m walk test Walk 10m normally and measure time. The faster the walking speed, the higher the walking ability.
2) 10m full power walking test Walk 10m with full power and measure time. The faster the walking speed, the higher the walking ability. Individual differences are greater than in 1).

3) 3m TUG test Place a cone on the chair and 3m ahead. Sit on the chair, get up with the signal, walk 3m, make a U-turn at the cone, return 3m and sit down on the chair again. Measure the time from the signal to sitting back on the chair. The faster the movement speed, the higher the walking ability.

4) Four square step test Four squares are provided. The lower right is 1, the upper right is 2, the upper left is 3, and the lower left is 4. Each square has a size that is slightly larger than the size that both feet can fit. An obstacle with a height of about 5 cm is placed at the boundary of each cell.
At first, the subject stands on the square of 1 and moves counterclockwise as 2 → 3 → 4 → 1 with a signal. After moving to the next cell, be sure to align your feet before moving to the next cell. When you arrive at 1 cell, you move 4 → 3 → 2 → 1 clockwise. The total time of counterclockwise and clockwise is measured, and if the speed is high, it is judged that the walking ability is high.

5) Functional reach test There are test 1 and test 2.
Test 1
a) Stand sideways toward the wall and open both feet appropriately to take a stable posture (starting posture).
b) Lightly open your hand and raise the arm on the wall horizontally at shoulder level.
c) Mark fingertip position extended at shoulder height.
d) Keep your arms and arms as high as possible, reach forward without moving your feet, and mark the longest point. At this time, it is acceptable to raise the bag and stand on toes.
e) Then, return to the starting posture (invalid if unable to return).
f) Same from a) to c).
g) Keep the arms and arms at the same height and bend the body as far back as possible without moving your feet to mark the longest point.
h) Then, return to the starting posture (invalid if unable to return).
Test 2
i) Stand facing the wall, open both feet moderately and take a stable posture (starting posture).
j) Open your hand slightly and raise your right arm horizontally at shoulder level.
k) Mark fingertip position extended at shoulder height.
l) Keep your arms and arms as high as possible, reach forward without moving your feet, and mark the longest point. At this time, both soles should be kept away from the floor.
m) Then return to the starting position (invalid if unable to return).
n) Same from i) to k).
o) Keep the arms and arms at the same height, bend the body as far back as possible without moving your feet, and mark the longest point.
p) After that, return to the starting posture (invalid if unable to return).
The same procedure from i) to p) is performed for the left arm.
Each moving distance is measured, and it is assumed that the greater the distance, the better the balance.

From the above four test results, the expert determines the walking ability of the elderly. For example, the walking ability is classified into three stages, such as A, B, and C, in descending order of ability, and the expert determines which one to use as the walking ability of the elderly.
In the above test, an elderly person who is being tested by an expert may be observed, and the observation result may be included in the result of the walking test.
For example, in 1) 10m walking test and 2) 10m full power walking test, it is observed whether the thigh is raised, the toes are not lowered, the stride is short and the step is not large. 3) In the 3m TUG test, observe the balance during standing up and how to use the foot during rotating. 4) In the 4-square step test, observe how the feet move and move when moving.
Then, the walking ability of the elderly may be determined in consideration of the observation result.

Next, the operation of the function for professionals in this system will be described.
FIG. 23 is a flowchart showing a flow of work performed by an expert.
An expert application program stored in the ROM 23 or the like of the in-hospital terminal 2 is started by the expert. The CPU 21 of the hospital terminal 2 displays the authentication screen 71 (S21). FIG. 24 is an explanatory diagram illustrating an example of an authentication screen 71 used by an expert. The authentication screen 71 is displayed in a pop-up on the front of an elderly person information screen 72 described later. The expert inputs the number assigned to himself / herself in the No column 71a of the authentication screen 71 and the password in the password column 71b, and clicks the OK button 71c with the mouse. When the OK button 71c is clicked, the CPU 21 inquires of the expert information table 37a of the database unit 37 whether or not the combination of the number and the password is correct. When the combination is correct (YES in S22), the CPU 21 displays an elderly person information screen 72 (S23).
When the end button 71d is clicked, the CPU 21 ends the program.
If there is an error in the combination of number and password (NO in S22), the program is terminated. When the expert setting button 71e on the authentication screen 71 is clicked, the CPU 21 displays an expert registration screen (not shown) stored in advance in the ROM 23 or the like. By using the registration screen, a new expert can be registered.
The authentication screen 71 is displayed as a pop-up on the front of the elderly information screen 72, but without displaying the elderly information screen 72, only the authentication screen 71 may be displayed and not displayed as a pop-up.

FIG. 25 is an explanatory diagram showing an example of the elderly person information screen 72. The elderly person information screen 72 has a three-stage structure, and the date is displayed on the upper stage 72a. Participant information or participant record information is displayed in the middle row 72b. Buttons are displayed in the lower row 72c. Information displayed in the middle row 72b is switched by tabs 72d and 72e. When the tab 72d is clicked, the CPU 21 displays participant information. When the tab 72e is clicked, the CPU 21 displays the participant record information. In the initial display, as shown in FIG. 25, the CPU 21 displays the participant information.
The CPU 21 displays participant information on the elderly person information screen 72 based on the contents registered in the elderly person information table 37b.
Items displayed as participant information are number, name, gender, age, height, weight, systolic blood pressure, diastolic blood pressure, walking test result, 10m walking test result (10m walking normal), 10m walking full power test result (10m walking full power) Results of 3m TUG test (3m TUG), ADL, walking ability, exercise selection. When one of the details 72f is clicked, the CPU 21 displays a screen (not shown) for setting an expert. The CPU 21 sets a password used by the corresponding senior at the time of authentication, a communication ID and communication PW used for authentication of the videophone system, and a specialist in charge.

Next, the CPU 21 causes the specialist to select business contents (S24).
When an item field such as a “10 m walking-normal” field, a “10 m walking-full power” field, or a 3 m TUG field corresponding to a predetermined elderly person is clicked (registered in S24), the CUP 21 registers the elderly person information screen 72 in the registration mode. (S25). When the setting button 72h is clicked (set in S24), the CPU 21 displays the content / test setting screen 73 (S26). When the number 72i is clicked (prescription at S24), the CPU 21 displays a training / walking test prescription screen 74 (S27). When the participant record tab 72e on the left of the elderly person information screen 72 is clicked (instructed in S24), the CPU 21 switches the information displayed on the elderly person information screen 72 from the participant information to the participant record information (S28). . When the end button 72j is clicked (ends in S24), the CPU 21 ends the professional application program.

Next, the contents of each business process described above will be described in detail.
<1. Registration, update, and deletion of elderly information>
Registration of information about the elderly is performed by selecting the participant information tab 72d on the above-described elderly information screen 72. When information about an elderly person who has already been registered is registered / updated, the column of the table corresponding to the item to be registered / updated is clicked by an expert. When the input of data by the expert is completed, the registration button 72g is clicked. When the registration button 72g is clicked, the CPU 21 reflects the input information on the elderly person information table 37b.

When information about a new elderly person is registered, the screen is scrolled by the right scroll bar 72k by an expert, so the CPU 21 displays a blank line. The necessary data is entered in a blank line by an expert, and the registration button 72g is clicked. When the registration button 72g is clicked, the CPU 21 reflects the input information on the elderly person information table 37b.
When the detail 72f is clicked, the CPU 21 displays a setting screen (not shown). The CPU 21 causes an expert to set a password, a communication ID, a communication PW, and a responsible therapist. CPU21 memorize | stores the set content in the elderly person information table 37b.
Note that items frequently used in other systems such as name, sex, age, height, weight, systolic blood pressure, and systolic blood pressure may be read from the other system.

The deletion column 72m is a column for deleting the elderly information already registered. A check is put in the deletion column 72m of the elderly subject to deletion by clicking the mouse. When the registration button 72g is clicked by an expert, the CPU 21 sets the deletion flag in the elderly person information table 37b to 1 and logically deletes it.
Note that physical deletion may be performed instead of logical deletion. In this case, the deletion flag is not necessary as an item of the elderly person information table 37b.

<2. Settings for exercise content and walking test>
FIG. 26 is an explanatory diagram showing an example of the content / test setting screen 73. When the setting button 72 h is clicked on the elderly person information screen 72, the CPU 21 displays a content / test setting screen 73.
In the content / test setting screen 73, the exercise content management file setting area 73a is an area for setting contents. The expert sets content attributes and the like using a table. The expert designates the field for input with a mouse click. The CPU 21 sets the clicked field to the input mode. Items to be input are content name, classification, strength, number of times, and time.
As the content name, a name indicating the content is input. For the classification, the number set in the classification setting area 73b is input. When the input content is determined such that another column is clicked, the CPU 21 replaces the number with the classification name according to the classification setting, and displays it on the screen. The intensity is similarly specified by a number. Here, the intensity is determined in advance as shown in the exercise intensity column 73c, with 1 being a low intensity, 2 being a medium intensity, and 3 being a high intensity. The intensity setting is stored in the exercise intensity information table 37d. The number of times the exercise is performed is designated by the expert. The time required for the exercise is input by an expert. The moving image column is a column indicating the association with the exercise content moving image file, and the CPU 21 displays a circle mark if the association is made, and a cross mark if the association is not made.

The association with the exercise content moving image file is performed as follows. The expert selects the exercise content to be associated in the upper table of the exercise content management file setting area 73a with a mouse or the like. The reference button 73e on the right of the motion video file path field 73d is clicked. When the reference button 73e is clicked, the CPU 21 displays a file selection screen (not shown). The exercise content moving image file associated with the file selection screen is selected by the expert. When the selection is completed and the file selection screen is closed, the CPU 21 displays the name of the selected file in the exercise moving image file path field 73d. Further, the CPU 21 displays a circle in the corresponding moving image column. When the reference button 73e is clicked again and the exercise content moving image file is selected, the CPU 21 overwrites the exercise moving image file path column 73d. The delete button 73f is for deleting the association. In the upper table, the exercise content whose association is to be deleted is selected by a specialist with a mouse or the like, and the delete button 73f is clicked. When the delete button 73f is clicked, the CPU 21 deletes the association with the exercise content file and displays a cross in the moving image column.
When the determination button 73t is clicked, the CPU 21 stores the contents set on the content / test setting screen 73 in the exercise content information table 37e.

The classification setting area 73b is an area for setting an exercise classification, and allows an expert to input a classification name in the classification column. The CPU 21 stores the classification setting contents in the exercise classification information table 37c.
Although the exercise intensity is determined in advance, the present invention is not limited to this, and the exercise intensity may be set by an expert as in the case of the classification setting.

  The blood pressure / pulse NG value setting area 73g is an area for setting the blood pressure / pulse NG value. The blood pressure / pulse NG value is a value used when it is determined from the measured blood pressure value and pulse value whether an elderly person may perform a training or walking test. CPU21 calculates | requires the difference of the highest blood pressure value measured before performing a training or a walk test, and the highest blood pressure reference value memorize | stored in the elderly person information table 37b. If the absolute value of the obtained difference is greater than the value set for the blood pressure difference, it is determined that the patient is in poor physical condition and the training or walking test is stopped.

As for the pulse, when the measured pulse value exceeds the set value, it is determined that the patient is in poor physical condition and the training or the walking test is stopped.
The CPU 21 stores these set values in a predetermined area of the database unit 37.

The test setting area 73h is an area for setting a walking test. The field is selected by the expert and the name of the walking test is set.
Also, a moving image file corresponding to the walking test is set by the test moving image file path column 73i, and an audio file is set by the test audio file path column 73m. After the test field to be associated is selected in the table of the test setting area 73h, the reference button 73j or 73n next to the test moving image file path field 73i or the test audio file path field 73m is clicked. When the reference button 73j or 73n is clicked, the CPU 21 displays a file selection screen (not shown). A file is selected by an expert on the file selection screen. When the selection is completed and the file selection screen is closed, the CPU 21 displays the name of the selected file in the test moving image file path column 73i or the test audio file path column 73m.

When the reference button 73j or 73n is clicked again and a file is selected, the CPU 21 overwrites the test moving image file path column 73i or the test audio file path column 73m. The delete button 73k or 73p is for deleting the association. In the table of the test setting area 73h, a test for deleting the association is selected with a mouse or the like, and the delete button 73k or 73p is clicked. When the delete button 73k or 73p is clicked, the CPU 21 deletes the association with the test moving image file or the test audio file.
The CPU 21 stores the setting of the walking test in the walking test information table 37f.

  The analysis result evaluation item setting area 73q is an area for setting the name of the evaluation item obtained as a result of the walking test. The expert selects the column and enters the evaluation name. The CPU 21 stores the analysis result evaluation item setting in the test evaluation item table 37g.

The guidance time setting area 73r is an area for setting an initial value of a required time for making a guidance reservation. It is a pull-down menu and is set between 15 and 60 minutes in 15-minute units.
The file deletion / save area 73 s is an area for setting whether to delete various data stored in the data storage unit 68 of the home terminal 6 after being transmitted to the medical institution system 1.
The CPU 21 stores these settings in a file management table (not shown) of the database unit 37.

When the exercise content setting, the classification setting, the blood pressure / pulse NG value setting, the test setting, the analysis result evaluation item setting, etc. are set and the determination button 73t is clicked, the CPU 21 sets the corresponding database table. Remember the data.
When the end button 73u is clicked, the CPU 21 returns the screen to the elderly person information screen 72.

<3. Training and walking test prescription>
FIG. 27 is an explanatory diagram showing an example of the training / walking test prescription screen 74. When the participant information tab is selected on the elderly person information screen 72, when the participant number is clicked, the CPU 21 displays a training / walking test prescription screen 74. The training / walking test prescription screen 74 can be switched between two screens using tabs in the same manner as the elderly person information screen 72. FIG. 27 shows a state in which training prescription information is selected.

Whether or not the elderly person himself / herself can select an exercise to be actually performed from the name 74a of the elderly person to be prescribed, the walking ability 74b of the elderly person, and the prescribed training menu as training prescription information 74c Is displayed.
The exercise list 74d displays exercises according to intensity. Next to it, a training menu 74e prescribed this time and a training menu 74f prescribed last time are displayed. When prescribing for the first time, since there is no previous prescription, nothing is displayed on the training menu 74f that was previously prescribed.
The exercise selected by the mouse click is selected by the expert from the exercises displayed according to the intensity, and the decision button 74g is clicked. When the determination button 74g is clicked, the CPU 21 adds the selected exercise to the training menu 74e for prescription this time and displays it.
When an elderly person trains, he / she is instructed to exercise in the order displayed in the training menu 74e prescribed this time. When the order of exercise is set by an expert, the displayed exercise is dragged and dropped using the mouse. CPU21 changes the display order of the exercise | movement currently displayed on the training menu 74e prescribed | regulated this time according to mouse operation.
When an unnecessary exercise is deleted, an object to be deleted is selected with a mouse click, and a delete button 74h is clicked. When the delete button 74h is clicked, the CPU 21 deletes the selected exercise, and updates the display of the training menu 74e to be prescribed this time.
In the number field 74i, the number of times of training per week is input by the keyboard.
When the determination button 74j is clicked, the CPU 21 stores in the training management table 37h other than the number of times set in one week among the set contents. CPU21 memorize | stores the frequency | count performed in 1 week in the elderly person information table 37b.
When the end button 74k is clicked, the CPU 21 returns the display to the elderly person information screen 72.

FIG. 28 is an explanatory diagram showing an example of the training / walking test prescription screen 74. FIG. 28 shows a state in which walking test prescription information is selected.
As the walking test prescription information, the name 74a of the elderly subject to prescription and the walking ability 74b of the elderly are displayed.
The walking test name is displayed in the walking test list 74m. Next to that, a test menu 74n prescribed this time and a test menu 74p prescribed last time are displayed. When prescribing for the first time, since there is no previous prescription, nothing is displayed on the test menu 74p prescribed last time.
When a test to be prescribed by mouse click is selected from a plurality of walking tests and the determination button 74g is clicked, the CPU 21 adds and displays the selected test in the test menu 74n to be prescribed this time.
When an elderly person performs a walking test, an instruction is given to perform the tests in the order displayed on the test menu 74n prescribed this time. When the order in which tests are performed is set by an expert, the displayed tests are dragged and dropped using the mouse. CPU21 changes the display order of the test currently displayed on the test menu 74n prescribed | regulated this time according to operation of a mouse | mouth.
When an unnecessary test is deleted, a deletion target is selected with a mouse click, and a delete button 74h is clicked. When the delete button 74h is clicked, the CPU 21 deletes the selected test, and updates the display of the test menu 74n to be prescribed this time.
When the determination button 74j is clicked, the CPU 21 stores the set contents in the walking test management table 37i.
When the end button 74k in the lower row is clicked, the CPU 21 returns the screen to the elderly person information screen 72.
The training / walking test prescription is set for each elderly person, but by storing multiple combinations of exercises or tests that are often prescribed and selecting one of the combinations. It is also possible to prescribe. Moreover, it is good also as prescribing | uniformly according to the attributes of elderly people, such as age and sex. In any case, the prescription content may be reviewed and changed as necessary.

<4. Guidance / Intervention>
Guidance means that an elderly person at home and an expert at a medical institution or the like share the same screen and communicate while confirming the state of training or the result of a walking test performed at home.
Intervention is specialized in cases where elderly people are in poor health, such as when training is interrupted, when the specified number of times has not been implemented, or when blood pressure and pulse measured before and after training show abnormal values. The house is to contact the elderly immediately. For example, an expert calls an elderly person's home and asks why he stopped training on that day and why he / she did not perform the specified number of trainings. Experts take appropriate measures according to the answers of the elderly.
Guidance or intervention is performed with reference to the elderly person information screen 72.

<4.1. Participant record screen display>
FIG. 29 is an explanatory diagram showing an example of the elderly person information screen 72. In FIG. 29, the participant record information is selected and displayed by the tab 72e. The elderly person record screen 72 displays the latest one week's record of registered elderly persons. Specifically, a record of conducting a training or walking test, a record of an inquiry, a record of blood pressure measurement, and a record of guidance are displayed on the display unit 25 by the CPU 21.

  The record is displayed with an icon. When training is performed, an icon 72n indicating that the training is performed is displayed. When the walking test is performed, an icon 72p indicating that the walking test has been performed is displayed. About the record of the interview conducted before performing a training and a walk test, the icon 72q showing a poor physical condition is displayed on the corresponding day only when it answers that it is unwell.

  For blood pressure measurements recorded before and after training or walking tests, if the minimum or maximum blood pressure value is not within the specified range, or if the pulse value is greater than or equal to the specified value An icon 72r is displayed.

When the physical condition is deteriorated during the training and the training is interrupted, an icon 72s indicating that is displayed.
In addition, regarding the record of individual instruction, an icon 72t indicating that is displayed on the day when individual instruction is performed.

  Intervention is necessary, such as elderly people complaining of poor physical condition through interviews, training or walking test performed less than the prescribed number, or training or walking test stopped halfway In this case, the name of the elderly subject to intervention is displayed in red.

FIG. 30 is a flowchart of processing for displaying a participant record.
The CPU 21 first extracts the display target person of the participant record (S31). FIG. 31 is a flowchart of processing for extracting a display target person of a participant record. First, the CPU 21 performs a subject extraction process (S31). In FIG. 31, CPU21 acquires expert ID (S39). The expert ID may be stored in the RAM 22 of the in-hospital terminal 2 at the time of login, or may be stored in the database unit 37 of the database server 3. In this case, the expert ID stored at the time of logout is deleted from the RAM 22 or the database unit 37. Further, instead of simply recording the ID of the logged-in expert, if the log-in and log-out records are stored in the database unit 37 as usage histories, they may be acquired from the usage histories.

Next, the CPU 21 extracts, from the elderly information table 37b, an ID acquired by the expert ID and no deletion flag (deletion flag = 0) (S40). That is, a record of an elderly person who is in charge of an expert is extracted. From the extracted record, the CPU 21 acquires an elderly person ID, an elderly person No, and a name (S41). Finish processing and return.
Returning to FIG. 30, the CPU 21 sets a start date and an end date (S32). The start date is the same date as before January. The end date is the current date. The CPU 21 sets a start date on the search date (S33). For each elderly person extracted in S41, the CPU 21 performs the following process. The CPU 21 sets the elderly ID of the elderly subject to processing as the retrieval target elderly ID (S34). The CPU 21 extracts and displays records (S35).

  32 to 35 are flowcharts of processing for extracting and displaying data. First, in FIG. 32, the CPU 21 extracts, from the inquiry result information table 37j, a record in which the elderly ID is equal to the retrieval target elderly ID and the creation date is the retrieval date (S42). That is, the record about the interview conducted prior to the search target elderly person performing the training or the walking test on the search day is extracted. The CPU 21 performs loop 1 processing for each extracted record. First, the CPU 21 determines whether or not the inquiry result is good (S43). The case where it is not good (NO in S43) is a case where the elderly person replied "I am sick". CPU21 extracts elderly person ID from an object record, and calculates | requires elderly person No from elderly person ID. The CPU 21 displays a “bad physical condition” icon on the corresponding date (search date) of the corresponding elderly person (S44), and moves the process to the loop 1 end of FIG. If there is a record to be processed next, the process returns to S43, and if not, the process returns.

  When the inquiry result is good (YES in S43), the CPU 21 extracts a record in which the inquiry ID is equal to the inquiry ID of the processing target record from the blood pressure measurement result table 37k (S45). That is, since the elderly person answered “good” to the inquiry, a record about the result of blood pressure measurement to be performed next is extracted. The CPU 21 sorts the extracted records in descending order of measurement time (S46).

  The CPU 21 performs loop 2 processing on all the sorted records. First, the CPU 21 checks whether or not the training result ID is NULL (S47). When the training is performed, the training result ID is stored. When the walking test is performed, the training result ID is NULL. If the training result ID is included (YES in S47), the process proceeds to S48. If the training result ID is not entered (NO in S47), the process proceeds to S66 in FIG. Next, the CPU 21 checks whether or not the standard NG flag is 1 (S48). If the standard NG flag is 1 (YES in S48), the process proceeds to S49. If the standard NG flag is 0 (NO in S48), the process proceeds to S54 in FIG.

  When the standard NG flag is 1 (YES in S48), it indicates that the blood pressure or pulse value is an abnormal value. If the blood pressure or pulse shows an abnormal value for the first time but the second value is in the normal value range, the CPU 21 moves the processing target record next to check the second result (S49).

  If the next record exists (YES in S50), the CPU 21 moves the process to S52. If the next record does not exist (NO in S50), the CPU 21 moves the process to S51. When the next record does not exist (NO in S50), the elderly person has not performed the second measurement. The CPU 21 displays “blood pressure / pulse ×” in the search date column of the search target elderly person (S51). Thereafter, the CPU 21 shifts the processing to the loop 1 end in FIG. When there is an inquiry result record to be processed next, the CPU 21 returns the process to S43, and when there is no inquiry result record to be processed next, the CPU 21 ends the process and returns.

When the next record exists (YES in S50), the CPU 21 checks whether or not the standard NG flag is 1 (S52). That is, the second result of blood pressure measurement is examined. If the standard flag is 1 (YES in S52), the second blood pressure or pulse value also indicates an abnormal value, so the CPU 21 displays “blood pressure / "Pulse x" is displayed (S53). Thereafter, the CPU 21 shifts the processing to S54 of FIG.
If the standard NG flag is 0 (NO in S52), the process proceeds to S54 in FIG.
Here, although the blood pressure or the pulse shows an abnormal value twice in succession, the processing is moved to S54 without interrupting the processing of loop 2. This is because not only the measurement before the training is performed but also the case where the blood pressure or the pulse shows an abnormal value twice consecutively after the training is performed. It is.

  Moving to FIG. 33, the CPU 21 extracts a record in which the inquiry ID = the inquiry ID of the record to be processed from the training result table 37m (S54). If there is a record (YES in S55), the CPU 21 moves the process to S56. If there is no record (NO in S55), since the training has not been performed, the CPU 21 moves the process to the loop 1 end. When there is an inquiry result record to be processed next, the CPU 21 returns the process to S43, and when there is no inquiry result record to be processed next, the CPU 21 ends the process and returns.

  If there is one or more training results, the training has been carried out, so the CPU 21 checks the results for all the exercises included in the training menu (S56). If all exercises are OK as a result (all OK in S56), it means that the training has been completed normally, so the CPU 21 displays “exercise training” in the search date column of the search target elderly person. (S58), the process proceeds to S59. If there is at least one NG in the result (NG in S56), it means that the training has been interrupted, so the CPU 21 displays “training ×” in the search date column of the search target elderly person. (S57). Thereafter, the CPU 21 shifts the processing to the loop 1 end. When there is an inquiry result record to be processed next, the CPU 21 returns the process to S43, and when there is no inquiry result record to be processed next, the CPU 21 ends the process and returns.

  The CPU 21 sets the blood pressure measurement result record to be processed as the next record (S59). If there is no next record (NO in S60), the CPU 21 shifts the processing to the loop 1 end. If there is an inquiry result record to be processed next, the CPU 21 returns the process to S43, and if there is no inquiry result record to be processed next, the CPU 21 ends the process and returns.

  If there is a next record (YES in S60), the CPU 21 checks the standard NG flag (S61). When the standard NG flag is 1 (YES in S61), it indicates that the first blood pressure or pulse value is an abnormal value. Therefore, the CPU 21 checks the second measurement result, and therefore the next blood pressure measurement result. The record is set as a processing target (S62).

  When the standard NG flag is 0 (NO in S61), it indicates that the blood pressure or pulse after the training is normal. The CPU 21 proceeds to the end of the loop 2, and if there is a blood pressure measurement result record to be processed next, the CPU 21 performs the processing from S47 again with the next record as the processing target record. Otherwise, the CPU 21 exits the loop 2. Here, the next processing target record exists when the walking test is performed following the training. In other cases, the loop 2 is exited.

  In S63 following S62, the CPU 21 checks whether there is a next record. If there is no next record (NO in S63), the CPU 21 moves the process to the loop 1 end. This indicates that the second blood pressure measurement was not performed. If there is an inquiry result record to be processed next at the end of the loop 1, the CPU 21 returns the process to S43. If there is no inquiry result record to be processed next, the CPU 21 ends the process and returns.

  If there is a next record (YES in S63), the CPU 21 checks the standard NG flag (S64). If the standard NG flag is not 1 (NO in S64), the CPU 21 moves to the loop 2 end. It shows that the second blood pressure and pulse values were normal. At the end of the loop 2, if there is a blood pressure measurement result record to be processed next, the CPU 21 performs the processing from S47 again with the next record as the processing target record. Otherwise, the CPU 21 exits the loop 2. When there is a record, it is a case where a walking test is subsequently performed. If there is no record, it indicates that the blood pressure measurement has been completed.

When the standard NG flag is 1 (YES in S64), it indicates that the blood pressure or pulse value was abnormal even in the second measurement, and therefore, “training” is displayed in the search date column of the search target elderly person. "Middle x" is displayed (S65). Move to loop 1 end. If there is an inquiry result record to be processed next at the end of the loop 1, the CPU 21 returns the process to S43. If there is no inquiry result record to be processed next, the CPU 21 ends the process and returns. .
The above is the case where the training result is retrieved and displayed.

Next, the case where a walking test result is searched and displayed (NO in S47) will be described. Moving to FIG. 34, the CPU 21 checks the value of the standard NG flag (S66). If the standard NG flag is not 1 (NO in S66), the CPU 21 moves the process to S72.
When the standard NG flag is 1 (YES in S66), the blood pressure or pulse is abnormal in the first blood pressure measurement, so the CPU 21 sets the next blood pressure measurement result record as a processing target (S67). ). If there is a next record (YES in S68), the CPU 21 moves the process to S70. If there is no next record (NO in S68), it indicates that the second blood pressure measurement has not been performed, so the CPU 21 displays “bad physical condition” in the search date column of the search target elderly person. (S69). Thereafter, the process proceeds to the loop 2 end of FIG. If there is a blood pressure measurement result record to be processed next, the CPU 21 performs the processing from S47 again with the next record as the processing target record. Otherwise, the CPU 21 exits the loop 2.

  In S70, the CPU 21 checks the standard NG flag. When the standard NG flag is 1 (YES in S70), it indicates a case where the blood pressure measurement result becomes abnormal twice in succession, so the CPU 21 displays “bad physical condition” in the search date column of the search target elderly person. Is displayed (S71). Thereafter, the process proceeds to the loop 2 end of FIG. If there is a blood pressure measurement result record to be processed next, the CPU 21 performs the processing from S47 again with the next record as the processing target record. Otherwise, the CPU 21 exits the loop 2.

If the standard NG flag is not 1 (NO in S70), the CPU 21 moves the process to S72.
In S72, the CPU 21 extracts a record with the inquiry ID = the inquiry ID of the record to be processed from the walking test result table 37n.

  The CPU 21 checks whether there is an extracted record (S73). If there is no record (NO in S73), there is no result because the walking test was not performed or the walking test was interrupted, so the CPU 21 moves the process to the end of the loop 2 without performing the process. If there is a blood pressure measurement result record to be processed next at the end of the loop 2, the CPU 21 performs the processing from S47 again with the next record as the processing target record. Otherwise, the CPU 21 exits the loop 2.

  If there is an extracted record (YES in S73), the CPU 21 checks the result (S74). If the result is NG (NG in S74), the physical condition is poor during the walking test, indicating that the test has been interrupted, so the CPU 21 displays “bad physical condition” in the search date column of the search target elderly person. Is displayed (S75). Thereafter, the process moves to the loop 1 end of FIG. If there is an inquiry result record to be processed next at the end of the loop 1, the CPU 21 returns the process to S43. If there is no inquiry result record to be processed next, the CPU 21 ends the process and returns. .

  If the result is OK (OK in S74), it indicates that the walking test has been completed normally, so the CPU 21 displays "Test execution" in the search date column of the search target elderly (S76). The CPU 21 sets the next blood pressure measurement result record as a processing target (S77). If there is no next record (NO in S78), the process moves to the loop 1 end. If there is an inquiry result record to be processed next at the end of the loop 1, the CPU 21 returns the process to S43. If there is no inquiry result record to be processed next, the CPU 21 ends the process and returns. .

  If there is a next record (YES in S78), the CPU 21 checks the standard NG flag (S79). If the standard NG flag is not 1 (NO in S79), the CPU 21 moves to the loop 2 end. The blood pressure and pulse after the walking test were normal, indicating that the training was completed without continuing training. If there is a blood pressure measurement result record to be processed next at the end of the loop 2, the CPU 21 performs the processing from S47 again with the next record as the processing target record. Otherwise, the CPU 21 exits the loop 2.

  If the standard NG flag is 1 (YES in S79), the CPU 21 moves the process to S80. Since it indicates that the first blood pressure or pulse value is abnormal, the CPU 21 sets the next blood pressure measurement result record as a processing target in order to examine the second blood pressure measurement result (S80). If there is no next record (NO in S81), the CPU 21 moves to the loop 1 end. It shows that it was completed without taking the second blood pressure measurement. At the end of the loop 1, if there is an inquiry result record to be processed next, the CPU 21 returns the process to S43, and if there is no inquiry result record to be processed next, the CPU 21 ends the process and returns.

  If there is a next record (YES in S81), the CPU 21 checks the standard NG flag (S82). If the standard NG flag is not 1 (NO in S82), the CPU 21 moves the process to the loop 2 end. In the second blood pressure measurement, the values of blood pressure and pulse are normal. If there is a next record at the end of the loop 2, the CPU 21 performs the process again from S47. In this case, the training is continued after the walking test. When the walking test is completed, there is no next record and the CPU 21 exits the loop 2.

When the standard NG flag is 1 (YES in S82), it indicates that the blood pressure or pulse has become an abnormal value even in the second measurement, so the CPU 21 displays the search target elderly person in the search date column. “Bad physical condition” is displayed (S83). Then, it moves to the loop 1 end. If there is an inquiry result record to be processed next at the end of the loop 1, the CPU 21 performs the process from S43 again. If there is no inquiry result to be processed next, the process is terminated and the process returns.
When there is a next record, it is a case where the training or the walking test is normally completed once and the training or the walking test which has not been performed for a while is performed on the same day.

Returning to FIG. 30, when the above-described extraction / display processing is not performed for all target elderly people (NO in S36), the search date is not changed, and the IDs of other elderly people are searched. Instead, the CPU 21 performs extraction / display processing (S35).
Next, CPU21 investigates whether it processed about all object elderly people. If all target elderly people have not been processed (NO in S36), the process returns to S34, and extraction / display processing is performed for the next elderly person (S35). When processing is performed for all target elderly people (YES in S36), the CPU 21 sets the search date one day later (S37). Next, the CPU 21 determines whether the search date exceeds the end date (S38). If the search date exceeds the end date (YES in S38), the CPU 21 ends the process. If the search date does not exceed the end date (NO in S38), the CPU 21 returns the process to S34, and performs extraction / display processing for all target elderly people on the new search date.

Next, the instruction date display will be described. FIG. 36 is a flowchart showing the flow of guidance date data extraction / display processing.
CPU21 performs the subject extraction process shown in FIG. 31, and performs the process of FIG. 36 about each extracted elderly person.
First, the CPU 21 sets the display start date as the start date. The end date is the current date (S91).
From the advice table 37r, the CPU 21
Elderly person ID = search target elderly person ID and advice date ≧ start date and advice date ≦ end record that satisfies the end date is extracted (S92).
The CPU 21 extracts an advice date for each extracted record, and displays “instruction date” in the date column of the corresponding elderly person (S93).

Next, the CPU 21 sets the start date as the current date and the end date as the display end date (S94). CPU21 is from guidance reservation table 37s,
Elderly person ID = search target elderly person ID and start time ≧ start date and start time ≦ the record that satisfies the end date is extracted (S95).
CPU21 extracts a date from the start time containing a date with respect to each extracted record, and displays "instruction date" on the corresponding elderly person's date column (S96).

<4.2. Intervention>
When intervention is necessary in the above-described participant record screen display processing, the CPU 21 displays the name of the corresponding elderly person in red, and prompts intervention. Intervention is required in either of the following cases:
1. When a senior citizen responds that he / she is unwell during a predetermined period, for example, the past week including the current day, and does not perform a training or walking test.
2. If you are interrupted during a training or walking test.
3. Even if the blood pressure is measured twice, when the maximum blood pressure or the minimum blood pressure is not less than a predetermined value (for example, 20 mmHg or more) and the pulse rate is not less than the predetermined value (100 beats / minute or more), the training or walking test is not performed.
4). When training or walking test is interrupted, or when walking test has never been performed.
When an expert contacts the intervention target person by telephone or the like, the CPU 21 cancels the display for prompting the intervention and returns the name display of the intervention target person from red to the normal color. For example, when the name of the intervention subject displayed in red on the participant record screen is clicked, the CPU 21 displays a release screen (not shown). When the release button on the release screen is clicked, the name of the intervention subject is returned to the normal color. When cancelled, the CPU 21 stores the elderly person ID of the subject in a predetermined area of the database unit 37. This is to prevent the name from being displayed again in red despite the intervention.

<4.3. Guidance reservation>
FIG. 37 is an explanatory diagram showing an example of the instruction reservation screen 75. The guidance reservation screen 75 includes a guidance time setting section 75a and a guidance reservation status display section 75b. The guidance time setting unit 75a displays a start time, an end time, and a guidance time. When the display unit 75c of the start time is clicked, the CPU 21 sets the display unit 75c to an input reception state. The start time is entered via the keyboard. For the instruction time setting, any one of 15, 30, 45, and 60 minutes is selected and input from the pull-down menu 75e. The end time is obtained by the CPU 21 from the start time and the instruction time setting, and is displayed on the end time display section 75d.
When the determination button 75f is clicked, the CPU 21 stores the guidance reservation data in the guidance reservation table 37s.
When the return button 75g is clicked, the CPU 21 closes the instruction reservation screen 75 and returns the screen to the elderly person information screen 72.

  The guidance reservation status display part 75b displays the guidance reservation status of the selected day. By referring to the guidance reservation status, a new reservation can be made so that the time does not overlap with other guidance reservations. When the reservation time overlaps, a warning to that effect is displayed.

  The instruction reservation screen 75 is displayed by the following procedure. When the participant record information tab 72e is displayed on the elderly person information screen 72, the column of the date on which the instruction reservation is to be made in the column of the elderly person to be instructed is selected by clicking the mouse. Next, the reservation button 72u on the lower left is clicked. When the reservation button 72u is clicked, the CPU 21 displays the instruction reservation screen 75 for the selected elderly person and the selected date as the instruction date.

<4.4. Instruction reservation change / deletion>
FIG. 38 is an explanatory diagram showing an example of the instruction reservation change / delete screen 76. The instruction reservation change / delete screen 76 is displayed by the following procedure. When the participant record information tab 72e is displayed on the elderly person information screen 72, an icon indicating a reservation to be changed / deleted is selected by a mouse click. Next, the reservation button 72u on the lower left is clicked. When the reservation button 72u is clicked, the CPU 21 displays a guidance reservation change / delete screen 76. Since the contents to be displayed are almost the same as the instruction reservation screen 75, the description of the common parts is omitted.
When the start time display section 76c is clicked on the instruction reservation change / delete screen 76, the CPU 21 places the display section 76c in an edit state and accepts the change of the start time. The guidance time is also changed as necessary by the pull-down menu 76e.
After the change, the determination button 76f is clicked. When the determination button 76f is clicked, the CPU 21 reflects the changed contents in the instruction reservation table 37s. When the return button 76g is clicked, the CPU 21 closes the instruction reservation change / delete screen 76 and returns the screen to the elderly person information screen 72.

  Deletion is performed by clicking the cancel button 76h displayed in the lower left. When the cancel button 76h is clicked, the CPU 21 deletes the corresponding record from the guidance reservation table 37s. Thereafter, the CPU 21 closes the instruction reservation change / delete screen 76 and returns the screen to the elderly person information screen 72.

<4.5. Online instruction>
FIG. 39 is an explanatory diagram showing an example of a guidance / test / training record display screen 77. When participant record information is displayed on the elderly person information screen 72, No of a specific elderly person is clicked. When No of a specific elderly person is clicked, the CPU 21 displays an instruction / test / training record display screen 77. As shown in FIG. 39, the instruction / test / training record display screen 77 displays the record of the selected elderly person on a monthly basis. A history output button 77a, an online instruction button 77b, an offline instruction button 77c, and a return button 77d are displayed at the bottom of the screen.
When it is time for instruction reservation, the online instruction button 77b is clicked by an expert. When the online instruction button 77b is clicked, the CPU 21 logs into the videophone system. That is, the CPU 21 reads the communication ID and communication PW of the expert from the expert information table 37a and logs in to the videophone system. After logging in, the CPU 21 reads the communication ID of the selected elderly person from the elderly person information table 37b. The CPU 21 transmits the read communication ID to the videophone system, and instructs to start communication with the elderly. The in-hospital terminal 2 and the home terminal 6 are connected, and the expert and the elderly can communicate.
FIG. 40 is an explanatory diagram illustrating an example of the online instruction start screen 78. 40A is a screen displayed on the in-hospital terminal 2, and FIG. 40B is a screen displayed on the home terminal 6. On the online instruction start screen 78 displayed by the CPU 21, the instruction / test / training results for each month are indicated by icons as in the instruction / test / training record display screen 77. A similar screen is also displayed on the home terminal 6 by the CPU 61.
In the lower left of the screen, images of elderly people or experts who are communication partners are displayed.
In addition, control is performed so that the same screen is displayed except for the portion where the video of the communication partner is displayed. This control is performed by the CPU 21.
Furthermore, during online instruction, the screen cannot be switched by an elderly person, and only an expert can switch the screen.

FIG. 41 is an explanatory diagram showing an example of the walking test result display screen 79. On the online instruction start screen 78, an expert clicks a certain date. The CPU 21 displays the walking test result for the past two months on the walking test result display screen 79 starting from the clicked date and starting from the most recent test execution date. At the same time, also on the home terminal 6, the CPU 61 displays the walking test result on the display device 8 in the same manner.
The walking test result display screen 79 includes a graph of each analysis result evaluation item and a comprehensive evaluation graph. The date displayed at the top of each graph is the date on which guidance was given. The date displayed at the bottom of each graph is the date when the walking test was performed.

FIG. 42 is an explanatory diagram showing an example of the advice / finding entry field input screen 80. When the advice button 79 a is clicked on the walking test result display screen 79, the CPU 61 displays an advice / finding field input screen 80. The advice / finding field input screen 80 has two fields, an advice field 80a and a finding field 80b. When the advice field 80a or the observation field 80b is clicked, the CPU 21 sets the advice field 80a or the observation field 80b to an input reception state and accepts input of advice or findings. Further, the correction of the contents of the advice or findings already entered is performed in the same manner. The difference between advice and findings is that advice is open to the elderly, but findings are not open to the elderly.
When the input of advice or findings is completed, the entry completion 80d button is clicked. When the entry end button 80d is clicked, the CPU 21 stores advice and findings in the advice table 37r. The CPU 21 closes the advice / finding field input screen 80 and displays the walking test result display screen 79. When the change cancel button 80c is clicked, the CPU 21 cancels the input or change contents. The CPU 21 restores the state before the advice field and the finding field are input or corrected.

FIG. 43 is a flowchart of processing for displaying a result of a walking test.
First, CPU21 extracts the record which is elderly person ID = object elderly person ID and creation date> designation date-March from the inquiry result information table 37j (S101).
The designated date is a date designated by the expert on the instruction / test / training record display screen 77 by clicking the mouse. In addition, the reason why the search range of the creation date is three months before the specified date is to display the results of the walking test for the past two months starting from the most recent test execution date starting from the specified date. . If there is a number of days from the specified date to the most recent test execution date, it may not be possible to extract all the results of the walking test for the past two months starting from the most recent test execution date using only the data for the previous two months from the specified date. Because there is sex.

The CPU 21 performs the following process for each of all the extracted inquiry result records (loop). From walking test result table 37n Interview ID = Interview ID of record to be processed and test result ≠ NG
Is extracted (S102).
If there is no hit record (NO in S103), the CPU 21 moves the process to the loop end and performs the process for the next inquiry result record. When there is a hit record (YES in S103), the CPU 21 acquires a result ID and a comprehensive evaluation (S104).

CPU21 is result ID = acquired result ID from a walk test detailed result table
Is extracted (S105).
The CPU 21 sorts the acquired records by the result detail ID (S106).
CPU21 acquires evaluation for every analysis result evaluation item (S107).
Returning to the top of the loop, the CPU 21 processes the next inquiry result record.

CPU21 will confirm the date of the newest thing among the obtained data, and will display the result for two months retroactively from the date after finishing the process about all the inquiry result records (S108).
CPU21 displays the result of a walk test on the display part 25. FIG. The CPU 21 transmits the same screen to the home terminal 6, and the CPU 61 of the home terminal 6 displays the received screen on the display device 8.

  FIG. 44 is an explanatory diagram showing an example of the advice / finding column reference screen 81 displayed on the in-hospital terminal 2. When the next button 79b is clicked on the walking test result display screen 79, the CPU 21 displays an advice / finding column reference screen 81. The advice twice written on the date closest to the selected date is displayed. The screen displayed on the home terminal 6 is the same, but no findings are displayed on the screen. When the return button 81 a is clicked on the advice / finding field reference screen 81, the CPU 21 returns the screen to the online instruction start screen 78.

  When the return button 79c is clicked on the walking test result display screen 79, the CPU 21 returns the screen to the online instruction start screen 78. When the end button 78a is clicked on the online instruction start screen 78, the CPU 21 ends the online instruction.

In the above description, the expert starts the online instruction by clicking the online instruction button when the online instruction reservation time is reached. For this reason, when an expert is engaged in other tasks, the appointment time for online guidance may not be noticed. Therefore, a message may be output on the screen a predetermined time before the online teaching time, for example, 5 minutes before.
The CPU 21 searches the guidance reservation table 37s. From the elderly person ID key of the elderly person who is in charge of the expert, a key whose start time is included in the current day is extracted and stored in the RAM 22. The CPU 21 periodically refers to the start time stored in the RAM 22 by the interval timer. CPU21 displays a message, when it determines with it being 5 minutes before start time.
FIG. 45 is an explanatory diagram showing an example of the online guidance notice display screen 82. The screen informs you that it is 5 minutes before the start time of the instruction. When the close button 82a is clicked, the CPU 21 closes the online guidance notice display screen 82. A similar screen may be displayed on the home terminal 6.
In addition, when an expert provides online guidance to other elderly people, the online guidance notice display screen 82 is displayed only on the in-hospital terminal 2 used by the expert and not displayed on the home terminal 6. And

<4.6. Offline instruction>
FIG. 46 is an explanatory diagram showing an example of the offline instruction screen 83. Off-line instruction means that an expert alone confirms a record of a training or walking test and creates an advice or a finding. In the case of offline guidance, since communication by videophone is not performed, nothing is displayed in the video display area at the lower left of the offline guidance screen 83.
The walking test result display screen, advice / finding field input screen, and advice / finding field reference screen displayed at the time of offline teaching are the same as when online guidance is displayed only when the elderly person's video is not displayed in the lower left video display area. Is the difference. Since other points are the same, illustration and description are omitted.

<5. Prescription review proposal function>
FIG. 47 is an explanatory diagram showing another example of the walking test result display screen 79. A prescription button 79d is newly displayed. When the prescription button 79d is clicked, the CPU 21 opens a training / walking test prescription screen 74. The training / walking test prescription screen 74 displays a training prescription or a walking test prescription for the elderly subject to be changed, and can be changed.
The prescription button 79d is not always displayed, but is displayed when the system determines that the prescription needs to be reviewed based on the transition of the walking test result.

The following method can be used to determine whether or not a prescription review is necessary.
(1) Decline in walking ability Since the purpose of training is to maintain or improve walking ability, if walking ability is reduced, the prescription should be reviewed. For example, when the overall evaluation is down, there are items that are down in the evaluation items, or when all the evaluation items are down (when it is determined that the variation between test results is low), It is considered that the walking ability is reduced. In this case, a prescription button is displayed on the walking test result display screen 79.
Here, it is assumed that the latest result is lower than the previous result, but it is also possible to determine that the latest result is not reduced once but is lowered twice.
(2) Maintenance of walking ability If the purpose of training is not the maintenance of walking ability but improvement, it will be subject to review of prescription even if it is maintained. For example, if there is no change in the overall evaluation, there are items that do not change among the evaluation items, or if there are no changes in all the evaluation items, the walking ability is maintained, but it is regarded as not improving . In this case, a prescription button is displayed on the walking test result display screen 79.
Here, it is assumed that the latest result has no change with respect to the previous result, but it is determined that there is no improvement when there is no change twice instead of one change. It is also good.
(3) Improvement of walking ability This is a case where the purpose of training is to improve walking ability and it is assumed that improvement is aimed at several stages. That is, a light training menu is first prescribed, and after the walking ability has improved to some extent, a slightly heavy training menu prescription is changed to further improve walking ability.
For example, when the overall evaluation is B, when all items are 3 points or more, or when a predetermined item is 3 points or more, it is determined that a review of the prescription is necessary. Show button.
(4) Unstable walking ability When training is performed effectively, walking ability generally improves, and when there is no effect, walking ability is assumed to be maintained or decreased. However, if the test results vary greatly and the walking ability is unstable, the prescription is reviewed.
If other evaluation items are up, only one evaluation item is down, or there is an evaluation item where the evaluation goes up or down, etc., the situation will be reviewed.

These determinations are made by the CPU 31 each time the walking test result is received in the database server 3 or periodically by batch processing or the like, and the evaluation result is stored in the elderly person information table 37b or the like. When displaying the walking test result, the CPU 31 sends information indicating that the prescription is reviewed to the in-hospital terminal 2. When the CPU 21 of the in-hospital terminal 2 gives information to review the prescription, the CPU 21 displays a prescription button 79d on the walking test result display screen 79.
Alternatively, the CPU 21 of the in-hospital terminal 2 performs the walking test result display. If the CPU 21 determines that the review of the prescription is necessary, the CPU 21 displays a prescription button on the walking test result display screen 79.
In addition, although the determination whether prescription review is required was opposed using only the walking test result, the determination is not limited to this, and the determination may be made in consideration of the training result. This is because, when the implementation status of training is not good and the training effect has not yet appeared in the gait test result, it is not necessary to review the prescription regardless of the gait test result.
Needless to say, the methods for determining that the review of the prescription is necessary are not limited to those described above, and any known method may be adopted.
Furthermore, the training prescription may be reviewed and the walking test may be reviewed, or the walking test may be reviewed instead of the training prescription.

<6. Operation of home terminal 6>
Next, the operation of the home terminal 6 will be described. The home terminal 6 is operated using the remote controller 12. Therefore, numeric buttons from 0 to 9, a blue button, a red button, a green button, a yellow button, a right arrow button, a left arrow button, and an enter button are used as input buttons. When any button is pressed, information on the button pressed from the remote controller 12 is sent to the remote control receiver / transmitter 9. The remote control receiver / transmitter 9 transmits the received information to the home terminal 6.
FIG. 48 is a flowchart of the operation flow of the home terminal 6. In the home terminal 6, an elderly application program stored in the ROM 63 or the like is started. The CPU 61 of the home terminal 6 displays an elderly person authentication screen 84 to authenticate the elderly person who is a user (S201). FIG. 49 is an explanatory diagram showing an example of the elderly person authentication screen 84. The elderly person authentication screen 84 is displayed in a pop-up on the front surface of a recording screen 85 described later. The member number and the password are entered by the elderly in the member number field 84a and the code number field 84b, respectively. Specifically, since the member number and the password are input by the numeric buttons of the remote controller 12, the CPU 61 receives the input member number and the password through the remote control receiver / transmitter 9. When the blue button of the remote control 12 is pressed and the blue icon 84d is selected, the CPU 61 matches the content registered in the elderly person information table 37b of the database server 3 with the combination of the membership number and the password. Check if it exists. If it matches the registered content, the CPU 61 displays the recording screen 85 (S202).
When the combination of the membership number and the personal identification number is different from the content registered in the elderly person information table 37b, the CPU 61 displays a message such as “the number is incorrect” in the message field 84c, and again , Prompt you to enter.
The membership number (three digits) is determined when an expert registers elderly person information. The password (4 digits) is registered by an expert according to the designation of the elderly.
The reason why the membership number and the password are composed only of numbers is that the input device used by the elderly assumes a remote control. However, English letters or other symbols may be included as the membership number or password. In that case, a keyboard may be displayed on the display device 8 and characters may be input by operating the remote controller 12 to designate characters.

FIG. 50 is an explanatory diagram illustrating an example of the recording screen 85. The calendar for the current month is displayed. Implementation date or scheduled date of guidance, implementation of walking test, implementation date of training, date of poor physical condition, day of abnormal blood pressure / pulse, or abnormal blood pressure / pulse after training The date is indicated by icon 85a. The left arrow icon 85b and the right arrow icon 85c on the upper left of the calendar are icons for changing the display month. When the right arrow button of the remote controller 12 is pressed and the right arrow icon 85c is selected (left and right arrows in S203 of FIG. 48), the CPU 61 displays the calendar of the month following the display month (S218). When the left arrow button of the remote controller 12 is pressed and the left arrow icon 85b is selected (left and right arrows in S203), the CPU 61 displays the calendar of the month before the display month (S218).
The process performed by the CPU 61 to create the recording screen 85 is the same as the process for creating participant record information (FIGS. 30 to 36) referred to by an expert, and a description thereof will be omitted.

When the determination button is pressed on the remote controller 12 and the determination icon 85d is selected (determined in S203), the CPU 61 changes the screen to the walking test result display screen 86 (S211). FIG. 51 is an explanatory diagram showing an example of the walking test result display screen 86. Since the display contents are the same as those in FIG. 41 described above, description thereof is omitted. In the walking test result display screen 86, when the blue button is pressed by the remote controller 12 and the blue icon 86a is selected (blue in S212 of FIG. 48), the CPU 61 changes the screen to the advice screen (S213).
Since the advice screen is the same as the advice / finding column reference screen 81 (FIG. 44), description and illustration are omitted. In the advice screen, when the blue button is pressed with the remote controller 12 and the blue icon 86a is selected (blue in S214 in FIG. 48), the CPU 61 changes the screen to the blood pressure trend screen 87 (S215).

FIG. 52 is an explanatory diagram showing an example of the blood pressure trend screen 87. The blood pressure trend screen 87 shows measurement results for twice a day in the morning and evening. Data for each date is displayed from left to right. The leftmost is the first day and the rightmost is the last day of the month. Each day's data includes the date, day of the week, morning measurement time, morning systolic blood pressure value, minimum blood pressure graph display, morning systolic blood pressure value, minimum blood pressure value, pulse rate, evening measurement time, evening time The graph shows the systolic blood pressure value, the systolic blood pressure value, the evening systolic blood pressure value, the diastolic blood pressure value, and the pulse rate.
In this screen example, since the current date is August 19, 2010 and the display target month of the blood pressure trend screen 87 is the display of August 2010, data from August 1 to the morning of August 19 is displayed. The subsequent fields are blank.

FIG. 53 is a flowchart showing a process flow for displaying the blood pressure trend screen 87. The CPU 61 acquires a display target month (S221). The start date is set to the first day of the display target month, and the end date is set to the last day of the display target month (S222).
From the inquiry result information table 37j, the CPU 61
Elderly person ID = target elderly person ID and creation date ≧ start date and creation date ≦ end date is acquired (S223).
The CPU 61 performs the following processing for each acquired record. CPU61 acquires inquiry ID (S224).
CPU 61 from the blood pressure measurement result table 37k Question ID = acquired Question ID
Is acquired (S225). The CPU 61 stores the acquired record in a temporary table (S226). The CPU 61 performs display processing using the temporary table (S227) and ends.

FIG. 54 is a flowchart showing a flow of processing for displaying the blood pressure measurement result stored in the temporary table. The following processing is repeated while increasing the target day by day from the first day to the last day of the display target month.
From the temporary table, the CPU 61
Creation date = target date and measurement time ≤ 10:00 am
Is acquired (S228). The CPU 61 checks the number of acquired records (S229). When the number of records is 0 (0 in S229), the CPU 61 moves the process to S232. When the number of records is 1 (1 in S229), the CPU 61 displays the measurement time, systolic blood pressure, diastolic blood pressure, and pulse rate of the first record in the morning column (S231). When the number of records is 2 or more (2 or more in S229), the CPU 61 sorts the acquired records in ascending order of measurement time (S230). The CPU 61 displays the measurement time, systolic blood pressure, diastolic blood pressure, and pulse rate of the first record in the morning column (S231).

From the temporary table, the CPU 61 creates date = target date and measurement time ≧ 5: 00 pm
Is acquired (S232). The CPU 61 checks the number of acquired records (S233). If the number of records is 0 (0 in S233), the CPU 61 proceeds to the next loop without doing anything. When the number of records is 1 (1 in S233), the CPU 61 displays the measurement time, systolic blood pressure, diastolic blood pressure, and pulse rate of the first record in the evening column (S235). When the number of records is 2 or more (2 or more in S233), the CPU 61 sorts the acquired records in descending order of measurement time (S234). The CPU 61 displays the measurement time, systolic blood pressure, diastolic blood pressure, and pulse rate of the first record in the evening column (S235).

The reason that the measurement time is set to be before 10:00 am as the extraction condition in S228 is that it is determined that it is not regarded as morning when 10:00 am is passed. Similarly, the reason that the measurement time is set to 5 pm or later as the extraction condition in S232 is that it is determined that the evening is not considered before 5 pm. These settings are not limited to this, and may be other settings.
In addition, when there are multiple measurement results in the time zone considered as morning or evening, the earliest time is displayed for the morning and the latest time is displayed for the evening. I can't. It is also possible to display the latest time for the morning and the earliest time for the evening.
Furthermore, since the standard NG flag is not referred to, there is a case where data that is NG is selected as display target data. In order to avoid such a case, data with the standard NG flag set may be excluded from the display target, or data with the standard NG flag set only when there is no display target data may be included in the display target.

48, when the blood pressure trend screen 87 is displayed, when the blue button of the remote controller 12 is pressed and the blue icon 87a is selected (blue in S216), the CPU 61 changes the screen to the guidance date confirmation screen 88. (S217).
FIG. 55 is an explanatory diagram showing an example of the guidance date confirmation screen 88. Here, since the display target month is August 2010, the date, the start time and the end time for the guidance conducted in August 2010, or the date for the reserved guidance, the scheduled start time, and The scheduled end time is displayed. When the red button of the remote controller 12 is pressed on the instruction date confirmation screen 88 and the red icon 88a is selected, the CPU 61 closes the instruction date confirmation screen 88 and returns the screen to the recording screen 85 (S202 in FIG. 48).
Note that the processing performed by the CPU 61 to display these is the same as the guidance date data extraction / display processing flow shown in FIG.

  Returning to FIG. 48, when the red button of the remote controller 12 is pressed and the red icon 86b is selected on the above-described walking test result display screen 86 (in S212, red), the CPU 61 changes the screen to the recording screen 85 ( S202). Similarly, when the red icon is selected on the advice screen (red in S214), the CPU 61 changes the screen to the recording screen 85 (S202). Furthermore, when the red icon 87b is selected on the blood pressure trend screen 87 (red in S216), the CPU 61 changes the screen to the recording screen 85 (S202).

When the blue button of the remote controller 12 is pressed on the recording screen 85 and the blue icon 85e is selected (blue in S203), the CPU 61 changes the screen to the inquiry screen 89 (S204). FIG. 56 is an explanatory diagram showing an example of the inquiry screen 89. FIG. 57 is an explanatory diagram showing an example of the training / test stop screen 90.
The inquiry screen 89 is a screen for asking the elderly about physical condition prior to conducting a training or walking test. The CPU 61 receives physical condition from the elderly. If the elderly person is in good physical condition, he / she presses the blue button on the remote controller 12 to select the blue icon 89a, and if he / she is unwell, he / she presses the yellow button on the remote controller 12 to select the yellow icon 89b. When the yellow icon 89b is selected (defect in S205), the CPU 61 changes the screen to the training / test stop screen 90 (S210).
When the blue icon 89a is selected on the inquiry screen 89 (good in S205), the CPU 61 changes the screen to the blood pressure / pulse measurement screen 91 (S206).

FIG. 58 is an explanatory diagram showing an example of a blood pressure / pulse measurement screen 91. The elderly person measures the blood pressure by turning on the sphygmomanometer 11 according to the instruction on the blood pressure / pulse measurement screen 91. When the blood pressure measurement is completed, the maximum blood pressure value, the minimum blood pressure value, and the pulse rate are sent to the home terminal 6. The CPU 61 stores the received maximum blood pressure value, minimum blood pressure value, and pulse rate in the RAM 62. The CPU 61 determines whether there is no problem with the received maximum blood pressure value, minimum blood pressure value, and pulse rate (S207). Specifically, the highest blood pressure reference value and the lowest blood pressure reference value of the elderly are read from the elderly person information table 37b. The CPU 61 reads out the blood pressure NG value and the pulse NG value stored in the predetermined area of the database unit 37. The CPU 61 obtains the difference between the received systolic blood pressure value and the read systolic blood pressure reference value, and the difference between the accepted systolic blood pressure and the read systolic blood pressure reference value. If none of the absolute values of the obtained differences exceed the blood pressure NG value, and if the received pulse rate exceeds the pulse NG value, the CPU 61 determines that there is no problem. When any of the obtained absolute values of the differences exceeds the blood pressure NG value, or when the received pulse rate exceeds the pulse NG value, the CPU 61 determines that there is a problem.
When there is a problem (S207, the first time), the CPU 61 displays the blood pressure / pulse measurement screen 91 again and prompts the measurement again (S206). The CPU 61 determines whether there is a problem with the maximum blood pressure value, the minimum blood pressure value, and the pulse rate for the second measurement result (S207). If there is a problem (S207, the second time), the CPU 61 changes the screen to the blood pressure / pulse NG display screen 92 (S209).

  FIG. 59 is an explanatory diagram showing an example of the blood pressure / pulse NG display screen 92. The blood pressure / pulse NG display screen 92 displays the reason for the NG and the measurement result. When the blue button of the remote controller 12 is pressed on the blood pressure / pulse NG display screen 92 and the blue icon 92a is selected, the CPU 61 changes the screen to the training / test stop screen 90 (S210). When the blue button of the remote controller 12 is pressed on the training / test stop screen 90 and the blue icon 90a is selected, the CPU 61 returns the screen to the recording screen 85 (S202).

FIG. 60 is an explanatory diagram showing an example of the blood pressure / pulse display screen 93. FIG. 61 is an explanatory diagram showing an example of the selection screen 94. As a result of the measurement, when it is determined that there is no problem in the maximum blood pressure value, the minimum blood pressure value, and the pulse rate (NO in S207), the CPU 61 changes the screen to the blood pressure / pulse display screen 93 and displays the measurement result on the screen. . When the blue button is selected, the CPU 61 changes the screen to the selection screen 94. The elderly person performs a training or walking test (S208). When accepting the end of the training or walking test, the CPU 61 returns the screen to the recording screen 85 (S202).
The measured blood pressure value and pulse rate are stored in the blood pressure value data storage area 68b and the pulse rate data storage area 68c in the data storage unit 68 of the home terminal 6, respectively, and are transmitted to the database server 3 for blood pressure. It is stored in the measurement result table 37k.

  FIG. 62 to FIG. 66 are flowcharts for the processing flow of the training / walking test. FIG. 67 is an explanatory diagram showing an example of the training menu display screen 95. As shown in FIG. 61, the selection screen 94 includes a display area 94a for training, a display area 94b for testing, and a display area 94c for finishing. When the blue button on the remote controller 12 is pressed on the selection screen 94 and the blue icon 94d is selected (blue in S240), the CPU 61 changes the screen to the training menu display screen 95 (S241). When the green button is selected (green in S240), the CPU 61 changes the screen to the walking test menu screen 100 (S259 in FIG. 64). When the red button is selected (red in S240), the CPU 61 ends the process and returns.

The training menu display screen 95 displays the contents prescribed in the training menu display section 95a and the time required for each exercise. The total required time is displayed in the total time display part 95b. After confirming the content by the elderly person, the blue button on the remote controller 12 is pressed and the blue icon 95c is selected. When the blue icon 95c is selected, the CPU 61 shifts the screen to the exercise video display initial screen 96 and displays a moving image regarding the first exercise (S242).
The training menu to be displayed on the training menu display unit 95a is displayed based on the prescription content stored in the training management table 37h. The CPU 61 searches the exercise content information table 37e using the content ID included in the prescription data as a key, and acquires the name, time, and number of times. Similarly, for a moving image, a moving image file is specified from the training management table 37h. The moving image file is transmitted from the database server 3 to the home terminal 6. The moving image file may be stored in the home terminal 6 instead of being transmitted from the database server 3 to the home terminal 6 each time. It is also possible to download from the database server 3 only for the first time and use a moving image file stored in the home terminal 6 after the second time. Instead of displaying the video file after receiving it, a so-called streaming method in which the home terminal 6 displays the image transmitted from the database server 3 at any time may be used.

FIG. 68 is an explanatory diagram showing an example of the exercise video display initial screen 96. A message display section 96a on the left side of the training video display initial screen 96 displays a notification calling for stopping training if the patient feels unwell. The exercise name display section 96b on the right side displays a name indicating the contents of the exercise included in the training menu, and the CPU 61 displays an image of the exercise to be performed on the moving image display section 96c below. Elderly people exercise while referring to the video.
FIG. 67 shows a screen when an elderly person is not allowed to select an exercise to be performed. When exercise selection is permitted, an exercise to be performed on the training menu screen (not shown) is selected with the arrow keys of the remote controller 12, and a decision button is selected, whereby the selected exercise is designated as an exercise to be performed. It will be.

  When the yellow button of the remote controller 12 is pressed and the yellow icon 96f is selected on the exercise video display initial screen 96 (yellow in S244), the CPU 61 changes the screen to the training / test stop screen 90 (S256 in FIG. 63). ). When it is desired to stop training, such as when feeling bad during training, the elderly person can stop training by pressing the yellow button on the remote controller 12 and selecting the yellow icon 96f. When the video is being reproduced (NO in S243), when the red button of the remote controller 12 is pressed and the red icon 96d is selected (red in S244), the CPU 61 pauses the motion video (S246). When the green button of the remote controller 12 is pressed and the green icon 96e is selected (green in S244), the CPU 61 cancels the pause and restarts the display of the motion video (S245).

FIG. 69 is an explanatory diagram showing an example of the exercise transition screen 97. FIG. 70 is an explanatory diagram showing an example of the exercise video display screen 98. When the reproduction of the moving image is finished (YES in S243) and there is a next exercise (YES in S247), the CPU 61 displays an exercise transition screen 97 (S248).
In the exercise transition screen 97, the message display section 97a has a training progress status, how many exercises in total, how many exercises have been performed, what exercises are to be performed next, the previous execution time, and the remaining time. It is displayed. The name of the completed exercise is displayed in the exercise name display portion 97b. Nothing is displayed on the moving image display portion 97c.

  When the blue button of the remote control 12 is pressed on the exercise transition screen 97 and the blue icon 97d is selected (blue in S249), the CPU 61 changes the screen to the exercise video display screen 98 and displays a video about the next exercise. (S250).

When the red button of the remote controller 12 is pressed on the exercise transition screen 97 and the red icon 97e is selected (red in S249), the CPU 61 displays again the moving image about the exercise that has been played back (S242).
When the yellow button of the remote controller 12 is pressed and the yellow icon 97f is selected on the exercise transition screen 97 (Y in S249), the CPU 61 changes the screen to the training / test stop screen 90 (S256 in FIG. 63).
In the case where the moving image is displayed again, and the display target moving image is the first exercise, the screen used may be the exercise video display initial screen 96 or the exercise video display screen 98. The operation on the exercise video display screen 98 is the same as that on the exercise video display initial screen 96, and thus the description thereof is omitted.

FIG. 71 is an explanatory diagram showing an example of the training end screen 99. When the reproduction of the moving image ends (YES in S243) and there is no next exercise (NO in S247), the CPU 61 displays a training end screen 99 (S251). The case where the yellow icon 99f is selected on the training end screen 99 (yellow in S252) and the case where the red icon 99e is selected (red in S252) are the same as those on the exercise transition screen 97. Is omitted.
When the blue icon 97d is selected on the exercise transition screen 97, the CPU 61 (implementation result receiving means) stores completion in the RAM 62 as a training result. The CPU 61 (execution result transmission means) transmits the training result to the database server 3 for each exercise and stores it in the training result table 37m.

  When the blue button of the remote controller 12 is pressed on the training end screen 99 and the blue icon 99d is selected (blue in S252), the CPU 61 changes the screen to the above-described blood pressure / pulse measurement screen 91 (S253 in FIG. 63). . An elderly person turns on the blood pressure monitor 11 and measures blood pressure. When the blood pressure measurement is completed, the maximum blood pressure value, the minimum blood pressure value, and the pulse rate are sent to the home terminal 6. The CPU 61 determines whether there is no problem in the maximum blood pressure value, the minimum blood pressure value, and the pulse rate (S254). The determination method is as described above. When there is a problem (S254, the first time), the CPU 61 displays the blood pressure / pulse measurement screen 91 again and prompts the measurement again (S253). The CPU 61 determines whether there is a problem with the maximum blood pressure value, the minimum blood pressure value, and the pulse rate for the second measurement result (S254). When there is a problem (S254, the second time), the CPU 61 changes the screen to the above-described blood pressure / pulse NG display screen 92 (S255). When the blue button of the remote controller 12 is pressed on the blood pressure / pulse NG display screen 92 and the blue icon 92a is selected, the CPU 61 changes the screen to the training / test stop screen 90 (S256). When the blue icon 90a is selected on the training / test stop screen 90, the CPU 61 finishes the process and returns.

As a result of the measurement, when there is no problem in the maximum blood pressure value, the minimum blood pressure value, and the pulse rate (NO in S254), the CPU 61 changes the screen to the above-described blood pressure / pulse display screen 93 and displays the measurement result on the screen (S258). ). When the blue icon 93a is selected, the CPU 61 changes the screen to the selection screen 94 (S240).
Here, when the number of trainings per day is limited, and the limit number has been reached, the CPU 61 does not display a message 94 a for training on the selection screen 94.
The measured blood pressure value and pulse rate are stored in the blood pressure value data storage area 68b and the pulse rate storage area 68c in the data storage unit 68 of the home terminal 6, respectively, and transmitted to the database server 3 for blood pressure measurement. It is stored in the result table 37k.

Next, the case where the walking test is selected, that is, the case where the green button is selected on the selection screen 94 (green in S240 of FIG. 62) will be described.
When the walking test is selected, the CPU 61 displays a walking test preparation screen (not shown). The walking test preparation screen is an instruction screen for performing a sensor confirmation / preparation operation such as checking the charging state of the walking measurement sensor 10 or enabling wireless communication between the home terminal 6 and the sensor. When receiving an input from the elderly that the sensor preparation is complete, the CPU 61 displays a sensor mounting screen (not shown). The sensor mounting screen is a screen that displays a procedure for mounting the walking measurement sensor 10, and an elderly person wears the walking measurement sensor 10 according to an instruction displayed on the screen.
The walking test preparation screen and sensor mounting screen are composed of one or a plurality of screens.

FIG. 72 is an explanatory diagram showing an example of the walking test menu screen 100. A list of tests to be performed is displayed. FIG. 73 is an explanatory diagram showing an example of the model image display screen 101.
When the CPU 61 receives an input from the elderly that the sensor has been installed, the CPU 61 displays the walking test menu screen 100 (S259 in FIG. 64). When the blue icon 101a is selected on the walking test menu screen 100, or when a predetermined time, for example, 5 minutes elapses after display, the CPU 61 changes the screen to the model image display screen 101. The CPU 61 displays a model moving image on the model image display screen 101 (S260). Elderly people see the model video and grasp the test behavior.
When the yellow icon is selected on the model image display screen 101 (yellow in S261), the CPU 61 changes the screen to the training / test stop screen 90 (S256). If no icon is selected (no selection in S261), the CPU 61 moves the process to S262.

FIG. 74 is an explanatory diagram showing an example of the walking test execution screen 102. When the reproduction of the model video is finished (YES in S262), the CPU 61 makes a transition to the walking test execution screen 102 (S263). Alternatively, when the blue icon 101a is selected on the model image display screen 101 (blue in S261), the CPU 61 skips the display of the model image and transitions to the walking test execution screen 102 (S263).
If the reproduction of the model moving image has not ended (NO in S262), the CPU 61 returns the process to S261.
An elderly person performs a test operation in accordance with an instruction displayed on the walking test execution screen 102. The walking test execution screen 102 is composed of one or a plurality of screens, and the CPU 61 controls the screen to transition to the next screen based on the analysis result of the waveform from the walking measurement sensor 10 or when a predetermined time elapses.

When the yellow icon 102b is selected on the walking test execution screen 102 (yellow in S264), the CPU 61 changes the screen to the training / test stop screen 90 (S256 in FIG. 63).
FIG. 75 is an explanatory diagram showing an example of the test transition screen 103. When one walking test is completed (YES in S265), the CPU 61 confirms whether or not there is a next test. If there is a next test (YES in S266), the test transition screen 103 is displayed. (S267).

When no icon is selected on the test transition screen 103 (no selection at S268 in FIG. 65), the CPU 61 measures the time by a timer, and when the predetermined time has not elapsed (NO at S269), the test transition screen 103 is continuously displayed. If the predetermined time has elapsed (YES in S269), the process proceeds to the next test (S270). A model image display screen 101 is displayed, and a model video for the next test is displayed (S260). Since the subsequent steps are the same as those described above, description thereof will be omitted.
Measurement data from the walking measurement sensor 10 during the walking test is stored as sensor data in the sensor data storage area 68a of the data storage unit 68 of the home terminal 6 and is transmitted to the database server 3. The database server 3 stores the received sensor data in a predetermined area of the database unit 37.

  When the green icon 103a is selected on the test transition screen 103 (green in S268), the CPU 61 returns to the test performed immediately before (S271). The CPU 61 changes the screen to the model image display screen 101, and displays a model video for the immediately preceding test (S260). Since the subsequent steps are the same as those described above, description thereof will be omitted.

  When the yellow icon 103b is selected on the test transition screen 103 (yellow in S268), the CPU 61 transitions the screen to the training / test stop screen 90 (S256 in FIG. 63).

  When one walking test is completed and there is no next test (NO in S266 in FIG. 64), the CPU 61 displays a test result calculation screen (not shown) and calculates the test result based on the sensor measurement data. (S272 in FIG. 66). The test result calculation screen is continuously displayed when no button is selected (no selection at S273) and when the calculation is not completed (NO at S274).

  When the green icon is selected on the test result calculation screen (green in S273), the CPU 61 returns to the previous test (S276). The screen transitions to the model image display screen 101, and a model moving image for the immediately preceding test is displayed (S260). Since the subsequent steps are the same as those described above, description thereof will be omitted.

  When the yellow icon is selected on the test result calculation screen (yellow in S273), the CPU 61 changes the screen to the training / test stop screen (S256).

FIG. 76 is an explanatory diagram showing an example of the test result display screen 104. When the calculation of the test result is completed (YES in S274), the CPU 61 changes the screen to the test result display screen 104 and displays the test result (S275).
The score is displayed on the message display unit 104a, and an illustration corresponding to the evaluation is displayed on the video display unit 104b.
The test result is calculated by the CPU 61 based on the sensor data acquired from the walking measurement sensor 10 and stored in the sensor data storage area 68a of the home terminal 6 and the test contents. A specific calculation method may be a known method.

When the elderly person confirms the test result on the test result display screen 104 and selects the blue icon 104c, the CPU 61 changes the screen to the blood pressure / pulse measurement screen 91 (S253). Since the subsequent process is the same as described above, the description thereof is omitted.
The test result is transmitted to the database server 3 by the CPU 61. The database server 3 stores the received walking test result in the walking test result table 37n and the walking test result detailed table 37p of the database unit 37.

  When there is no abnormality in the measurement result and the screen transitions to the selection screen 94, the message 94b for performing the walking test is not displayed. This is because the walking test is restricted to be performed only once a day. The message for training is as described above.

  Returning to FIG. 48, when the red icon 85f is selected on the recording screen 85 (red in S203), the CPU 61 ends the process and ends the elderly application program.

In the above-described embodiment, the medical institution terminal 2 and the database server 3 are different computers. However, the medical institution terminal 2 includes the database unit 37 included in the database server 3, thereby eliminating the database server 3. Also good.
The database server 3 is not part of the medical institution system 1 but is installed in a data center outside the medical institution, and the medical institution system 1 and the home system 5 are connected to the database server 3 via the communication network 13 or the like. It is good to access.
Further, it is assumed that the professional application program operating on the in-hospital terminal 2 is stored in advance in the storage means provided in the in-hospital terminal 2 such as the ROM 23. It is assumed that the application program for elderly people operating on the home terminal 6 is stored in advance in the storage means provided in the home terminal 6 such as the ROM 63. However, the present invention is not limited to this, and a system using an ASP (Application Service Provider) may be used, and the medical institution terminal 2 and the home terminal 6 may each obtain an application program from the ASP server and start it.
Furthermore, although the user of the home system 5 is a so-called elderly person, the user is not limited to an elderly person as long as the user performs a training or walking test.

  It should be understood that the above-described embodiment is illustrative in all respects and not restrictive. The scope of the present invention is defined by the terms of the claims, rather than the meanings described above, and is intended to include any modifications within the scope and meaning equivalent to the terms of the claims.

Embodiment 2
The second embodiment relates to a form for supporting the health management of an elderly person who is a user in the entire expert staff based on the measurement value of the sphygmomanometer 11 included in the elderly walking support system.

  FIG. 77 is a block diagram showing a configuration example of the elderly walking support system according to the second embodiment. The elderly walking support system includes a medical institution system 1, a home system 5, and an expert personal system 40. The medical institution system 1, the home system 5, and the expert personal system 40 are connected by a communication network 130. The communication network 130 includes, for example, a LAN (Local Area Network), a WAN (Wide Area Network), the Internet, a telephone line network, a satellite communication network, and the like.

  In FIG. 77, the medical institution system 1, the home system 5, and the expert individual system 40 are illustrated one by one. However, as many cameras 4, in-hospital terminals (second terminal devices) 20, and expert personal systems 40 of the medical institution system 1 are constructed as the number of experts. Moreover, the home system 5 is constructed in a number equal to the number of elderly people who are users.

The medical institution system 1 includes a hospital terminal (second terminal device) 20, a camera 4, and a server (central device) 30.
The hardware configuration example of the hospital terminal 20 is the same as the hardware configuration example of the hospital terminal 2 shown in FIG. However, in addition to the control program according to the first embodiment, the ROM 23 of the in-hospital terminal 20 also stores a control program according to the second embodiment.
The camera 4 is the same as the camera 4 in the first embodiment.

  The server 30 has the functions of the database server 3, the communication server, and the file server. The functions of the server 30 as a communication server include mail server, WEB (World Wide Web) server, and firewall functions. For example, when the in-hospital terminal 20 is shut down, the server 30 transmits information transmitted from the home system 5 to the in-hospital terminal 20 in another in-hospital terminal 20 or an expert personal system 40 (third terminal device). It has a function to transfer to.

  The function of the server 30 as a file server includes a function of recording a communication history file between the server 30 and the hospital terminal 20, the home terminal (first terminal device) 60, and the information communication device of the expert personal system 40. The function of the server 30 as a file server includes a file storage function used by the medical institution system 1.

The hardware configuration example in the home system 5 is the same as the hardware configuration example of the home system 5 shown in FIG.
The hardware configuration example of the home terminal 60 is the same as the hardware configuration example of the home terminal 6 shown in FIG. However, the ROM 63 of the home terminal 60 stores the control program according to the second embodiment in addition to the control program according to the first embodiment.

  The specialist personal system 40 is a set of personal information communication devices that can be used by specialists inside and outside the medical institution. The expert personal system 40 includes a home PC (personal computer) (third terminal device) 41, a PDA (Personal Digital Assistant) (third terminal device) 42, and a tablet PC (third terminal device) 43. The home PC 41 is a PC installed in a specialist's home, and includes a desktop PC and a notebook PC. The PDA 42 is a small device for carrying and handling information such as a schedule, an address book, and a memo. The tablet PC 43 includes a small notebook PC, an electronic book reader, and a small point of sale system (POS) terminal.

  The expert personal system 40 includes a mobile phone (third terminal device) 44 and a game machine (third terminal device) 45. The mobile phone 44 is a mobile phone communication terminal and includes a smartphone. The game machine 45 has game software installed therein and executes a game of the game software. The game machine 45 can also download game software from an external computer via the communication network 13. The game machine 45 may be a stationary machine or a portable machine.

All of the information communication devices included in the expert personal system 40 have a wireless communication function and a mail transmission / reception function. Each expert may or may not set automatic transfer of information between information communication devices included in his / her expert personal system 40. For example, the physiotherapist may or may not have made a setting for transferring mail sent to his / her home PC 41 to his / her mobile phone 44 or vice versa.
Note that the hardware configuration of each information communication device included in the expert personal system 40 is a known technique, and thus description thereof is omitted.

  FIG. 78 is a block diagram illustrating a hardware configuration example of the server 30. The hardware configuration example of the server 30 is the same as the hardware configuration example of the database server 3 shown in FIG. However, the ROM 33 of the server 30 stores the control program according to the second embodiment in addition to the control program according to the first embodiment.

  The database unit (recording unit) 370 of the server 30 is a hard disk. In addition to the expert information table 37a and the like stored in the database unit 37, the database unit 370 includes an elderly expert-related table 37t, an expert contact table 37u, a blood pressure pulse NG table 37v, and a blood pressure measurement time table 37w. Is remembered. The elderly expert-related table 37t is a master table that manages an elderly person who is a user and an expert group in charge of the elderly person. The expert contact information table 37u is a master table that manages the in-hospital terminal 20 corresponding to the expert and the IP address and mail address of each information communication device included in the expert personal system 40. The blood pressure pulse NG table 37v includes a blood pressure value fluctuation range and a pulse value that serve as a reference for determining whether the medical institution system 1 or the expert individual system 40 outputs an alert regarding the blood pressure value and the pulse value of an elderly person. A master table to be managed. The blood pressure measurement time table 37w is a table for managing the time at which an elderly person who is a user measures blood pressure twice a day at home separately from the training and walking test.

  FIG. 79 is an explanatory diagram of a record layout of the elderly expert association table 37t. The elderly expert-related table 37t includes columns of an elderly person ID and an expert ID. The elderly person ID is an identification symbol for identifying an elderly person who is a user, and is the same as the elderly person ID in the elderly person information table 37b. The elderly person ID is a main key of the elderly person expert related table 37t. The expert ID is an identification symbol for identifying the expert, and is the same as the expert ID in the expert information table 37a. The expert corresponding to the expert ID is an expert (hereinafter, referred to as a main expert) who is the senior person in charge of the elderly person corresponding to the elderly person ID.

  The elderly expert association table 37t includes columns of an associated expert ID1, an associated expert ID2, and an associated expert ID3. The related expert ID1, the related expert ID2, and the related expert ID3 are identification symbols for identifying the experts, respectively, and are the same as the expert IDs in the expert information table 37a. The experts corresponding to the related expert ID1, the related expert ID2, and the related expert ID3 are the sub-persons in charge of the elderly corresponding to the elderly IDs (hereinafter referred to as sub-expert experts).

  The sub-experts who correspond to the related expert ID1, the related expert ID2 and the related expert ID3, respectively, are senior citizens who correspond to the senior ID on behalf of the main specialist when the main specialist is not in the medical institution. Authorized to intervene, prescribe or give guidance to the person. In that case, the number added after the related expert ID which is a column name becomes small, so that a sub-expert expert with high priority is high. For example, when the main specialist is not in the medical institution, the sub specialist in charge corresponding to the related specialist ID 1 has the authority to intervene in the elderly corresponding to the elderly ID. When the sub-expert specialist corresponding to the related expert ID 1 is not in the medical institution, the sub-expert specialist corresponding to the related specialist ID 2 has the authority to intervene in the elderly corresponding to the elderly ID. That is, each expert corresponding to the expert ID, the related expert ID1, the related expert ID2, and the related expert ID3 constitutes a staff group in charge of the elderly corresponding to the elderly ID.

In the example of FIG. 79, up to three senior vice specialists can be registered. However, the related expert ID column in the elderly expert association table 37t may be appropriately increased so that four or more sub-expert specialists corresponding to the elderly can be registered.
Registration and update of records in the elderly expert association table 37t are executed from the input unit 24 of the hospital terminal 20 or the input unit 34 of the server 30 via a management screen (not shown). By updating the record of the elderly person expert association table 37t, the member configuration of the staff group in charge of the elderly person corresponding to the elderly person ID can be changed as needed.

  FIG. 80 is an explanatory diagram showing a record layout of the expert contact information table 37u. The expert contact table 37u includes columns of expert ID, PC address, and PC mail address. The expert ID is the same as the expert ID in the expert information table 37a. The expert ID is the primary key of the expert contact table 37u. The PC address is an IP (Internet Protocol) address of the in-hospital terminal 20 used by an expert corresponding to the expert ID. The PC address may be a MAC (Media Access Control) address. The PC email address is an email address assigned to an expert corresponding to the expert ID in the medical system 1.

  The expert contact table 37u includes columns of home PC address, mobile phone number, and mobile mail address. The home PC address is the IP address of the home PC 41 owned by the expert corresponding to the expert ID. The mobile phone number is the phone number of the mobile phone 44 owned by the expert corresponding to the expert ID. The mobile e-mail address is an e-mail address acquired for the purpose of using the mobile phone 44 by an expert corresponding to the expert ID.

The expert contact table 37u includes the columns of the mail address 1 and the mail address 2. The mail address 1 and the mail address 2 are mail addresses other than the PC mail address and the mobile mail address, and are intended for use by the expert corresponding to the expert ID on the home PC 41, the PDA 42, etc. of the expert personal system 40. The acquired email address.
In the example of FIG. 80, it is possible to register up to two e-mail addresses acquired for the purpose of being used by the expert corresponding to the expert ID on the home PC 41 of the expert personal system 40 or the like. However, the mail address column in the expert contact table 37u may be appropriately increased so that three or more mail addresses can be registered.
Registration and update of records in the expert contact information table 37u are executed from the input unit 24 of the hospital terminal 20 or the input unit 34 of the server 30 via a management screen (not shown).

  FIG. 81 is an explanatory diagram showing a record layout of the blood pressure pulse NG table 37v. The blood pressure pulse NG table 37v includes columns of blood pressure difference 1, blood pressure difference 2, and pulse. The blood pressure difference 1 and the blood pressure difference 2 are prescribed values for determining whether or not the home blood pressure value measured by an elderly person is abnormal with respect to the highest blood pressure reference value and the lowest blood pressure reference value in the elderly person information table 37b of FIG. It is. The unit of the blood pressure difference 1 and the blood pressure difference 2 is mmHg. The blood pressure difference 2 stores a numerical value greater than the blood pressure difference 1. In the example of FIG. 81, 10 mmHg and 20 mmHg are registered in the blood pressure difference 1 and the blood pressure difference 2, respectively.

  Although the blood pressure of a person fluctuates within a predetermined fluctuation range, when an abnormality occurs in the body, the blood pressure may rise or fall outside the predetermined fluctuation range. The blood pressure value obtained by adding the blood pressure difference 1 or the blood pressure difference 2 to the maximum blood pressure reference value in the elderly person information table 37b is the upper limit fluctuation range of the blood pressure. The blood pressure value obtained by subtracting the blood pressure difference 1 or the blood pressure difference 2 from the minimum blood pressure reference value of the elderly person information table 37b is the lower limit fluctuation range of the blood pressure.

  When the highest home blood pressure is greater than the highest blood pressure reference value of the elderly person information table 37b plus the blood pressure 1, the elderly walking support system sends the in-hospital terminal 20 or the expert personal system 40 corresponding to the main specialist. Output an alert. When the highest home blood pressure is larger than the value obtained by adding 2 to the highest blood pressure reference value in the elderly information table 37b, the elderly walking support system alerts the in-hospital terminal 20 or the expert personal system 40 corresponding to all staff members in charge. Is output. Here, all the staffs in charge are all the main specialists and sub-expert specialists registered in the elderly expert-related table 37t.

  On the other hand, when the minimum value of home blood pressure is smaller than the value obtained by subtracting blood pressure 1 from the minimum blood pressure reference value of the elderly person information table 37b, the elderly walking support system uses the in-hospital terminal 20 or the expert personal system corresponding to the main specialist. An alert is output to 40. When the minimum value of home blood pressure is smaller than the value obtained by subtracting blood pressure 2 from the minimum blood pressure reference value of the elderly person information table 37b, the elderly walking support system alerts the in-hospital terminal 20 or the expert personal system 40 corresponding to all the staff members in charge. Is output.

  The pulse is a reference pulse rate for determining whether or not the home pulse value measured by the elderly is abnormal. The unit of pulse is beats / minute. When the value of the home pulse exceeds the pulse rate of the blood pressure pulse NG table 37v, the elderly walking support system executes processing for stopping the training or walking test by the elderly. In the example of FIG. 81, 100 beats / minute is registered in the pulse.

The management screen of the blood pressure pulse NG table 37v will be described.
FIG. 82 is an explanatory diagram showing an example of the content / test setting screen 730. The content / test setting screen 730 is almost the same as the content / test setting screen 73 of FIG. The content / test setting screen 730 in FIG. 82 and the content / test setting screen 73 in FIG. 26 differ in blood pressure / pulse NG value setting area 73g. FIG. 82 shows only the blood pressure / pulse NG value setting area 73 g extracted from the content / test setting screen 730.

The blood pressure / pulse NG value setting area 73g is a screen area for managing a master record of the blood pressure / pulse NG table 37v.
The blood pressure / pulse NG value setting area 73g includes a blood pressure difference 1 text box 731g, a blood pressure difference 2 text box 732g, and a pulse text box 733g. The blood pressure difference 1 text box 731g is a control for registering or updating the value of blood pressure 1 in the blood pressure pulse NG table 37v. The blood pressure difference 2 text box 732g is a control for registering or updating the value of blood pressure 2 in the blood pressure pulse NG table 37v. In the example of FIG. 82, 10 mmHg and 20 mmHg are input to the blood pressure difference 1 text box 731g and the blood pressure difference 2 text box 732g, respectively.

  The pulse text box 733g is a control for registering or updating the pulse value of the blood pressure pulse NG table 37v. In the example of FIG. 82, 100 beats / minute is input in the pulse text box 733g.

FIG. 83 is an explanatory diagram showing a record layout of the blood pressure measurement time table 37w. The blood pressure measurement time table 37w includes columns of an elderly person ID, a wake-up time, a morning measurement time, a bedtime, and an evening measurement time. The elderly person ID is the same as the elderly person ID in the elderly person information table 37b. The elderly person ID is the main key of the blood pressure measurement time table 37w. The wake-up time is the wake-up time of the elderly corresponding to the elderly ID. The morning measurement time is the end time of the allowable time zone for home blood pressure measurement performed by the elderly corresponding to the elderly ID in the morning. An allowable time zone for home blood pressure measurement performed in the morning is, for example, a time zone from 1 hour after waking up.
The bedtime is the bedtime of the elderly corresponding to the elderly ID. The evening measurement time is the start time of an allowable time zone for home blood pressure measurement performed by the elderly corresponding to the elderly ID in the evening. An allowable time zone for home blood pressure measurement performed in the evening is, for example, a time zone from 1 hour before bedtime to bedtime.
The allowable time period is determined and determined by an expert.

Next, the management screen of the blood pressure measurement time table 37w will be described.
FIG. 84 is an explanatory diagram showing an example of the blood pressure measurement time setting screen 105. The blood pressure measurement time setting screen 105 is a management screen for the blood pressure measurement time table 37w. The blood pressure measurement time setting screen 105 is displayed on the display unit 25 of the hospital terminal 20 by the CPU 21. Alternatively, the blood pressure measurement time setting screen 105 is displayed on the display unit 35 of the server 30 by the CPU (transmission means, determination means) 31.

  The blood pressure measurement time setting screen 105 includes an elderly person ID combo box 105a and an elderly person name label 105b. The elderly person ID combo box 105 a and the elderly person name label 105 b are displayed in the upper part of the blood pressure measurement time setting screen 105. The elderly person ID combo box 105a is a control for inputting or selecting an elderly person ID of an elderly person who is a target for setting a blood pressure measurement time. The elderly person name label 105b is a control for displaying the name of the elderly person corresponding to the elderly person ID input or selected in the elderly person ID combo box 105a. When an elderly person ID is input or selected in the elderly person ID combo box 105a, the CPU 21 or the CPU 31 searches for the name from the elderly person information table 37b using the elderly person ID as a key. CPU21 or CPU31 displays the searched name on the elderly person name label 105b.

The blood pressure measurement time setting screen 105 includes hour combo boxes 105c, 105f, 105i, and 105m and minute combo boxes 105d, 105e, 105g, 105h, 105j, 105k, 105n, and 105p. These are controls for setting the wake-up time, morning measurement time, bedtime and evening measurement time of the blood pressure measurement time table 37w. The time combo box 105 c and the like and the minute combo box 105 d and the like are displayed in the middle of the blood pressure measurement time setting screen 105. The expert asks the elderly person who came to the medical institution, and based on the result of the question, the wake-up time, morning measurement time, bedtime and evening measurement time are obtained from the time combo box 105c and the minute combo box 105d. Set.
Note that a measurement end character string is displayed to the left of the hour combo box 105f and minute combo boxes 105g and 105h corresponding to the morning measurement time. In addition, a measurement start character string is displayed on the left of the hour combo box 105i and the minute combo boxes 105i and 105k corresponding to the evening measurement time.

The blood pressure measurement time setting screen 105 includes a clear button 105q, a registration update button 105r, and an end button 105s. These buttons are displayed on the lower right side of the blood pressure measurement time setting screen 105. The clear button 105q is a control for clearing a value such as an elderly person ID set on the blood pressure measurement setting screen 105.
When the registration update button 105r is clicked by the input unit 34 of the server 30, the CPU 31 registers a value such as an elderly person ID set on the blood pressure measurement time setting screen 105 in the blood pressure measurement time table 37w. Alternatively, when the registration update button 105 r is clicked by the input unit 34 of the server 30, the CPU 31 updates the record of the blood pressure measurement time table 37 w with a value such as an elderly person ID set on the blood pressure measurement setting screen 105.
When the registration update button 105 r is clicked by the input unit 24 of the in-hospital terminal 20, the CPU 21 registers the blood pressure measurement time table 37 w with respect to the server 30 using the elderly person ID set on the blood pressure measurement time setting screen 105. Or, an update process is commanded.

Next, the operation of the elderly walking support system according to Embodiment 2 will be described. First, an outline of the operation of the elderly walking support system will be described.
An elderly person measures blood pressure at home by using the sphygmomanometer 11 separately from training and walking tests at home. Since the blood pressure measurement performed separately from the training and the walking test is one of the purposes for supporting health management or blood pressure management of the elderly, a measurement method with higher reliability and usefulness is preferable.

  Japanese and international hypertension societies have compiled guidelines for home blood pressure measurement conditions in view of the importance of home blood pressure measurement. According to them, home blood pressure measurement is to be performed at the same time over a long period of time under a constant condition as much as possible. In addition, all the guidelines are consistent in that blood pressure is measured twice a day in the morning and evening. In such a case, a blood pressure measurement value of 60 points is obtained in one month.

  For example, according to the Japanese Hypertension Society guidelines, morning blood pressure should be measured within 1 hour after waking up, after urination, after sitting for 1-2 minutes, before taking antihypertensive drugs, and before breakfast. In addition, according to the guidelines of the Japanese Society of Hypertension, blood pressure measurement in the evening should be measured before bedtime and after sitting for 1 to 2 minutes. The morning here refers to the time zone from 3 o'clock to 10:59, and the evening refers to the time zone from 18:00 to 1:59. In the elderly walking support system, it is assumed that home blood pressure measurement according to the guidelines of the Japanese Society of Hypertension is performed by the elderly person or an elderly person's assistant twice a day in the morning and evening in the upper arm region.

  The home terminal 60 receives the blood pressure value and the pulse rate from the sphygmomanometer 11 as needed after the elderly person logs in to the elderly walking support system. For example, the home terminal 60 displays a screen (not shown) for selecting whether or not to perform blood pressure measurement after an elderly person logs in to the elderly walking support system. When the elderly person selects the blood pressure measurement execution, the home terminal 60 displays the blood pressure / pulse measurement screen 91 of FIG. 58 and prompts the elderly person to measure blood pressure.

The home terminal 60 stores the blood pressure value data (blood pressure information) 68b corresponding to the received blood pressure value and pulse rate in the data storage unit 68, and transmits the blood pressure value data 68b to the server 30. The server 30 records the blood pressure value data 68b received from the home terminal 60 in the blood pressure value measurement result table 37k in FIG.
The blood pressure value data 68b stored in the data storage unit 68 by the CPU (output means, notifying means) 61 includes an elderly person ID, measurement date and time, and measurement time in addition to the blood pressure value and the pulse rate. The measurement date / time and measurement time included in the blood pressure value data 68b may be the measurement date / time and measurement time of the blood pressure value measured by the timer in the sphygmomanometer 11 or the date / time when the home terminal 60 received the blood pressure value from the sphygmomanometer 11. Good.

  The home terminal 60 may display the blood pressure / pulse NG display screen 92 of FIG. 59 or the blood pressure / pulse display screen 93 of FIG. 60 on the display device 8 based on the measured blood pressure value. Further, the home terminal 60 may additionally display a button capable of selecting whether to perform morning or evening blood pressure measurement on the selection screen 94 of FIG. 61 displayed on the display device 8.

Based on the elderly person information table 37b, the blood pressure pulse NG table 37v, and the blood pressure value data 68b, the server 30 uses the in-hospital terminal 20 used by the main specialist when the home blood pressure value exceeds the fluctuation range related to the blood pressure difference 1. To send blood pressure warning information. Based on the elderly person information table 37b, the blood pressure pulse NG table 37v, and the blood pressure value data 68b, the server 30 determines that the main specialist and the sub specialist are in charge when the home blood pressure value exceeds the fluctuation range related to the blood pressure difference 2. The caution information regarding the blood pressure is transmitted to the hospital terminal 20 to be used. The in-hospital terminal 20 that has received the caution information from the server 30 displays an alert screen on the display unit 25.
For example, when the blood pressure difference 1 and the blood pressure difference 2 are 10 and 20 mmHg, respectively, the reference value ± 10 to 20 mmHg is the fluctuation range.
In addition, when the server 30 receives the blood pressure value data 68b including the elderly person ID, the server 30 refers to the elderly person expert association table 37t in FIG. 79 and selects the staff group in charge of the elderly person corresponding to the elderly person ID. Identify. The server 30 refers to the expert contact table 37u in FIG. 80, and transmits the caution information regarding the blood pressure to the in-hospital terminal 20 used by the main specialist and the sub specialist in the identified staff group.

  In order to realize the operation of the elderly walking support system, as described above, the elderly person who is the user uses the sphygmomanometer 11, and apart from home blood pressure measurement accompanying training or walking test, the guidelines of the Japan Hypertension Society It is assumed that home blood pressure measurement according to However, it may happen that elderly people forget to take blood pressure measurements. Therefore, before explaining details of the operation of the elderly walking support system, blood pressure measurement alerting processing when an elderly person forgets to measure blood pressure will be explained.

  The home terminal 60 measures blood pressure value data 68b from 3 o'clock to 10:59 and from 18 o'clock to 1:59 for 24 hours before the system time after an elderly person logs into the elderly walking support system. Obtained from the result table 37k. The home terminal 60 displays an alert screen when there is no blood pressure value data 68b measured from 3:00 to 10:59, and when the system time is between the morning measurement time and the evening measurement time of the blood pressure measurement time table 37w. It is displayed on the display device 8. The home terminal 60 displays an alert screen when there is no blood pressure value data 68b measured from 18:00 to 1:59, and when the system time is between the bedtime and the wake-up time of the blood pressure measurement time table 37w. Display on the device 8. The home terminal 60 displays an alert screen on the display device 8 when neither the blood pressure value data 68b measured from 3:00 to 10:59 or the blood pressure value data 68b measured from 18:00 to 1:59 is present. To do.

  Home blood pressure should be measured at a set time every day. However, too strict time settings will reduce blood pressure measurement compliance for the elderly. Therefore, as long as the blood pressure value data 68b from 3:00 to 10:59 (morning) and from 18:00 to 1:59 (evening) is recorded in the blood pressure pulse NG table 37v, the alert screen is not displayed. In addition, when the morning measurement end time has passed, it is better not to touch on the home blood pressure measurement last night, but to concentrate on the most recent morning home blood pressure measurement. In addition, when the evening bedtime has passed, it is better not to touch morning blood pressure measurement in the morning, but to work to concentrate on evening home blood pressure measurement. However, if neither the blood pressure value data 68b from 3 to 10:59 (morning) nor the blood pressure value data 68b from 18:00 to 1:59 (evening) is measured within 24 hours, the time Alert screen is displayed regardless of

  The specification may always display an alert screen when there is no blood pressure value data 68b measured within 24 hours from 3:00 to 10:59 or from 18:00 to 1:59. In addition, the above-described blood pressure measurement alerting process is not limited to immediately after an elderly person logs in to the elderly walking support system, and may be executed at the same time as another process or during another process.

FIG. 85 is an explanatory diagram showing an example of the blood pressure measurement alert screen 106. The blood pressure measurement alert screen (attention information regarding blood pressure measurement) 106 is a message box displayed as a pop-up screen on the front of the recording screen 85 in FIG. 50, for example.
In the uppermost center of the blood pressure measurement alert screen 106, the screen name “blood pressure measurement” is displayed. In the center of the blood pressure measurement alert screen 106, for example, a message for alerting the blood pressure measurement “Caution is not being taken in the morning or evening” is displayed. The font color of the message may be conspicuous red, for example. Furthermore, sound for alerting blood pressure measurement may be output from a speaker provided in the display device 8.
A blue button 106 a is displayed on the lower right side of the blood pressure measurement alert screen 106. When the blue button 106a is selected by the remote controller 12, the home terminal 60 proceeds to the next process. The word “OK” is displayed to the right of the blue button 106a.

FIG. 86 is a flowchart illustrating an example of the procedure of blood pressure measurement alert processing. The blood pressure measurement alerting process is executed, for example, during each of steps S201, S202, and 203 in FIG.
Alternatively, the blood pressure measurement alerting process in FIG. 86 may be a batch process that is periodically executed as long as the home terminal 60 is activated.

The CPU (output means, notifying means) 61, via the communication unit (notifying means) 66, the measurement time is within 24 hours from the blood pressure measurement result table 37k of the server 30 using the elderly person ID as a key. Search for records from 10:59 (morning) and from 18:00 to 1:59 (evening). (Step S301).
The measurement time in the blood pressure measurement result table 37k may be a blood pressure measurement time measured by a timer inside the sphygmomanometer 11, or a time when the home terminal 60 receives a blood pressure value from the sphygmomanometer 11. The measurement time of the blood pressure measurement result table 37k may be the time when the server 30 receives the blood pressure value from the home terminal 60.

In detail, in step S301, the CPU 61 searches for the inquiry ID from the inquiry result information table 37i based on the elderly person ID, and searches the blood pressure measurement result table 37k using the searched inquiry ID as a key.
The elderly person ID is equal to the member number input from the elderly person authentication screen 84 at the time of login authentication. The CPU 61 stores the member number acquired at the time of login authentication in the RAM 62. When the elderly person ID is necessary, the CPU 61 reads the member number from the RAM 62 as needed, and uses the read member number as the elderly person ID.

The CPU 61 determines whether the search is successful (step S302). If the CPU 61 determines that the search has succeeded (step S302: YES), the process ends. When the CPU 61 determines that the search is not successful (step S302: NO), the CPU 61 determines whether only the evening record is hit (step S303).
When it is determined in step S302 that the search is not successful (step S302: NO), when only the evening record is hit, when only the morning record is hit, and both the evening and morning records are displayed. There are three ways of not hitting.

  When it is determined that only the evening record is hit (step S303: YES), the CPU 61 determines whether the system time is between the morning measurement time and the evening measurement time (step S304). If the CPU 61 determines that the system time is not between the morning measurement time and the evening measurement time (step S304: NO), the process ends. If the CPU 61 determines that the system time is between the morning measurement time and the evening measurement time (step S304: YES), the process proceeds to step S307.

  When it is determined that only the evening record is not hit (step S303: NO), the CPU 61 determines whether only the morning record is hit (step S305). If the CPU 61 determines that only the morning record has not been hit (step 305: NO), the process proceeds to step S307. The case where it is determined in step 305 that only the morning record is not hit is a case where both the evening and morning records are not hit.

  When it is determined that only the morning record is hit (step S305: YES), the CPU 61 determines whether the system time is between the bedtime and the wake-up time (step S306). If the CPU 61 determines that the system time is not between the bedtime and the wake-up time (step S306: NO), the process ends.

  If the CPU 61 determines that the system time is between the bedtime and the wake-up time (step S306: YES), the process proceeds to step S307. The CPU 61 displays an alert screen on the display device 8 (step S307) and ends the process.

  In the above description, the CPU 61 uses the blood pressure measurement result table 37k and the blood pressure measurement time table 37w in which the home blood pressure measurement time, morning measurement time, evening measurement time, bedtime and wake-up time are stored in the database unit 370 of the server 30, respectively. I got it. However, the home terminal 60 may store the blood pressure measurement time table 37w in the data storage unit 68. In such a case, the CPU 61 obtains the home blood pressure measurement time, morning measurement time, evening measurement time, bedtime and wake-up time from the blood pressure value data 68b and the blood pressure measurement time table 37w stored in the data storage unit 68, respectively. The blood pressure measurement alerting process in FIG. 86 may be executed. Thereby, the CPU 61 can execute the blood pressure measurement alerting process without using the communication network 130 and the server 30. That is, even if the communication network 130 is congested or a problem occurs in the server 30, the CPU 61 can execute the blood pressure measurement alert processing.

  When the home blood pressure value exceeds the fluctuation range related to the blood pressure difference 1, the CPU 31 of the server 30 transmits caution information regarding blood pressure to the in-hospital terminal 20 used by the main specialist. The case where the home blood pressure value exceeds the fluctuation range related to the blood pressure difference 1 is the case where the maximum home blood pressure value exceeds the maximum blood pressure reference value + the blood pressure difference 1 in the elderly information table 37b. Alternatively, the case where the home blood pressure value exceeds the fluctuation range related to the blood pressure difference 1 is a case where the minimum home blood pressure value is lower than the minimum blood pressure reference value-blood pressure difference 1 in the elderly person information table 37b.

  When the home blood pressure value exceeds the fluctuation range related to the blood pressure difference 2, the CPU 31 of the server 30 transmits caution information regarding blood pressure to the in-hospital terminal 20 used by all the main specialists and the sub-expert specialists. The case where the home blood pressure value exceeds the fluctuation range related to the blood pressure difference 2 is the case where the maximum home blood pressure value exceeds the maximum blood pressure reference value + the blood pressure difference 2 in the elderly information table 37b. Alternatively, the case where the home blood pressure value exceeds the fluctuation range related to the blood pressure difference 1 is a case where the minimum home blood pressure value is lower than the minimum blood pressure reference value-blood pressure difference 2 in the elderly information table 37b.

The caution information regarding the blood pressure transmitted to the hospital terminal 20 by the CPU 31 of the server 30 includes, for example, the elderly ID, the name of the elderly, the highest blood pressure reference value, the lowest blood pressure reference value, the highest home blood pressure, and the lowest home blood pressure. Includes value and measurement date and time.
The CPU 21 of the in-hospital terminal 20 receives caution information regarding the blood pressure of the elderly from the server 30 and displays the received caution information on the screen of the display unit 25.

  FIG. 87 is an explanatory diagram showing an example of the home blood pressure caution screen 107. The home blood pressure caution screen 107 is an alert screen that displays caution information regarding the blood pressure of the elderly to specialists. The CPU 21 is always in a state of receiving caution information from the server 30. When the caution information from the server 30 is received, the CPU 21 displays the home blood pressure caution screen 107 as a pop-up screen independently of other processes.

  The home blood pressure caution screen 107 includes an elderly person ID label 107a, an elderly person name label 107b, a highest blood pressure reference value label 107c, and a lowest blood pressure reference value label 107d. The elderly person ID label 107a is a control for displaying an elderly person ID. The elderly person name label 107b is a control for displaying the name of the elderly person corresponding to the elderly person ID. The systolic blood pressure reference value label 107c and the diastolic blood pressure reference value label 107d are controls for displaying the blood pressure reference value of the elderly. Each information regarding an elderly person here is the same as the elderly person ID, name, systolic blood pressure reference value, and diastolic blood pressure reference value of the elderly person information table 37b.

  The home blood pressure caution screen 107 includes a home blood pressure maximum value label 107e, a home blood pressure minimum value label 107f, a measurement date / time label 107g, and an OK button 107h. The home blood pressure maximum value label 107e and the home blood pressure minimum value label 107f are controls for displaying the maximum value and the minimum value of the home blood pressure value, respectively. The measurement date label 107g is a control that displays the date and time when the home blood pressure value was measured. The OK button 107h is a confirmation button. When the OK button 107h is clicked, the CPU 21 erases the home blood pressure caution screen 107 from the screen of the display unit 25.

The expert who has seen the home blood pressure caution screen 107 determines whether the home blood pressure of the elderly is within the range between the blood pressure difference 1 and the blood pressure difference 2 from the reference value and the home blood pressure value shown on the home blood pressure caution screen 107, or It is possible to recognize whether the blood pressure difference is in a range exceeding 2. Further, a display that can instantly recognize whether the elderly's home blood pressure is in the range between the blood pressure difference 1 and the blood pressure difference 2 or exceeds the blood pressure difference 2 is displayed on the home blood pressure caution screen 107. May be added.
For example, a warning level 1 is set when the home blood pressure of the elderly is in the range between the blood pressure difference 1 and the blood pressure difference 2, and a warning level 2 is set when the home blood pressure of the elderly is in the range exceeding the blood pressure difference 2. When the warning level is 1, the CPU 21 displays a character string of “warning level 1” at the top of the home blood pressure caution screen 107. When the warning level is 2, the CPU 21 displays a character string of “warning level 2” at the top of the home blood pressure caution screen 107.

  Although two warning levels are shown here, the warning level may be increased to three or more and more detailed health management may be performed. For this purpose, in addition to the blood pressure difference 1 and the blood pressure difference 2, a column such as a blood pressure difference 3 is added to the blood pressure pulse NG table 37v. Further, a control for inputting or changing data such as blood pressure difference 3 is added to the blood pressure / pulse NG value setting area 73g of the content / test setting screen 370. Then, in the attention information transmission process by the CPU 31 shown in FIG. 88, branch processes are added as many as the increased warning levels.

In the above description, the home blood pressure value is transmitted from the home terminal 60 to the server 30, and the server 30 transmits the caution information regarding the blood pressure to the hospital terminal 20. However, the home terminal 60 may directly transmit the blood pressure warning information to the hospital terminal 20 without using the server 30.
In such a case, an elderly person information table 37b, an elderly person expert-related table 37t, an expert contact information table 37u, and a blood pressure pulse NG table 37v are stored in the data storage unit 68 of the home terminal 60. It is not necessary to store all the records of these tables in the data storage unit 68, and records of these tables relating to at least an elderly person who uses the home system 5 are stored in the data storage unit 68. Based on the home blood pressure value, the blood pressure difference 1, the blood pressure difference 2, and the senior citizen's highest blood pressure reference value and the lowest blood pressure reference value included in the blood pressure value data 68b, the CPU 61 sends warning information related to blood pressure to the main specialist or staff in charge. It transmits to the hospital terminal 20 corresponding to all the members.

By the way, when the main specialist is shutting down the in-hospital terminal 20, the server 30 cannot transmit the caution information regarding the blood pressure of the elderly person to the in-hospital terminal 20 of the main specialist. In such a case, the server 30 refers to the elderly expert-related table 37t and the expert contact information table 37u, and transmits attention information to the in-hospital terminal 20 used by the sub-expert specialist. In addition, the server 30 transmits an email describing caution information regarding blood pressure to the home PC 41 and the mobile phone 44 of the main specialist.
The server 30 may execute the same processing as described above even when the main specialist is not logged in to the elderly walking support system.

When the sub-expert specialist shuts down his / her in-hospital terminal 20, the server 30 cannot transmit the caution information regarding the blood pressure of the elderly person to the in-hospital in-hospital terminal 20. In such a case, the server 30 refers to the elderly expert-related table 37t and the expert contact information table 37u, and transmits a mail describing caution information regarding blood pressure to the home PC 41 and the mobile phone 44 of the sub-expert specialist.
Note that the server 30 may execute the same processing as described above even when the sub-expert specialist has not logged into the elderly walking support system.

  The primary specialist or the secondary specialist who has received the attention information communicates with the elderly using the communication means shown in the first embodiment or the information communication device included in the specialist personal system 40, and intervenes. Take measures such as.

  FIG. 88 is a flowchart illustrating an exemplary procedure of attention information transmission processing. The attention information transmission process is a process in which the CPU 31 of the server 30 transmits the attention information regarding the blood pressure of the elderly person to the in-hospital terminal 20 or the information communication device of the expert personal system 40. 88 is executed based on a control program resident in the server 30.

  The CPU 31 determines whether or not the home blood pressure value received from the home terminal 40 is within the range of the blood pressure difference 1 (step S401). CPU31 returns a process to step S401, when it determines with the home blood pressure value received from the home terminal 40 being in the range of the blood pressure difference 1 (step S401: YES). When the CPU 31 determines that the home blood pressure value received from the home terminal 40 is not within the range of the blood pressure difference 1 (step S401: YES), whether the home blood pressure value received from the home terminal 40 is within the range of the blood pressure difference 2 or not. Is determined (step S402).

  When it is determined that the home blood pressure value received from the home terminal 40 is within the range of the blood pressure difference 2 (step S402: YES), the CPU 31 determines whether or not the in-hospital terminal 20 used by the main specialist is accessible. (Step S403). In step S403, the case where the CPU 31 is accessible to the in-hospital terminal 20 used by the main specialist is a case where the server 30 is communicable with the in-hospital terminal 20 used by the main specialist. Alternatively, in step S403, when the CPU 31 can access the in-hospital terminal 20 used by the main specialist, the main specialist logs in to the elderly walking support system using the in-hospital terminal 20 Is the case.

  When the CPU 31 determines that the in-hospital terminal 20 used by the main specialist is accessible (step S403: YES), the CPU 31 transmits caution information to the in-hospital terminal 20 used by the main specialist (step S404). The process ends. When the CPU 31 determines that it is not accessible to the in-hospital terminal 20 used by the main specialist (step S403: NO), the CPU 31 transmits caution information to the in-hospital terminal 20 used by the sub-expert specialist (step S405), and processing Exit.

Step S405 is based on the premise that the CPU 31 can access the in-hospital terminal 20 of the sub-expert specialist. When the CPU 31 is not accessible to the in-hospital terminal 20 of the sub-expert specialist, the CPU 31 may send a notice information mail to the information communication device included in the expert personal system 40 regarding the main specialist and the sub-expert specialist.
Further, in step S405, the CPU 31 determines that the in-hospital terminal 20 of the sub-expert specialist with a high priority is based on the priorities of the related expert ID1, the related expert ID2, and the related expert ID3 in the elderly expert related table 37t. Note information may be transmitted with priority (first in time).

  If the CPU 31 determines that the home blood pressure value received from the home terminal 40 is not within the range of the blood pressure difference 2 (step S402: NO), can the CPU 31 be accessed with the in-hospital terminal 20 used by the primary specialist and the secondary specialist? It is determined whether or not (step S406). When it is determined that the CPU 31 is accessible to the in-hospital terminal 20 used by the main specialist and the sub-expert specialist (step S406: YES), the CPU 31 uses the in-hospital terminal 20 used by the main specialist and the sub-expert specialist. Attention information is transmitted (step S407), and the process ends.

  When it is determined that the CPU 31 is not accessible to the in-hospital terminal 20 used by the main specialist and the sub specialist (step S406: NO), the CPU 31 is included in the expert personal system 40 of the main specialist and the sub specialist. The notice information mail is transmitted to the information communication device (step S408), and the process ends.

The staff group in charge of the elderly is a group consisting of a main specialist and a secondary specialist. When it is possible to access a part of the in-hospital terminal 20 used by the main specialist and the sub-expert specialist, the CPU 31 may transmit caution information regarding blood pressure to the accessible in-hospital terminal 20.
Therefore, in step S408, the CPU 31 may transmit caution information regarding blood pressure to the in-hospital terminal 20 that is accessible. In step S408, the CPU 31 may make a voice call indicating caution information to the mobile phone 44 included in the expert personal system 40 of the main specialist and the sub specialist in charge corresponding to the in-hospital terminal 20 that cannot be accessed.

Measurement values of home blood pressure performed separately from blood pressure measurement accompanying training or walking test are also stored in the blood pressure measurement result table 37k in the database unit 370 of the server 30 and the blood pressure value data 68b in the data storage unit 68 of the home terminal 60. .
Therefore, the CPU 31 of the server 30 may generate the blood pressure trend screen 87 shown in FIG. 52 using the blood pressure measurement result table 37 k and transmit it to the home terminal 60. The CPU 61 of the home terminal 60 may display the received blood pressure trend screen 87 on the display device 8.
Alternatively, the CPU 61 may generate the blood pressure trend screen 87 shown in FIG. 52 using the blood pressure value data 68 b and display the generated blood pressure trend screen 87 on the display device 8. In such a case, the CPU 61 may embed a print button for printing the blood pressure trend screen 87 from the printer 14 included in the home system 5, for example, in the lower part of the blood pressure trend screen 87 to be generated. The blood pressure trend screen 87 can be helpful for elderly people who self-manage home blood pressure values.

  In FIG. 53, the blood pressure value is acquired based on the inquiry ID in order to generate the blood pressure trend screen 87. However, when the CPU 61 generates the blood pressure trend screen 87 using the blood pressure value data 68b, the inquiry ID is not necessary. Since only the blood pressure value of the elderly corresponding to the specific elderly person ID is stored in the blood pressure value data 68b, the CPU 61 organizes the blood pressure values based on the measurement date and the measurement time, and the blood pressure trend screen 87 is generated.

According to the elderly walking support system, blood pressure caution information can be transmitted from the home terminal 60 to the hospital terminal 20 in real time.
The server 30 stores a reference blood pressure value for each elderly person. If the elderly person's home blood pressure value received from the home terminal 20 is outside the blood pressure fluctuation range corresponding to the blood pressure difference 1 and within the blood pressure fluctuation range corresponding to the blood pressure difference 2 based on the reference blood pressure value, the server 30 The attention information is transmitted to the in-hospital terminal 20 of the main specialist. If the elderly person's home blood pressure value received from the home terminal 20 is outside the blood pressure fluctuation range corresponding to the blood pressure difference 2 based on the reference blood pressure value, the server 30 sends the blood pressure caution information to the main responsible specialist and the secondary responsible specialist. It transmits to the in-hospital terminal 20 of the house. The hospital terminal 20 that has received the blood pressure caution information displays the home blood pressure caution screen 107 on the display unit 25. Thereby, the elderly person walking support system can call attention regarding the blood pressure management of the elderly person to the main charge expert or the vice charge expert.

  According to the elderly walking support system, even when the server 30 cannot transmit blood pressure caution information to the in-hospital terminal 20, the server 30 transmits an email related to the blood pressure caution information to various information communication devices of the expert personal system 40. To do. Alternatively, the server 30 makes a call to notify the blood pressure caution information to the mobile phone 44 of the expert personal system 40. Thereby, even if it is a case where the expert is not using the in-hospital terminal 20, the elderly person walk assistance system can notify the expert of the abnormality regarding the blood pressure of the elderly person.

  According to the elderly walking support system, the home terminal 60 displays the blood pressure measurement alert screen 106 on the display device 8 when the elderly has not measured blood pressure even after a predetermined blood pressure measurement time has elapsed. For example, when the elderly person has not measured morning blood pressure even after the morning blood pressure measurement time registered in the blood pressure measurement time table 37w, the elderly person has started up the home terminal 60 for training around noon. At this time, the home terminal 60 displays the blood pressure measurement alert screen 106 on the display device 8.

  The blood pressure measurement alerting process described above may be a batch process periodically executed by the CPU 61. In such a case, the blood pressure measurement alert screen 106 is displayed on the display device 8 as long as the elderly person forgets to measure the blood pressure even during the training or walking test. As a result, the blood pressure value, which is the most basic data for blood pressure management, is accumulated twice a day, morning and evening. Therefore, it is possible to improve the quality of blood pressure management of the elderly by experts and the self-management of blood pressure by the elderly themselves.

  The second embodiment is as described above, and the other parts are the same as those of the first embodiment. Therefore, the corresponding parts are denoted by the same reference numerals, and the detailed description, operation, and effect thereof are omitted.

Embodiment 3
In the first embodiment, the transition to the training / test stop screen 90 of FIG. 57 is made by pressing the yellow button of the remote controller 12 on the inquiry screen 89 of FIG. 56 or the exercise video display initial screen 96 of FIG. The third embodiment relates to a mode in which buttons that can be further branched in these screens are added. Further, in the third embodiment, the home terminal 60 displays information for prompting the intervention by pressing the yellow button of the remote controller 12 on the inquiry screen 89 in FIG. 56 or the exercise video display initial screen 96 in FIG. Via the in-hospital terminal 20.

  If the physical condition is not good enough to stop the training or walking test, the elderly can select the button added to the interview screen 89 in FIG. . Experts recognize that elderly people are in good health. Experts will give guidance in consideration of the fact that no intervention is necessary at present and that there is a possibility that intervention will be necessary in the near future.

  In addition, if the elderly person wants to stop the training or walking test even if his physical condition is good due to unexpected visitor, personal circumstances in his / her life, etc., the elderly person can use the remote control with a button added to the exercise video display initial screen 96 of FIG. By selecting by 12, it is possible to convey the intention to the expert. The expert recognizes that the reason why the elderly stopped the training or walking test is for reasons other than poor physical condition and that the current situation does not require intervention, and provides guidance.

  FIG. 89 is an explanatory diagram showing an example of an inquiry screen 890. The inquiry screen 890 has a green button 89c added to the inquiry screen 89 in FIG. The green button 89c is displayed with a green icon. On the right side of the green button 89c on the inquiry screen 890, a character string “slightly bad” is displayed. When the green button on the remote controller 12 is pressed, the fact that it is slightly worse is selected and determined, and that fact is transmitted from the home terminal 60 to the server 30.

  When the green button 89c is selected or determined once or continuously twice, and when a predetermined time has elapsed, the CPU 61 of the home terminal 60 accesses the server 30 and displays the inquiry result in the inquiry result information table 37i in FIG. The character string “slightly bad” is stored. When the elderly person information screen 72 of FIG. 29 is displayed on the display unit 25, the CPU 21 of the in-hospital terminal 20 does not display the icon 72q indicating a poor physical condition, but indicates an icon corresponding to a slightly bad condition ( (Not shown) is displayed on the calendar of the participant record 72e. In such cases, the expert does not intervene. Further, the CPU 61 displays an image relating to the training or walking test on the exercise image display initial screen 960, the exercise transition screen 97, the exercise image display screen 98, the training end screen 99, the model image display screen 101, and the like.

  On the other hand, when the green button 89c is selected and determined three or more times consecutively, the CPU 61 executes the same processing as when the yellow icon 89b is selected on the inquiry screen 89. That is, the CPU 61 accesses the server 30 and stores the character string “bad” in the inquiry result of the inquiry result information table 37i in FIG. The CPU 21 of the in-hospital terminal 20 displays the elderly person information screen 72 of FIG. 29 on the display unit 25. When the green button 89c is selected and determined three or more times continuously by the elderly person, the icon 72q indicating a poor physical condition is displayed. Is displayed on the calendar of the participant record 72e. In such cases, the expert moves on to intervention. Further, the CPU 61 does not display an image relating to the training or walking test on the exercise image display initial screen 960, the exercise transition screen 97, the exercise image display screen 98, the training end screen 99, the model image display screen 101, and the like.

FIG. 90 is a flowchart illustrating an example of a processing procedure by the home terminal 60. FIG. 90 shows only a procedure part of a new process that enters between step S205 and step S206 of FIG.
CPU61 determines whether the yellow icon 89b was selected in the inquiry screen 890 (step S205). If the CPU 61 determines that the yellow icon 89b has been selected on the inquiry screen 890 (step S205: YES), the CPU 61 proceeds to step S210 in FIG.

  If the CPU 61 determines that the yellow icon 89b has not been selected on the inquiry screen 890 (step S205: NO), the CPU 61 determines whether or not the green button 89c has been selected on the inquiry screen 890 (step S501). When determining that the green button 89c is not selected on the inquiry screen 890 (step S501: NO), the CPU 61 determines whether or not the blue icon 89a is selected (step S502).

  When determining that the blue icon 89a is not selected (step S502: NO), the CPU 61 returns the process to step S501. If the CPU 61 determines that the blue icon 89a has been selected (step S502: YES), it moves the process to step S206.

  When the CPU 61 determines that the green button 89c is selected on the inquiry screen 890 (step S501: YES), the CPU 61 increments the counter variable n (step S503). The CPU 61 determines whether or not the counter variable n is 3 or more (step S504). If the CPU 61 determines that the counter variable n is 3 or more (step S504: YES), it moves the process to step S210 in FIG.

  When the CPU 61 determines that the counter variable n is not 3 or more (step S504: NO), the CPU 61 determines whether or not a predetermined time has elapsed (step S505). If the CPU 61 determines that the predetermined time has not elapsed (step S505: NO), it moves the process to step S502. In step S505, the reason why the CPU 61 determines whether the predetermined time has elapsed is to give the elderly time to consider whether or not to press the green button 89c again or to press the green button 89c again. If the CPU 61 determines that the predetermined time has elapsed (step S505: YES), it moves the process to step S206.

FIG. 91 is an explanatory diagram showing an example of the exercise video display initial screen 960. In the exercise video display initial screen 960, a determination button 96g is added to the exercise video display initial screen 96 of FIG. A character string “OK” is displayed in front of the OK button 96g. On the right side of the determination button 96g on the exercise video display initial screen 960, a character string “exercise stop (good physical condition)” is displayed. By pressing the enter button on the remote controller 12, the enter button 96g is selected and determined, and a message to that effect is transmitted from the home terminal 60 to the server 30.
For elderly people, to respond to unexpected visitors, or to remember forgotten hurry requirements, for example, for reasons other than poor health (other information), I would like to stop the training itself instead of pausing the training There is a case. In such a case, the elderly person presses the enter button on the remote controller 12.

  When the determination button 96g is selected and determined, the CPU 61 of the home terminal 60 displays a training / test stop screen 90 on the display device 8. The CPU 61 of the home terminal 60 accesses the server 30 and stores a character string “exercise stop (good physical condition)” in the result of the training result table 37m of FIG. When the CPU 21 of the in-hospital terminal 20 displays the elderly person information screen 72 of FIG. 29 on the display unit 25, if the result is exercise stop (good physical condition), the exercise stop (instead of the icon 72s indicating x during training) An icon (not shown) corresponding to “good physical condition” is displayed on the calendar of the participant record 72e. As a result, the specialist recognizes that the reason why the elderly stopped training is not due to poor physical condition, and does not intervene.

Similarly to the addition of the determination button 96g on the exercise video display initial screen 96 of FIG. 68, the same determination button is provided on the exercise transition screen 97 of FIG. 69, the exercise video display screen 98 of FIG. 70, and the exercise end screen 99 of FIG. to add.
72 is added to the walking test menu screen 100 in FIG. 72, the model image display screen 101 in FIG. 73, the walking test execution screen 102 in FIG. 74, and the test transition screen 103 in FIG.
The operation when the enter button is selected on these screens is the same as the operation when the enter button 96g is selected on the exercise video display initial screen 96. The illustration of these screens to which the determination button is added is the same as the exercise video display initial screen 960 of FIG.

  FIG. 92 is an explanatory diagram showing an example of the training / test stop screen 900. The training / test stop screen 900 is selected by the elderly for reasons other than the poor physical condition (for example, the selection button 96g is selected) separately from the training / test stop screen 90 shown in FIG. It is displayed when is performed.

  When the determination button 96g is selected on the exercise video display initial screen 960, the CPU 61 displays a training / test stop screen 900. The training / test stop screen 900 includes a date label 900a, a name label 900b, a message label 900c, and a blue button 900d. The date label 900a is a control that displays the system date. The name label 900b is a control that displays the name of an elderly person who is a user. The name label 900b, for example, the name may be displayed wording of the interrogation including such as "Hello ○○-san" as shown in Figure 92. The message label 900c is a control for displaying a message for accepting the training of the elderly person walking support system or stopping of the walking test. The blue button 900d is a confirmation button, and is a control for transitioning to the next screen when selected.

  FIG. 93 is a flowchart illustrating an example of a procedure of training / walking test processing. FIG. 93 exemplifies the processing procedure for the determination processing portion in step S244 in FIG. Step S244 is a branching process executed by the CPU 61 on the motion video display initial screen 96 of FIG. 68 or the motion video display screen 98 of FIG. 93 is similar to steps S249 and S252 in FIG. 62, steps S261 and S264 in FIG. 64, step S268 in FIG. 65, and step S273 in FIG.

For example, the CPU 61 determines which button is selected on the exercise video display initial screen 960 of FIG. 91 (step S244). When the CPU 61 determines that the determination button 96g has been selected (step S244: determination), it displays the training / test stop screen 900 of FIG. 92 on the display device 8 (step S256 of FIG. 63). And CPU61 performs said update process about the training result table 37m.
Even when the yellow icon 96f is selected (step S244: yellow), the CPU 61 displays the training / test stop screen 90 of FIG. 57 on the display device 8 (step S256 of FIG. 63). In the third embodiment, the subsequent processing when the yellow icon 96f is selected will be described later.

  The processing executed by the CPU 61 when the green icon 96e or the red icon 96d is selected (step S244: green, red) or when no button or icon is selected (step S244: no selection) is described in the embodiment. Since this is the same as 1, the description thereof is omitted.

  When the yellow icons 96f, 97f, 99f, 101b, 103b, etc. are selected by pressing the yellow button on the remote controller 12 respectively on the inquiry screen 89 in FIG. 56 or the motion video display initial screen 96 in FIG. Information that the yellow button is pressed (one information) is transmitted to the server 30. The information that the yellow button is pressed here indicates that the yellow button has been pressed, and specifically includes, for example, a telegram ID, an elderly person ID, the screen name of the target on which the yellow button was pressed, and the system time. The message ID is a symbol for identifying information transmitted from the home system 5 to the medical institution system 1, and a symbol assigned in advance in the entire elderly walking support system is used. The in-hospital terminal 20 or the server 30 that has received the information indicating that the yellow button has been pressed identifies the information transmitted based on the message ID.

  The server 30 transmits information about the yellow button being pressed to the in-hospital terminal 20 of the main specialist associated with the elderly ID corresponding to the home terminal 60. At that time, the server 30 searches the name of the elderly person information table 37b based on the elderly person ID, and adds the name corresponding to the elderly person ID to the information whose yellow button is pressed. The in-hospital terminal 20 receives information that the yellow button is pressed, displays an alert screen on the display unit 25 based on the received information that the yellow button is pressed, and prompts the main specialist to intervene. A program that the server 30 and the hospital terminal 20 execute these processes is a resident program, and is executed independently of other processes.

  FIG. 94 is an explanatory diagram showing an example of the elderly physical condition attention screen 108. The elderly physical condition caution screen 108 is an alert screen that the CPU 21 displays on the display unit 25 when the in-hospital terminal 20 receives information indicating that the yellow button has been pressed. The elderly physical condition attention screen 108 is a pop-up screen, and is displayed on the foreground of the screen of the display unit 25 even when the CPU 21 is executing another process. The main specialist recognizes the poor physical condition of the elderly on the elderly physical condition attention screen 108 and shifts to intervention.

  The elderly physical condition attention screen 108 includes an elderly person ID label 108a, an elderly person name label 108b, a screen name label 108c, a transmission time label 108d, and an OK button 108e. The elderly person ID label 108a is a control that displays an elderly person ID corresponding to the elderly person who pressed the yellow button of the remote controller 12 in the home system 5. The elderly person name label 108b is a control that displays the name of the elderly person corresponding to the elderly person ID. The screen name label 108c is a control that displays a screen name of a target for which an elderly person has pressed the yellow button. In FIG. 94, an exercise video display initial screen 960 is illustrated as the screen name label 108c. The transmission time label 108d is a control that displays the system time at which the home terminal 60 transmitted information indicating that the yellow button was pressed to the server 20. The OK button 108e is a confirmation button. When the OK button 108 e is clicked, the CPU 21 erases the elderly physical condition attention screen 108 from the screen of the display unit 25.

  FIG. 95 is a flowchart illustrating an example of a procedure for an elderly person's poor physical condition notification process. The elderly person's poor physical condition notification process is a process in which information indicating that the yellow button has been pressed is transmitted from the home terminal 60 to the in-hospital terminal 20 via the server 30, and the in-hospital terminal 20 displays the elderly person's physical condition warning screen 108 on the display unit 25. It is.

  The CPU 61 determines whether or not the yellow button of the remote controller 12 has been pressed on various screens such as the exercise video display initial screen 960 (step S601). When the CPU 61 determines that the yellow button of the remote controller 12 is not pressed on various screens such as the exercise video display initial screen 960 (step S601: NO), the CPU 61 returns the processing to step S601. When the CPU 61 determines that the yellow button of the remote controller 12 has been pressed on various screens such as the exercise video display initial screen 960 (step S601: YES), the CPU 61 transmits information about the pressed yellow button to the server 30 (step S602). .

  The CPU 31 receives information that the yellow button has been pressed (step S603). CPU31 searches the name of elderly person information table 37b based on elderly person ID (Step S604). The CPU 31 adds the name of the elderly person to the information that the yellow button has been pressed (step S605). The CPU 31 retrieves the IP address of the in-hospital terminal 20 used by the main specialist from the elderly expert table 37t and the expert contact table 37u based on the elderly ID (step S606). The CPU 31 transmits the information that the edited yellow button is pressed to the hospital terminal 20 of the searched IP address (step S607).

  The CPU 21 receives information that the yellow button has been pressed from the server 30 (step S608). The CPU 21 displays the elderly physical condition attention screen 108 on the display unit 25 based on the received information that the yellow button has been pressed (step S609), and ends the process.

  Note that the home terminal 60 may directly transmit information indicating that the yellow button has been pressed to the in-hospital terminal 20 without going through the server 30. In such a case, the elderly person expert-related table 37t and the expert contact information table 37u are stored in the data storage unit 68 of the home terminal 60. It is not necessary to store all the records of these tables in the data storage unit 68, and records of these tables relating to at least an elderly person who uses the home system 5 are stored in the data storage unit 68. Based on these tables, the CPU 61 transmits information indicating that the yellow button has been pressed to the in-hospital terminal 20 corresponding to the main specialist.

  In the above description, when the in-hospital terminal 20 is shut down, the server 30 cannot access the in-hospital terminal 20 of the main specialist or the sub-expert specialist, such as when an expert is not logged in to the elderly walking support system. Not considered. Thus, as dealt with in the second embodiment, it is a matter of course that care for the elderly can be performed by the entire staff in charge, including the main specialist and the sub-expert specialist. That is, when the server 30 cannot access the in-hospital terminal 20 of the main charge specialist, the server 30 transmits information indicating that the yellow button is pressed to the in-hospital terminal 20 of the sub-expert specialist. In addition, when the server 30 cannot access the in-hospital terminal 20 of the main specialist or the sub-expert specialist, the yellow button is pressed on the information communication device of the specialist personal system 40 corresponding to the main specialist or the sub-expert specialist. Send an email with the information. Alternatively, when the server 30 cannot access the in-hospital terminal 20 of the main specialist or the sub-expert specialist, the yellow button is pressed on the mobile phone 44 of the expert personal system 40 corresponding to the main specialist or the sub-expert specialist. Make a voice call about the information that was posted.

  According to the elderly walking support system, when the elderly person presses the yellow button of the remote controller 12 on the inquiry screen 890 or the like, the in-hospital terminal 20 of the main specialist displays the elderly physical condition caution screen 108 on the display unit 25. As a result, the main specialist can immediately intervene and can realize fine health management for the elderly.

  According to the elderly walking support system, when an elderly person presses the OK button on the remote control 12 on the exercise video display initial screen 960 or the like, the elderly person notifies the expert that there is no problem with physical condition and training. Or the walking test can be stopped. Thereby, since an elderly person can perform a training or a walking test flexibly according to his / her life, motivation for the training or the walking test is maintained.

  According to the elderly walking support system, when an elderly person presses the green button on the remote control 12 on the interview screen 890, the elderly person notifies the expert that the condition is slightly worse, and performs a training or walking test. can do. This allows the expert to recognize that the elderly are not as bad as they need intervention, and that the health of the elderly needs to be monitored more carefully in the future.

  The third embodiment is as described above, and the other parts are the same as those of the first and second embodiments. Therefore, the corresponding parts are denoted by the same reference numerals, and the detailed description, operation, and effect thereof are omitted.

1 Medical institution system 2 In-hospital terminal 20 In-hospital terminal (second terminal device)
21 CPU
3 database server 30 server (central equipment)
31 CPU (transmission means, determination means)
36 Communication unit (means for transmitting)
37 Database section 370 Database section (recording means)
4 camera 5 home system 6 home terminal 60 home terminal (first terminal device)
61 CPU (output means, notification means)
65 Display output interface section (output means)
66 Communication unit (means for notification)
68 Data storage unit (recording means)
68a Sensor data 68b Blood pressure value data (blood pressure information)
68c Pulse rate data 68d Walking test result 69 Remote control interface unit (accepting means)
70 Wireless interface unit 7 Camera 8 Display device 9 Remote control receiver / transmitter 10 Gait measurement sensor 11 Sphygmomanometer 12 Remote control 13 Communication network 130 Communication network 40 Professional personal system 41 Home PC (third terminal device)
42 PDA (third terminal)
43 Tablet PC (third terminal device)
44 Mobile phone (third terminal)
45 Game console (third terminal device)

Claims (5)

A first terminal device for transmitting the received identification information and blood pressure value of the subject to the central device;
Determination of receiving the identification information and blood pressure value of the subject from the first terminal device, and determining the received identification information of the subject and the received blood pressure value of the subject based on a blood pressure range pre-associated with the identification information A central device for transmitting blood pressure information including the result and the blood pressure value to the second terminal device;
In a health management system comprising a plurality of second terminal devices that receive subject identification information and blood pressure information from the central device,
The central device is
A first blood pressure range associated with the identification information of the subject in advance, a wider second blood pressure range including the first blood pressure range, and a plurality of the second terminal devices associated with the identification information of the subject; A recording means,
When the received blood pressure value of the subject is between the first blood pressure range and the second blood pressure range recorded by the recording unit, the identification information and blood pressure information of the subject are recorded by the recording unit. Means for transmitting to the two-terminal device;
If the received blood pressure value of the subject is outside the second blood pressure range recorded by the recording unit, the subject identification information and blood pressure information are transmitted to the plurality of second terminal devices recorded by the recording unit. And a health management system characterized by comprising: The central device is
Determining means for determining whether or not communication with the second terminal device is possible;
A means for transmitting the identification information and blood pressure information of the subject to the outside when the determination means determines that communication with the second terminal device is not possible;
A third terminal device associated with the second terminal device based on the identification information of the subject,
The health management system according to claim 1, wherein the third terminal device receives identification information and blood pressure information of the subject from the central device. The health management system according to claim 2, wherein the third terminal device is portable. A display device for displaying information;
The first terminal device is
It accepts the measurement time of the blood pressure value,
A recording means for recording a scheduled time zone for blood pressure measurement and recording the accepted blood pressure value and the accepted measurement time or acceptance time;
Output means for outputting information to the display device,
The output means outputs blood pressure measurement information to the display device when the blood pressure value at the measurement time or the reception time corresponding to the scheduled time zone is not recorded in the recording means. The health management system according to any one of claims 1 to 3. The first terminal device is
A reception means for receiving two pieces of information separately;
Means for notifying the second terminal device to that effect via the central device or not when the receiving device has received one piece of information;
The health management system according to any one of claims 1 to 4, further comprising: means for notifying the central device when the receiving unit receives other information.

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