JP2003099529A - Portable information terminal for medical use and managing method of medical practice - Google Patents

Abstract

PROBLEM TO BE SOLVED: To accurately conduct medical practice such as examination and medication, and to accurately and wholly record information which should be obtained at the process. SOLUTION: A doctor's round data Dind, which indicates questions to be conducted at the doctor's round and contents of the medication, is down load from a medical managing computer to a portable information terminal for medical use 10. When the doctor visits a patient, a doctor or a nurse carries this portable information terminal 10 and uses as follows. The patient is identified by reading a barcode on the patient's bed, the name of the patient is phonetically output. The patient's response to that is input as a phonetic data and stored in a recording part 13. On medication, a barcode on the medicine is read and the medicine is identified, and the reading data is also stored in the recording part 13. When the doctor asks the patient about the condition, the contents of the questions are displayed and output phonetically, and response of the patient is stored as a phonetic data in the recording part 13. Thus, obtained data at execution Dexe which is obtained at the doctor's round is up load to the medical managing computer after the doctor's round.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention utilizes an information device used for managing medical activities such as medical examinations and medications performed by doctors and nurses on patients and the like, and such information devices. Regarding medical practice management method.

[0002]

2. Description of the Related Art Medical treatments such as medical examinations and medications performed by doctors and nurses on patients in hospitals and the like must be surely carried out based on the doctor's instructions or the medical records in which the instructions are described. However, in hospitals, etc., many kinds of drugs are administered and tested according to each of a large number of patients. Therefore, identification of patients, etc. who are the target of medical practice and identification of drugs used for medical practice We cannot guarantee that there will be no errors. In addition, a patient's response obtained by an interview or the like, information indicating a physical condition obtained by an examination or measurement of the patient, or the like is usually recorded by hand by a doctor or a nurse. However, it is possible that the implementation status of medical treatment cannot be fully confirmed due to errors or omissions in this record.

[0003]

Therefore, according to the present invention, a doctor, a nurse, etc. can perform medical procedures such as medical examination and medication without error and accurately record information to be acquired at the time of the medical practice. It is an object of the present invention to provide a portable information terminal for medical treatment that should be carried by the medical staff of (1), and a method for managing medical treatment using such a portable information terminal.

[0004]

[Means for Solving the Problems and Effects of the Invention] A first invention is a medical portable information terminal which is carried by a medical staff and used for management of medical procedures, and is provided with another information processing apparatus. An interface unit for exchanging data between the two, a rewritable storage unit, an input operation unit operated by the medical staff, and a medical operation performed by the medical staff. Information acquisition that reads the identification information as implementation-time acquisition data from an ID recording medium that is a recording medium that holds the identification information of the target person of the medical action to be performed and / or the identification information of the article used for the medical action to be performed. Means, output means for outputting the information stored in the storage means in a visually or auditorily recognizable manner, the interface means, the storage means, and the And a control means for controlling the force means, wherein the control means uses the medical instruction data including the information indicating the content of the medical action scheduled to be performed and the identification information identifying the target person of the medical action scheduled to be performed. When the information is input from the other information processing device by the means, the medical instruction data is stored in the storage means, and when the information acquisition means reads the identification information from the ID recording medium, the read identification information is displayed. It is stored in the storage means, and according to the operation on the input operation means,
The medical instruction data and the implementation-time acquisition data stored in the storage unit are selectively output to the output unit, and the implementation-time acquisition data stored in the storage unit is interfaced in response to an operation on the input operation unit. And outputting to the other information processing device by means.

According to the first aspect of the present invention, medical instruction data indicating a patient or the like who is a target of medical treatment such as inquiry, medication, examination, etc., a type / implementation method of the medical treatment, a drug to be used, etc. Is transferred from another information processing device to a medical portable information terminal and stored therein, and a medical worker such as a doctor or a nurse operates the portable information terminal when performing the medical procedure. The medical instruction data can be visually or audibly output in a recognizable manner. Further, when performing the medical procedure, it is possible to read the identification information of the object such as the target person or the medicine from the ID recording medium by the portable information terminal and output the information visually or audibly so as to be recognizable. With these,
When performing a medical procedure, the medical staff can easily and surely confirm the target patient, etc. and the content of the medical procedure (type of medical procedure, drug used, etc.). , Medical mistakes are surely prevented. Further, at the time of performing a medical procedure, the identification information characterizing the medical procedure is acquired as the execution-time acquisition data by the portable information terminal carried by the medical staff, and the execution-time acquisition data is transferred to the other information processing device. Therefore, it is possible to accurately record all the necessary information as the information indicating the implementation result of the medical procedure without omission.

In a second aspect based on the first aspect, the output means responds to an operation on the input operation means.
The information acquisition unit includes a voice output unit that selectively outputs the medical instruction data and the implementation-time acquisition data stored in the storage unit as voice, and the information acquisition unit responds to the voice output from the voice output unit by the subject. And a voice input means for inputting the voice as the execution-time acquired data.

According to the second aspect of the invention, since the medical instruction data corresponding to the medical procedure to be performed and the acquired data at the time of execution are output as voice, the target person and the content of the medical procedure can be easily confirmed. it can. Further, at that time, the voice that is the response of the patient or the like to the voice output from the mobile information terminal is input to the mobile information terminal and stored as the implementation-time acquired data, and therefore it is necessary as information indicating the implementation result of the medical procedure. Information can be recorded in the form of voice, which has a high evidence value.

In a third aspect based on the first aspect, the information acquiring means is a barcode recording medium as an ID recording medium given to the subject and / or an ID recording medium attached to the article. It is characterized by including a bar code reading means for reading the identification information of the target person and / or the identification information of the article as the execution-time acquired data from the barcode recording medium.

According to the third aspect, the bar code is read by using the medical portable information terminal,
It is possible to easily identify a target person of a medical procedure to be performed and an article such as a drug used in the medical procedure.

In a fourth aspect based on the first aspect, the information acquisition means carries out the identification information of the subject and / or the article from an IC card as an ID recording medium provided to the subject. It is characterized by including an IC card reading means for reading as time acquisition data.

In a fifth aspect based on the first aspect, there is further provided collating means for collating the identification information read by the information obtaining means as on-the-fly acquisition data with the identification information included in the medical instruction data. The output means also outputs the collation result by the collating means.

According to the fifth aspect of the invention as described above, since the collation result of the identification information read as the implementation-time acquired data and the identification information included in the medical instruction data is output, the target of the medical action to be performed. It is possible to more accurately confirm the person or drug used in the medical procedure.

In a sixth aspect based on the first aspect, the medical practice includes an inquiry to the target person, and the information acquisition means acquires the information indicating the response of the target person to the inquiry at the time of implementation. It is characterized by including an input means for acquiring as data.

According to the sixth aspect of the invention, since the information indicating the response to the inquiry is input and stored in the portable information terminal for medical use as the acquisition data at the time of execution, the information required as the inquiry result is accurately and leaked. Can be recorded without.

A seventh invention is characterized in that, in the sixth invention, the information acquisition means includes a voice input means for inputting a voice which is a response of the subject person to the inquiry.

According to the seventh aspect of the invention, since the information indicating the response to the inquiry is inputted and stored as a voice in the medical portable information terminal, the information required as the inquiry result has a high evidence value. It can be recorded as a form record.

In an eighth aspect based on the first aspect, the medical procedure includes medication for the subject, and the information acquisition means obtains the identification information of the drug to be administered to the subject during the execution. It is characterized by including an input means for acquiring as data.

According to the eighth aspect of the invention, when administering a drug to a patient or the like, the identification information of the drug to be administered is read as the execution-time acquisition data and output so as to be visually or audibly recognizable. Therefore, it is possible to administer medication without error.

A ninth aspect of the present invention provides medical treatment using a medical portable information terminal carried by a medical staff and a medical management information processing apparatus capable of exchanging data with the medical portable information terminal. A method for managing an action, wherein the medical management information includes medical instruction data including information indicating the content of each medical action to be performed based on a doctor's instruction and identification information of a target person of each medical action. The step of storing in a predetermined storage means in the processing device, and the identification information of the target person of each medical practice and the identification information of the article to be used in each medical practice are respectively recorded in a predetermined recording medium. A step of creating a recording medium, and giving each ID recording medium in which the identification information of the subject is recorded to the subject to be identified by the identification information recorded in the ID recording medium, Attaching each ID recording medium having different information recorded thereto to an article to be identified by the identification information recorded on the ID recording medium, and at least one medical procedure to be performed among the medical actions to be performed. The medical worker carries out the medical action data corresponding to the action, taking the medical instruction data from the storage means, transferring the medical action data to the medical portable information terminal, and storing the medical instruction data in the medical portable information terminal. When performing, the step of outputting the medical instruction data stored in the medical portable information terminal in a visually or audibly recognizable manner in the medical portable information terminal, and the medical procedure to be performed by the medical worker. When carrying out the medical treatment, the ID recording medium given to the subject of the medical treatment planned to be performed and / or the article used for the medical treatment planned to be performed. Reading identification information from the portable ID information recording medium read by the medical portable information terminal; storing the read identification information in the portable medical information terminal as implementation-time acquisition data; After implementation, the implementation-time acquisition data stored in the medical portable information terminal is transferred to the medical management information processing apparatus, and stored in the storage unit of the medical management information processing apparatus in association with the medical instruction data. And a step.

[0020]

BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described below with reference to the accompanying drawings. In the following, "medical action" means actions such as medical examination, medical inquiry, medication, surgery, inspection, and measurement, which are mainly performed for medical treatment. It also includes acts that are carried out from a medical point of view for persons (eg, medical examinations and examinations for newborns and pregnant women in obstetrics and gynecology clinics).

<1. Configuration of Medical Practice Management System> The medical portable information terminal according to the embodiment of the present invention constitutes a medical practice management system together with the medical management computer shown in FIG. Although this medical portable information terminal is carried by each medical staff, one medical management computer is usually installed in one hospital.

As shown in FIG. 1, the medical management computer includes a computer main body 100 including a CPU (central management unit), a memory, and various interface circuits, an input operation unit 102 connected to the computer main body 100, a scanner 104, Display device 106, barcode printer 1
08 and an auxiliary storage device 110. The computer main body 100 includes an interface circuit for exchanging data with the medical portable information device 10 using a predetermined cable, infrared rays, or radio waves. The input operation unit 102 includes a keyboard, a mouse, and the like, and is used to input information (hereinafter referred to as “chart information”) recorded in the patient's chart 200 in a hospital or the like and a doctor's instruction. The scanner 104 uses the chart 2 instead of inputting the chart information from the input operation unit 102.
The computer information 100 is read by reading 00
Used to populate. In this case, a character recognition program is stored in advance in the computer main body 100, and the image information read by the scanner 104 is character data (code data) by the character recognition program.
Is converted to. That is, an optical character reader (OCR) is realized by the scanner 104 and the character recognition program. The display device 106 includes a CRT, a liquid crystal panel, or the like, and displays an operation menu, medical chart information, information input from the medical portable information terminal 10, and the like. The barcode printer 108 prints, on a predetermined sheet material (for example, a sticker coated with an adhesive on the back surface), identification information of a patient who is a target of medical treatment or articles such as medicines used for medical treatment as a barcode. To do. The auxiliary storage device 110 is, for example, a hard disk device, and based on the medical record information and the information input from the medical portable information device 10, the auxiliary storage device 110 has a medical management database (hereinafter referred to as “medical management D”) therein.
B "). Although not particularly mentioned below, this medical management DB 112 is operated via a database management program stored in advance in the computer main body 100.

FIG. 2 is a block diagram showing the hardware configuration of the medical portable information terminal 10 according to this embodiment.
The medical portable information terminal 10 is mainly composed of a data processing unit 12, and has a display unit 11, a recording unit 13, a sound generating unit 14 including a speaker 14a, and a microphone 15.
The audio input unit 15 including a, the input operation unit 16, the interface unit 17, and the barcode reader 18 are provided. The data processing unit 12 is realized by using a microcomputer having a clock function, and performs a process for managing medical practice in cooperation with the medical management computer based on a predetermined program stored therein. The recording unit 13 is realized by, for example, a rewritable semiconductor memory, and data input from the medical management computer, that is, medical instruction data D to be described later to be downloaded.
It stores ind and execution-time acquired data Dexe, which will be described later and is acquired when a medical procedure is performed. The voice generation unit 14 includes a voice synthesis chip, a speaker 14a, and the like, and outputs a voice based on an instruction from the data processing unit 12. The voice input unit 15 converts the voice input from the microphone 15a into a digital signal and transfers the digital signal to the data processing unit 12 as voice data. The input operation unit 16 is composed of buttons, keys, and the like for the medical staff to operate the medical portable information terminal 10, and the data indicating the operation content is transferred to the data processing unit 12. The display unit 11 is realized by, for example, a liquid crystal panel, and has an operation menu and medical instruction data Dind downloaded from a medical management computer.
Data acquired at the time of performing the medical procedure based on the medical instruction data Dind (hereinafter referred to as "acquired data at the time of implementation")
Display Dexe. The interface unit 17 is used for exchanging data with the medical management computer. That is, via this interface 17, the medical instruction data Dind is downloaded from the medical management computer to the medical portable information terminal 10, and the execution-time acquisition data Dexe is uploaded from the medical portable information terminal 10 to the medical management computer. The barcode reader 18 is the barcode printer 1 of the medical management computer.
08, the barcode recorded on the barcode recording medium which is created in advance and is attached to the patient or the drug in question, that is, the barcode 302 recorded on the sticker attached to the patient's bed for identifying the patient, , A barcode recorded on a sticker attached to a drip container, a drug bag or the like for identifying a drug to be administered to a patient (hereinafter, referred to as “bar code attached to drug”) 303 or 304
Is read and transferred to the data processing unit 12 as bar code data indicating the numerical values represented by those bar codes.

FIG. 3 shows the structure of the medical management DB 112 built in the medical management computer. The medical management DB 112 is composed of personal data files created for each patient who should be a target of medical treatment in the hospital in which the medical management computer is installed. Each personal data file consists of basic data, medical instruction data, and implementation record data. The basic data is a patient ID which is identification information of the patient, bar code data (numerical data) corresponding to the patient ID, information indicating the patient's name, date of birth, height / weight, etc. of the patient. Consists of. The medical instruction data is created based on the chart of the patient and oral instructions from the doctor in charge, and represents the contents of medical treatment to be performed on the patient such as inquiry, medication, inspection / measurement, and surgery. The implementation record data is data obtained by the medical procedure already performed on the patient based on the medical instruction data, that is, the implementation-time acquisition data obtained by the medical portable information terminal.

<2. Processing Procedure in Medical Practice Management System><2.1 Processing Procedure in Medical Management Computer> First, the processing procedure in the medical management computer will be described with reference to the flowcharts shown in FIGS. 5, 6 and 7. The medical management computer operates as follows when the above-mentioned predetermined program stored in its internal memory is activated.

First, a menu screen for operation is displayed on the display device 106 (step S5). On this menu screen, the operator can select one of the eight menus, "ID registration", "Medication data input", "Caution input", "Bar code output", "Upload", "Download", "Medical data creation", and "Data confirmation". It can be selected with a mouse or the like as the input operation unit 102. When one of these menus is selected by the operator, the selected menu is discriminated (step S10), and the following processing is executed according to the discrimination result (steps S11 to S18).

When a certain patient is newly registered in the medical practice management DB 112, the "ID registration" menu is selected. In this case, the medical management computer executes the ID registration process shown in FIG. In this processing, first, the individual patient-specific data obtained from the patient's medical chart 200 or the like is input via the input operation unit 102 or the scanner 104 (step S112). This unique data corresponds to basic data in the medical practice management DB 112, and after this data is input, a personal data file for the patient is created (step S114).
That is, the personal data file for the patient is added to the medical practice management DB 112, and the input unique data becomes the basic data of the patient in the medical practice management DB 112.

When data relating to medication as one of medical procedures for a patient already registered in the medical management DB 112 (hereinafter referred to as "registered patient") is to be input based on a medical record, etc., a menu of "medical data input" Is selected. In this case, the medical management computer executes the medication data input process shown in FIG. In this process, first, the doctor's instruction data regarding the medication for the patient (data indicating the drug to be administered, the dose, the timing / frequency of administration, the administration method, etc.) is input via the input operation unit 102 or the scanner 104. (Step S122). Next, the instruction data is recorded as medical instruction data in the patient's personal data file (step S1).
24). After recording the medical instruction data, the process returns to the main routine shown in FIG. 5 and waits until a new menu is selected.

When inputting a matter to be noted when carrying out a medical procedure for a registered patient, a menu of "input a note" is selected. In this case, the medical management computer executes the note input processing shown in FIG. In this process, first, the data indicating the points to be noted when giving medical treatment such as medical treatment or treatment to the patient (hereinafter referred to as “note data”) is based on the doctor's instruction or the caution article by the nurse. , Is input from the input operation unit 102 or the like (step S132). Next, the caution data is recorded as a part of the medical instruction data in the patient's personal data file (step S13).
4). After recording the caution data, the process returns to the main routine shown in FIG. 5 and waits until a new menu is selected.

When the identification information of the patient or the identification information of the article such as a medicine used for carrying out the medical procedure is output as a bar code, the "bar code output" menu is selected. In this case, the medical management computer executes the barcode output process shown in FIG. In this process, first, designation data for designating a patient, a drug, or the like whose identification information is to be output as a barcode is received from the input operation unit 102 or the like (step S142). At this time, for example,
When a patient is designated, all medications used to administer the patient may be considered designated. Next, based on the designated data, the identification information (name, etc.) of the patient, the identification information of the drug, etc. are converted into numerical values and printed out as a barcode by the barcode printer 108 (step S144). After the output of this bar code, the process returns to the main routine shown in FIG. 5 and stands by until a new menu is selected.

In the case of transferring the execution-time acquisition data Dexe acquired by the medical portable information terminal 10 at the time of carrying out a medical action such as inquiry and medication, from the medical portable information terminal 10 to the medical management computer, Data is set to be exchangeable with the medical portable information terminal 10 (for example, both are connected by a predetermined cable), and the “upload” menu is selected. In this case, the medical management computer executes the upload process shown in FIG. In this process, first, the execution-time acquisition data Dexe is received from the medical portable information terminal 10 according to a predetermined communication protocol (step S15).
2). Next, the received execution-time acquisition data Dexe
Is stored in the personal data file of the patient identified by the patient ID contained therein as implementation record data (step S154). After storing the execution-time acquired data, the process returns to the main routine shown in FIG. 5 and waits until a new menu is selected.

In the case of transferring medical instruction data Dind indicating the contents of medical treatment such as inquiry and medication to be performed to a registered patient from the medical management computer to the medical portable information terminal 10, the medical management computer and the medical care are used. Is set to a state in which data can be exchanged with the portable information terminal 10 for mobile phones,
The "Download" menu is selected. in this case,
The medical management computer executes the download process shown in FIG. In this process, the medical instruction data Dind stored in the personal data file of the patient is transmitted to the medical portable information terminal 10 together with the patient ID according to a predetermined communication protocol (step S162).
In this embodiment, rounding data (hereinafter, this rounding data is also represented by the symbol “Dind”), which is data in which medical instruction data for each patient who is the target of one round of rounding is collected, is created as rounding data described below. It is created by the process (FIG. 7 (g)) and is transmitted to the medical portable information terminal 10. After this transmission, the process returns to the main routine shown in FIG. 5 and stands by until a new menu is selected.
Further, after this transmission, in the medical portable information terminal 10, the above-mentioned round-up data is stored in the recording unit 13.

When creating the above-mentioned round data, the menu of "Create round data" is selected. In this case, the medical management computer executes the rounds of data creation processing shown in FIG. In this process, first, the input operation unit 1
Unless it is instructed to end the creation of the rounds data from 02, the process is in a standby state until the patient ID to be the target of the rounds (hereinafter referred to as “corresponding rounds”) indicated by the rounds data to be created is input (steps S172 and S274). . When the patient ID is input in this standby state, the medical procedure indicated by the medical instruction data stored in the personal data file of the patient identified by the patient ID (hereinafter referred to as “corresponding patient”) is selected, Operation data for designating a medical action (rounding type) to be performed is received from the input operation unit 102 (step S174). At this time, multiple types of rounds for the same patient (for example, “medication”)
And “Blood pressure measurement (other work)”) may be specified. Next, whether the designated round-type is interview or medication,
It is judged whether it is another work (inspection, measurement, etc.) (step S17).
6, S178, S272), the rounds-up data corresponding to the determination result is created.

That is, when an inquiry is designated as the type of round, the round data as medical instruction data for the patient (hereinafter referred to as "individual round individual" based on the data relating to the interview in the personal data file (FIG. 3) of the patient. Data ”) is created (step S276). Specifically, data that specifies the round-trip time together with the prepared routine inquiry content data is extracted from the personal data file, and if necessary, data indicating non-standard interview content is input from the input operation unit 102. By doing this, individual data for rounds for interviews are created. Then, step S1
Proceed to 78.

When medication is designated as the type of round, round individual data is created based on the data relating to medication in the personal data file (FIG. 3) of the patient (step S278). Then, it progresses to step S272.

When another work is designated as the type of round, round individual data is created as follows (step S280). First, based on the data corresponding to the work (inspection, measurement, etc.) designated as other work among the medical instruction data in the personal data file (FIG. 3) of the relevant patient, individual data for rounds (for example, X at a predetermined time). Data indicating that a test is performed and blood pressure is measured are created.

As described above, individual rounds data (medical instruction data to be given to the corresponding patient in the rounds) corresponding to one or a plurality of rounds designated in step S172 is created. The individual patient data and name data of the corresponding patient are also included in the individual rounds data. After creating the individual data of this round, the process returns to step S172. After that, when a new patient ID is input, in the same manner as above, the round-trip individual data for the patient specified by the patient ID is created and added to the round-separation individual data created above. In this manner, each time the patient ID is input, the individual medical round data corresponding thereto is added, and during this time, when the input operation unit 102 issues an instruction to end the generation of the medical round data, the main data shown in FIG. After returning to the routine, the process waits until a new menu is selected. At the time of returning from the routine of this rounding data creation processing to the main routine, rounding data consisting of individual rounds of individual round data for all patients to be rounded once is held in the medical practice management computer.

In order to confirm the contents of the implementation-time acquired data acquired by performing the medical rounds (medical activities such as interviews and medications) based on the medical rounds data and uploaded to the medical management computer, "data confirmation" The menu is selected. In this case, the medical management computer executes the data confirmation processing shown in FIG. In this process, first, operation data designating a patient ID is received from the input operation unit 102 (step S182). Next, the implementation-time acquired data is extracted from the implementation record data in the personal data file of the patient identified by the patient ID and displayed on the display device 106 (step S184).
After this display, return to the main routine shown in FIG.
It will be in a standby state until a new menu is selected.

<2.2 Processing Procedure in Medical Portable Information Terminal> Next, the processing procedure in the medical portable information terminal 10 will be described with reference to the flowcharts shown in FIGS. 8, 9 and 10. When the predetermined program stored in the memory of the data processing unit 12 is activated, the medical portable information terminal 10 operates as follows.

First, a menu screen for operation is displayed on the display unit 11 (step S25). On this menu screen, a medical worker such as a doctor or a nurse carrying the medical portable information terminal 10 (hereinafter referred to as a "mobile operator")
"Data display""Bar code scan""Question"
Any of the six menus, "other work" and "upload" can be selected by the input operation unit 16. When one of these menus is selected by the mobile operator, the selection menu is determined (step S3).
0), the following processing is executed according to the determination result (steps S31 to S36).

That is, when confirming the contents of the medical examination data Dind, which is the medical instruction data downloaded to the medical portable information terminal 10 by the download processing (FIG. 6 (f)) in the medical management computer, "data display Menu is selected. In this case, the data processing unit 12 in the medical portable information terminal 10 is shown in FIG.
The data display process shown in (a) is executed. In this process, the display unit 11 displays the contents of the round-trip data Dind stored in the recording unit 13. After this display, the process returns to the main routine shown in FIG.

"Bar code scan" is performed when the bar code 302 (FIG. 4 (a)) attached to the bed of the patient is read in order to confirm the patient who is to be subjected to medical treatment based on the round-up data Dind. Is selected. in this case,
The data processing unit 12 executes the barcode scanning process shown in FIG. In this process, when the portable operator scans the barcode 302 (FIG. 4A) attached to the patient's bed with the barcode reader 18 incorporated in the medical portable information terminal 10, The barcode data indicating the barcode 302 is output from the barcode reader 18, and the data processing unit 12 receives the barcode data (step S321). Next, the code data indicating the name of the patient identified by the bar code data is taken out from the recording unit 13, and the name is output as a voice by the voice generation unit 14 and displayed on the display unit 11 (step S322). . After that, a response voice of the corresponding patient to this voice or a confirmation voice by a nurse or the like is input as voice data by the voice input unit 15 (step S323), and the voice data is associated with the patient ID as execution-time acquisition data. Recording unit 1
3 (step S324). Then, the time at that point in time, which is stored in the data processing unit 12, is also stored in the recording unit 13 in association with the patient ID (step S325). Next, the type of medical practice (hereinafter referred to as “corresponding medical procedure”) to be performed on the relevant patient in the rounds based on the round-trip data stored in the recording unit 13, that is, the type of round for the relevant patient (whether the relevant medical practice is interview or medication). Information indicating whether it is other work) is displayed on the display unit 11 (step S326). After the display of this type of round, the process returns to the main routine shown in FIG.

After the bar code scanning process is performed, the following menu selections are made. In other words, when the relevant medical practice, which is the medical practice to be performed on the relevant patient in the rounds based on the rounds data, is an inquiry, the menu of “inquiry” is selected. In this case, the data processing unit 12
The inquiry process shown in FIG. 10C is executed (step S3).
3). In this inquiry processing, data indicating the inquiry content is extracted from the round-trip data of the patient stored in the recording unit 13, the data is displayed on the display unit 11, and the sound generation unit 14 outputs it as voice (step S33).
2). Then, the response of the patient to the inquiry is input as voice data by the voice input unit 15, and the voice data is stored in the recording unit 13 as the execution-time acquisition data (step S333). Then, it is determined whether or not an operation indicating whether or not there is an input to be added is performed by the portable operator (step S334). As a result, when it is determined that there is an input to be added, data such as a numerical value based on the response of the patient to the inquiry and other matters to be noted are input from the input operation unit 102 based on the operation of the portable operator. (Step S336), the process proceeds to step S338. On the other hand, if it is determined that there is no input to be added, the process directly proceeds to step S338. In step S338, it is determined whether or not there are any items to be interviewed based on the round-trip data for the patient, that is, whether or not the inquiry for the patient should be terminated (step S338).
As a result, when it is determined that there are items to be interviewed with the patient, the process returns to step S332. After that, steps S332 to S338 are repeatedly executed until there is no inquiry item indicated by the round-trip data for the patient, and if there are no inquiry items during that period, the process returns to the main routine shown in FIG. 8 and a new menu is selected. It will be in a standby state.

When the corresponding medical procedure is medication, the menu item "Medication" is selected. In this case, the data processing unit 12 executes the medication process shown in FIG. 10 (d) (step S34). In this medication process, data indicating the medication content is extracted from the round-trip data of the relevant patient stored in the recording unit 13, is displayed on the display unit 11, and is output as voice by the voice generation unit 14 (step S34).
2). After that, when the barcode 303 or 304 (FIGS. 4B and 4C) attached to the medicine used for the medication is scanned by the barcode reader 18 by the portable operator, the data processing unit 12 causes the barcode to be read. While receiving the code data and displaying the drug name indicated by the data (dose, time of administration, etc., if necessary) on the display unit 11,
The data is stored in the recording unit 13 as implementation-time acquisition data (step S344). This display is confirmed by a nurse or the like who is a portable operator, and thereafter administration of the drug to the relevant patient is started. Then, when this medication is completed, the portable operator performs an operation for confirming the completion of medication. After confirming the completion of the medication, the process returns to the main routine shown in FIG. 8 (step S346) and stands by until a new menu is selected.

When the corresponding medical practice is other work (examination, measurement, etc.), the menu of "other work processing" is selected. In this case, the data processing unit 12 is shown in FIG.
The other work process shown in is executed (step S35). In the other work processing, the work content (for example, a radiographing method, a radiographing room, a scheduled radiographing time in the case of an X-ray examination) is displayed on the display unit 11 (step S252). When the work content is confirmed by the portable operator who sees this display, data indicating the confirmation of the work content is recorded in the recording unit 13 (step S35).
4). For this confirmation, a voice indicating confirmation by the portable operator is input as voice data by the voice input unit 15 and recorded in the recording unit 13. Alternatively, the confirmation may be performed by an operation on the input operation unit 16 by the portable operator. After this confirmation, the work that is the relevant medical practice is started. When this work is completed, the completion of the work is confirmed with the corresponding patient, and data indicating the confirmation of the patient is recorded in the recording unit 13 (step S358). The confirmation of the end of this work may be performed by inputting the confirmation voice of the patient as voice data through the voice input unit 15, or alternatively, by the portable operator operating the input operation unit 16. Good. After confirming the end of this work, data indicating the confirmation of the patient is recorded in the recording unit 13 (step S3
58) After that, the process returns to the main routine shown in FIG. 8 and waits until a new menu is selected.

The relevant medical practice has been completed for all patients who are the targets of the rounds indicated by the rounds of data stored in the recording unit 13 of the medical portable information terminal 10, and the acquired data obtained during the rounds of medical practice is recorded. When data is transferred from the medical portable information terminal 10 to the medical management computer, data transfer is set between the medical management computer and the medical portable information terminal 10 (for example, both are connected by a predetermined cable). Connected), "Upload" menu is selected. In this case, the data processing unit 12 of the medical portable information terminal 10 executes the upload process shown in FIG. In this process, the voice data for confirming the patient, the data indicating the inquiry result, and the data indicating the work result such as the inspection and measurement stored in the recording unit 13 are executed together with the identification information (patient ID etc.) of the corresponding patient. The time acquisition data Dexe is transmitted to the medical management computer according to a predetermined communication protocol (step S362). After transmitting the execution-time acquisition data Dexe, the process returns to the main routine shown in FIG. 8 and waits until a new menu is selected.

<3. Procedures for using the medical practice management system>
In the medical practice management system configured by using the medical management computer (FIG. 1) and the medical portable information terminal 10 (FIG. 2) as described above, first, for each patient such as a hospital in which the medical management computer is installed, The medical chart data 200 includes basic data and medical instruction data indicating the contents of medical treatment to be performed on each patient.
Auxiliary storage device 11 as a medical management database 112 that is input from
Stored in 0. As shown in FIG. 3, each personal data file consists of basic data, medical instruction data, and implementation record data. The implementation record data is used for medical treatment for the patient corresponding to the individual data file, as described later. Is stored after is executed.

When medical treatment is performed on a patient in a hospital or the like in which the above-mentioned medical management computer is installed, for example, when performing a round, the content of the medical action to be performed on each patient who is the target of the round The data in which the medical instruction data indicating the is summarized is created in the medical management computer as the round data Dind. Then, the round-trip data Dind is downloaded from the medical management computer to the medical portable information terminal 10 carried by the doctor, nurse, or the like who carries out the round, and stored in the internal recording unit 13.

At the time of rounds, the bar code attached to the bed of the patient is read by the medical portable information terminal 10 carried by the doctor or nurse, and the patient to be rounded is confirmed based on the read data. To be done. At this time, the patient's name specified by the read data is output as a voice, and the patient's response thereto is returned as a medical portable information terminal 10.
Is captured as voice data and stored as implementation-time acquisition data. Then, after confirming the patient, the doctor, the nurse, or the like displays the content of the medical action (interview, medication, etc.) to be performed on the patient on the portable information terminal 10 and confirms it.
Perform the applicable medical procedure to the patient. In addition, the data indicating the inquiry result, the test result, the measurement result, etc. obtained by performing the medical procedure are also input by the voice input unit 15 or the input operation unit 16 and stored in the medical portable information terminal 10 as the acquired data at the time of implementation. To be done.

As described above, the medical portable information terminal 10 is used.
When the rounds are performed for each patient by using the rounds, and the rounds indicated by the rounds of data are completed, the obtained data at the time of execution for each patient obtained in the rounds is transferred from the medical portable information terminal 10 to the medical management computer. Uploaded. The data obtained at the time of implementation is stored as the implementation record data of the corresponding personal data file in the medical management computer.

<4. Effect> As described above, according to the present embodiment, when a medical worker such as a doctor or a nurse performs various medical actions, the target person (patient) and the content thereof (type / implementation of medical action) The method, the medicine to be used, etc.) can be easily and surely confirmed by voice or display based on the round data stored in advance in the medical portable information terminal 10. Further, the medicine to be administered to the patient can also be confirmed by reading the barcode attached to the medicine at the time of administration by the medical portable information terminal 10. Therefore, these can surely prevent medical errors. In addition, the psychological burden on the doctor and the nurse when carrying out the medical procedure, that is, the psychological burden based on the consciousness that "errors are not allowed in the medical procedure" is reduced.

In addition, when performing a medical procedure such as rounds,
Data indicating the results of confirmation and inquiry of patients and medicines, results of inspections and measurements are collected in the medical portable information terminal 10 as the acquisition data at the time of implementation, and the acquisition data at the time of execution is stored in the medical management computer after the rounds are completed. It is uploaded and recorded in the corresponding personal data file in the medical management DB 112 as implementation record data. Therefore, it is possible to easily and centrally manage the data (interview result, medication result, test and measurement result, etc.) obtained by the medical procedure. Further, after the medical action such as the round visit is performed, the medical management computer collates the performed content with the medical instruction data, thereby making it possible to check the appropriateness of the performed content of the medical action or omission of implementation. Moreover, in the medical management DB 112, the implementation record data obtained by performing the medical procedure for each patient is recorded together with the implementation date and time (FIG. 3), so that the progress of medical treatment for each patient can be easily grasped.
Furthermore, since the implementation record data in the medical management DB 112 also includes voice data indicating the response of the patient when performing the medical procedure, high-value data as evidence of performing the medical procedure is recorded. Become.

Furthermore, since the information heard from the patient at the time of medical inquiry, medication, etc. can be stored in the medical management computer via the medical portable information terminal 10 as execution record data, there is an effect that a message error can be prevented.

<5. Modifications> In the medical portable information device 10 according to the above-described embodiment, both the audio generating unit 14 that is an auditory output unit and the display unit 11 that is a visual output unit are provided, but both output units are not necessarily provided. Is not necessary, and only the display unit 11 may be provided as the output means. The voice input unit 15 is not necessarily provided, and when the voice input unit 15 is not provided, the voice data input in the above embodiment may be input as code data by the input operation unit 16.

Further, in the above embodiment, the bar code is read in order to identify or confirm the patient, medicine, etc. when performing the medical procedure. Instead of this, an IC card is given to the patient in advance, The identification information of the patient may be read from the IC card. Further, the recording medium of identification information for identifying a patient, a drug or the like (hereinafter referred to as “ID recording medium”) is not limited to a medium in which a barcode is recorded (sheet material such as a seal) or an IC card. Instead, for example, it may be an RFID (Radio Frequency Identification) module that functions as a contactless identification tag with a built-in nonvolatile memory. Although the above-mentioned medical portable information terminal 10 is provided with the barcode reader 18, when an ID recording medium other than the barcode recording medium is used, the barcode recording medium is changed depending on the type of the ID recording medium. Reader will be installed. Further, the ID recording medium includes not only identification information but also information indicating the content of medical practice, for example,
Information indicating the type of medical action to be performed (type such as inquiry, medication, examination, etc.), information indicating the amount of medication, and the like are recorded, and the information and the round-trip data stored in the mobile information terminal 10 are recorded. The contents of the medical procedure to be performed may be confirmed by collating with.

Further, in the above-described embodiment, when carrying out a medical procedure, the barcode attached to the medicine or the like is read by the medical portable information terminal 10, and the name of the medicine or the like is displayed and output by voice to carry the medicine. Instead of the confirmation by the operator, the identification data of the medicine or the like obtained by reading the barcode and the data included in the round data as the identification information of the medicine or the like to be used in the corresponding medical procedure are replaced by the medical portable data. The information terminal 10 collates and the collation result is displayed on the display unit 11.
May be displayed on the screen. By doing so, the drug or the like to be administered to the patient can be confirmed more accurately. The patient who is the target of medical treatment may also be confirmed by such collation.

Furthermore, in the above-mentioned embodiment, the on-the-fly acquisition data collected by performing the medical procedure is uploaded from the medical portable information terminal 10 to the medical management computer after the round, but instead of this, If the medical portable information terminal 10 and the medical management computer are configured to be able to communicate with each other at all times by wire or wirelessly, the data acquired at the time of execution is transmitted to the medical management computer at the time of carrying out the medical procedure and is managed there, so that the medical procedure is performed in real time. It is possible to check and manage.

[Brief description of drawings]

FIG. 1 is a block diagram showing a configuration of a medical management computer used with a medical portable information terminal according to an embodiment of the present invention.

FIG. 2 is a block diagram showing a configuration of a medical portable information terminal according to the above embodiment.

FIG. 3 is a diagram showing a configuration of a medical management database constructed in the medical management computer.

FIG. 4 is a diagram showing an article with a barcode to be read by the medical portable information terminal according to the above embodiment.

FIG. 5 is a flowchart showing a main routine that constitutes a processing procedure in the medical management computer.

FIG. 6 is a flowchart showing some subroutines that constitute a processing procedure in the medical management computer.

FIG. 7 is a flowchart showing another subroutine that constitutes a processing procedure in the medical management computer.

FIG. 8 is a flowchart showing a main routine that constitutes a processing procedure in the medical portable information device according to the embodiment.

FIG. 9 is a flowchart showing some subroutines that constitute a processing procedure in the medical portable information device according to the embodiment.

FIG. 10 is a flowchart showing another subroutine which constitutes a processing procedure in the medical portable information device according to the embodiment.

[Explanation of symbols]

10 ... Personal digital assistant for medical use 11 ... Display 12 ... Data processing unit (microcomputer) 13 ... Recording section 14 ... Voice generation unit 15 ... Voice input section 16 ... Input operation section 17 ... Interface section 18 ... Bar code reader 100 ... Main body of medical management computer 102 ... Input operation unit 104 ... Scanner 106 ... Display device 108 ... Bar code printer 110 ... Auxiliary storage device 112… Medical Management Database 301 ... IC card 302-304 ... Bar code

Claims (9)

[Claims] 1. A personal digital assistant for medical use, which is carried by a medical staff and used for management of medical treatment, and which has interface means for exchanging data with other information processing devices and is rewritable. Storage means, input operation means operated by the medical staff, and identification information of a target person of the medical procedure to be performed when the medical procedure is performed by the medical staff and /
Or information acquisition means for reading the identification information from the ID recording medium, which is a recording medium for holding the identification information of the article used for the medical procedure to be performed, as execution-time acquisition data, and information stored in the storage means. Output means for visually or audibly recognizingly outputting, and control means for controlling the interface means, the storage means, and the output means, wherein the control means indicates the content of the medical action to be performed. When the medical instruction data including the information shown and the identification information for identifying the target person of the medical procedure to be performed is input from the other information processing device by the interface unit, the medical instruction data is stored in the storage unit. When the identification information is read from the ID recording medium by the information acquisition unit, the read identification information is read as The medical instruction data and the implementation-time acquisition data stored in the storage unit are selectively output to the output unit in response to an operation performed on the input operation unit, and in response to an operation performed on the input operation unit. Then, the implementation-time acquired data stored in the storage means is output to the other information processing device by the interface means. 2. The output means includes a voice output means for selectively outputting, as voice, the medical instruction data and the implementation-time acquired data stored in the storage means in response to an operation on the input operation means, The medical information acquisition method according to claim 1, wherein the information acquisition unit includes a voice input unit that inputs a voice, which is a response of the subject person to the voice output from the voice output unit, as the execution-time acquisition data. Portable information terminal. 3. The information acquisition means, from the barcode recording medium as an ID recording medium given to the subject and / or the barcode recording medium as an ID recording medium attached to the article, the subject. And / or bar code reading means for reading the identification information of the article as the execution-time acquired data.
The medical portable information terminal according to claim 1. 4. The IC card reading means for reading the identification information of the target person and / or the article as the execution-time acquired data from an IC card as an ID recording medium given to the target person. The personal digital assistant for medical use according to claim 1, comprising: 5. The collating means for collating the identification information read as the on-the-fly acquisition data by the information acquisition means with the identification information included in the medical instruction data, wherein the output means includes the collation result by the collation means. The personal digital assistant for medical use according to claim 1, wherein 6. The medical practice includes an inquiry to the target person, and the information acquisition unit includes an input unit for acquiring information indicating a response of the target person to the inquiry as the implementation-time acquisition data. The medical portable information terminal according to claim 1, characterized in that. 7. The portable information terminal for medical use according to claim 6, wherein the information acquisition unit includes a voice input unit that inputs a voice that is a response of the subject person to the inquiry. 8. The medical practice includes medication for the subject, and the information acquisition unit includes an input unit for obtaining identification information of a drug administered to the subject as the execution-time acquisition data. The medical portable information terminal according to claim 1, characterized in that. 9. A medical practice is managed using a medical portable information terminal carried by a medical staff and a medical management information processing apparatus capable of exchanging data with the medical portable information terminal. A medical method data in the medical management information processing device, including medical instruction data including information indicating the content of each medical action to be performed based on a doctor's instruction and identification information of a target person of each medical action. An ID recording medium is created by storing the information in a predetermined storage means and the identification information of the target person of each medical procedure and the identification information of the article to be used in each medical procedure in a predetermined recording medium. Each of the ID recording media in which the identification information of the target person is recorded is given to the target person to be identified by the identification information recorded in the ID recording medium, and the identification information of the article is recorded. Corresponding to a step of attaching each recorded ID recording medium to an article to be identified by the identification information recorded in the ID recording medium, and at least one medical action scheduled to be performed among the medical actions to be performed The medical instruction data to be taken out from the storage means, transferred to the medical portable information terminal, and stored in the medical portable information terminal; and when the medical worker implements the planned medical action. The step of outputting the medical instruction data stored in the medical portable information terminal in a visually or audibly recognizable manner in the medical portable information terminal, and the medical worker performs the planned medical action. At that time, the ID given to the person who is to undergo the medical treatment scheduled to be carried out
A step of reading identification information from a recording medium and / or an ID recording medium attached to an article used for the medical practice scheduled to be performed by the medical portable information terminal, and the read identification information as execution-time acquisition data Storing in the medical portable information terminal, after the medical action scheduled to be carried out, the implementation-time acquisition data stored in the medical portable information terminal is transferred to the medical management information processing apparatus, and the medical management is performed. Storing the medical instruction data in the storage unit of the information processing device in association with the medical instruction data.