JP2013156845A - Therapeutic course recording system and therapeutic course recording method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable a doctor to make use of therapeutic course information recorded by a patient in a therapy through simple procedures.SOLUTION: A therapeutic course recording system 1 comprises: a sheet-like therapeutic course recording card 2 that enables a patient himself/herself to record own therapeutic course information thereon; a reader 3 that performs proximity wireless communication with the card 2 and retrieves the therapeutic course information recorded on the card 2; a controller 4 that performs control for displaying the therapeutic course information retrieved by the reader 3 on a display, and formats the card 2; multiple buttons that are arranged on an information input surface of the card 2 and are used for selecting at least a symptom of the patient; and a communication module 10 that is built in the card 2. The communication module 10 includes: a storage part 21 that stores information for identifying a button pressed by the patient and time information for the pressing, in combination; a wireless communication part 23 for performing the proximity wireless communication with the reader 3; and a battery 14.

Description

  The present invention relates to a treatment progress information system and a treatment progress recording method for recording treatment progress information of a patient.

  A sheet-like test apparatus in which a conductive pattern is silk-printed on a sheet of paper or plastic, and a pad of a communication module is electrically connected to a terminal portion of the conductive pattern via a conductive adhesive has been put into practical use ( Patent Document 1).

  The verification device disclosed in Patent Document 1 can be sent to the user as a postal matter. When the user who peels off the cover, several selection buttons and explanations are provided on the inner page. When an arbitrary selection button is pressed in accordance with the content of the sentence, the information is stored in the communication module embedded in the paper substrate, and the stored information can be read out by the host device by proximity wireless communication.

  Also, in the medical field, digitization of medical information such as medical records is being promoted. As part of this, standardized daily data is created by digitizing assessment files that record patient symptoms and medical conditions. There has been proposed an electronic medical recording system that efficiently creates doctors and nursing records (see Patent Document 2).

Special table 2008-516248 gazette Japanese Patent No. 4420279

  The doctor cannot observe the patient's symptoms all the time, and can only examine the patient at predetermined intervals such as once a week. Moreover, when actually examining a patient, the examination time is often limited to a few minutes. For this reason, it is almost the case that the treatment policy is determined based on the patient's answer by the inquiry.

  However, normal patients do not remember details of changes in their symptoms from the last visit to the current visit, so they acted after taking prescribed medicines or eating or exercising. Later, it is difficult to accurately convey detailed information such as what symptoms appear to what extent and how the symptoms have changed over time to the doctor. Such information is important for doctors to treat patients. Conventionally, there has been no means for accurately transmitting such information from patients to doctors, and as a result, much depends on the experience and intuition of doctors.

  Patent Document 1 described above describes that test information such as blood is transmitted by RFID, but does not describe any method for a doctor to use a sheet-like assay device for treatment of a patient.

  In addition, the assessment file of Patent Document 2 is not created by the patient, but is created by listening to the patient. Therefore, the degree of reliance on the memory of the patient is large, and there is a problem in data reliability.

  The present invention has been made in consideration of the above-described problems, and provides a treatment progress recording system and a treatment progress recording method that enable doctors to use treatment progress information recorded by a patient in a simple procedure. It is to provide.

In order to solve the above-described problem, in one aspect of the present invention, a sheet-like treatment progress record card on which a patient can record treatment progress information,
A reader that reads the treatment progress information recorded in the treatment progress recording card by performing proximity wireless communication with the treatment progress recording card;
A control device that performs control to display treatment progress information read by the reader on a display device, and performs initialization processing of the treatment progress record card;
A plurality of buttons arranged on the information input surface of the treatment progress record card and for selecting at least a patient's symptom;
A communication module built in the treatment progress recording card,
The communication module includes a storage unit that stores information specifying the button pressed by the patient and time information pressed, a wireless communication unit that performs proximity wireless communication with the reader, and a battery. A treatment progress recording system is provided.

Moreover, in one aspect of the present invention, a step of searching whether or not a patient is registered and performing registration processing if not registered yet,
Initializing a treatment progress card to be delivered to the patient;
The patient presses at least one of a plurality of buttons provided on the treatment progress recording card, and the information specifying the pressed button and the time information of pressing the button are combined into the treatment progress recording card. Storing in a storage unit in the communication module;
Placing the treatment progress recording card deposited from a patient close to a reader, reading the information stored in the storage unit in the treatment progress recording card by proximity wireless communication with the reader, and transmitting the information to the control device; ,
And a step of displaying the information transmitted to the control device on a display device.

  According to the present invention, the patient can record the treatment progress information accurately and specifically, and this information can be easily transmitted to the doctor, so that the doctor can use this information to make finer and more reliable. High medical care can be performed.

The figure which shows schematic structure of a treatment progress recording system. The figure which shows the information input surface of the treatment progress recording card | curd 2 for rheumatism. 1 is a block diagram showing a schematic configuration of a communication module 10. FIG. The block diagram which shows an example of an internal structure of ASIC12. The flowchart which shows an example of the process sequence of the host computer 4, and a card | curd operation procedure of a patient in the treatment progress recording system 1 which concerns on this embodiment. The figure which shows an example of a patient list screen. The figure which shows an example of a patient detail screen. The figure which shows an example of a card initialization and distribution screen. The figure which shows an example of a card collection screen. The figure which shows an example of a treatment record reference screen. The figure which shows the information input surface 32 of the treatment progress recording card 2 for diabetes which concerns on 2nd Embodiment. The figure which shows the treatment record reference screen which concerns on 2nd Embodiment.

  Hereinafter, embodiments of the present invention will be described in detail. The treatment progress recording system according to the embodiment of the present invention is premised on the use of a treatment progress recording card relating to a specific disease. The type of disease targeted by this card is not particularly limited, but in the following, as a representative example, a treatment progress recording system using a treatment progress recording card for diabetes and a treatment progress recording card for rheumatism are used. The treatment progress recording system will be described in order.

  The treatment progress recording system according to the present embodiment has a schematic configuration as shown in FIG. 1 regardless of the treatment progress recording card of any disease. That is, the treatment progress recording system 1 of FIG. 1 includes a reader 3 that performs close proximity wireless communication with the treatment progress recording card 2 and a host computer (control device) 4 connected to the reader 3. A display device 5 is built in or externally attached to the host computer 4, and an input device 6 such as a mouse or a keyboard is also built in or externally attached.

(First embodiment)
The first embodiment is characterized by using a treatment progress recording card 2 for rheumatism. As will be described later, the treatment progress record card 2 is handed over to a patient from a medical institution that treats the patient. The patient records necessary information on the treatment progress record card 2 and submits it to the above-mentioned medical institution at a later date. The doctor of the medical institution intends to read out information recorded on the treatment progress record card 2 by the patient and use it for medical treatment.

  FIG. 2 is a diagram showing an information input surface of the treatment progress recording card 2 for rheumatism. The treatment progress recording card 2 of FIG. 2 is provided with folds 31 so as to be divided into three equal parts in the vertical direction. The folds 31 can be folded into a three-fold structure to facilitate carrying. Yes. The card is in the form of a sheet made of paper or plastic and has a thickness of 5 mm or less even if it is folded in three.

  The information input surface 32 of the treatment progress recording card 2 has a three-surface configuration from the first surface 32a to the third surface 32c. A start button 33 and a cancel button 34 are arranged on the first surface 32a.

  The start button 33 is pressed by the patient before the patient starts recording various information on the treatment progress recording card 2.

  The cancel button 34 is intended to cancel the information of the button pressed immediately before the cancel button 34 is pressed. By providing such a cancel button 34, it is possible to substantially cancel the information of the button pressed immediately before. Actually, it is impossible to delete or overwrite the information of the button that has been pressed once, but when the wrong information is stored, the information is incorrect by pressing the cancel button 34. Information to that effect is additionally stored. Thereby, when read by the host computer 4, it is possible to easily and accurately determine whether the information is correct. In addition, the patient can re-operate the button as many times as necessary, and is freed from the mental burden that no mistakes are allowed.

  On the second surface 32b of the information input surface 32 of the treatment progress record card 2, a button 35 is provided for selecting whether or not the patient has performed various actions. In the example of FIG. 2, a button for selecting whether or not medication has been performed and a button for selecting whether or not injection has been performed are provided. These buttons 35 are required to be pressed each time a patient takes a medication or injection.

  The second surface 32b is provided with a button 36 for selecting which part of the body is painful after performing each action. Specifically, a total of eight buttons 36 are provided for selecting whether pain has occurred in the left shoulder, right shoulder, left wrist, right wrist, left knee, right knee, left ankle, and right ankle.

  The third surface 32c of the information input surface 32 is provided with a button 37 for selecting which part of the limb is painful each time the patient performs an action such as medication or injection. Specifically, for each of the left hand, the right hand, the left foot, and the right foot, a total of 20 buttons 37 for selecting a finger with pain from among the five fingers are provided.

  These actions and symptoms provided on the information input surface 32 and the types of buttons for selecting them are merely examples, and may be arbitrarily changed. Further, the arrangement of the buttons is not limited to the illustrated one.

  On the inner surface of the treatment progress recording card 2, a switch contact and a contact switching pattern for conducting the switch contact only when the button is pressed are formed by silk printing, for example, in correspondence with the position of each button. One end of each switch contact is connected to a corresponding terminal of the terminal portion via a conductive pattern, and the other end is connected to a ground terminal of the terminal portion via a conductive pattern. Therefore, when the patient presses any button, the switch contact is conducted through the contact switching pattern only while the button is pressed, and the button pressing information is transmitted to the corresponding terminal via the terminal portion to the communication module. The As will be described later, this communication module is built in the treatment progress record card 2. The communication module has a plurality of pads, and these pads are joined to the terminal portion via a conductive adhesive or a conductive tape.

  FIG. 3 is a block diagram illustrating a schematic configuration of the communication module 10. The communication module 10 of FIG. 3 has a thin film shape that is thinner than the paper thickness, and includes an ASIC (Application Specific Integrated Circuit) 12 mounted on a film substrate 11, a crystal resonator 13, a button battery 14, and a speaker 15. A plurality of pads 16 formed along the long side of the film substrate 11, an antenna pattern 17 formed along the outer edge of the film substrate 11, and a conductive pattern 18 formed on the film substrate 11. Have.

  FIG. 3 is a functional block diagram of the internal configuration of the communication module 10. The actual arrangement, size, shape, and number of circuit components and patterns can be arbitrarily changed.

  FIG. 4 is a block diagram showing an example of the internal configuration of the ASIC 12. The ASIC 12 in FIG. 4 performs control for storing information on the start button 33, the cancel button 34, and each selection button pressed by the patient in time series together with time information, and storing the press information in the storage unit 21. It has the control part 22 and the radio | wireless communication part 23 which performs radio | wireless communication between the host computers 4 not shown.

  The control unit 22 further includes an authentication unit 22a that performs authentication of a medical person who operates the host computer 4, and searches for whether or not a patient is registered. 22b, a card initialization unit 22c for initializing the treatment progress recording card 2 to be handed over to the patient, and reading out information stored in the storage unit 21 in the recorded treatment progress recording card 2 via the reader 3 And a control unit 22d. Further, in some cases, a battery remaining amount check unit 22e that performs a battery remaining amount check of the battery 14 in the communication module 10 before the card initialization unit 22c initializes the card 2 may be provided inside the control unit 22. Good.

  The memory | storage part 21 memorize | stores the information which specifies the button which the patient pressed, and the time information when the button was pressed as a set. The cancel button 34 is intended to cancel the information of the button pressed immediately before the cancel button 34 is pressed. When the host computer 4 stores information specifying the pressing of the cancel button 34 and time information when the button is pressed in the storage unit 21, the host computer 4 displays information on the button pressed immediately before the cancel button 34. cancel.

  The wireless communication unit 23 performs so-called NFC (Near Field Communication) with the host computer 4 to transmit and receive information. The method and frequency band used by the wireless communication unit 23 for wireless communication are not particularly limited. For example, wireless communication is performed using a wireless method based on ISO 14443 in a 13.56 MHz band.

  In NFC, power can be transmitted and received according to the standard, so that it is possible in principle to drive the communication module 10 without a battery. However, the communication module 10 of the present embodiment also includes a speaker 15, and the button battery 14 is mounted because the power consumption is relatively large.

  As long as the button battery 14 is mounted, the battery will run out when used for a long period of time. However, if the medication recording card 1 according to the present embodiment is made of paper, it cannot withstand long-term use. If you have a problem, keep in mind to replace the medication record card 1 itself.

  FIG. 5 is a flowchart showing an example of the processing procedure of the host computer 4 and the card operation procedure of the patient in the treatment progress recording system 1 according to this embodiment. First, a doctor or operator of a medical institution (hereinafter referred to as a medical person) activates application software for the treatment progress recording system 1 on the host computer 4 and performs authentication processing (step S1). In this authentication process, it is authenticated whether or not the login ID and the password input by the medical staff match the registered information.

  If the authentication process is successful, next, the name, identification number, etc. of the patient to whom the treatment progress record card 2 of FIG. 1 is to be passed are input, and whether or not this patient is already registered in the database of the treatment progress recording system 1. Is searched (step S2). Here, as shown in FIG. 6, a list of all or a part of patients already registered may be displayed.

  If not yet registered in the database, the patient information is registered (step S3). Only the minimum necessary information may be registered to protect the personal information of the patient. For example, only the management number (the medical record number) that can uniquely identify the patient and the name and furigana of the patient may be registered. Information necessary for registration, such as gender, date of birth, and occupation, may be changed arbitrarily.

  When the registration process of step S3 is completed, or when patient registration information is retrieved in step S2, a detailed screen of the patient who is scheduled to receive the treatment progress record card 2 is displayed (step S4). FIG. 7 is a diagram showing an example of a detail screen. As shown in the figure, it is sufficient to display only the minimum information (for example, medical chart number, name, and furigana) that can uniquely identify a patient, even if it is called details. Also, in this detailed screen, a button 20a for initializing / distributing the treatment progress record card 2, a button 20b for collecting the card, and a treatment record recorded on the card are referred to on the screen. And a button 20d for outputting the treatment record recorded on the card as a file.

  Next, the medical staff clicks the card initialization / distribution button 20a. As a result, a card distribution screen as shown in FIG. 8 is displayed, and according to the display, the medical staff holds the treatment progress recording card 2 to be delivered to the patient over the reader 3. As a result, the host computer 4 performs the card initialization process (step S5).

  In this initialization process, first, the host computer 4 performs wireless communication with the treatment progress recording card 2 via the reader 3, and sets this card to the sleep state. Before the sleep state is set, the card is completely stopped, and in this stopped state, the battery 14 does not consume power other than spontaneous discharge. By setting the sleep state, a necessary minimum current flows in the card, and the power consumption of the battery 14 slightly increases. Here, the reason for setting the sleep state is that it is necessary to apply a voltage to the minimum necessary terminals of the terminal portion so as to reliably detect that the patient has operated at least the start button 33.

  In the initialization process, a process for measuring the remaining battery level of the battery 14 in the communication module 10 is also performed. The reason for performing this measurement is that, even when the communication module 10 is in a stopped state, the remaining amount of the battery gradually decreases due to the natural discharge of the battery 14, so that the battery 14 can be used during the normal use period of the card (for example, one year). In order to estimate in advance whether or not the battery has, the remaining battery level is measured and the result is displayed on the screen of the host computer 4. The medical staff confirms the measurement result of the remaining battery level of the battery 14 and determines whether or not to give this card to the patient.

  In addition, if the pad 16 for directly measuring the both-terminal voltage of the battery 14 is provided in the communication module 10, the remaining battery level can be measured by measuring the both-terminal voltage of the battery 14 using the pad 16. If there is no such pad, the communication module identification number and manufacturing date information are stored in advance in the storage unit 21 in the communication module 10, and the remaining battery level is calculated by reading these information. You may guess.

  The above steps S1 to S5 are processing procedures performed by the host computer 4 under the operation of medical personnel. When the initialization process in step S5 is completed, the medical staff gives the treatment progress record card 2 that has been initialized to the patient (step S6).

  Thereafter, the patient presses the start button 33 in the treatment progress recording card 2 immediately before starting the button pressing operation (step S7). Thereby, the communication module 10 shifts from the sleep state to the active state. This active state is a state that consumes more power than the sleep state, and a voltage is applied to each terminal of the terminal section connected to each switch contact, which instantly detects that the state of any switch contact has changed. become able to.

  When the patient completes the button selection operation (step S8) and returns the treatment progress record card 2 on which various types of information have been recorded to the medical staff, the medical staff starts from the screen of FIG. Click the card collection button 20b. As a result, a card collection screen as shown in FIG. 9 is displayed. When the medical staff holds the treatment progress record card 2 over the reader 3 according to this display, the information recorded in the card 2 is hosted via the reader 3. The data is read into the computer 4 (step S9).

  Next, when the medical staff clicks the treatment record reference button 20c on the screen of FIG. 7, a rheumatic treatment record reference screen as shown in FIG. 10 is displayed. On this screen, information that the patient has operated the buttons on the treatment progress record card 2 is displayed without omission. Therefore, while viewing this screen, doctors can check the relationship between each action performed by the patient and symptoms, and detailed information such as painful sites as specific symptoms in time series, which is useful for patient medical care. be able to.

  Since the information stored in the storage unit 21 in the treatment progress recording card 2 cannot be deleted, when the storage capacity of the storage unit 21 is full, the card cannot store new information. Conversely, as long as the storage capacity of the storage unit 21 has room, the patient can store new information in the storage unit. Therefore, although the example of FIG. 10 shows an example in which only information for a certain day is stored, the storage capacity of the storage unit 21 has a margin and the remaining battery capacity of the battery 14 has a margin. In some cases, the patient can store button selection information for multiple days in the storage.

  As described above, in the first embodiment, the treatment progress recording card 2 capable of recording the correlation between various actions and various symptoms of the patient useful for the treatment of rheumatism in time series is recorded on this card. Information is transmitted to the host computer 4 via proximity wireless communication and displayed, allowing doctors to know in detail and accurately how the patient's symptoms have changed after taking medications and injections, and treating rheumatism. It can be done accurately. That is, the doctor can confirm the correlation between the medication situation and the health condition of the patient easily and in detail, and can be used for a new prescription.

  In addition, it is possible to automate the work of taking the displayed information into the electronic medical chart, and efficient medical care can be performed.

  Furthermore, doctors can shorten the time to consult with the patient by effectively using the recorded information of the treatment progress record card 2, and as a result, the total examination time can be shortened and the patient's examination waiting time can be reduced. There is sex.

(Second Embodiment)
The second embodiment is characterized in that a treatment progress recording card 2 for diabetes is used. Similar to the first embodiment, this treatment progress record card 2 is handed over to a patient from a medical institution that treats the patient. The treatment progress record system 1 according to the second embodiment is the same as that shown in FIG. The same configuration is provided and the same processing as in FIG. 5 is performed.

  FIG. 11 is a diagram showing an information input surface 32 of the treatment progress recording card 2 for diabetes according to the second embodiment. The information input surface 32 of the treatment progress record card 2 has a three-surface configuration from the first surface 32a to the third surface 32c, as in the first embodiment. A start button 33 and a cancel button 34 are arranged on the first surface 32a.

  On the second surface 32b of the information input surface 32, eight buttons 41 to 43 for selecting an action of the basic item performed by the patient are arranged. More specifically, on this second surface 32b, three buttons 41 for selecting the amount of meal, four buttons 42 for selecting whether each of drinking, snacking, taking medicine, and injection, and hypoglycemia One button 43 is provided for selecting whether or not a seizure response (sugar intake) has been made.

  On the third surface 32c of the information input surface 32, it is selected whether or not other symptoms of the patient, specifically, each of the symptoms of sweating, dry mouth, palpitation, polyuria, headache and general malaise have occurred. A total of six buttons 44 and a total of six buttons 45 for selecting the blood glucose level are provided.

  Also in the treatment progress recording system 1 according to the second embodiment, the same processing operation as in FIG. 5 is performed, and finally a treatment record reference screen as shown in FIG. 12 is displayed on the host computer 4. On this screen, all the information that the patient has selected with the treatment progress recording card 2 is displayed in time series.

  As described above, in the second embodiment, the treatment progress recording card 2 capable of recording the correlation between various actions and various symptoms of the patient useful for the treatment of diabetes in time series is recorded on this card. The information is transmitted to the host computer 4 via proximity wireless communication and displayed, so the doctor can grasp in detail in time series what kind of symptom appeared after each action such as eating or drinking Therefore, it is possible to accurately treat diabetes.

(Other variations)
The arrangement and number of various buttons, the configuration inside the communication module, the number of pads 16 and the like in the first and second embodiments described above are merely examples, and may be arbitrarily changed according to the purpose of use of the information collection device. Absent.

  That is, the treatment progress record card 2 includes a first button group composed of two or more buttons for selecting an action performed by the patient, a second button group composed of two or more buttons for selecting a patient symptom, and a patient examination. It suffices to have at least one button group including a third button group including two or more buttons for selecting values.

  The features of the first embodiment and the features of the second embodiment may be arbitrarily combined. For example, a button for selecting body pain or limb pain may be provided in the diabetes treatment progress record card 2 according to the second embodiment.

  The treatment progress recording card used in the above-described treatment progress recording system is not limited to the card for the treatment of rheumatism or diabetes, but treatment of various diseases (for example, cancer, epilepsy, Parkinson's disease, etc.). It is applicable for. In addition, since the information required by the doctor differs for each disease, it is desirable to provide a button for selecting an action or symptom corresponding to each disease.

  The aspect of the present invention is not limited to the individual embodiments described above, and includes various modifications that can be conceived by those skilled in the art, and the effects of the present invention are not limited to the contents described above. That is, various additions, modifications, and partial deletions can be made without departing from the concept and spirit of the present invention derived from the contents defined in the claims and equivalents thereof.

  1 treatment progress recording system, 2 treatment progress recording card, 3 reader, 4 host computer, 5 display device, 6 input device, 11 film substrate, 12 ASIC, 13 crystal resonator, 14 button battery, 15 speaker, 16 pad, 17 Antenna pattern, 32 information input screen, 33 start button, 34 cancel button, 35-45 selection button

Claims (6)

A sheet of treatment progress record card that allows patients to record treatment progress information themselves,
A reader that reads the treatment progress information recorded in the treatment progress recording card by performing proximity wireless communication with the treatment progress recording card;
A control device that performs control to display treatment progress information read by the reader on a display device, and performs initialization processing of the treatment progress record card;
A plurality of buttons arranged on the information input surface of the treatment progress record card and for selecting at least a patient's symptom;
A communication module built in the treatment progress recording card,
The communication module includes a storage unit that stores information specifying the button pressed by the patient and time information pressed, a wireless communication unit that performs proximity wireless communication with the reader, and a battery. A treatment progress recording system characterized by that. The controller is
An authentication unit for authenticating the operator;
Search for whether a patient is registered, and if not registered yet, a patient registration unit that performs registration processing,
A card initialization unit for initializing the treatment progress record card to be delivered to a patient;
The treatment progress record according to claim 1, further comprising: a read control unit that reads out information stored in the storage unit in the treatment progress record card in which the patient has recorded information through the reader. system. The controller is
Before the treatment progress recording card is initialized by the card initialization unit, it has a battery remaining amount check unit that performs a battery remaining amount check of the battery included in the communication module in the treatment progress recording card. The treatment progress recording system according to claim 2. The plurality of buttons include a cancel button for instructing to cancel the pressing operation of any button performed by the patient immediately before,
2. The communication module stores information indicating that, when the cancel button is pressed, information on canceling the pressed button immediately before the cancel button is pressed is stored in the storage unit. The treatment progress recording system according to any one of 1 to 3. The plurality of buttons are:
A first button group comprising two or more buttons for selecting an action performed by the patient;
A second button group comprising two or more buttons for selecting a patient's symptom;
The treatment progress recording system according to any one of claims 1 to 4, further comprising at least one button group including a third button group including two or more buttons for selecting a test value of the patient. Searching whether the patient is registered, and if not yet registered, performing a registration process;
Initializing a treatment progress card to be delivered to the patient;
The patient presses at least one of a plurality of buttons provided on the treatment progress recording card, and the information specifying the pressed button and the time information of pressing the button are combined into the treatment progress recording card. Storing in a storage unit in the communication module;
Placing the treatment progress recording card deposited from a patient close to a reader, reading the information stored in the storage unit in the treatment progress recording card by proximity wireless communication with the reader, and transmitting the information to the control device; ,
And displaying the information transmitted to the control device on a display device.

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