JPH1024022A - Home care medical care system and medical information processing method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical care system in which appropriate advises of medical doctors can be informed to a caring person without giving any anxiety to a patient. SOLUTION: Installed type terminal units 300a to 300m which received indication of starting measurement of vital information from a center device 200 begin electrocardiogram and heart rate measurements as well as blood pressure measurement. Results of measurements and recorded results of trends, recall and alarm of measurement parameters are transmitted to the center device 200. In addition, TV cameras are provided to patient and doctor devices to enable the doctor to grasp changes of the condition of the patient by looking at his vital signs and give various advises to the patient directly. When some special core is necessary, it is informed to a caring person directly without sounding an alarm nor displaying it on the terminal units 300a to 300m which the patient can confirm visually. When some urgent treatment is necessary, an adequate method is instructed to the caring person.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a home medical care system and a medical information processing method which are optimal for a patient and a caregiver performing home care.

[0002]

2. Description of the Related Art A conventional home monitor system monitors a living patient's biometric information as if he / she is in a hospital bed as described in, for example, Japanese Patent Application Laid-Open No. 7-95963, or In this system, the biological information is recorded and transmitted to the hospital when requested by the hospital.

For this reason, for example, in the case of an electrocardiogram information measurement system, a bioelectrode for measuring an electrocardiogram is always attached to the surface of a living skin. In addition, the result of the measured electrocardiogram is displayed on a monitor or the like as it is, and when abnormal biometric information is detected, such as when an electrocardiogram is abnormal,
The configuration is such that an alarm sounds and the patient or caregiver is notified of that.

[0004]

However, it is a heavy burden on the patient to always wear the biological electrodes and various measuring elements on the body. In addition, since at-home patients and home caregivers generally do not have sufficient medical knowledge, sounding the alarm sounds unnecessarily anxious, and may be too sensitive to sound the alarm. He was shown to foster anxiety.

[0005]

DISCLOSURE OF THE INVENTION The present invention has been made in view of the above-mentioned problems, and it is an object of the present invention to solve the above-mentioned problems and to notify a caregiver having a patient at home of appropriate advice of a doctor. It is an object of the present invention to provide a home medical care system and a method for transmitting medical information that do not cause unnecessary anxiety to a patient, while providing a medical information transmission method. As one means for achieving the object, for example, the following configuration is provided.

That is, a home terminal device installed in a home patient's home and connectable to a medical institution via a communication medium as required, and a center device installed in a medical institution and capable of data communication with the home terminal device A home medical system that performs medical care for a home patient, wherein the home terminal device includes a patient information collection device that collects patient information,
The patient information collection device includes a caregiver terminal device that receives a message from the medical institution, the patient information collection device uses a detection unit that detects biological information of a patient, and the detection unit based on a command from the medical institution. Biological information measuring means for starting the measurement of biological information, transfer means for transferring the biological information measured by the biological information measuring means to the center device, and measurement failure for detecting a measurement failure by the detection means and notifying the wearing patient Notifying means, the caregiver terminal device comprises a patient information receiving means for receiving patient information from the medical institution, and a patient information notifying means for notifying the information received by the patient information receiving means, The center device includes: measurement information receiving means for receiving transfer information from the transfer means; and reception information notifying means for notifying reception information from the measurement information receiving means. It is characterized in.

A home terminal device installed at a home patient's home and connectable to a medical institution via a communication medium as needed, and a center device installed at a medical institution and capable of data communication with the home terminal device A home medical system that performs medical care for a home patient, wherein the home terminal device includes a biometric information detecting unit that detects biometric information of a patient, and the biometric information detecting unit based on a command from the medical institution. A biological information measuring means for starting measurement of biological information by using a transfer means for transferring biological information measured by the biological information measuring means to the center device, and detecting a measurement failure by the detecting means and notifying the wearing patient. Measurement failure notifying means, a patient-side television camera for imaging the state of the patient, and imaging information from the patient-side television camera transferred to the center device. Patient side imaging information transfer means, imaging information receiving means for receiving and displaying imaging information from the center device, and transmission information receiving means for receiving transmission items from the medical institution, the center device, Measurement information receiving means for receiving transfer information from the transfer means,
Display means for displaying the imaging information from the patient-side imaging information transfer means; a center-side television camera for imaging the state of the medical institution; and a center for transferring the imaging information from the center-side television camera to the home terminal device. And a transmission information transmitting unit for transmitting a transmission item from the medical institution to the home terminal device.

[0008] For example, the biological information detecting means includes:
And blood pressure detecting means for detecting the patient blood pressure using a cuff, a temperature detecting means for detecting the patient temperature, and the electrocardiogram detector for detecting electrocardiogram information of a patient using a bioelectrode, SpO ₂ detector for detecting the SpO ₂ The biological information measuring means includes a blood pressure measuring means for measuring a patient's blood pressure using the blood pressure detecting means, a body temperature measuring means for measuring a patient's body temperature using the body temperature detecting means, using the electrocardiogram detecting means An electrocardiogram measuring means for measuring electrocardiogram information of a patient, and SpO ₂
It is characterized by including SpO ₂ measuring means for measuring the patient SpO ₂ using the detecting means.

In addition, for example, the measurement failure notifying means includes at least a biological electrode of the electrocardiogram detecting means, a measurement failure of the patient's body temperature of the body temperature detecting means, a deviation of the correspondence detecting means, and an SpO ₂ detecting means of the SpO ₂ detecting means. Is detected, and a notice to that effect is given to the wearing patient. Alternatively, the transmission information transmitting unit transmits a transmission item of the patient information from the doctor to the caregiver, and the transmission information reception unit receives the notification item and notifies the caregiver of the received content.

[0010]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, an embodiment of the present invention will be described in detail with reference to the drawings. [First Embodiment of Embodiment of the Invention] FIGS. 1 to 4 are diagrams showing a configuration of a medical system according to an embodiment of the present invention according to the present invention. FIG. 1 is a diagram showing the overall configuration of the medical system of this example, FIG. 2 is a diagram showing the detailed configuration of the stationary terminal shown in FIG. 1 of this example, FIG. 3 is an external view of the terminal device with monitor shown in FIG. FIG. 4 is a diagram showing a detailed configuration of the center device shown in FIG.

[0011] The medical systems of the present example are connected to each other via a bidirectional CATV network. First, the overall configuration of the medical system of the present embodiment will be described with reference to FIG. In FIG. 1, 10 is a bidirectional CATV network, and 100 is a bidirectional CATV network.
A head-end device installed in a CATV center of a network, a scramble control device including a TV demodulation unit / TV modulation unit / scramble encoder and a RF converter control device including a converter control unit / RF modulation / demodulation unit in a bidirectional CATV network; It is composed of a MAC / C center device and the like. As the configuration of the head-end device, a device widely used in a bidirectional CATV network can be applied as it is, and a detailed description is omitted.

Reference numeral 200 denotes a center device; 250, a bidirectional amplifier installed between the center device 200 and the bidirectional CATV network 10; 300a to 300n, stationary terminals for collecting patient information installed in a patient's house; 350a-350
n is the bidirectional CATV network 10 and the stationary terminals 300a to 300
0n, bi-directional amplifier, 400a to 400n
Is a portable terminal carried by a caregiver of a home patient, 450a-
450n is a bidirectional CATV network 10 and a mobile terminal 400a
It is a bidirectional amplifier installed between ４００400n.

Next, a detailed configuration of the stationary terminal shown in FIG. 1 will be described below with reference to FIG. FIG. 2 is a block diagram showing a detailed configuration of the stationary terminals 300a to 300n shown in FIG. Each of the stationary terminals 300a to 300n has the same configuration in principle. In FIG. 2, reference numeral 301 denotes a bidirectional CAT which distributes information from the bidirectional CATV network 10 and supplies it to each component, and mixes information from each component.
A distribution / mixer 302 for outputting to the V network 10, a distribution / mixer 301 modulating imaging information (patient imaging information and the like) from the television camera 305 sent from the video distributor 303.
This is a TV modulation unit that outputs the signal to the TV modulator.

Reference numeral 303 denotes a video distributor for distributing imaging information from the TV camera 305 to the TV modulator 302 and the terminal device with monitor 310; 304, a camera platform on which the TV camera 305 is set; (That is, by remote control from the center device 200), the photographing position of the television camera 305 can be changed. Reference numeral 305 denotes a television camera that mainly photographs a patient.

Reference numeral 306 denotes a remote control unit for controlling the camera platform 304 in accordance with an instruction from the converter unit 307 to control the photographing range of the television camera 305 set in the camera platform 304, and 307 via the bidirectional CATV network 10. For example, it is a converter unit that converts various instruction commands sent from the center device 200, outputs the command to the remote control unit 306, and outputs the command to the terminal device with monitor 310.

Numeral 310 collects biometric information from various patients based on instructions from the center device 200, transfers the collected biometric information to the center device 200 via the modem 313 and the MCA / C 312, and collects information on the collected state and the center device. It is a terminal device with a monitor that displays instructions and the like from the 200 through an attached monitor. FIG. 2 shows the terminal device with monitor 310.
As shown in the figure, a biological electrode, a cuff, a thermometer, and a pulse wave meter (Sp
A connector to which O ₂ ) can be connected is provided, and each detection element is connected to the connector. The thermometer is a thermistor-type thermometer that can measure the temperature of the body surface.
The accuracy is ± 0.2 degrees C (30 degrees C to 50 degrees C).

Reference numeral 312 receives the biological information collected by the monitor-equipped terminal device 310 via the modem 313 and transfers it to the center device 200 using the bidirectional CATV network 10, and also transfers the transfer information from the center device 200. An MCA / C 313 for demodulating by the modem 313 and outputting the demodulated information to the terminal device with monitor 310, modulates the collected biological information and the like from the terminal device with monitor 310, and outputs the modulated information to the MCA / C 312. Information to MCA / C
The terminal device 31 with the monitor receives and demodulates via the terminal 312
This is a modem that outputs 0.

Reference numeral 320 designates a signal level of the distribution data from the distribution / mixer 301 to adjust the MCA / C 312,
Output to the MCA / C 312, 321
This is a level controller that adjusts the level of the received signal and outputs it as a specified signal level in the bidirectional CATV network 10. 321 is a telephone 322 for conversation.
Is a connected MCA / C, and enables communication with the center device 200 via the telephone 322. 3
Reference numeral 22 denotes a telephone for making a telephone call with the center device 200, and is configured to be able to directly communicate with a doctor at a medical institution through the telephone.

The above-mentioned terminal device with monitor 310 can collect electrocardiogram measurement, SpO ₂ measurement, blood pressure measurement, body temperature measurement and the like as patient information.
0 is shown in FIG. In the example of FIG. 3, the driving power supply is a battery. As shown in FIG. 3, the terminal device with monitor 310 has electrodes for measuring an electrocardiogram and SpO ₂ for measuring pulse waves and SpO _2.
A measuring terminal (pulsimeter), a cuff for measuring blood pressure, and a thermometer for measuring body temperature are integrally provided.

Next, the detailed configuration of the center device 200 shown in FIG. 1 will be described with reference to FIG. FIG. 4 is a diagram illustrating a configuration example of the center device 200 of the present example. In FIG.
Reference numeral 201 denotes a distributor / mixer which distributes information from the bidirectional CATV network 10 and supplies the information to each component, and mixes information from each component and outputs the information to the bidirectional CATV network 10. TV camera 205
A TV modulation unit that modulates the imaging information (eg, patient imaging information) and outputs it to the distribution / mixer 201.

Reference numeral 203 denotes a video distributor for distributing imaging information from the television camera 205 to the TV modulator 202 and the monitor device 204; 204, a monitor device for displaying imaging data from the television camera 205; It is a television camera for photographing a doctor giving various instructions. Reference numeral 206 denotes an instruction from the operation unit 207 and the TV modulation unit 20.
2, a remote control unit that outputs to the stationary terminal 300 via the
Reference numeral 07 denotes an operation unit for inputting various kinds of instruction data to the stationary terminal 300. The instruction unit 07 inputs various instructions to a patient or a caregiver and displays the instructions on the monitor unit of the terminal device with monitor 310 of the stationary terminal b. The camera platform 304 of the model terminal 300 can be remotely operated to control the shooting range of the television camera 305 set on the camera platform 304.

Reference numeral 210 denotes a processing unit which processes various information sent from each of the stationary terminal 300 and the portable terminal 400 and transfers various instruction information to each of the above-mentioned devices. Have been. 211 receives the biological information collected by the stationary terminal device 300 and outputs it to the processing device 210 via the modem 213, and transmits the transfer data output from the processing device 210 and modulated by the modem to each terminal. M for
The CA / C 213 modulates information from the processing device 210 and outputs it to the MCA / C 211,
The network 10 demodulates information collected from each of the terminal devices 300 and 400 received via the MCA / C 211, and
This is a modem that outputs 0.

A converter 212 converts various instruction commands sent from, for example, the stationary terminal 300 via the bidirectional CATV network 10 and outputs the converted command to the processor 210. A converter 214 is connected to the processor 210. A magnetic card device that writes data to a magnetic card that stores patient information and the like, and reads data that has been written to the magnetic card. A monitor device 215 is connected to the processing device 210 and performs various displays according to display data output from the processing device 210.
An external memory for recording biological information from 0 to 400, which can record information on various recording media such as a magnetic disk device, a magneto-optical disk device, and an MD device can be employed. A printer 217 permanently and visually displays print information from the processing device.

Reference numeral 221 denotes an MCA / C to which a conversation telephone 222 is connected, which enables communication with the stationary terminal 300 or the portable terminal 400 via the conversation telephone 222. Reference numeral 222 denotes a conversation telephone for performing a normal conversation with the stationary terminal 300 or the portable terminal 400, through which, for example, a home patient or a caregiver can directly talk with a doctor or the like. Is configured.

Reference numeral 231 denotes an MCA / C to which an emergency telephone 232 is connected, which enables emergency contact with the stationary terminal 300 or the portable terminal 400 via the emergency telephone 232. Reference numeral 232 denotes an emergency telephone used when an emergency call needs to be made with the doctor side, for example, when an emergency occurs on the stationary terminal 300 or the portable terminal 400 side. Alternatively, it is configured that a caregiver and a doctor at a medical institution can directly talk with each other.

Further, the portable terminal 400 shown in FIG. 1 is a terminal usually carried by a caregiver of a home patient, and receives and displays a care instruction from a doctor, and enables direct conversation with the doctor. Is configured. That is, the portable terminal 40
Numeral 0 is provided with the level controller 320, MCA / C 312, 321 and modem 313 of the stationary terminal 300 shown in FIG. 2 described above, a telephone 322, a converter unit, and a display device (for example, a liquid crystal display device) as a monitor device. .

FIG. 5 shows the functions of the stationary terminal device 300 of the present example having the above configuration. Stationary terminal device 30 of this example
0 achieves the function shown in FIG. 5 by the configuration shown in FIG. 2, and enables patient information to be collected and transferred to the center device 200 by the function shown in FIG. As shown in FIG. 5, the stationary terminal device 300 of the present embodiment
10 biological information measurement function 1000, MCA / C31
2. The center device 2 sent via the modem 313
A video / audio output function 1100 for outputting video and audio from the terminal device with monitor 00,
Internal memory function 1200 capable of storing measurement parameters for 4 hours, operation input function 13 of terminal device with monitor 310
00, an automatic transmission function 1400 for transmitting the collected biological information and the like of the monitor-equipped terminal device 310 to the center device 200 in accordance with an instruction of the center device 200, and a video / audio for photographing a patient via the television camera 305 and transferring it to the center device 200. An input function 1500 is provided.

The biological information measurement function 1000 is mainly achieved by the monitor-equipped terminal device 310. An electrocardiogram measurement function for measuring an electrocardiogram by attaching electrodes of the monitor-equipped terminal device 310 to a patient's electrocardiogram measurement site. 1010. In addition, the SpO _{2 of the} terminal device with monitor 310
A heart rate measurement function 1020 for calculating a heart rate using the measurement terminal as a pulse wave meter is provided. The heart rate measurement function may be configured to calculate from the characteristic points of the electrocardiogram waveform, for example, the appearance interval of the R wave of the electrocardiogram waveform.

Further, a blood pressure measurement function 1030 for measuring a patient's blood pressure using the cuff of the monitor-equipped terminal device 310, and an SpO ₂ (arterial blood oxygen saturation) measurement using the SpO ₂ measurement terminal of the monitor-equipped terminal device 310 A function 1040, a body temperature measurement function for measuring by using the temperature sensor of the monitor-equipped terminal device 310, a main complaint function 1050 for performing various operations in accordance with an instruction input via an operation unit (not shown) of the monitor-equipped terminal device 310, and each measurement It has a function 1060 for displaying / recording a trend recall alarm of a parameter.

The video / audio output function 1100 outputs a doctor's video from the center device 200 to the monitor of the monitor-equipped terminal device 310.
10. A doctor-side voice output function 1120 for outputting a doctor-side voice from the center device 200 through, for example, a built-in speaker of the monitor-equipped terminal device 310.

Further, the video / audio input function 1500 includes a patient side imaging / transfer function 1510 for modulating the patient's imaging data by the TV camera 305 with the TV modulator 302 and outputting the data to the center device 200. It comprises a voice recording / transfer function 1520 on the patient side, which inputs a patient's voice from a built-in microphone, modulates it with the TV modulator 302 and outputs it to the center device 200.

Each of the above functions can be operated temporarily in accordance with the operation input from the operation input function 1300, but the actual data transfer to the center device 200 is performed by the center device 20.
The instruction from 0 is analyzed by the converter unit 307, and the instruction is performed according to the analyzed result. That is, the stationary terminal 300 is
In principle, it operates according to the instructions of the medical institution (center side).

Next, the functions realized by the center device 200 shown in FIG. 4 will be described with reference to FIG. Center device 22
As shown in FIG. 6, a biological information display function 2000 instructs the stationary terminal 300 to transmit measurement information from the monitor-equipped terminal device 310 and displays the biological information of the patient transmitted in response thereto. , MCA / C211 and modem 213
A video / audio output function 2100 for outputting a patient's video and audio from the stationary terminal 300 sent via the PC, a filing function 2200 for one week of biological information provided in the external memory 216, etc., a stationary type A report output function 2300 that prints out the collected biological information or analysis results from the terminal 300 in a report format in a report format at predetermined intervals (for example, every week) via the printer 217, and instructs the stationary terminal 300 to transfer the measurement results. And an automatic receiving function 2400 for automatically receiving the transmitted biological information and the like, a doctor or the like taken via the TV camera 205, and the stationary terminal 3
00, a video / audio input function 2500 that enables a doctor to directly transmit various instructions to a patient / caregiver, and records and updates insurance medical information and the like as an IC card for each patient. An insurance medical IC card information function 2600 that can be read and updated by the processing device 210 is provided.

The biological information display function 2000 is mainly achieved by the processing device 210, and the electrocardiogram display function 2010 for displaying the measurement result of the electrocardiogram from the stationary terminal 300 on the monitor 215, for example, and the stationary terminal 300. A heart rate display function 2020 for displaying the measurement result of the heart rate on the monitor device 215, for example, a blood pressure display function 2030 for displaying the measurement result of the blood pressure value from the stationary terminal 300 on the monitor device 215, for example. SpO ₂ for displaying the results of the SpO ₂ measurement example on the monitor 215
A display function 2040, a body temperature display / main complaint function 2050 for displaying, for example, a body temperature measurement result and a chief complaint result from the stationary terminal 300 on the monitor device 215, and a trend recall / recall of each measurement parameter sent from the stationary terminal 300. An alarm display function 2060 is provided.

The video / audio output function 1100 also displays a video of the patient from the stationary terminal 300 on the monitor 215.
The image output function 2110 on the patient side for displaying and outputting more, and the voice on the patient side from the stationary terminal 300 are processed by the
0, or a voice output function 212 on the patient side that outputs sound from the built-in speaker of the monitor device 215.
0.

The video / audio input function 2500 further includes a doctor-side imaging / transfer function 2510 for modulating the doctor's image data from the television camera 205 with the TV modulator 202 and outputting the data to the stationary terminal 300; Inputting a doctor's voice from the built-in microphone of the TV
It is configured by a doctor's voice recording / transfer function 2520 that modulates the data at 02 and outputs it to the stationary terminal 300.

The operation of the medical system of the present embodiment having the above-described configuration and functions will be described below. In the system of the present example, in order to prevent unnecessary anxiety from being given to the patient, an analysis result for a measurement in which the patient has anxiety or abnormal biological information is detected in the stationary terminal 300. In such a case, the alarm is not notified. Then, the communication or the like from the medical institution is transmitted to the portable terminal 400 carried by the caregiver. Then, the caregiver carries a pager or wireless telephone separately, so that when the user is out of the office, the contact can be made with the mobile phone.

By performing control as described above, it is possible to notify a caregiver having a home patient on a remote island, a remote place, or the like, of appropriate advice from a doctor or the like, and to provide the patient with unnecessary information. It can be a medical system that can not give a serious anxiety. The operation method of the stationary terminal 300 will be described below. The stationary terminal 300 is configured to be capable of measuring various biological information of a patient and performing various operations described below by operating according to the display screen of the monitor of the terminal device with monitor 310. .

As shown in FIG. 7, a display screen 71, a button 72, a television button 73, a sleep button 74, a blood pressure start / stop button 75, a menu button 76, and a monitor button 77 are provided on the front of the terminal device with monitor 310, as shown in FIG. A total of six input buttons are provided. The blood pressure start / stop button 75 is a button for instructing start / stop of manual blood pressure measurement when measuring blood pressure by wrapping an attached cuff around an arm, and automatically performs blood pressure measurement in accordance with an instruction from the center device 200. It is also used to give an emergency stop instruction when starting.

The other five buttons are used to switch the monitor screen. Pressing each button displays a corresponding screen. When the button 72 is input, a "screen" screen for confirming the mounting state of the detection unit for collecting various biological information is displayed.
FIG. 8 shows an example of this confirmation screen. On the `` Kakunin '' screen, the connection position of the electrode, blood pressure cuff, thermometer, pulse wave meter is displayed on the patient's picture, and if these are not properly attached and measurement failure occurs, Gives a connection error indication. This may be displayed in a different manner from the others, such as blinking the location where the connection error has occurred.

In addition, the heart rate, SpO ₂ , RR or the measured values of the body temperature and the blood pressure are displayed on this “screen” screen. However, it does not output heartbeat sounds or alarm sounds, nor does it display any part of alarm messages. The displayed message is of a range that does not cause unnecessary anxiety to the patient. The same applies to the other display screens in this example, and in principle, no alarm sound is output.

It should be noted that the alarm value disappears 30 seconds after the screen is displayed. However, if the “OK” button is pressed while the “OK” screen is displayed, the alarm value display is turned off while the alarm value is being displayed. If no alarm value is displayed, the alarm value is displayed. Is displayed. On the other hand, when the television button 73 is input, a “TV” screen is displayed, and a photographing screen from the television camera 305 or a photographed image of a doctor or the like from the center device 200 is displayed. FIG. 8 shows an example of the “TV” screen.
Switching between the photographing screen from the television camera 305 and the photographing image from the center device 200 is performed by turning on / off Picture-in-Picture in “Menu / Preset / Screen Setting” of a “Menu” screen described later. In addition,
During communication with the center device 200, the screen automatically shifts to this screen, and after the communication is completed, automatically returns to the "screen" screen. At the time of this screen display, heartbeat sound, alarm sound and message are not displayed.

Further, when the user presses the good night button 74, a screen with only a clock display as shown in FIG. 7 is displayed in black. In the case of this screen, the input of the blood pressure measurement button 75 is invalid. When the menu button 76 is input, the "menu" screen shown in FIG. 10 is displayed. Then, on this screen, the setting of the home terminal (stationary terminal or the like) and the display of the stored data are performed. Then, by touching the corresponding key display position on the display screen shown in FIG. 10, setting corresponding to the display can be performed, or ON / OFF of the setting can be performed. In addition,
During this screen display, the output of the heartbeat sound and the message display are performed.

When the monitor button 77 is pressed, the "monitor" screen shown in FIG. 11 is displayed.
On this screen, a real-time electrocardiogram waveform and measured values of heart rate, SpO ₂ , RR or body temperature and blood pressure are displayed as shown in FIG. At this time, a heartbeat sound is output and a message is displayed at the same time. Therefore, the caregiver can easily know the condition of the patient.

Although each of the above display screens is prepared, usually, after the following operation is first performed, the display state of the “good night” screen shown in FIG. It is desirable not to apply. That is,
First, attach electrodes etc. to the required parts of the patient while checking on the "Kakunin" screen and check the wearing state, for example, confirm that each biological information can be collected reliably on the "Monitor" screen I do.

Then, it is confirmed whether or not the patient can be photographed with the television camera 305 as a "television" screen once. Now that the center device 200 is ready to respond when requested, the "Good night"
As a screen display state, an unnecessary feeling of anxiety and burden is not applied to the patient. In addition, various measurements are not performed in principle.

Note that this normal display state is not limited to the above-mentioned "good-night" screen display state. For example, as a "monitor" display screen, an electrocardiogram, a heart rate, SpO ₂ ,
The body temperature may be measured and displayed. In this case as well, since the blood pressure measurement needs to be performed by pressurizing the cuff, frequent measurement places a heavy burden on the patient. For this reason, it is desirable that the measurement be performed automatically at predetermined intervals (for example, every 10 minutes or every 30 minutes). Then, the measurement result is stored by the internal memory function 1200 as necessary.

In the following, the stationary terminal 300 is called “Good night”
Description will be made by taking a case where the screen is displayed as an example. For example, when the doctor tries to confirm the state of the home patient in the center device 200, the center device 200 shown in FIG.
Is set to a connected state via the bidirectional CATV network 10 by using the automatic reception function 2400 shown in FIG. Then, it instructs the desired stationary terminal 300 via the converter unit 212 to start measuring biological information. Stationary terminal 300 receiving this instruction
Starts the biological information measurement function 1000 to start measurement of electrocardiogram information, heart rate, body temperature and SpO ₂ , and also starts blood pressure measurement by pressurizing the cuff. Then, the measurement result, the recording result of the trend recall / alarm of the measurement parameter, and the like are transmitted to the center device 200 using the automatic transmission function 1400. Electrode slip, cuff, SpO ₂ ,
If the thermometer has slipped, a message is displayed and a warning is issued. If the electrode has slipped, a recall waveform is not taken. When this warning is issued, it is possible to specify a misaligned item on the "KANNI" screen and re-attach it.

At the same time, the center apparatus 200 operates the remote control section 306 of the stationary terminal 300 from the operation section 207 as necessary, causes the television camera 405 to photograph the patient's image, and transfers the image to the center apparatus 200. Then, for example, the transfer patient image is displayed on the monitor device 215, and the monitor biometric information from the patient is confirmed while confirming the patient's expression, skin color and gloss, and the like on the monitor screen.

Then, it is possible to directly give the patient advice on life. Then, when special care is required for the care of the patient as a result of the measurement, the patient is directly notified to the caregiver instead of notifying via the stationary terminal 300 which allows the patient to directly visually check. That is, a message is displayed on the portable terminal 400 of the caregiver to provide notification. Further, in the case where an emergency treatment is required, the caregiver is directly notified of the coping method. If the caregiver is absent, a pager is used to contact the person. If a mobile phone is held, the contact is made via the mobile phone.

By adopting the above communication method, appropriate advice can be provided without giving unnecessary anxiety to the patient. In other words, the biggest problem with conventional home medical care is that a patient who is very sensitive to his / her own condition sounds an alarm sound to notify a change in condition each time. In addition to preventing unnecessarily increasing anxiety of the patient and hindering the treatment effect, the caregiver can be notified of appropriate care information, and can be notified of appropriate advice of a doctor .

As described above, according to the embodiment of the present invention, a center device installed in a medical institution such as a clinic or a hospital and a stationary terminal device installed in a home where a patient is located are used. The doctor can grasp changes in the medical condition while watching the patient's complexion, gesture, voice, and vital signs, and can give an appropriate instruction. Therefore, caregivers and patients can be relieved of anxiety and the burden can be reduced. Moreover, the alarm output from the stationary terminal is
It is limited to the case where the biological information detecting element is not properly mounted, and by not outputting the alarm sound accompanying the change of the patient state based on the measurement result, it is possible to prevent the patient from inadvertently giving anxiety. .

Even in such a case, by notifying the caregiver of a coping method for the patient, appropriate coping can be performed without giving anxiety to the patient. Furthermore, when a caregiver is absent or the like, a method of contacting with a pager or the like is ensured, so that it is possible to cope with an urgent need to contact.

[Another Example of Embodiment of the Invention] In the above-described example, the center device 200, the stationary terminal 300, and the portable terminal 400 are connected to each other via the CATV network 10. It is not limited to the above example,
Instead of the CATV network, they may be connected to each other via an ISDN network and a telephone line network. Furthermore, some information (such as image information) may be connected via a CATV network, and information having a small transmission capacity may be transmitted via a telephone network.

Further, the measurable biological information is not limited to the above example, and the weight, urine, exercise amount and the like may be transmitted. In addition, the home-side devices not only measure the above-mentioned biological information, but also include a treatment machine that actively treats the body, and based on instructions from the center device (from a doctor), these treatment machines are used. May be performed. Alternatively, the medical treatment machine may be configured to be directly controllable from the center side so that the doctor can directly operate the treatment machine.

Further, the transmission from the doctor to the caregiver is not limited to the transmission through the display device of the portable terminal or the telephone, but may be carried out, for example, to a stationary terminal or portable terminal, or separately to a facsimile. By providing a receiving function and transmitting an instruction using the facsimile function, permanent visible display can be performed whenever necessary, and the possibility of erroneous coping can be greatly reduced. In this case, the content received on the patient side by facsimile communication may be directly printed out on a recording sheet, or may be temporarily stored in a non-existing dynamic memory and displayed so that it can be displayed and confirmed. .

[0057]

As described above, according to the present invention, connection is made via a medical communication medium such as a clinic or a hospital, and both a patient and a doctor are photographed and displayed on each other's device. The doctor can grasp changes in the medical condition while watching the patient's complexion, gesture, voice, and vital signs, and can give an appropriate instruction. In addition, it is possible to receive appropriate advice directly from the doctor,
It can remove the anxiety of caregivers and patients and ease the burden. Moreover, by controlling so that the alarm output from the home-type terminal device is not inadvertently output,
Inadvertently giving the patient a feeling of anxiety can be prevented.

Further, when the mounting of the detecting means is defective, an alarm is output so that more appropriate and prompt measurement can be performed. In addition, by notifying the caregiver of the coping method for the patient, appropriate coping can be performed without giving anxiety to the patient. In addition, a method is provided in which a contact can be made with a pager or the like when a caregiver is absent.

[Brief description of the drawings]

FIG. 1 is a diagram showing an overall configuration of a medical system according to an example of an embodiment of the present invention;

FIG. 2 is a diagram showing a detailed configuration of the stationary terminal shown in FIG. 1 of the present embodiment.

FIG. 3 is an external view of the terminal device with a monitor shown in FIG. 2;

FIG. 4 is a diagram showing a detailed configuration of a center device shown in FIG. 1;

FIG. 5 is a diagram showing functions of the stationary terminal device of the present example.

FIG. 6 is a diagram showing functions of the center device of the present example.

FIG. 7 is a diagram illustrating a display example of a “good night” screen of the stationary terminal device of the present example.

FIG. 8 is a diagram showing a display example of a “Kakunin” screen of the stationary terminal device of the present example.

FIG. 9 is a diagram showing a display example of a “television” screen of the stationary terminal device of the present example.

FIG. 10 is a diagram showing a display example of a “menu” screen of the stationary terminal device of the present example.

FIG. 11 is a diagram showing a display example of a “monitor” screen of the stationary terminal device of the present example.

[Explanation of symbols]

Reference Signs List 10 bidirectional CATV network 100 head-end device 200 center device 201, 301 distributor / mixer 202, 302 TV modulator 203, 303 video distributor 204, 215 monitor device 205, 305 television camera 206, 306 remote control unit 207 operation unit 210 Processing unit 211, 221, 231, 312, 321 MCA /
C 212, 307 Converter unit 213, 313 Modem 214 Magnetic card device 216 External memory 217 Printer 222, 322 Telephone for conversation 232 Emergency telephone 250, 350, 450 Bidirectional amplifier 300 Stationary terminal 304 Head platform 310 Terminal device with monitor 320 Level controller 400 Portable terminal

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Takeshi Ishikawa 2-35-8 Hongo, Bunkyo-ku, Tokyo Fukuda Electronics Co., Ltd. Hongo Office (72) Inventor Shigeo Kobayashi 2-35-8 Hongo, Bunkyo-ku, Tokyo Fukuda Electronics Co., Ltd. Hongo Office

Claims (9)

[Claims] 1. A home terminal device installed in a home patient's home and connectable to a medical institution via a communication medium as required, and a center device installed in a medical institution and capable of data communication with the home terminal device A home medical system that performs medical care for home patients, wherein the home terminal device is a patient information collection device that collects patient information, and a caregiver terminal device that receives a communication item from the medical institution. The patient information collecting apparatus is configured to include: a detecting unit configured to detect biological information of a patient; a biological information measuring unit configured to start measuring biological information using the detecting unit based on a command from the medical institution; Transfer means for transferring the biological information measured by the information measurement means to the center device; and measurement failure notification means for detecting a measurement failure by the detection means and informing the wearing patient. Wherein the caregiver terminal device comprises: a patient information receiving means for receiving patient information from the medical institution; and a patient information notifying means for notifying received information at the patient information receiving means. A home medical system comprising: a measurement information receiving unit that receives the transfer information from the transfer unit; and a reception information notifying unit that notifies the reception information from the measurement information receiving unit. 2. A home terminal device installed in a home patient's home and connectable to a medical institution via a communication medium as necessary, and a center device installed in a medical institution and capable of data communication with the home terminal device A home medical system that performs medical care for a home patient, wherein the home terminal device includes: a biometric information detecting unit configured to detect biometric information of a patient; and the biometric information detecting unit based on a command from the medical institution. A biological information measuring unit for starting measurement of biological information by using, a transferring unit for transferring biological information measured by the biological information measuring unit to the center device, and detecting a measurement failure by the detecting unit and notifying the wearing patient. Measurement failure notifying means, a patient-side television camera for imaging the state of the patient, and image information from the patient-side television camera transferred to the center device. Patient side imaging information transfer means, imaging information receiving means for receiving and displaying imaging information from the center device, and transmission information receiving means for receiving transmission items from the medical institution, wherein the center device comprises: Measurement information receiving means for receiving transfer information from the transfer means; display means for displaying imaging information from the patient-side imaging information transfer means; a center-side television camera for imaging a state of a medical institution; A center-side imaging information transfer unit that transfers imaging information from a side television camera to the home terminal device; and a transmission information transmission unit that transmits information to be transmitted from the medical institution to the home terminal device. Home health care system. 3. The biological information detecting means includes: a blood pressure detecting means for detecting a patient's blood pressure using a cuff; a body temperature detecting means for detecting a patient's body temperature; and an electrocardiogram detecting means for detecting patient's electrocardiographic information using a biological electrode. Means and SpO ₂ to be detected
O ₂ detecting means, the biological information measuring means, blood pressure measuring means for measuring patient blood pressure using the blood pressure detecting means, body temperature measuring means for measuring patient temperature using the body temperature detecting means, the electrocardiogram 2. An electrocardiogram measuring means for measuring electrocardiographic information of a patient by using a detecting means, and an SpO ₂ measuring means for measuring a patient SpO ₂ by using an SpO ₂ detecting means.
Alternatively, the home medical system according to claim 2. 4. The measurement error notifying means includes at least a bioelectrode of the electrocardiogram detecting means, a measurement error of the patient's body temperature of the body temperature detecting means, and a disabling of the corresponding detecting means.
Upon detection of the disconnection of the SpO ₂ detecting means ₂ detector home care system of claim 3, wherein the notifying the fact to the mounting patient. 5. The transmission information transmitting unit transmits a transmission item of patient information from a doctor to a caregiver, and the transmission information reception unit receives the notification item and notifies the caregiver of the received content. The home medical system according to any one of claims 1 to 4, wherein: 6. A patient information collection device for collecting patient information, and a caregiver terminal device for receiving a message transmitted from the medical institution, wherein the caregiver terminal device is installed in the home patient's home and communicates with the medical institution as needed. A medical information processing method in a home medical system that includes a home terminal device that can be connected to the home terminal device and a center device that is installed in a medical institution and that can perform data communication with the home terminal device. The patient information collecting device is configured to be able to measure necessary patient information based on an instruction from the center device. The center device instructs the patient information collecting device of the home terminal device to measure patient information, and the patient information collecting device of the home terminal device The central device operates to measure the biological information of the patient based on an instruction from the device and transfer the measured biological information to the center device. The center device receives the transfer information from the patient information collecting device and receives the information. Medical care information processing method, wherein the caregiver terminal device receives patient information from the medical institution and notifies the caregiver of the information. 7. A home terminal device installed at a home patient's home and connectable to a medical institution via a communication medium as required, and a center device installed at a medical institution and capable of data communication with the home terminal device A medical information processing method in a home medical system that performs medical care for a home patient, wherein the home terminal device is configured to be able to measure necessary patient information based on an instruction from a center device, When a measurement failure is detected due to the disengagement of the detection unit at the time of measuring the biological information, the patient is notified of the poor mounting, starts measuring the biological information of the patient based on a command from the medical institution, and transfers the measured biological information to the center device. In addition, the state of the patient is imaged by a television camera on the patient side and transferred to a medical institution so that the state of the patient can be visually checked, and provided in the center device. The doctor at the center side takes an image of the doctor and transfers it to the home terminal device so that the doctor can transmit medical information directly at home. A medical information processing method characterized by transmitting. 8. The home terminal device comprises: a blood pressure detecting means for detecting a patient's blood pressure using a cuff; a body temperature detecting means for detecting a patient's body temperature; and an electrocardiogram detecting means for detecting patient's electrocardiographic information using a biological electrode. When includes SpO ₂ detector for detecting the SpO _2, wherein using a blood pressure detecting means to measure the patient blood pressure, by using the temperature detecting means to measure a patient temperature, the patient's electrocardiogram with the electrocardiogram detector Measuring the information and then SpO ₂
Medical information processing method according to claim 6 or claim 7, characterized in that to enable transfer measurement results by measuring the patient SpO ₂ in the center apparatus by using a detection means. 9. The notification of the measurement failure includes at least disconnection of the bioelectrode of the electrocardiogram detection means, measurement failure of the patient's body temperature of the body temperature detection means, removal of the correspondence detection means, and removal of the SpO ₂ detection means of the SpO ₂ detection means. The medical information processing method according to claim 8, wherein when the is detected, the fact is notified to the wearing patient.