JP2000285181A - Bedside information system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a bedside information system capable of providing information required for an inpatient and medical staffs by his bedside. SOLUTION: This system is provided with a remote controller 15 arranged by inpatient's bedside to input the ID/PW of an operator, a bedside terminal 10 for sending the inputted ID/PW to a server 20, receiving information corresponding to the ID/PW returned from the server 20 and outputting it on a TFT display device 12, an authentication means for authenticating whether the ID/PW sent from the bedside terminal 10 is a regular ID/PW or not, the server 20 for sending information corresponding to the ID/PW to the bedside terminal 10 and providing it for the operator when the ID/PW is authenticated as regular one as a result of authentication due to that authentication means, and a communication terminal 30 for mutually connecting the bedside terminal 10 and the server 20.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a bedside information system for providing in-patient information to hospitalized patients and medical staff in a hospital.

[0002]

2. Description of the Related Art Conventionally, a bedside medical support / monitoring device for supporting or monitoring the behavior and in-hospital movement of a hospitalized patient at the bedside, and a television, a video and other information for improving the amenities of the hospitalized patient. An amenity information supply device for supplying to a customer has been developed.

However, the conventional information processing apparatus at the bedside has many functional and performance restrictions, and cannot be said to be at a satisfactory level for both hospitalized patients and medical staff.

[0004]

In general, many inpatients have access to new information such as videophones and the Internet at the bedside in addition to conventional information such as television and video to improve amenities. I want to be.

[0005] In addition, a desire to accurately know medical information such as a medical condition, a treatment policy, and a course of treatment is common to most patients. On the other hand, medical staff also wants to be able to quickly and accurately obtain medical information useful for patient care at the bedside.

[0006] Recently, hospital medical information database systems using so-called electronic medical records have been developed in each medical institution. Among medical information stored in this database, medical information to which hospitalized patients can access is included. There is a need for a system that allows inpatients to access from the bedside.

[0007] In view of the above circumstances, an object of the present invention is to provide a bedside information system capable of providing necessary information to an inpatient and a medical staff at a bedside.

[0008]

According to the present invention, there is provided a bedside information system which is arranged on a bedside of an inpatient in a hospital and receives operator identification information. Means for transmitting the input operator identification information to a predetermined server, receiving the information corresponding to the operator identification information returned from the server, and outputting the received information in a predetermined output form; A bedside terminal having an authentication unit that authenticates whether or not the operator identification information transmitted from the bedside terminal is valid operator identification information; Information providing means for transmitting information corresponding to the operator identification information to the bedside terminal and providing the information to the operator when the identification information is authenticated as valid; Characterized by comprising a communication network for connecting the server, and to each other and the bedside terminal and said server has a.

[0009] Here, the information providing means determines whether the operator identification information input by the operator is the identification information of the hospitalized patient or the identification information of the medical staff engaged in the medical care of the hospitalized patient. It is preferable that menu information in which a list of processing functions to which the operator is allowed to access is displayed in a list is sent to the bedside terminal to provide the menu information to the operator.

[0010] Preferably, the server is provided with menu content changing means for changing the contents of the menu information according to the condition of the hospitalized patient by operating the medical staff. An amenity information storage unit in which amenity information contributing to improvement of a patient's amenity is stored; and amenity information selected by an operator from menu information provided to the bedside terminal is stored in the amenity information storage unit. It is preferable that the server further comprises an amenity information search means for searching among the amenity information and passing the information to the information providing means, and the server further comprises: a medical information storage means in which medical information contributing to the medical care of the patient is stored. And the medical treatment selected by the operator from the menu information provided to the bedside terminal. It is also preferable to broadcast by searching from the medical information stored in the medical information storage means in which with a clinical information retrieval means to pass to said information providing means.

Further, the bedside terminal comprises a bedside terminal main body and a remote controller connected to each other by a predetermined communication means.
The operator identification information input means, and transmission means for transmitting the operator identification information input by the operator identification information input means to the bedside terminal, the bedside terminal body is transmitted from the remote control It is preferable that the apparatus further comprises a receiving means for receiving the operator identification information and the output means.

Further, the server is connected to a hospital medical information database in which medical information of inpatients in the hospital is stored by a predetermined communication line, and the operator sent from the bedside terminal Based on the identification information, the medical information corresponding to the operator identification information is received from the hospital medical information database using a search function provided in the hospital medical information database, and transmitted to the bedside terminal, and the medical information is transmitted to the bedside terminal. It is also one of the preferable embodiments to have a medical information providing means for providing information to the operator.

[0013]

Embodiments of the present invention will be described below.

FIG. 1 is a schematic configuration diagram showing an embodiment of the bedside information system of the present invention.

As shown in FIG. 1, this bedside information system is a so-called client server (cli).
a plurality of bedside terminals 10 serving as clients, a server 20 for providing information to the plurality of bedside terminals 10, and a plurality of beds. A communication network 30 interconnects the side terminals 10 and the server 20.

The bedside terminal 10 comprises a bedside terminal body 11, a TFT display device 12, a CCD camera 13,
The bedside terminal body 11 and the remote controller 15 are composed of a speaker 14 and a remote controller 15.
ed Data Association standard infrared communication function) are connected to each other by communication means such as a transmission / reception unit 16. The bedside terminal body 11 is a CPU 1
1a, mouse 11b, keyboard 11c, sound blaster 11d, video capture 11e, LAN board 1
1f and the like.

The server 20 includes an amenity information storage unit 21 storing amenity information such as video information and video information contributing to improvement of a patient's amenity, a medical information storage unit 24 storing medical information contributing to patient's medical treatment, and a television. TV antenna 23 and encoder 2 for receiving radio waves
(Hospital medical information system) 40 having a hospital medical information database 41 and a communication line 2
5 are interconnected.

The remote controller 15 according to the present embodiment corresponds to the operator identification information input means according to the present invention. Whether the operator who accesses the bedside information system has a proper access right is used. It has a function of inputting operator identification information consisting of an ID (operator identification number) and PW (password) for authenticating the presence or absence, and a function of performing various menu selection operations.

The TFT display device 12 and the speaker 14 correspond to the output means according to the present invention.
It outputs character information, image information, audio information, and the like provided from the server 20 to the operator.

FIG. 2 is a plan view of a remote controller used for the bedside terminal of the present embodiment.

As shown in FIG. 2, this remote control 15
A power switch 15a, a speaker 15b, a volume control 15c, a numeric keypad 15d, a channel up / down key 15e, a cross key 15f, an execution button 15g, a microphone 15h, an IC card slot 15i, and an IrDA transmitting / receiving unit 16 are provided.

When the operator inputs the operator identification information from the numeric keypad 15d of the remote controller 15, the operator identification information is transmitted to the bedside terminal body 1 by the IrDA transmitting / receiving device 16.
1 (see FIG. 1). Bedside terminal body 1
1 transmits the operator identification information sent from the remote controller 15 to the server 20 via the communication network 30 and receives the information corresponding to the operator identification information returned from the server 20 to display the TFT. Output to output means such as the device 12 and the speaker 14.

FIG. 3 is a diagram showing a TFT display device used for the bedside terminal of the present embodiment.

As shown in FIG. 3, this TFT display device 1
2 is an arm 1 extending from a side wall or a bed of the room.
By 2a, it is fixed in a position that is easy for the inpatient to see,
The information provided from the server 20 to the bedside terminal 10 is displayed on a screen.

The server 20 of the bedside information system according to the present embodiment has an authentication means (for authenticating whether or not the operator identification information transmitted from the bedside terminal 10 is valid operator identification information). (Not shown) and, as a result of the authentication by the authentication means, when the operator identification information is authenticated as valid, information corresponding to the operator identification information is transmitted to the bedside terminal 10 and transmitted. Information providing means (not shown) for providing to the operator is provided.

The operator identification information is composed of the ID and the PW as described above, and the authentication means uses the ID and the PW.
Authenticates whether the operator has the right access right or not.

The information providing means accesses the operator according to whether the operator identification information input by the operator is identification information of an inpatient or medical staff engaged in medical care of the inpatient. Is sent to the bedside terminal 10 to provide the operator with the menu information in which a list of the processing functions that are allowed is displayed.

Further, the server 20 is provided with a menu content changing means (illustration) so that the contents of the menu information can be changed according to the condition of the hospitalized patient by the operation of the medical staff. Has become.

FIG. 4 is a transition diagram of the main menu screen in the present embodiment.

As shown in FIG. 4, the main menu screen 50 displayed on the TFT display device 12 includes “TV”, “T
V phone ”,“ Hospital information ”,“ How to use this system ”,
A menu of amenity information such as “medical information” contributing to the improvement of the amenity of the patient, a “medical information for patients” menu, a “medical information for medical staff” menu, and a “hospital medical information database” menu are displayed.

When the user operates the remote controller 15 (see FIG. 1) and selects "hospital information" in the main menu screen 50,
A submenu screen 51 including “in-hospital facility information”, “in-hospital information”, “transportation to hospital”, “in-hospital inquiry”, and the like is displayed. When the user operates the remote controller 15 and selects “medical information” in the main menu screen 50, a submenu screen 52 including “basic knowledge of each disease”, “knowledge of medicine”, “body structure” and the like is displayed. Is displayed.

FIG. 5 is a part of a menu transition diagram of the amenity information in the present embodiment.

As shown in FIG. 5, an "authentication" menu is provided below the "TV function" menu, and a "channel selection" menu is provided below the "authentication" menu. There is an "authentication" menu below the "TV phone function" menu, and there is a "TV phone destination selection" menu below it. Also, under the “Hospital Information” menu, there are “In-Hospital Facility Information” menu, “In-Hospital Information” menu, “Traffic Information to Hospital” menu,
And there is a "In-Hospital Inquiry Desk" menu, and under the "Hospital Facility Information" menu, there is a "Facility Photo" menu, and under the "Traffic to the Hospital" menu, there is a "Bus Time" menu. There is a "contact list" menu below the "hospital inquiry window" menu. Under the "medical information" menu, there is a "basic knowledge of each disease" menu, "medical information" menu, "body structure" menu, under the "medicine information" menu, "how to take, etc. There is a menu.

FIG. 6 is a transition diagram of the medical care information menu for the patient in the present embodiment.

As shown in FIG. 6, the medical care information menu is
There are four hierarchies. There is an "authentication" menu of the second hierarchy under the "medical information for patients" menu of the first hierarchy, and a "introduction of hospital staff" menu as a third hierarchy under the menu.
"Scheduled treatment" menu, "One week meal" menu,
There are “Meal selection” menu, “Progress information” menu, “Questionnaire input” menu, “Various reservation” menu, “Body temperature input” menu, etc. Below the “Scheduled treatment” menu, “Drug orientation” menu, There are a "pre-orientation" menu and an "inspection orientation" menu, and under the "history information" menu there are an "inspection result" menu and a "vital sign" menu. There is a menu such as "dentist".

This patient menu, as described above,
The menu contents changing means provided in the server 20 can change the menu contents according to the condition of each hospitalized patient by operating the medical staff.

FIG. 7 is a transition diagram of the medical care information menu for medical staff in the present embodiment.

As shown in FIG. 7, the medical information menu for medical staff is composed of four layers. An “authentication” menu of the second layer is provided below the first layer “medical information for medical staff” menu. As the third hierarchy, there are a “vital sign inquiry” menu, a “medication / test result” menu, a “critical path” menu, an “automatic measurement” menu, an “execution input” menu, and the like.

It should be noted that below the "automatic measurement" menu, a "weight" menu, a "body temperature" menu, a "blood pressure" menu,
"Urine volume" menu etc. are set, and "Execution input"
Below the menu, a “treatment / material” menu, an “injection” menu, a “nursing information” menu, and the like are set.

Next, the operation of the bedside information processing apparatus of this embodiment will be described.

Server 2 of this bedside information processing apparatus
In FIG. 1, as shown in FIG. 1, an amenity information storage unit 21 storing a TV image, a video image, and the like as amenity information contributing to improvement of a patient's amenity, and amenity information storing an amenity information selected by an operator. An amenity information search means (not shown) for searching from the amenity information stored in the means 21 is provided. The server 20 is provided with a TV antenna 23 for receiving TV radio waves, so that general broadcast video can be directly received.

Further, the server 20 has a medical information storing means 24 storing medical information contributing to the medical treatment of the patient, and a medical information storing means 24 storing the medical information selected by the operator.
Medical information search means (not shown) for searching from the medical information stored in the medical information.

FIG. 8 is a flowchart of processing of the amenity information by the bedside information processing apparatus of the present embodiment.

As shown in FIG. 8, the bedside terminal 10
The main menu screen 50 (FIG. 4) is displayed on the TFT display device 12 of FIG.
(See step S100), and an operator such as an inpatient operates the remote controller 15 to operate the patient ID.
And PW as well as the main menu screen 50
When the “TV function” menu in (see FIG. 4) is selected (step S101), the main browser provided in the bedside terminal 10 starts. ID and PW are
It is sent from the bedside terminal 10 to the server 20. The authentication means provided in the server 20 is an authentication information management file 2
6 is used to authenticate the ID and PW (step S1).
03), the authentication result is returned to the bedside terminal 10. The bedside terminal 10 displays a submenu that allows the operator to select between the TV function and the video function (step S1).
04).

Here, when the operator selects, for example, the TV function (step S105), the general broadcast video of the previously set channel is stored in the server 2 of the ward to which the patient belongs.
It is sent from 0 to the bedside terminal 10. here,
If the operator does not perform the channel selection operation, or even if the user selects a channel using the remote controller 15 (step S107), if the channel input from the remote controller 15 is the same as the previously set channel, the bedside terminal 10 performs the previous operation. The screen display is continued with the set channel (step S109). However, remote control 15
If the channel input from is different from the previously set channel, the bedside terminal 10 requests the server 20 to change the channel (step S106), and the server 20 responds to the request and the general broadcast video of the specified channel. Alternatively, select a video image (step S1
08), and sends it to the bedside terminal 10 (step S105).

When the operator operates the remote controller 15 and selects the end (step S110), the bedside terminal 10
Closes the main browser (step S111) and returns control to the main menu.

FIG. 9 is a flowchart of the processing of the amenity information by the bedside information processing apparatus of the present embodiment.

As shown in FIG. 9, the bedside terminal 10
The main menu screen 50 (FIG. 4) is displayed on the TFT display device 12 of FIG.
(See step S200), and an operator such as an inpatient operates the remote controller 15 to operate the patient ID.
And PW as well as the main menu screen 50
The "medical information" menu in the menu (step S2)
01), the main browser provided in the bedside terminal 10 starts. The ID and the PW are sent from the bedside terminal 10 to the server 20. The authentication means provided in the server 20 uses the authentication information management file 26 to generate an ID.
Then, the authentication of the PW is performed (step S203), and the authentication result is returned to the bedside terminal 10. The bedside terminal 10 displays a submenu screen 52 (see FIG. 4) below the “medical information” menu to the operator (step S2).
04).

Here, when the operator selects a desired menu from the submenu screen 52 (step S2).
05), the bedside terminal 10 activates the content browser and starts accessing the server 20 (step S206).

The medical information retrieval means provided in the server 20 retrieves medical information requested by the operator from the contents stored in the medical information storage means 24 based on the access from the bedside terminal 10 (step). S20
7) The information is provided to the bedside terminal 10 by the information providing means.

[0051] The bedside terminal 10 displays the provided content information on the screen (step S208). The selection of the content information can be performed continuously.

Here, when the operator operates the remote controller 15 and selects the end (step S209), the bedside terminal 10 closes the content browser (step S209).
210). Next, a submenu screen 52 similar to that in step S204 is displayed (step S21).
1).

Here, when the operator operates the remote controller 15 and selects the end (step S212), the bedside terminal 10 closes the main browser (step S21).
3) Return control to the main menu. If the search for the content information is continued, the process returns from step S211 to step S204, and the submenu display and menu selection are repeated.

Next, the information retrieval function of the hospital medical information database provided in the bedside information system of this embodiment will be described.

As shown in FIG. 1, the server 20 of the present embodiment is mutually connected to a hospital medical information database 41 of a HIS 40 for comprehensively managing medical information of inpatients in a hospital by a communication line 25. . Based on the operator identification information sent from the bedside terminal 10, medical information providing means (not shown) provided in the server 20
The medical information corresponding to the operator identification information is received from the hospital medical information database 41 using the search function provided in the hospital medical information database 41 of the IS 40, and the communication network 30 is used.
To the bedside terminal 10 and provide the medical information to the operator.

FIG. 10 is a flowchart of the processing of the amenity information by the bedside information processing apparatus of the present embodiment.

As shown in FIG. 10, the bedside terminal 1
The main menu screen 50 (see FIG. 4) is displayed on the TFT display device 12 (step S300).
Enter D and PW and enter main menu screen 5
When the "hospital medical information database" menu is selected from the menu "0" (step S301), the main browser provided in the bedside terminal 10 is activated. ID and PW
Is sent from the bedside terminal 10 to the server 20.
The authentication means provided in the server 20 authenticates the ID and the PW using the authentication information management file 26 (step S303), and returns the result of the authentication to the bedside terminal 10. The bedside terminal 10 displays a submenu below the “hospital medical information database” menu to the operator (step S304).

Here, when the operator selects a desired menu from the above submenus (step S305),
The bedside terminal 10 starts the HIS browser and starts accessing the server 20 (step S306).

The medical information providing means provided in the server 20 determines whether the information is patient-specific information or common information based on the content level (step S307). If the information is determined as patient-specific information, the medical information DB of the HIS server 40 (Hospital medical information database) 41 is searched (step S308),
Search results are converted to HTML (Hyper Text Mark)
The file is transferred to the server 20 (step S309) and stored in the content file 24 provided in the server 20. Content file 24
Is transferred to the bedside terminal 10 (step S311) and displayed on the bedside terminal 10 (step S312). On the other hand, step S307
If it is determined that the information is the common information, the content search based on the patient ID is performed (step S310), and the search result is transferred to the bedside terminal 10 (step S31).
1) is displayed on the bedside terminal 10 (step S
312).

Here, when the operator operates the remote controller 15 and selects termination (step S313), the bedside terminal 10 closes the HIS browser (step S31).
4) Return control to the main menu.

Next, the processing when a patient enters or leaves the hospital or changes the room will be described.

FIG. 11 is a flowchart of the processing of the amenity information by the bedside information processing apparatus of the present embodiment.

As shown in FIG. 11, the power of the server 20 is always on, and a screen saver is displayed on the TFT display device 12 (see FIG. 1) of the bedside terminal 10. In this state, an operator such as an inpatient turns on the power switch 15a provided in the remote controller 15_1 for the patient (step S400), whereby the power of the bedside terminal 10 is turned on (step S401). When the power of the bedside terminal 10 is turned on, the main menu screen 5 is displayed on the TFT display device 12.
0 (see FIG. 4) is displayed (step S402). Here, by operating the remote controller 15_2 for the medical staff and selecting the job activation (step S403), the registration process of the patient ID is started (step S404).
In this state, the check-in process accompanying the hospitalization of the patient is selected by the patient remote controller 15_1 (step S40).
5) Then, the patient ID is registered in the bedside terminal 10 (step S406). The processing at the time of the patient's discharge from the hospital and at the time of changing the room is substantially the same as the processing at the above-described steps S405 to S406.

[0064]

As described above, according to the bedside information system of the present invention, the operator identification information is inputted to the bedside terminal arranged on the bedside of the hospitalized patient. Means for transmitting the input operator identification information to the server, receiving information corresponding to the operator identification information returned from the server, and outputting the received information in a predetermined output form. Authentication means for authenticating whether or not the operator identification information transmitted from the bedside terminal is valid operator identification information to a server connected to the side terminal via a communication network, and a result of the authentication by the authentication means And information providing means for transmitting information corresponding to the operator identification information to the bedside terminal and providing the information to the operator when the operator identification information is authenticated. And it makes it possible to realize a bed-side information system which can provide the necessary information to hospitalized patients and medical staff in bedside.

[Brief description of the drawings]

FIG. 1 is a schematic configuration diagram showing an embodiment of a bedside information system of the present invention.

FIG. 2 is a plan view of a remote controller used for the bedside terminal of the embodiment.

FIG. 3 shows T used for the bedside terminal of the embodiment.
It is a figure showing an FT display.

FIG. 4 is a transition diagram of a main menu screen in the embodiment.

FIG. 5 is a part of a menu transition diagram of amenity information in the embodiment.

FIG. 6 is a transition diagram of a medical care information menu for a patient in the present embodiment.

FIG. 7 is a transition diagram of a medical care information menu for medical staff in the embodiment.

FIG. 8 is a flowchart of processing of amenity information by the bedside information processing apparatus of the embodiment.

FIG. 9 is a flowchart of processing of amenity information by the bedside information processing apparatus of the embodiment.

FIG. 10 is a flowchart of processing of amenity information by the bedside information processing apparatus of the embodiment.

FIG. 11 is a flowchart of processing of amenity information by the bedside information processing apparatus of the embodiment.

[Explanation of symbols]

 Reference Signs List 10 bedside terminal 11 bedside terminal body 11a CPU 11b mouse 11c keyboard 11d sound blaster 11e video capture 11f LAN board 12 TFT display device 13 CCD camera 14 speaker 15, 15_1, 15_2 remote controller 15a power switch 15b speaker 15c volume control 15d ten key 15e Channel up / down key 15f Cross key 15g Execution button 15h Microphone 15i IC card slot 16 IrDA transmitting / receiving unit 20 Server 21 Amenities information storage means 22 Encoder 23 TV antenna 24 Medical information storage means 25 Communication line 26 Authentication information management file 30 Communication network 40 HIS (Hospital Medical Information System) 41 Hospital Medical Information Database 50 Main menu screen 51, 52 Sub menu screen

Claims (7)

[Claims] 1. An operator identification information input means, which is arranged on the bedside of an inpatient at a hospital and receives operator identification information, and sends the input operator identification information to a predetermined server. A bedside terminal having an output unit that receives information corresponding to the operator identification information returned from the server and outputs the information in a predetermined output form; and the operator identification sent from the bedside terminal. An authentication means for authenticating whether or not the information is valid operator identification information; and, as a result of the authentication by the authentication means, the operator identification information when the operator identification information is authenticated as valid. Having information providing means for sending information corresponding to the information to the bedside terminal and providing the information to the operator, and communication for interconnecting the bedside terminal and the server Bed-side information system, characterized in that it comprises a. 2. The information providing means according to whether the operator identification information input by the operator is the identification information of the hospitalized patient or the identification information of medical staff engaged in medical care of the hospitalized patient. And transmitting menu information in which a list of processing functions to which the operator is permitted to access is provided to the bedside terminal and providing the menu information to the operator. Bedside information system. 3. The bedside according to claim 2, wherein the server includes a menu content changing unit that changes the content of the menu information according to the condition of the hospitalized patient by an operation of the medical staff. Information system. 4. An amenity information storage means in which amenity information contributing to improvement of a patient's amenity is stored, and amenity information selected by an operator from menu information provided to the bedside terminal is stored in the server. 3. The bedside information system according to claim 2, further comprising an amenity information search unit that searches from the amenity information stored in the amenity information storage unit and passes the amenity information to the information providing unit. 5. The server according to claim 1, wherein the server stores medical information storing medical information contributing to the medical treatment of the patient, and medical information selected by an operator from menu information provided to the bedside terminal. 3. The bedside information system according to claim 2, further comprising: medical information search means for searching medical information stored in the information storage means and passing the medical information to the information providing means. 6. The bedside terminal comprises a bedside terminal main body and a remote controller connected to each other by a predetermined communication means, wherein the remote control includes the operator identification information input means and the operation. Transmitting means for transmitting the operator identification information input by the user identification information input means to the bedside terminal, and receiving means for receiving the operator identification information transmitted from the remote controller by the bedside terminal body; 2. The bedside information system according to claim 1, further comprising: an output unit. 7. The server, wherein the server is mutually connected to a hospital medical information database in which medical information of inpatients in a hospital is stored by a predetermined communication line, and an operator sent from the bedside terminal. Based on the identification information,
Using the search function provided in the hospital medical information database, medical information corresponding to the operator identification information is received from the hospital medical information database and transmitted to the bedside terminal, and the medical information is transmitted to the operator. 2. The bedside information system according to claim 1, further comprising a medical information providing means for providing the information.