JP2002312478A - Record management system and method, program for executing the same and recording medium for recording the program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system offering construction using paper and a pen for collecting nursing data in a configuration substantially unchanged in normal conditions as well as emergent conditions including system-down. SOLUTION: The system comprises a record management device consisting of means for forming format documents in which information according to records is put, means 105 for communicating data with externals and means 104 for renewing records in accordance with communication data, a printer 109 for printing the documents, means 110 for acquiring data put in the format and printed documents, as coordinate data, and means 108 for transmitting the coordinate data.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a record management system such as a nursing record management system used in a hospital or the like, and more particularly to a vital sign such as a patient's body temperature, pulse rate, respiratory rate and blood pressure. Enter user information
The present invention relates to a system for managing and supporting predetermined tasks related to users such as nursing tasks.

[0002]

2. Description of the Related Art For example, in medical institutions such as hospitals, nursing work for patients is mainly performed by nurses or nurses (hereinafter referred to as nurses for simplicity).
Specifically, a nurse goes around the hospital room, collects information on the physical condition of each patient, such as vital signs such as body temperature, blood pressure, pulse rate, and respiratory rate, and fills out a record sheet brought by the nurse. . For critically ill patients, we also collect data on urine output from the indwelling urethral catheter, drainage, drainage, electrocardiogram check, infusion check, type of internal medicine, and management of ventilators. Fill out the record sheet.
In addition, care is taken for each patient, such as taking medication, treating wounds, and, if necessary, changing positions, changing diapers, and taking baths.

This is done for all patients.

[0004] In a medical institution such as a hospital that provides 24-hour nursing care, nurses work on a shift basis (for example, three shifts, day shifts (8:00 to 17:00), and quasi-night shifts (16:00 to 1 Time),
They are working late at night (0:00 to 9:00), and when changing work, nurses who finish work are sent to nurses who start work, with collected patient data being sent. In this report, items to be communicated, such as changes in condition, are orally communicated for each patient. At that time, the sending side looks at each record sheet, and sends the communication items to the nurse who starts working, and the receiving side (the nurse who starts working) records the communication items on his own recording sheet. Nurses who finish their work after the transfer are transferred to the nursing record sheet (part of the medical chart) for each patient, and the data written on their own record sheet is used. Or may be created. The nursing record paper thus created is bound in a file for each patient.

[0005] Although there is a slight difference in the recording method depending on each medical institution, nurses perform the above-mentioned recording work as part of their daily work.

However, in this method, it is necessary to transfer the collected information from a recording sheet to another sheet.
There are problems that it takes time and is a burden on nurses, and there is a risk that transcription errors may occur and cause serious errors in nursing patients. In addition, since nurses are busy with work, there is not enough time to transfer the data collected during patrols during the work. Even if you want to know the latest information, it is not recorded in the nursing record, and only the nurse in charge may have the information, which may have serious consequences in an emergency.

[0007] To solve these problems, a nursing record management device using a host computer and a portable portable terminal capable of communicating with the host computer has been devised. Japanese Patent Laying-Open No. 7-168882 discloses a configuration in which a vital sign of a patient can be input by using a keyboard or a barcode by using a handy terminal, and the data can be transmitted to a host computer. I have.

In Japanese Patent Application Laid-Open No. 9-245093, nursing data can be input using a portable nursing service support device using a liquid crystal display, a touch panel, etc., and transmitted to the host computer immediately after inputting the data. And
A configuration for managing data is disclosed.

With the above two types of configuration, it is easy to manage the numerical information, and it is not necessary to transfer the data. However, not only such numerical data is recorded in the nursing service, but also special notes. , Handwritten figures, etc., are included, and a configuration that can handle such data is desired.

[0010] In order to record such handwritten information and graphics, for example, the configuration described in Japanese Patent Application Laid-Open No. H11-143971 can be used. In this configuration, a portable nursing service support device using a liquid crystal display, a touch panel, and the like is used. It is possible to collect, save and manage the nursing data obtained in this way after inputting characters, numerical values, etc. on the touch panel and performing character recognition. Further, handwritten figures and the like can be input, and these can be stored and managed as line drawing data.

[0011]

However, in the case of the portable terminal as described above, in order to reduce the weight of the device, the terminal itself must be made smaller, and the display area becomes smaller or the input space becomes smaller. Operation may be hindered. Also, when a line drawing is input, effective recording may not be possible in a small input space. On the other hand, if the display portion and the input portion are made large, the terminal itself becomes large and heavy, and there is a problem that portability is deteriorated and usability is deteriorated.

In a hospital or the like, even in an emergency such as a disaster, a power failure, or a failure of a computer system, appropriate measures can be taken.
There is a situation in which nursing and the like must be performed continuously or may have serious consequences.
Therefore, with a nursing record management device using a host computer and a portable terminal, if a failure occurs in the system, nursing record work using a portable terminal or the like that is normally performed cannot be performed at all, and work that is completely different from normal work, for example, It is necessary to perform recording work using paper and a pen. In this case, there is a problem that a burden is imposed on a nurse engaged in treatment and nursing, and a probability of making a mistake is increased.

Therefore, there is a need for a method in which the quality of nurses' work is not changed as much as possible in hospitals and the like, both in normal times and in emergency. In other words, it is desirable to construct a system that always uses paper and a pen for nurse's nursing record work, regardless of whether the nursing record management system using a portable terminal or the like as described above is functioning. is there.

The present invention has been made in view of the above circumstances, and is useful for recording and managing nursing data including vital signs of patients collected by nurses and the like. The object of the present invention is to provide a system that eliminates the necessity of performing paperwork such as transcription work, allows sufficient time for patient care, and enables higher quality nursing. In addition, the present invention uses a paper and a pen to collect nursing data in a manner that is substantially the same as that of normal times even in an emergency such as when the system is down due to the use of paper and a pen. In addition, the purpose of this is to provide a nursing record for each patient automatically from the collected nursing data, print it, and close it in the patient's file so that the latest nursing record can be stored by other than the nurse in charge. An object of the present invention is to provide a system that enables a doctor / nurse to browse.

[0015]

According to a first aspect of the present invention, there is provided a record management system such as a nursing record management system, which includes information on a user such as an inpatient, such as a nursing record including a vital sign of the inpatient. And a means for forming a document having a form having a first format for filling in specific information of a user such as a vital sign based on the record, and a nursing record of a predetermined patient based on the record. Means for forming a document having a form having a second format in which a specific record has been entered, such as a means for forming a document having a third form showing historical data of a predetermined patient based on the record. Means for creating a document having a predetermined format; data communication means for communicating data with the outside; and nursing records and the like based on the received data A record management device having means for updating a specific record, a printing device for printing the document, and a means for obtaining data written in a document printed in a specific format such as a first format as coordinate data And a coordinate acquisition device having transmission means for transmitting the acquired coordinate data.

According to a second aspect of the present invention, in the record management system according to the first aspect, the coordinate acquisition device includes a writing implement, image input means for inputting an image of a writing surface, and coordinate data based on the acquired image. And transmission means for transmitting the coordinate data.

According to a third aspect of the present invention, in the record management system according to the first aspect, the specific format such as the first format includes a code obtained by encoding a document ID or coordinate information. It is characterized in that it is included in a predetermined position.

According to a fourth aspect of the present invention, in the record management system according to the second aspect, the coordinate acquisition device further includes a unit for storing coordinate data. The transmission of the coordinate data stored in the storage device is started.

According to a fifth aspect of the present invention, there is provided the record management system according to the first aspect, wherein the document in the specific format such as the first format includes a user such as a document ID, coordinate information of an entry column, a patient ID, and the like. It is characterized in that the type of specific information such as ID and vital sign, the use date and time, and the like are stored in association with each other.

According to a sixth aspect of the present invention, in the record management system according to the first aspect, when the received data is specific information such as a vital sign, a document for reproducing a specific record such as a completed nursing record is generated. Forming and printing the document.

According to a seventh aspect of the present invention, in the record management system according to the first aspect, the entry area allocation of a specific format such as the first format is changed in accordance with the contents of predetermined items of the specific record such as the nursing record. It has a possible configuration.

According to an eighth aspect of the present invention, in a record management system such as a nursing record management system, information on a user such as an inpatient, that is, a nursing record or the like including specific information such as a vital sign of the inpatient is provided. Means for storing a specific record, means for forming a document having a form having a first format for filling specific information such as vital signs based on the record, and filling a nursing record of a predetermined patient based on the record Means for forming a document having a form having a second format, and means for forming a document having a third form showing historical data of a predetermined patient based on the record. A means for forming a document, a receiving means for receiving data transmitted from outside, and a special function such as a vital sign based on the received data. A record management device having means for extracting information, means for updating a specific record such as the nursing record based on the specific information such as the vital sign, a printing device for printing the document, and specific information such as a vital sign An image input device having image input means for inputting a document printed in a specific format such as a filled-in first format as an image, and transmission means for transmitting the image to the record management device. And

According to a ninth aspect of the present invention, in the record management system according to the eighth aspect, the specific format such as the first format includes a document ID or a code obtained by encoding format information, and a code obtained by encoding the format. The position is included in the position.

According to a tenth aspect of the present invention, in the record management system according to the eighth aspect, a document in a specific format such as the first format is a user such as a document ID, coordinate information in an entry column, a patient ID, and the like. It is characterized in that types of specific information such as IDs and vital signs, and related dates and times are stored in association with each other.

According to an eleventh aspect of the present invention, in the record management system according to the eighth aspect, when the extracted data is specific information such as a vital sign, a document for reproducing a specific record such as a completed nursing record. Is formed, and printing of the document is executed.

According to a twelfth aspect of the present invention, in the record management system according to the eighth aspect, the entry area allocation of a specific format such as the first format is changed according to the contents of predetermined items of the specific record such as the nursing record. It has a possible configuration.

[0027]

FIG. 1 is a block diagram of a nursing record management system according to an embodiment of the present invention, comprising a nursing record management device 101, a coordinate acquisition device 110, and a group of PCs connected via a network. . Nursing record management device 1
Numeral 01 is a nursing record storage device 102 for storing a nursing record database, a patrol recording sheet 201 (see FIG. 3), a vital sign progress chart (see FIG. 6), and a nursing record for each patient (see FIG. 7). A document forming unit 103 for creating based on the data of the database, a communication interface 105 for communicating with an external coordinate acquisition device, and a document created by the document forming unit 103 connected to a printing device 109 connected thereto.
Data processing means 104 for performing data processing such as OCR processing using the writing coordinate data obtained via the printing interface 107 and the communication interface 105 for printing on the nursing machine, updating the nursing record database, and the external PC 11
5, 116, etc., and a control device 10 for controlling various means.
6

The coordinate acquisition device 110 is a traveling recording sheet 201 placed on a generally used clipboard.
Is a device for acquiring writing coordinates when writing on paper such as a camera. The camera 111 captures a pen tip at the time of writing, and processes images captured by the camera 111 to detect the coordinates.
It comprises a CPU 113, a program for detecting coordinates and a memory 112 for storing the detected coordinates, and a communication interface 114 for transmitting the detected coordinates to the nursing recording apparatus 101.

The external PCs 115 and 116 are connected to the nursing record management apparatus 101 via a network so that a doctor or the like can access the nursing record database even from a location remote from the nursing record management apparatus 101 such as a medical office.

The nursing record database includes a patient database as shown in FIG. 4, and each patient's ID, room number, name,
Includes information such as gender, date of birth, nursing record file name for each patient, and severity. The contents of the nursing record file for each patient are stored in the form of a database as shown in FIG.

For example, in the case of the patient A, the contents include personal information of the patient, information of each vital sign, treatment contents, and special notes. The vital sign is stored as a numerical value. In addition, for the treatment content, a file name describing the handwritten treatment content on the patrol recording sheet 201 is described, and the special remarks are described using the file name describing the handwritten special information similarly to the treatment contents. Yes. As shown in FIG. 9, the contents of these files are represented by an image size (the number of horizontal pixels × the number of vertical pixels) and a coordinate data string.
It is represented by bits. This coordinate data sequence is reproduced as an image, for example, from image 1 to image 3 in FIG.

In the case of the patient Z having a high severity, the items to be managed are increased. Thus, the number of items managed in the nursing record database can be changed according to the difference in the severity of the patient. For example, if Mr. Z's symptoms recover and the severity decreases, it is also possible to reduce the items managed in the database.

By the way, three types of documents created and printed by the nursing record management device 101 are assumed. These are a patrol record sheet 201 shown in FIG. 3, a vital sign progress chart shown in FIG. 6, and a nursing record for each patient which is a part of the patient's chart shown in FIG. All three types of documents shall be created based on the nursing record database.

The traveling recording sheet 201 is used by a nurse to collect and record vital signs and treatment status of each patient when visiting a hospital room, and has a predetermined format. A column for entering vital signs such as body temperature and blood pressure and a drip volume is provided in correspondence with a sick room and a patient name, and also includes a column for entering a treatment performed during a tour, special notes, and the like. Further, a bar code or a two-dimensional code is printed on the lower part of the sheet, and this indicates document information (document ID or document name) on the patrol recording sheet. Further, a transmission check box as a transmission commander for transmitting the writing coordinate information acquired by using the pen 807 to the nursing recording apparatus 101 is provided together with the entry date field.

When the traveling recording paper 201 is created, a format file as shown in FIG. 8 is created based on the patient database as shown in FIG. Each item of this format file is from left to right (upper left coordinate of item)
-(Lower right coordinates of the item), text in the item, hospital room, patient name, item name, type of text in the item, and processing contents of writing in the item. In the content of the written processing in this item, OCR means that the written content is OCR-processed,
Image means that a process of saving the written content as coordinate data as a file having the content shown in FIG. 9 is performed. In addition, CR is a check recognition, and indicates a process of recognizing whether a check is written in a check box. BR indicates a process of performing barcode recognition.

The print processing of these contents is the traveling recording paper 201 shown in FIG. As shown in FIG. 3, the number of items and the size of the items vary depending on the severity of the patient. In particular, since the amount of information to be entered in a treatment or special-purpose column is higher as the severity is higher, the size is correspondingly larger. The contents of the format created in this way are saved as a format file. The format file is registered in the format file database as shown in FIG. The document ID of the format file database is encoded and becomes a dot code (described later) and a bar code in the cyclic recording paper 201.

The vital sign progress chart of FIG.
It is Mr. C's, and was created based on the contents of Mr. C's nursing record file in FIG. The vital sign progress chart is one of the items in C's nursing record file.
This is a graph showing changes in body temperature and blood pressure over three days.

The nursing record of Mr. C in FIG. 7 is obtained by converting the contents of the nursing record file of Mr. C into a nursing record format. Here, vital signs such as body temperature and blood pressure, treatment contents, and special instructions are displayed in frames for each date and time.

FIG. 2 shows a patrol record sheet 201 created and printed using the nursing record management system according to the embodiment of the present invention, and a camera pen 807 for filling the form.

The pen 807 includes a pen tip 805, a camera device 806, and a data processing device 808.
Reference numeral 06 denotes the camera 111 itself in FIG.
6b and an image sensor 806a. The data processing device 808 includes the memory 112, the CPU 113, and the communication interface 114 of FIG.

When characters or the like are written on the patrol recording paper 201 using the pen 807, the pen tip
Is used to draw letters on paper with ink. Camera 806
The dot code printed on the paper where you write (Fig. 3
(See the right-hand round frame, described later), and the data processing device 80
In step 8, the document ID and coordinates are obtained from the dot code. The document ID and coordinates acquired in this way are stored in a memory in the data processing device 808.

Here, the pen 807 is connected to the data processor 80.
8 shows the procedure for actually acquiring the document ID and coordinates.
1 will be described.

First, it is detected whether or not the pen is pressed against the paper by using a pressure sensor (not shown) attached to the pen tip 805. If the pen is pressed down on the paper, the pen code is read from the image including the dot code of the writing surface acquired by the camera 806.

If the reading is successful, the document ID and the writing coordinates are read from the memory, and it is determined whether the writing coordinates have a value in a predetermined range. If the coordinates are within a predetermined range, the document ID and the handwritten coordinate sequence acquired so far are transmitted to the external nursing record management device 101, and the processing is terminated. If the coordinates do not fall within the predetermined range, they are stored in the memory of the data processing device 808.

These procedures are continued until the pen tip is released from the paper and the pen is in a pen-up state. If the dot code does not exist (= it is not the document to be read), the display of unreadable is performed using a liquid crystal display or LED (not shown). Here, the dot code will be described with reference to FIG. The dot code is shown in an enlarged view surrounded by a right circle in FIG. Here, the portion drawn with black dots is a finder / alignment dot, is printed with black dots, and has no meaning as information itself. Of the black dots A to D, A and B are printed with black dots, but C and D are not actually printed, and the two points are always blank. These are for determining the vertical and horizontal directions of the dot code. One dot code is formed by 45 dots obtained by subtracting A to D4 dots from a total of 49 horizontal 7 × vertical 7 dots surrounded by the finder / alignment dot, and represents a document ID and coordinate information. One dot represents one bit, and one dot code is 4
It consists of 5 bits.

In FIG. 3, black dots are actually printed in the portions represented by white dots. The printing density of these dots is 4 dots / mm, and one dot code occupies a 2 mm square area. Of the 45 dots that make up one dot code, the dot representing coordinate data is 1
It consists of 5 dots (= 15 bits, which can be represented by 15 bits in the horizontal and vertical directions).

Here, in the case of A3 size paper, horizontal 1
Since there are 48 codes × 210 vertical codes, the above allocation is sufficient for the amount of information (210 × 148 = 3).
1080 <32768 = 2 ¹⁵ ). These include 10 bits for the document ID. 1024 patterns can be represented by 10 bits, and the temporary use is sufficient as the document ID of the main traveling recording paper. The remaining 20 bits are used for an error correction code. As an error correction method, for example, a BCH code is used. The BCH code is an error correction method capable of correcting a bit multiplex bit error. In this embodiment, each code has a capability of correcting a 10-bit error.

The 45 bits of the dot code are assigned to each dot position according to a predetermined rule (FIG. 13).
When the bit is on, dots are printed, and when the bit is off, dots are not printed. The camera device 806 of the pen 807 reads this dot code and acquires the document ID and the coordinate information.

Here, a detailed reading procedure of the dot code will be described with reference to FIG. First, a finder pattern indicated by a black dot in FIG. 3 is detected. Next, the dots surrounded by the finder pattern are detected. Since the detected dots are arranged according to the rule of FIG. 13, the dots are rearranged to the original arrangement. After sorting, error correction is performed. If there is no error or error correction is possible,
Restore the document ID and coordinates from there.

When the direction detection dots A to D cannot be correctly detected and error correction cannot be performed, the detected dot data is rearranged as much as possible to perform error correction. If there are no errors or errors can be corrected, the document
Restore ID and coordinates. If error correction is not possible, the process ends.

Here, when the dot code is decoded for the second time or later, since the document ID is already known, FIG.
Document before error correction in advance as in the procedure on the right
Error correction can be performed by replacing the data portion corresponding to the ID with a correct document ID. This method is effective because the probability of error correction becomes very high.

The dot code occupies only a few percent of the area of the recording paper even when black dots are actually printed in black, and the dots are fine. For this reason, it is only a light gray color to the naked eye of the entrant, so that there is no obstacle to actually writing data on the recording sheet.

As described above, the patrol recording sheet 201 is for the nurse to collect and record the vital signs of each patient when visiting the hospital room, and has a predetermined format. A column for entering vital signs such as body temperature and blood pressure is provided in correspondence with the sick room and the patient name, and a column for entering a treatment performed at the time of patrol, special instructions, and the like are also provided. In addition, a bar code or two-dimensional code is printed on the bottom of the paper,
This indicates document information (document ID or document name) on the traveling recording paper. In addition, along with the date field,
A transmission check box as a transmission commander for transmitting the writing coordinate information acquired using the pen 807 to the nursing recording apparatus 101 is also provided.

When the transmission check box is checked using the pen 807, the pen 807 is
At 08, the coordinates are obtained, and the coordinates are recognized as coordinates for a predetermined transmission command, and communication with the nursing recording device 101 is started.

The communication procedure in this case will be described with reference to FIG. The communication terminal side (the pen 807 in this case) issues a connection request to the host side (the nursing recording apparatus 101). The host returns ACK to the request and starts the connection. After starting the connection, the terminal sends data such as the document ID and coordinates to the host. The host returns an ACK every time data is sent, and notifies the terminal that data has been received normally. After the data transmission ends, the terminal notifies the host of a disconnection request. When the host receives the disconnection request, it returns an ACK to the terminal and completes the connection. The communication interface in this case is
A general wireless communication interface such as infrared rays and Bluetooth may be used.

Next, the procedure of the operation of the nursing record management device 101 that has received the document ID and the coordinate information will be described with reference to FIG. The following processing is basically performed by the data processing unit 104. First, the format file is specified by searching the format file database (in the nursing record storage device 102) shown in FIG. 12 by the document ID. Then, the specified format file is read, and the received writing coordinates are clustered according to the item coordinate information of the format file. Next, the processing description (OC
R, Image).

Here, the data subjected to the OCR processing is registered in the nursing record database. The image-processed data is stored as a coordinate data string as a .shc or .tki file. Then, the tour record, the updated vital sign progress chart and the nursing record recognized and processed by the data processing unit 104 are created by using the document forming unit 103, displayed on a display device (not shown), and printed by the printing device 109. I do.

Next, another embodiment of the present invention will be described with reference to FIG. The difference from the embodiment of FIG. 1 described above is that a coordinate acquisition device using a pad is used. The coordinate acquisition device 1 of FIG.
0, memory 9, CPU 11, LCD 14, code reader 15,
It consists of a handwriting input section 7 (pad section), a detection circuit 16 and a power supply 17 of the main body. The plain paper 2 is placed on the handwriting input section 7 and writing is performed with a dedicated pen 4. Then, the coordinates of the handwriting performed by the dedicated pen 4 are detected, stored in the memory 9, and transmitted to the nursing record management device 101 via the communication interface 10.

Next, a specific operation of the coordinate acquisition device 1 (pad type) will be described. This description is based on the description in JP-A-2000-112646.
17 is an external perspective view showing an outline of the coordinate acquisition device (pad type) 1, FIG. 18 is a schematic side view thereof, FIG. 23 is a schematic view seen from directly above, and FIG. 19 is a block diagram showing a hardware configuration thereof. is there.

As shown in FIG. 17, the coordinate acquisition device 1 includes a plurality of plain papers 2 as information display media on which document information is printed in advance, and an electromagnetic induction type digitizer (tablet) constituting an information storage device. ) 3 and an electromagnetic pen 4 for handwriting input, and an external host (nursing record management device 101) serving as information storage means (FIG. 16).
) Or a PC (see FIG. 19) 5.

The plain paper 2 is literally formed entirely in a paper shape, and for example, an A4 size paper is used. On the plain paper 2, each document data stored in the computer 5 (or the nursing recording device) is pre-printed by a printing device in units of one screen.
The identification information indicating that the document is in the (or nursing record device) is a two-dimensional code (or bar code) 6 (FIG. 2).
0). Also, a two-dimensional dot code obtained by encoding the document ID and the coordinate information is printed on the entirety of the paper.

As shown in FIG. 19, the digitizer 3 has a handwriting input unit 7 on the surface of a flat main board 8, a memory 9 as an information storage medium, a communication interface 10 for communicating with the computer 5, One-chip CPU
(Central Processing Unit) 11 and the like are built in the main body board 8, and the center part of the holding side 2 u, which is the upper end of the plurality of plain papers 2, is stacked on the main body board 8 to be exchangeable. A holding clip 12 as a medium holding unit for holding, and a storage clip 13 for pressing a lower end 2d of the stacked plain paper 2 are provided. At the lower end side of the main body board 8, L
A CD 14 is provided. In addition, the storage clip 13
On the paper holding surface portion (lower surface) of No. 2 printed on each plain paper 2
A two-dimensional code reader 15 is provided as ID recognition means for optically reading the dimensional code 6 (see FIG. 20).

In the digitizer 3 shown in FIG. 19, the one-chip CPU 11 includes the detection circuit 1 of the handwriting input unit 7.
6, a memory 9, a communication interface 10, a two-dimensional code reader 15, an LCD 14, and the like. Reference numeral 17 denotes a main body power supply for supplying power to each unit. The digitizer 3 also functions as an information input unit, an information storage unit, an information output unit, and the like when the one-chip CPU 11 executes various types of information processing according to an appropriate program.

The information input means includes a handwriting input unit 7, a one-chip CPU 11 and a detection circuit 16 as hardware.
And accepts handwritten input of various information. That is, when a character or a line is handwritten to the handwriting input unit 7 through the electromagnetic pen 4 on the plain paper 2 laminated on the main body board 8, the input pattern is detected by the detection circuit 16 (accepted). Here, the electromagnetic pen 4 is an active pen that emits an electromagnetic field during handwriting input, and the electromagnetic induction digitizer 3 detects the position coordinates through the detection circuit 16 when handwriting input is performed on the handwriting input unit 7. I do. This method uses a paper thickness of 5 mm
Even when a certain number of sheets of plain paper 2 are placed on the handwriting input unit 7 of the digitizer 3, the uppermost plain paper 2 can be detected by the electromagnetic pen. It is assumed that the contents input by handwriting can be recognized in step 4.

The information storage means has a memory 9 and a one-chip CPU 11, and various information of handwriting input received by the information input means is recognized by the two-dimensional code reader 15 as described later. The one-chip CPU 11 stores the information in the memory 9 in association with the identification information. Here, it is assumed that a large-capacity flash memory, a hard disk, or the like is used as the memory 9, for example.

The information output means has a one-chip CPU 11, a communication interface 10, and the like. As will be described later, the information storage location is specified in advance in accordance with the identification information, and the computer 5 stores various information. To transmit and output various information of handwriting input stored in the memory 9.
In this case, a general interface such as Bluetooth, infrared port, RS232C port, Ethernet (registered trademark) port, and PCMCIA port is used as the communication interface 10.

Here, the identification information (two-dimensional code 6) printed on the plain paper 2 will be described. The two-dimensional code 6 indicates that the display image information printed on the plain paper 2 is a part of the document in the computer 5 as described above. For example, there are a document name, a page number, a computer name (system name), its IP address, and the like.
\ PC name (IP address of PC) \ Drive name \ Folder name \ Document name \ A directory (information storage location) where the document (minimum of one page) is stored is unified by a directory structure such as page. Anything can be used as long as it can be specified. Such a two-dimensional code 6 is formed on each plain paper 2 in a portion near the periphery other than the holding side 2u, in the present embodiment, a lower end side 2d which is a turn-over portion = a part of a side opposite to the holding side 2u. Printed at the same location (the position corresponding to the two-dimensional code reader 15) as shown in FIG. Also, the identification information may be a one-dimensional barcode or the like, but it is necessary to classify a wide variety of documents for the document ID, and it is considered that the number of classifications is insufficient with a one-dimensional barcode or the like. It is desirable to use a two-dimensional code 6 having a remarkably large capacity as in the present embodiment. That is, since a code of about 20 digits can be generated by using the two-dimensional code 6, an absolute identification number (for example, a serial number) is assigned to each of the numbers of plain papers used worldwide. It can also be attached. That is,
Since the ID of a document created once is uniquely fixed, it can be set as a document having only one ID in the world (a document having only one in the world). In addition, it is preferable that identification information such as the two-dimensional code 6 is attached to the plain paper 2 so as to reflect light outside the visible range with respect to incident light having a specific wavelength. That is, if light other than visible light is reflected so as to be invisible to the naked eye, the ID information of the document is not immediately recognized by a third party, and security is improved. At the same time, even if a copy is made on plain paper with another ID (with a two-dimensional code 6), the ID information is different. And protect your data. In addition, it is visually preferable to attach the identification information to the plain paper 2 so as to reflect light outside the visible range with respect to incident light having a specific wavelength.

Since the digitizer 3 of the present embodiment is mainly assumed to be carried and used at an arbitrary place, the main body power supply 17 is built in the main body board 8 and can be recharged. It is desirable to use a secondary battery. In consideration of such power consumption of the main body power supply 17, in this embodiment, the function of the power switch is also used for the holding clip 12, and as shown in FIG. Clip 2 for holding paper 2 in a stacked state
2 is set so that the main body power supply 17 is activated and becomes operable. Such a function is executed by the power supply starting unit under the control of the one-chip CPU 11. FIG. 22 is a flowchart showing the processing control.

Next, a method of using the coordinate acquisition device 1 having such a configuration will be described.

First, a plurality of patrol recording sheets 201 (plain paper 2) printed based on the patient database stored in the nursing record management apparatus are stacked (the holding side 2u is bound). It may be placed on the main body board 8 and the holding side 2u is fixed and held by the holding clip 12, and the lower end side 2d side is stopped by the storing clip 13.
Thereby, as described above, the power is turned on, and the two-dimensional code reader 1 built in the lower surface of the storage clip 13 is turned on.
5 operates to read the information of the two-dimensional code 6 printed on the uppermost plain paper 2 and recognize its ID information.
Based on the recognition of the ID information, the source of the document information printed on the plain paper 2 is displayed on the LCD 14. This is convenient because the user can know what the document printed on the uppermost plain paper 2 is. Also,
The recognized ID information is stored in the memory 9 by the CPU 11.

In this state, when the user performs handwriting input (addition) on the traveling recording paper (plain paper 2) using the electromagnetic pen 4, the handwriting input unit 7 detects the position information accompanying the movement of the electromagnetic pen 4 in the detection circuit. The detected data is stored in the memory 9 via the CPU 11 as additional data. In FIG. 17, as an example, a state in which a circle or an underline is added as additional information A is shown. At the time of this storage processing, the retouched coordinate data is stored in the memory 9 in association with the ID information described above.
To be stored.

Next, a case will be considered in which a rewrite is performed on the second traveling recording paper (plain paper 2) below the second traveling recording paper. In this case, the user turns over the uppermost plain paper 2 (first page). Then, in the foreground part, the plain paper 2 of the second page is at the top, so
The barcode reader 15 of the storage clip 13 can read the two-dimensional code 6 printed on the plain paper 2 of the second page. So the ID of the second page
The information is recognized, and processing such as storing the information in the memory 9 is performed as in the case of the first page. At the same time, this 2
When a page is rewritten using the electromagnetic pen 4, the rewritten data is recognized by the handwriting input unit 7, the detection circuit 16, and the like, and the rewritten data is stored in the memory 9 in association with the ID information.

An outline of the procedure of this operation is shown in the flowchart of FIG.

When all the operations are completed, the coordinate acquisition device is placed near the nursing record management device 101 (computer 5) where the original document is located, and the transmission check box in FIG. The position information is detected by the detection circuit 16, the CPU 11 recognizes that the coordinate is reserved for transmission via the CPU 11, and compares the document ID stored in the memory 9 with the coordinate information associated therewith. The data is transmitted and output to the nursing recording device (computer 5) by the communication interface 10. Then, while confirming whether or not the ID information matches, if the ID information matches, the nursing record database is updated based on the procedure of FIG. 15, and the updated information is displayed and printed.

The coordinate acquisition device 1 described in the present embodiment uses an electromagnetic induction tablet and an electromagnetic pen. However, the present invention is not limited to this method, and it is a tablet-like device that can acquire other coordinates such as an ultrasonic type. There may be. FIG. 25 shows a third embodiment of the present invention. As the coordinate acquisition device, the pen type shown in the first embodiment, the pad type shown in the second embodiment, and a scanner 119 connected to the nursing record management device 101 for acquiring coordinates are also used. it can. The scanner 119 is connected to a nursing record management device via a scanner interface. Alternatively, the scanner 119 may be connected to a network, and the connection form is not limited as long as the scanner 119 can be operated from the nursing record management device. The advantage of using a scanner to obtain coordinates is that, unlike pen and pad types, no special pen or tablet is required. That is, in this case, it is possible to write on the traveling recording sheet 201 with a clipboard using a conventional ordinary plastic and a ballpoint pen or pencil.

Next, the traveling recording paper 201 on which the entry has been completed is completed.
The procedure of acquiring coordinates from a computer using a scanner, updating the nursing record database, and displaying and printing the updated data will be described with reference to FIG. This procedure is performed by the data processing means 1
04.

The patrol recording paper 201 on which the writing has been completed and the transmission check has been performed is placed on the scanner 119, and a reading operation is performed. The patrol recording sheet 20 thus read
One image is stored in a memory (not shown) in the nursing record management device. At this time, it is assumed that the position of the barcode (two-dimensional code) is known in advance, and barcode recognition is performed on the area. The format file database (see FIG. 12) is searched from the document ID restored from the barcode, and the format file name is obtained. At this time, it is assumed that the coordinates of the four corners of the barcode are simultaneously obtained. The coordinates of the four corners of this barcode are used later when cutting out the item-specific images from the document. If the barcode does not exist and cannot be recognized, it means that the read sheet is a document that is not used in the present nursing record management system, and the nursing record management device displays this fact on a display (not shown) and ends the processing.

Next, the format file is opened, and the position of each item of the document and the type of recognition processing are read. At this time, the coordinates in the format file searched by the barcode correspond to the coordinates in the scanned image, and the coordinates in the format file are converted into the coordinates of the scanned image. The image of each item is cut out from the coordinates of the converted item. After that, the transmission check box is checked, and if it is not checked, the scanned patrol record sheet is not yet in a state where the database can be updated, the fact is displayed on the display, and the process ends without updating the nursing record database. . If there is a check, recognition processing of each item is performed.

Based on the contents of the format file recognition processing, OCR processing and Image processing are performed on the image of each item. OCR-processed items are registered and updated in the nursing record database. In addition, the items processed by Image processing are .shc, .tki
It is saved as a file, and the link is registered and updated in the nursing record database. Here, the image process is a process of extracting only written pixels from an image and recognizing the pixels as a coordinate data sequence. As a method of extracting only written pixels from an image, for example, a method of binarizing an image and extracting pixels having values other than the background is effective.

When the updating of the database is completed in this way, the document forming means 103 stores the patrol record in which the recognized and OCR-processed items are copied, the updated vital sign progress table, and the nursing record for each patient. Create them, display them on the display and print them. The present invention is not limited to the nursing record system as in each of the above embodiments,
The present invention can be applied to a record management system that can be used in various facilities, institutions, and the like as a system that records and manages information obtained according to similar users.

[0081]

According to the first aspect of the present invention, the clerical work of a business manager such as a nurse is reduced, and the time for providing care of a user such as nursing of a patient is increased to perform a business such as a nursing. In addition to improving the quality of work, it is possible to collect business data such as nursing data in the same way as during normal times in an emergency.

According to the second aspect of the present invention, by providing the pen with the coordinate acquisition function, it is possible to record business data such as nursing data using a paper and a pen on an ordinary clipboard.

According to the third aspect of the present invention, it is possible to operate a pen having a coordinate acquisition function by embedding coordinate information in paper, and it is easy to acquire data coordinates.

According to the fourth aspect of the present invention, it is ensured that the coordinate acquisition device operates offline and business data such as nursing data can be uploaded to the host computer when necessary, thereby improving data collection efficiency. .

According to the fifth aspect of the present invention, it is easy to compare the acquired coordinate information and document ID with the original document layout stored in the host computer, and to easily extract business data such as nursing data. Will be able to

According to the invention of claim 6, when the work of the manager such as a nurse is taken over, the necessary data can be automatically created, and the time taken over can be reduced.

According to the seventh aspect of the present invention, it is possible to prepare an entry sheet that enables flexible entry according to various situations, such as increasing the number of entry fields for a severely ill patient.

According to the eighth aspect of the present invention, when nursing data is collected at the time of patrol, it is possible to collect data without requiring a special pen or writing board.

According to the ninth aspect of the present invention, the information such as nursing data to be acquired from the completed recording sheet can be appropriately recorded by recording the document ID and the format information in the printed document in an electronically readable state. It becomes possible to cut out to. According to the tenth aspect, it is easy to compare the acquired format information and the document ID with the original document layout stored in the host computer.
Business data such as nursing data can be easily extracted.

According to the eleventh aspect of the present invention, when the work of the manager such as a nurse is taken over, the necessary materials can be automatically created, and the time taken over can be reduced. It is. According to the twelfth aspect of the present invention, it is possible to create an entry sheet that enables flexible entry according to various situations, such as increasing the number of entry fields for a severely ill patient.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a configuration of a first embodiment of the present invention.

FIG. 2 is an explanatory diagram of a traveling recording sheet and a coordinate acquisition device (pen type) that can be used in the embodiment of FIG.

3 is an explanatory diagram of details of a cyclic recording sheet of FIG. 2 and a two-dimensional dot code thereof.

FIG. 4 is an explanatory diagram of a patient database usable in the embodiment of FIG. 1;

FIG. 5 is an explanatory diagram of a patient record database usable in the embodiment of FIG. 1;

FIG. 6 is an explanatory diagram of a vital sign progress table usable in the embodiment of FIG. 1;

FIG. 7 is an explanatory diagram of a nursing record for each patient which can be used in the embodiment of FIG. 1;

8 is an explanatory diagram of a format file of the cyclic recording paper shown in FIGS. 2 and 3. FIG.

FIG. 9 is an explanatory diagram of a format of a file for storing information in which handwritten contents of the traveling recording paper shown in FIGS. 2 and 3 are subjected to image processing.

FIG. 10 is an explanatory diagram of a communication procedure between the coordinate acquisition device and the nursing recording device in the embodiment of FIG.

11 is an operation flowchart of a writing coordinate acquisition operation of the embodiment using the pen-type coordinate acquisition device of FIG. 1;

FIG. 12 is an explanatory diagram of a format file database usable in the embodiment of FIG. 1;

FIG. 13 is an explanatory diagram of a data arrangement order to dot codes usable in the embodiment of FIG. 1;

FIG. 14 is a flowchart of a decoding procedure of a two-dimensional dot code in the embodiment of FIG. 1;

FIG. 15 is a flowchart of a process of processing and storing data received by the nursing record management device in the embodiment of FIG. 1;

FIG. 16 is a block diagram showing a configuration of a second example of the present invention.

17 is an external perspective view of a coordinate acquisition device (pad type) in the embodiment of FIG.

18 is a schematic side view of the coordinate acquisition device of FIG.

19 is a block diagram illustrating a hardware configuration of the coordinate acquisition device in FIG.

20 is a perspective view showing a state of a two-dimensional code printed on plain paper used with the coordinate acquisition device of FIG. 17;

21 is a schematic side view showing a power-on structure of the coordinate acquisition device in FIG.

FIG. 22 is a flowchart illustrating an operation example of power-on in the power-on structure of FIG. 21;

23 is an overhead view of the coordinate acquisition device (pad type) shown in FIG.

FIG. 24 is a flowchart of a writing coordinate acquisition procedure using the coordinate acquisition device (pad type) of FIG. 17;

FIG. 25 is a block diagram showing a configuration of a third example of the present invention.

26 is a flowchart of the operation of acquiring writing coordinates and data processing when using the scanner in the embodiment of FIG. 25.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Coordinate acquisition apparatus 2 Plain paper 3 Digitizer 4 Electromagnetic pen 5 Computer 6 Two-dimensional code 7 Handwriting input unit 8 Body board 9, 112 Memory 10, 105, 114 Communication interface 11 One-chip CPU 12 Clip for holding 13 Clip required to store 14 LCD 15 two-dimensional code reader 16 detection circuit 17 main body power supply 101 nursing record management device 102 nursing record storage device 103 document forming means 104 data processing means 106 control device 107 printing interface 108 network interface 109 printing device 115, 116 PC terminal 110 coordinate acquisition device 111 Camera 113 CPU 119 Scanner

──────────────────────────────────────────────────の Continued on the front page (51) Int.Cl. ⁷ Identification symbol FI Theme coat ゛ (Reference) B42D 15/00 301 B42D 15/00 301A (72) Inventor Makoto Yamazaki 1-3 Nakamagome, Ota-ku, Tokyo No. 6 Inside Ricoh Company (72) Inventor Toshiyuki Furuta 1-3-6 Nakamagome, Ota-ku, Tokyo Stock Company Ricoh Company (72) Tomohiko Beppu 1-3-6 Nakamagome, Ota-ku, Tokyo Stock In Ricoh Company (72) Inventor Nobuyuki Doi 1-3-6 Nakamagome, Ota-ku, Tokyo Stock Company Ricoh Company (72) Inventor Hitoshi Hattori 1-3-6 Nakamagome, Ota-ku, Tokyo Stock Company Ricoh F Terms (reference) 4C341 LL30 5C062 AA02 AA17 AB18 BA04 BB03

Claims (26)

[Claims] 1. Means for storing information about a user and a record about the user, means for forming a document having a form having a format for filling in information based on the record, and communication of data with the outside A data management means for updating the record based on the communication data, a printing apparatus for printing the document, and a coordinate system for storing data written in the document printed in the format. A record management system comprising: a coordinate acquisition device having means for acquiring data as data and transmission means for transmitting the acquired coordinate data to the record management device. 2. The coordinate acquisition device includes a writing implement, image input means for inputting an image of a writing surface, means for acquiring coordinate data based on the acquired image, and transmission means for transmitting the coordinate data. 2. The record management system according to claim 1, wherein: 3. The record management system according to claim 1, wherein the format includes a code obtained by encoding a document ID or coordinate information at a predetermined position of the document. 4. The apparatus according to claim 1, wherein said coordinate acquisition device further comprises means for storing coordinate data, and when predetermined coordinate data is obtained, transmission of the coordinate data stored in said storage means is started. Item 4. The record management system according to Item 2. 5. The document in the format is a document I
2. The record management system according to claim 1, wherein at least one of D, coordinate information in the entry field, user ID, type of information, and date of use is stored in association with each other. 6. The apparatus according to claim 1, wherein, when the received data is specific information of a user, a document that reproduces the filled-in specific record is formed, and the document is printed. Records management system. 7. The record management system according to claim 1, wherein the recording area allocation of the format can be changed according to the content of a predetermined item of the record. 8. A means for storing a record including information on a user, a means for forming a document having a form having a format for filling in information based on the record, and a means for receiving data transmitted from outside. Receiving means for
A record management device having means for extracting specific information from the received data, means for updating the record based on the specific information, a printing device for printing the document, A record management system, comprising: an image input unit for inputting a document printed in the format as an image; and a transmission unit for transmitting the image to the record management device. 9. The record management system according to claim 8, wherein the format includes a code obtained by encoding a document ID or format information at a predetermined position of the document. 10. The document in the format is a document.
9. The record management system according to claim 8, wherein at least one of an ID, coordinate information in an entry field, a user ID, a type of specific information, and a use date and time is stored in association with each other. 11. The record management system according to claim 8, wherein when the extracted data is specific information, a document that reproduces the filled-in specific record is formed, and the document is printed. 12. The recording management system according to claim 8, wherein the recording area allocation of the format can be changed according to the contents of a predetermined item of the recording. 13. A means for storing information about a user and a record about the user, a means for forming a document having a form having a format for filling in information based on the record, and communicating data with the outside. A record management device having a data communication unit for performing the data update and a unit for updating the record based on the communication data, printing the document, and using data written in the document printed in the format as coordinate data. A record management method comprising the steps of: providing a coordinate acquisition device having a unit for acquiring and a transmission unit for transmitting the acquired coordinate data to the record management device. 14. The coordinate acquisition device includes a writing instrument, image input means for inputting an image of a writing surface, means for acquiring coordinate data based on the acquired image, and transmission means for transmitting the coordinate data. 14. The record management method according to claim 13, wherein: 15. The recording management method according to claim 13, wherein the format includes a code obtained by encoding a document ID or coordinate information at a predetermined position of the document. 16. The coordinate acquisition device further comprises means for storing coordinate data, and when predetermined coordinate data is obtained, transmission of the coordinate data stored in the storage means is started. Item 15. The record management method according to Item 14. 17. The document according to the format, wherein the document is a document.
14. The recording management method according to claim 13, wherein at least one of an ID, coordinate information of an entry column, a user ID, a type of information, and a use date and time is stored in association with each other. 18. The apparatus according to claim 13, wherein when the received data is specific information of a user, a document that reproduces a specific record that has been entered is formed, and the document is printed. Records management method. 19. The recording management method according to claim 13, wherein the recording area allocation of the format can be changed according to the content of a predetermined item of the recording. 20. A means for storing a record including information on a user, a means for forming a document having a form having a format for filling in information based on the record, and a means for receiving data transmitted from outside. Receiving means for
A record management device having means for extracting specific information from the received data and means for updating the record based on the specific information is provided, the document is printed, and the format in which the specific information is entered is provided. A recording management method comprising the steps of: providing an image input device having image input means for inputting a document printed in step (1) as an image, and transmission means for transmitting the image to the record management device. 21. The recording management method according to claim 20, wherein the format includes a code obtained by encoding a document ID or format information at a predetermined position of the document. 22. The document according to the format, wherein the document is a document.
21. The record management method according to claim 20, wherein at least one of an ID, coordinate information of an entry field, a user ID, a type of specific information, and a use date and time is stored in association with each other. 23. The record management method according to claim 20, wherein when the extracted data is specific information, a document that reproduces the filled-in specific record is formed, and the document is printed. 24. The recording management method according to claim 20, wherein the recording area allocation of the format can be changed according to the contents of a predetermined item of the recording. 25. A program for controlling a computer to execute a function of each means of each device constituting the record management system according to claim 1. Description: 26. A computer-readable recording medium storing a program for controlling a computer to execute a function of each unit of each device constituting the record management system according to claim 1. Description: Possible recording medium.