JP2016091226A - Home care support method and home care support computer program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a method of efficiently and accurately supporting a home patient in medical treatment by integrating respective functions for information sharing among different job classifications, telecommunications, and television monitoring.SOLUTION: An information processing part 11 of a cloud server 2 of a system 1 links telecommunication functions in teams of patients, families, doctors, nurses, etc., to information sharing functions and telemonitoring functions among different job classifications, and receive care recording-related communications and monitoring information-related communications. Communications associated with patient states and medical cares as care records and monitoring information on patients are carried out. A family can have efficient communications needed for home care with a care team, and each member of the care team can efficiently and accurately support the patient with the family etc., and the care team without being troubled with communications not directly related to home care.SELECTED DRAWING: Figure 1

Description

  This invention collects patient information to be treated at home with a cloud server and uses the information collectively managed by a plurality of related parties, thereby making it practical to treat patients at home in the hospital. The present invention relates to a home care support method and a home care support computer program for the purpose of being able to support in a similar environment. Note that “information” means information related to patient care, such as medical information, care information, health information, and communication information.

  Due to the progress of an aging society and the advancement of lifesaving medicine, the number of patients at home has increased in recent years. The home care environment is very different from a hospital room and has a heavy burden on patients and their families. Therefore, there is a great demand for home care in an environment equivalent to a hospital. When comparing hospitals and homes, home equipment such as ventilators and assistance beds are substantial, so the equipment layout is almost the same. However, the patient is immediately supported by medical personnel at the hospital, but at home, it is routinely supported by non-medical personnel (hereinafter referred to as “family members”), Medical assistance is provided only to medical personnel (hereinafter referred to as “care team”) only when they are visited.

  Currently, there are the following problems for families who have home patients. First, in an emergency (when an emergency is required to deal with a life-threatening problem), it is difficult to respond immediately to an emergency such as a home device trouble or a patient sudden change. In addition, in normal times (when emergency response is not necessary, but daily response to changes in daily situations), appropriate response is not possible due to lack of information or knowledge. There are problems such as being worried about whether or not the family is free and the family's free life being restrained because the family cannot leave the patient.

  In addition, the care team also has a problem that communication and transportation are delayed in an emergency, and an immediate response cannot be made. In normal times, visiting nurses and helpers, etc. correspond and record in their respective occupations, but information about patients is not shared within the care team (information is not provided between occupations) and coordinated. There is a problem that it is difficult to deal with.

  Conventionally, as a method for solving such a problem, those described in the following Patent Documents 1 to 7 are known.

  First, in order to facilitate the sharing of information between occupations, Patent Document 1 (Japanese Patent Laid-Open No. 8-190591) stores information such as medical care, nursing, and medication of home patients in digital form. The information can be shared with related parties. In Patent Document 2 (Japanese Patent Laid-Open No. 2001-236423), each business operator inputs information using application software suitable for business, and can share information between different industries.

  In addition, in order to achieve mutual cooperation and communication between interested parties through telecommunications, in Patent Document 3 (Japanese Patent Laid-Open No. 2002-215800), multiple businesses, patients, and families form a community with a single server. , So that they can interact with each other. In Patent Document 4 (Japanese Patent Laid-Open No. 2006-23876), a user search can be easily performed when communication is performed using an SNS (Social Networking Service) on a mobile terminal.

Furthermore, in order to perform telemedicine using telemonitoring, Patent Document 5 (Japanese Patent Application Laid-Open No. 09-47436) displays various body data to enable telemedicine and to make an emergency call. Like to do. In Patent Document 6 (Japanese Patent Laid-Open No. 10-52495), SpO2 (arterial blood oxygen saturation) is remotely monitored. In Patent Document 7 (Japanese Patent Laid-Open No. 2002-301848), remote breathing is performed. In addition to monitoring, notifications are made at different patterns.

JP-A-8-190591 JP 2001-236423 A JP 2002-215800 A JP 2006-23876 A JP 09-47436 A JP 10-52495 A JP 2002-301048 A

  Conventionally proposed methods for home patient care support simply perform (1) information sharing among occupations, (2) telecommunications, and (3) telemonitoring functions individually. . In order to make the home medical treatment environment substantially equivalent to that of a hospital, it is not sufficient to use these functions separately, and a medical treatment support method or system that integrates these functions is required.

  In view of these points, an object of the present invention is a method capable of efficiently and accurately supporting medical treatment of a home patient by integrating information sharing, telecommunications, and telemonitoring functions between occupations. And to propose a computer program.

In order to solve the above-described problems, the present invention provides a management server that manages information on patients who are treated at home, and a team of a plurality of parties that perform medical care for the patient and the patient. In the home care support method using a communication terminal that is assigned to a member and can communicate with the management server,
Each team member of the team is registered in the team information storage unit of the management server,
The patient situation including the patient's facial expression, blood pressure, and physical condition is referred to as a patient situation, and the response including instructions, massage, and medication to the patient by the team member performed in response to the patient situation is referred to as medical care. If you call it
In response to an information sharing request from the communication terminal of the team member, the patient status and the medical care are registered as a care record in the care record storage unit of the management server using the communication terminal. Or, through the communication terminal from the management server, to browse the registered care information already registered in the care record storage unit,
At the time of registration or viewing of the care record using the communication terminal of the team member, in response to a telecommunication request from the communication terminal of the team member, registration or browsing in the telecommunication information storage unit of the management server The care record related communication related to the care record being registered is registered, or the care related to the care record already registered in the telecommunications information storage unit from the management server via the communication terminal. It is characterized by browsing record-related registration communication.

In the home medical treatment support method of the present invention,
Assuming that the biological signal measured from the patient and the device output representing the state of the device attached to the patient are collectively called monitoring information,
In the telemonitoring information storage unit of the management server, the monitoring information is registered in real time, at predetermined intervals or irregularly,
In response to a telemonitoring request from the communication terminal of the team member, the monitoring information is viewed in real time from the management server via the communication terminal, or from the management server via the communication terminal, Browse the monitoring information already registered in the telemonitoring information storage unit,
When browsing the monitoring information of the team member using the communication terminal, the team member is browsing the telecommunications information storage unit of the management server in response to the telecommunications request from the communication terminal of the team member. The monitoring information related registration related to the monitoring information already registered in the telecommunications information storage unit from the management server via the communication terminal is registered, or the monitoring information related communication related to the monitoring information is registered. It is characterized by having communication viewed.

  In the home care support method of the present invention, in a normal time, a family who is a main patient and responds to a patient can obtain discrete patient information by an information sharing function between occupations, and by a telemonitoring function, Continuous patient information can be obtained. Moreover, specific knowledge (method, know-how, etc.) for carrying out medical support can be obtained from the telecommunications function. In an emergency, information can be automatically transmitted to a care team (for example, a hospital) by a telemonitoring function without assuming a response from a family or the like. Specifically, a biosignal or device real-time abnormality detection report, or an emergency call based on the judgment of a family member or visiting nurse, etc. arrives at the attending physician, and if necessary, it can be quickly saved by means such as emergency transport. Can do. In addition to this, the care team comprehensively utilizes information obtained through the three functions of information sharing, telecommunications, and telemonitoring during visits and admissions to provide appropriate medical care. can do. Therefore, the family and the care team can efficiently and accurately support the patient.

  In addition, when performing home care support for patients using a method in which three functions are integrated as described above, the family or the like uses the telecommunications function for purposes other than obtaining specific knowledge of care support. It is assumed that various kinds of communication are often requested from the care team. When such a situation occurs, there is a risk that the care team's response work (work for inputting answers to comments and comments) will increase, and it will not be possible to focus on the original medical support.

  In the present invention, as described above, the care communication related communication is registered by linking the telecommunications function to the information sharing function between occupations. Therefore, the patient status (patient status including patient's facial expression, blood pressure, physical condition) and medical care (instructed to the patient by the team member in response to the patient status, massage, medication) Communication).

  Further, in the present invention, as described above, the monitoring information related communication is registered by linking the telecommunication function to the tele monitoring function. Therefore, communication regarding patient monitoring information (a biological signal measured from a patient and a device output indicating a state of a device attached to the patient) can be performed.

Therefore, family members can efficiently communicate with the care team about matters necessary for home medical treatment. Also, each member of the care team is not bothered by communication that is not directly related to home care. Therefore, the family and the care team can efficiently and accurately support the patient.

In the home care support method of the present invention, in order to efficiently perform communication related to the care record with a simple operation,
The management server
When there is an information sharing request between the occupations from the communication terminal of the team member,
Display a care record screen on the communication terminal;
On the care record screen, display each item of the care record registered in the care record storage unit,
By clicking each item of the displayed care record, the telecommunications request is transmitted,
Upon receiving the telecommunication request, on the care record screen of the communication terminal, display a telecommunication screen area for communication input,
It is desirable to display the care record related registration communication related to the item of the care record corresponding to the telecommunication request among the registered contents of the telecommunication information storage unit on the telecommunication screen area.

Further, in the home care support method of the present invention, in order to efficiently perform communication related to the monitoring information with a simple operation,
The management server
When there is the telemonitoring request from the communication terminal of the team member,
Display the real-time monitor screen representing the monitoring information on the communication terminal,
By clicking the real-time monitor screen, the telecommunications request is transmitted,
Upon receiving the telecommunications request, the video of the real-time monitor screen displayed on the communication terminal is paused and switched to a still image, and the telecommunications screen area for communication input is displayed on the real-time monitor screen,
It is desirable to display the monitoring information related registered communication related to the monitoring information on the real-time monitor screen among the registered contents of the telecommunications information storage unit on the telecommunications screen area.

  Next, in home medical care support that integrates three functions, there are care records by various occupations, a wide variety of record items, and different recording dates and times. For this reason, in order for the family and the care team to grasp the patient situation, it is necessary to browse many screens after logging in by accessing the management server from the communication terminal. For this reason, it may be difficult to grasp the outline of the patient in a short time. Therefore, it is desirable that only important information for home care of patients can be collected and viewed on a single screen. However, the important information varies depending on the situation of each patient and may change every moment even in the same patient.

  In the home care support method of the present invention, as described above, the telecommunications function is linked to the information sharing function and the telemonitoring function between occupations, so the communication registered in the telecommunications information storage unit Can be determined to be narrowed down to items important to the patient. Therefore, in the home care support method of the present invention, when the target patient is selected, the summary status of the patient is displayed, and in addition to basic information (main complaint, medication, medical history, etc.), the summary status can be communicated. It includes information that has been taken up.

That is, in the home care support method of the present invention,
When the management server receives a patient summary status request for the patient from the communication terminal of the team member, the management server transmits information regarding the patient summary status to the communication terminal. The patient's summary status includes the patient's chief complaint, medication, basic information including medical history, communication records, communication-related care records, and communication-related monitoring information registered in the basic information storage unit. . The basic information is information registered in a basic information storage unit of the management server. The communication record is the care record related registration communication and the monitoring information related registration communication registered in the telecommunications information storage unit within a predetermined period. Further, the communication-related care record is the care record related to the care record-related registered communication registered in the care record storage unit within the predetermined period. The communication related monitoring information is the monitoring information related to the monitoring related registered communication registered in the telemonitoring information storage unit within the predetermined period.

  In this way, team members can quickly grasp the overview of the information that is important for the patient's home care, so the family and the care team can efficiently and accurately support the patient. It becomes possible to do.

  Next, in home medical care support that integrates three functions, as described above, care records by various occupations exist, recording items are diverse, and recording dates and times are different. At the same time, each member of the care team generally forms the same or different teams, and generally handles a plurality of patients at the same time. For this reason, when searching for related information or important information about one of multiple patients in charge, do not go to the information you want unless you perform many operations and go through many screens. There is a problem that necessary information cannot be confirmed efficiently. Therefore, in the home care support method of the present invention, when accessing and logging in to the management server, the user wants to browse the screen displayed first on the list of patients who are in the team members and on the screen. Information can be accessed with a single click, making it easy to find important information in a simple procedure.

That is, in the home care support method of the present invention,
Register information on a plurality of the teams in the team information storage unit of the management server,
When the management server receives a browsing request from a member of a care team excluding the patient and their family among the team members via the communication terminal,
Assuming that the member who has transmitted the browsing request is called a browsing requester, the communication terminal displays the patient list screen in charge of listing the patient in charge of the browsing requester as the patient in charge,
In the patient list screen, the patients in charge are arranged in order from the most recent registration or update date and time, and a plurality of display sections arranged in time series are assigned to each patient in charge. ,
Each display section displays an identification mark indicating information registered or updated at the date and time assigned to the display section.
The identification mark includes at least one of a care record identification mark and a communication identification mark,
The care record identification mark represents that the patient in charge was registered or updated with respect to the care record storage unit,
The communication identification mark represents that the patient in charge was registered or updated with respect to the telecommunications information storage unit,
The care record identification mark includes identification information for identifying the member who has registered or updated,
The communication identification mark includes an unanswered mark indicating a state in which the question is requested to the browsing requester and an answer has not been replied, a question to the other team member by the viewing requester and a state in which no answer has been received. An unreceived mark indicating, and a normal mark indicating other communication,
When the care record identification mark is clicked on the patient list screen displayed on the communication terminal, an information sharing request between the occupations about the patient in charge is transmitted to the management server, and the communication identification mark When is clicked, the telecommunications request for the patient in charge is transmitted to the management server.

Here, on the patient list screen in charge, in order to be able to know the state of telecommunications at a glance, in the home care support method of the present invention,
In each of the display sections where the communication identification mark is displayed, whether or not the communication information corresponding to the communication identification mark has been browsed is identified and displayed.
The non-reply mark, the unreceived mark and the normal mark of the communication identification mark are displayed in mutually different display colors,
When the management server registers or updates the telecommunications information storage unit according to an answer to a question corresponding to the unanswered mark and the unreceived mark, the display color of the unanswered mark and the unreceived mark Is switched to the display color of the normal mark.

In addition, in the home care support method of the present invention, in addition to care records and communication information, in order to be able to easily access monitoring information,
The identification mark includes a monitoring identification mark,
The management server
When the monitoring information is acquired in real time from the patient in charge, the monitoring identification mark is displayed in the display section where the patient in charge is displayed, and an elapsed date and time is assigned every time a certain period of time has passed. Generate and add the display section, display the monitoring identification mark in the added display section,
If the monitoring information has been acquired in the past for the patient in charge, the monitoring identification mark is displayed in the display section corresponding to the date and time of acquisition,
When the viewing requester clicks the monitoring identification mark on the patient list screen displayed on the communication terminal, the telemonitoring request for the patient in charge is transmitted to the management server.

  Next, in the telemonitoring function, there is a possibility that a biological signal or a real-time abnormality detection notification of a device is notified when an emergency response is unnecessary, or is not notified when an emergency response is required. That is, in hospitals and the like, the status of patients and devices can be always grasped, and the emergency notification threshold value and the like are adjusted so as to be appropriate. However, in the case of home medical treatment, since such a response has only limited opportunities such as at the time of visiting, the accuracy of the emergency call is lowered, and for example, unnecessary emergency calls may occur frequently.

  In the home care support method of the present invention, as described above, the telecommunications function is linked to the telemonitoring function. Therefore, the accuracy of emergency notification can be maintained by automatically changing the notification algorithm of the biological signal based on the result of communication. For example, it is desirable to determine that the patient has become chronic if the number of communication members of the care team regarding the biosignal increases, and to change the threshold for emergency calls, or change the contact point for emergency calls from the family to the attending physician.

Therefore, in the home care support method of the present invention,
The management server
Based on the biological signal, send an emergency call to the communication terminal of a predetermined team member of the team to which the patient belongs,
Based on the care record-related registration communication and the monitoring information-related registration communication registered in the telecommunications information storage unit, adjustment of a report criterion as to whether or not to generate the emergency call set in advance, and the emergency At least one of the notification destination changes is made.

  Here, the management server can adjust the notification criteria based on the occurrence frequency of a predetermined word included in the care record related registration communication and the monitoring information related registration communication during a preset period. .

  In addition, when adjusting the notification condition, the management server preferably transmits a message to that effect to a communication terminal of a predetermined team member of the team to which the patient belongs.

Next, according to the present invention, the management server communicates with a communication terminal assigned to each team member of a team composed of a patient who is treated at home and a plurality of parties who perform medical care for the patient. A home care support computer program for managing information on the patient by performing the management server,
Means for registering each of the patient and the related person constituting the team in the team information storage unit of the management server;
The patient situation including the patient's facial expression, blood pressure, and physical condition is referred to as a patient situation, and the response including instructions, massage, and medication to the patient by the team member performed in response to the patient situation is referred to as medical care. If you call it
In response to an information sharing request from the communication terminal of the team member, the patient status and the medical care are registered as a care record in the care record storage unit of the management server using the communication terminal. Or means for browsing registered care information already registered in the care record storage unit from the management server via the communication terminal,
At the time of registration or viewing of the care record using the communication terminal of the team member, in response to a telecommunication request from the communication terminal of the team member, registration or browsing in the telecommunication information storage unit of the management server Care record related communication related to the care record being registered, or care record related to the care record already registered in the telecommunications information storage unit from the management server via the communication terminal It is characterized by functioning as a means for browsing related registration communications.

Further, the home care support computer program of the present invention provides the management server,
When the biological signal measured from the patient and the device output representing the state of the device attached to the patient are collectively referred to as monitoring information, the monitoring information is stored in real time in the telemonitoring information storage unit of the management server. Means for obtaining and registering at predetermined or irregular intervals;
In response to a telemonitoring request from the communication terminal of the team member, the monitoring information is viewed in real time from the management server via the communication terminal, or from the management server via the communication terminal, Means for browsing the monitoring information already registered in the telemonitoring information storage unit;
When browsing the monitoring information of the team member using the communication terminal, the team member is browsing the telecommunications information storage unit of the management server in response to the telecommunications request from the communication terminal of the team member. Monitoring information related registration communication related to the monitoring information already registered in the telecommunications information storage unit from the management server via the communication terminal or registration of monitoring information related communication related to the monitoring information It is characterized by functioning as a means for browsing.

In the present invention, the management server is
When there is an information sharing request between the occupations from the communication terminal of the team member,
Means for displaying a care record screen on the communication terminal;
Means for displaying each item of the care record registered in the care record storage unit on the care record screen;
Means for transmitting the telecommunications request by clicking each item of the displayed care record;
Means for displaying a telecommunication screen area for communication input on the care recording screen of the communication terminal upon receiving the telecommunication request;
On the telecommunications screen area, among the registered contents of the telecommunications information storage unit, function as means for displaying the care record related registration communication related to the item of the care record corresponding to the telecommunications request. desirable.

In the present invention, the management server is
When there is the telemonitoring request in real time from the communication terminal of the team member,
Means for displaying a real-time monitor screen of the monitoring information on the communication terminal;
Means for transmitting the telecommunications request by clicking the real-time monitor screen;
Upon receiving the telecommunications request, the video on the real-time monitor screen displayed on the communication terminal is paused and switched to a still image, and a telecommunications screen area for communication input is displayed on the real-time monitor screen. means,
It is desirable to function as means for displaying the monitoring information related registered communication related to the monitoring information on the real time monitor screen among the registered contents of the telecommunication information storage unit on the telecommunication screen area.

In the present invention, when the management server receives a patient summary status request for the patient from the communication terminal of the team member, the management server functions as means for transmitting information related to the patient summary status to the communication terminal,
The patient's summary status includes the patient's chief complaint, medication, basic information including past history, communication records, communication-related care records, and communication-related monitoring information,
The basic information is information registered in a basic information storage unit of the management server,
The communication record is the care record related registration communication and the monitoring information related registration communication registered in the telecommunications information storage unit within a predetermined period,
The communication related care record is the care record related to the care record related registration communication registered in the care record storage unit within the predetermined period,
The communication related monitoring information may be the monitoring information related to the monitoring related registered communication registered in the telemonitoring information storage unit within the predetermined period.

In the present invention, the management server is
Means for registering information on a plurality of the teams in the team information storage unit of the management server;
When receiving a browsing request from a member of a care team excluding the patient and their family among the team members via the communication terminal,
When the member who has transmitted the browsing request is referred to as a browsing requester, means for causing the communication terminal to display a patient list screen in which the patient responsible for the browsing requester is listed as a patient in charge,
In the patient list screen, the patients in charge are arranged in order from the most recent registration or update date and time, and a plurality of display sections arranged in time series are assigned to each patient in charge. means,
Each display section functions as a means for displaying an identification mark representing information registered or updated at the date and time assigned to the display section.
The identification mark includes at least one of a care record identification mark and a communication identification mark, and the care record identification mark is registered or updated in the care record storage unit for the patient in charge. The communication identification mark represents that the patient in charge has been registered or updated in the telecommunications information storage unit, and the care record identification mark has been registered or updated. Identification information for identifying a member is included, and the communication identification mark includes a non-reply mark indicating a state in which a question is requested to the browsing requester and an answer has not been replied to another team member by the browsing requester. An unreceived mark that indicates the status of a question that has not been received. It is included in the normal mark indicating the communication,
Furthermore, the management server is
When the care record identification mark is clicked on the patient list screen displayed on the communication terminal, an information sharing request between the occupations about the patient is received, and the communication identification mark is clicked And functioning as a means for receiving the telecommunications request for the patient in charge.

In the present invention, the management server is
Means for identifying and displaying whether or not the communication information corresponding to the communication identification mark has been browsed in each of the display sections where the communication identification mark is displayed;
Means for displaying the non-reply mark, the unreceived mark and the normal mark of the communication identification mark in different display colors;
When the telecommunications information storage unit is registered or updated by an answer to a question corresponding to the unanswered mark and the unreceived mark, the display color of the unanswered mark and the unreceived mark is displayed as the normal mark. It is desirable to function as means for switching to color.

In the present invention, the identification mark includes a monitoring identification mark, and the management server is
When the monitoring information is acquired in real time from the patient in charge, the monitoring identification mark is displayed in the display section where the patient in charge is displayed, and an elapsed date and time is assigned every time a certain period of time has passed. Means for generating and adding the display section and displaying the monitoring identification mark on the added display section;
When the monitoring information has been acquired in the past for the patient in charge, means for displaying the monitoring identification mark in the display section corresponding to the acquisition date and time, and the patient list screen displayed on the communication terminal In the above, when the browsing requester clicks on the monitoring identification mark, it is desirable to function as a means for receiving the telemonitoring request for the patient in charge.

In the present invention, the management server is
Means for transmitting an emergency call to the communication terminal of a predetermined team member of the team to which the patient belongs based on the biological signal;
Based on the care record-related registration communication and the monitoring information-related registration communication registered in the telecommunications information storage unit, adjustment of a report criterion as to whether or not to generate the emergency call set in advance, and the emergency It is desirable to function as a means for performing at least one of the change of the report destination.

  In this case, the management server functions as means for adjusting the notification criteria based on the occurrence frequency of a predetermined word included in the care record related registration communication and the monitoring information related registration communication during a preset period. It is desirable to make it.

  In addition, when adjusting the notification condition, the management server preferably functions as means for transmitting a message to that effect to the communication terminal of the team member of the team to which the patient belongs.

It is a whole block diagram which shows the at-home medical treatment support system to which this invention is applied. It is explanatory drawing which shows an example of the initial screen after login when accessing a cloud server. It is a schematic flowchart which shows the example of the registration procedure of the communication linked with the care record. It is a schematic flowchart which shows the example of the procedure filled in in addition to the communication linked with the care record. It is explanatory drawing which shows the example of a screen of registration or additional entry of the communication linked with the care record. It is a schematic flowchart which shows the example of the registration procedure of the communication linked with the real-time monitor. It is a general | schematic flowchart which shows the example of the procedure additionally filled in in the communication linked with the real-time monitor. It is explanatory drawing which shows the example of a screen of the registration or additional entry of communication linked with the real-time monitor. It is explanatory drawing which shows the example of a display screen of a patient's summary condition. It is a schematic flowchart which shows the example of the procedure which changes automatically the conditions of an emergency call.

  Embodiments of a home care support system to which the present invention is applied will be described below with reference to the drawings.

[System configuration]
FIG. 1 is an overall configuration diagram showing a home care support system according to the present embodiment. A home care support system 1 (hereinafter simply referred to as “system 1”) performs communication between a cloud server (management server) 2 that integrally manages information on patients who are treated at home, and the cloud server 2. A plurality of communication terminals 3 (a) (a = 1, 2, 3...) And a communication line connecting the cloud server 2 and each communication terminal 3 (a), for example, an Internet line 4 are configured. The communication terminal 3 (a) is a personal computer, a mobile terminal, a mobile phone or the like, and is a team member 6 (c) (c) of a home care support team 5 (b) (b = 1, 2, 3...). = 1, 2, 3 ...).

  An administrator of the system 1 or a person (not shown) authorized by the system administrator designates a patient and a person who performs medical care for the patient as a team member 6 (c) of one team 5 (b). ) Is registered in the system 1. Team member 6 (c) includes patient 6 (1), family 6 (2), doctor 6 (3), nurse 6 (4), physical therapist 6 (5), home helper 6 (6), etc. Is included. The system administrator performs maintenance such as maintenance related to the system 1, but it is arbitrary whether or not to include it as a team member. Further, home medical care support by the system 1 is performed for a large number of patients, and one team 5 (b) is formed for each patient. Therefore, in one team 5 (b), the patient 6 (1) and the team members 6 (c) other than their family members 6 (2) become team members of a plurality of teams 5 (b) and simultaneously In many cases, home care support is provided for a large number of patients.

  The cloud server 2 functions as various processing units such as the information processing unit 11, the screen display unit 12, the transmission / reception unit 13, and the authentication unit 14 by executing the home care support computer program. In addition, a plurality of databases 20 in which various types of information for home medical treatment are registered are provided. The database 20 includes a team information storage unit 21, a basic information storage unit 22, a care record storage unit 23, telecommunications information. A storage unit 24, a telemonitoring information storage unit 25, and the like are included.

  The cloud server 2 uses various information registered in the database 20 to realize an information sharing function, a telecommunications function, and a telemonitoring function between job types having the following contents.

(1) Information sharing function between job types The information sharing function between job types includes the following configurations and functions of 1-1) to 1-3).
1-1) In the team information storage unit 21, a person who performs medical care of each patient 6 (1) by a system administrator (or a person authorized by the system administrator) as a team member (1) The family 6 (2), the doctor 6 (3), the nurse 6 (4), the physical therapist 6 (5), the home helper 6 (6), etc. are registered including the person. It is optional whether or not to include a system administrator as a member of each team.
1-2) The patient record (facial expression, blood pressure) obtained by visiting medical care, hospitalization, telephone call, etc., by the team member who has accessed and logged into the cloud server 2 via the communication terminal 3 (a) in the care record storage unit 23 , Physical condition, etc.) and medical care (instructions, massage, medication, etc.) for the patient 6 (1) performed in response thereto is called a care record (even if it is only a description of the patient situation) Can be registered. In addition, since the patient 6 (1) is included in the team members, for example, when the patient 6 (1) himself / herself measures blood pressure, or when taking blood pressure and taking antihypertensive drugs by self-judgment, etc. Can also register care records for patient 6 (1).
1-3) A team member who has logged on by accessing the cloud server 2 via the communication terminal 3 (a) can view the care record of the team registered in the care record storage unit 23 by each team member. Here, when a team member registers a care record, all or a part of the care record can be set so that only a specific team member can view it.

Note that one or more of the following functions 1-4) to 1-7) may be added to the information sharing function between occupations. Of course, other functions can be added.
1-4) A function for displaying the values of biological signals such as blood pressure and body temperature of a patient in a time-series graph for each biological signal regardless of the registered person's occupation so that the change tendency can be referred to.
1-5) A function capable of inputting care record registration in different formats (items and viewpoints) for each occupation.
1-6) A function capable of displaying care record browsing in an edited format different from the input format.
1-7) A function for registering care records in a plurality of forms such as text, still images, moving images, sounds, and PDFs.

(2) Telecommunication function The telecommunication function includes the following functions 2-1) to 2-4).
2-1) When a team member registers or views a care record, communication can be registered on a screen corresponding to the care record. This screen is a screen for team members to exchange opinions related to the care record, and can be viewed and input by the team members.
2-2) When a team member views a biological signal by the telemonitoring function described below, communication can be registered on a screen corresponding to the browsing. This screen is a screen for team members to exchange opinions related to the biological signal, and can be browsed and input by the team members.
2-3) Team members can register communications on a new screen regardless of care records or telemonitoring. This screen is a screen for team members to exchange opinions on an arbitrary topic and can be viewed and input by the team members.
2-4) Team members can perform telecommunications in real time through a WEB conference (or screen sharing).

One or more of the following functions 2-5) to 2-8) can be added to the telecommunication function. Of course, other functions can be added.
2-5) The screen for communication can be set so that only specific team members can view and input. Further, when those screens are set and / or when there is an input on the screen, an e-mail is delivered to members who can view and input.
2-6) Web conferences and screen sharing can be implemented only for specific team members.
2-7) On the screen for communication, the number of readers and unread readers is displayed for each input, and if the number is clicked, the date and time of reading is displayed for each member. If unread, it is displayed as unread.
2-8) A screen for communication can be input in a plurality of forms such as text, still image, moving image, sound and PDF.

(3) Telemonitoring function The telemonitoring function includes the following functions 3-1) and 3-2).
3-1) Team members view in real time the waveforms and numerical values output from devices that measure biological signals such as patient breathing, SpO2 (arterial oxygen saturation), electrocardiogram, electroencephalogram, body temperature, blood pressure, etc. it can. Alternatively, waveforms and values related to the state of devices such as oxygen supply devices and ventilators can be viewed in real time.
3-2) The above waveforms and numerical values are registered as raw data or summary information and can be viewed by team members at any time.

  In addition, it is also possible to add a function that allows team members to view patient videos in real time and also browse past videos to the telemonitoring function.

[Example of initial screen after login]
FIG. 2 is an explanatory diagram illustrating an example of an initial screen displayed on the communication terminal 3 by the cloud server 2 after a team member other than the patient 6 (1) and the family 6 (2) accesses the cloud server 2 and logs in. It is. The patient 6 (1) and the family 6 (2) are provided with an initial screen that can access only information related to the patient.

  As shown in FIG. 2, the initial screen 30 displays a list of names of patients whose logged-in team members are providing home care support, and the necessary information for each patient 6 (1) is as follows. It is devised so that important information can be easily found by a simple operation.

  The initial screen 30 (in-charge patient list screen) includes information 31 such as the name of the logged-in member, login date and time, and a rectangular cell 32 (j, k is a positive integer) in j rows and k columns (j and k are positive integers). k) A patient list 32 in charge (display section) is displayed. The top line is a display line of a patient that is updated or newly registered at the latest point in time among the care records, telecommunications information, and telemonitoring information, which are shared information between occupations. A patient name 33 is displayed in each square (j, 1) in the first column of the assigned patient list 32. Further, among patients who are telemonitoring when the initial screen 30 is opened, telemonitoring information is displayed in a position above the patient name to indicate that telemonitoring is currently performed. A telemonitoring identification mark 36 is displayed. Each square 32 (j, k) (k = 2, 3, 4,...) From the second column of the assigned patient list 32 indicates a care record, telecommunications information, and telemonitoring information, respectively. At least one of an identification mark 34, a telecommunications identification mark 35, and a telemonitoring identification mark 36 is displayed.

  In the same patient, that is, in the same row, the latest information is displayed so as to come to the leftmost square 32 (j, 2) among the squares in each column. Each square 32 (j, k) (k = 2, 3, 4...) Has a background with a first display color, for example, a blue square. Are switched to another second display color, for example, white.

  The care record identification mark 34 assigned to the care record is attached with identification information indicating the type of job of the input person (doctor, nurse, physical therapist, etc.). For example, identification information 34a (a Chinese character “medicine” representing a doctor), identification information 34b (a chinese character “nursing” representing a nurse), identification information 34c (a Chinese character “honor” representing the patient himself), and the like are added. Each cell 32 (j, k) (k = 2, 3, 4...) Can display telecommunications information independently. However, as will be described later, the telecommunications information is recorded in the care record. Or when linked and registered with telemonitoring information, two linked care record identification marks 34 and telecommunication identification marks 35 or telemonitoring identification marks 36 and telecommunication identification marks 35 are displayed simultaneously. The

  On the other hand, for the telemonitoring information, the telemonitoring identification mark 36 displayed on the cells 32 (j, k) (k = 2, 3, 4. If you click, the screen that displays the data saved by the telemonitoring of the day will be displayed. The data of the day is stored for a maximum of 24 hours, for example, and can be fast-forwarded and rewinded by scrolling. In addition, when the telemonitoring identification mark 36 displayed on the square 32 (j, 1) of the patient name in the first column of the initial screen is clicked, the real-time monitor screen is started up.

Here, if communication is entered in the past telemonitoring information, a telecommunication identification mark 35 is displayed next to the telemonitoring identification mark 36, and if clicked, communication and still images can be viewed. ing. Regardless of whether or not the communication has been added, clicking on the telemonitoring identification mark 36 allows fast-forwarding and rewinding of images for up to 24 hours by scrolling.

  If a communication is entered on the real-time monitor screen currently displayed in real time, an independent cell is generated at that time. In this case, only on that day, the real-time monitor screen is displayed by clicking either the telemonitoring identification mark 36 in the square or the telemonitoring identification mark 36 on the mass of the patient name in the first row. It has become so.

  In addition, when real-time monitoring is performed all the time, new masses are automatically created every 24 hours (1 day unit). The generation time of this new cell is 0:00. If the telemonitoring identification mark 36 of the cell is clicked, the monitor image for 24 hours can be viewed retroactively from that time. In addition, when the telemonitoring is completed for only several hours within one day, a mass to which the monitoring end time and the telemonitoring information acquired by telemonitoring for that time are assigned is generated. In this case, when the telemonitoring is again performed and finished on the same day, the telemonitoring time assigned to the square is updated, and the acquired telemonitoring information is monitored to be assigned to the square. It is saved and registered in addition to the information.

  Furthermore, regarding telemonitoring information, when registering communication contents, a member who wants to answer can be selected, and a message to that effect is sent to that member at the time of registration. When the member who sent the mail logs in with his / her ID and browses the patient list 32, the telecommunication identification mark 35 of the telecommunication information is displayed in a predetermined display color, for example, red. And if it is read, the display color is switched to another display color, for example, blue. When a member other than the member who wants to read and answer logs in, the telecommunication identification mark 35 is in a predetermined display color, for example, blue. In addition, when a person who has registered telecommunications information logs in, the telecommunications identification mark 35 is displayed in a predetermined display color, for example, blue when all members who want to read and reply read it, but even one person can view it. If not, it will be a different display color, for example yellow. In addition, when the telecommunications identification mark 35 is clicked when it is yellow, it is possible to confirm who has browsed.

[Telecommunication function linked to care records]
FIG. 3 is a schematic flowchart showing a registration procedure of communication linked to a care record, and FIG. 4 is a schematic flowchart showing a registration procedure when additional communication linked to a care record is entered. FIG. 5 is an explanatory diagram showing an example of a screen for registration or additional entry of communication linked to a care record.

First, with reference to FIG. 3 and FIG. 5, the registration procedure of the communication linked with the care record will be described. For example, on the initial screen 30 (see FIG. 2), when the team member clicks the care record identification mark 34 indicating the care record to be confirmed, the screen on the communication terminal 3 provided by the cloud server 2 is changed to the initial screen 30. To the care recording screen (step ST301 in FIG. 3). When a new communication is registered, a care record item to be asked is clicked on the care record screen (steps ST302 and 303 in FIG. 3). Thereby, a telecommunication request is transmitted from the communication terminal 3 side to the cloud server 2, and in response to this, a telecommunication screen area 53 for communication input is displayed on the care recording screen 50 as shown in FIG. Open (Step S in FIG. 3)
T304). In the case of patients and family members, for example, when the identification mark 34 displayed on the initial screen after the dedicated login is clicked, the care record screen 50 shown in FIG. 5 is opened.

  As shown in FIG. 5, in the care record screen 50 on which the care record is displayed, the items and contents of the care record 51 are displayed on the left side, and the clicked item 52 portion is switched to a predetermined color and highlighted. While being displayed, a telecommunications screen area 53 in which questions, comments, etc. can be input opens on the right side of the screen. In this telecommunications screen area 53, among the registered contents of the care record storage unit 23, communication registered in the telecommunications information storage unit 24 in relation to the item of the clicked care record (care record related registration communication) 54 is displayed and a communication input field 55 is opened.

  The team member can input communication (question, comment, etc.) in the newly displayed input field 55 (step ST305 in FIG. 3). If you want to link to another item, you can click on that item again and enter another communication.

  Communication registration can be performed by any of the team members, such as a care team or family member, and can be viewed by anyone. However, when registering, it is possible to select team members who particularly want answers and comments. For example, an important member can be set by providing a setting field 55a for setting and inputting such a member as an important member (see FIG. 5). When such a setting is made, the cloud server 2 adds attribute information to that effect such as a comment to be input and registers it in the telecommunication information storage unit 24 in response to the setting request, Inform the designated important members that there was a request for communication. For example, a message to that effect is transmitted to the communication terminal 3 of the team member set as an important member by e-mail (steps ST306, 307, and 308 in FIG. 3).

  When the communication input is completed and a command to that effect is received, the input communication is registered in the telecommunications information storage unit 24, and the telecommunications screen area 53 (see FIG. 5) is closed on the display screen of the communication terminal. (Steps ST309 and 310). Thereafter, for example, in response to an instruction input for ending care record browsing, the care record screen is closed, and the screen returns to, for example, the initial screen shown in FIG. 2 (steps ST311 and 312 in FIG. 3).

  Next, when the communication linked to the care record is additionally entered, the identification mark 35 indicating that the telecommunication information is registered is clicked on the initial screen (FIG. 2). Thereby, a telecommunication request is issued from the communication terminal 3 side, and in response to this, the initial screen 30 is switched to the telecommunication screen (step ST401 in FIG. 4). The screen configuration in this case is the same as that shown in FIG. 5, for example, the care record is displayed on the left side, and the telecommunications screen area 53 is displayed on the right side. Further, in the care record item, the care record item 52 to be communicated is highlighted (step ST402 in FIG. 4).

  When an answer, a comment or the like is entered in the input field 55 displayed on the telecommunications screen area 53 and an input end command is received, an update / addition process is performed to re-register the input communication in the telecommunications information storage unit 24. (Steps ST403 to 405 in FIG. 4). Thereafter, the screen is closed and returned to, for example, the initial screen (FIG. 2) (steps ST406 and 407 in FIG. 4).

  In the case of communication input that is not linked to the care record, for example, inquiries regarding how to use the system 1 or troubles, and administrative communication such as adjustment of the next visit date, for example, not the telecommunications function, It is possible to respond by creating an office communication function or the like in the system 1.

[Telecommunication function linked to telemonitoring information]
Next, FIG. 6 is a schematic flowchart showing a registration procedure for communication linked to a real-time monitor (telemonitoring information), and FIG. 7 is a schematic flowchart showing a procedure for additionally filling communication linked to the real-time monitor. FIG. 8 is an explanatory view showing a screen example of registration or additional entry of communication linked to the real-time monitor.

  In this case, first, on the initial screen 30 (see FIG. 2), the telemonitoring identification mark 36 displayed on the mass of the patient in charge in the first column is clicked to transmit a telemonitoring request. In response to the telemonitoring request, the initial screen 30 is switched to the real-time monitor screen (step ST601 in FIG. 6). When registering communication linked to the real-time monitor, for example, a real-time monitor screen displayed as a waveform is clicked to issue a telecommunication request (steps ST602 and 603 in FIG. 6).

  In response to the telecommunication request, the real time image on the real time monitor screen is temporarily stopped to switch to a still image, and a telecommunication screen area is opened on the real time monitor screen (step ST604 in FIG. 6).

  As shown in FIG. 8, on the real-time monitor screen 80 on which telemonitoring information is displayed, a real-time image 82a temporarily stopped in the real-time monitor area 81 on the left side and various telemonitoring information 82b are displayed. On the right side of these, a telecommunication screen area 83 in which questions, comments, etc. can be input opens. In this telecommunications screen area 83, communication (telemonitoring information related registration communication) 84 registered in the telecommunications information storage unit 24 in association with telemonitoring information is displayed, and a communication input field 85 is opened.

  Team members can input communications (questions, comments, etc.) in the opened input field (step ST605 in FIG. 6). If you want to link to another screen, you can click on the screen again to enter another communication. In addition, when displaying the communication registered in this way, it displays simultaneously with the linked monitor screen (still image).

  Communication registration can be performed by any of the team members, such as a care team or family member, and can be viewed by anyone. However, when registering, it is possible to select team members who particularly want answers and comments. For example, a setting field 85a for setting and inputting such a member as an important member can be provided to set an important member. When such a setting is made, in response to the setting request, attribute information to that effect is added to the communication such as a comment to be entered, registered in the telecommunication information storage unit 24, and the set important member To inform that there was a request for communication. For example, a message to that effect is transmitted to the communication terminal 3 of the team member set as an important member by e-mail (steps ST606, 607, and 608 in FIG. 6).

  When the communication input is completed and a command to that effect is received, the input communication is registered in the telecommunications information storage unit 24, and the telecommunications screen area 83 (see FIG. 8) is closed on the display screen of the communication terminal. (Steps ST609 and 610). Thereafter, the still image on the real-time monitor screen 80 is returned to a real-time moving image, and the real-time monitor screen is closed in response to, for example, an instruction input for browsing termination of the real-time monitor. (Steps ST611 and 612 in FIG. 6).

  Next, when the communication linked to the real-time monitor screen is additionally entered, the identification mark 35 indicating that the telecommunication information is registered is clicked on the initial screen (FIG. 2). Thereby, a telecommunication request is issued from the communication terminal 3 side, and in response to this, the initial screen is switched to the telecommunication screen (step ST701 in FIG. 7). In this case, for example, as in the case shown in FIG. 8, the target real-time monitor screen is displayed on the left side, and the telecommunications screen area 83 is displayed on the right side (step ST702 in FIG. 7).

  When an answer, a comment or the like is entered in the input field displayed on the telecommunications screen area 83 and an input end command is received, an update / addition process is performed to re-register the input communication in the telecommunications information storage unit 24 ( Steps ST703 to 705 in FIG. Thereafter, the screen is closed and returned to, for example, the initial screen (FIG. 2) (steps ST706 and 707 in FIG. 7).

  In addition, when registering communications linked to the real-time monitor screen, simultaneously launch a WEB conference, click the waveform displayed screen (pause when clicked), and then record the video and audio information for a certain period of time. Text that has been registered or voice-recognized may be registered.

[Patient summary status display function]
The system 1 is provided with a function for displaying the summary status of the patient so that the summary status of the patient can be grasped in a short time. In the system 1, care records by various occupations exist, the recording items are various, and the recording dates and times are different. When the family and the care team grasp the patient situation, the summary situation of the patient can be grasped on a single screen without browsing many screens.

  When the target patient is selected on the initial screen 30 (see FIG. 2), a screen representing the general situation of the patient is displayed. For example, when a patient name 33 displayed in each patient column, which is the first column 32 (j, 1) on the initial screen 30, is clicked, a patient summary status request is issued. In response to the patient summary status request, the initial screen 30 switches to a patient summary status display screen.

  FIG. 9 is an explanatory diagram illustrating an example of a display screen for a patient's summary status. As shown in this figure, the patient summary status screen 90 has a display area 91 for information (name, address, etc.) for identifying the patient in charge, and basic information registered in the basic information storage unit 22 (main complaint, Medicine, past history, etc.) display area 92, communication record display area 93 registered in the telecommunication information storage unit 24, information taken up in the communication, care record storage unit 23, telemonitoring information storage A display area 94 for information registered in the unit 25 is included.

Communication and the information covered in it can be considered important information. For example, care record related registration communication, monitoring information related registration communication (Q & A etc.), and communication related care record, communication related monitoring information (items in care record , Real-time monitor waveforms, etc.). The period displayed in this summary status may be limited to a certain period after the last communication registration (for example, one month).

  It is necessary to select important information for displaying the patient's summary status. However, if the communication function is not used, the person registered at the time of care record registration or the person who viewed the care record is judged to be important. There may be a method of adding an identification mark (such as a check mark) to the registered item and registering it.

[Emergency call control]
In the system 1 of this example, in order to improve the accuracy of the emergency response, the patient's biological signal or the real-time abnormality detection report of the device attached to the patient is notified when the emergency response is unnecessary, or the emergency response It has a function that automatically controls the adjustment of the report standard so that problems such as not being notified when it is necessary do not occur.

  This function is to automatically change the biometric signal reporting algorithm based on the communication result registered in the telecommunications information storage unit 24. The device's reporting algorithm is not changed. For example, if the number of communication of the care team member regarding the biosignal increases, it is determined that the patient has become chronic, and the emergency notification threshold is changed, or the emergency contact is changed from the family to the attending physician.

  FIG. 10 is a flowchart showing a specific operation example when the function is applied. The normal range of SpO2 is generally 90 or more, and it is dangerous when it becomes less than 90. Therefore, an emergency call is made when the threshold is lower than 90. For example, when the telemonitoring request is issued by clicking the identification mark 36 on the initial screen of the system 1 (FIG. 2), the cloud server 2 switches the initial screen to the telemetering screen (real-time monitor screen), and SpO2 Is also displayed (step ST101 in FIG. 10).

  Here, a patient who has been treated for a long time due to emphysema etc. has a body adapted to a state where SpO2 is low, and if it is 85 to 90, there is no problem in daily life. Therefore, the information processing unit 11 of the cloud server 2 searches for the word SpO2 in the communication of the care team member for one month, and if the average is used more than once a day, the control is performed to lower the threshold value by one. This is performed (steps ST102 to ST106 in FIG. 10). This threshold adjustment control is repeated every month, but the minimum threshold is set to 85 (steps ST107 and ST108 in FIG. 10). When the threshold value is changed, the default value 90 is switched to the adjusted threshold value (steps ST109 and 110 in FIG. 10).

  If a condition for changing the threshold value is satisfied, a message indicating that the threshold value needs to be changed may be notified to a related person such as a doctor in charge without immediately changing the threshold value. In this case, an authorized doctor in charge may change the threshold value by directly operating the measuring device during remote operation from the communication terminal or during a home visit. Instead, the threshold value may be changed on the side of the cloud server 2 that has received the confirmation instruction from the doctor in charge.

  If communication is not used to improve the accuracy of emergency response, the current value of the real-time monitor is judged to be urgent when it exceeds 2SD from the average value of the past month, or An emergency may be determined when the current value estimated by using the approximate straight line calculated from the value by the least square method deviates by 2 SD or more.

DESCRIPTION OF SYMBOLS 1 Home care support system 2 Cloud server 3 (1), 3 (2), 3 (3) ... Communication terminal 4 Internet line 5 (1), 5 (2), 5 (3) ... Home care support Team 6 (1), 6 (2), 6 (3), 6 (4) ... Team member 11 Information processing unit 12 Screen display unit 13 Transmission / reception unit 14 Authentication unit 20 Database 21 Team information storage unit 22 Basic information Storage unit 23 Care record storage unit 24 Telecommunication information storage unit 25 Telemonitoring information storage unit 30 Initial screen 31 after login Login information 32 Responsible patient list 32 (j, k) Mass 33 Patient name 34 Care record identification mark 35 Telecommunication Identification mark 36 Telemonitoring identification mark 50 Care record screen 51 Care record 52 Clicked care record item 53 Telecom Communication screen-related registration communication 55 Input field 55a Setting field 80 Real-time monitor screen 81 Real-time monitor area 82a Real-time image 82b Tele-monitoring information 83 Tele-communication screen area 84 Tele-monitoring information-related registration communication 85 Input field 85a Setting field 90 Patient Overview status screen 91, 92, 93, 94 display area

Claims (22)

A communication that is assigned to each team member of a team composed of a management server that manages information on patients who are treated at home and a plurality of parties that perform medical care for the patient and the patient, and can communicate with the management server In the home care support method using a terminal,
In the team information storage unit of the management server, register each of the patient and the parties that constitute the team,
The patient situation including the patient's facial expression, blood pressure, and physical condition is referred to as a patient situation, and the response including instructions, massage, and medication to the patient by the team member performed in response to the patient situation is referred to as medical care. If you call it
In response to an information sharing request from the communication terminal of the team member, the patient status and the medical care are registered as a care record in the care record storage unit of the management server using the communication terminal. Or, through the communication terminal from the management server, to browse the registered care information already registered in the care record storage unit,
At the time of registration or viewing of the care record using the communication terminal of the team member, in response to a telecommunication request from the communication terminal of the team member, registration or browsing in the telecommunication information storage unit of the management server Care record related communication related to the care record being registered, or care record related to the care record already registered in the telecommunications information storage unit from the management server via the communication terminal A home medical treatment support method characterized by browsing related registration communication. Assuming that the biological signal measured from the patient and the device output representing the state of the device attached to the patient are collectively called monitoring information,
In the telemonitoring information storage unit of the management server, the monitoring information is registered in real time, at predetermined intervals or irregularly,
In response to a telemonitoring request from the communication terminal of the team member, the monitoring information is viewed in real time from the management server via the communication terminal, or from the management server via the communication terminal, Browse the monitoring information already registered in the telemonitoring information storage unit,
When browsing the monitoring information of the team member using the communication terminal, the team member is browsing the telecommunications information storage unit of the management server in response to the telecommunications request from the communication terminal of the team member. Monitoring information related registration communication related to the monitoring information already registered in the telecommunications information storage unit from the management server via the communication terminal or registration of monitoring information related communication related to the monitoring information The home medical treatment support method according to claim 1, wherein the home medical care support method is browsed. The management server
When there is an information sharing request between the occupations from the communication terminal of the team member,
Display a care record screen on the communication terminal;
On the care record screen, display each item of the care record registered in the care record storage unit,
By clicking each item of the displayed care record, the telecommunications request is transmitted,
Upon receiving the telecommunication request, on the care record screen of the communication terminal, display a telecommunication screen area for communication input,
The said care record related registration communication relevant to the item of the said care record corresponding to the said telecommunication request among the registration contents of the said telecommunication information storage part is displayed on the said telecommunication screen area | region. Home care support method. The management server
When there is the telemonitoring request in real time from the communication terminal of the team member,
Display the real-time monitor screen of the monitoring information on the communication terminal,
By clicking the real-time monitor screen, the telecommunications request is transmitted,
Upon receiving the telecommunications request, the video on the real-time monitor screen displayed on the communication terminal is paused and switched to a still image, and a telecommunications screen area for communication input is displayed on the real-time monitor screen. ,
The home care support according to claim 2, wherein the monitoring information-related registered communication related to the monitoring information on the real-time monitor screen is displayed on the telecommunications screen area, among registered contents of the telecommunications information storage unit. Method. The management server
When receiving a patient summary status request for the patient from the communication terminal of the team member,
Sending information about the patient's summary status to the communication terminal;
The patient's summary status includes the patient's chief complaint, medication, basic information including past history, communication records, communication-related care records, and communication-related monitoring information,
The basic information is information registered in a basic information storage unit of the management server,
The communication record is the care record related registration communication and the monitoring information related registration communication registered in the telecommunications information storage unit within a predetermined period,
The communication related care record is the care record related to the care record related registration communication registered in the care record storage unit within the predetermined period,
The home care support method according to claim 2, wherein the communication-related monitoring information is the monitoring information related to the monitoring-related registered communication registered in the telemonitoring information storage unit within the predetermined period. Register information on a plurality of the teams in the team information storage unit of the management server,
When the management server receives a browsing request from a member of a care team excluding the patient and their family among the team members via the communication terminal,
Assuming that the member who has transmitted the browsing request is called a browsing requester, the communication terminal displays the patient list screen in charge of listing the patient in charge of the browsing requester as the patient in charge,
In the patient list screen, the patients in charge are arranged in order from the most recent registration or update date and time, and a plurality of display sections arranged in time series are assigned to each patient in charge. ,
Each display section displays an identification mark indicating information registered or updated at the date and time assigned to the display section.
The identification mark includes at least one of a care record identification mark and a communication identification mark,
The care record identification mark represents that the patient in charge was registered or updated with respect to the care record storage unit,
The communication identification mark represents that the patient in charge was registered or updated with respect to the telecommunications information storage unit,
The care record identification mark includes identification information for identifying the member who has registered or updated,
The communication identification mark includes an unanswered mark indicating a state in which the question is requested to the browsing requester and an answer has not been replied, a question to the other team member by the viewing requester and a state in which no answer has been received. An unreceived mark indicating, and a normal mark indicating other communication,
When the care record identification mark is clicked on the patient list screen displayed on the communication terminal, an information sharing request between the occupations about the patient in charge is transmitted to the management server, and the communication identification mark The home care support method according to claim 1, wherein when the is clicked, the telecommunications request for the patient in charge is transmitted to the management server. In each of the display sections where the communication identification mark is displayed, whether or not the communication information corresponding to the communication identification mark has been browsed is identified and displayed.
The non-reply mark, the unreceived mark and the normal mark of the communication identification mark are displayed in mutually different display colors,
When the management server registers or updates the telecommunications information storage unit according to an answer to a question corresponding to the unanswered mark and the unreceived mark, the display color of the unanswered mark and the unreceived mark 7. The home care support method according to claim 6, wherein the display color is switched to the display color of the normal mark. The identification mark includes a monitoring identification mark,
The management server
When the monitoring information is acquired in real time from the patient in charge, the monitoring identification mark is displayed in the display section where the patient in charge is displayed, and an elapsed date and time is assigned every time a certain period of time has passed. Generate and add the display section, display the monitoring identification mark in the added display section,
If the monitoring information has been acquired in the past for the patient in charge, the monitoring identification mark is displayed in the display section corresponding to the date and time of acquisition,
The telemonitoring request for the patient in charge is transmitted to the management server when the browsing requester clicks the monitoring identification mark on the patient list screen displayed on the communication terminal. Home care support method. The management server
Based on the biological signal, send an emergency call to the communication terminal of a predetermined team member of the team to which the patient belongs,
Based on the care record-related registration communication and the monitoring information-related registration communication registered in the telecommunications information storage unit, adjustment of a report criterion as to whether or not to generate the emergency call set in advance, and the emergency The at-home medical treatment support method according to claim 2, wherein at least one of a change of a report destination is made. The management server
The home medical treatment support method according to claim 9, wherein the reporting standard is adjusted based on an occurrence frequency of a predetermined word included in the care record related registration communication and the monitoring information related registration communication during a preset period. The management server
The home medical treatment support method according to claim 9, wherein when adjusting the reporting condition, a message to that effect is transmitted to a communication terminal of a team member of the team to which the patient belongs. The management server communicates with a communication terminal assigned to each team member of a team composed of a patient who is treated at home and a plurality of parties who perform medical care of the patient, and A home care support computer program for managing information,
The management server
Means for registering each of the patient and the related person constituting the team in the team information storage unit of the management server;
The patient situation including the patient's facial expression, blood pressure, and physical condition is referred to as a patient situation, and the response including instructions, massage, and medication to the patient by the team member performed in response to the patient situation is referred to as medical care. If you call it
In response to an information sharing request from the communication terminal of the team member, the patient status and the medical care are registered as a care record in the care record storage unit of the management server using the communication terminal. Or means for browsing registered care information already registered in the care record storage unit from the management server via the communication terminal,
At the time of registration or viewing of the care record using the communication terminal of the team member, in response to a telecommunication request from the communication terminal of the team member, registration or browsing in the telecommunication information storage unit of the management server Care record related communication related to the care record being registered, or care record related to the care record already registered in the telecommunications information storage unit from the management server via the communication terminal A home medical care support computer program characterized by functioning as a means for browsing related registration communication. The management server
When the biological signal measured from the patient and the device output representing the state of the device attached to the patient are collectively referred to as monitoring information, the monitoring information is stored in real time in the telemonitoring information storage unit of the management server. Means for obtaining and registering at predetermined or irregular intervals;
In response to a telemonitoring request from the communication terminal of the team member, the monitoring information is viewed in real time from the management server via the communication terminal, or from the management server via the communication terminal, Means for browsing the monitoring information already registered in the telemonitoring information storage unit;
When browsing the monitoring information of the team member using the communication terminal, the team member is browsing the telecommunications information storage unit of the management server in response to the telecommunications request from the communication terminal of the team member. Monitoring information related registration communication related to the monitoring information already registered in the telecommunications information storage unit from the management server via the communication terminal or registration of monitoring information related communication related to the monitoring information The home medical treatment support computer program according to claim 12, which functions as a means for browsing. The management server
When there is an information sharing request between the occupations from the communication terminal of the team member,
Means for displaying a care record screen on the communication terminal;
Means for displaying each item of the care record registered in the care record storage unit on the care record screen;
Means for transmitting the telecommunications request by clicking each item of the displayed care record;
Means for displaying a telecommunication screen area for communication input on the care recording screen of the communication terminal upon receiving the telecommunication request;
The function for displaying the care record related registration communication related to the item of the care record corresponding to the telecommunication request among the registered contents of the telecommunication information storage unit on the telecommunication screen area. 12. Home care support computer program according to 12. The management server
When there is the telemonitoring request in real time from the communication terminal of the team member,
Means for displaying a real-time monitor screen of the monitoring information on the communication terminal;
Means for transmitting the telecommunications request by clicking the real-time monitor screen;
Upon receiving the telecommunications request, the video on the real-time monitor screen displayed on the communication terminal is paused and switched to a still image, and a telecommunications screen area for communication input is displayed on the real-time monitor screen. means,
14. The information processing apparatus according to claim 13, wherein the monitoring information-related registered communication related to the monitoring information on the real-time monitor screen is displayed on the telecommunications screen area, of the registered contents of the telecommunications information storage unit. Home care support computer program. When the management server receives a "patient summary status" request for the patient from the communication terminal of the team member, the management server functions as means for transmitting information on the patient summary status to the communication terminal,
The patient's summary status includes the patient's chief complaint, medication, basic information including past history, communication records, communication-related care records, and communication-related monitoring information,
The basic information is information registered in a basic information storage unit of the management server,
The communication record is the care record related registration communication and the monitoring information related registration communication registered in the telecommunications information storage unit within a predetermined period,
The communication related care record is the care record related to the care record related registration communication registered in the care record storage unit within the predetermined period,
The home care support computer program according to claim 13, wherein the communication-related monitoring information is the monitoring information related to the monitoring-related registered communication registered in the telemonitoring information storage unit within the predetermined period. The management server
Means for registering information on a plurality of the teams in the team information storage unit of the management server;
When receiving a browsing request from a member of a care team excluding the patient and their family among the team members via the communication terminal,
When the member who has transmitted the browsing request is referred to as a browsing requester, means for causing the communication terminal to display a patient list screen in which the patient responsible for the browsing requester is listed as a patient in charge,
In the patient list screen, the patients in charge are arranged in order from the most recent registration or update date and time, and a plurality of display sections arranged in time series are assigned to each patient in charge. means,
Each display section functions as a means for displaying an identification mark representing information registered or updated at the date and time assigned to the display section.
The identification mark includes at least one of a care record identification mark and a communication identification mark, and the care record identification mark is registered or updated in the care record storage unit for the patient in charge. The communication identification mark represents that the patient in charge has been registered or updated in the telecommunications information storage unit, and the care record identification mark has been registered or updated. Identification information for identifying a member is included, and the communication identification mark includes a non-reply mark indicating a state in which a question is requested to the browsing requester and an answer has not been replied to another team member by the browsing requester. An unreceived mark that indicates the status of a question that has not been received. It is included in the normal mark indicating the communication,
Furthermore, the management server is
When the care record identification mark is clicked on the patient list screen displayed on the communication terminal, an information sharing request between the occupations about the patient is received, and the communication identification mark is clicked And a home care support computer program according to claim 12, which functions as means for receiving the telecommunications request for the patient in charge. The management server
Means for identifying and displaying whether or not the communication information corresponding to the communication identification mark has been browsed in each of the display sections where the communication identification mark is displayed;
Means for displaying the non-reply mark, the unreceived mark and the normal mark of the communication identification mark in different display colors;
When the telecommunications information storage unit is registered or updated by an answer to a question corresponding to the unanswered mark and the unreceived mark, the display color of the unanswered mark and the unreceived mark is displayed as the normal mark. The home care support computer program according to claim 17, which functions as means for switching to a color. The identification mark includes a monitoring identification mark,
The management server
When the monitoring information is acquired in real time from the patient in charge, the monitoring identification mark is displayed in the display section where the patient in charge is displayed, and an elapsed date and time is assigned every time a certain period of time has passed. Means for generating and adding the display section and displaying the monitoring identification mark on the added display section;
When the monitoring information has been acquired in the past for the patient in charge, means for displaying the monitoring identification mark in the display section corresponding to the acquisition date and time, and the patient list screen displayed on the communication terminal 18. The home care support computer program according to claim 17, wherein when the browsing requester clicks the monitoring identification mark, the home care support computer program according to claim 17 functions as means for receiving a telemonitoring request for the patient in charge. The management server
Means for transmitting an emergency call to the communication terminal of a predetermined team member of the team to which the patient belongs based on the biological signal;
Based on the care record-related registration communication and the monitoring information-related registration communication registered in the telecommunications information storage unit, adjustment of a report criterion as to whether or not to generate the emergency call set in advance, and the emergency The at-home medical treatment support computer program according to claim 13, which functions as means for performing at least one of change of a report destination. The management server
21. The at-home function according to claim 20, wherein during the preset period, the at-home function is configured to function as a means for adjusting the notification criterion based on an occurrence frequency of a predetermined word included in the care record related registration communication and the monitoring information related registration communication. Medical treatment support computer program. The management server
21. The home care support computer program according to claim 20, wherein when the reporting condition is adjusted, the home care support computer program according to claim 20 is caused to function as means for transmitting a message to that effect to a communication terminal of a team member of the team to which the patient belongs.