JP2003281271A - Hospital support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To easily and accurately care each patient using a hospital CATV system and corresponding a hospitalized patient to a bed number by an ID card in a hospital work support system. <P>SOLUTION: When the ID card 17 possessed by each patient is inserted in a terminal device 14 installed for every patient bed, the bed number and the patient ID of the terminal device 14 is transmitted to a management device 23 by a bidirectional CATV system, the identity/non-identity of the patient ID of the applicable bed number stored and managed by a hospitalization management server 25A is determined and the identity recognition screen G1 or non-identity recognition screen G2 is displayed on a display device 14. When the terminal bed number and the patient ID are not agreed with each other due to a bed change, hospitalization data of the hospitalization management server 25A is updated by an OK operation by the patient, so that the work support is performed by constantly rightly corresponding each terminal device 14 to the patient. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

TECHNICAL FIELD The present invention relates to a CATV in a hospital.
The present invention relates to a hospital support system for supporting hospital operations for inpatients using the system.

[0002]

2. Description of the Related Art Generally, a large hospital equipped with an in-hospital facility is equipped with a CATV system so that a television receiver installed in each patient room can arbitrarily select and receive a plurality of channels. In this case, by using the bidirectional CATV line, necessary information can be transmitted from the hospital side to the patient via the terminal device or the television receiver so that the patient side can also request or respond to various service information. Has become.

In such bidirectional information transmission between the hospital side and the patient side using the CATV system in the hospital, for example, for each terminal device of the television receiver installed for each bed. By storing the bed number in which the terminal device is installed and managing the patient name by associating the patient name with the bed number at the time of admission and discharge of each patient on the hospital side,
The patient corresponding to each terminal device is recognized.

On the other hand, in a hospital, the bed of an inpatient is frequently changed, so that the nurse (or nurse) always checks the patient and the bed number even when the patient is not in and out of the hospital. The association with the terminal device must be updated.

[0005]

As described above, in the conventional two-way communication system with an inpatient using the CATV system in a hospital, each terminal device is identified by the bed number in which the terminal device is installed. By managing the patient name by associating it with the bed number, it is possible to recognize who is the patient corresponding to each terminal device.However, due to frequent admission and discharge of patients and bed change, Updating the association is very troublesome and error-prone, and if the patient mistakenly uses his / her bed and uses the CATV terminal, the hospital side cannot know this, so the terminal device and patient There is a problem that it is not possible to exchange information that requires the accuracy of correspondence.

[0006] Therefore, in the conventional two-way communication system with an inpatient using the CATV system in a hospital, in addition to viewing a television program by a prepaid card, providing information common to each patient such as hospital facility information and health information, ,
It is only used for simple questionnaire surveys.

The present invention has been made to solve such a problem, and utilizes a CATV system, and
It is an object of the present invention to provide a hospital support system that makes it possible to easily and accurately perform work for each patient by associating an inpatient with a bed number using a D card.

[0008]

[Means for Solving the Problems] That is, a hospital support system according to the present invention comprises a terminal device installed for each patient by a CATV system of a hospital, and a support control device connected to the CATV system to support and control hospital operations. In the hospital support system, the terminal device includes a bed number storage unit that stores a bed number, an ID card mounting unit that mounts an ID card in which ID information for each patient is set, and the ID card mounting unit. When the ID card is attached by, the bed number stored by the bed number storage means and the I for each patient set in the ID card are set.
Patient ID transmitting means for transmitting the D information to the support control device, and confirmation display means for displaying the personal identification information received from the support control device in response to the transmission of the patient-specific ID information by the patient ID transmission means. When the personal identification information displayed by the confirmation display means is information for confirming the disagreement of the patient-specific ID information, an ID disagreement permitting means for permitting the disagreement is provided, and the support control device is provided in each hospital. Hospitalization data storage means for storing the bed number of the bed and ID information for each patient, and the bed number and its ID information received from the terminal device, the corresponding bed number stored by the hospitalization data storage means. Of the ID information judged by this patient ID judging means and the patient ID judging means for judging the matching / non-matching with the ID information of
Identity confirmation transmission means for transmitting the identity verification information corresponding to the mismatch to the terminal device, and ID information for the corresponding bed number by the ID mismatch permission means of the terminal device in response to the identity verification information transmitted by the identity verification transmission means. And the admission data update means for updating the ID information of the corresponding bed number stored by the admission data storage means in accordance with the bed number received from the terminal device and the ID information thereof when the mismatch is permitted. It is characterized by

In such a hospital support system according to the present invention, when the terminal device is equipped with the ID card in which the ID information for each patient is set, the ID number is stored in the ID card together with the bed number stored by the bed number storage means. The set ID information for each patient is transmitted to the assist control device. Then, the support control device determines whether the bed number and its ID information received from the terminal device match / mismatch with the ID information of the corresponding bed number stored by the hospitalization data storage means, and the determined ID is determined. Information match /
Personal identification information corresponding to the mismatch is transmitted to the terminal device. Then, the terminal device displays the personal identification information received from the assistance control device, and when the personal identification information is information for confirming the discrepancy of the patient-specific ID information, if the discrepancy is permitted, the assistance is performed. In the controller,
Since the ID information of the corresponding bed number stored by the hospitalization data storage means is updated according to the bed number and its ID information received from the terminal device, the patient wears his / her own ID card when using the terminal device. Each time, the personal identification and the necessary update of the patient ID information for the bed number of the terminal device are performed. For example, the selection and aggregation process of the meal menu for each patient and the charge data inquiry process for each patient,
It becomes possible to carry out medical care information display processing for each patient without error for each patient.

[0010]

BEST MODE FOR CARRYING OUT THE INVENTION An embodiment of the present invention will be described below with reference to the drawings.

FIG. 1 is an overall configuration diagram of a hospital support system according to the present invention.

In this hospital support system, an ID card 17 for each patient is attached to the CATV terminal device 14 installed for each bed in the hospital so that the terminal device 14 and the patient can be accurately associated with each other. Will support the meal menu selection and collection work for each patient, billing work, and medical care information provision work.

In FIG. 1, reference numeral 11 denotes a head end device for television co-listening, which is provided in a management center of a hospital, for example, which receives various television broadcasts through a television antenna 10 and performs processing such as frequency conversion on a transmission line. That is, it is output to the bidirectional CATV line 12. The CATV line 12 is branched by a branch terminal 13 and connected to a terminal device 14 installed in a hospital room.

The terminal device 14 has a display device 15 and can be operated by a remote controller 16. The terminal device 14 is installed for each patient, that is, for each bed, and stores each corresponding bed number.

The remote controller 16 is capable of performing operations relating to television reception and selecting meal menus, as will be described in detail later. Further, the terminal device 14 is provided with a card insertion opening 18 for inserting, for example, an ID card 17 or an IC card.

The ID card 17 is issued from the hospital side to each inpatient, and the patient name, ID information, consultation ticket number, etc. are written in the ID card 17, for example.

A hospital work support control system 20 is provided in the management center, and the head end device 1 is provided.
Connected to 1.

The hospital work support control system 20 includes:
For example, a work support management device including an operation management device 21, an image creation device 22, and a management device 23 configured by using a personal computer is provided, and the hospital management server 25A, the nursing support server 25, and nutrition are provided via the network 24, respectively. It is connected to the department server 26.

Hospital admission information and billing information are stored in the hospitalization management server 25A, the bed number and the inpatient are linked, and billing information for each patient is recorded.

FIG. 2 is a diagram showing hospitalization data 25A1 managed by the hospitalization management server 25A of the hospital support system.

The hospitalization data 25A1 is stored and managed by associating the bed number assigned to each hospital room number, the patient ID and patient name for each bed number, and the date and time of admission. The hospitalization data 25A1 is
It is sequentially updated according to the attachment of a new ID card 17 to the terminal device 14 due to admission and discharge of each patient and bed change.

FIG. 3 is a diagram showing billing data 25A2 managed by the hospitalization management server 25A of the hospital support system.

As the billing data 25A2, TV / refrigerator (not shown) usage charges for each hospitalized patient are recorded and managed in association with the patient ID managed based on the hospitalization data 25A1. The TV usage fee is charged on a daily basis upon notification of the start of the TV program viewing operation by the terminal device 14 of each patient, and the refrigerator (not shown) usage fee is charged to the hospital host computer. The refrigerator to which the bed number is associated is notified via the power supply (not shown), and the refrigerator is charged on a daily basis.

FIG. 4 is a diagram showing individual guidance data 25a managed by the nursing support server 25 of the hospital support system.

In the nursing support server 25, individual medical care information (for example, advice during hospitalization) input by the attending physician for each inpatient is stored and managed in association with each patient name, patient ID, and disease type. Therefore, the medical care information for each patient is read out and provided to the terminal device 14 according to the selection notification of the individual advice and the patient ID from the corresponding terminal device 14.

Further, the nutrition department server 26 stores dietary restriction information corresponding to various illnesses, such as information on salt reduction and sugar content restriction, a lunch menu and the like. Although not shown, various devices such as a printer are connected to the network 24.

The operation management device 21 is connected to the head end device 11 via the TV modulator 27 and the mixer 30, and the image creating device 22 is connected to the head end device 11 via the TV modulator 28 and the mixer 30. Connected to. In addition, the management device 23 is an LCU (Local Control Unit) 2
9 and the mixer 30 to the headend device 11.

The operation management device 21 is the nutrition department server 2
A meal menu reflecting and reflecting the dietary restriction information accumulated in 6 is created and managed. The created meal menu is output to the headend device 11 via the TV modulator 27 and the mixer 30. The image creating device 22 creates a cooking image corresponding to the lunch menu and outputs it to the headend device 11 via the TV modulator 28 and the mixer 30.
In the image creating device 22, for example, a meal actually cooked is photographed in advance by a digital camera and stored as a cooking image file.

The headend device 11 is the operation management device 2
1 and the meal selection menu created by the image creating device 22 are output to the CATV line 12 so that they can be viewed on the display device 15 of the terminal device 14 installed in the hospital room.

The management unit 23 and the LCU 29 perform overall management of the system, and also perform a TV usage fee billing process for each patient, a billing data inquiry process, a medical care information providing process, and the like.

FIG. 5 shows a configuration example of the remote controller 16. The remote control 16 includes a power button 31, numeric keys 32 for designating TV channels, menu numbers, etc.
Various function buttons 33 and 34 are provided, a request button 35 for displaying a meal selection menu on the display device 15, a confirmation button 36 for determining the selected meal menu, and the like.

The function button 33 includes, for example, an off-timer button for automatically turning off the power after a set time, a screen display button for displaying the program number of the program currently being viewed, and an audio multiplex button for switching the main audio and the sub audio of the program. A mute button for turning off the sound, a volume button for adjusting the volume, and the like are provided.

Further, the function button 34 is provided with, for example, a category button for switching four types of categories of TV / genre / guidance / information, a channel selection button for moving up / down in the selected genre, and the like.

When the ID card 18 is inserted into the card insertion slot 18 of the terminal device 14 and the "TV" button is selected, the TV can be watched, and at the same time, the TV usage fee is charged.

Further, the information button 37 provided as the category button is a collection of links of various information channels. When the information button 37 is pressed, as shown in FIG. 2. Top menus such as “hospital guidance”, ..., “7. Menu of the week”, “8. About lifestyle-related diseases”, “9. Individual advice” are displayed on the display device 15 together with the menu number.

The desired information channel can be selected by pressing the menu number displayed on the top menu. For example, if you press the menu number of “7. Menu of the week”, you can see the menu in the lunch menu of this week, and if you press the menu number of “9. Individual advice”, advice from the attending doctor (medical Care information) can be seen.

Further, the remote controller 16 is provided with a charge button 38, and when the usage charge button 38 is pressed, the billing information of the corresponding patient can be viewed.

Next, description will be made regarding the processing in the case where the operation management device 21 and the image creation device 22 create a lunch menu.

When creating a lunch menu, the operation management apparatus 21 activates an image creation tool. When this image creation tool is activated, the meal selection menu image creation screen shown in FIG. 7 is displayed. On this screen, the implementation date, the cycle number, the number of categories, the season number, etc. are specified, the options and the number of screens are set for each category, and the image numbers of, for example, the breakfast menu and the dinner menu are set for each category.

The above-mentioned cycle refers to a circulation cycle in which a plurality of meal menus are sequentially circulated at a predetermined cycle and used, and a cycle number is designated by a numerical value. The category is a dietary restriction classification, and a plurality of classification classifications such as diabetes and low salt are set, for example, categories 1 to 4. In the hospital room, the meal menu displayed according to the category assigned to each patient is automatically determined. The season is for setting the lunch menu according to the seasons of spring, summer, autumn, and winter, and is specified by a number.

The options set for each category indicate the number of selectable meal menus, and the number of screens indicates the number of screens displayed when selecting a meal menu. Further, on the screen, "main (main image)", "selection 1 (image of option 1)", "selection 2 (image of option 1)",
The item "image (other images)" is displayed and the number of the displayed image is registered.

On the screen shown in FIG. 7, the end button 4
1, a registration button 42 and a start button 43 are provided, and when the registration button 42 is pressed after performing various settings,
When the setting contents are registered and the start button 43 is pressed, the selection menu editing screen shown in FIG. 8 is displayed. To end the setting of the meal selection menu, the end button 41 is pressed.

The selection menu editing screen shown in FIG. 8 is
"Screen: 1, Implementation date: Thursday, August 20, Category:
This is an example when "1, meal: breakfast" is specified. This selection menu edit screen is displayed in the image column 5 that is actually broadcast to the patient room.
1 and menu field 52, cancel button 53, BMP
(Bitmap) file button 54, registration button 5
5, a next button 56 is provided.

In the menu column 52, categories, food types, implementation dates, breakfast / dinner, selection menus, operation explanation columns and the like are displayed. In the case of category 1, there is no particular dietary restriction, and the food type is regular diet A. Then, in the selection menu field, for example, "(1) beef stew, salad, jelly",
Write down the menu contents at that time, such as “(2) Oyakodon with mushrooms, salad, jelly”. The menu content written in this selection menu field is automatically reflected in the image field 51. The category information can be automatically assigned by the nutrition department server 26.

In the image column 51, press the button with the desired menu number, for example, along with the above menu contents.

◇ Press [Confirm] to select dinner.

◇ If you have not selected by the deadline, it will be "Menu (1)".

Explanations such as "" are displayed.

Similarly, a plurality of lunch menus are determined for each category in the same manner.

Next, the image file of the lunch menu created in advance by the image creating device 22 is allocated to the broadcast screen. In this case, as described above, the actually cooked food is photographed by the digital camera, the photographed image is taken in by the image creating device 22 as a menu file, the menu file and the lunch menu are associated and stored in the memory. Further, the image creating device 22 is capable of creating a menu file not only in a file taken by a digital camera but also in a bitmap file format.

When the next button 56 is pressed on the screen shown in FIG. 8, the screen is switched to the explanatory image editing screen shown in FIG. 9, and the menu file is pasted on this screen. That is, when the file read button 57 in the menu field 52 is clicked on this screen, the image of the selection menu, in this case, the image for “(1) beef stew salad jelly” is read out and displayed in the image field 51. . The position adjustment of the file image is performed by operating the position adjustment scroll button 58, and the size adjustment is performed by operating the size adjustment scroll button 59, whereby fine adjustment can be performed while confirming the actual image.

When the next button 56 is pressed on the screen shown in FIG. 9,
A menu file allocation screen (not shown) for the next lunch menu, that is, “(2) Oyakodon with mushrooms, salad, jelly” is displayed in the same manner as in FIG. 9.

In the same manner, meal selection menus for each category are similarly created and registered.

Next, the setting of schedule management for managing the schedule of questionnaire broadcasting of the meal selection menu will be described. When the schedule management setting function is specified in the operation management apparatus 21, the schedule edit screen shown in FIG. 10 is displayed. In this schedule edit screen, the current date, time, type (meal selection menu), cycle, season, date and time when the meal selection menu starts, date and time when the meal selection menu ends, warning time, Setting items such as are displayed.

The warning is for displaying a message prompting the user to enter a questionnaire a certain time before the service of the meal selection menu ends. For example, the warning "3
If set to "0 minutes ago", the service will end at 30
A minute before, a message prompting for questionnaire input is displayed on the display device 15 in the hospital room. Further, on the schedule edit screen, a registration button 61, a temporary registration button 62, an image selection button 63, a patient ID / category button 64,
A return button 65 is provided.

When the temporary registration button 62 is pressed, the setting data is temporarily registered, and the data can be corrected later. When the registration button 61 is pressed, the setting data is officially registered, and the registration data is stored in the management device 23.
Sent to be managed. When the image selection button 63 is pressed, the screen returns to the lunch menu image creation processing screen. When the patient ID / category button 64 is pressed, the process proceeds to the process of setting the category of each patient shown in FIG.

By assigning seasons and cycles on the schedule editing screen shown in FIG. 10, the schedule can be used repeatedly.

FIG. 11 shows the patient ID in FIG.
7 shows a category setting screen for each patient when the category button 64 is pressed. On this category setting screen, the cycle and season of the meal selection menu are displayed, and the category setting file 71 is also displayed. The category setting file 71 includes item numbers, patient names,
Input items for patient ID and category number are provided.

On the category setting screen, a read from file button 72 and a current patient ID acquisition button 7 are displayed.
3, a delete button 74, a category designation button 75, a category confirmation button 76, a print preview button 77, a rearrangement button 78, a registration button 79, and a return button 80 are provided.

The read button 72 from the file is a button for reading "patient name", "patient ID", and "category number" from an arbitrary file in which data is recorded in advance. The current patient ID acquisition button 73 is used for “patient name” and “patient I” registered in the nutrition department server 26.
Buttons for reading "D" and "category". Normally, the current patient ID acquisition button 73 is used to acquire data. The data acquired by operating the read button 72 or the current patient ID acquisition button 73 is displayed in the category setting file 71. When correcting the category displayed in the category setting file 71, the category designation button 75 is used for correction, and the category confirmation button 76 is used for confirmation.

By the category setting file 71, categories are assigned to each patient, and the menu screen displayed on the display device 15 in the hospital room is determined according to the category information.

This completes the preparation of the lunch selection menu and the schedule editing process. When the schedule set as described above is registered, new information is added to the timetable of the schedule management table shown in FIG.

The schedule management table displays the date and the current time of the day, a management table 81, an aggregation result button 82 for displaying the aggregation result, a detail button 83 for displaying the details, and an add button for adding a schedule. 8
4, an immediate button 85 for immediately executing the process, a stop button 86 for stopping the process, a delete button 87 for deleting the input data, and a hold button 8 for holding the execution of the schedule
8. An end button 89 for ending data input is provided.

In the management table 81, "item number (item number)", "state", "type", "cycle (service)",
The items "season (ki)", "start time", and "end time" are provided. In the "state" item, contents indicating the current state such as "finished", "uncollected", "standby", and "held" are displayed. The above "end" indicates that the service has already ended, "uncollected" indicates that the survey is currently being collected, "waiting" indicates that the service will be performed in the future, and "pending" indicates currently "temporary registration". It shows what is going on.

In the "type" item, service contents such as "meal selection", "information display", and "questionnaire" are displayed. A cycle number is displayed in the item “cycle (service)”, and a number indicating the season is displayed in the item “season (ki)”.
The "start time" item shows the start time of each service, and the "end time" shows the end time of each service.

The schedule management table shown in FIG. 12 is constantly displayed on the operation management apparatus 21 or the management apparatus 23 so that the operation status can be monitored in real time.

Next, the overall processing operation in the above embodiment will be described with reference to the flowchart.

When the patient is hospitalized, the host computer on the hospital side issues an ID card 17 to the inpatient. In this ID card 17, for example, a patient name and patient-specific ID information are written, and an examination ticket number is written if necessary. A predetermined bed is assigned to the inpatient.

When the inpatient enters the hospital room, the inpatient inserts his / her ID card 17 into the card insertion opening 18 of the terminal device 14 corresponding to the assigned bed as shown in the flowchart of FIG. 14 (step A1). Terminal device 14
When the ID card 17 is inserted, the stored information, that is, the patient name and ID information, is read (step A
2) Send it to the hospital work support control system 20 together with the preset bed number. The hospital work support control system 20 receives the information sent from the terminal device 14 by the management device 23 (step A3) and transfers it to the operation management device 21. When the operation management apparatus 21 acquires the patient name, ID information, and bed number sent from the management apparatus 23 (step A4), the operation management apparatus 21 determines whether hospitalization processing is being performed (step A5), and the hospitalization processing is performed. If not, the necessary information is obtained from the host based on the ID information (step A6), the address for the patient data is set, and the hospitalization process is performed (step A6).
7). The patient data acquired by the operation management device 21 is stored in the hospitalization management server 25A, and the hospitalization data 25
The hospital room / bed number and the patient are linked by A1. Further, the management apparatus 23 also performs hospitalization processing based on the patient's address number, name, medical examination ticket number, etc. acquired by the operation management apparatus 21 (step A).
8).

Then, the patient name obtained according to the hospitalization process of the management device 23 is transmitted to the terminal device 14 in which the ID card 17 is inserted, and the terminal device 14 in FIG.
A patient name confirmation screen G1 as shown in FIG. 5 (A) is displayed (step A9).

FIG. 15 is a view showing a patient name confirmation screen displayed on the display device 15 of the terminal device 14 in the hospital support system. FIG. 15A shows the ID card 17 inserted in the terminal device 14. The figure which shows the patient name confirmation screen G1 when patient information and the patient information acquired from the hospital host or the hospitalization management server 25A match. The figure (B) is the patient information of the ID card 17 inserted in the terminal device 14. It is a figure which shows the patient name mismatch confirmation screen G2 when the patient information acquired from the hospitalization management server 25A does not match.

When it is determined in step A5 that the hospitalization process has already been performed, the operation management device 21 stores the newly acquired combination of ID information and bed number in the hospitalization management server 25A. Check the stored data (step A10) and determine if the same as the registered one (step A11). If they are the same, it is determined that the ID information and the hospitalization data 25A1 match. The name is transmitted to the terminal device 14 in which the ID card 17 is inserted, and the terminal device 14 displays the name shown in FIG.
It is displayed as a patient name confirmation screen G1 as shown in (A) (step A9).

In this patient name confirmation screen G1, although the patient information of the ID card 17 inserted in the terminal device 14 and the patient information registered in the hospital host or the admission management server 25A are the same, that is the person's name. If the OK button is operated, the process is terminated as it is (step A18 → NOP), and if the NG button is operated, the NG signal is received by the management device 23 (step S18). (A18 → A19), the operation management device 21 notifies the hospital host that the ID information of the ID card 17 and the patient do not match (step A20).

On the other hand, when the combination of the ID information and the bed number acquired from the terminal device 14 is different from the patient information stored in the hospitalization management server 25A, the operation management device 21 through the management device 23 The mismatch confirmation processing is executed (steps A11 → A12, A13), and as shown in FIG. 15B, the patient name currently operating the terminal device 14 and the patient name registered as the hospitalization data 25A1 are different. A patient name mismatch confirmation screen G2 for confirmation is displayed on the terminal device 14 (step A1).
4).

On the patient name mismatch confirmation screen G2, for example, the patient name currently operating the terminal device 14 and the hospitalization data 25A1 due to the movement of the patient accompanying the bed change.
When the OK button is operated on the assumption that there is no problem that the registered patient name does not match, an OK signal is received from the terminal device 14 to the management device 23 (step A15).
→ A16), the operation management apparatus 21 judges that the patient's bed has been changed, and the hospitalization management server 25A
The registered content of the hospitalization data 25A1 in (1) is updated in correspondence with the ID information currently acquired from the terminal device 14 (step A17).

At this time, the hospitalization data 25A1 is the patient I
D, the date and time of entering the room are updated along with the update of the patient name.

As described above, when the inpatient wears the ID card 17 on the terminal device 14, the patient name based on the ID information matches the patient name registered in the hospital host or the admission management server 25A. When a discrepancy is determined and the patient name confirmation screen G1 and the patient name discrepancy confirmation screen G2 are displayed on the terminal device 14 to prompt confirmation of coincidence and update of the discrepancy, the terminal device 14 for each hospital bed and the hospitalization Linking with the patient will always be reliable and accurate.

After that, as shown in the flow chart of FIG. 16, when a category which is diet restriction information is set for the inpatient according to the medical condition etc. (step B1), the operation management device 21 causes the nutrition server 26 to target the patient. The data such as the medical examination ticket number, the address number, the food type restriction information (category number), and the food type number are read (step B2) and transferred to the management device 23. The management device 23 is the operation management device 21.
The dietary restriction process for the target patient is executed based on the data sent from (step B3), and the reception channel is set for the terminal device 14 used by the patient.
That is, the terminal device 14 is set so that only the meal selection menu corresponding to the patient category can be received, and the meal selection menu for other categories cannot be received (step B4). The terminal device 14 is
The number of the reception channel set by the management device 23 is stored, and thereafter, the operation management device 21 and the image creating device 2 are stored.
Only the meal selection menu of the designated category sent from 2 through the setting channel is received and displayed on the display device 15.

Next, regarding the selection processing of the lunch menu,
This will be described with reference to the flowchart shown in FIG.

The management device 23 and the operation management device 21 operate according to the schedule set in advance on the schedule edit screen of FIG. 10, and when the service start time comes, a start signal is output to the terminal device 14 to provide the service of the meal selection menu. To start.

In each hospital room, when the patient uses the lunch selection menu, the request button 35 of the remote controller 16 while the terminal device 14 and the display device 15 are operating.
Is pressed (step C1). When the request button 35 is pressed, the terminal device 14 determines whether or not a signal to start feeding the meal selection menu is received from the management device 23, and if the signal is not received, that is, the time of the meal selection menu service. If it is outside, a message such as "This service is currently unavailable" is displayed on the display device 15.

The terminal device 14 outputs a request signal when the request button 35 is pressed within the time period of the meal selection menu service. This request signal is
It is sent to the management device 23 via the CATV line 12 and the headend device 11. When the management device 23 receives the request signal, the management device 23 confirms from which terminal device 14 the request signal is sent, and responds with the name of the patient corresponding to the terminal device 14 and the message "please confirm the name". Display device 15 for sending to the terminal device 14
(Step C2).

Here, when the displayed name is incorrect, if a button other than the confirmation button 36 of the remote controller 16 is pressed and an NG operation is performed (step C2a), an NG signal is notified to the management device 23, When the management device 23 determines that the patient who is operating the terminal device 14 is different from the registration of the hospitalization data 25A1, the stopping process of the meal menu selection process is performed (step C2b).

On the other hand, when it is confirmed that the displayed name is correct and the confirmation button 36 of the remote controller 16 is pressed (step C3), the management device 23 changes the image creation device 22 to the image column 51 in FIG. The main menu of the breakfast meal selection menu shown and the actual cooking picture shown in FIG. 9 (two pieces)
Is displayed and displayed alternately on the display device 15 at a predetermined interval, for example, every 5 seconds (step C4). In this case, in the terminal device 14, the reception channel is designated in advance by the management device 23 as described above, and only the meal selection menu for the set category can be received, and the meal selection menu for other categories cannot be received. Further, in the step C4, information for inquiring whether or not the patient is discharged can be displayed if necessary. If the day of discharge is determined, no further meals will be required, so the tabulation process of the meal selection menu is executed according to the discharge schedule.

The patient looks at the cooking picture of the lunch menu displayed on the display device 15 to check the contents, selects the desired menu number on the display screen of the main menu with the number keys 32 of the remote controller 16, and the confirm button 36. Is pressed (step C5). When the confirmation button 36 is pressed, the management device 23 confirms the selected breakfast menu, then sends out the main menu for dinner and the actual cooking picture (2 pieces), and displays it on the display device 15 at predetermined intervals. Displayed alternately (step C6). On this screen, enter the desired menu number in the same way as for breakfast, using the numeric keys 32
And press the confirmation button 36 (step C
7).

When the menu selection for breakfast and dinner is completed, the management device 23 displays a message "please wait for a while" on the display device 15 (step C8), collects data by high-speed polling, and performs registration processing. Is executed (step C9). If the request reception process for the lunch menu is completed normally,
The message "Request accepted" is displayed on the display device 15 (step C10), and if the request reception process is not normally completed, the message "Don't accept" is displayed on the display device 15. It is displayed (step C11). When the message "No" was displayed as described above, the selection operation of the meal selection menu is executed again.

Then, the management device 23 prompts the user to enter a questionnaire, for example, 30 minutes before the reception end time of the meal selection menu, for example, "The reception time of the meal menu will soon expire." Message is displayed on the display device 15 of each hospital room. Thereby, each inpatient can remember to select the lunch menu without forgetting.

As described above, the acceptance process of the meal selection menu desired by each patient is performed, and when the acceptance end time comes, the operation management device 21, the management device 23, and the terminal device 1
4 finishes the request acceptance process for the lunch menu.
The management device 23, after finishing the request acceptance process,
Aggregate the selected lunch menu. If the patient forgets to select the meal menu even though the message prompting the user to select the meal menu is displayed and the meal menu has not been selected, the designation displayed on the main menu is displayed. The menu, that is, “menu (1)” in this example, is selected, and the aggregation processing is executed.

The above counting result is displayed on the screen of the management device 23. FIG. 13 shows a display example of the counting result. “Cycle”, “season”, “implementation period” are displayed on the display screen of the counting result, and the counting result display column 91, the read button 92, the rearrangement button 93, the print preview button 94, the return button 95, etc. Is provided.
The "implementation period" indicates a period during which the lunch selection menu service is implemented.

The tabulation result display column 91 has items such as “item number (item number)”, “patient name”, “patient ID”, “category”, and “menu selection number”.
In the "menu selection number" item, the menu number selected corresponding to the question number is displayed.

The above-mentioned totalized result is automatically transferred from the operation management device 21 to the nutrition department server 26. Further, the above-mentioned totalized result can be printed out as a form. Therefore, it is possible to confirm the lunch menu selected by each patient from the above-mentioned totalized result, and the meal is provided to each patient based on the menu.

As described above, when the inpatient attaches his or her ID card to the terminal device 14, the registration information of this ID card is sent to the operation management device 21, and the combination of the ID information and the bed number is admitted to the hospital. Confirmation processing is performed to determine whether or not it is the same as that registered in the management server 25A. Therefore, even if the bed change of the inpatient is performed, the patient can use his / her ID card 17 for the corresponding terminal device 1.
The link between the ID information and the bed number is immediately updated by simply inserting it into the terminal 4, and the terminal device 14 and the patient can always be correctly associated, and the meal menu corresponding to each patient is displayed on the display device 15. It Therefore, the patient can always correctly select the desired menu from the lunch menus that suit his category.

Next, the patient-specific billing process and the patient-specific billing data inquiry process in the hospital support system having the above configuration will be described.

FIG. 18 is a flow chart showing patient-specific billing processing and patient-specific billing data inquiry processing in the hospital support system.

FIG. 19 is a view showing a patient-specific usage fee inquiry screen G3 displayed on the patient terminal device 14 as an inquiry in accordance with the patient-specific charging data inquiry processing in the hospital support system.

When the television (TV) button is pressed on the remote controller 16 of the terminal device 14 (step D1),
A television signal from the CATV line is received (step D
2) The television screen of the reception channel at that time is displayed on the display device 15 (step D3).

Here, in the terminal device 14, it is judged whether or not the reception display operation of the television signal this time is the first TV reception operation on the day (step D4), and it is judged that it is the first TV reception operation on the day. In this case, the TV viewing billing start notification and the patient ID read from the ID card 17 are transmitted to the management device 23 (step D5).

Then, in the management device 23, the terminal device 14
Start notification for TV viewing and patient ID received from
Based on the above, one-day billing is carried out for the billing column of the television corresponding to the patient ID in the billing data 25A2 stored and managed by the hospitalization management server 25A (step D6).

Then, when the channel button (numerical key 32) on the remote controller 16 of the terminal device 14 is pressed (step D7), the television signal corresponding to the channel switching is received (step D8), and the switched receiving channel is received. Is displayed on the display device 15 (step D9).

On the other hand, when the charge button 38 is pressed on the remote controller 16 of the terminal device 14 (step D10),
The billing inquiry notification and the patient ID read from the ID card 17 are transmitted to the management device 23 (step D11).

Then, in the management device 23, the terminal device 14
Based on the billing inquiry notification and the patient ID received from the hospital, the billing amount corresponding to the patient ID is read from the billing data 25A2 stored and managed by the hospitalization management server 25A (step D12). Is transmitted to the terminal device 14 associated with (step D1
3).

As a result, the terminal device 14 that has pressed the fee button 38 and instructed the charging inquiry receives the charging data corresponding to the patient ID transmitted from the management device 13 (step D14). As shown in FIG. 19, it is displayed on the display device 15 as a patient-specific usage fee inquiry screen G3 displaying the billing amount together with the bed number and the patient name (step D15).

Even when such patient-specific billing processing and billing inquiry processing are performed, when an inpatient wears his or her own ID card on the terminal device 14, the registration information of this ID card is sent to the operation management device 21. Then, the confirmation process (see FIGS. 14 and 15) is performed to determine whether or not the combination of the ID information and the bed number (terminal device 14) is the same as that registered in the hospitalization management server 25A. Even if the bed change of the inpatient is performed, the terminal device 1
4 and the patient are always correctly associated, and the charge for each patient and the charge inquiry process can be performed without error.

Next, a patient-specific medical care information display process in the hospital support system having the above configuration will be described.

FIG. 20 is a flow chart showing a patient-specific medical care information display process in the hospital support system.

FIG. 21 is a diagram showing a patient-specific advice display screen G4 provided and displayed on the patient's terminal device 14 in accordance with the patient-specific medical care information display processing in the hospital support system.

When the information button 37 is pressed on the remote controller 16 of the terminal device 14 (step E1), the information shown in FIG.
As shown in, information menus such as "1. Information / bulletin board", "2. Hospitalization guidance", ..., "7. Menu of this week", "8. Lifestyle related diseases", "9. Individual advice", etc. Is displayed on the display device 15 together with the menu number (step E2).

When the menu number of "9. Individual advice" is selected and pressed according to this information menu (step E3), the notification of selection of the information menu number "9" and the patient ID read from the ID card 17 are displayed in the management device 23. Is transmitted to (step E4).

Then, in the management device 23, the terminal device 14
Based on the selection notification of the information menu number "9" and the patient ID received from the individual guidance data 25a stored and managed by the nursing support server 25, the individual advice corresponding to the patient ID is read ( Step E
5) It is transmitted to the terminal device 14 associated with this patient ID (step E6).

As a result, the information menu number "9"
In the terminal device 14 that has selected and pressed to request the medical care information, the corresponding patient I transmitted from the management device 13
Individual advice corresponding to D is received (step E
7) For example, as shown in FIG. 21, it is displayed on the display device 15 as a patient-specific advice display screen G4 displaying the individual advice by the doctor in charge together with the bed number and the patient name (step E8).

Even when performing such medical care information display processing for each patient, when the inpatient wears his or her own ID card on the terminal device 14, the registration information of this ID card is sent to the operation management device 21. And the combination of the ID information and the bed number (terminal device 14) is the hospitalization management server 25.
Confirmation process to see if it is the same as the one registered in A (Fig. 1
4 (see FIG. 15), the terminal device 14 and the patient can always be correctly associated with each other even when the bed change of the inpatient is performed, and the individual advice for each patient can be provided without error. It can be carried out.

In the above embodiment, the ID card 17
I explained the case of using this ID card 1
An IC card storing patient name, ID information and the like may be used as 7. When an IC card is used, various information such as a chart and various examination results can be stored in addition to the patient's name and ID information, which enables a wide range of applications.

Therefore, according to the hospital support system having the above structure, when the ID card 17 carried by each patient is inserted into the terminal device 14 installed for each patient bed by the bidirectional CATV system, the bed number of the terminal device 14 is inserted. And the patient ID are transmitted to the management device 23, and the hospitalization management server 2
A match / mismatch with the patient ID of the corresponding bed number stored and managed as the hospitalization data 25A1 of 5A is determined, and the match confirmation message G1 or the mismatch confirmation message G2 is displayed on the display device 15 of the terminal device 14,
If the terminal bed number and the patient ID do not match due to a bed change or the like, the patient can operate the OK button and the hospitalization data 25A1 of the hospitalization management server 25A can be operated.
Since it is updated, each terminal device 14 and the patient can always be managed in association with each other correctly without having to check frequent hospital admissions and discharges and bed changes by a nurse (nurse) or the like. It is possible to actively carry out the exchange of information that requires accurate correspondence between each terminal device and the patient.

As a result, by carrying out the meal menu selection processing, the patient can always correctly select a desired menu from the meal menus that suit his / her category, and the hospital side conducts a questionnaire. It becomes possible to accurately grasp and tabulate the selection menu of each patient without the need for paper-intensive tabulation work.

Further, by performing the billing process and billing inquiry process for each patient, the patient can always see his / her correct billing data, and the hospital side can accurately manage the billing data of each patient. Like

Further, if the medical care information display processing for each patient is carried out, the patient can always see his / her correct medical care information, and the hospital side does not have to take time and labor for each medical doctor in charge. It becomes possible to give individual advice for each patient without error.

Therefore, it is possible to realize an effective and highly reliable hospital support system.

[0118]

As described above, according to the hospital support system of the present invention, when the terminal device is fitted with the ID card in which the ID information for each patient is set, the bed number stored by the bed number storage means is stored. At the same time, the patient-specific ID information set in the ID card is transmitted to the support control device. Then, the support control device determines whether the bed number and its ID information received from the terminal device match / mismatch with the ID information of the corresponding bed number stored by the hospitalization data storage means, and the determined ID is determined. Identity confirmation information corresponding to the information match / mismatch is transmitted to the terminal device. Then, the terminal device displays the personal identification information received from the assistance control device, and when the personal identification information is information for confirming the discrepancy of the patient-specific ID information, if the discrepancy is permitted, the assistance is performed. In the control device, the ID information of the corresponding bed number stored by the hospitalization data storage means is updated according to the bed number received from the terminal device and the ID information thereof, so that the patient can use his or her own ID when using the terminal device. Every time the card is attached, the identity confirmation and the necessary update of the patient ID information with respect to the bed number of the terminal device are performed. For example, the selection and aggregation processing of the meal menu for each patient, the charge data inquiry processing for each patient, and the patient It becomes possible to carry out another medical care information display processing or the like for each patient without error.

Therefore, by using the CATV system and associating the inpatient with the bed number by the ID card, it becomes possible to easily and accurately perform the work for each patient.

[Brief description of drawings]

FIG. 1 is a diagram showing an overall configuration of a hospital support system according to an embodiment of the present invention.

FIG. 2 Hospitalization management server 25A of the hospital support system
Of the hospitalization data 25A1 managed in FIG.

[FIG. 3] Hospitalization management server 25A of the hospital support system
The figure which shows the charging data 25A2 managed in FIG.

FIG. 4 is a diagram showing individual guidance data 25a managed by a nursing support server 25 of the hospital support system.

FIG. 5 is a diagram showing a configuration example of a remote controller attached to the terminal device.

FIG. 6 is a diagram showing a display example of a top menu when an information button of a remote controller is pressed.

FIG. 7 is a diagram showing a display example of a meal selection menu image creation screen.

FIG. 8 is a diagram showing a display example of a selection menu editing screen.

FIG. 9 is a diagram showing a display example of an explanation image edit screen of a lunch menu.

FIG. 10 is a diagram showing a display example of a schedule edit screen.

FIG. 11 is a diagram showing a display example of a patient category setting screen.

FIG. 12 is a diagram showing a display example of a schedule management screen.

FIG. 13 is a diagram showing an example of a screen display of a counting result.

FIG. 14 is a flowchart showing hospitalization processing operation when a patient is hospitalized.

FIG. 15 is a terminal device 14 in the hospital support system.
It is a figure which shows the confirmation screen of a patient name displayed on the display device 15 of FIG.
The figure which shows the patient name confirmation screen G1 in case the patient information of the card 17 and the patient information acquired from the hospital host or the hospitalization management server 25A match, the figure (B) is the terminal device 1
The figure which shows the patient name mismatch confirmation screen G2 when the patient information of the ID card 17 inserted in 4 and the patient information acquired from the hospitalization management server 25A do not match.

FIG. 16 is a flowchart showing a dietary restriction processing operation when a category is set for an inpatient.

FIG. 17 is a flowchart showing a selection processing operation of a lunch menu.

FIG. 18 is a flowchart showing a patient-specific charge process and a patient-specific charge data inquiry process in the hospital support system.

FIG. 19 is a diagram showing a patient-specific usage fee inquiry screen G3 displayed as an inquiry on the terminal device 14 of the patient in accordance with the patient-specific charging data inquiry process in the hospital support system.

FIG. 20 is a flowchart showing a patient-specific medical care information display process in the hospital support system.

FIG. 21 is a view showing a patient-specific advice display screen G4 provided and displayed on the terminal device 14 of the patient in accordance with the patient-specific medical care information display processing in the hospital support system.

[Explanation of symbols]

10… TV antenna 11 ... Headend device 12 ... CATV line 13… Branch terminal 14 ... Terminal device 15 ... Display device 16 ... Remote control of terminal device 17… ID card 18 ... Card slot 20… Hospital business support control system 21 ... Operation management device 22 ... Image creation device 23 ... Management device 24 ... Network 25A ... Hospitalization management server 25A1 ... Hospitalization data 25A2 ... Billing data 25 ... Nursing support server 25a ... Instruction data 26 ... Nutrition Department Server 27, 28 ... TV modulator 29 ... LCU (Local Control Unit) 30 ... Mixer 31… Power button 32… Numeric key 33, 34 ... Seed function buttons 35… Request button 36 ... Confirm button 37 ... Information button 38… Price button 51 ... Image column 52 ... Menu column 71… Category setting file 81… Management table 91… Totalization result display column G1 ... Patient name confirmation screen G2 ... Patient name mismatch confirmation screen G3 ... Patient fee inquiry screen G4 ... Advice display screen for each patient

   ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Yuki Sekine             3-14-20 Higashi-Nakano, Nakano-ku, Tokyo Stocks             Hitachi Kokusai Electric Co., Ltd. (72) Inventor Takeshi Ueda             3-14-20 Higashi-Nakano, Nakano-ku, Tokyo Stocks             Hitachi Kokusai Electric Co., Ltd. (72) Inventor Katsumi Hashino             3-14-20 Higashi-Nakano, Nakano-ku, Tokyo Stocks             Hitachi Kokusai Electric Co., Ltd. F-term (reference) 4C341 LL01 LL06 LL10 LL30

Claims (4)

[Claims] 1. A hospital support system having a terminal device installed for each patient by a CATV system of a hospital, and an assist control device connected to the CATV system for supporting and controlling hospital operations, wherein the terminal device is a bed. A bed number storage means for storing a number and an ID card in which ID information for each patient is set I
D card mounting means, and when the ID card is mounted by the ID card mounting means, the bed number stored by the bed number storage means and the patient-specific ID information set in the ID card are provided to the support control device. To the patient ID transmitting means, confirmation display means for displaying the personal identification information received from the support control device in response to the transmission of the patient-specific ID information by the patient ID transmitting means, and the confirmation display means. When the provided personal identification information is the information for confirming the discrepancy of the patient-specific ID information, the personal computer further comprises an ID discrepancy permission unit that permits the discrepancy. The hospitalization data storage unit that stores the ID information of the bed and the ID information of the bed number received from the terminal device. The patient ID judging means for judging whether the ID information of the corresponding bed number stored by the data storing means is coincident or not, and the personal identification information according to the coincidence / disagreement of the ID information judged by the patient ID judging means, In the case where the ID confirmation permitting means for transmitting to the terminal device and the ID discrepancy permitting means of the terminal device permits the mismatch of the ID information in response to the transmission of the principal confirmation information by the principal confirmation transmitting means,
Hospital support, comprising hospitalization data updating means for updating the ID information of the bed number stored by the hospitalization data storage means according to the bed number received from the terminal device and the ID information thereof. system. 2. The assistance control device further includes selection information of a meal menu prepared for each patient according to each bed number stored by the hospitalization data storage means and ID information for each patient, and the terminal device for each patient. And a selection menu for collecting and tabulating the selection numbers of the meal menu selected by the terminal device in response to the transmission of the selection information of the meal menu for each patient by the selection information transmission means. Comprising a totaling means, the terminal device, a selection information display means for displaying the selection information of the lunch menu received from the support control device, and any information from the selection information of the lunch menu displayed by the selection information display means The hospital support system according to claim 1, further comprising: a menu selection unit that selects a menu number of the lunch menu. . 3. The terminal device further comprises: a charging inquiry instruction unit for instructing an inquiry of charging data; and when the inquiry of the charging data is instructed by the charging inquiry instruction unit, the inquiry request is made together with the inquiry request for the charging data. I by patient of the ID card mounted by the ID card mounting means
Inquiry request transmitting means for transmitting D information to the assistance control device, and accounting data display for displaying patient-specific accounting data received from the assistance control device in response to the inquiry request for accounting data by the inquiry request transmitting means. Means, the support control device is configured to identify the patient-specific ID stored by the hospitalization data storage means.
Billing data storage means for storing the billing data for each patient in association with the information, and the billing data in association with the ID information according to the billing data inquiry request and the patient-specific ID information received from the terminal device. The hospital support system according to claim 1, further comprising: a billing data transmitting unit that reads out billing data stored by the billing data storage unit and transmits the billing data to a corresponding terminal device. 4. The terminal device further comprises medical information display instruction means for instructing display of individual medical information, and when the display of the individual medical information is instructed by the medical information display instruction means, the individual medical information is displayed. And a display request transmitting means for transmitting the patient-specific ID information of the ID card mounted by the ID card mounting means to the support control device together with the display request for displaying the individual medical information by the display request transmitting means. And medical information display means for displaying individual medical information for each patient received from the assistance control device, wherein the assistance control device is provided with the ID for each patient stored by the hospitalization data storage means.
Individual medical information storage means for storing the individual medical information for each patient in association with the information, and corresponding to the ID information according to the display request of the individual medical information received from the terminal device and the ID information for each patient The hospital support system according to claim 1, further comprising: an individual medical information transmitting unit that reads out the individual medical information stored in the individual medical information storage unit and transmits the individual medical information to a corresponding terminal device.