JP2015073610A - Round support terminal, round carriage, and round support server - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a round support terminal for objectively recording the whole medical activity including treatment activity in order to meet a recent strong request for executing informed consent such as explanation of a treatment method from a doctor to a patient, disclosure of evidence, and the patient's expression of agreement on them to the doctor and in order to prevent a medical dispute.SOLUTION: A round support terminal comprises: an attachment unit to be attached to a round carriage; an acceptance unit for accepting a start instruction to start inputting information on a specific patient, and the information input; a control unit which makes an information collection device mounted on the round carriage start collecting information interlocking with the start instruction and acquires the information collected by the information collection device; and a display unit which processes at least part of the information collected by the information collection device and integrally displays it on an information input screen on the specific patient.

Description

  The present invention relates to a roundabout support terminal, a roundabout cart, and a roundabout support server.

A medical service terminal is known in which a measuring device and a medical terminal are combined so that various types of biological information can be acquired and recorded, and a caster is provided so that it can be carried for round trips (see Patent Document 1).
[Prior art documents]
[Patent Literature]
[Patent Document 1] Japanese Patent Application Laid-Open No. 2004-213321

  In recent years, there has been a strong demand for the implementation of informed consent such as explanation of treatment methods from doctors to patients, disclosure of evidence, and expression of agreement from patients to doctors. Objective recordings of all medical practices, including those, have become necessary.

  A roundabout support terminal according to the first aspect of the present invention includes a mounting portion to be attached to a roundabout cart, a start instruction for starting information input of a specific patient and a reception portion for receiving information input, and a roundabout cart in conjunction with the start instruction. The information collection device equipped with the information collection device starts collecting information, and the control unit that acquires the information collected by the information collection device and the information input screen for the specific patient include at least a part of the information collected by the information collection device. A display unit for processing and integrated display.

  A round trip cart according to a second aspect of the present invention includes the round trip support terminal and a power supply unit that supplies power to the round trip support terminal.

  The round trip support server according to the third aspect of the present invention includes a storage unit for storing patient information of a specific patient, and a storage unit in response to a request from the round trip support terminal according to any one of claims 1 to 12. A server transmission unit that transmits patient information to the round-trip support terminal, and a server reception unit that receives information on a specific patient input by information input and information collected by the information collection device and stores the information in the storage unit.

  The summary of the invention does not enumerate all the features of the present invention. In addition, a sub-combination of these feature groups can also be an invention.

It is an external appearance perspective view of the rounding trolley unit concerning this embodiment. It is a figure which shows the mode of a roundabout with a roundabout cart unit. It is a block diagram showing the system configuration | structure of a round trolley unit and a round trip assistance server. It is a figure explaining the transition of a display screen. It is a figure which shows the example of an integrated display screen. It is a processing flow of a roundabout support terminal for one patient.

  Hereinafter, the present invention will be described through embodiments of the invention, but the following embodiments do not limit the invention according to the claims. In addition, not all the combinations of features described in the embodiments are essential for the solving means of the invention.

  FIG. 1 is an external perspective view of a roundabout cart unit 100 according to the present embodiment. The rounding cart unit 100 moves by being drawn around by a doctor or nurse in a medical facility such as a hospital. In this embodiment, the height of the height of the elementary school student is assumed.

  Many conventional round trolleys are simply carts for storing medical instruments, medicines, and the like, and in terms of support from the information side in round trips, for example, they are limited to accommodating notebook computers that manage patient information. As a kind of further improved round trip cart, a combination of a measuring device and a medical terminal so that various types of biological information can be acquired and recorded, and a caster provided so that the round trip cart can be carried is known. Since such a medical terminal is configured integrally with a measuring device, it is impossible to avoid an increase in the size of the device, and it is also impossible to appropriately select a measuring device suitable for a patient. In addition, the entire apparatus has to be transported even at the stage of organizing and analyzing patient information before and after the round.

  The rounding cart unit 100 according to this embodiment includes a rounding support terminal 200 mainly responsible for information management and device control, and a rounding cart 300 provided with a moving mechanism. The roundabout support terminal 200 is realized by, for example, a tablet PC and can be attached to and detached from the roundabout cart 300. The round cart 300 includes a caster 310, and can move in that direction when the handle 320 is pushed by a nurse, for example. By configuring the round trip support terminal 200 and the round trip cart 300 to be separable, a doctor or the like can carry only the round trip support terminal 200 and use it on a desk, for example, at the stage of organizing and analyzing patient information. Further, even when the information collection device equipped is different for each round trip cart 300, the round trip support terminal 200 can be mounted by selecting the round trip cart 300 according to the patient to be rounded.

  The round trip support terminal 200 includes a display 211, a touch panel 212, a fingerprint sensor 213, and a round trip car connection IF 216. The display 211 displays various information and acquired videos. A specific display screen will be described later. The touch panel 212 detects a user's contact, and accepts a user's selection or a text input when a menu screen is displayed on the display 211, for example. The fingerprint sensor 213 is an authentication device for permitting use only by users registered in advance. A user who wants to use the round-trip support terminal 200 obtains a use permission by placing a fingertip that has been registered in advance on the fingerprint sensor 213 and executing an authentication process. The use permission is not limited to fingerprint authentication as in the present embodiment, and various modes can be adopted. If biometric information is used, iris authentication, vein authentication, or the like can be employed. In addition to the biometric information, authentication using a card key, authentication using a password, or the like may be used.

  The roundabout vehicle connection IF 216 is an interface connector that exchanges control signals, detection signals, data, and the like with the roundabout cart 300. The round-trip car connection IF is not limited to the transmission / reception of digital signals, but may be configured to transmit / receive analog signals, or may be configured to be able to supply power. Note that the interface connector is not limited to a dedicated connector, and may be a standardized USB connector, for example, and is not limited to a wired connection, and short-range wireless communication may also be employed.

  The round trolley 300 includes a terminal mounting unit 350 for mounting the round trip support terminal 200. The terminal mounting part 350 is mainly composed of a support frame 351, a terminal connection IF 352, and an arm 353. The support frame 351 physically supports the round trip support terminal 200 when the round trip support terminal 200 is attached in the direction of the arrow in the figure. The support frame 351 may include a locking mechanism for preventing the fall. The terminal connection IF 352 is an interface connector that is inserted / removed corresponding to the above-described round-the-wheel connection IF 216. One end of the arm 353 is fixed to the round trolley 300 and the other end is fixed to the support frame 351. The arm 353 has a structure in which a plurality of support columns are connected by joints, and has a rotation mechanism on one end side and the other end side. The user can draw the roundabout support terminal 200 attached to the terminal attachment unit 350 to a position and an angle where it can be easily used, or can be folded into an accommodation state.

  In addition to the terminal mounting unit 350, the round car 300 includes a round car CPU 330, a battery 340, and a storage mechanism 360. Further, the round trolley 300 is equipped with an element imaging unit 400, an environment imaging unit 500, a reading unit 610, and a measuring unit 620 as information collection devices. The roundabout car CPU 330 receives a control signal from the roundabout support terminal 200 via the terminal connection IF 352, and performs overall control of the control target of the roundabout carriage 300. The battery 340 is a secondary battery such as a lithium-ion battery, for example, and supplies power to each part of the rounding cart 300 under the control of the rounding cart CPU330. By providing the battery 340, the round bogie unit 100 can withstand the use of round trips for a long time.

  The storage mechanism 360 is an automatic storage box that opens and closes under the control of the round-trip wheel CPU 330. In this, the medicine classified for every patient, the instrument which treats a patient, etc. are stored. The storage mechanism 360 can be in a pulled-out state pulled out from the round trolley 300 and a storage state stored in the round trolley 300. The opening and closing of the storage mechanism 360 is controlled by the round-trip car CPU 330, and a person who is not permitted to use the storage mechanism 360 cannot open it. By comprising in this way, the safety management of a medicine etc. can be aimed at.

  The element imaging unit 400 mainly includes an element imaging unit 410 and an arm 430. The arm 430 supports the element imaging unit 410 at the tip. The arm 430 extends from the folded state as shown in the drawing in a direction away from the round trolley 300. In particular, the vicinity of the tip that supports the element imaging unit 410 is configured by a flexible arm. For example, when a doctor wants to photograph a specific part of a patient, the element imaging unit 410 can be maintained in an arbitrary posture. That is, the element imaging unit 400 is a unit for photographing a specific limited portion such as an affected part of a patient, and is configured to photograph a close subject with a relatively narrow angle of view. Note that an illuminating unit that illuminates the subject to be imaged may be installed adjacently.

  The element imaging unit 410 can capture a still image and a moving image. For example, image data obtained by periodically capturing an affected area is used for follow-up observation. The image data is stored as part of the patient medical data. In the present embodiment, it is assumed that a doctor or the like manually extends the arm 430. However, by configuring the arm 430 as a robot arm, it automatically operates in cooperation with various other functions. It may be distracted. For example, the arm 430 can be controlled to automatically distract when it reaches the patient.

  The environmental imaging unit 500 mainly includes an environmental imaging unit 510, a recording unit 520, and a pole 530. The pole 530 supports the environmental imaging unit 510 and the recording unit 520 at the tip. The pole 530 is composed of a plurality of cylindrical portions, and can extend and contract in a nested manner. As shown in the drawing, the environment imaging unit 510 is configured to be able to take an image with a relatively wide angle of view so that, for example, both a doctor and a patient can be captured in a state where the pole 530 is extended. That is, the environment imaging unit 500 is a unit for imaging a round-trip environment including a patient and a doctor. The environment imaging unit 510 can mainly shoot moving images, and the moving image data obtained by shooting the state of the round is used as objective round-trip recording information. In this embodiment, it is assumed that a doctor or the like manually extends the pole 530, but it may be configured to automatically extend in synchronization with the imaging timing.

  The reading unit 610 is, for example, a bar code reader, and is an information collection device that reads a personal authentication code wound around a patient's arm. The reading unit 610 is not limited to a barcode reader, and may be a device such as an iris reading device. Information read from the patient by the reading unit 610 is sent to the roundabout wheel CPU 330 and used to check whether the patient is a roundabout patient.

  The measurement unit 620 is an information reading device for measuring patient biological information. Specifically, a thermometer 621, a sphygmomanometer 622, and the like are equipped as devices constituting the measuring unit 620. The patient's body temperature measured by the thermometer 621 and the patient's blood pressure measured by the sphygmomanometer 622 are collected as biometric information by the round-trip wheel CPU 330. The measurement unit 620 may include various other measurement devices. These measuring devices are selectively installed in the round trip cart 300 according to the purpose of the round trip. Moreover, each measuring apparatus may be comprised so that attachment or detachment with respect to the roundabout cart 300 is possible. In this case, the round cart 300 is preferably provided with a plurality of interface connectors that are electrically connected to the round cart CPU 330 and can be equipped with the respective measuring devices.

  Information collected by the information collection device is collected in the round trip support terminal 200. The round trip support terminal 200 processes the acquired information and displays it on the display 211, or transmits it to the round trip support server 700 as patient information. When the acquired information is processed and displayed on the display 211, the roundabout support terminal 200 displays the information together with the patient data acquired from the roundabout support server 700 in an integrated manner, and provides optimal information to the doctor with high visibility.

  FIG. 2 is a diagram showing a state of a round with a round cart unit 100. The doctor 910 authenticates the user himself / herself, completes the patient authentication of the person to be visited, and starts the round.

  During the round, the patient's data is displayed on the display 211 of the round trip support terminal 200. The doctor 910 operates the touch panel 212 to input findings or change display contents. The doctor 910 attaches the thermometer 621 to the patient 920 and causes the round trip support terminal 200 to automatically collect the result. Furthermore, the doctor 910 draws the arm 430 of the element imaging unit 400 as necessary, and performs the recording imaging by bringing the element imaging unit 410 close to the affected part. The round-trip support terminal 200 acquires captured still image data, performs image processing, and displays it on the display 211.

  The roundabout support terminal 200 controls the opening / closing of the storage mechanism 360 in accordance with the content of the selected medical data corresponding to the patient 920. For example, if the selected medical data includes information indicating that medication is required at the time of the treatment by the round visit, the storage mechanism 360 storing the medicine to be administered is driven so as to be pulled out.

  From the start of the round trip by the doctor 910 to the end of the round, the environment imaging unit 510 records all the moving images. Sound is also recorded by the recording unit 520. The round-trip support terminal 200 acquires moving image data being shot, performs image processing, and displays it on the display 211.

  The capturing of moving images by the environment imaging unit 510 is controlled so that the doctor 910 cannot arbitrarily stop and resume during the round. That is, the start and end of imaging are automatically controlled by the roundabout support terminal 200, as will be described later. Thus, the objectivity of recording is ensured by eliminating the arbitraryness of the doctor 910. Records with guaranteed objectivity include information on whether the doctor 910 fully explained the treatment method to the patient 920, disclosed evidence of the treatment method, or whether the patient 920 explicitly agreed with them. Evidence of the presence or absence of fulfillment. Furthermore, it will be a powerful material for verifying later whether the diagnosis and treatment performed are appropriate. Therefore, leaving such a record in which objectivity is ensured helps to prevent later medical disputes.

  FIG. 3 is a block diagram showing a system configuration of the round visit cart unit 100 and the round trip support server 700. In particular, functional elements directly controlled by the terminal CPU 210 of the round-trip support terminal 200, the round-trip car CPU 330 of the round-trip cart 300, and the server CPU 710 of the round-trip support server 700 are mainly shown. It should be noted that the same reference numerals are assigned to some functional elements that appear on the exterior and have already been described.

  First, the elements of the round-trip support terminal 200 will be described. The terminal CPU 210 performs overall control of the round trip support terminal 200. In particular, in the present embodiment, by transmitting a control signal to the roundabout car CPU 330, each control target of the roundabout carriage 300 is also indirectly controlled via the roundabout car CPU330. That is, the rounding cart unit 100 is entirely controlled by the terminal CPU 210.

  The display 211 displays a display screen generated by the terminal CPU 210 or read from the storage unit 214. The touch panel 212 detects the contact position of the user in conjunction with the display screen displayed on the display 211 and outputs it to the terminal CPU 210. The fingerprint sensor 213 reads the user's fingerprint as an image and outputs it to the terminal CPU 210. The terminal CPU 210 processes the acquired image, extracts feature points, and generates fingerprint data. Each of these functional elements related to communication with the user functions when the terminal CPU 210 executes control and calculation as the UI control unit 221.

  The storage unit 214 includes a relatively large-capacity storage such as a solid state drive (SSD) that stores medical data of patients, acquired moving image data, still image data, and the like. Further, it includes a non-volatile memory capable of reading and writing at a relatively high speed, such as an EEPROM, which stores various control programs executed by the terminal CPU 210, control parameters, display screen data, and the like. Furthermore, for example, a volatile memory that functions as a work memory at the time of image processing is included.

  The communication unit 215 includes a wireless communication device such as a wireless LAN or Bluetooth (registered trademark), and performs data communication with the communication unit 730 of the round-trip support server 700. In particular, for patient medical data, the data management unit 222 strictly restricts communication with the round trip support server 700. As will be described later, the data management unit 222 permits transmission / reception and display of patient data only at predetermined timings, and prohibits access at other timings. By restricting the communication with the roundabout support server 700 by the data management unit 222, it is possible to prevent leakage of medical data more firmly.

  The article management unit 223 manages which articles are stored in which storage mechanism 360, and realizes automatic opening and closing by giving a drawer signal and a storage signal to the storage mechanism 360. The article management unit 223 determines whether or not to open the storage mechanism 360 in conjunction with the patient's medical data, and if so, which storage mechanism 360 to open.

  The roundabout car connection IF 216 is connected to the terminal connection IF 352 of the roundabout car 300 as described above. The terminal CPU 210 indirectly controls the round cart 300 by sending a control signal to the round cart CPU 330 via these interfaces. Further, the terminal CPU 210 appropriately acquires the information collected by the information collection device via the round-trip car CPU 330.

  Next, the elements of the round visit cart 300 will be described. The roundabout car CPU 330 receives a control signal from the terminal CPU 210 and controls the whole round round carriage 300, and transmits information collected by the information collecting device equipped in the roundabout carriage 300 to the terminal CPU 210 in accordance with a request from the terminal CPU 210. . In addition, the roundabout CPU 330 controls charging and power feeding of the battery 340.

  The environment imaging unit 510 is connected to the roundabout car CPU 330, and the start and end of moving image shooting are executed by the control signal from the terminal CPU 210 via the roundabout car CPU330. Similarly, the element imaging unit 410 is connected to the roundabout car CPU 330, and still image shooting is executed by a control signal from the terminal CPU 210 via the roundabout car CPU 330. The recording unit 520 controls the start and end of recording in synchronization with moving image shooting of the environment imaging unit 510. The roundabout car CPU 330 synchronizes the sound recorded by the recording unit 520 with the frame of the moving image captured by the environment imaging unit 510 and transmits it to the terminal CPU 210.

  The reading unit 610 sends the authentication information read from the patient to the roundabout car CPU 330. Similarly, the measurement unit 620 sends the biological information read from the patient to the round-trip wheel CPU 330. The round-trip car CPU 330 sends these pieces of information to the terminal CPU 210. The storage mechanism 360 performs opening and closing under the control of the article management unit 223 of the terminal CPU 210.

  In the present embodiment, for example, the environmental imaging unit 510 is connected to the round-trip car CPU 330, and the moving image data captured by the environmental imaging unit 510 is sent to the terminal CPU 210 via the round-trip car CPU 330. The connection relationship is not limited to this. As described above, each information collection device is installed in the roundabout carriage 300, but the equipment may be physically supported by the roundabout carriage 300, and the electrical connection may be independent from the roundabout cart CPU330. In other words, an electrical connection may be established directly with the terminal CPU 210, for example, by radio or cable. In this case, the information collection device is directly controlled from the terminal CPU 210 and also transmits the collected information directly to the terminal CPU 210 without going through the round-trip car CPU 330.

  Next, elements of the round trip support server 700 will be described. The server CPU 710 performs overall control of each element of the round trip support server 700. The data storage unit 720 is, for example, a large-capacity hard disk drive (HDD) that stores patient information of a specific patient who can be a round-trip target. The patient information is recorded in the data storage unit 720 by the server CPU 710 and read from the data storage unit 720. Also, it is updated with information that is added or changed. The patient information stored by the data storage unit 720 is updated as appropriate in cooperation with information on other servers that manage the electronic medical record, a receptacle, and the like. By relaying the round-trip support server 700, the terminal CPU 210 can smoothly access a highly versatile database, and can also perform flexible information accumulation according to the circumstances of, for example, hospitals and clinical departments. The data storage unit 720 also stores user authentication data of users who are permitted to use the round-trip support terminal 200. The user authentication data includes attribute data such as user's pre-registered fingerprint data and specialized department data.

  In addition to exchanging information with the communication unit 215 of the round-trip support terminal 200 as described above, the communication unit 730 can also exchange information with other servers or the like connected to the network. In this case, the communication means is not limited to wireless, but may be wired. The communication unit 730 functions as a transmission unit in cooperation with the server CPU 710 when transmitting patient information stored in the data storage unit 720 to the terminal CPU 210 in response to a request from the terminal CPU 210. On the other hand, the communication unit 730 receives the various information collected by the information collecting device equipped in the round-trip cart 300 and processed by the terminal CPU 210 and stored in the data storage unit 720 in cooperation with the server CPU 710. It functions as a part.

  Next, transition of the display screen until the integrated display screen on the display 211 is displayed will be described. FIG. 4 is a diagram for explaining the transition of the display screen. Each display screen is stored in the storage unit 214, and the UI control unit 221 appropriately reads the corresponding display screen from the storage unit 214 and displays it on the display 211 in accordance with a change in the user's instruction and situation.

  When the round trip support terminal 200 is activated, the UI control unit 221 displays a user authentication screen 901. The user authentication screen 901 is a screen displayed as part of an authentication process for determining a specific user who is permitted to use. The user authentication screen 901 requests the user to place a finger on the fingerprint sensor 213. The activation of the roundabout support terminal 200 is not limited to the case where the power supply of the roundabout support terminal 200 is turned on, and when a transition from the sleep state to the normal state occurs, an access request to patient information is made in another start mode. It may also be included. Therefore, in addition to a series of round trip support processing, the round trip support terminal 200 may be activated as a non-access mode for patient information, and in this case, other work that does not handle patient information may be processed.

  When the user authentication process is completed, the UI control unit 221 displays a patient search screen 902. The patient search screen 902 is a screen for selecting the ID of a patient to be treated from the ID of a hospitalized patient as shown in the figure, for example. Of course, the patient name may be displayed in conjunction with the patient ID or instead of the patient ID. The user can select one via the touch panel 212.

  When a specific ID is selected, the UI control unit 221 subsequently displays a patient authentication screen 903. The patient authentication screen 903 is a screen that is displayed as part of the patient authentication process as to whether the patient ID selected through the patient search screen 902 matches the patient information acquired from the reading unit 610. The patient authentication screen 903 requests the user to read the personal authentication code wound around the patient's arm with a bar code reader as the reading unit 610.

  When the patient authentication is completed, the UI control unit 221 displays an integrated display screen 904 that provides information about the patient. The integrated display screen will be specifically described.

  FIG. 5 is a diagram illustrating an example of the integrated display screen 904. The integrated display screen 904 mainly includes a basic information area 800, a vital input area 810, a history information area 820, an environment image area 830, and an element image area 840.

  The basic information area 800 is an area in which basic information of the patient to be visited is collected by text, images, and button icons. Specifically, the patient ID, name, sex date of birth, age, blood type, and the like are shown as text, and a facial photograph is shown as an image.

  In addition, the presence or absence of allergy as basic information is displayed by transitioning to a dedicated screen when the allergy button 801 is selected. In the dedicated screen, for example, names of allergic causes such as buckwheat and eggs are displayed. In particular, when there is an allergy, the display mode of the allergy button 801 is different from the case where there is no allergies so that the doctor can see at a glance. For example, when there is no button, the button is a white background, and when there is, the button is changed to a red button. That is, when the allergy button 801 includes alerting information, the display mode is changed to stand out. Note that the UI control unit 221 may determine whether to change the display mode using the result of user authentication. Specifically, depending on the specialty of the doctor performing the treatment in the round visit, the importance of the allergy information may be low. In such a case, the display mode is not changed.

  Also, the presence or absence of an internal medicine taken as basic information is indicated by transition to a dedicated screen when the internal medicine button 802 is selected. The dedicated screen shows the medication you are taking. The display mode of the internal medicine button 802 may be changed in the same manner as the allergy button 801. The basic information of these round-patients is information acquired from the data storage unit 720 of the round-trip support server 700.

  The vital input area 810 is an area for inputting vital information such as body temperature, pulse, blood pressure and the like. The measurement result acquired from the measurement unit 620 is automatically input and displayed as soon as it is acquired. The measurement results obtained by the measurement device and the measurement device that are not provided in the round-trip cart 300 as the information collection device are input by the doctor via the touch panel 212. The update button 811 is a button for updating patient information with each piece of vital information input as confirmation information when selected by a doctor.

  The history information area 820 is an area for displaying past patient information in time series using, for example, a graph. Each information is divided in a tab format, and the doctor displays necessary information by selecting the tab. Note that the UI control unit 221 determines, based on the result of user authentication, which tab contains information to be displayed first and which information is classified into tabs to be displayed. May be. By using the authentication result of the user, it is possible to display patient information according to the doctor's specialty with high visibility.

  The environment image area 830 mainly includes an environment image window 831, a roundabout end button 832, and a roundabout cancellation button 833. The UI control unit 221 displays the moving image data captured by the environment imaging unit 510 and sequentially transmitted to the terminal CPU 210 on the environment image window 831 after performing image processing such as image size conversion and color adjustment. In order to reduce the load on the terminal CPU 210, the UI control unit 221 may display at a frame rate slower than the imaging frame rate of the environment imaging unit 510. In addition, the UI control unit 221 displays information such as “REC” indicating that recording is being performed, recording elapsed time, and the like in text, icons, and the like in the environment image window 831 so as to be superimposed on the moving image to be displayed. Also good. In parallel with the UI control unit 221 converting the moving image data sent from the environmental imaging unit 510 to the terminal CPU 210 into display image data, the terminal CPU 210 records the moving image data. Convert to image data. Specifically, the terminal CPU 210 performs processing such as compression so that the data storage unit 720 can store the data. The processed image data for recording is once recorded in the storage unit 214.

  The round trip end button 832 is a button that the doctor selects when the round trip of the target patient is completed. When the roundabout end button 832 is selected, the UI control unit 221 ends input reception and does not accept subsequent input regarding the patient. In addition, the terminal CPU 210 ends information acquisition from the measurement unit 620. Further, the terminal CPU 210 transmits the moving image data acquired from the environment imaging unit 510 to the round trip support server 700.

  The roundabout cancellation button 833 is a button that is selected by the doctor when canceling the roundabout of the subject planner halfway or starting over. When the roundabout cancellation button 833 is selected, the UI control unit 221 discards the input information received so far, and the terminal CPU 210 similarly discards the information acquired so far.

  As shown in the figure, the integrated display screen 904 does not include a round trip start button. The round-trip start is automatically determined when a series of user authentication and patient authentication is completed, and the terminal CPU 210 starts moving image shooting by the environment imaging unit 510 from this point. That is, the user CPU does not indicate the start time, but the terminal CPU 210 defines the start time. By such processing, it is possible to eliminate the arbitrary nature of the doctor and enhance the objectivity of the recorded data.

  The element image area 840 mainly includes an element image window 841 and a shutter icon 842 superimposed on the element image window 841. The UI control unit 221 displays through image data acquired by the element imaging unit 410 and sequentially transmitted to the terminal CPU 210 in the element image window 841 after performing image processing such as image size conversion and color adjustment. The doctor adjusts the shooting position while confirming the through image displayed in the element image window 841, estimates the timing, touches the shutter icon 842, and instructs to capture still image data. The UI control unit 221 detects the contact of the shutter icon 842, and in response to this, the terminal CPU 210 instructs the element imaging unit 410 to shoot a still image. Then, the terminal CPU 210 takes in still image data acquired by the element imaging unit 410 and converts the still image data into image data for recording. Specifically, the terminal CPU 210 performs processing such as compression so that the data storage unit 720 can store the data. The processed image data for recording is once recorded in the storage unit 214. The UI control unit 221 processes the captured still image data, and displays the processed image in the element image window 841 over a predetermined time. At this time, accompanying information such as a recording file name may be superimposed and displayed as text or the like.

  Note that what information is displayed on the integrated display screen 904 may be switched according to the attribute of the user acquired by the user authentication, that is, according to the authority. For example, all information may be displayed when used by a doctor, and information on medicines and treatment instruments may be displayed mainly when used by a nurse.

  FIG. 6 is a processing flow of the round trip support terminal 200 for one patient. The illustrated processing flow starts from the activation of the roundabout support terminal 200 described above. In the following processing, the description will be made assuming that the terminal CPU 210 performs processing uniformly even when the UI control unit 221, the data management unit 222, and the article management unit 223 in which the terminal CPU 210 executes a specific processing function performs processing. .

  In step S101, the terminal CPU 210 performs user authentication. Specifically, as described in the description of the user authentication screen 901 illustrated in FIG. 4, the user's fingerprint information is obtained from the fingerprint sensor 213. The terminal CPU 210 transmits the acquired fingerprint information to the server CPU 710, and proceeds to step S102. The server CPU 710 compares the received fingerprint information with the user authentication data stored in the data storage unit 720, determines whether or not the use of the roundabout support terminal 200 is permitted, and returns it to the terminal CPU 210.

  In step S102, the terminal CPU 210 receives the authentication result from the server CPU 710. If the authentication result is that the person is not authorized, the process returns to step S101. If the result indicates that the person is permitted, the process proceeds to step S103.

  In step S103, the terminal CPU 210 accepts a patient search. Specifically, as described in the description of the patient search screen 902 shown in FIG. 4, the patient designation of the roundabout person is received from the user. The terminal CPU 210 transmits the received patient ID to the server CPU 710, and proceeds to step S104. The server CPU 710 determines whether the patient data corresponding to the received patient ID is stored in the data storage unit 720 and returns it to the terminal CPU 210. In this case, it is not only determined whether or not the patient data of the target patient exists in the data storage unit 720, but it is also determined whether or not the patient can be a round-trip target. For example, even when there is already discharged patient data, the server CPU 710 determines that there is no corresponding patient data.

  In step S <b> 104, the terminal CPU 210 receives a result indicating whether or not target patient data exists from the server CPU 710. If the result indicates that there is no target patient, the process returns to step S103. If the result is that it exists, the patient data of the target patient is received and stored in the storage unit 214, and the process proceeds to step S105.

  In step S105, the terminal CPU 210 performs patient authentication. Specifically, as mentioned in the description of the patient authentication screen 903 shown in FIG. 4, for example, a personal authentication code wrapped around the patient's arm is read. In step S106, it is determined whether the read personal authentication code matches the personal authentication code described in the acquired patient data. If it is determined that they do not match, the process returns to step S103, and if it is determined that they match, the process proceeds to step S107.

  In step S107, the terminal CPU 210 displays the patient data acquired via the server CPU 710 on the display 211 in the form of the integrated display screen 904 described with reference to FIG. In step S108, the terminal CPU 210 sends a shooting start instruction to the environmental imaging unit 510. That is, the terminal CPU 210 starts recording to associate all the records of the rounds with the patient data later, with the time when the authentication processing from step S101 to step S106 is completed as the rounding start time. Note that steps S107 and S108 may be performed in reverse order.

  The terminal CPU 210 proceeds to step S109, processes the moving image data sent from the environment imaging unit 510, and displays it as a moving image in the environment image window 831. In step S110, the measurement unit 620 is instructed to acquire vital information. In step S111, the acquired vital information is displayed in the vital input area 810.

  When the terminal CPU 210 proceeds to step S112 and receives an instruction for imaging the affected area from the doctor who is the user via the shutter icon 842, the terminal CPU 210 sends an instruction for imaging the still image to the element imaging unit 410. Upon receiving still image data from the element imaging unit 410, the terminal CPU 210 performs image processing and displays it as a still image in the element image window 841 in step S113.

  In step S114, the terminal CPU 210 refers to the patient data and determines whether or not it is necessary to provide a tool such as a medicine or a treatment instrument. If it is determined that it is necessary, the process proceeds to step S115 to operate the storage mechanism 360. At this time, the tools used together may be automatically managed. When the operation of the storage mechanism 360 is completed, or when it is determined in step S114 that the provision of the tool is unnecessary, the process proceeds to step S116. In addition, the order of each operation | movement does not ask | require especially about each process from step S110 to step S115. Each operation may be executed a plurality of times.

  In step S116, the terminal CPU 210 determines whether or not the round trip end button 832 has been operated. If it is determined that it has not been operated, the process returns to step S109. If it is determined that it has been operated, the process proceeds to step S117. If the roundabout cancellation button 833 is operated at any stage, the data acquired so far is discarded and the series of processes is terminated.

  In step S117, the terminal CPU 210 sends an instruction to end shooting to the environment imaging unit 510. Then, the acquisition of moving image data continued from step S108 is terminated, and the moving image data is converted into a moving image file according to a predetermined format.

  In step S118, the terminal CPU 210 transmits data newly recorded by the round-trip processing including the converted moving image file from the storage unit 214 to the server CPU 710. Then, these data are deleted from the storage unit 214. By not leaving patient information in the round-trip support terminal 200, unintentional outflow of patient information is avoided. As described above, a series of processing is completed.

  According to the present embodiment described above, the environment imaging unit 510 is instructed to shoot moving images with the time when the authentication process is completed as the start time of the round trip, but the start time can be variously defined. For example, when a position detection device that detects the position of the rounding cart unit 100 is provided as a part of the information collection device, the rounding cart unit 100 is located beside the bed if the position of the target patient's bed can be grasped in advance. The time point at which arrival is detected can be set as the start time point. In other words, when it is detected that the rounding cart unit 100 has entered a predetermined area, the terminal CPU 210 executes a start instruction. Further, the patient data and the recorded moving image data do not necessarily correspond one-to-one. For example, one moving image data may be generated for a plurality of patients who are continuously visited.

  Moreover, according to this embodiment demonstrated above, the completion | finish process of a roundabout was performed by the user's instruction | indication, However It can also recognize automatically about an end point. For example, if it is possible to detect that the round trip carriage 300 has been moved, it can be recognized that the round trip has ended when the round trip carriage 300 has been moved beyond a predetermined distance after the round trip starts. Alternatively, when it is detected that the round-trip cart 300 has left the predetermined area, it can be recognized that the round-trip has ended.

  In the present embodiment, the aspect in which the round cart 300 is equipped with various information collection devices has been described, but the round trip support terminal 200 itself may be equipped with various devices. For example, an imaging unit provided in the round-trip support terminal 200 can be used as the environment imaging unit 510 and the element imaging unit 410.

  As mentioned above, although this invention was demonstrated using embodiment, the technical scope of this invention is not limited to the range as described in the said embodiment. It will be apparent to those skilled in the art that various modifications or improvements can be added to the above-described embodiment. It is apparent from the scope of the claims that the embodiments added with such changes or improvements can be included in the technical scope of the present invention.

  The order of execution of each process such as operations, procedures, steps, and stages in the apparatus, system, program, and method shown in the claims, the description, and the drawings is particularly “before” or “prior to”. It should be noted that the output can be realized in any order unless the output of the previous process is used in the subsequent process. Regarding the operation flow in the claims, the description, and the drawings, even if it is described using “first”, “next”, etc. for convenience, it means that it is essential to carry out in this order. It is not a thing.

100 times examination cart unit, 200 times examination support terminal, 210 terminal CPU, 211 display, 212 touch panel, 213 fingerprint sensor, 214 storage unit, 215 communication unit, 216 times examination car connection IF, 221 UI control unit, 222 data management unit, 223 article Management unit, 300 round trolley, 310 caster, 320 handle, 330 round trip car CPU, 340 battery, 350 terminal mounting unit, 351 support frame, 352 terminal connection IF, 353 arm, 360 storage mechanism, 400 element imaging unit, 410 element imaging Unit, 430 arm, 500 environmental imaging unit, 510 environmental imaging unit, 520 recording unit, 530 pole, 610 reading unit, 620 measuring unit, 621 thermometer, 622 sphygmomanometer, 700 round visit support server, 710 server CP U, 720 data storage unit, 730 communication unit, 800 basic information area, 801 allergy button, 802 internal medicine button, 810 vital input area, 811 update button, 820 history information area, 830 environmental image area, 831 environmental image window, 832 rounds End button, 833 cancel button, 840 element image area, 841 element image window, 842 shutter icon, 901 user authentication screen, 902 patient search screen, 903 patient authentication screen, 904 integrated display screen

Claims (14)

A mounting part to be mounted on the round trolley;
A start instruction for starting information input of a specific patient and a reception unit for receiving the information input;
In conjunction with the start instruction, the information collection device equipped in the round-trip cart starts collecting information, and the control unit that acquires the information collected by the information collection device;
A round-trip support terminal comprising a display unit that processes and displays at least a part of the information collected by the information collection device on an information input screen for the specific patient. The information collection device includes an imaging device,
The control unit causes the imaging device to start shooting a moving image in synchronization with the start instruction, and until the shooting ends in synchronization with an end instruction to end the information input received by the reception unit. The roundabout support terminal according to claim 1, wherein the moving image is continuously acquired.   The round-trip support terminal according to claim 2, further comprising a transmission unit that associates the information input received by the reception unit and transmits the moving image to an external server.   The round-trip support terminal according to claim 3, wherein the information input and the moving image are not held after the transmission unit transmits to the external server.   The roundabout support terminal according to any one of claims 2 to 4, wherein the control unit causes the imaging device to capture and acquire at least one of a moving image and a still image different from the moving image. In conjunction with the start instruction, comprising a receiving unit for receiving patient information of the specific patient from an external server,
The roundabout support terminal according to any one of claims 1 to 5, wherein the display unit processes and integrally displays at least a part of the patient information on the information input screen. The information input screen includes an expansion icon for expanding specific information of the patient information according to an instruction,
The roundabout support terminal according to claim 6, wherein a display form of the expansion icon is different depending on whether or not the specific information includes alert information. The information collection device includes a reading device that reads personal information of the specific patient from the specific patient,
The said reception part is any one of Claim 1 to 7 received as said start instruction, when the patient information of the said specific patient input from a user and the said personal information which the said control part acquired correspond. Roundabout support terminal. A position detection unit for acquiring position information of the round trolley;
The roundabout support terminal according to any one of claims 1 to 8, wherein the reception unit receives the start instruction when the position detection unit detects that the roundabout cart has entered a predetermined area. The accepting unit accepts as an end instruction when the position detecting unit detects that the round trolley has exited from a predetermined area,
The roundabout support terminal according to claim 9, wherein the control unit causes the information collection device to finish collecting the information in conjunction with the termination instruction.   11. The control unit according to claim 1, wherein the control unit continues the collection of the information without interrupting the information collection device while the reception unit receives the information input for the specific patient. The roundabout support terminal described.   The roundabout support terminal according to any one of claims 1 to 11, wherein the display unit displays a management screen related to a treatment tool in addition to the information input screen of the specific patient. A roundabout support terminal according to any one of claims 1 to 12,
A round trip carriage comprising a power feeding unit that supplies power to the round trip support terminal. An accumulator that accumulates patient information of the specific patient;
A server transmission unit that transmits the patient information from the storage unit to the roundabout support terminal in response to a request from the roundabout support terminal according to any one of claims 1 to 12,
A roundabout support server comprising: a server reception unit that receives the information on the specific patient input by the information input and the information collected by the information collection device and accumulates the information in the accumulation unit.

Images