JP6806345B2 - Multidisciplinary cooperation support methods and systems in the medical / nursing field - Google Patents

Description

The present invention relates to a multidisciplinary cooperation support method and system in the medical / long-term care field, and more specifically, medical information, long-term care information, health information, ACP information, and medical information related to medical services and / or long-term care service recipients (users). Various information (hereinafter, also referred to as beneficiary information) including messages exchanged between specialists or between specialists and the beneficiary and / or related persons (for example, the patient's family) is communicated from the user terminal. The medical service and / or the long-term care service is provided to the beneficiary by making it possible to share the beneficiary information for each beneficiary via the network and easily process and share the beneficiary information according to the purpose. Multidisciplinary cooperation support methods that support close and smooth cooperation between multidisciplinary specialists and between these specialists and the beneficiaries (patients or long-term care recipients) and / or their related parties, and their methods. Regarding the multidisciplinary cooperation support system that implements the method.

The applicant creates a group for each recipient of medical services and / or long-term care services (that is, patients or long-term care recipients), and medical information and / or long-term care related to the corresponding recipients among the group members of each group. We have obtained a patent for a medical / long-term care support system that enables sharing of information (hereinafter also referred to as medical / long-term care information) (see Patent Document 1). This medical / long-term care support system provides one or more users of medical / long-term care services (only beneficiaries) in a group generated for each recipient of medical services and / or long-term care services (hereinafter, also referred to as medical / long-term care services). (Including medical staff and / or long-term care workers) are selectively assigned as group members, and medical / nursing information of the beneficiaries corresponding to the group is posted only to the group members. It is viewable, and by doing so, it has the feature and advantage that medical / nursing care information related to the beneficiary can be shared among the group members while ensuring the privacy of the beneficiary.

In the medical / long-term care support system described in Patent Document 1, medical / long-term care information related to the beneficiary of the group can be viewed and entered on individual user terminals via a communication network between group members of an arbitrary group. Since it is possible to output, send and receive messages, etc., as long as you are a group member of the group, you are a multidisciplinary specialist with different specialties, that is, doctors, nurses, nutritionists, social workers, care managers. , Helpers and other medical staff and long-term care workers can cooperate. This has the advantage of facilitating the provision of better quality medical and / or long-term care services to individual beneficiaries, ie patients or long-term care recipients.

In the medical / long-term care support system described in Patent Document 1, when each beneficiary (patient or long-term care recipient) has a plurality of diseases, the group is provided for each disease of each beneficiary. Is possible. In this case, there will be a plurality of the above-mentioned groups for the corresponding beneficiaries.

By the way, in recent years, the idea of PHR (Personal Health Record) (personal health information record) has become widespread. This is to prepare a mechanism that allows individuals to store and manage information related to their own health (health information) for a lifetime, and specialists in medical care, long-term care, etc. can store the health information stored there for a long time as needed. It is based on the idea that it is possible to improve the quality of services such as medical care and long-term care provided to the individual by making it available.

In general, personal health information includes medical information (for example, doctor's medical record, medication history), health examination related information (for example, result of health examination), and exercise related information (for example, exercise record of when and how much exercise was performed). ), Body-related information (for example, records of height, weight, blood pressure, etc.), but these information are usually stored separately in medical institutions, health examination institutions, sports gyms, and homes, respectively. Therefore, it is difficult for medical and nursing professionals to use this information in relation to each other. Therefore, individuals continuously store and manage their own health information in an information system provided for their own personal health information record (PHR), and immediately when necessary, specialize in medical care, nursing care, etc. It gives homes access to the system to get the information they need. This makes it possible to improve the health of the individual, prevent lifestyle-related diseases, facilitate the treatment of diseases, and improve efficiency.

For example, Patent Document 2 describes a medical information linking system in which medical information managed by a medical institution and medical information managed by a personal medical information management service (PHR service) are linked by a simple operation. Is disclosed. This system includes a medical information linking server, a business system server, and a PHR service server. The medical information linking server assigns a unique linking number to the medical institution ID and the patient ID received from the business system server 30, and stores the medical institution ID and the patient ID in association with the linking number. The business system server outputs the information representing the assigned association number to a medium that can be read by the user terminal that uses the PHR service. The PHR service server transmits the association number, service ID, and user ID read from the medium at the user terminal to the medical information association server. The medical information linking server registers the service ID and the user ID in association with the received linking number.

Further, Patent Document 3 discloses a background information management device that enables a user to collect and manage highly objective background information without having to create background information by himself / herself. Here, the "background information" refers to an external factor that affects the health information when the health information is measured, a factor that affects the health information that existed by the time the health information is measured, and the like. It is classified into time information, place information, weather information, meals, bedtime and wake-up time. This background information management device periodically accesses other service systems from the PHR server and collects new usage information posted by the user. Then, in the PHR server, after the data format discriminating unit determines whether the data format is text data or image data for the collected usage information, sentence analysis or image analysis is performed under the control of the analysis processing unit according to the discriminating result. To extract keywords related to predefined health information. Then, the extracted keyword is associated with the user ID as background information by the registration control unit and stored in the background information database.

Japanese Patent No. 6193659 Japanese Unexamined Patent Publication No. 2016-110287 Japanese Unexamined Patent Publication No. 2014-215689

However, it has been found that the medical / long-term care support system of Patent Document 1 described above has further needs to be met. When providing medical / nursing services provided by the system, in addition to medical information and nursing information of individual service recipients (patients or persons requiring nursing care), health information of the recipients and ACP (Advanced) Care Planning) (Life Conference) Information can be shared, and the purpose of the information is to know the improvement status of the patient's symptoms by the treatment taken by the doctor, and the temporal change of the patient's thoughts and feelings regarding the treatment policy. There is a need to easily process and share according to the purpose such as knowing. In recent years, the necessity and usefulness of the above-mentioned personal health information record (PHR) has become widely known, and services related to it have been developed. Medical / long-term care services are provided by doctors, etc. It is understood that it was born from the spread of the idea that it should be done in a way that is more in line with the intentions and feelings of the patient and the person requiring long-term care, rather than the idea of an expert.

If we can meet this need, we will not only be able to share medical information and long-term care information for individual patients and care recipients, but also health information and ACP (life conference) information, as well as the measures taken by doctors and nurses. You can also know the reason, changes in the symptoms of patients and care recipients who received the treatment, impressions of patients and care recipients who received the treatment, and thoughts and thoughts of patients and care recipients regarding treatment policies. Therefore, closer and more efficient cooperation is possible among specialists in various occupations in the medical / nursing field who are users of the medical / nursing support system of Patent Document 1 described above. As a result, so-called "interprofessional collaboration" will be realized in the medical / long-term care field by incorporating patients / long-term care recipients and their related parties. If this happens, it will be easier to realize medical and long-term care services that are in line with the intentions and emotions of the patient and the person requiring long-term care.

Specialists involved in medical and long-term care services include medical professionals and long-term care professionals.Specifically, there are multidisciplinary specialists such as doctors, nurses, nutritionists, social workers, care managers, and helpers. Moreover, considering the current situation in which the specialized fields of each occupation are further subdivided, it is extremely necessary to realize the above-mentioned multi-occupation cooperation at an early stage. If such multidisciplinary collaboration is realized, it will be easier for patients and long-term care recipients to realize medical and long-term care services in line with their own intentions and emotions. It is expected that the satisfaction level will be further increased. Multidisciplinary collaboration in the medical / long-term care field is a matter of concern that has been requested for some time but could not be realized, so it seems to be of great significance to realize it.

The above-mentioned "ACP (Life Conference)" refers to the occurrence of a situation in which the patient and his / her family, together with the medical staff and care workers who are in charge of the medical care / nursing, deteriorate the decision-making ability of the patient. This means discussing future medical and nursing care services, including the terminal stage, and deciding who will make decisions on behalf of the patient when the patient becomes unable to make decisions. ACPs often include documents that prescribe the patient's living will, that is, the patient's wishes for treatment in the event of a serious illness that prevents the patient from making decisions.

In the medical / long-term care support system of Patent Document 1 described above, in addition to medical information and long-term care information of recipients of medical / long-term care services, various information including health information and ACP (life conference) information are organized and unified. Not only is it not possible to store and manage the information, but it is not possible to process and share the information according to the purpose, so it is not possible to meet the above needs.

In the medical information linking system of Patent Document 2, by linking medical information stored in different places, the user of the system can utilize the medical information, but the medical information is limited to that. Similarly, the background information management device of Patent Document 3 can collect and manage personal background information, but it is limited to that. Further, even if the medical / nursing care support system of Patent Document 1 is combined with the medical information linking system of Patent Document 2 and / or the background information management device of Patent Document 3, the above-mentioned multidisciplinary cooperation cannot be realized. Therefore, the above needs cannot be met.

The present invention has been made in consideration of the above-mentioned circumstances, and an object thereof is a multidisciplinary specialist (for example, a doctor, a nurse, etc.) who provides medical services and / or nursing care services to its beneficiaries. Dietitians, social workers, care managers, helpers) provide beneficiary information for individual beneficiaries (patients or care recipients), that is, medical information, care information, health information, ACP information, and specialists for each beneficiary. Various information such as messages exchanged between or between these experts and the beneficiary himself / herself and / or related persons can be shared from any terminal via a communication network, and for the purpose of the beneficiary information. By making it easy to process and share according to (for example, knowing the improvement status of the patient's symptoms by the treatment taken by the doctor, knowing the temporal change of the patient's thoughts and feelings regarding the treatment policy, etc.) Multidisciplinary cooperation support method and method to support the closer and smoother cooperation (including communication) between the multidisciplinary specialists and between these specialists and the beneficiary and / or related persons. The purpose is to provide a multidisciplinary cooperation support system that implements.

Another object of the present invention is a recipient of medical services and / or long-term care services, a person concerned with the recipient, and / or a multidisciplinary expert who is in charge of the recipient and belongs to a facility in a different location. By classifying the beneficiary information of the beneficiary provided by the above and displayed in the predetermined information display area by category and arranging it over time, the medical service and / or the long-term care service can be provided to the beneficiary. The purpose is to provide a multidisciplinary cooperation support method and system that can create and share useful progress information that can be utilized in an organized form.

Still another object of the present invention is that when a recipient of a medical service and / or a long-term care service moves from a source facility to a destination facility, an expert of the destination facility knows from the progress information of the recipient. By selecting the information to be kept, it is possible to create and share summary information of the beneficiary, and thus it is possible to facilitate and streamline the information transmission when the beneficiary moves between facilities. And to provide the system.

Still another object of the present invention is to precisely control the user's access right to the beneficiary information of each beneficiary according to the content of the beneficiary information, the necessity for the user, the sensitivity, and the like. The purpose of the present invention is to provide a multidisciplinary cooperation support method and system that can provide a high-level security environment suitable for handling highly confidential beneficiary information of the beneficiary while ensuring the convenience of the user.

Still another object of the present invention is to provide a high-level security environment suitable for handling highly confidential beneficiary information of beneficiaries while ensuring user convenience in a multi-occupation cooperation support system. The purpose is to provide an access right control method in a cooperation support system.

Yet another object of the present invention is to make the action to be taken for the beneficiary more accurate in an emergency while maintaining a high degree of security in the multidisciplinary cooperation support system, and to make the beneficiary. The purpose is to provide an emergency access control method in a multidisciplinary cooperation support system that can also reduce the risk to the medical staff or the care worker in charge.

Yet another object of the invention not specified herein is apparent from the following description and accompanying drawings.

(1) According to the first aspect of the present invention, a multidisciplinary cooperation support method in the medical / nursing field is provided. This method
By making the beneficiary information related to a specific beneficiary viewable on the user terminal via a communication network in response to a request from the user terminal, medical services and / or long-term care services can be provided to the beneficiaries. It is a multidisciplinary cooperation support method that supports cooperation between multidisciplinary specialists in the medical and / or long-term care fields when providing support.
User identification information is assigned and stored for each user who uses the medical service and / or the long-term care service via the user terminal.
Recipient identification information is assigned to the beneficiary as the user, and the beneficiary identification information is stored in association with the corresponding user identification information.
The business worker identification information is assigned to the medical worker or the long-term care worker as the user, and the business worker identification information is stored in association with the user identification information.
In response to an instruction from the user terminal, a group having unique group identification information associated with the individual beneficiary identification information is generated, and the receipt corresponding to the beneficiary identification information related to each individual group is generated. Generate an information display area for displaying the beneficiary information related to the person,
By selectively assigning one or more of the users to the individual groups as group members in response to an instruction from the user terminal, the beneficiary information displayed in the information display area of the group can be displayed. It can be shared among the group members of the group via the user terminal.
Message / data identification information is assigned to each of the plurality of message type information and the plurality of data type information as the beneficiary information displayed in the information display area of the group, and the message / data identification information is assigned. The message type information or the data type information corresponding to each is stored in association with the user identification information of the user posted in the information display area.
Category identification information is assigned and stored for each of the plurality of information categories for separating the message type information and the data type information.
When the first target information is specified from the plurality of message type information and the plurality of data type information displayed in the information display area by the instruction from the user terminal, the first target information becomes a plurality of. In addition to identifying which of the information categories it belongs to, the category identification information corresponding to the category found by the identification is stored in association with the message / data identification information of the first target information.
The first target information is divided according to the corresponding category identification information and displayed in a predetermined progress information display area over time.
The plurality of message type information and / or the plurality of data type information as the first target information displayed in the progress information display area over time are the user as progress information of the beneficiary related to the group. It is characterized in that it can be shared among the group members of the group via a terminal.

In the multidisciplinary cooperation support method according to the first aspect of the present invention, unique group identification information is associated with the beneficiary identification information possessed by the beneficiary as the user who uses the medical service and / or the long-term care service. The group is generated for each beneficiary in order to generate a group with. The beneficiary information of the beneficiary, that is, medical information, long-term care information, health information, ACP information related to the beneficiary (user), between the experts or between the expert and the beneficiary and / or a related person thereof. Various information such as messages exchanged with and is displayed in the information display area generated for each group, and one or a plurality of the users are selectively assigned to the group as group members. The beneficiary information displayed in the information display area of the group can be shared among the group members of the group via the user terminal. Therefore, by assigning multidisciplinary specialists who provide medical services and / or long-term care services to the beneficiaries as the group members as necessary, they are engaged in medical care and / or long-term care for the beneficiaries. It is possible for multidisciplinary experts to collaborate among these multidisciplinary experts while sharing the beneficiary information of the group. In addition, by assigning the beneficiary himself / herself and its related persons as the group members as necessary, the wishes, intentions, feelings, etc. of the beneficiary himself / herself and / or the related persons, etc. via the information display area, etc. It becomes easy to convey the intention, instruction, advice, etc. of the multi-professional expert to the beneficiary himself / herself and / or his / her family members.

On the other hand, in the information display area of the group, a plurality of message type information and a plurality of data type information as the beneficiary information are displayed, and the message / data identification information assigned to the information is those. Information is stored in association with the user identification information of the user who posted the information in the information display area. Further, when the first target information is specified from the information by the instruction from the user terminal, it is identified which of the information categories the first target information belongs to, and it is also found by the identification. The category identification information corresponding to the above category is stored in association with the message / data identification information of the first target information. Further, the first target information is classified according to the corresponding category identification information and displayed in the progress information display area over time.

Then, the plurality of message type information and / or the plurality of data type information as the first target information displayed over time in the progress information display area can be used as progress information of the beneficiary related to the group. It can be shared among the group members of the group via the user terminal.

Thus, multidisciplinary professionals (eg, doctors, nurses, dietitians, social workers, care managers, helpers) who provide medical and / or long-term care services to the beneficiaries may become members of the group. In addition to the beneficiary information of the beneficiary, that is, various information such as medical information, nursing care information, health information, ACP information, and messages related to each beneficiary, the progress information of the beneficiary related to the group is also included. It can be shared from the user terminal via a communication network. Therefore, it is possible to support the closer and smoother cooperation (including communication) between the multidisciplinary specialists and between these specialists and the beneficiary himself / herself and / or related persons thereof.

Further, the first target information is simply specified from the plurality of message type information as the beneficiary information and the plurality of data type information displayed in the information display area of the group. Since the target information is classified according to the corresponding category identification information and displayed over time in the progress information display area, the target information is intended for the beneficiary information (for example, the improvement status of the patient's symptom by the treatment taken by the doctor). It can be easily processed and shared according to the patient's thoughts and feelings regarding the treatment policy over time, etc.). This also contributes to the realization of closer and smoother cooperation between the multidisciplinary experts.

Further, the medical service and the medical service can be obtained only by designating the first target information from the plurality of message type information as the beneficiary information and the plurality of data type information displayed in the information display area of the group. / Or the information display area provided by the beneficiary of the care service, the person concerned with the beneficiary, and / or a multidisciplinary expert who is in charge of the beneficiary and belongs to a facility in a different location. It is possible to classify the beneficiary information of the beneficiary displayed in the above by category and arrange it over time. Therefore, useful progress information that can be utilized for providing medical services and / or nursing care services to the beneficiaries can be created and shared in an organized form.

(2) In a preferable example of the multidisciplinary cooperation support method according to the first aspect of the present invention, a second target information is designated from the progress information of the beneficiary related to the group by an instruction from the user terminal. Then, the second target information can be edited on the user terminal.
The edited or unedited message type information and / or the data type information designated as the second target information is displayed in a predetermined summary information display area.
The plurality of message type information and / or the plurality of data type information as the second target information displayed in the summary information display area are used as summary information of the beneficiaries related to the group via the user terminal. Therefore, it can be shared among the group members of the group.

In this example, when the beneficiary moves from the source facility to the destination facility, the information that the expert of the destination facility should know is selected from the progress information of the beneficiary. The advantage is that the beneficiary's summary information can be created and shared among the group members, thus facilitating and streamlining information transmission when the beneficiary moves between facilities. There is.

(3) In another preferable example of the multidisciplinary cooperation support method according to the first aspect of the present invention, the access right to the beneficiary information of the beneficiary of the group set for the individual user is set. It is set on condition that the user has received social authentication using a predetermined authentication algorithm.
The authentication algorithm
(A) Being connected to n medical / long-term care workers through at least one of the above groups (where n is an integer of 1 or more).
(B) There are m group members of the group (where m is an integer of 1 or more).
(C) Your face photo and profile are posted,
(D) X months or more have passed since user registration, and y or more writes are made in a month (however, x and y are both integers of 1 or more).
(E) The terminal to be used meets the security conditions of a predetermined level or higher.
It is selected to include at least two of the five conditions.

In this example, the access right of the user to the beneficiary information of the beneficiary is precisely controlled according to the content of the beneficiary information, the necessity for the user, the confidentiality, and the like. There is an advantage that it is possible to provide a high-level security environment suitable for handling the beneficiary information of the beneficiary with high confidentiality while ensuring convenience.

(4) In still another preferred example of the multidisciplinary cooperation support method according to the first aspect of the present invention, the authentication algorithm combines the five conditions with a predetermined AND logic and / or OR logic according to the setting of the administrator. This makes it possible to adjust to the desired security level.

This example has the advantage that the security level can be adjusted with high flexibility in response to the request of the area or organization to which the medical service and / or the long-term care service is provided.

(5) In still another preferred example of the multidisciplinary cooperation support method according to the first aspect of the present invention, a unique template function is assigned to the information display area of the group in response to an instruction from the user terminal. To display multiple stamps
By clicking the stamp, the assigned template (a standard format frequently used) is displayed in the information display area, and when a response is made on the template, the response and the message specified in the template are displayed. Are both displayed in the information display area.

In this example, there is an advantage that the content and format of the information displayed in the information display area are unified according to the template.

(6) In still another preferable example of the multidisciplinary cooperation support method according to the first aspect of the present invention, a predetermined template is displayed in the information display area of the group by a BOT that operates in response to the arrival of a predetermined opportunity. To be done
When a response is made from the template, both the response and the message specified in the template are displayed in the information display area.

In this example, there is an advantage that the content and format of the information displayed in the information display area are unified according to the template.

(7) In still another preferable example of the multidisciplinary cooperation support method according to the first aspect of the present invention, at least medical, long-term care, health and ACP categories are set as the information categories.
When the message type information and / or a plurality of the data type information displayed in the information display area of the group of the beneficiary is designated as the first target information, the first target information is the message type information. It is determined whether the information is present or data type information, and then it is identified which of the plurality of information categories it belongs to.

(8) In still another preferred example of the multidisciplinary cooperation support method according to the first aspect of the present invention, the progress information of the beneficiary related to the group displayed over time in the progress information display area of the group. The plurality of message type information and / or the plurality of data type information as is searchable in the user and / or the corresponding category.

(9) In still another preferred example of the multidisciplinary cooperation support method according to the first aspect of the present invention, the information display area of the group of the beneficiaries corresponds to the group in addition to the beneficiary information. Facility trace information to be displayed can be displayed.

(10) In still another preferred example of the multidisciplinary cooperation support method according to the first aspect of the present invention, one or more of the above-mentioned ones or a plurality of the above-mentioned methods for a predetermined limited time, provided that a predetermined condition is satisfied in an emergency. The beneficiary information, the progress information, and the summary of the beneficiary related to one or more of the groups to which the medical worker or the care worker who belongs to the group as the group member does not belong to the group member. An emergency access feature is provided that allows access to at least one piece of information.
The medical worker or the long-term care who is (a) a business-related facility to which any of the beneficiaries is transported in an emergency is a member of the group of one or more of the beneficiaries. It has a cooperative relationship with the business-related facility to which the worker belongs, and (b) the medical worker or long-term care worker in charge of the beneficiary transported at the business-related facility transported has the user identification information. What they are doing, (c) the accessible time is limited to the estimated time required to provide emergency medical and / or long-term care services to the beneficiary being transported, and (d) ) It is set to 4 conditions that the operations that can be performed after access are limited to browsing.
If all of the four conditions (a) to (d) are not satisfied, the access is set to be denied.

In this example, while maintaining a high degree of security, it is possible to make the actions to be taken in an emergency for the beneficiary transported in an emergency more accurate, and in charge of the beneficiary transported. It also has the advantage of reducing the risk to health care workers or care workers.

(11) According to the second aspect of the present invention, a multidisciplinary cooperation support system in the medical / nursing field is provided. This system
By making the beneficiary information related to a specific beneficiary viewable on the user terminal via a communication network in response to a request from the user terminal, medical services and / or long-term care services can be provided to the beneficiaries. A multidisciplinary collaboration support system that supports collaboration between multidisciplinary specialists in the medical and / or long-term care fields when providing support.
Means for assigning and storing user identification information (for example, user ID) to individual users who use the medical service and / or the long-term care service via the user terminal (for example, the user management unit 310 of the medical / long-term care support system 30). )When,
Means for assigning beneficiary identification information (for example, patient ID) to the beneficiary as the user and storing the beneficiary identification information in association with the corresponding user identification information (for example, the medical / nursing care support system 30). User management unit 310) and
A means for assigning a business worker identification information (for example, a medical / nursing care worker ID) to a medical worker or a long-term care worker as a user and storing the business worker identification information in association with the user identification information ( For example, the user management unit 310) of the medical / long-term care support system 30 and
In response to an instruction from the user terminal, a group having unique group identification information (for example, group ID) is generated in relation to each of the beneficiary identification information, and the beneficiary identification information related to each of the group is generated. A means for generating an information display area (for example, a timeline) for displaying the beneficiary information related to the beneficiary corresponding to the above (for example, a group management unit 320 of the medical / long-term care support system 30).
By selectively assigning one or a plurality of the users to the individual groups as group members in response to an instruction from the user terminal, the beneficiary information displayed in the information display area of the group can be displayed. Means that can be shared among the group members of the group via the user terminal (for example, the group management unit 320 of the medical / long-term care support system 30) and
Message / data identification information (for example, message / data ID) is assigned to each of the plurality of message type information and the plurality of data type information as the beneficiary information displayed in the information display area of the group. Means for storing the message type information or the data type information corresponding to each of the message / data identification information in association with the user identification information of the user who posted the information display area (for example, information of the progress information creation unit 110). Importing unit 111 and information storage unit 113),
Means for assigning and storing category identification information (for example, category ID) for each of the message type information and the plurality of information categories for separating the data type information (for example, the information category management unit of the progress information creation unit 110). 115) and
When the first target information is specified from the plurality of message type information and the plurality of data type information displayed in the information display area by the instruction from the user terminal, the first target information becomes a plurality of. Means for identifying which of the information categories it belongs to and storing the category identification information corresponding to the category found by the identification in association with the message / data identification information of the first target information (for example, progress information creation). Information category identification unit 112 and information storage unit 113) of unit 110,
The first target information is provided with means for classifying the first target information according to the corresponding category identification information and displaying it in a predetermined progress information display area over time (for example, the group management unit 320 of the medical / long-term care support system 30). Cage,
The plurality of message type information and / or the plurality of data type information as the first target information displayed in the progress information display area over time are the user as progress information of the beneficiary related to the group. It is characterized in that it can be shared among the group members of the group via a terminal.

In the multidisciplinary cooperation support system according to the second aspect of the present invention, unique group identification information is associated with the beneficiary identification information possessed by the beneficiary as the user who uses the medical service and / or the long-term care service. The group is generated for each beneficiary in order to generate a group with. The beneficiary information of the beneficiary, that is, medical information, long-term care information, health information, ACP information related to the beneficiary (user), between the experts or between the expert and the beneficiary and / or a related person thereof. Various information such as messages exchanged with and is displayed in the information display area generated for each group, and one or a plurality of the users are selectively assigned to the group as group members. The beneficiary information displayed in the information display area of the group can be shared among the group members of the group via the user terminal. Therefore, by assigning multidisciplinary specialists who provide medical services and / or long-term care services to the beneficiaries as the group members as necessary, they are engaged in medical care and / or long-term care for the beneficiaries. It is possible for multidisciplinary experts to collaborate among these multidisciplinary experts while sharing the beneficiary information of the group. In addition, by assigning the beneficiary himself / herself and its related persons as the group members as necessary, the wishes, intentions, feelings, etc. of the beneficiary himself / herself and / or the related persons, etc. via the information display area, etc. It becomes easy to convey the intention, instruction, advice, etc. of the multi-professional expert to the beneficiary himself / herself and / or related persons thereof.

On the other hand, in the information display area of the group, a plurality of message type information and a plurality of data type information as the beneficiary information are displayed, and the message / data identification information assigned to the information is those. Information is stored in association with the user identification information of the user who posted the information in the information display area. Further, when the first target information is specified from the information by the instruction from the user terminal, it is identified which of the information categories the first target information belongs to, and it is also found by the identification. The category identification information corresponding to the above category is stored in association with the message / data identification information of the first target information. Further, the first target information is classified according to the corresponding category identification information and displayed in the progress information display area over time.

Then, the plurality of message type information and / or the plurality of data type information as the first target information displayed over time in the progress information display area can be used as progress information of the beneficiary related to the group. It can be shared among the group members of the group via the user terminal.

Thus, multidisciplinary professionals (eg, doctors, nurses, dietitians, social workers, care managers, helpers) who provide medical and / or long-term care services to the beneficiaries may become members of the group. In addition to the beneficiary information of the beneficiary, that is, various information such as medical information, nursing care information, health information, ACP information, and messages related to each beneficiary, the progress information of the beneficiary related to the group is also included. , Can be shared from the user terminal via a communication network. Therefore, it is possible to support the closer and smoother cooperation (including communication) between the multidisciplinary specialists and between these specialists and the beneficiary himself / herself and / or related persons thereof.

Further, the first target information is simply specified from the plurality of message type information as the beneficiary information and the plurality of data type information displayed in the information display area of the group. Since the target information is classified according to the corresponding category identification information and displayed over time in the progress information display area, the target information is intended for the beneficiary information (for example, the improvement status of the patient's symptom by the treatment taken by the doctor). It can be easily processed and shared according to the patient's thoughts and feelings regarding the treatment policy over time, etc.). This also contributes to the realization of closer and smoother cooperation between the multidisciplinary experts.

Further, the medical service and the medical service can be obtained only by designating the first target information from the plurality of message type information as the beneficiary information and the plurality of data type information displayed in the information display area of the group. / Or the information display area provided by the beneficiary of the care service, the person concerned with the beneficiary, and / or a multidisciplinary expert who is in charge of the beneficiary and belongs to a facility in a different location. It is possible to classify the beneficiary information of the beneficiary displayed in the above by category and arrange it over time. Therefore, useful progress information that can be utilized for providing medical services and / or nursing care services to the beneficiaries can be created and shared in an organized form.

(12) In a preferable example of the multidisciplinary cooperation support system according to the second aspect of the present invention, the second target information is designated from the progress information of the beneficiaries related to the group by the instruction from the user terminal. Then, the second target information can be edited on the user terminal.
The edited or unedited message type information and / or the data type information designated as the second target information is displayed in a predetermined summary information display area.
The plurality of message type information and / or the plurality of data type information as the second target information displayed in the summary information display area are used as summary information of the beneficiaries related to the group via the user terminal. Therefore, it can be shared among the group members of the group.

In this example, when the beneficiary moves from the source facility to the destination facility, the information that the expert of the destination facility should know is selected from the progress information of the beneficiary. The advantage is that the beneficiary's summary information can be created and shared among the group members, thus facilitating and streamlining information transmission when the beneficiary moves between facilities. There is.

(13) In another preferable example of the multidisciplinary cooperation support system according to the second aspect of the present invention, the access right to the beneficiary information of the beneficiary of the group, which is set for each user, is determined. It is set on condition that the user has received social authentication using a predetermined authentication algorithm.
The authentication algorithm
(A) Being connected to n medical / long-term care workers through at least one of the above groups (where n is an integer of 1 or more).
(B) There are m group members of the group (where m is an integer of 1 or more).
(C) Your face photo and profile are posted,
(D) X months or more have passed since user registration, and y or more writes are made in a month (however, x and y are both integers of 1 or more).
(E) The terminal to be used meets the security conditions of a predetermined level or higher.
It is selected to include at least two of the five conditions.

In this example, the access right of the user to the beneficiary information of the beneficiary is precisely controlled according to the content of the beneficiary information, the necessity for the user, the confidentiality, and the like. There is an advantage that it is possible to provide a high-level security environment suitable for handling the beneficiary information of the beneficiary with high confidentiality while ensuring convenience.

(14) In still another preferred example of the multidisciplinary cooperation support system according to the second aspect of the present invention, the authentication algorithm combines the five conditions with a predetermined AND logic and / or OR logic according to the setting of the administrator. This makes it possible to adjust to the desired security level.

This example has the advantage that the security level can be adjusted with high flexibility in response to the request of the area or organization to which the medical service and / or the long-term care service is provided.

(15) In still another preferred example of the multidisciplinary cooperation support system according to the second aspect of the present invention, a unique template function is assigned to the information display area of the group in response to an instruction from the user terminal. To display multiple stamps
By clicking the stamp, the assigned template (a standard format frequently used) is displayed in the information display area, and when a response is made on the template, the response and the message specified in the template are displayed. Are both displayed in the information display area.

In this example, there is an advantage that the content and format of the information displayed in the information display area are unified according to the template.

(16) In still another preferred example of the multidisciplinary cooperation support system according to the second aspect of the present invention, a predetermined template is displayed in the information display area of the group by a BOT that operates in response to the arrival of a predetermined opportunity. To be done
When a response is made from the template, both the response and the message specified in the template are displayed in the information display area.

In this example, there is an advantage that the content and format of the information displayed in the information display area are unified according to the template.

(17) In still another preferable example of the multidisciplinary cooperation support system according to the second aspect of the present invention, at least medical, long-term care, health and ACP categories are set as the information categories.
When the message type information and / or a plurality of the data type information displayed in the information display area of the group of the beneficiary is designated as the first target information, the first target information is the message type information. It is determined whether the information is present or data type information, and then it is identified which of the plurality of information categories it belongs to.

(18) In still another preferred example of the multidisciplinary cooperation support system according to the second aspect of the present invention, the progress information of the beneficiary related to the group displayed over time in the progress information display area of the group. The plurality of message type information and / or the plurality of data type information as is searchable in the posted user and / or the corresponding category.

(19) In still another preferred example of the multidisciplinary cooperation support system according to the second aspect of the present invention, the information display area of the group of the beneficiaries corresponds to the group in addition to the beneficiary information. Facility trace information to be displayed can be displayed.

(20) In still another preferred example of the multidisciplinary cooperation support system according to the second aspect of the present invention, one or more of the above, provided that a predetermined condition is satisfied in an emergency, only for a predetermined limited time. The beneficiary information, the progress information, and the summary of the beneficiary related to one or more of the groups to which the medical worker or the care worker who belongs to the group as the group member does not belong to the group member. An emergency access function is provided that allows access to at least one piece of information.
The predetermined conditions are as follows: (a) The medical worker or the long-term care in which the business-related facility to which any of the beneficiaries is transported is a member of the group of one or more of the beneficiaries. It has a cooperative relationship with the business-related facility to which the worker belongs, and (b) the medical worker or long-term care worker in charge of the beneficiary transported at the business-related facility transported has the user identification information. And belong to one or more of the groups other than the group related to the beneficiary as the group member, and (c) the accessible time is urgent for the beneficiary to be transported. It is set under four conditions: it is limited to the estimated time required to provide medical services and / or long-term care services, and (d) the operations that can be performed after access are limited to browsing.
If all of the predetermined conditions (a) to (d) are not satisfied, the access is set to be denied.

In this example, while maintaining a high degree of security, it is possible to make the actions to be taken in an emergency for the beneficiary transported in an emergency more accurate, and in charge of the beneficiary transported. It also has the advantage of reducing the risk to health care workers or care workers.

(21) According to the third aspect of the present invention, an access right control method in a multidisciplinary cooperation support system is provided. This method
By making the beneficiary information related to a specific beneficiary viewable on the user terminal via a communication network in response to a request from the user terminal, medical services and / or long-term care services can be provided to the beneficiaries. A method of controlling user access rights in a multidisciplinary collaboration support system that supports collaboration between multidisciplinary specialists in the medical and / or long-term care fields when providing support.
The multidisciplinary cooperation support system is
A means for assigning and storing user identification information to individual users who use the medical service and / or the long-term care service via the user terminal.
A means for assigning beneficiary identification information to the beneficiary as the user and storing the beneficiary identification information in association with the corresponding user identification information.
A means for assigning business worker identification information to a medical worker or a long-term care worker as a user and storing the business worker identification information in association with the user identification information.
In response to an instruction from the user terminal, a group having unique group identification information associated with the individual beneficiary identification information is generated, and the receipt corresponding to the beneficiary identification information related to each individual group is generated. A means for generating an information display area for displaying the beneficiary information related to a person, and
By selectively assigning one or more of the users to the individual groups as group members in response to an instruction from the user terminal, the beneficiary information displayed in the information display area of the group can be displayed. It is provided with a means for sharing among the group members of the group via the user terminal.
The access right control method is
The access right to the beneficiary information of the beneficiary of the group, which is set for each user, is set on condition that the user has received social authentication using a predetermined authentication algorithm.
The authentication algorithm
(A) Being connected to n medical / long-term care workers through at least one of the above groups (where n is an integer of 1 or more).
(B) There are m group members of the group (where m is an integer of 1 or more).
(C) Your face photo and profile are posted,
(D) X months or more have passed since user registration, and y or more writes are made in a month (however, x and y are both integers of 1 or more), and
(E) The terminal to be used meets the security conditions of a predetermined level or higher.
It is characterized in that it is set so as to include at least two of the five conditions.

In the access right control method in the multidisciplinary cooperation support system according to the third aspect of the present invention, in the multidisciplinary cooperation support system, the user's access right to the beneficiary information of the beneficiary is given to the content of the beneficiary information. A high level of security suitable for handling the beneficiary information of the highly confidential beneficiary while ensuring the convenience of the user by precisely controlling the information according to the necessity, the sensitivity, etc. of the user. Can provide an environment.

(22) According to the fourth aspect of the present invention, an emergency access control method in a multidisciplinary cooperation support system is provided. This method
By making the beneficiary information related to a specific beneficiary viewable on the user terminal via a communication network in response to a request from the user terminal, medical services and / or long-term care services can be provided to the beneficiaries. A method of controlling user's emergency access in a multidisciplinary collaboration support system that supports collaboration between multidisciplinary specialists in the medical and / or long-term care fields when providing support.
The multidisciplinary cooperation support system is
A means for assigning and storing user identification information to individual users who use the medical service and / or the long-term care service via the user terminal.
A means for assigning beneficiary identification information to the beneficiary as the user and storing the beneficiary identification information in association with the corresponding user identification information.
A means for assigning business worker identification information to a medical worker or a long-term care worker as a user and storing the business worker identification information in association with the user identification information.
In response to an instruction from the user terminal, a group having unique group identification information associated with the individual beneficiary identification information is generated, and the receipt corresponding to the beneficiary identification information related to each individual group is generated. A means for generating an information display area for displaying the beneficiary information related to a person, and
By selectively assigning one or more of the users to the individual groups as group members in response to an instruction from the user terminal, the beneficiary information displayed in the information display area of the group can be displayed. It is provided with a means for sharing among the group members of the group via the user terminal.
The emergency access control method is
A medical worker or a care worker who belongs to one or more of the groups as a group member for a limited period of time, provided that the predetermined conditions are met in an emergency, is a member of the group. Provided an emergency access function that enables access to at least one of the beneficiary information, the progress information, and the summary information of the beneficiary related to one or more of the groups that do not belong to the group.
The medical worker or the long-term care who is (a) a business-related facility to which any of the beneficiaries is transported in an emergency is a member of the group of one or more of the beneficiaries. It has a cooperative relationship with the business-related facility to which the worker belongs, and (b) the medical worker or long-term care worker in charge of the beneficiary transported at the business-related facility transported has the user identification information. And belong to one or more of the groups other than the group related to the beneficiary as the group member, and (c) the accessible time is urgent for the beneficiary to be transported. We set four conditions: that the time is limited to the estimated time required to provide medical services and / or long-term care services, and (d) the operations that can be performed after access are limited to browsing.
If all of the predetermined conditions (a) to (d) are not satisfied, the access is set to be denied.

In the emergency access control method in the multidisciplinary cooperation support system according to the fourth aspect of the present invention, in the multidisciplinary cooperation support system, while maintaining a high degree of security, the beneficiary transported in an emergency is in an emergency. It is possible to make the measures to be taken more accurate, and it is also possible to reduce the risk to the medical staff or the care worker in charge of the transported recipient.

According to the multidisciplinary cooperation support method in the medical / nursing field from the first viewpoint of the present invention and the multidisciplinary cooperation support system in the medical / nursing field from the second viewpoint, (a) medical service and / or long-term care service thereof. Multidisciplinary professionals (eg, doctors, nurses, nutritionists, social workers, care managers, helpers) who provide beneficiaries provide individual beneficiary information, that is, medical information and long-term care for each individual beneficiary. Various information such as information, health information, ACP information, etc. can be shared from any terminal via a communication network, and for the purpose of the beneficiary information (for example, to know the improvement status of the patient's symptom by the treatment taken by the doctor). It can be easily processed and shared according to the patient's thoughts and feelings regarding the treatment policy over time, etc.), and therefore, closer and smoother cooperation among the multidisciplinary specialists We can help you do it. In addition, (b) provided by recipients of medical services and / or long-term care services, persons concerned with the recipients, and / or multidisciplinary specialists who are in charge of the recipients and belong to facilities in different locations. In addition, the beneficiary information of the beneficiary displayed in the predetermined information display area can be classified by category and arranged over time, and therefore, for providing medical services and / or nursing care services to the beneficiaries. It is possible to create and share useful progress information that can be utilized in an organized form.

When the summary information of the beneficiaries related to the group is created and can be shared among the group members of the group via the user terminal, the above-mentioned effects (a) and (b) In addition to (c), when the recipient of the medical service and / or the long-term care service moves from the source facility to the destination facility, the expert of the destination facility should know from the progress information of the recipient. By selecting the information to be required, the summary information of the beneficiary can be created and shared, and therefore, the effect that the information transmission when the beneficiary moves between facilities can be facilitated and made efficient can be obtained. ..

When the access right to the beneficiary information of the beneficiary of the group is set on the condition that the user has received social authentication using a predetermined authentication algorithm, the above-mentioned effect (a) and In addition to (b), (d) by precisely controlling the user's access right to the beneficiary information of each beneficiary according to the content of the beneficiary information, the necessity for the user, the confidentiality, etc. It is possible to obtain a high-level security environment suitable for handling the beneficiary information of the beneficiary, which is highly confidential, while ensuring the convenience of the user.

In the access right control method in the multi-occupation cooperation support system according to the third aspect of the present invention, the beneficiary information of the highly confidential beneficiary is handled in the multi-occupation cooperation support system while ensuring the convenience of the user. The effect is that it is possible to provide a high-level security environment suitable for.

In the emergency access control method in the multidisciplinary cooperation support system according to the fourth aspect of the present invention, in the multidisciplinary cooperation support system, the measures to be taken for the beneficiary in an emergency are more accurate while maintaining a high degree of security. It is possible to obtain the effect that the risk to the medical staff or the care worker in charge of the beneficiary can be reduced.

It is a conceptual diagram which shows the usage state of the medical care / care support system which operates in cooperation with the multidisciplinary cooperation support system which concerns on one Embodiment of this invention. It is explanatory drawing which shows the mutual relationship of a patient, a patient-related person, a medical worker, a care worker, and a medical-care-related facility participating in the medical / nursing care support system shown in FIG. It is a functional block diagram which shows the internal structure of the medical care / nursing care support system shown in FIG. In the figure which shows the configuration example of the table used in the medical care / care support system shown in FIG. 1, (a) is a user table, (b) is a patient table, (c) is a medical / care worker table, ( d) is a medical / long-term care facility table. FIG. 1 is a diagram showing a configuration example of a table used in the medical / long-term care support system shown in FIG. 1, in which (a) is a medical / long-term care facility patient table, (b) is a disease table, and (c) is a group table. (D) is a group participation table. In the figure which shows the configuration example of the table used in the medical care / care support system shown in FIG. 1, (a) is an invitation request table, (b) is a timeline table, and (c) is a medical / long-term care information sharing rule. The table, (d) is an NFC terminal table. FIG. 1 is a diagram showing a configuration example of a table used in the medical / nursing care support system shown in FIG. 1, in which (a) is a message transmission reservation table and (b) is a patient attribute table. It is explanatory drawing which shows the relationship between all the tables used in the medical care / care support system shown in FIG. Two display areas (a shared area for all and a shared area for medical / long-term care workers) of the patient timeline formed for each group by the medical / long-term care support system shown in FIG. 1 and a person who can access these two display areas ( It is explanatory drawing which shows the relationship of a user). It is a conceptual diagram which shows the flow of various information in the medical / nursing care support system shown in FIG. 1 and the multidisciplinary cooperation support system which concerns on one Embodiment of this invention. It is a functional block diagram which shows the internal structure of the multidisciplinary cooperation support system which concerns on one Embodiment of this invention. It is a functional block diagram which shows the structure of the progress information creation part provided in the multi-professional cooperation support system shown in FIG. It is a functional block diagram which shows the internal structure of the summary information creation part provided in the multi-professional cooperation support system shown in FIG. It is a functional block diagram which shows the structure of the user access control part provided in the multi-professional cooperation support system shown in FIG. In the flowchart showing the operation of the progress information creation unit of the multidisciplinary cooperation support system shown in FIG. 11, the progress information is created and stored by taking in the message type information and / or the data type information displayed on the timeline of a specific patient. Further, the operation of displaying on the timeline is shown. In the flowchart showing the operation of the progress information creation unit of the multidisciplinary cooperation support system shown in FIG. 11, the function corresponding to the stamp used on the timeline of a specific patient is executed, the execution result is memorized, and the execution result is memorized. The operation to be displayed on the timeline is shown. In the flowchart showing the operation of the progress information creation unit of the multidisciplinary cooperation support system shown in FIG. 11, the function corresponding to the BOT activated on the timeline of a specific patient is executed, and the content of the response from the user is displayed. The operation of storing and displaying on the timeline is shown. In the flowchart showing the operation of the summary information creation unit of the multidisciplinary cooperation support system shown in FIG. 11, summary information is created and stored from the progress information displayed in the progress information display area of a specific patient, and further, the summary information display area. Indicates the operation to be displayed in. It is explanatory drawing which shows the example of the display screen of the timeline (medical / care worker side area) of the specific patient group of the multidisciplinary cooperation support system shown in FIG. FIG. 5 is an explanatory diagram showing a state in which a new message (message type information) is input to the timeline (medical / long-term care worker side area) shown in FIG. 19 and a file (data type information) is attached to the message. An explanatory diagram showing an example of a display screen of the progress information display area of the multidisciplinary cooperation support system shown in FIG. 11 shows a state in which new progress information is added. On the display screen of the timeline (medical / long-term care worker side area) shown in FIG. 19, a new message (message type information) is input, and the "stamp" icon attached to the message is clicked. It is explanatory drawing which shows. An example of a stamp selection screen displayed on the same display screen because "stamp" was clicked on the display screen of FIG. 22 and a "vital" stamp displayed on the same display screen because the "vital" stamp in the stamp selection screen was selected. It is explanatory drawing which shows the example of the vital measurement result display screen. Since the "vital" stamp in the stamp selection screen of FIG. 23 is selected, the new message (message type information) inserted / displayed in the timeline (medical / care worker side area) shown in FIG. 19 has vital signs. It is explanatory drawing which shows the example which the measurement result was additionally displayed. An explanatory diagram showing an example of a display screen of the progress information display area of the multidisciplinary cooperation support system shown in FIG. 11 shows a state in which a new message (message type information) including vital measurement results is added as new progress information. ing. It is explanatory drawing which shows the example of the display screen of the timeline (patient side area) of the specific patient group of the multidisciplinary cooperation support system shown in FIG. On the display screen of the timeline (patient side area) shown in FIG. 26, a new message (message type information) is automatically input by the BOT, and the "record" icon attached to the message is clicked. It is explanatory drawing which shows. It is explanatory drawing which shows the example of the exercise record input template displayed on the display screen of FIG. 26 because the "record" icon was clicked. Explanatory drawing showing an example in which a new message (message type information) to which the number of exercises input by the exercise record input template of FIG. 28 is added is inserted and displayed in the timeline (patient side area) shown in FIG. Is. In the explanatory diagram showing an example of the display screen of the progress information display area of the multidisciplinary cooperation support system shown in FIG. 11, a state in which a new message (message type information) including an exercise record is added as new progress information is shown. There is. FIG. 6 is an explanatory diagram showing a state in which a medication record input template including a predetermined message (message type information) is automatically displayed by BOT on the display screen of the timeline (patient side area) shown in FIG. 26. Since the "drinking" icon was clicked in the medication record input template of FIG. 31, medication record information (message type information) including a predetermined message was inserted into the timeline (patient side area) shown in FIG. It is explanatory drawing which shows the displayed example. An explanatory diagram showing an example of a display screen of the progress information display area of the multidisciplinary cooperation support system shown in FIG. 11 shows a state in which new medication record information (message type information) is added as new progress information. It is explanatory drawing which shows the example of the progress information displayed in the progress information display area of the multidisciplinary cooperation support system shown in FIG. FIG. 11 is an explanatory diagram showing an example of progress information displayed in the progress information display area of the multidisciplinary cooperation support system shown in FIG. 11, and is a continuation of FIG. 34A. FIG. 11 is an explanatory diagram showing an example of progress information displayed in the progress information display area of the multidisciplinary cooperation support system shown in FIG. 11, and is a continuation of FIG. 34B. On the progress information editing screen that is superimposed on the same screen when one of the plurality of progress information displayed in the progress information display area of the multidisciplinary cooperation support system shown in FIG. 11 is selectively clicked. It is explanatory drawing which shows an example. It is explanatory drawing which shows the example of the editing state of the message (message type information) selected on the progress information editing screen of FIG. 35. It is explanatory drawing which shows another example of the editing state of the message (message type information) selected on the progress information editing screen of FIG. 35. In the explanatory diagram showing an example of the display screen of the summary information display area of the multidisciplinary cooperation support system shown in FIG. 11, a message (message type information) with a file (data type information) attached is added as new summary information. It shows the state. It is explanatory drawing which shows the example of the summary information displayed in the summary information display area of the multidisciplinary cooperation support system shown in FIG. FIG. 11 is an explanatory diagram showing an example of summary information displayed in the summary information display area of the multidisciplinary cooperation support system shown in FIG. 11, and is a continuation of FIG. 39A. It is explanatory drawing which shows the utilization example of the summary information displayed in the summary information display area of the multidisciplinary cooperation support system shown in FIG. When setting the user's access right, select the group (timeline) to be set from the plurality of groups (that is, the timeline) generated in the medical / long-term care support system shown in FIG. It is explanatory drawing which shows the example of the search screen used for this. It is explanatory drawing which shows the example of the access permission member selection screen used for selecting the user (access permission member) to give access right when setting the access right of a user. It is explanatory drawing which shows the example of the access condition setting screen used for setting the access condition for the user (access permission member) who grants the access right when setting the access right of a user. It is explanatory drawing which shows the example of the condition of social authentication as one of the access conditions set for the user (access permission member) who grants an access right. FIG. 11 is a diagram showing a configuration example of a table used in the multidisciplinary cooperation support system shown in FIG. 11, where (a) is an information management table and (b) is an information category table. Explanation showing an example of an emergency access sheet that a patient always carries in order to enable a non-user medical / long-term care worker to access patient information in the medical / long-term care support system shown in FIG. 1 in an emergency. It is a figure.

Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings.

(Usage form of medical / long-term care support service)
FIG. 1 shows an overall configuration when using the medical / long-term care support service provided by the medical / long-term care support system 30 in which the multidisciplinary cooperation support system 100 according to the embodiment of the present invention is incorporated.

In the following description, when individual patients are distinguished, they are referred to as "patient P1", "patient P2", etc., and when individual patients are not distinguished, they are referred to as "patient P". Similarly, when distinguishing individual medical workers, it is described as "medical worker M1", "medical worker M2", etc., and when it is not distinguished, it is described as "medical worker M". When distinguishing individual care workers, it is described as "care worker C1", "care worker C2", etc., and when not distinguishing, it is described as "care worker C". When distinguishing individual patient-related persons, it is described as "patient-related person R1", "patient-related person R2", etc., and when it is not distinguished, it is described as "patient-related person R". When distinguishing individual medical / nursing-related facilities, it is described as "medical / nursing-related facility F1", "medical / nursing-related facility F2", etc., and when not distinguishing, it is described as "medical / nursing-related facility F". When distinguishing individual groups, it is described as "group G11", "group G12", etc., and when it is not distinguished, it is described as "group G".

As shown in FIG. 1, this medical / nursing care support service is provided after the patient P, the patient-related person R, the medical worker M, or the care worker C who wishes to use the service registers as a user by a predetermined method. The patient terminal 10 operated by P, the medical / care worker terminal 11 operated by the medical worker M or the care worker C, or the patient-related person terminal 12 operated by the patient-related person R (hereinafter, these terminals are referred to. Collectively, it is sometimes referred to as a "user terminal"), and is now used via the Internet 20, which is a communication network.

The patient P, the patient-related person R, the medical worker M, or the long-term care worker C who have registered as a user are the "users" of this medical / long-term care support service. Since this medical / long-term care support service is realized by the medical / long-term care support system 30, the "user" of this medical / long-term care support service can also be said to be the "user" of the medical / long-term care support system 30. Patient P, patient-related person R, medical worker M, or care worker C who have not registered as a user cannot use this medical / long-term care support service.

When an instruction is sent from any one user terminal 10, 11 or 12 to the medical / long-term care support system 30 via the Internet 20, the operation of the hardware and software installed in the medical / long-term care support system 30 will be described later. Various operations and functions such as "user registration", "group generation", "invitation to group", "sending and receiving messages (communication)", "family registration", and "posting and / or viewing of medical / long-term care information" Is executed. In addition, by doing so, medical information and / or care information of any patient P and messages exchanged about the patient P can be transmitted while protecting the privacy of the patient P and having a high level of information security (security protection) performance. While maintaining, between the medical staff M and the care worker C in charge of the patient P, or between the medical staff M and the care worker C in charge of the patient P and the patient P, or with the patient P It becomes possible to share between the patient-related person R, the medical staff M in charge of the patient, and the patient-related person R, and based on the shared information and message, the patient P is provided with a higher quality medical service. And / or become able to provide nursing care services.

The patient terminal 10 and the patient-related person terminal 12 are usually mobile terminals such as a mobile phone or a smartphone, and each patient P or the patient-related person R owns his / her own terminal, but is a desktop type or a notebook type. Personal computers (personal computers) and touch-sensitive terminals can also be used. Since the medical / long-term care worker terminal 11 is often installed in the medical / long-term care related facility F, it is usually a desktop type or notebook type personal computer, but a touch panel type terminal, a mobile phone, a smartphone, or the like is carried. It goes without saying that the terminal can also be used. In short, these terminals 10, 11 and 12 may be any terminal device capable of transmitting, receiving and displaying information with the medical / nursing care support system 30 via the Internet 20, regardless of the form or configuration. ..

Each patient P suffers from one or more diseases, receives medical services such as diagnosis and treatment by a medical worker M who belongs to a specific medical / long-term care facility F, and has the same or different medical care.・ Receive nursing care services such as meals and bathing assistance from nursing care worker C who belongs to nursing care facility F. In order to simplify the explanation, in this embodiment, it is assumed that only two patients P1 and P2 are using this medical / long-term care support service, but in reality, more patients P are using it. Needless to say.

The patient-related person R refers to a person who is related to the patient P in some way, such as a family member, a relative, a friend, or an acquaintance of the individual patient P. Even if it is a medical worker M or a care worker C, if it is a family member, a relative, a friend, an acquaintance, or the like of a certain patient P, it can be a patient-related person R of the patient P. Here, it is assumed that eight patient-related persons R1, R2, R3, R4, R5, R6, R7 and R8 are participating, but depending on the circumstances of patient P, more or more or It goes without saying that fewer patient-related persons R may use this medical / nursing support service.

The medical worker M refers to a person who is engaged in medical care in some form, such as a doctor or a nurse. Medical worker M belongs to various medical / nursing-related facilities F such as clinics (small-scale clinics), hospitals (medium-scale / large-scale medical facilities), and home-visit nursing stations with specialized fields, and their medical care. -Provide medical services such as diagnosis and treatment to patient P at or outside the care-related facility F. Here, it is assumed that only 6 medical workers M1, M2, M3, M4, M5 and M6 are participating, but in reality, more or less medical workers M are participating. Needless to say.

Care worker C refers to a person who is engaged in care in some form, such as a social worker, a care manager, or a helper. The long-term care worker C belongs to various medical / nursing-related facilities F such as an elderly home and a day service center, and provides meal / bath assistance to patient P at or outside the medical / nursing-related facility F. Provide long-term care services. Here, it is assumed that only two care workers C1 and C2 participate, but it goes without saying that more or less care workers C actually participate.

The medical / long-term care-related facility F refers to a medical facility or a long-term care facility in which a medical service by a medical worker M and / or a long-term care service by a care worker C is provided to a patient P (or a person requiring long-term care). The medical facility is sufficient as long as it provides some kind of medical service such as diagnosis, treatment, nursing, care, examination, surgery, consultation, etc., regardless of its form or scale. It may be a facility that provides only medical services or a facility that provides long-term care services in addition to medical services. The long-term care facility may be any facility that provides some kind of long-term care service such as assistance and consultation such as meals, bathing, excretion, walking, etc., regardless of its form or scale. It may be a facility that provides only long-term care services or a facility that provides medical services in addition to long-term care services. The medical services and long-term care services provided by the medical / nursing-related facility F may be provided by the medical worker M or the long-term care worker C who belong to the facility F, or may not belong to the facility F. It may be provided by a medical worker M or a care worker C dispatched from the outside.

In FIG. 1, the patient P owns the terminal 10, the medical worker M and the care worker C each own the terminal 11, and the patient-related person R owns the terminal 12. The invention is not limited to this. Since the patient P, the patient-related person R, the medical worker M, and the care worker C each have identification information (user ID) that can be uniquely identified, the medical / nursing care support system 30 can be used from the same user terminal 10, 11 or 12. The same terminal 10, 11 or 12 may be shared by a plurality of people because they are distinguished from each other even if they log in to.

FIG. 1 shows a system administrator A, an administrator terminal 14 operated by the system administrator A, and a multidisciplinary cooperation support system 100. The details of the multidisciplinary cooperation support system 100 will be described later, but it supports multidisciplinary specialists such as doctors, nurses, dietitians, social workers, care managers, and helpers to cooperate more closely and smoothly. , It is provided to enable the provision of higher quality medical services and / or long-term care services, and operates in cooperation with the medical / long-term care support system 30. The system administrator A is appointed to manage the overall operation of the medical / long-term care support system 30, and is required to access the medical / long-term care support system 30 via the Internet 20 using his / her own administrator terminal 14. Processing can be performed. The system administrator A can manage not only the medical / nursing care support system 30 but also the overall operation of the multidisciplinary cooperation support system 100.

FIG. 2 uses the medical / nursing care support system 30 described above, in other words, patients P1 and P2 who are users of the medical / nursing care support system 30, patient-related persons R1 to R8, and medical personnel M1 to M6. , And an explanatory diagram showing the mutual relationship between the care workers C1 and C2.

In the medical / long-term care support system 30, group G is generated and registered for each disease of individual patient P. That is, a separate group G is formed for each disease of each patient P. Therefore, if any patient P has only one disease, one group G is formed, and if any patient P has, for example, two diseases, two groups G are formed. Become. The person (participant) (that is, group member) who participates in each group G is usually in charge of belonging to the medical / nursing-related facility F where the patient P is receiving medical treatment, etc., in addition to the patient P himself / herself. It includes at least one medical worker M, and also includes a patient-related person R and a care worker C added as needed. Therefore, the group members of each group G are generally composed of the patient P himself, the medical staff M and the care worker C in charge, and the patient-related person R.

Any one of the medical / long-term care related facilities F to which the medical worker M participating in each group G belongs is usually "family registered" with the group G (and thus the patient P). .. The “family-registered” medical / long-term care facility F is mainly responsible for the overall treatment policy of the patient P's disease related to the group G.

However, the composition of group members is not limited to such cases. For example, only patient P and one or more health care workers M (and care workers C) may be group members (not including patient-related person R), or multiple health care workers M (and care workers C). In some cases, only worker C) is a group member (not including patient P or patient-related person R). The former occurs, for example, when the patient P does not want to inform the patient-related person R of information related to his / her own medical treatment. In the latter case, when a plurality of medical workers M (and care workers C) who are involved in the treatment of patient P want to share information related to medical care of patient P, but do not want to inform patient P. Occurs in. If patient P is not included in the group members, approval for sharing information related to the patient P cannot be obtained from patient P on the medical / long-term care support system 30, so the medical / long-term care support system 30 is separately provided. Try to get outside. For example, approval may be obtained in writing. Of course, only the process in which the patient P approves the digitized document or the like may be added to the medical / long-term care support system 30 for convenience. Needless to say, a subsystem for obtaining approval from the patient P for sharing information relating to the patient P may be separately incorporated into the medical / long-term care support system 30.

Participants (group members) other than the patient P of each group G are called "supporters" regardless of whether they are the medical worker M or the care worker C or the patient-related person R. This is because they are people who support patient P in some way. Therefore, it can be said that the group members of each group G are composed of the patient P himself and at least one supporter when the patient P is included. If patient P is not included, it can be said that it is composed of at least one supporter.

As is clear from FIG. 2, patient P1 suffers from three diseases (here, gastric cancer, hyperlipidemia, and gout), and groups G11, G12, and G13 are generated for each of the three diseases of patient P1. The medical / nursing-related facility F is associated with each of the groups G11, G12, and G13 via the medical worker M and / or the care worker C. Specifically, the clinic F1 is registered as a family member for the group G11 for gastric cancer treatment, the hospital F2 is registered as a family member for the group G12 for hyperlipidemia treatment, and the group G13 for gout treatment is registered. On the other hand, clinic F1 is registered as a family member. Thus, here, patient P1 belongs (participates) in three groups G11, G12 and G13 generated for each disease for himself. As will be described later, in the groups G11, G12 and G13, the medical worker M belonging to the clinic F1 and the hospital F2 and / or the care worker C belonging to the elderly home F3 also belong (participate) as supporters. There is.

Patient P2 suffers from two diseases (here referred to as Alzheimer's, hypertension), and groups G21 and G22 are generated for each of the two diseases of patient P2, and medical worker M and / or care worker C. A medical / nursing-related facility F is associated with each of the groups G21 and G22. Specifically, hospital F2 is registered as a family member for both Group G21 for Alzheimer's treatment and Group G22 for hypertension treatment. Thus, here, patient P2 belongs (participates) in two groups G21 and G22 generated for himself. As will be described later, the medical staff M belonging to the hospital F2 or the home-visit nursing station F4 and / or the care worker C belonging to the elderly home F3 also belong (participate) as supporters to the groups G21 and G22. ..

As described above, group G11 is a group for treating gastric cancer of patient P1, group G12 is a group for treating hyperlipidemia of patient P1, and group G13 is a group for treating gout of patient P1. Group G21 is a group for treating Alzheimer's disease of patient P2, and group G22 is a group for treating hypertension of patient P2. In this way, the group G is created for each disease possessed by the individual patient P, and medical information and / or long-term care information regarding the specific disease of the specific patient P is shared within each group G. A high support effect can be expected for the treatment and / or long-term care of the patient, and as a result, a higher quality medical service and / or long-term care service can be provided.

The medical worker M1 is a doctor, belongs to the clinic F1, and belongs (participates) as a supporter (group member) to the gastric cancer treatment group G11 and the gout treatment group G13 of the patient P1. The medical worker M2 is a nurse, belongs to the same clinic F1 as the medical worker M1, and belongs (participates) as a supporter to the gastric cancer treatment group G11 of the patient P1.

The medical worker M3 is a doctor who belongs to the hospital F2 and belongs (participates) as a supporter to the hyperlipidemia treatment group G12 of the patient P1 and the Alzheimer's treatment group G21 and the hypertension treatment group G22 of the patient P2. doing. The medical worker M4 is a nurse, belongs to the same hospital F2 as the medical worker M3, and belongs (participates) as a supporter to the hyperlipidemia treatment group G12 of the patient P1.

The care worker C1 is a social worker who belongs to the elderly home F3 and belongs to (participates in) the gout treatment group G13 of the patient P1 as a supporter. The care worker C2 is a helper and belongs to the same elderly home F3 as the care worker C1. As a supporter to the gastric cancer treatment group G11 of the patient P1 and the Alzheimer's treatment group G21 and the hypertension treatment group G22 of the patient P2. Affiliation (participation).

The medical worker M5 is a nurse, belongs to the home-visit nursing station F4, and belongs (participates) to the Alzheimer's treatment group G21 of the patient P2 as a supporter. The medical worker M6 is a nurse and belongs to the same home-visit nursing station F4 as the medical worker M5, and belongs (participates) as a supporter to the hypertension treatment group G22 of the patient P2.

As described above, in the medical / long-term care support system 30, groups G11, G12 and G13 are formed for each of the three diseases (here, gastric cancer, hyperlipidemia, and gout) possessed by patient P1, and groups G11 and G11 and Gout are formed. Clinic F1 is registered in G13, and hospital F2 is registered in group G12. Therefore, the medical worker M1 belonging to the clinic F1 is in charge of the treatment of the disease (here, gastric cancer) of the group G11 of the patient P1 as the attending physician. The medical worker M3 belonging to the hospital F2 is in charge of the treatment of the disease (here, hyperlipidemia) of the group G12 of the patient P1 as the attending physician. The medical worker M1 who belongs to the clinic F1 is in charge of treating the disease (here, gout) of the group G13 of the patient P1 as the attending physician.

Similarly, groups G21 and G22 are formed for each of the two diseases (here, Alzheimer's disease and hypertension) having patient P2, and hospital F2 is registered as a family member in these groups G21 and G22. Therefore, the medical worker M3 belonging to the hospital F2 is in charge of treating the disease of the group G21 of the patient P2 (here, Alzheimer's disease) and the disease of the group G22 (here, hypertension) as the attending physician.

The various functions required to realize the above-mentioned sharing and communication (message exchange) of medical information and / or nursing care information in each group G are described in the patient terminal 10 and the medical / nursing care worker terminal 11. Alternatively, the medical support system 30 provides it in response to a request or instruction from the patient-related terminal 12.

(Configuration and function of medical / long-term care support system)
Next, the configuration and function of the medical / long-term care support system 30 of the present embodiment will be described with reference to FIG. FIG. 3 is a functional block diagram showing the internal configuration of the system 30.

As shown in FIG. 3, the medical / long-term care support system 30 of the present embodiment includes a user management unit 310, a group management unit 320, an authentication unit 340, and a communication control unit 350.

The communication control unit 350 includes the medical / long-term care support system 30 and a plurality of user terminals (that is, the patient terminal 10, the medical / long-term care worker) via the Internet 20 as a communication network provided outside the medical / long-term care support system 30. This section enables information to be sent and received between the terminal 11 and the patient-related terminal 12). Since the communication control process of the communication control unit 350 is executed by a known method, the description thereof will be omitted.

The authentication unit 340 authenticates whether or not the person who has accessed the medical / long-term care support system 30 from the user terminal 10, 11 or 12 via the Internet 20 is a legitimate user who has been registered as a user in the system 30. This is the section to do.

The authentication unit 340 is connected to the Internet 20 provided outside the medical / long-term care support system 30 via the communication control unit 350. The user management unit 310 and the group management unit 320 are located between the patient terminal 10, the medical worker terminal 11, and the patient-related person terminal 12 outside the system 30, provided that the authentication unit 340 obtains a predetermined authentication. Send and receive information with. Then, only when the authentication unit 340 authenticates as a regular user, the person is allowed to access the user management unit 310 and the group management unit 320. Only then will the user be able to use the medical / long-term care support service provided by the system 30.

Next, the user management unit 310 will be described.

The user management unit 310 is an individual user who uses the medical / nursing service provided by the medical / nursing-related facility F, or a user who supports the user, that is, a patient P, a medical worker M, a care worker C, and a user. This section manages the registration (user registration) of the patient-related person R and the registered users. The user management unit 310 has a registration unit 311, a user information storage unit 312, a patient information storage unit 313, a medical / long-term care worker information storage unit 314, a medical / nursing-related facility information storage unit 315, and a disease information storage unit 316. ing.

The registration unit 311 is formed of software that controls the operation, and controls the operation related to the overall user registration in the user management unit 310. For example, a person who wants to use the medical / long-term care support service by displaying a predetermined user registration screen (not shown) on the user terminal 10, 11 or 12 that has accessed the medical / long-term care support system 30 (use request). Encourage the person) to enter and send the prescribed personal information. Correspondingly, when predetermined personal information is transmitted from the user terminal 10, 11 or 12 to the medical / nursing care support system 30, the personal information is used as "user information" of the person who wants to use the personal information to the user information storage unit 312. Remember. In addition, the registration unit 311 reads and uses the user information stored in the user information storage unit 312 as necessary, and also corrects / deletes the user information.

The user information storage unit 312 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, playing, and erasing information on the information storage medium, and user information is in response to instructions from the registration unit 311. That is, the necessary information of the patient P as a user, the medical worker M, the care worker C, and the patient-related person R is stored. At this time, "user identification information" (user ID) that can be uniquely identified is assigned to each user. The information is stored, for example, in the form of a user table as shown in FIG. 4A.

The patient information storage unit 313 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and the patient P is instructed by the registration unit 311. Memorize your personal information. At this time, a uniquely identifiable "patient ID" is assigned to each patient P. This "patient ID" is "patient identification information" and also "service beneficiary identification information". The personal information of patient P is stored, for example, in the form of a patient table as shown in FIG. 4 (b).

The medical / care worker information storage unit 314 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and responds to instructions from the registration unit 311. The personal information of the medical worker M and the care worker C is stored. At this time, a uniquely identifiable "medical / care worker ID" is assigned to each medical worker M and care worker C. This "medical / long-term care worker ID" is "medical / long-term care worker identification information" and also "business worker identification information". The personal information of the medical worker M and the care worker C is stored, for example, in the form of a medical / care worker table as shown in FIG. 4 (c).

The medical / nursing facility information storage unit 315 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, playback, and erasing of information on the information storage medium, and responds to instructions from the registration unit 311. And memorize the necessary information of the medical / nursing facility F. At this time, a uniquely identifiable "medical / nursing care facility ID" is assigned to each medical / nursing care facility F. This "medical / long-term care related facility ID" is "medical / long-term care related facility identification information". The necessary information of the medical / nursing-related facility F is stored in the form of a medical / nursing-related facility table as shown in FIG. 4D, for example.

The disease information storage unit 316 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and the disease information is in response to instructions from the registration unit 311. Remember. At this time, a uniquely identifiable "disease ID" is assigned to each disease. This "disease ID" is "disease identification information". The disease information is stored, for example, in the form of a disease table as shown in FIG. 5 (b).

Next, the group management unit 320 will be described.

The group management unit 320 is a section that manages the group G that is registered and formed for each disease of the individual patient P in the medical / long-term care support system 30. For example, in addition to new group registration, it performs many functions such as storing group member information, controlling invitation requests, timelines and messages, and registering family members. The group management unit 320 includes a registration unit 321, a group information storage unit 322, a group member information storage unit 323, an invitation request control unit 324, an invitation request information storage unit 325, a timeline control unit 326, a message control unit 327, and a family facility. It has an information storage unit 328, a shared consent information storage unit 329, a patient existence verification unit 330, and an authentication unit 331.

The registration unit 321 is formed from software that controls its operation, and generates and registers a group G for each disease of each patient P at the request of the medical worker M or the patient P. In addition, at the request of the medical worker M or the patient P, the process related to the "family registration" (specifically, the association between the patient P and the disease and the medical / nursing care facility F), which will be described later, is also executed.

The group G is generated at the request of the medical worker M when the medical worker M performs "patient group registration". “Patient group registration” refers to registering the patient P who is being treated by the medical facility F to which the medical worker M belongs and the disease thereof in the medical / long-term care support system 30. At this time, the medical worker M designates the patient P who is being treated by the medical facility F to which he / she belongs and his / her disease, and registers the patient in the medical / nursing care support system 30. This is so that the medical / nursing information of the patient P can be shared within the medical-related facility F to which the worker M belongs. The registration unit 321 automatically generates a group G in synchronization with the "patient group registration", and stores the generated information related to the group G in the group information storage unit 322.

The initial group members of group G thus generated are zero unless a predetermined member (default member) is automatically invited. Neither the medical worker M who has performed "patient group registration" nor the patient P who has been subject to "patient group registration" is a group member. In order for the medical worker M who has "registered as a patient group" to become a group member, he / she must send an invitation request to himself / herself and approve it by himself / herself. Similarly, in order for the patient P subject to "patient group registration" to become a group member, it is necessary to send an invitation request to the patient P for approval by the patient P.

Group G is generated at the request of patient P when patient P requests "family registration". At this time, the patient P selects one of the medical / nursing-related facilities F for which he / she is receiving medical treatment or is about to receive medical treatment, requests "family registration", and asks the medical-related facility F for "family registration". Get approval. This is because the patient P mainly desires to receive treatment and designates a medical facility F which is mainly responsible for the overall treatment policy. The registration unit 321 automatically generates a group G in synchronization with the "family registration", and stores the generated information (group information) related to the group G in the group information storage unit 322. In the "family registration", specifically, the patient P, the disease, and the medical / long-term care facility F are associated with each other.

Even in the group G thus generated, the initial group members are zero unless the default members are automatically invited. Neither the patient P who requested the "family registration" nor the medical worker M of the medical facility F who was the target of the "family registration" is a group member. In order for patient P who requested "family registration" to become a group member, he / she must send an invitation request to himself / herself and approve it himself / herself. Similarly, in order for the medical worker M related to the "family registration" to become a group member, the patient P who requested the "family registration" sends an invitation request to the medical worker M and approves the medical worker M. I need to get it done.

The group information storage unit 322 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. Group information, that is, which patient each group G is. It stores information indicating what kind of disease P is related to and which medical facility F is registered as a "family facility". The "group information" is stored in the form of a group table as shown in FIG. 5C, for example.

The group member information storage unit 323 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. The group member information storage unit 323 includes group member information, that is, the patient P who can be said to be the owner of each group G, and the medical worker M and the care worker who participate in each group G as a supporter of the patient P. Store information related to C and patient-related person R. The "group member information" is stored in the form of a group participation table as shown in FIG. 5D, for example.

The invitation request control unit 324 is formed from software that controls its operation, and is a non-group member (that is, patient P, medical worker M, care worker C, or patient related person R) who wants to participate in each group G. ) To control the "invitation requests" sent to those non-group members. The invitation request control unit 324 sends an invitation request in the form of an e-mail to the identified non-group members according to the instructions of the user, that is, the medical worker M, the care worker C, the patient P, or the patient related person R. Send with. It also receives a reply from the user who received the invitation request (indicating whether or not the invitation request was approved).

An invitation request is an e-mail-style invitation sent to a user who wants to join the desired group G and become a group member. The invitation request can be sent by any of the patient P, the medical worker M, the care worker C, and the patient-related person R, but before sending the invitation request to the user who wants to join the group G, it is predetermined. It is necessary to obtain the "permission" of the administrator of. This is decided by the administrator in consideration of whether or not the user who is inviting is suitable as a group member, and whether or not the participation of the user causes any trouble. This manager includes a "medical / long-term care worker side manager" and a "patient side manager". The "medical / long-term care worker side manager" is a medical worker M (also a user) who has the authority to "permit" or "deny" the transmission of the invitation request, and is used for each medical / long-term care facility F or. , Set for each group. As the "administrator on the medical / long-term care worker side", for example, the director or secretary of a clinic or hospital is designated. The "patient side administrator" is the patient P himself (also a user) or a user who is authorized by the patient P to "permit" or "deny" the transmission of the invitation request from the patient P's family and friends. , It is set for each patient P or for each group. As the "patient side administrator", for example, a parent, spouse, child, close friend, etc. of patient P are designated.

Normally, regardless of whether the medical worker M or the care worker C sends the invitation request, or the patient P or the patient-related person R sends the invitation request, the "medical / care worker side manager" and the "patient" It is stipulated that an invitation request cannot be sent without the permission of both the "side administrator". That is, it is set to decide whether or not to send the invitation request after considering both the circumstances of the medical staff M and the care worker C and the circumstances of the patient P. This is because when you become a group member, you can post and view medical information, care information, and messages of patient P, so who will become a group member is patient P, medical worker M, and care worker C. This is because it has a large effect on both. However, the present invention is not limited to this. If the permission of either the "medical / long-term care worker side manager" or the "patient side manager" is obtained, the invitation request may be sent, or the "medical / long-term care worker side manager" With only permission, you may be able to send invitation requests. This point can be determined as needed or as desired.

In this way, in the medical / nursing care support system 30, in order to “complete” the transmission of the invitation request (“completion of invitation”), the “medical / nursing care worker side manager” and the “patient side manager” At least one "permission" is required, and the addition of group members to group G does not cause any problems.

The user who receives the invitation request sent with the "permission" of both the "medical / care worker side administrator" and the "patient side administrator", or at least one of them, is specified in the invitation request. If you want to join Group G, you can "approve" the invitation. Then you will be automatically added as a group member. If you do not want to join Group G, you can "reject" the invitation. In this way, the user who receives the invitation request can choose to join or not join Group G by deciding whether or not to "approve" the invitation.

The user who approves the invitation becomes a member of group G, but all group members other than patient P (specifically, medical worker M, care worker C, and patient-related person R) are supporters of patient P. Become. Medical information, long-term care information, and messages of patient P are shared among group members according to the sharing rules selected by patient P. Therefore, for example, when a medical worker M of another medical / nursing-related facility F wants to receive a second opinion for his / her illness, or a family member who wants patient P to know about the treatment process related to his / her illness. If there are patient-related persons R such as relatives and friends, an invitation request is sent to such people. By doing so, while ensuring the uniqueness of medical information and long-term care information about the specific disease of patient P of the medical / nursing-related facility F, a plurality of medical treatments including medical staff of other medical / nursing-related facility F It can be shared with the worker M, the care worker C, the patient-related person R, and the patient P himself / herself.

The settings of the "medical / long-term care worker side manager" and the "patient side manager" are stored in the invitation request information storage unit 325. The invitation request control unit 324 executes the "permission" process by the "medical / long-term care worker side manager" and the "patient side manager". The invitation request control unit 324 executes the generation and transmission of the invitation request and the reception of the reply from the invitation request recipient.

The invitation request information storage unit 325 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. The invitation request information storage unit 325 receives "invitation request information" generated by the invitation request control unit 331 in response to the request, that is, various information indicating who sends the invitation request to whom, and the invitation request by the administrator. Memorize information about permission or denial. In addition, the content of the reply from the recipient of the invitation request (approval or rejection of the invitation request) and the settings of the "medical / long-term care worker side manager" and the "patient side manager" are also stored. The "invitation request information" is stored, for example, in the form of the invitation request table shown in FIG. 6A.

In addition, the invitation request table in FIG. 6A includes the "invitation destination passphrase" whether or not the person who received the invitation request is a legitimate invitation destination, in other words, the person himself / herself. This is to confirm with this passphrase whether or not there is. In order for the person who received the invitation request to join the group of the invitee related to the invitation request, access the URL described in the invitation request email and display the invitation request approval screen. You need to enter the passphrase. If the entered passphrase does not match the "invitation destination passphrase" stored in the invitation request table, you will not be able to join the group, so you can easily authenticate the invitation destination. It is.

The timeline control unit 326 is formed of software that controls its operation, and controls a "timeline" (that is, an information display area) assigned to each group G. Specifically, an information display area called a "timeline" is assigned to the newly generated group G, and the shared medical / long-term care information is sent to the timeline in a predetermined order (for example, the posted time). Display (in order). Since the information to be displayed and parameters such as the display time are sent from the medical / nursing worker terminal 11 to the group management unit 330 via the Internet 20, the timeline control unit 335 has been sent according to the parameters. Display information on the timeline.

An example of the timeline is shown in FIG. This timeline 51 is generated for the group G11 for gastric cancer treatment of patient P1, and includes a shared area 51a for all and a shared area 51b for medical / care workers. Information shared by all members of the group G11 is displayed in the all-shared area 51a. Information shared only by the medical staff M and the care worker C of the group G11 is displayed in the medical / nursing worker sharing area 51b. Therefore, the medical information and / or the care information and the message displayed in the shared area 51a can be shared by all the members of the group G11. In the example of FIG. 9, in addition to the patient P1, the medical staff belonging to the clinic F1 Persons M1 and M2, medical staff M3 belonging to hospital F2, care worker C1 belonging to nursing home F3, medical worker M6 belonging to home-visit nursing station F4, and patient-related persons R1, R2 and R4. However, you can freely post and browse. Unlike this, the medical information and / or the care information and the message displayed in the medical / care worker sharing area 51b can be shared only by the medical worker M and the care worker C of the group G11, and the patient P and the patient P and the care worker C can share the message. Patient-related person R cannot be shared. In the example of FIG. 9, the medical staffs M1 and M2 belonging to the clinic F1, the medical staff M3 belonging to the hospital F2, the care worker C1 belonging to the elderly home F3, and the medical staff belonging to the home-visit nursing station F4. Only the worker M6 can freely post / view, and the patient P and the patient-related persons R1, R2, and R4 cannot post / view.

In the shared area 51a of the timeline 51 of the group G11, all the group members of the group G11, that is, all the medical staff M, the care worker C, the patient P, and the patient-related person R belonging to the group G11 It is possible to freely post information such as desired messages and data, and to freely browse the information displayed in the area 51a, but the area 51a is mainly for the convenience of the user on the patient side. The area 51a can be referred to as a "patient-side area" or a "patient-side timeline" of the timeline 51. Further, in the medical / care worker shared area 51b of the timeline 51, only the group members on the medical / care worker side of the group G11, that is, the medical worker M and the care worker C belonging to the group G11 It is possible to freely post information such as desired messages and data, and to freely browse the information displayed in the area 51a, and even if it is a group member of the group G11, the patient side. Patient P and patient-related person R cannot post or view. That is, since the area 51a is mainly for the convenience of the user on the medical / long-term care worker side, the area 51b is referred to as the “medical / long-term care worker side area” on the timeline 51 or the “medical / long-term care worker”. It can be called "personal timeline".

The message control unit 327 is formed of software that controls its operation, and controls transmission / reception of a message addressed from one group member to another group member. For this control, for example, the message transmission reservation table shown in FIG. 7A is used.

The patient attribute table shown in FIG. 7B stores the attributes of individual patients P, and is used when the message control unit 336 selectively transmits a predetermined message to some patients P. Will be done.

The family facility information storage unit 328 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. The family facility information storage unit 328 stores "family facility information" that is used and generated in the "family registration" (association of patient P, disease, and medical / long-term care facility F) process executed by the registration unit 321. Details of the family registration are described in Patent Document 1 described above, and are therefore abbreviated. The “family facility information” is stored in the form of a medical / nursing care facility patient table as shown in FIG. 5A, for example.

The registration unit 321 displays a predetermined sharing rule selection screen (not shown) on the predetermined medical information sharing inquiry screen (not shown), and prompts the user to select a sharing rule, that is, a medical information sharing range. For example, there are two options for sharing rules, one is "shared only inside the medical facility F related to family registration", and the other one is "inside the medical facility F related to family registration and family registration". It is shared by all group members, including the patient P himself / herself. When any of the sharing rules is selected, the registration unit 321 stores the answer to "agree to sharing" and the selected sharing rule in the sharing consent information storage unit 329. Needless to say, you may set three or more sharing rules.

The shared consent information storage unit 329 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is generated by the registration unit 321 as "self". Memorize the statement of intention (sharing consent information) to the effect that "I agree to share medical information" and the selected sharing rule. The sharing consent information and the selected sharing rule are stored in the form of the medical / nursing care information sharing rule table shown in FIG. 6C, for example.

The patient existence verification unit 330 is formed from software that controls its operation, and is "whether or not the patient P who has requested family registration actually exists", in other words, "the patient P is the person himself / herself". Yes, isn't it impersonating another person? " This patient reality verification process is preferably performed before initiating the family registration process described above. FIG. 6D shows an example of an NFC terminal table created for managing NFC terminals.

The authentication unit 331 is formed of software that controls its operation, and is a patient P, a medical worker M, and a long-term care worker who have accessed a specific group G of the medical / long-term care support system 30 via a user terminal. It checks whether person C or patient-related person R is a legitimate member of the group G, in other words, has the right to access the timeline of the group G. Then, if it is confirmed that it is a legitimate member, it is allowed to access the timeline of the group G. If it is confirmed that it is not a legitimate member, it refuses to access the timeline of the group G.

The above-mentioned various tables used in the medical / long-term care support system 30 have a relationship as shown in FIG.

(Operation of medical / long-term care support system)
In the medical / long-term care support system 30 having the above configuration, a group G is created / registered for each disease of each patient P in order to share medical information and long-term care information and messages. As described above, the group G is created by the patient group registration by the medical worker M or the family registration by the patient P. In addition, group members of group G are added by inviting patient P, medical worker M, care worker C, and patient-related person R as necessary, except for the default member, and if necessary, they are added. Removed from group G. Details of these operations of the medical / long-term care support system 30 are described as operations of the medical support system in Patent Document 1, but since these are not related to the multidisciplinary cooperation support system 100 according to the present embodiment, they are described. The description of is omitted.

Further, the description of the operation of the user registration, new patient registration, new medical worker registration, etc. of the medical / long-term care support system 30 will be omitted for the same reason.

(Overall configuration of multidisciplinary cooperation support system)
Next, the configuration of the multidisciplinary cooperation support system 100 according to the embodiment of the present invention will be described with reference to FIGS. 10 to 14.

As shown in FIGS. 1, 10 and 11, the multidisciplinary cooperation support system 100 of the present embodiment is connected to the above-mentioned medical / long-term care support system 30 directly or via a network (not shown). It operates in cooperation with the system 30 while transmitting and receiving various information. Further, the multidisciplinary cooperation support system 100 is connected to the patient terminal 10, the medical / nursing worker terminal 11, and the patient-related person terminal 12 via the Internet 20, and is connected to the user terminal 10, 11 or 12 from these user terminals 10, 11 or 12. It is possible to access the multidisciplinary cooperation support system 100 and use the progress information and the summary information related to the individual patient P provided by the system 100.

By operating in cooperation with the medical / nursing care support system 30, the multidisciplinary cooperation support system 100 is used among multidisciplinary specialists in the medical / nursing field, and these specialists and recipients (patients or long-term care recipients) themselves. / Or any configuration may be used as long as it can exert all the functions necessary for supporting closer and smooth cooperation with the related parties. That is, the multidisciplinary cooperation support system 100 may be integrally configured (arranged) inside the medical / nursing care support system 30, or may be separately configured (arranged) outside the medical / nursing care support system 30. You may. Further, it may be configured (arranged) together inside a server device (not shown) in which the system 30 is incorporated, or it may be configured in a server device different from the server device in which the system 30 is incorporated (not shown). It may be arranged) so that it can communicate with each other via the Internet 20 or another network.

In the present embodiment, as shown in FIG. 10, the main function of the multidisciplinary cooperation support system 100 is the timeline of the group G11 related to a specific disease (here, gastric cancer) of a specific patient P1 by the medical / nursing care support system 30. From the message and / or data posted / displayed on 51 (these include medical information and / or care information related to the disease of the patient P1), "progress information" related to the treatment and care of the patient P1 is created. -Save (first stage), and further create and save "summary information" of the patient P1 from the "progress information" of the patient P1 created and saved in this way (second stage). .. Therefore, the multidisciplinary cooperation support system 100 has a progress information creation unit 110 that creates and saves "progress information" for each patient P as a main component, and a "summary" about the patient P from the "progress information". It is provided with a summary information creation unit 120 that creates and saves "information".

As described above, in the present embodiment, the multidisciplinary cooperation support system 100 is provided between multidisciplinary specialists in the medical / long-term care field, and between these specialists and the beneficiary (patient or long-term care recipient) and / or related persons thereof. The function provided by the medical / long-term care support system 30, that is, the recipient of the medical service and / or the long-term care service (patient or long-term care required), in order to achieve the purpose of supporting the closer and smoother cooperation between the two. To generate one or more group Gs for each long-term caregiver) so that medical information and / or long-term care information (medical / long-term care information) related to the corresponding beneficiaries can be shared among the group members of each group G. The functions are used, and in those functions of the system 30, a function for creating / saving "progress information" (according to the progress information creation unit 110) and a function for creating / saving "summary information" (summary information creation) are used. It has a configuration in which it is combined with (according to unit 120). However, this is because it is intended to describe the case where the existing medical / long-term care support system 30 is used to realize multidisciplinary cooperation, and it goes without saying that the present invention is not limited to this. That is, the multidisciplinary cooperation support system 100 itself generates one or a plurality of group G for each recipient (patient or long-term care recipient) of the medical / long-term care service of the system 30, and among the group members of each group G. It may have a built-in function for sharing medical / long-term care information related to the corresponding beneficiary. In this case, the multidisciplinary cooperation support system 100 includes not only the progress information creation unit 110 and the summary information creation unit 120, but also the user management unit 310 and the group management unit 320 of the medical / long-term care support system 30. Will be done.

In the first step of creating and saving the above-mentioned "progress information", in addition to the message and / or data posted / displayed on the timeline 51 of the patient P1, if necessary, the disease information and disease-specific, which will be described later. Default information, basic drug information, and drug-specific default information are used. Further, in the second stage of creating and saving the above-mentioned "summary information", in addition to the "progress information" created in the first stage, basic patient information and facility trace information described later are used as necessary. ..

In the following description, the message and data (file) posted / displayed on the timeline 51 are also referred to as "message type information" and "data (file) type information", respectively. The "message type information" includes, for example, a message describing the result of the diagnosis of patient P1 by the medical worker M (specifically, a doctor) and the treatment taken according to the result, or the medical worker M (specifically). A message describing the state and symptoms of patient P1 that the nurse) noticed while caring for patient P1, and the physical condition and mood of patient P1 and its changes by the patient P1 or the patient-related person R (specifically, the family). There is a message about. Therefore, much of the "message-type information" on the timeline 51 includes some medical and / or long-term care information about patient P1. On the other hand, as the "data type information", for example, the data (file) of the patient P1 chart created by the medical worker M (specifically, the doctor) and the medical worker M (specifically, the roentgen engineer) are used. Data (file) of chest X-ray photograph of patient P1 taken, data (file) of care plan of patient P1 created by care worker C (specifically, care manager), outside of multidisciplinary cooperation support system 100 There are health-related data (files) of patient P1 taken in from. Therefore, much of the "data type information" on the timeline 51 is some medical information and / or care information itself about patient P1. These "message type information" and "data type information" are displayed on the timeline 51 in chronological order (in order of posting date and time).

Therefore, by using the "message type information" and the "data type information" displayed on the timeline 51 of the group G11 related to the gastric cancer of the specific patient P1, the "progress" related to the treatment and care for the gastric cancer of the patient P1 "Information" can be created easily and efficiently. In addition, when patient P1 moves between medical / nursing-related facilities F, for example, when he / she is discharged from the current facility (moving source facility, for example, a hospital) and enters the next facility (moving destination facility, for example, an elderly home). It is very preferable to transmit the "progress information" to the destination facility because the points to be noted when the care worker C takes care of the care worker C are known in advance. However, since the "progress information" is too detailed and requires specialized knowledge related to medical care, even if the "progress information" is provided to the care worker C who does not have specialized knowledge related to medical care, it is understandable. Have difficulty. For the care worker C, it is preferable that the information describes only the main points necessary for the care worker C. Therefore, it is very useful to mainly extract the information necessary for long-term care from the "progress information" and add the minimum medical information related to it to create the "summary information" of the patient P. ..

If the destination facility is another hospital or clinic, it is beneficial for the medical staff M to convey the medical processing and related medical information performed at the hospital of the source facility as the "progress information". However, care information is not important. Therefore, in this case, if the information necessary for medical treatment is mainly extracted from the "progress information" and the minimum care information related to the information is added to create the "summary information" of the patient P, the patient P can be created. Very informative.

As described above, according to the multidisciplinary cooperation support system 100 according to the embodiment of the present invention, the medical worker M and / or the care worker C are displayed on the timeline 51 of the group G11 as needed. Since both the above-mentioned "progress information" and "summary information" can be easily and efficiently created and saved from the "message type information" and the "data type information", there are many in the medical field and / or the nursing care field. A high level of close and smooth cooperation between professionals in each occupation will be possible.

The overall configuration of the multidisciplinary cooperation support system 100 is as shown in FIG. 11, and in addition to the above-mentioned progress information creation unit 110 and summary information creation unit 120, the patient basic information storage unit 130, the disease basic information storage unit 140, It includes a disease-specific default information storage unit 150, a drug basic information storage unit 160, a drug-specific default information storage unit 170, a facility trace information creation unit 180, and a user access control unit 190.

The progress information creation unit 110 is formed of software that controls its operation, an information storage medium such as a hard disk, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. This section creates and stores desired progress information in response to a request from the user terminal 10, 11 or 12. Specifically, the progress information creation unit 110 responds to a request from any user (usually a medical worker M, specifically a doctor) transmitted from any user terminal 10, 11 or 12. Then, from the message type information and data type information posted / displayed on the timeline of the group G generated for the desired disease of the desired patient P, appropriate information as "progress information" of the disease of the patient P. Is selected and captured, the captured information is classified by category and arranged in chronological order to create "progress information" related to the disease of the patient P, and further, the created "progress information" is stored in the progress information creation unit. It is stored in a storage area (information storage unit 113 described later) provided inside the 110. The arrangement (layout) of the plurality of message type information and data type information included in the created "progress information" can be changed as appropriate.

Here, the "progress information" is, for example, various medical / long-term care treatments (specifically, diagnosis / medical diagnosis / care) taken in order for a specific disease of a specific patient P over time. Information related to (referring to treatments such as examinations and treatments, and in terms of nursing care, treatments such as assistance such as eating and bathing) and the physical and mental time of the patient P after taking those treatments. It means information indicating a change and information related to the intentions and feelings of the patient P and the patient-related person R. Therefore, each "progress information" is composed of "message type information" and / or "data type information". In the present embodiment, the "progress information" is information related to the temporal changes in the physical and mental aspects of the patient P in the four fields of medical care, nursing care, health, and ACP. Specifically, for example. , Information related to the patient P's symptoms related to the disease, changes in examination / diagnosis / treatment over time, changes in the care situation of patient P over time, and changes in patient P's will, way of thinking, and feelings toward ACP. Is. This information is effective for improving the quality of future medical services and long-term care services provided to the patient P, and for the medical services and / or long-term care services of the patient P who is the recipient of these services. It is selected as "progress information" because it is considered to be effective for improving satisfaction.

The details of the internal configuration of the progress information creating unit 110 will be described later.

The summary information creation unit 120 is formed of software that controls its operation, an information storage medium such as a hard disk, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. This section creates and stores desired summary information in response to a request from the user terminal 10, 11 or 12. Specifically, the summary information creation unit 120 responds to a request from any user (usually a medical worker M, specifically a doctor) transmitted from any user terminal 10, 11 or 12. Then, from the "progress information" related to the desired disease of the desired patient P created and stored by the progress information creation unit 110, appropriate information is selected as the "summary information" of the "progress information". -Excerpts are taken in to create "summary information" related to the disease of the patient P, and the created "summary information" is stored in a storage area provided inside the summary information creation unit 120 (information storage described later). Store in part 123). The arrangement (layout) of a plurality of pieces of information included in the created "summary information" can be changed as appropriate.

Here, the "summary information" is "progress information", that is, various medical / long-term care treatments taken for a specific disease of a specific patient P (specifically, a diagnosis in the medical aspect).・ Refers to treatments such as examinations and treatments, and in terms of long-term care, refers to treatments such as assistance such as eating and bathing) and indicates the temporal changes in the physical and mental aspects of the patient P after taking these treatments. It means information that is extracted from the information and is useful as a summary of the "progress information". Specifically, the "summary information" includes, for example, the symptom of the patient P related to the disease, the temporal change of examination / diagnosis / treatment, the temporal change of the care status of the patient P, and the ACP of the patient P. This information is extracted as a summary of the information related to the temporal changes in the will, way of thinking, and feelings toward the patient. This information is used by the medical staff M who is active at the destination facility when the patient P is moved from the source facility (current facility) to the destination facility (including the next facility and the patient P's home). And the care worker C will provide the patient P with more appropriate future medical services and care services, and the patient P will be highly satisfied with those medical services and care services. It is desirable to be selected as "summary information" because it is considered to be effective for this purpose.

When the summary information creating unit 120 creates the "summary information", the basic patient information (described later) prepared in advance and stored in the basic patient information storage unit 130 is also used. Further, when the "summary information" is provided to the medical worker M and the care worker C of the destination facility, the facility trace information created and stored in the facility trace information creation unit 180 is also used together. The basic patient information includes information (externally stored information) stored in an external storage device outside the medical / nursing care support system 30 and the multidisciplinary cooperation support system 100 due to reasons such as an excessive amount of data. ), For example, information such as CT image information is also included. These externally stored information are appropriately taken into the multidisciplinary cooperation support system 100 from the external storage device when needed, and are used for creating "summary information".

Details of the internal configuration of the summary information creation unit 120 will be described later.

The basic patient information storage unit 130 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and "basic patient information" for each patient P. It is a section to memorize. "Patient basic information" refers to basic personal information relating to each patient P, such as the name, age, gender, address, family structure, and key person name of each patient P.

The disease basic information storage unit 140 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is composed of a list of individual disease names. This section stores "basic information". The "disease basic information" is, for example, in the form of a disease name list listing disease names such as type II diabetes and colorectal cancer.

The disease-specific default information storage unit 150 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is included in "basic disease information". This section stores a set of stamp groups and a set of BOT groups preset for each disease.

For example, there are stamps for recording various test items such as the number of steps, body weight, blood glucose level, and hemoglobin A1c (HbA1c) value, and they are displayed in the patient side area of a designated timeline. When the patient P or the patient-related person R presses (clicks) the displayed stamp, the corresponding measurement value, test value, message (short sentence), etc. are displayed from outside the medical support system 30 and the multidisciplinary cooperation support system 100. , Will be automatically inserted at the specified location on the specified timeline. Alternatively, when the patient P or the patient-related person R presses (clicks) the displayed corresponding stamp, a template containing a message prompting the patient to enter the test data is displayed in the patient side area of the timeline, and the test data is sent from the patient P. When input, the inspection data is written in the designated place on the timeline 51. In addition, as a BOT, for example, when a template including a message prompting the patient to take a drug at a predetermined time is displayed in the patient side area of the timeline and the patient P receives an instruction of "dose completed" (or "dose not completed"). , There is a BOT that writes a message of "dose completed" (or "done not completed") in the corresponding part of the timeline 51.

The drug basic information storage unit 160 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is composed of a list of individual drugs, "drug basic". This section stores "information". The "basic drug information" is in the form of a list listing drug names and dosages, for example, 00000 capsules and XXX 0.5 capsules.

The drug-specific default information storage unit 170 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, playback, and erasing of information on the information storage medium, and is included in "basic drug information". This section stores a set of stamp groups and a set of BOT groups preset for each drug.

For example, anti-cancer drug stamps include side effect stamps such as dullness, numbness, and diarrhea, which are displayed at designated locations on the timeline. For example, when the user presses (clicks) the relevant stamp displayed in the patient area of the timeline, a template containing a message (short sentence) indicating the corresponding side effect is automatically placed at the specified location on the timeline 51. be introduced. Further, as the BOT of the anticancer drug, for example, a template including a message prompting the patient to take the anticancer drug at a predetermined time is displayed in the patient side area of the timeline, and the patient P "completes the administration" (or "dose completed"). Upon receiving the instruction of "dose not completed"), there is a BOT or the like that writes a message of "dose completed" (or "dose not completed") in the corresponding part of the timeline 51.

The facility trace information creation unit 180 is formed of software that controls its operation, an information storage medium such as a hard disk, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. This section creates and stores "facility trace information" for each patient P at the request of the user (usually a healthcare professional M, specifically a doctor).

The “facility trace information” means information indicating the history (variation status) of a medical-related facility or a long-term care-related facility that an individual patient P has passed through by repeating hospitalization and discharge. Examples of "facility trace information" include, for example, February 1, 201X: Yamada Clinic (first visit), February 5, the same year: Tanaka Hospital (surgery), February 9, the same year: Suzuki Rehabilitation Hospital (postoperative rehabilitation). ), March 10 of the same year: Information in the form of YY Elderly Housing with Care (recovery of physical condition by rehabilitation). Here, the items included in the "facility trace information" are the move date or scheduled move date, the move facility name, and the reason for the move, which is very concise and instantly even if you are not an expert. I am able to understand. However, it goes without saying that items other than these may be added.

The operation when the facility trace information creation unit 180 creates and stores the facility trace information is, for example, as follows.

First, as soon as the medical-related facility or long-term care-related facility (destination facility) to which the specific patient P moves next is determined, he / she belongs to the current medical-related facility or long-term care-related facility (transfer source facility) and is concerned with the situation. Any one of the medical staff M, who is a group member of the group G of the patient P, sends an e-mail to the staff in charge of the destination facility and accesses the medical / long-term care support system 30 to access the system. Ask to become 30 users. When it is confirmed that the staff in charge has become a user of the system 30 in response to the request, the invitation request control unit 324 of the medical / nursing care support system 30 automatically sends an invitation request to the staff. If the staff approves it, the staff will become a group member of the group G. Then, the staff can view the information on the timeline of the group G and post the information on the timeline, so that the staff can transfer the information related to the movement of the patient P between facilities to the timeline. If you post, for all medical staff M of the moving source facility who is a group member of the group G, the facility related information of the moving destination facility, the scheduled moving date (scheduled hospitalization date / scheduled admission date), and the purpose of the move Etc. can be notified. The "facility trace information" can be created in this way by using the medical / nursing care support system 30 and the multidisciplinary cooperation support system 100. However, it goes without saying that the facility trace information may be created without going through the medical / long-term care support system 30.

The "facility trace information" of the patient P can be combined with the summary information of the patient P created by the summary information creation unit 120, if necessary, and then the information necessary for moving between facilities is collectively transmitted. This is convenient for the medical staff M and the care worker C at both the source facility and the destination facility.

The user access control unit 190 is formed of software that controls its operation, an information storage medium such as a hard disk, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. Progress information and summary information created / stored by the support system 100, and general personal information of individual patient P created / stored by the medical / nursing support system 30 (including basic patient information and medical / nursing information). This section controls the user's access right to and (adjusts the access environment). The user access control unit 190 uses the beneficiary information of each user, that is, the beneficiary information of each user (here, patient P) stored in the medical / nursing care support system 30, and the multidisciplinary cooperation support system 100. It is provided to precisely control the access right to the created and saved progress information and summary information of the user (patient P) according to the content of the beneficiary information, the necessity for the user, the sensitivity, etc. Therefore, it is possible to provide a high-level security environment suitable for handling highly confidential beneficiary information while ensuring user convenience.

The details of the internal configuration of the user access control unit 190 will be described later.

(Internal configuration of progress information creation unit 110)
Next, the internal configuration of the progress information creating unit 110 described above will be described in detail with reference to FIG.

As shown in FIG. 12, the progress information creation unit 110 includes an information acquisition unit 111, an information category identification unit 112, an information storage unit 113, a control unit 114, an information category management unit 115, a stamp management unit 116, and a BOT management unit 117. , And IOT information management unit 118.

The information acquisition unit 111 is formed from software that controls its operation, and in response to a request from any user, a plurality of message type information and a plurality of data type information displayed on the timeline of each patient P. Selectively imports what is specified by the user as "first target information", assigns a unique message / data ID to the first target information, and user ID of the user who posted the first target information. This is a subsection that stores the information in the information storage unit 113 after associating with the information, and further sends the first target information to the information category identification unit 112.

The message type information or data type information as the first target information captured by the information acquisition unit 111 has a message / data ID associated with the user ID of the poster who posted it on the timeline 51. When the message type information with the data type information (file) attached is imported as the first target information, different message / data IDs are assigned to each of the message type information and the data type information (file), so that the information is imported. There is always a one-to-one correspondence between the information and the message / data ID assigned to it.

The information category identification unit 112 identifies whether the message type information or the data type information as the first target information sent from the information acquisition unit 111 belongs to a predetermined information category, and corresponds to the predetermined category ID. This is a subsection that stores the message type information or the data type information (first target information) in the information storage unit 113 after allocating the information to be used. To identify which information category the message type information or data type information as the first target information belongs to, a known software is used to check the text information contained in the information at any time. By doing so, it can be easily automated. For example, using known text mining software or the like, the character (text) information contained in the message type information or the data type information as the first target information is analyzed, and the meaning (information) contained therein is analyzed. Should be read. If the corresponding category is determined for each read meaning (information), the corresponding category ID can be automatically assigned to the message type information or the message / data ID of the data type information.

The message type information or data type information as the first target information that has completed the identification process of the information category identification unit 112 corresponds to the user ID of the poster who posted it on the timeline of the patient P and the corresponding category. It will have a unique message / data ID associated with the category ID.

In the present embodiment, four categories of medical care, long-term care, ACP, and health are set as the information categories identified by the information category identification unit 112.

Information that belongs to the medical category includes, for example, a group of characters such as "I tested for influenza because I have a high fever" and "I will prescribe a drug that lowers blood pressure because my blood pressure is rising." There are message-type information formed from text) and including some meaning to be transmitted, and data (file)-type information such as test data including blood glucose level, hemoglobin A1c (HbA1c) value, and the like. In addition, for example, there is a combination of message type information consisting of the message "Attach the latest image of decubitus" and data type information consisting of the decubitus image file attached to the message.

As information belonging to the long-term care category, for example, there is message-type information consisting of a message that "I worked hard on rehabilitation, so I can drink liquid food by myself". There is also a combination of message-type information consisting of the message "I have finished this meal after rehabilitation" and data-type information consisting of the meal image file attached to it.

Information that belongs to the ACP category includes, for example, "He once accepted gastric fistula, but now he says he wants to eat sushi because he can die. His family also supports it. There is message type information consisting of the message "Masu". There is also a combination of message-type information consisting of a message "I do not want to receive life-prolonging treatment" and data-type information consisting of a proactive treatment plan (ACP) file attached to it.

Information belonging to the health category includes, for example, message-type information including a message displaying blood pressure, weight, number of steps taken during a walk, meal history, and the like. There is also data type information consisting of photo files of meals of a particular day. There is also a combination of these message type information and data type information. This information is health-related information that each patient P should record and manage by himself / herself. Here, the health category is provided as a category in which information that does not belong to any of the three categories of medical care, long-term care, and ACP is classified in addition to information on health.

Here, four categories of medical care, long-term care, ACP, and health are set as the information categories, but the present invention is not limited thereto. A category different from these four categories may be set, or any of these four categories may be removed. In addition, other categories (for example, background, important, etc.) may be added to these four categories. The "background" category is an external factor that affects the medical information when or immediately before the medical information is obtained, and includes, for example, climate and physical condition. The "important" category refers to information that has a significant impact on medical care and long-term care, and includes information that belongs to the above four categories such as medical care and long-term care and is considered to be particularly important.

The information storage unit 113 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is identified for each information category by the information category identification unit 112. -A subsection that stores the classified message type information and data type information and the message / data ID, user ID, and category ID associated with each other as described above. That is, the first target information (that is, the message type information or data type information taken in by the information acquisition unit 111) itself that has completed the identification process of the information category identification unit 112 and the first target information are attached. The message / data ID (which is associated with the poster's user ID and the corresponding category ID) is stored in the information storage unit 113.

As described above, the plurality of message-type information and data-type information captured by the information acquisition unit 111 of the multidisciplinary cooperation support system 100 as the first target information and stored in the information storage unit 113 are used for medical / nursing support. By cooperating with the timeline control unit 326 of the group management unit 320 of the system 30, it is displayed in a predetermined "progress information display area" (this will be described later) of the corresponding timeline as necessary. Is possible.

The association between the message / data ID of the message type information or data type information captured as the first target information, the user ID of the poster who posted it on the corresponding timeline, and the corresponding category ID is, for example, , It is stored and managed in the form of the information management table shown in FIG. 45 (a). The assignment of category IDs to the above-mentioned four information categories is stored and managed in the form of the information category table shown in FIG. 45 (b), for example.

The control unit 114 is formed from software that controls the operation, and is a subsection that controls the overall operation of the progress information creation unit 110.

The control unit 114 may include, for example, (i) information acquisition unit 111, information category identification unit 112, information storage unit 113, information category management unit 115, stamp management unit 116, BOT management unit 117, and IOT information management unit 118. The individual operations of the information can be adjusted so as not to cause any trouble, or (ii) for each message type information and / or data type information displayed on the timeline 51, a predetermined location inside or near the information. When a predetermined "progress information creation icon" (see FIG. 20) is displayed or (iii) "progress information creation icon" is clicked, the information acquisition unit 111 and the information category identification unit 112 are activated. , The designated message type information or data type information is urged to be taken in as the first target information, and (iv) the message type information or data type information stored in the information storage unit 113 is taken into the predetermined "progress information" of the timeline 51. Display in the "display area".

The information category management unit 115 is formed from software that controls its operation, and is a subsection that manages the above-mentioned information category under the control of the control unit 114. The information category management unit 115 assigns and stores the corresponding category IDs for each of the above-mentioned four information categories of medical care, long-term care, ACP, and health. The setting of these categories is performed by the information category management unit 115 according to the instruction of the user. The setting contents of the information category can be arbitrarily changed as needed.

The assignment of category IDs to the above four information categories is stored and managed in the form of the information category table shown in FIG. 45B, for example.

The stamp management unit 116 is formed from software that controls its operation, and is a subsection that manages a group of stamps displayed at a designated location on the timeline of each patient P under the control of the control unit 114. For example, the stamp management unit 116 may display a predetermined "stamp" icon (see FIG. 20) at a predetermined location inside or near the message type information and / or the data type information displayed on the timeline. , (Ii) Control which stamps are activated and which stamps are deactivated, (iii) Control where the activated stamps are displayed on the timeline and what functions are executed. To do. This management is performed under the control of the control unit 114 in response to an instruction from the user terminal 10, 11 or 12.

The BOT management unit 117 is formed from software that controls its operation, and under the control of the control unit 114, cooperates with or with a stamp group displayed at a designated location on the timeline of each patient P. Is a subsection that manages a group of BOTs that operate separately. Specifically, the BOT management unit 117 controls (i) which BOT is activated and which BOT is deactivated according to a predetermined trigger, and (ii) is displayed by each BOT. Controls where to place messages, templates, icons, etc. to be placed on the timeline, and controls the display on the timeline as well as the storage of the execution result of the function corresponding to (iii) BOT in the information storage unit 113. Or something. Such management by the BOT management unit 117 is performed under the control of the control unit 114.

The IOT information management unit 118 is a subsection that is formed from software that controls its operation and manages IOT (Internet Of Things) information that is introduced into the multidisciplinary user cooperation support system 100 under the control of the control unit 114. .. The IOT information is various inspection information, measurement information, etc. supplied from an external medical device (testing device, measuring device, etc.) connected to the multidisciplinary cooperation support system 100 or the medical / nursing care support system 30 via the Internet 20. , Means various information introduced from so-called IOT equipment. The IOT information is mainly necessary for realizing the operation of the BOT, and for example, the output information of the external measuring device includes body weight, blood pressure, blood glucose level, and the like. This management is performed under the control of the control unit 114 in response to an instruction from the user terminal 10, 11 or 12.

(Internal configuration of summary information creation unit 120)
Next, the internal configuration of the summary information creating unit 120 described above will be described in detail with reference to FIG.

As shown in FIG. 13, the summary information creation unit 120 includes a posting source designation unit 121, a posting destination designation unit 122, an information storage unit 123, a control unit 124, a basic information acquisition unit 125, and a facility trace information acquisition unit 126. It also has an editorial support department 127.

The transcription source designation unit 121 is formed from software that controls its operation, and is included in "progress information" relating to a specific disease of a specific patient P in response to an instruction from any user terminal 10, 11 or 12. Information to be extracted (posted) as "summary information" of the same disease of the same patient P is designated as "second target information" from the plurality of message type information and multiple data type information provided. This is a subsection that stores the location of the second target information in the information storage unit 123 as the “transcription source”.

Specifically, the posting source designation unit 121 assigns a unique summary ID to the second target information, associates the summary ID with the message / data ID of the second target information, and then stores the information storage unit 123. Remember in. As a result, the message type information or the message / data ID of the data type information as the second target information designated as the "posting source" is stored in association with both the user ID and the summary ID of the poster. Therefore, the message / data ID of the message type information or data type information designated as the "posting source" and the summary ID assigned to the message / data ID always have a one-to-one correspondence.

For example, the control unit 123 displays the "write as summary information" icon on each message type information included in the "progress information", and the posting source designation unit 121 uses one of these icons. Wait for to be clicked by. When any of these icons is clicked, the posting source designation unit 121 transfers the message type information (with the icon) corresponding to the clicked icon to the "posting source" (second target information). Specify as. In the case of data type information, the posting source designation unit 121 waits for the thumbnails indicating their locations to be clicked, and the posting source designation unit 121 waits for any of these thumbnails to be clicked by the user. When any of these thumbnails is clicked, the posting source designation unit 121 designates the data type information corresponding to the clicked thumbnail as the "posting source" (second target information). Needless to say, information different from the message type information or data type information corresponding to the clicked icon or thumbnail may be separately specified as the "posting source", that is, the second target information.

The posting destination designation unit 122 is formed from software that controls its operation, and is "posted from" (second target information) by the posting source designation unit 121 in response to an instruction from any user terminal 10, 11 or 12. The place where the "excerpt information" of the message type information or the data type information specified as is to be placed, that is, the place where the summary information to be placed in the predetermined "summary information display area" is specified, and the specified place Is a subsection that is stored in the information storage unit 123 as a “posting destination”.

For example, the control unit 123 displays the "writing position" icon for each message type information included in the "progress information", and the posting destination designation unit 122 clicks one of these icons by the user. , Further waits for the writing position to be specified by the user with further clicks. When one of the "write position" icons is clicked, the summary information display area is displayed correspondingly, and the desired part in the summary information display area is clicked to specify the write position, the transfer destination designation unit 122 , Specify the clicked position as the "posting destination". In the case of data type information, instead of the "write position" icon, the "posting destination" is set in the same way as in the case of message type information, except that it waits for thumbnails indicating their locations to be clicked. specify. Needless to say, the "posting destination" may be specified by a method other than this.

The information storage unit 124 is formed of an information storage medium such as a hard disk and software that controls operations such as recording, playback, and erasing of information on the information storage medium, and is designated as a "transcription source" (second target information). "Excerpt information" extracted from the message type information or data type information, the posting source designation information indicating the "posting source" specified by the posting source designation section 121, and the "posting destination designation section 122" designated. It is a subsection that stores the posting destination designation information indicating "posting destination".

The "excerpt information" created from the message type information or data type information designated as the second target information as described above collaborates with the timeline control unit 326 of the group management unit 320 of the medical / long-term care support system 30. By doing so, it is possible to display it in the above-mentioned "summary information display area" (which will be described later) of the corresponding timeline, if necessary.

The association between the message / data ID of the message type information or data type information designated as the second target information and the summary ID is stored and managed in the form of the information management table shown in FIG. 45 (a), for example. ..

The control unit 123 is formed from software that controls the operation, and is a subsection that controls the overall operation of the patient summary information creation unit 120.

The control unit 123 operates, for example, (i) operation of (i) posting source designation unit 121, posting destination designation unit 122, information storage unit 123, basic information acquisition unit 125, facility trace information acquisition unit 126, and editing support unit 127. Is adjusted so as not to cause any trouble, or (ii) for each message type information and / or data type information displayed in the "progress information area" of the timeline 51, inside or near the information. When a predetermined "write as summary information" icon (see FIG. 20) and a "write position" icon are displayed at a predetermined location, or (iii) "write as summary information" icon is clicked, the posting source designation unit 121 Is activated and the corresponding message type information and / or data type information is specified as the "posting source" (second target information), or (iv) when the "writing position" icon is clicked, the posting destination specification unit By activating 122, the "excerpt information" created from the second target information can be posted (copied) to the instructed "posting destination", or (v) the "excerpt information" stored in the information storage unit 123 can be transferred. Display it in the "summary information display area" of the corresponding timeline.

The basic information acquisition unit 125 is formed from software that controls its operation, and includes basic patient information stored in the basic patient information storage unit 130, basic disease information stored in the basic disease information storage unit 140, and diseases. The default information for each disease stored in the separate default information storage unit 150, the basic drug information stored in the basic drug information storage unit 160, and the default information for each drug stored in the default information storage unit 170 for each drug. A subsection that is being created or incorporated as part of an existing set of summary information, as needed.

The facility trace information acquisition unit 126 is formed from software that controls its operation, and if necessary, is creating or existing facility trace information stored in the facility trace information creation unit 180, if necessary. A subsection to include as part of the summary information.

The editing support unit 127 is formed from software that controls its operation, and transfers the second target information of the "posting source" designated by the posting source designation unit 121 to the "posting destination" designated by the posting destination designation unit 122. This is a subsection that assists the user in editing the second target information on the edit screen when posting.

The editing support unit 127 provides support such as automatically extracting words and phrases that are assumed to be keywords from a set of texts as the second target information and incorporating them into the summary information. The editing support unit 127 may be omitted because it is for facilitating and streamlining the editing work of the second target information by the user.

(Internal configuration of user access control unit 190)
Next, the above-mentioned user access control unit 190 will be described in detail with reference to FIG.

As shown in FIG. 14, the user access control unit 190 includes an accessable range setting unit 191, a technology condition setting unit 192, a social personal authentication unit 193, and an emergency access setting unit 194.

The accessible range setting unit 191 is formed of software that controls its operation, information storage medium such as a hard disk, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is composed of an administrator. It is a subsection that sets and stores the range of information that can be accessed by individual users according to the instruction of A. The range of accessible information can be set by the access range setting unit 191 individually and with high accuracy by making it different for each user.

For example, as shown in the access condition setting screen 60 of FIG. 43, medical information, long-term care information, facility trace information, ACP information, health information, living will (living will) information, etc. are classified for each user. Specify any one or two or more of these categories to set the accessible range. By doing so, the accessible information can be set in detail for each user, and the range of accessible information can be precisely controlled. Needless to say, it is possible to set an information category different from that described above as needed.

The technology condition setting unit 192 is formed of software that controls its operation, an information storage medium such as a hard disk, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium. It is a subsection that sets and stores the technical conditions required for individual users to access according to the specification of.

As the technology conditions, for example, conditions related to terminal security and conditions related to network security can be set. The former is determined by whether or not a client certificate is installed as a security measure for the terminal (user terminal) used by each user. The latter is determined by whether the security measures for the network used by each user are TLS1.1, TLS1.2 or higher, or no measures. Needless to say, security measures different from these may be set as needed.

The social identity verification unit 193 is formed of software that controls its operation, information storage medium such as a hard disk, and software that controls operations such as recording, playing, and erasing information on the information storage medium. It is a subsection that sets and stores the conditions for social identity authentication required for individual users to access according to the instructions of.

"Social authentication" generally means authenticating the user himself / herself by linking with social media (social networking services) such as Twitter and Facebook and using the login function and authentication information of the social media. In the present invention, the login function and the authentication function provided in the medical / nursing service network similar to the closed social networking service provided by the medical / nursing support system 30 are used. It means to authenticate the user himself / herself. This is to infer the behavior and human relationships of each user from the usage status of the closed social networking service, and use them for personal authentication.

For example, multiple conditions, for example
1. 1. Connected to n external multidisciplinary staff (socially certified) through at least one group (where n is an integer greater than or equal to 1),
2. 2. Members of m groups (where m is an integer greater than or equal to 1),
3. 3. The user's own face photo and profile are posted,
4. More than x months have passed since user registration, and there are y or more writes in a month (however, x and y are both integers of 1 or more).
5. The terminal you use meets the specified level of security or higher.
The five conditions are set in advance, and the user who satisfies all of the five conditions is recognized as the person himself / herself and is given the certification mark. Then, the responsible organizations in each region such as the medical association can set the numerical values of the parameters n, m, x and y included in the above 5 conditions and the AND condition and / or the OR condition for the above 5 conditions. Can be.

For example, when the strictest authentication is desired, all the conditions 1 to 5 may be connected by AND logic (x). Therefore, the algorithm in this case is condition 1 × condition 2 × condition 3 × condition 4 × condition 5. If you want to make the authentication a little looser than this, you can connect the conditions 1 and 2 with the OR logic (+), and connect the result of the OR logic with the conditions 3 to 5 with the AND logic (x). Therefore, the algorithm in this case is (condition 1 + condition 2) × condition 3 × condition 4 × condition 5.

If you want to set the conditions in more detail after setting the conditions by AND / OR logic as described above, increase the numerical values of the four parameters n, m, x, and y included in the above five conditions.・ It should be reduced.

In this way, by using the above-mentioned 5-condition / 4-parameter authentication conditions, the social identity authentication (authentication related to the access subject) conditions required for individual users to access can be flexibly set using an algorithm. Therefore, it is possible to set it quite freely according to the characteristics of the area where the medical / nursing care service is provided. Therefore, the high security level required for the medical / nursing care support system 30 and the multidisciplinary cooperation support system 100, and the various requests of users (medical worker M, care worker C, patient P, patient-related person R). Can be matched at a high level, and moreover, it can greatly contribute to the improvement of the reliability of medical / nursing care services.

In the above-mentioned social personal authentication, the beneficiary information (access target, that is, the accessible range) that can be accessed by each user can also be set (see FIG. 43). Specifically, depending on the field / content and sensitivity of patient P's medical / long-term care information (that is, beneficiary information) and the needs of individual users, for example, medical-related information, long-term care-related information, and health-related information. It is classified into five categories: information, ACP-related information, and facility trace information, and each user is (i) whether or not he / she is a medical worker, and (ii) if he / she is a medical worker, is a doctor or a nurse. The accessible range of the user can be set in detail in consideration of the conditions such as (iii) where the facility belongs and (iv) what the work in charge is.

By doing so, the access right of each patient P to the medical / long-term care information is precisely controlled according to the field / content and sensitivity of the information, and the necessity for each user (expert of various occupations). It is possible to realize a high-level security environment suitable for handling medical / long-term care information of individual patient P while maintaining the required convenience, and it is possible to realize a multidisciplinary cooperation support system 100. Has the advantage of improving reliability.

The emergency access setting unit 194 is formed of software that controls its operation, an information storage medium such as a hard disk, and software that controls operations such as recording, reproducing, and erasing information on the information storage medium, and is an administrator. This is a subsection that sets and stores the access function in an emergency according to the instruction of A.

This emergency access function is an indispensable function in the case of an emergency, for example, when the patient P is transported to an emergency hospital due to a sudden change in the condition of the patient P. In the case of an emergency, the doctors and nurses at the hospital to which the emergency care is carried are usually not in charge of the treatment of the patient P, so even if they have the user ID of the medical / long-term care support system 30, the relevant patients In most cases, the patient P does not belong to the group G as a member of the group, and therefore, the medical information of the patient P stored by the medical / nursing care support system 30 and the multidisciplinary user cooperation support system 100, etc. This is because the beneficiary information cannot be used. However, the treatment of the patient P is not only urgent, but there is also a high need to provide more accurate medical treatment while preventing medical errors. Therefore, the medical information of the patient P (treatment history of the disease, etc.) and It is required that the long-term care information (level of long-term care required, etc.) be viewed and utilized by doctors of the emergency hospital. The emergency access setting unit 194 has a user ID of the medical / long-term care support system 30 only in such an emergency, but is not a group member of one or a plurality of groups G related to the patient P. In addition, doctors, etc. of the emergency hospital who cannot use the medical / long-term care information related to the patient P can use a very simple method within both systems 30 and 100 for a certain short time (for example, within 24 hours). It is provided to set conditions that enable viewing of the stored medical / long-term care information of the patient P.

For example, an "emergency access sheet" as shown in FIG. 46 as a document in which patient P routinely prints his / her name, QR code (registered trademark), names of medical-related facilities that are linked to each other, and the like. If the doctor or nurse of the emergency hospital has a user ID of the medical / long-term care support system 30, he / she belongs to the group G of the patient P as a group member. Even if this is not the case, if the doctor or nurse takes a picture of the written QR code using the camera function of his / her mobile terminal, he / she will immediately log in to the medical / long-term care support system 30 via the Internet 20. Set so that you can access the screen. In the above-mentioned document, "Using the QR code on the document, if the user ID of the medical / nursing care support system 30 is possessed, even a doctor or a nurse who is not a member of the group G of the patient P can be prescribed. A message is added to inform that the medical / nursing information of the patient P can be viewed only for a limited time, and the same content as the document is included in the patient P's patient-related person R, medical worker M, and care worker. Notify C etc. in advance. Then, the stage where the name of the patient P who has been transported to the doctor or nurse of the above-mentioned emergency hospital who is a user of the medical / long-term care support system 30 but is not a member of the group G of the patient P is known. Then, it is possible to prompt the user to immediately access the login screen of the medical / long-term care support system 30. Since the login of a doctor or nurse who does not have the user ID of the system 30 is rejected on the login screen, the security of the beneficiary information of the patient P is maintained. After access, click the "emergency access" icon (not shown) in the initial menu that appears, then search for and specify the patient P on the patient (group timeline) selection screen that appears next. For example, the medical / long-term care support system 30 may be set so that the temporary access right is given to the non-group G / member.

The conditions under which emergency access is permitted include, for example, (a) a business-related facility (medical-related facility and / or long-term care-related facility) to which any of the beneficiaries is transported in an emergency is one or one related to the beneficiary. Being in a cooperative relationship with the business-related facility to which the medical worker or the care worker who is a member of the group of the plurality of the group belongs, (b) the beneficiary transported at the business-related facility transported. The medical staff or long-term care worker in charge of the above has the user identification information, and (c) the accessible time is for providing emergency medical services and / or long-term care services to the transported beneficiaries. It is preferable to set four conditions: that the time is limited to the estimated time required, and (d) the operations that can be performed after access are limited to browsing. If all of these four conditions (a) to (d) are not satisfied, access will be denied.

Here, the "cooperation relationship" is a relationship between a plurality of business-related facilities (medical-related facilities and / or long-term care-related facilities) (medical / long-term care-related facilities) for which agreements have been made to cooperate with each other. For example, in contact with each other, the beneficiaries (patients or long-term care recipients) common to all facilities are provided with medical services and / or long-term care services of their own facilities, and the beneficiaries are provided with medical services on a daily basis. And / or even if the facility does not provide long-term care services, in the event of an emergency such as emergency transportation, medical services and / or long-term care services will be provided to the recipient. A "cooperation facility" is a business-related facility (medical / nursing-related facility) having such a "cooperation relationship".

For example, for each patient P, the name of the medical-related facility or the name of the nursing-related facility to be linked (that is, the name of the collaborative facility) is registered in advance, and the medical / nursing-care support system 30 belongs to one or more of the collaborative facilities. If you are a medical worker or a care worker who is a user, even if you are not a member of one or more groups G of patient P who was transported to any of the affiliated facilities by emergency, you should temporarily grant access rights. Then, the medical staff and the care worker at the emergency transport destination can browse (but only) the medical / nursing information of the patient P. Since it is a temporary access right, the above-mentioned emergency hospital doctors and nurses are stored in both systems 30 and 100 for a certain short time (for example, within 24 hours from the first access). Since the medical / long-term care information of the patient P can be browsed (but limited to browsing), doctors and the like in the emergency hospital can promptly and accurately perform medical treatment without lowering the security level of the medical / long-term care support system 30. It is very beneficial to be able to do it.

It should be noted that browsing of medical staff and long-term care workers who are not users of the medical / nursing care support system 30 (does not have a user ID) is not possible because the login itself to the system 30 is rejected. Even if you have a user ID, if you do not meet any of the above four conditions (a) to (d), you cannot browse. Needless to say, the information that can be browsed is not limited to the medical information of the patient P, but may be expanded to various information such as nursing care information, health information, and ACP information (that is, beneficiary information of the patient P).

As described above, even if emergency access is possible under certain conditions, the user who can access is the user of the medical / long-term care support system 30, and one of the predetermined collaborative facilities related to the corresponding patient P. Or, since it is limited to medical staff or long-term care workers who belong to more than one, the range of accessible people is very limited (operations after access are also limited to viewing information), so emergency access settings Section 194 makes it possible to satisfy the strict condition of responding to an emergency request without deteriorating the high security of the system 30.

(Operation of multidisciplinary cooperation support system)
Next, the operation of the multidisciplinary cooperation support system 100 having the above configuration will be described with reference to the flowcharts of FIGS. 15 to 18 and the display screens of FIGS. 19 to 43.

In the following description, it is assumed that the gastric cancer treatment group G11 shown in FIG. 9 is created for the gastric cancer treatment of patient P named Yamamoto XX. FIG. 19 shows one user terminal 10, 11 or 12 (specifically, the medical / long-term care worker) of the medical / long-term care worker side area (medical / long-term care worker shared area) 51b of the timeline 51 of the group G11. An example of the screen displayed on the display unit of the terminal 11) is shown. FIG. 19 shows a state in which Mr. Okawa (nurse), who is a group member of group G11, logs in to the medical / long-term care support system 30 and browses the timeline 51 of group G11. In the following description, such a user may be referred to as a "current user". Further, the group G11 is a group to which the group members post / view messages and files, and therefore may be referred to as a “target group”.

As can be seen from FIG. 19, a plurality of message type information and a plurality of data type information are arranged in chronological order (in the vertical direction in the figure) in the medical / nursing care worker side area 51b of the timeline 51 of the group G11 as the target group. ) Have been placed. There is a message input field at the top of the area 51b, which can be input by the current user, Mr. Okawa (nurse) himself.

In FIG. 20, Mr. Okawa himself added a message (message type information) consisting of characters (text) to the message input field of the medical / long-term care worker side area 51b displayed on his / her own medical / long-term care worker terminal 11. Indicates the state entered in. A pressure ulcer image file (data type information) is attached to the message type information.

The medical / nursing information (that is, beneficiary information) related to the patient P1 posted and displayed on the timeline 51 of the group G11 is the patient P1 who is a group member of the group G11, the patient-related person R1, and the medical staff. Message-type information (message-type information) posted by person M1 or M2, or caregiver C2, or data format that they / they have attached to their message or posted separately from their message. Information (data type information).

(Operation of progress information creation unit 110 of multidisciplinary cooperation support system 100)
FIG. 15 is a flowchart showing the operation of the progress information creation unit 110 of the multidisciplinary cooperation support system 100.

The progress information creation unit 110 is always waiting for a "progress information creation request" to be transmitted from any of the user terminals 10, 11 or 12 (step S1). The control unit 114 checks whether or not the "progress information creation request" has been received. The progress information creation request is a "progress information creation" icon (FIG. 20) displayed for each of a large number of message-type information displayed in the medical / long-term care worker side area 51b of the timeline 51 of the target group group G11. (See) is clicked by the current user to be transmitted from the medical / nursing care system 30 to the multidisciplinary cooperation support system 100. Regarding the data type information displayed in the medical / nursing care worker side area 51b of the timeline 51, the current user can click the thumbnail displayed inside the message type information attached to the data type information to provide medical / nursing care. A progress information creation request is transmitted from the system 30 to the multidisciplinary cooperation support system 100. The progress information creation request is transmitted from the user terminal 11 of the medical worker M or the care worker C who is the current user. In the present embodiment, the transmission of the progress information creation request is executed by the timeline control unit 326 of the medical / nursing care system 30. When the control unit 114 confirms that the progress information creation request transmitted in this way has been received, the information acquisition unit 111 internally uses the message type information specified in the received progress information creation request as "first target information". Import (step S2).

Next, the information acquisition unit 111 assigns a unique message / data ID to the first target information (message type information or data type information) acquired in this way, and further assigns the message / data ID assigned in this way. The first target information is associated with the user ID of the user who posted the information (that is, the posting user) (step S3). Subsequently, the information category identification unit 112 identifies the category of the imported first target information and assigns the corresponding category ID (step S4). After that, the captured first target information and the message / data ID, user ID, and category ID associated with each other of the first target information are stored in the information storage unit 113 (step S5). This storage operation is executed by the cooperation of the information category identification unit 112 and the information storage unit 113.

Finally, the message type information or data type information stored in the information storage unit 113 as the first target information as described above is displayed in the progress information display area 52 while clearly indicating the category and the posting user (step S6). ). This display operation is executed by the timeline control unit 326 of the medical / nursing care system 30. The progress information display area 52 is displayed on the user terminal 11 of the medical worker M or the care worker C who is the current user.

Since steps S1 to S6 described above are repeated every time a login user requests to create progress information, a plurality of message type information and data types displayed in the medical / long-term care worker side area 51b of the timeline 51 The information is sequentially taken into the progress information creation unit 110 as the first target information, and further, one of the four categories (medical care, long-term care, health, or ACP) to which the information belongs and the posting user who posted the information are selected. Explicitly, they are juxtaposed in chronological order in the progress information display area 52 (see FIG. 21) on the user terminal 11 of the current user. The operation of displaying the first target information in the progress information display area 52 of FIG. 21 is also executed by the timeline control unit 326 of the medical / nursing care system 30.

As shown in FIGS. 34A, 34B, and 34C, the plurality of message type information and the plurality of data type information as the first target information captured in this way clearly indicate their categories and posting users, and the progress information display area. Since the patients P1 are juxtaposed in chronological order, it is possible to immediately know the temporal changes in the medical and / or care aspects of gastric cancer of patient P1, the temporal changes in the health condition, and the temporal changes in the contents of the ACP. It is very beneficial to M and the care worker C, and is also beneficial to the patient P1 himself and his patient-related person R. Moreover, since these message type information and data type information can be searched in chronological order by searching by category and / or posting user as keywords, temporal changes in medical, long-term care, health, and ACP aspects can be individually displayed. It is convenient to see.

The abbreviations "AP" and "BSO" displayed in FIG. 34A indicate the classification of progress information, where A is the diagnosis result (Assessment), P is the treatment (Plan), B is the background (Background), and S. Indicates the chief complaint (Subjective Complaints), and O indicates the objective facts (Objective Facts). Therefore, "AP" indicates that the corresponding information is information relating to a diagnosis result or treatment for a specific patient P, and "BSO" indicates that the corresponding information is the background or chief complaint or objective of the specific patient P. Indicates that the information is related to the facts. In this way, it is possible to further classify the information belonging to a specific category (for example, medical category), which makes it easier to understand and utilize the progress information.

The progress information display area 52 can be viewed (accessed) differently for each individual medical worker M and care worker C who are group members of the group G11 by appropriately setting access rights for each user. Can be set. Further, normally, the patient P and the patient-related person R who are group members of the group G11 are set so as not to be browsed, but the browseable range may be limited so that the patient can be browsed.

FIG. 16 is a flowchart showing the operation of the stamp management unit 116 of the multidisciplinary cooperation support system 100.

First, the progress information creation unit 110 is always waiting for a "stamp use request" to be transmitted from any of the user terminals 10, 11 or 12 (step S11). The control unit 114 checks whether or not the "stamp use request" has been received. The stamp use request is made by the current user clicking the "stamp" icon (see FIG. 20) displayed for each of the plurality of message type information displayed on the timeline 51 of the group G11, thereby causing the medical / nursing care system 30. Is transmitted from to the multidisciplinary cooperation support system 100. In the present embodiment, the transmission of the stamp use request is executed by the timeline control unit 326 of the medical / nursing care system 30 in the same manner as the transmission of the progress information creation request. FIG. 22 shows a state when the “stamp” icon (see FIG. 20) attached to the displayed message type information is clicked by Mr. Okawa, who is the current user.

When the reception of the stamp use request is confirmed by the control unit 114 in this way, the stamp management unit 116 displays the stamp selection screen as shown in FIG. 23 on the user terminal 11 of the current user (nurse Mr. Okawa). (Step S12). On this stamp selection screen, a group of usable stamps are displayed separately for each of the three categories of medical care, long-term care, and common. The progress information creation unit 110 waits for any of the stamp groups displayed on the stamp selection screen to be clicked (designated) (step S13).

When Mr. Okawa, who is the current user, selects and clicks a desired stamp on the stamp selection screen of FIG. 23, the stamp management unit 116 executes a function corresponding to the specified stamp. Further, the stamp management unit 116 stores the execution result in the information storage unit 113, and automatically inserts the execution result into a predetermined position of the message type information used when transmitting the stamp use request. Display (step S14).

Specifically, it is assumed that the current user, Mr. Okawa, clicks the "vital" stamp from the stamp group displayed on the stamp selection screen of FIG. 23, for example. Then, the stamp management unit 116 cooperates with the timeline control unit 326 to display the vital measurement result display screen as shown in the lower part of FIG. 23 on the user terminal 11 of Mr. Okawa. Mr. Okawa, the current user, can enter the vital measurement results obtained by his own measurement in the blanks on the vital measurement result display screen. After that, when Mr. Okawa clicks the "Send" button on the vital measurement result display screen (see FIG. 23), the timeline control unit 326 requests the use of the stamp for the input measurement result as shown in FIG. 24. It is automatically inserted and displayed at a predetermined position of the message type information used at the time of transmission. After that, when Mr. Okawa clicks the "Create progress information" icon displayed in the vicinity of the message type information including the measurement result automatically inserted in this way, both the message type information and the vital measurement result are one progress. It is added as information and displayed in the progress information display area 52 as shown in FIG. When the current user selects a stamp other than the "vital" stamp, the function is different from that of the "vital" stamp described above, but the same operation is performed.

FIG. 17 is a flowchart showing the operation of the BOT management unit 117 of the multidisciplinary cooperation support system 100.

FIG. 26 shows a patient side area (all shared area) 51a of the timeline 51 of the group G11 displayed on the patient terminal 10 of the patient P1 (current user) who is a group member of the group G11. Unlike the medical / long-term care worker side area (medical / long-term care worker common area) 51b, the patient side area 51a does not display the stamp and the icon for creating progress information. This is because the patient cannot use the stamp and create progress information.

The BOT management unit 117 is always waiting for a preset opportunity (for example, arrival of a predetermined time, satisfaction of a predetermined condition) to arrive (step S21). The control unit 114 checks whether or not a preset opportunity has arrived.

When the control unit 114 confirms the arrival of a preset opportunity, the BOT management unit 117 activates the BOT (bot) set to be activated at that opportunity. Then, the BOT automatically executes the corresponding function (step S22). A BOT is a program that automatically executes and terminates predetermined work by some trigger, and periodically requests the response and action of the patient (that is, patient P or patient-related person R). Is used for. Therefore, by executing the corresponding function of the BOT, a predetermined template is displayed in the patient side area 51a of the timeline 51 on the user terminal 10 or 12 of the patient P1 or the patient related person R who is the current user (step). S23). This display is performed by the timeline control unit 326 of the medical / support system 30 that receives an instruction from the BOT management unit 117.

After that, the BOT management unit 117 waits for a response from the current user, that is, an operation of the patient P1 or the patient-related person R (step S24). Then, when the BOT management unit 117 confirms the reception of the response of the current user sent from the user terminal 10 or 12 of the patient P1 or the patient-related person R, the content of the received response is stored in the information storage unit 113, and further. , Displayed in the patient side area 51a on the user terminal 10 or 12 of the patient P1 or the patient related person R who is the current user (step S25). This display is performed by the timeline control unit 326 of the medical / support system 30 that receives an instruction from the BOT management unit 117.

To specifically explain the operation of the BOT management unit 117 described above, for example, at a predetermined time, a predetermined exercise record BOT is activated, and the exercise is performed in the patient side area 51a of the timeline 51 shown in FIG. Post / display a recording template. The state at this time is shown in FIG. This template contains a message prompting patient P1 to record exercise, as shown in FIG. When the patient P1 or the patient-related person R, who is the current user, clicks the “record” button in response to this message, the exercise record input template as shown in FIG. 28 is displayed in the patient side area 51a. Then, when the patient P1 or the patient-related person R, who is the current user, inputs the amount (numerical value) of the corresponding exercise in the corresponding blank and then clicks the "send" button, as shown in FIG. 29, The input numerical data is inserted and displayed in the patient side area 51 of the timeline on the terminal 10 or 12. The input exercise amount data is stored in the information storage unit 113 by the BOT management unit 117. This display is performed by the timeline control unit 326 of the medical / support system 30 that receives an instruction from the BOT management unit 117.

As shown in FIG. 29, the exercise record information including the numerical data input by the patient P1 or the patient-related person R becomes message type information including both the message and the numerical data, and is stored in the patient side area 51a of the timeline 51. Inserted and displayed. Since this message-type information can also be viewed in the medical / nursing care worker side area 51b, it can be taken in as progress information by, for example, the medical worker M. The progress information display screen in that case is as shown in FIG.

As the BOT managed by the BOT management unit 117 described above, the medication instruction BOT shown in FIGS. 27 to 29 is also used. The medication instruction BOT is activated at a predetermined time, and is displayed in the patient side area 51a of the timeline 51 shown in FIG. 26 on the terminal 10 or 12 of the patient P1 or the patient-related person R who is the current user. Post and display a medication instruction template as shown in 31. This template contains a message prompting patient P1 to take a given medication, as shown in FIG. When the patient P or the patient-related person R clicks the "rest" or "drinking" button on his / her terminal 10 or 12 in response to this message, a message corresponding to the clicked button is displayed as shown in FIG. Is inserted and displayed in the patient side area 51a of the timeline 51 on the terminal 10 or 12. The transmitted "taken" or "not taken" data is stored in the information storage unit 113 by the BOT management unit 117. This display is performed by the timeline control unit 326 of the medical / support system 30 that receives an instruction from the BOT management unit 117.

The medication record information transmitted by the patient P or the patient-related person R is inserted / displayed in the patient side area 51a of the timeline 51 as message type information on the user terminal 10 or 12 as shown in FIG. 32. .. Since this message-type information can also be viewed in the medical / nursing care worker side area 51b, it can be taken in as progress information by, for example, the medical worker M. The progress information display screen in that case is as shown in FIG. 33.

34A to 34C show an example in which a plurality of progress information is displayed in the progress information display area 52 shown in FIG. As is clear from the figure, each progress information is message type information or message type information with data type information attached, but with the corresponding category and the name of the user who posted it clearly stated. Since they are juxtaposed in chronological order, it is possible to immediately know the temporal changes in the medical and / or care aspects of gastric cancer of patient P1, the temporal changes in health status, and the temporal changes in ACP. It is very beneficial to the worker C and also to the patient P and the patient-related person R.

(Operation of summary information creation unit 120 of multidisciplinary cooperation support system 100)
FIG. 18 is a flowchart showing the operation of the summary information creation unit 120 of the multidisciplinary cooperation support system 100.

The summary information creation unit 120 is always waiting for a "summary information creation request" to be transmitted from any of the user terminals 10, 11 or 12 (step S31). The control unit 124 checks whether or not the "summary information creation request" has been received. A plurality of message type information or data types as progress information displayed in the progress information display area 52 (see FIGS. 25 and 34A to 34C) on the terminal 11 of the medical worker M or the care worker C. The progress information editing screen 53 as shown in FIG. 35 is displayed in the progress information display area 52 by selecting and clicking the information to be used as the summary information from the plurality of message type information to which the information is attached. .. On the progress information editing screen 53, a "write as summary information" icon and a "write position" icon are displayed. When the medical worker M or the care worker C as the current user clicks the "write as summary information" icon on his / her terminal 11, the "summary information creation request" is sent from the medical / care system 30 to multiple occupations. It is transmitted to the cooperation support system 100. In the present embodiment, the transmission of the summary information creation request is executed by the timeline control unit 326 of the medical / nursing care system 30. When the control unit 124 confirms that the summary information creation request transmitted in this way has been received, the posting source designation unit 121 designates the information specified in the received summary information creation request as the "second target information" of the posting source. (Step S32). Then, the location of the second target information is stored in the information storage unit 123 as the posting source designation information.

Next, the posting source designation unit 121 assigns a unique summary ID to the second target information (message type information or data type information) designated in this way, and further assigns the summary ID thus assigned to the second target. It is stored in the information storage unit 123 in association with the information message / data ID (step S33). This storage operation is also executed by the cooperation of the posting source designation unit 121 and the information storage unit 123.

Then, the posting destination designation unit 122 waits for the "posting destination notification" to be transmitted from the user terminal 10, 11 or 12 (step S34). The "posting destination" is a place where the "excerpt information" of the message type information or the data type information designated as the "posting source" (second target information) by the posting source designation unit 121 should be arranged. The position where the medical worker M or the care worker C as the current user clicks the "write position" icon on his / her terminal 11 and wants to write on the summary information display screen 54 (see FIG. 38) displayed subsequently. When is further clicked, the position is designated as the "posting destination", and then the posting destination notification notifying the designated position is transmitted from the medical / nursing care system 30 to the multidisciplinary cooperation support system 100. In the present embodiment, the transmission of the posting destination notification is executed by the timeline control unit 326 of the medical / nursing care system 30. When the control unit 124 confirms that the transfer destination notification transmitted in this way has been received, the transfer destination designation unit 122 posts (copies) the second target information to the transfer destination and stores it in the information storage unit 123 (step). S35).

When the posting / storage of the second target information to the specified posting destination is completed, the posted second target information itself and the message / data ID, user ID, and category associated with each other of the second target information are completed. The ID and the summary ID are stored in the information storage unit 123 (step S36).

Finally, the message type information or data type information stored in the information storage unit 123 as the second target information as described above, while clearly indicating the category and the posting user, the medical worker M as the current user or On the terminal 11 of the care worker C, "display in the summary information display area (step S37). This display operation is executed by the timeline control unit 326 of the medical / care system 30.

Since steps S31 to S37 described above are repeated every time there is a request for creating summary information from the current user, a plurality of message type information and data type information displayed on the timeline 51 are summary information as the second target information. The four categories (medical, nursing, health or ACP) to which the information is posted by the creator 120 and the posting user who posted the information are clearly indicated, and the medical worker M as the current user or On the terminal 11 of the care worker C, the summary information display area 54 (see FIG. 38) is juxtaposed in chronological order. The operation of displaying the second target information in the summary information display area 54 of FIG. 38 is also executed by the timeline control unit 326 of the medical / nursing care system 30.

As shown in FIGS. 39A and 39B, the message type information and the data type information as the second target information captured in this way clearly indicate their categories and posting users, and the medical worker M or caregiver as the current user. Since the medical worker M or the care worker C is juxtaposed in the summary information display area 54 in chronological order on the terminal 11 of the worker C, the medical worker M or the care worker C has a temporal change in the medical and / or care aspects of the gastric cancer of the patient P1. It is possible to immediately obtain summary information that extracts only the points of changes in health status over time and changes in ACP over time, and therefore, when G, for example, patient P1 moves between facilities, only a summary of such information can be quickly obtained. It is very useful for the medical worker M and the care worker C who want to know. Moreover, since these message type information and data type information can be searched by category or posting user and arranged in chronological order, it is possible to individually see the temporal changes in medical, long-term care, health, and ACP aspects. , Very convenient.

The summary information display area 54 can be viewed (accessed) differently for each individual medical worker M and care worker C who are group members of the group G11 by appropriately setting the access right for each user. Can be set. In addition, normally, the patient P1 and the patient-related person R, who are group members of the group G11, are set so as not to be browsed (have no access right), but the browseable range is limited so that the patient can be browsed. May be good.

The summary information can be particularly effectively used when the patient P1 moves from the source facility to the destination facility. For example, when the patient P1 leaves the current facility (source facility, for example, a hospital) and enters the next facility (destination facility, for example, an elderly home), the progress information of the patient P1 is transmitted to the destination facility. This is very preferable because the points to be noted when the care worker C takes care at the destination facility are known in advance. However, since the progress information is too detailed and specialized knowledge related to medical care is required, it is difficult to understand even if the progress information is provided as it is to the care worker C who does not have the specialized knowledge related to medical care. For the care worker C, it is preferable that the excerpt information describes only the main points necessary for the care worker C. Therefore, as described above, for example, the medical worker M or the care worker C of the moving source facility mainly extracts the information necessary for care from the progress information of the patient P1 and adds the minimum medical information related thereto. It is very useful for the care worker C of the destination facility to create the summary information.

If the destination facility is another hospital or clinic, if the patient P1 is informed of the medical treatment performed at the destination facility's hospital and related medical information to the destination facility, the destination facility's It is useful for healthcare professional M, but care information is not important. Therefore, in this case, it is very useful to mainly extract the information necessary for medical treatment from the progress information of the patient P1 and add the minimum care information related thereto to create the summary information of the patient P1. ..

The advantages of the summary information described above are particularly effective when patient P is repeatedly admitted to and discharged from the hospital.

An example of using the summary information is shown in FIG. First, immediately before the patient P1 is admitted to a specific medical / nursing facility B (for example, Suzuki Hospital), at the medical / nursing facility A (for example, Tanaka Clinic) that has been treated until then, for example, a medical worker M However, as described above, the summary information of the patient P1 is prepared. The summary information of the patient P1 created at the facility A is transmitted to the facility B as the "summary information at admission" of the patient P1 when the patient P1 moves to the facility B. Then, after the patient P1 moves to the facility B and receives medical treatment or the like, when it is decided to move to the medical / long-term care related facility C (for example, XX hospital), for example, the medical worker M of the facility B himself / herself. Summary information is created from progress information related to treatment, long-term care, etc. performed at the facility, and is added to the summary information at the time of admission. By doing so, the admission summary information (upper summary information in FIG. 40) created at facility A and transmitted to facility B is updated at facility B and is "discharge summary information" (lower in FIG. 40). Summary information). Then, when the patient P1 moves to the facility C, the updated "discharge summary information" is transmitted to the staff of the facility C. After that, this is repeated when moving between facilities.

In the multidisciplinary cooperation support system 100, as described above, a series of summary information created by repeating the movement of each patient P between facilities is sequentially stored in the information storage unit 123 of the summary information creation unit 120. Therefore, if these series of summary information are collected and organized for each individual patient P and attached to the above-mentioned "facility trace information", the medical / nursing aspect at the destination medical / nursing-related facility F can be obtained. It provides extremely useful information for planning treatment.

As described above, in the multidisciplinary cooperation support system 100, summary information can be easily created, so that "efficient transmission of the minimum necessary information when moving facilities", which has been required for medical / long-term care related facilities, has been required for some time. Can be realized and needs that have not been met for many years can be met.

(Setting access rights for users)
Next, the operation when the system administrator A sets the access right of each user (that is, patient P, medical worker M, care worker C, and patient related person R) will be described. This operation is based on the function of the user access control unit 190.

First, the system administrator A selects the access right setting menu (not shown) using the administrator terminal 14, and opens the group timeline search screen 58 shown in FIG. 41. A plurality of selectable timelines (groups) are displayed in a row at the lower part of the search screen 58, and a search term input field is provided at the upper part thereof. Next, the system administrator A inputs an appropriate term in the search term input field and clicks the search button to display the timeline of the desired group (for example, the group for gastric cancer treatment of Yamamoto XX). Then, the access permission member selection screen 59 as shown in FIG. 42 is displayed.

On the access permission member selection screen 59 of FIG. 42, a list of all group members of the gastric cancer treatment group of patient P1 (Mr. Yamamoto) is displayed. In this list, you can select and specify the member (user) who wants to set or change the access permission by putting a check mark for each member's face photo and the rectangular frame where the name, occupation and affiliation are displayed. Therefore, the administrator A can put a check mark on the desired member and click the "Send" button. Then, the access condition setting screen as shown in FIG. 43 is displayed on the administrator terminal 14.

On the access condition setting screen of FIG. 43, four items of terminal security, network security, social authentication, and accessible information are set to desired conditions in a rectangular frame displayed for each selected / specified member (user). By adding a check mark, access rights can be specified for each desired member. The conditions for "social authentication" on this screen are as shown in FIG. Therefore, the administrator A may put a check mark so that all the desired members are given the desired access right, and then click the "send" button. This completes the access condition settings. As described above, in the present embodiment, although the high security conditions can be flexibly adjusted, the access right setting work is easy.

As is clear from the details described above, in the multidisciplinary cooperation support system 100 according to the embodiment of the present invention, the medical / long-term care support system 30 which is the base thereof is
A means (user management unit 310) for assigning and storing a user ID to an individual user who uses a medical service and / or a long-term care service via a user terminal 10, 11 or 12.
A means (user management unit 310) for assigning a patient ID to the patient P as the user and storing the patient ID in association with the corresponding user ID.
A means (user management unit 310) for assigning a medical / long-term care worker ID to the medical worker M and the care worker C as the user and storing the medical / long-term care worker ID in association with the user ID. ,
In response to an instruction from the user terminal 10, 11 or 12, a group G having a unique group ID associated with the patient ID is generated, and the patient P corresponding to the patient ID related to the group G is generated. A means (group management unit 320) for generating a timeline 51 (information display area) for displaying the patient information, and
The user displayed on the timeline 51 of the group G by selectively assigning one or a plurality of the users to the group as group members in response to an instruction from the user terminal 10, 11 or 12. It is provided with a means (group management unit 320) that enables the patient information to be shared among the group members via the user terminal 10, 11 or 12.

In addition, the multidisciplinary cooperation support system 100
A message / data ID is assigned to each of the plurality of message type information and the plurality of data type information as the patient information displayed on the timeline 51 of the group G, and each of the message / data IDs is assigned. Means for storing the corresponding message type information or the data type information in association with the user ID corresponding to the user who posted the timeline 51 (information acquisition unit 111 of the progress information creation unit 110).
A means for assigning and storing a category ID for each of the message type information and the plurality of information categories for separating the data type information (information category management unit 115 of the progress information creation unit 110).
When the first target information is specified from the plurality of message type information and the plurality of data type information displayed on the timeline 51 by the instruction from the user terminal 10, 11 or 12, the first target information is specified. A means for identifying which of the plurality of the information categories the target information belongs to, and storing the category identification information corresponding to the category found by the identification in association with the message / data ID of the first target information ( The information category identification unit 112) of the progress information creation unit 110 and
The first target information is divided according to the corresponding category ID and displayed in a predetermined progress information display area 52 over time (for example, the group management unit 320 of the medical / long-term care support system 30). Ori,
The plurality of message type information and / or the plurality of data type information as the first target information displayed in the progress information display area 52 over time can be used as the progress information of the patient P according to the group G. It can be shared among the group members of the group G via the user terminals 10, 11 or 12.

Therefore, in order to generate the group G having the unique group ID in relation to the patient ID possessed by the patient P as the user who uses the medical service and / or the long-term care service, the group G , Generated for each patient P. The patient information of the patient P, that is, medical information, nursing care information, health information, ACP information related to the patient P (user), between the specialists or between the specialists and the beneficiaries and / or related persons thereof. Various information such as messages exchanged between the two is displayed on the timeline 51 generated for each group G, and one or more of the users are selectively assigned to the group G as group members. The patient information displayed on the timeline of the group G can be shared among the group members via the user terminals 10, 11 or 12. Therefore, by assigning a multidisciplinary specialist who provides medical services and / or nursing care services to the patient P as a group member as necessary, he / she is engaged in medical treatment and / or nursing care for the patient P. It is possible for multidisciplinary specialists to collaborate among these multidisciplinary specialists while sharing the patient information of the group G. In addition, by assigning the patient P himself / herself and his / her related persons as the group members as necessary, the wishes, intentions, feelings, etc. of the patient P himself / herself and / or the related persons, etc. via the timeline 51, etc. It becomes easy to convey the intention, instruction, advice, etc. of the multidisciplinary expert to the patient P himself / herself and / or related persons thereof.

On the other hand, a plurality of message type information and a plurality of data type information as the patient information are displayed on the timeline 51 of the group G, and the message / data ID assigned to the information is theirs. The information is stored in association with the user ID of the user who posted the information on the timeline 51. Further, when the first target information is specified from the information by the instruction from the user terminal 10, 11 or 12, it is identified which of the information categories the first target information belongs to. At the same time, the category ID corresponding to the category found by identification is stored in association with the message / data ID of the first target information. Further, the first target information is classified according to the corresponding category ID and displayed in the progress information display area 52 over time.

Then, the plurality of message type information and / or the plurality of data type information as the first target information displayed in the progress information display area 52 over time are the progress information of the patient P related to the group G. As a result, it can be shared among the group members of the group G via the user terminals 10, 11 or 12.

Therefore, multidisciplinary professionals (eg, doctors, nurses, nutritionists, social workers, care managers, helpers) who provide medical and / or care services to the patient P can be members of the group G. For example, in addition to the patient information of the patient P, that is, various information such as medical information, nursing care information, health information, ACP information, and messages related to the individual patient P, the progress information of the patient P related to the group G is provided. Can also be shared from the user terminals 10, 11 or 12 via a communication network. Therefore, it is possible to support the close and smooth cooperation between the multidisciplinary specialists and between these specialists and the beneficiary himself / herself and / or related persons thereof.

Further, the first target information is simply specified from the plurality of message type information as the patient information and the plurality of data type information displayed on the timeline 51 of the group G. Since the target information is classified according to the corresponding category ID and displayed in the progress information display area 52 over time, the patient information is used for the purpose (for example, the improvement status of the patient's symptom by the treatment taken by the doctor). It can be easily processed and shared according to knowing, knowing the temporal changes in the patient's thoughts and feelings regarding the treatment policy, etc.). This also contributes to the realization of closer and smoother cooperation between the multidisciplinary experts.

Further, the medical service and the medical service can be obtained only by designating the first target information from the plurality of message type information and the plurality of data type information displayed on the timeline 51 of the group G. / Or provided by the patient P who receives the care service, the person concerned with the patient P, and / or a multidisciplinary expert who is in charge of the patient P and belongs to a facility in a different place, and said time. The patient information of the patient P displayed on the line 51 can be classified by category and arranged over time. Therefore, useful progress information that can be utilized for providing medical services and / or nursing care services to the patient P can be created and shared in an organized form.

Further, in the multidisciplinary cooperation support system 100 of the embodiment of the present invention, a second target information is designated from the progress information of the patient P related to the group G by an instruction from the user terminal 10, 11 or 12. Then, the second target information can be edited on the user terminal 10, 11 or 12.
The edited or unedited message type information and / or the data type information designated as the second target information is displayed in a predetermined summary information display area 54.
The plurality of message type information and / or the plurality of data type information as the second target information displayed in the summary information display area 54 are the user terminals as summary information of the patient P related to the group G. It is made sharable among the group members of the group G via 10, 11 or 12.

Therefore, when the patient P moves from the source facility to the destination facility, the patient is selected from the progress information of the patient P to be known by the expert of the destination facility. It also has the advantage that the summary information of P can be created and shared among the group members, thus facilitating and streamlining the communication of information when the patient P moves between facilities. is there.

Further, in the multidisciplinary cooperation support system 100 of the embodiment of the present invention, the access right to the patient information of the patient P of the group G, which is set for each user, is an authentication algorithm determined by the user. It is set on the condition that you have received social authentication using
The authentication algorithm
(A) Being connected to n medical / long-term care workers through at least one of the above groups (where n is an integer of 1 or more).
(B) There are m group members of the group (where m is an integer of 1 or more).
(C) Your face photo and profile are posted,
(D) X months or more have passed since user registration, and y or more writes are made in a month (however, x and y are both integers of 1 or more).
(E) The terminal to be used meets the security conditions of a predetermined level or higher.
It is selected to include at least two of the five conditions.

Therefore, the convenience of the user can be improved by precisely controlling the access right of the user to the patient information of the patient P according to the content of the patient information, the necessity for the user, the confidentiality, and the like. There is also an advantage that it is possible to provide a high-level security environment suitable for handling the patient information of the highly confidential patient while ensuring the security.

Further, in an emergency, an "emergency access function" that allows a medical worker or a care worker who is not the user to access at least one of the beneficiary information, the progress information, and the summary information of the beneficiary. Therefore, while maintaining a high degree of security, it is possible to make more accurate measures to be taken in an emergency for the recipient who was transported by emergency, and the recipient who was transported by emergency. There is also an advantage that it is possible to reduce the risk to the medical staff or the care worker in charge of the above.

(Modification example)
The above-described embodiment shows an example embodying the present invention. Therefore, the present invention is not limited to this embodiment, and it goes without saying that various modifications can be made without departing from the gist of the present invention.

For example, in the above-described embodiment, the case of providing the medical service and / or the long-term care service to the patient P has been described, but the present invention is not limited thereto. It is clear that it can also be applied when providing medical services and / or long-term care services to long-term care recipients.

Further, in the above-described embodiment, the case where the multidisciplinary cooperation support system 100 is configured based on the medical / nursing care support system 30 has been described, but the present invention is not limited thereto. The functions of the medical / long-term care support system 30 may be included in the functions of the multidisciplinary cooperation support system 100, or the functions of the medical / long-term care support system 30 are inseparably integrated with the functions of the multidisciplinary cooperation support system 100. It may have been done. In short, the multidisciplinary cooperation support system 100 is necessary to achieve the purpose of the present invention, that is, to support the cooperation between multidisciplinary specialists in the medical / nursing field so that they can cooperate more closely and smoothly. Any configuration may be used as long as it can exhibit all the above functions.

10 Patient terminal 11 Medical staff terminal 12 Patient-related terminal 13 Developer terminal 14 Administrator terminal 20 Internet 30 Medical support system 51 Timeline 51a All shared area 51b Medical staff shared area 52 Progress information display area 53 Progress information edit screen 54 Summary information display area 58 Group timeline search screen 59 Access permission member selection screen 60 Access condition setting screen 100 Multidisciplinary cooperation support system 110 Progress information creation unit 111 Information acquisition unit 112 Information category identification unit 113 Information storage unit 114 Control unit 115 Information category management unit 116 Stamp management unit 117 BOT management unit 118 IOT information management unit 120 Summary information creation unit 121 Posting source designation unit 122 Posting destination designation unit 123 Information storage unit 124 Control unit 125 Basic information acquisition unit 126 Facility trace information Import unit 127 Editing support unit 130 Patient basic information storage unit 140 Disease basic information storage unit 150 Disease-specific default information storage unit 160 Drug-specific default information storage unit 170 Drug-specific default information storage unit 180 Facility trace information creation unit 190 User access control unit 191 Accessable range setting unit 192 Technology condition setting unit 193 Social identity authentication unit 194 Emergency access setting unit 310 User management unit 311 Registration unit 312 User information storage unit 313 Patient information storage unit 314 Medical worker information storage unit 315 Medical-related facilities Information storage unit 316 Disease information storage unit 320 Group management unit 321 Registration unit 322 Group information storage unit 323 Group member information storage unit 324 Invitation request control unit 325 Invitation request information storage unit 326 Timeline control unit 327 Message control unit 328 Family facility Information storage unit 329 Shared consent information storage unit 330 Patient existence verification unit 331 Authentication unit 332 Application storage unit 340 Authentication unit 350 Communication control unit F Medical facilities F1 Clinic F2 Hospital F3 Elderly home F4 Visiting nursing station G Group G11 Patient P1 Gastric cancer treatment group G12 Patient P1 hyperlipidemia treatment group G13 Patient P1 gout treatment group G21 Patient P2 Alzheimer treatment group G22 Patient P2 hypertension treatment group M Healthcare workers M1, M2, M3, M4 , M5, M6 Healthcare worker C Care worker C1, C2 Care worker P Patient P 1, P2 Patient R Patient related person R1, R2, R3, R4, R5, R6, R7, R8 Patient related person A System administrator

Claims (20)

By making the beneficiary information related to a specific beneficiary viewable on the user terminal via a communication network in response to a request from the user terminal, medical services and / or long-term care services can be provided to the beneficiaries. It is a method of supporting cooperation between the above-mentioned multi-professional specialists in a multi-professional cooperation support system that supports cooperation between multi-professional specialists in the medical field and / or the long-term care field when providing support.
User identification information is assigned and stored for each user who uses the medical service and / or the long-term care service via the user terminal.
Recipient identification information is assigned to each of the beneficiaries as the user, and the beneficiary identification information is stored in association with the corresponding user identification information.
Business worker identification information is assigned to each medical worker or long-term care worker as the user, and the business worker identification information is stored in association with the corresponding user identification information.
In response to an instruction from the user terminal, a group having unique group identification information associated with the individual beneficiary identification information is generated, and the receipt corresponding to the beneficiary identification information related to each individual group is generated. Generate an information display area for displaying the beneficiary information related to the person,
By selectively assigning one or more of the users to the individual groups as group members in response to an instruction from the user terminal, the beneficiary information displayed in the information display area of the group can be displayed. It can be shared among the group members of the group via the user terminal.
Message / data identification information is assigned to each of the plurality of message type information and the plurality of data type information as the beneficiary information displayed in the information display area of the individual group, and the message / data identification is performed. the message type information or the data type information stored in association with the user identification information of the user who posted on the information display area corresponding to each of the information,
Category identification information is assigned and stored for each of the plurality of information categories for separating the message type information and the data type information.
When the first target information is specified from the plurality of message type information and / or the plurality of data type information displayed in the information display area of each group by an instruction from the user terminal, the said It identifies which of the plurality of the information categories the first target information belongs to, and associates the category identification information corresponding to the information category found by the identification with the message / data identification information of the first target information. Remember,
The first target information is divided according to the corresponding category identification information and displayed in a predetermined progress information display area over time.
A plurality of said message type information and / or a plurality of the data type information as the first target information over time displayed on the progress information display area of each of the groups, the course of the recipients according to the group as information, via the user terminal, it is possible shared between the group members of the group,
When the second target information is specified from the progress information of the beneficiary related to the individual group according to the instruction from the user terminal, the second target information can be edited on the user terminal. And
The edited or unedited message type information and / or the data type information designated as the second target information is displayed in a predetermined summary information display area.
The message type information and / or the data type information as the second target information displayed in the summary information display area of each of the groups can be used as summary information of the beneficiaries of the group by using the user terminal. A multidisciplinary cooperation support method in the medical / nursing field, characterized in that it can be shared among the group members of the group . The access right to the beneficiary information of the beneficiary of one or more of the groups set for the individual user is conditional on the user being socially authenticated using a predetermined authentication algorithm. Set as
The authentication algorithm
(A) Being connected to n medical / long-term care workers through at least one of the above groups (where n is an integer of 1 or more).
(B) Being a group member of m of the above group (where m is an integer of 1 or more).
(C) Your face photo and profile are posted,
(D) X months or more have passed since user registration, and y or more writes are made in a month (however, x and y are both integers of 1 or more), and
(E) The terminal to be used meets the security conditions of a predetermined level or higher.
The multidisciplinary cooperation support method according to claim 1 , which is set to include at least two of the five conditions . The multidisciplinary cooperation support according to claim 2 , wherein the authentication algorithm can be adjusted to a desired security level by combining the above five conditions with a predetermined AND logic and / or OR logic according to the setting of the administrator. Method. In response to an instruction from the user terminal, a plurality of stamps to which a unique template function is assigned are displayed in the information display area of each of the groups.
When any of the plurality of stamps is clicked, the template assigned to the clicked stamp is displayed in the information display area.
The multidisciplinary cooperation support method according to any one of claims 1 to 3 , wherein when a response is made on the template, both the response and the message specified in the template are displayed in the information display area. .. By the BOT that operates in response to the arrival of a predetermined opportunity, a predetermined template is displayed in the information display area of each of the groups.
The multidisciplinary cooperation support method according to any one of claims 1 to 4 , wherein when a response is received from the template, both the response and the message defined in the template are displayed in the information display area . As the information category, at least medical, long-term care, health and ACP information categories are set.
When the first target information is designated from the plurality of message type information and / or the plurality of data type information displayed in the information display area of each group, the first target information is a message type. The multidisciplinary cooperation support according to any one of claims 1 to 5 , wherein it is determined whether it is information or data type information, and then it is identified which of the plurality of information categories it belongs to. Method. The plurality of the message type information and / or the plurality of the data type information as the progress information of the beneficiary related to the group, which are displayed over time in the progress information display area of the individual group, are posted. The multidisciplinary cooperation support method according to any one of claims 1 to 6 , which is searchable by the user and / or the corresponding information category . Any of claims 1 to 7, wherein the facility trace information corresponding to the group can be displayed in the information display area of each group in addition to the beneficiary information of the beneficiary related to the group. The multidisciplinary cooperation support method described in item 1. A medical worker or a care worker who belongs to one or more of the groups as a group member for a limited period of time, provided that the predetermined conditions are met in an emergency, is a member of the group. An emergency access function is provided that enables access to at least one of the beneficiary information, the progress information, and the summary information of the beneficiary related to one or more of the groups that do not belong to the group.
The predetermined conditions are as follows: (a) The medical worker or the long-term care in which the business-related facility to which any of the beneficiaries is transported is a member of the group of one or more of the beneficiaries. It has a cooperative relationship with the business-related facility to which the worker belongs, and (b) the medical worker or long-term care worker in charge of the beneficiary transported at the business-related facility transported has the user identification information. And belong to one or more of the groups other than the group related to the beneficiary as the group member, and (c) the accessible time is urgent for the beneficiary to be transported. It is set to four conditions: it is limited to the estimated time required to provide medical services and / or long-term care services, and (d) the operations that can be performed after access are limited to browsing. Ori,
The multidisciplinary cooperation support method according to any one of claims 1 to 8, wherein if all of the four conditions (a) to (d) are not satisfied, the access is set to be denied . By making the beneficiary information related to a specific beneficiary viewable on the user terminal via a communication network in response to a request from the user terminal, medical services and / or long-term care services can be provided to the beneficiaries. A multidisciplinary collaboration support system that supports collaboration between multidisciplinary specialists in the medical and / or long-term care fields when providing support.
A means for assigning and storing user identification information to individual users who use the medical service and / or the long-term care service via the user terminal.
A means for assigning beneficiary identification information to each individual beneficiary as the user and storing the beneficiary identification information in association with the corresponding user identification information.
A means for assigning business worker identification information to an individual medical worker or long-term care worker as a user and storing the business worker identification information in association with the corresponding user identification information.
In response to an instruction from the user terminal, a group having unique group identification information associated with the individual beneficiary identification information is generated, and the receipt corresponding to the beneficiary identification information related to each individual group is generated. A means for generating an information display area for displaying the beneficiary information related to a person, and
By selectively assigning one or more of the users to the individual groups as group members in response to an instruction from the user terminal, the beneficiary information displayed in the information display area of the group can be displayed. Means that can be shared among the group members of the group via the user terminal, and
Message / data identification information is assigned to each of the plurality of message type information and the plurality of data type information as the beneficiary information displayed in the information display area of the individual group, and the message / data identification is performed. A means for storing the message type information or the data type information corresponding to each of the information in association with the user identification information of the user who posted the information display area.
A means for assigning and storing category identification information for each of a plurality of information categories for separating the message type information and the data type information, and
When the first target information is specified from the plurality of message type information and / or the plurality of data type information displayed in the information display area of each group by an instruction from the user terminal, the said It identifies which of the plurality of the information categories the first target information belongs to, and associates the category identification information corresponding to the information category found by the identification with the message / data identification information of the first target information. Means to remember and
It is provided with a means for classifying the first target information according to the corresponding category identification information and displaying it in a predetermined progress information display area over time.
The plurality of message type information and / or the plurality of data type information as the first target information displayed over time in the progress information display area of each group are the progress of the beneficiary related to the group. Information can be shared among the group members of the group via the user terminal.
When the second target information is specified from the progress information of the beneficiary related to the individual group according to the instruction from the user terminal, the second target information can be edited on the user terminal. And
The edited or unedited message type information and / or the data type information designated as the second target information is displayed in a predetermined summary information display area.
The message type information and / or the data type information as the second target information displayed in the summary information display area of each of the groups can be used as summary information of the beneficiaries of the group by using the user terminal. A multidisciplinary cooperation support system in the medical / nursing field, characterized in that it can be shared among the group members of the group through the system. The access right to the beneficiary information of the beneficiary of one or more of the groups set for the individual user is conditional on the user being socially authenticated using a predetermined authentication algorithm. Set as
The authentication algorithm
(A) Being connected to n medical / long-term care workers through at least one of the above groups (where n is an integer of 1 or more).
(B) Being a group member of m of the above group (where m is an integer of 1 or more).
(C) Your face photo and profile are posted,
(D) X months or more have passed since user registration, and y or more writes are made in a month (however, x and y are both integers of 1 or more).
(E) The terminal to be used meets the security conditions of a predetermined level or higher.
The multidisciplinary cooperation support system according to claim 10, which is set to include at least two of the five conditions . The multidisciplinary cooperation support according to claim 11 , wherein the authentication algorithm can be adjusted to a desired security level by combining the five conditions with a predetermined AND logic and / or OR logic according to the setting of the administrator. system. In response to an instruction from the user terminal, a plurality of stamps to which a unique template function is assigned are displayed in the information display area of each group.
When any of the plurality of stamps is clicked, the template assigned to the clicked stamp is displayed in the information display area.
The multidisciplinary cooperation support system according to any one of claims 10 to 12 , wherein when a response is made on the template, both the response and the message specified in the template are displayed in the information display area. .. A BOT that operates in response to the arrival of a predetermined opportunity is configured to display a predetermined template in the information display area of each of the groups.
The multidisciplinary cooperation support system according to any one of claims 10 to 13 , wherein when a response is received from the template, both the response and the message defined in the template are displayed in the information display area . As the information category, at least medical, long-term care, health and ACP information categories are set.
When the first target information is specified from the plurality of message type information and / or the plurality of data type information displayed in the information display area of each group, the first target information is a message type. The multidisciplinary cooperation support according to any one of claims 10 to 14 , wherein it is determined whether the information is information or data type information, and then which of the plurality of the information categories is identified. system. A plurality of the message type information and / or a plurality of the data type information as the progress information of the beneficiary related to the group, which are displayed over time in the progress information display area of each group, are posted. The multidisciplinary cooperation support system according to any one of claims 10 to 15 , which is searchable by the user and / or the corresponding information category . Any of claims 10 to 16 in which facility trace information corresponding to the group can be displayed in the information display area of each group in addition to the beneficiary information of the beneficiary related to the group. The multidisciplinary cooperation support system described in item 1. A medical worker or a care worker who belongs to one or more of the groups as a group member for a limited period of time, provided that the predetermined conditions are met in an emergency, is a member of the group. An emergency access function is provided that enables access to at least one of the beneficiary information, the progress information, and the summary information of the beneficiary related to one or more of the groups that do not belong to the group.
The predetermined conditions are as follows: (a) The medical worker or the long-term care in which the business-related facility to which any of the beneficiaries is transported is a member of the group of one or more of the beneficiaries. It has a cooperative relationship with the business-related facility to which the worker belongs, and (b) the medical worker or long-term care worker in charge of the beneficiary transported at the business-related facility transported has the user identification information. And belong to one or more of the groups other than the group related to the beneficiary as the group member, and (c) the accessible time is urgent for the beneficiary to be transported. It is set to four conditions: it is limited to the estimated time required to provide medical services and / or long-term care services, and (d) the operations that can be performed after access are limited to browsing. Ori,
The multidisciplinary cooperation support system according to any one of claims 10 to 17 , which is set so that access is denied when all of the predetermined conditions (a) to (d) are not satisfied . By making the beneficiary information related to a specific beneficiary viewable on the user terminal via a communication network in response to a request from the user terminal, medical services and / or long-term care services can be provided to the beneficiaries. A method of controlling user access rights in a multidisciplinary collaboration support system that supports collaboration between multidisciplinary specialists in the medical and / or long-term care fields when providing support.
The multidisciplinary cooperation support system is
A means for assigning and storing user identification information to individual users who use the medical service and / or the long-term care service via the user terminal.
A means for assigning beneficiary identification information to each individual beneficiary as the user and storing the beneficiary identification information in association with the corresponding user identification information.
A means for assigning business worker identification information to an individual medical worker or long-term care worker as a user and storing the business worker identification information in association with the corresponding user identification information.
In response to an instruction from the user terminal, a group having unique group identification information associated with the individual beneficiary identification information is generated, and the receipt corresponding to the beneficiary identification information related to each individual group is generated. A means for generating an information display area for displaying the beneficiary information related to a person, and
By selectively assigning one or more of the users to the individual groups as group members in response to an instruction from the user terminal, the beneficiary information displayed in the information display area of the group can be displayed. It is provided with a means for sharing among the group members of the group via the user terminal.
The access right control method is
The access right to the beneficiary information of the beneficiary of the beneficiary of the group, which is set for the individual user, is subject to the social authentication of the user using a predetermined authentication algorithm. Set as
The authentication algorithm
(A) Being connected to n medical / long-term care workers through at least one of the above groups (where n is an integer of 1 or more).
(B) Being a group member of m of the above group (where m is an integer of 1 or more).
(C) Your face photo and profile are posted,
(D) X months or more have passed since user registration, and y or more writes are made in a month (however, x and y are both integers of 1 or more), and
(E) The terminal to be used meets the security conditions of a predetermined level or higher.
An access right control method in a multidisciplinary cooperation support system, characterized in that it is set to include at least two of the five conditions. By making the beneficiary information related to a specific beneficiary viewable on the user terminal via a communication network in response to a request from the user terminal, medical services and / or long-term care services can be provided to the beneficiaries. A method of controlling user's emergency access in a multidisciplinary collaboration support system that supports collaboration between multidisciplinary specialists in the medical and / or long-term care fields when providing support.
The multidisciplinary cooperation support system is
A means for assigning and storing user identification information to individual users who use the medical service and / or the long-term care service via the user terminal.
A means for assigning beneficiary identification information to each individual beneficiary as the user and storing the beneficiary identification information in association with the corresponding user identification information.
A means for assigning business worker identification information to an individual medical worker or long-term care worker as a user and storing the business worker identification information in association with the corresponding user identification information.
In response to an instruction from the user terminal, a group having unique group identification information associated with the individual beneficiary identification information is generated, and the receipt corresponding to the beneficiary identification information related to each individual group is generated. A means for generating an information display area for displaying the beneficiary information related to a person, and
By selectively assigning one or more of the users to the individual groups as group members in response to an instruction from the user terminal, the beneficiary information displayed in the information display area of the group can be displayed. It is provided with a means for sharing among the group members of the group via the user terminal.
The emergency access control method is
A medical worker or a care worker who belongs to one or more of the groups as a group member for a limited period of time, provided that the predetermined conditions are met in an emergency, is a member of the group. Provided an emergency access function that enables access to at least one of the beneficiary information, progress information, and summary information of the beneficiary related to one or more of the groups that do not belong to the group.
The medical worker or the long-term care who is (a) a business-related facility to which any of the beneficiaries is transported in an emergency is a member of the group of one or more of the beneficiaries. It has a cooperative relationship with the business-related facility to which the worker belongs, and (b) the medical worker or long-term care worker in charge of the beneficiary transported at the business-related facility transported has the user identification information. And belong to one or more of the groups other than the group related to the beneficiary as the group member, and (c) the accessible time is urgent for the beneficiary to be transported. We set four conditions: that the time is limited to the estimated time required to provide medical services and / or long-term care services, and (d) the operations that can be performed after access are limited to browsing.
An emergency access control method in a multidisciplinary cooperation support system, characterized in that access is denied when all of the predetermined conditions (a) to (d) are not satisfied.

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