JP2005025366A - Unified care recording system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To solve the problems that documents of care information are intensively stored at one place, and that the documents are lost, and that when any problem is occurred as the result of care or medical treatment based on the documents, it is impossible to dismiss a doctor in charge or a care manager. <P>SOLUTION: This unified care recording system is constituted of a Web server connected to the Internet communication line, and installed at the origin of management, a DB server connected to the Web server for storing the latest documents in a storage device, a Web/DB server connected to the Internet communication line for periodically storing the past documents of the DB server in an office somewhere else under the control of the origin of management and a client PC connected to the Internet communication line for executing the browsing or writing of the documents of the DB server. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a unified care record system that stores care documents, which are care records, at two servers, and ensures the authenticity of the care documents.
[0002]
[Prior art]
The conventional nursing care system includes a medical care record form (hereinafter referred to as “document”), a doctor, a physiotherapist, a nurse, a care manager, and a care helper (hereinafter referred to as “helper”) for each care establishment in charge. ) Etc. were writing in hand on the individual forms of the patients they were in charge of. The individual documents entered by handwriting are filed together with a care record sheet for each patient as an original file and managed in a single document storage.
[0003]
In addition, once the patient or patient's family is in the hospital, the doctor in charge decides and if any trouble occurs, he or she can be dismissed freely or change the doctor in charge even if he wants to dismiss the doctor in charge. I couldn't get it.
[0004]
As a prior document, there is a “network medical care system” described in Japanese Patent Application No. 2000-204356. In this system, (1) hospitals are connected by a network, and a computerized electronic chart can be viewed.
[0005]
[Problems to be solved by the invention]
However, each document is taken out and written by a plurality of staff members, and there is a risk of losing the document. Further, since the document is stored in one place, it is not preferable for safety management when a disaster such as a fire occurs.
[0006]
In addition, when a problem occurs between a patient and a doctor, the patient's family cannot freely refer to the contents of the document, which is a record document, and cannot change freely even if the doctor in charge is changed. When a doctor in charge is requested, the patient and the patient's family have to act on their own to find the doctor in charge, which is a problem because it takes a lot of time and effort.
[0007]
In addition, the “Network Medical System” is effective for hospital staff, but patients and their families cannot read the documents directly. It is a problem that patients and their families cannot refer to care documents themselves.
[0008]
Therefore, the unified care recording system according to the present invention does not store documents in one place, there is no risk of losing documents, search time for searching documents is small, and when a problem occurs, The purpose is to provide a unified care record system that can dismiss a care manager and saves time and effort even when searching for a doctor in charge.
[0009]
Therefore, the unified care recording system according to the present invention includes a Web server connected to an Internet communication line and installed at a management source, a DB server connected to the Web server and storing the latest document in a storage device, and the Internet communication line. A Web / DB server that periodically stores past documents stored in a DB server at a business location in a different location under the management of the management source, and browsing and writing documents stored in the DB server connected to the Internet communication line The unified nursing care recording system is characterized by comprising a client PC that performs the above-described process.
[0010]
【Example】
Hereinafter, based on an accompanying drawing, the detail of the unified care recording system 1 which is this invention is demonstrated.
[0011]
FIG. 1 shows the components of the unified care recording system 1 according to the present invention. This system is connected to the Internet communication line 8, the Web server 2 connected to the Internet communication line 8 and installed in the management source 1a, and connected to the Web server 2 with a cable or the like, and stores the document 1j which is the latest care record. A Web server that is connected to the DB server 3 stored in the apparatus 3a and the Internet communication line 8, and automatically saves past documents 1j of the DB server 3 periodically to a business office 1c under the management of the management source 1a. Unified nursing care record characterized by comprising: / DB server 5 and client PCs 9b, 10b, 11b connected to the Internet communication line 8 and browsing or writing the document 1j of the DB server 3 of the management source 1a Provide a system.
[0012]
The management source 1a used in this system is a management company that manages or operates a system for managing the document 1j that is a care record. As shown in FIG. 1, the administrator 1 b of the management source 1 a has all management authority for the Web server 2 and the DB server 3.
[0013]
Then, the Web server 2 automatically converts the CPU 2a and HTML conversion of the ID of a password or the like input when the patient 9a, the family 9c, the staff 9d, etc. make an inquiry about the document 1j through the Internet communication line 8. 2b function is provided.
[0014]
The configuration of the DB server 3 of the management source 1a connected to the Web server 2 includes a storage device 3a for storing a large amount of documents 1j that are care records. The document 1j stored in the DB server 3 is a mechanism in which the latest writing or the like is performed using the clients 10b and 11b used by the staff. The management source 1a can use an input device 4 such as a keyboard and a mouse connected to the Web server 2 in order to input items necessary for registration of the offices 1c and 1e.
[0015]
As a feature of this system, the administrator 1b of the management source 1a places a plurality of Web / DB servers 5 under management, such as the Web / DB server 5 of the office 1e as well as the one office 1c. Can do. The establishments 1c and 1e include hospitals outsourced to the management agency 1a for document 1j management, home care support establishments that provide agency services for applying for long-term care insurance, and facilities services such as bathing and meals. Nursing care insurance facilities.
[0016]
Next, details of the Web / DB server 5 of the office 1c shown in the lower left of the Web server 2 of the management source 1a will be described. The configuration of the Web / DB server 5 provided in the office 1c is connected to the Internet communication line 8, and is a server in which the Web server 2 and the DB server 3 provided in the management source 1a are made compact. A CPU 5a for determining, a storage device 5b for storing the password, an input device 5c, and an output device 5d are provided.
[0017]
Further, the Web / DB server 6 of the business office 1e shown on the right side of the business office 1c has the same configuration as that of the Web / DB server 5 and includes an input device 6a and an output device 6b. It becomes a parent-child relationship.
[0018]
Further, under the management of the offices 1c and 1e, Web / DB servers 7 and 1k of the branch 1g and 1i can be newly provided, and the manager 1d of the office 1c can also perform management in a centralized manner.
It should be noted that the number of Web / DB servers 5 can be increased for both the offices and the branches 1g and 1i as necessary. Note that the management of the offices 1c and 1e may be performed by the administrator 1b of the management source 1a, or may be independently performed by the managers 1d and 1f at the respective offices 1c and 1e. The Web / DB server 7 can be provided with an input device 7a and an output device 7b.
[0019]
The management of each branch 1g, 1i at the bottom of each business office 1c, 1e is performed by either the manager 1b of the parent management source 1a or the manager 1d, 1f of the child office 1c, 1e. You can manage. The managers 1b, 1d, 1f, and 1h are persons in charge for managing the address, password, ID, and the like of the patient 9a and the staff 9d. It can be performed by a home doctor or the like who is a doctor. Next, the details of the backup program provided in the Web / DB server 5 of the office 1c in order to ensure the safe surname of the document 1j stored in the management source 1a will be described.
[0020]
The backup program automatically downloads data such as past documents 1j from the DB server 3 of the management source 1a to the Web / DB server 5 of the office 1c within a certain period (specifically, every 3 hours). It is a program to do.
[0021]
Specifically, the Web / DB server 5 of the business office 1 c transmits the password / business office ID to the Web server 2 of the management source 1 a via the Internet communication line 8. Then, the Web server 2 of the management source 1a verifies the password and the like by the CPU 2a, then accesses the storage device 3a of the DB server 3 of the management source 1a, and again converts the data such as the document 1j through the Internet communication line 8 This is a mechanism for automatically sending data to the Web / DB server at the location 1c.
[0022]
Therefore, in this system, the management source 1a always has the latest document 1j, and the office 1c can store the document 1j in two places by storing the past document 1j from the management source 1a, and the safety of the document 1j. Can be secured. Further, the document 1j can be prevented from being falsified by collating the document 1j with the past document 1j stored at the office 1e or the like by the management source 1a.
[0023]
Next, before the staff 9d accesses the latest document 1j in the DB server 3 connected to the Web server 2 of the management source 1a, the group to which the management group 1a has to register in advance is registered. Details of the organization will be described.
[0024]
The organization of the belonging group of this system includes the family group 9 consisting of the family 9c of the patient 9a shown in the upper left of FIG. 1, the medical group 10 consisting of a doctor, staff 9d, etc. shown below the family group 9, This is to organize a care group 11 that is adjacent to the medical group 10 and that includes a care manager, a staff member 9d, and the like.
[0025]
The family group 9 includes a client PC 9b, the medical group 10 also includes the client PC 10b, and the care group 11 includes the client PC 11b. Instead of the client PC 9b, a mobile phone 12 that can display a Web screen may be used.
[0026]
The client PCs 9b, 10b, and 11b have the administrator 1d and 1f of each business office 1c and 1e in advance, the detailed profile, password, and ID of the patient 9a, the patient's family 9c, and the staff member 9d who works at each business office 1c and 1e. Must be registered in the DB server 3 through the Web server 2.
[0027]
The management authority of this system is that the administrator 1b of the parent management source 1a can operate the administrator 1d of the child establishment 1c, but the administrator 1d of the child establishment 1c is the parent. The DB server 3 of the management source 1a cannot be operated. The child establishment 1c can operate the manager 1h of each branch 1g, 1i as a grandchild, but can operate the child establishment 1c from each branch 1g, 1i as a grandchild. Can not. The care manager 11a of the business office 1e must be registered for each business office 1c. The details of the association will be described with reference to FIG.
[0028]
The Web / DB servers 5 and 6 installed in the offices 1c and 1e, and the Web / DB servers 7 and 1k installed in the branches 1g and 1i are the same as the Web server 2 and the DB server 3 of the management source 1a. It has a function. However, only the backup of the document 1j is performed, and only the backed up document 1j is referred to. In addition, each function can be restricted, such as preventing the writing of staff without writing authority.
[0029]
Next, FIG. 2 will describe in detail each table stored in the storage device 3a in the DB server 3 installed in the management source 1a in FIG. The table is a table for performing a list or a reference.
[0030]
The storage device 3a of the DB server 3 is characterized in that a plurality of staff members 9d and a family can be associated with one patient 9a at the same time, and a plurality of patients 9a can be associated with one staff member 9d at the same time. In addition to the association between the staff member 9d and the patient 9a performed in the present system, each group can be associated with the family group 9, the medical group 10, the care group 11, and the like.
[0031]
As shown in each table of FIG. 2, this system is based on the association 2f (Associate) between the person in charge and the patient shown in the lower right of the office group 2c, and each table is stored in the DB server 3 of the management source 1a. It is comprised by the apparatus 3a.
[0032]
And each table which comprises this system is comprised from the subject and the relationship between subjects. The subject is a collection of data surrounded by a rectangular frame. The subject includes, in order from the left, the office 2d, the individual 2h, the occupation 2j, the association between the person in charge and the patient 2f (Associate), and the document 3b.
[0033]
In addition, among the above-mentioned subjects, abstract data is shown in a diamond shape when there is a relationship between the subjects, that is, for expressing a many-to-many relationship that cannot be expressed by RDBMS. In order from the left of the office group 2c in FIG. 2, the office group 2c includes an affiliation 2e, an individual 2i, an office group 2c, and a staff group 2g.
[0034]
Further, in the association 2f (Associate) between the person in charge and the patient, the patient 9a and the home doctor 10a, and the patient 9a and the care manager 11a can be associated with each other. One home doctor 10a and one care manager 11a exist for each group in the association 2f (Associate) between the person in charge and the patient.
[0035]
In addition, one patient 9a in the individual 2h shown in the center of FIG. 2 has a one-to-many relationship with the person-to-patient association 2f (Associate) shown in the right part of FIG. 9a can be associated with three groups: a family group 9, a medical group 10, and a care group 11. Each group such as the family group 9 can be identified by the AsType field value in the association 2f (Associate) between the person in charge and the patient.
[0036]
Next, a one-to-many relationship 11 having one arrow as one patient and a plurality of documents 3b will be described. As shown in the lower part of FIG. 2, in the one-to-many relationship, there are a plurality of documents 3b for the patient 9a in the patient 9a of the person 2h and the document 3b shown in the lower right of the person 2h. Is the case. Next, a relationship that is a relationship between subjects, that is, a many-to-many relationship, will be described.
[0037]
In the case of this system, the relationship having the relationship between the principals can be represented by a many-to-many relationship 1m in which both ends are arrows, such as a relationship between a plurality of staff members 9d and a plurality of patients 9a.
[0038]
The many-to-many relationship is that, as in the staff group 2g shown in the right part of FIG. 2, an individual 2h with a patient 9a passes through the affiliation 2e shown in the upper left of the individual 2h, and then enters a plurality of business establishments 2d The individual 2h can be associated with a plurality of groups such as the medical group 10, the care group 11 and the like in the person-patient association 2f shown in the upper right of the staff group 2g.
[0039]
As an example of the association of the staff group 2g, the individual 2h having a plurality of patients 9a, the association 2f (Associate) between the person in charge and the patient, the individual 2h having the staff 9d again through the staff group 2g, Data can be associated.
[0040]
On the other hand, when accessing the individual 2h with the patient 9a from the individual 2h with the staff 9d, the staff group 2g, the person-to-patient association 2f (Associate), the patient 9a Each individual data can be correlated counterclockwise up to the individual 2h.
[0041]
In addition, what is shown in the lower right of the individual 2h is a document 3b showing a care record of the patient 9a. The document 3b can be written by the staff member 9d of the individual 2h, depending on the value of AsID (2k) assigned to the association 2f between the person in charge and the patient, which family group 9, medical group 10, care group 11 It can be written as the document 3b of the patient 9a after specifying whether or not.
[0042]
Therefore, this system inputs each ID at the time of login, identifies each ID of patient 9a, home doctor 10a, care manager 11a, staff 9d, etc. instantly, and associates each ID with the patient document 3b (Document). ) Documents can be accessed. The patient document 3b (Document) is the same as the document 1j shown in FIG. Next, the relationship diagram of each group which comprises the unified care recording system which is this invention in FIG. 3 is demonstrated.
[0043]
FIG. 3 is a group relationship diagram 13 showing a relationship for each group (GP) that is configured in the office 1c. As shown in FIG. 3, in this system, a group configuration is performed with the patient 9a as the center. As shown in the upper left of FIG. 3, the patient 9a can request the home doctor 10a of the office 1e that he / she desires, and the home doctor 10a who receives and accepts the request from the patient 9a forms the medical group 10. Therefore, the medical staff 10c can be appointed to treat the patient 9a.
[0044]
Therefore, the patient 9a can freely request the patient 9a again to dismiss the home doctor 10a when any problem occurs with the medical staff 10c. Further, since the new home doctor 10a forms the medical staff 10c for the patient 9a, the patient 9a can greatly reduce the time and labor for finding a new doctor.
[0045]
On the other hand, when receiving care at the establishment 1c to which the patient 9a belongs, the manager 1d of the establishment 1c selects the care manager 11a in charge of the patient 9a, and the care manager 11a organizes the care group 11. Note that the manager 1d of the business office 1c can manage not only the care group 11 but also the family group 9 that is a relative of the patient 9a.
[0046]
Usually, the patient 9a, the care manager 11a, and the care staff 11c belong to the same office 1c. And after organizing the family group 9, the medical group 10, and the care group 11, it can move to the unified care recording system screen transition diagram 14 which is this system.
[0047]
FIG. 4 shows a unified care recording system screen transition diagram 14 which is a flowchart. The unified care record system screen transition diagram 14 shows that the client PC 9b, 10b, 11b connected to the Internet communication line 8 shown in FIG. 1 is used to access the Web server 2 of the management source 1a, and the “TOP page” 15 Can be displayed.
[0048]
After the “TOP page” 15 is displayed, the main menu 16 screen can be displayed by inputting the ID and password given by the administrator 1b for each group and logging in.
[0049]
Next, details of each menu screen described in the center of FIG. 4 will be described.
The main menu 16 can be roughly divided into three categories, such as a document search screen 16a, a menu screen 16b screen, a change screen 16c, etc. in order from the left.
[0050]
The document search 16a includes a document search that is a care record, a document reference 20, a document search condition setting 20a, and a document writing condition setting 20b, and allows browsing and writing of documents. After the document search condition setting 20a is completed, the document printing screen 20c and the document writing screen 20d can be displayed on a display or the like.
[0051]
The menu screen 16b shown in the center of FIG. 4 includes a doctor menu screen 21d constituting the medical group 10, a care manager menu screen 22d constituting the care group 11, a patient menu 23, an administrator menu screen 24d, and a personal menu screen. 25. The contents of each menu screen will be described in detail on the actual screen shown in FIG.
[0052]
Note that the change screen 16c described in the upper right part of FIG. 4 is a change item made by an individual from the TOP page 15 of the Web server 2. The change screen 16c includes a personal information change screen 17, a password change 18, and a contract 19 with a business establishment. The personal information change screen 17 and the password change 18 can be performed by the administrator 1b or the like.
[0053]
The personal information change screen 17 is to display a staff ID such as a staff member, name, date of birth, sex, address, telephone number, and display class. The password change 18 can be organized by distinguishing between uppercase and lowercase letters from 6 to 30 alphanumeric characters that are passwords.
[0054]
The cancellation 19 of the contract with the business office shown in the lower part of the password change 18 applies when a patient, a staff member, or the like belongs to each business office. When the contract exchanged between the management source 1a and the business office 1c is discarded, the contract does not belong to each business office.
[0055]
Next, in FIG. 5, it is performed on the doctor menu screen 21d for organizing the medical group shown in FIG. 4, the care manager menu screen 22d for organizing the care group, and the patient menu screen 23 for dismissing the home doctor and care manager. The details of the organization menu screen 24d that supervises the organization of incapable family groups and information on patients, staff members, families, and offices will be described.
[0056]
The administrator menu screen 24d includes an operation 26 for general information, an operation 27 for patient information, an operation 28 for staff information, an operation 29 for family information, and an operation 30 for office information. The general information operation 26 includes assignment of a care manager in charge, associating a patient with a family, and associating a family with a patient.
[0057]
The assignment of the care manager in charge is to select a plurality of care managers managed by the manager of each business office and make a decision on the requested patient. In addition, even if the patient and the business office to which the care manager belongs are different from each other, the care manager can be assigned to the business office under the management of the manager.
[0058]
Associating a patient with a family means first determining the family and then associating the family with the patient. In addition, associating a family with a patient means that a patient is first determined and associated with which family group.
[0059]
The patient information operation 27 includes new registration of patient information, acceptance of an existing patient ID, reference of patient information that can be selected by the patient, update of patient information, and cancellation of acceptance of patient information.
[0060]
The staff information operation 28 includes new registration of staff information, acceptance of an existing staff ID, reference of staff information that can be selected by the staff, update of patient information, and cancellation of acceptance of staff information. Used when registering doctors and care managers.
[0061]
The family information operation 29 includes new registration of family information, acceptance of an existing ID, reference of family information, update of family information, and cancellation of acceptance of family information. Used mainly when registering patient's family.
[0062]
The operation 30 of the establishment information includes creation of establishment information, reference of establishment information that can be selected by the establishment, update of establishment information, deletion of establishment information, data transfer from caregiver, document authenticity certification It consists of a letter display. Mainly the name of the establishment, telephone number, address, etc., nursing insurance establishment number etc. can be described.
[0063]
The issue of the document authenticity certificate is a certificate that can be issued by the manager of the management source when the document is collated between the management source DB server and the office server. Next, FIG. 6 and FIG. 7 are the features of the present system. The medical group creation flow 31 means for organizing the medical group 10, the care group creation flow 32 means for organizing the care group 11, and the family group creation flow means. The details of each flowchart constituting the above will be described.
[0064]
FIG. 6 shows a medical group creation flow 31 means constituting the unified care recording system according to the present invention, and FIG. 7 shows a care group creation flow 32 means constituting the unified care recording system.
[0065]
As shown in FIG. 6, the medical group creation flow 31 means of this system starts from the start (START) of this system in order to view care records or to fill in care records. Then, the client PC is activated S1 and logged in to the Web server which is the unified care recording system 1 which is the present system output on the display.
[0066]
After logging in S3 to the Web server, the patient can request S4, who is an administrator, from the personal menu. The home doctor is a general manager of a medical group composed of doctors who are medical staff, physical therapists, nurses, care managers, helpers and the like.
[0067]
The home doctor who has received the request from the patient can perform the patient selection S5 by the home doctor from the home doctor menu screen. That is, in this system, a home doctor can be selected when there is mutual agreement between a patient request and a patient desired by a doctor.
[0068]
And after home doctor performs selection S5 of receiving a patient's request or leaving it, the staff in charge of a patient must be selected. Therefore, a medical group formation S6 is performed by a home doctor.
[0069]
The organization S6 of the medical group by the home doctor means that the home doctor who is in charge creates a group frame centered on the doctor desired by the patient. Then, the doctor can perform S7 for setting the staff in charge.
[0070]
The setting of the staff in charge of the doctor S7 is to newly add / supplement a staff such as a physical therapist, nurse, care manager, helper, etc. to the medical group selected by the doctor. It is not possible to change occupations such as nurses changing occupations to helpers.
[0071]
After setting S7 of the doctor staff, each staff member who belongs to the medical group can refer to or write the patient document. When the document reference and the writing S8 for each item in charge are confirmed, the creation of the medical group ends (END).
[0072]
In addition, when a nursing care service is necessary after a medical group is organized, the home doctor can appoint a care manager dedicated to the patient by telephone or e-mail. Next, details of the care group creation flow 32 will be described.
[0073]
FIG. 7 shows a care group creation flow 32 means. As shown in FIG. 7, the care group creation flow 32 starts (START), starts the client PC S9, accesses this system S10, logs in to the Web server S11, and enters the administrator menu. Login S12.
[0074]
The manager of the business office performs S14 to select the care manager in charge, so that the care manager in charge can receive S14 from the manager of the management source. Then, the care manager in charge selects a patient from a plurality and organizes a care group necessary for care (S15).
[0075]
The care manager in charge can select a patient in S16, and after selecting the patient, the care group can be organized in S17. The care group is a group consisting of a care worker, a plurality of helpers, etc., with a care manager at the center. Then, the care group creation flow ends by S18 in which either writing or browsing of the document for each job type can be performed.
[0076]
The family group 9 creation flow means is not shown, but the family group 9 is automatically generated when registering patient information, that is, when performing the family information operation 30 shown in the lower part of FIG. It is a mechanism. Details will be described with reference to screens actually used in the present system with reference to FIGS.
[0077]
The TOP page 15 shown in FIG. 8 is a screen for accessing the Web server 2 of the unified care recording system 1 which is the present system. The TOP page 15 includes a dedicated ID 15a, a password 15b provided at the bottom of the dedicated ID 15a, and a login button 15c that can be logged in by pressing after entering the password. The password 15b is a personal ID of a home doctor or care manager or the like, and automatically from the DB server 3 at the time of new registration such as new registration of patient information shown on the right of the operation 27 of patient information in the middle of FIG. Assigned to.
[0078]
As shown in FIG. 9, the patient menu screen 23 is a screen for requesting or dismissing a home doctor (primary physician) who is in charge of a patient. Note that the patient name used in this system as in the patient menu screen 23 and the like is “Taro Tsuchiura”.
[0079]
As shown in FIG. 9, on the patient menu screen 23, the person name 23a indicating the name of the home doctor or care manager who is currently in charge of the patient, and the staff ID 23e of the home doctor are entered below the person name 23a. A home doctor request form 23b, an affiliated office 23c that is the name of the office shown on the right side of the home doctor request form 23b, and change buttons 23d.
[0080]
The person-in-charge name 23a is a frame used when the patient wants to change either one or both of the home doctor and the care manager. After the names of the home doctor and the care manager are displayed, the button 23e for dismissing is pushed. Can only be dismissed.
[0081]
In addition, after dismissing the home doctor or care manager, to request a new home doctor, etc., simply enter the staff ID of the home doctor etc. in the home doctor request form 23b and press the request button 23f. You can request a doctor easily.
[0082]
Thus, the patient can quickly and easily dismiss the home doctor and care manager and make a home doctor request. The staff ID used in the home doctor request form 23b will be described on the staff data reference screen 23g shown in FIG.
[0083]
As shown in FIG. 10, the staff data reference screen 23g is in a table format. In the staff data reference screen 23g, the name, date of birth, gender, postal code, address, telephone number, etc. are listed in order from the top, and at the bottom of the title 23h and the title 23h for final confirmation of the dismissal of the home doctor It is characterized by providing a staff ID 23i displayed with numbers such as three digits, a password 23j consisting of arbitrary characters, a 23k button for dismissing a home doctor as a confirmation button, and the like.
[0084]
Next, details of the document search and document reference 20 screen will be described.
The document search and document reference 20 screen shown in FIG. 11 is a screen created for each patient when the patient name is “Taro Tsuchiura (provisional)” as in “Taro Tsuchiura's document”.
[0085]
The document search and document reference 20 screen shown in FIG. 11 is a search condition setting frame 20a that can be searched for each document type, occupation, search range (year / month), search character string, display method sorting, and display number. And a document display frame 20e capable of displaying a plurality of patient documents.
[0086]
FIG. 11 will be described in detail with reference to a care record document referred to by the care manager. The document reference 20 screen can be used not only by the care manager but also by other staff such as a home doctor.
[0087]
As shown in FIG. 11, in the search condition setting frame 20a, in addition to the search range (year and month), a keyword is entered in order to perform a search by inputting characters, and a keyword search is performed by pressing the document search button 20i. It can also be done.
[0088]
The search range can be narrowed down by specifying the range with the upper and lower dates of the year. The document 1j displayed with the search range narrowed down can be displayed in the document display frame 20e.
[0089]
The document display frame 20e is a daily care record of the patient. The document display frame 20e includes a date 20f indicating the date (day of the week) on which the nursing care record is written, a writer 20g who writes the name of the person in charge recorded in the document 1j, and a comment or a point that the writer 20g notices. And a display unit 20h describing blood pressure, pulse, body temperature, and the like. The contents described in the display unit 20h are not limited to blood pressure, pulse, and body temperature, and may be text characters. Next, details of various recording / writing screens will be described with reference to FIGS.
[0090]
FIG. 12 shows a document attribute screen 20k. It moves from the document writing button 20j shown in FIG. The document attribute screen 20k is a screen for determining a patient's document from the group, occupation, and document type. Then, the screen moves to the document writing screen 20l.
[0091]
FIG. 13 shows a document writing screen 20l of the unified care recording system according to the present invention. The document writing screen 201 includes a patient name 20m shown in the upper part, an occupation 20n shown in the lower right part of the patient name 20m, a visit date 20o, and a writing frame 20p. A plurality of buttons for moving to each input support screen are provided below the writing frame 20p.
[0092]
The plurality of buttons include nursing information input (F1) 20q, nursing information input (F2) 20r, nursing information input (F3) 20s, nursing information input (F4) 20t, nursing information (general input) 20u, nursing information ( Special input) 20v and care information input 20w. Next, the details of the nursing information input (F1) 20q screen will be described with reference to FIGS.
[0093]
FIG. 14 shows a nursing information input screen 20q (F1). The feature is that “S, O, A, P” is described in each rectangular box. S, O, A, and P are the collection of SOAP information, creating a problem list from a document that is a nursing record, and starting from the initial plan.
[0094]
S indicates the chief complaint and the patient's statement, that is, Subject, O indicates the observation and the patient's state, that is, Object, A indicates the judgment analysis or assessment, and P is a countermeasure. A certain Plan is shown. After entering the nursing information of each box, it can be confirmed with the OK button provided at the bottom of the box, and when confirmation is not performed with the OK button, it is described in each box with the cancel button provided at the bottom of the box. You can cancel your input.
[0095]
Further, as shown in FIG. 15, on the nursing information input 20r (F2) screen, the pulse PR (/ min), the blood pressure BP (/ mmHg), the body temperature BT (/ ° C.), the breathing, in order from the top. RR (/ min) and SPO2 which is the oxygen amount are input, and after input, they are determined by the OK button.
[0096]
16 and 17 show a care information input screen 20s (F3) and a care information input screen 20t (F4). The care information input 20s (F3) screen is a screen on which a care manager or a helper fills in items for a meal given to a patient.
[0097]
You can enter the number of staple foods such as rice, bread, and side dishes such as side dishes that you ate in the morning, lunch, and evening meals. In addition, snack items can be measured and written between staple foods and side meals. In addition, on the care information input 20t (F4) screen, the amount of water taken by the patient can be entered in addition to the number of meals of the main and side meals.
[0098]
18 and 19 show a care information input screen 20u (general bathing) and a care information input screen 20v (special bathing). The display contents of the care information input 20u (general bathing) screen and the care information input 20v (special bathing) screen include blood pressure (mmHg), pulse (times), and body temperature (° C.).
[0099]
20 shows that the care information input 20w (F7) screen features all the things the patient thinks about the staff at the hospital in a rectangular frame without having time to talk directly with a doctor. It is a bulletin board that can be input and communicated to hospital home doctors. In other words, the opinions about the correspondence and policies of hospital doctors and helpers, such as “user needs”, “official opinions”, and “care policy” It is a screen that can be entered and written with the keyboard regardless of the screen.
[0100]
FIG. 21 shows the features of the care information input 20x (F8) screen that the care manager can also use to create a care material called a care plan, problems, assistance goals (long-term), assistance goals (short-term) It is a bulletin board that can fill in. That is, the care helper can clarify the current problems, the response to the caregivers of long-term and short-term plans, policies, etc. for the care patients.
[0101]
Next, FIG. 22 to FIG. 34 show from the doctor login screen to the office information reference screen performed by the administrator. Hereinafter, each detail is demonstrated centering on the menu screen of a doctor (home doctor), a care manager menu screen, a personal menu screen, and an administrator menu screen.
[0102]
FIG. 22 is a “home doctor login screen, FIG. 23 is a“ home doctor menu screen ”, and FIG. 24 is a“ medical group organization screen ”that constitutes the unified care recording system according to the present invention.
[0103]
As shown in FIG. 22, the doctor login screen 21 is a screen used by a home doctor who is a representative of a doctor who has the authority to manage patients. The doctor's login screen 21 has a title 21a that clearly indicates that the user is operating, a patient name list 21b that can display conventional patients sequentially from the top to the bottom within the box, and a lower part of the patient list 21b. The change button 21c shown in FIG. Then, by pressing the doctor menu button shown at the bottom of the title 21a, the screen moves to the doctor menu screen 21d as the next screen.
[0104]
The doctor menu screen 21d shown in FIG. 23 includes a patient information selection frame 21e which is a list of patients for a home doctor who manages the entire doctor to select a requesting patient, and a patient information selection frame 21e. It consists of a physician's main office 21g provided at the bottom.
[0105]
The medical group for the selected patient can be organized by pressing the medical group organization 21f button described at the bottom of the patient information selection frame 21e. Also, the home doctor can narrow down and display patients from a plurality of patients using the patient information selection frame 21e shown in the upper right part of the organization button 21f of the medical group. Next, in order to organize a medical group for the patient, a doctor menu button provided on the upper part of the patient information selection frame 21e constituting the doctor menu screen 21d shown in FIG. 23 is pressed, and the medical group organization screen shown in FIG. Move to 21h.
[0106]
FIG. 24 shows a medical group organization screen 21h of the home doctor.
The medical screen 21h of the medical group of the home doctor includes a non-responsible staff box 21l that is a rectangular box, a staff selection box 21i that includes left and right staff boxes 21m, a non-responsible staff box 21l, and a staff staff box 21m. The add button 21n and the delete button 21o that can add or delete staff between the two, and the lower part of the delete button 21o can restrict the access status of staff members belonging to medical groups, other medical groups, care groups, family groups, etc. It comprises a medical document disclosure setting 21j and menu buttons 21k for returning to each menu. First, the details will be explained from the staff organization method.
[0107]
As shown in FIG. 24, when a non-in-charge staff member is newly assigned to a patient, a staff member is selected from the non-in-charge staff box 21l shown on the left side, and after selecting, the additional button 21n is pressed, It is a mechanism that can move to the responsible staff box 21m of the department and be in charge of the patient.
[0108]
When removing a staff member from a patient's staff member, select the staff member to be removed from the staff member box 21m shown on the right, and after selecting, press the delete button 21o to remove the staff member from the staff member box 21m. Can be deleted. The name, age, and gender of the person in charge can be displayed on both the non-person in charge 21l and the person in charge box 21m.
[0109]
This system is individually provided with a check box of a medical document disclosure setting 21j that can restrict the disclosure of each patient document for each group, as provided in the lower part of the non-responsible staff box 21l and the responsible staff box 21m.
[0110]
The medical document disclosure setting 21j method is to check each check box 21p provided at the leading end of the character for each current medical group, other medical group, care group, and family group, and press the document disclosure setting change button 21q. Thus, the disclosure of medical documents can be restricted. Therefore, the home doctor performs the medical document disclosure setting 21j on the medical group organization screen 21h with his / her authority, and the staff, patients, and family members belonging to the medical group 10, other medical groups, the care group 11, and the family group 9 A means for limiting the disclosure status of the patient's document for any of the above.
[0111]
FIG. 25 shows a “care manager login screen 22, FIG. 26 shows a“ care manager menu screen 22 d ”, and FIG. 27 shows a“ care group organization screen 22 h ”constituting the unified care recording system according to the present invention. .
[0112]
As shown in FIG. 25, the care manager login screen 22 includes a title 22a, a patient list 22b and a change button 22c shown at the bottom of the title 22a. Note that the title 22a, the in-charge patient list 22b, and the change button 22c are all the same as the menu screen of the home doctor and are therefore omitted.
[0113]
Next, FIG. 26 shows a care manager menu screen 22d. As shown in FIG. 26, the care group organization screen 22h includes a care manager selecting patient information 22e and a care manager main office 22g.
[0114]
A care group organization 22f button is provided in the frame of the care information selection 22e. In order to form a care group composed of care workers, care helpers, etc., the care group formation 22l button is pressed to move to the care group formation screen 22h shown in FIG. The care manager can narrow down patients by selecting patient information. FIG. 27 illustrates the details of the care group organization screen 22h performed by the care manager.
[0115]
As shown in FIG. 27, it is a care group organization screen 22h performed by the care manager. The care group organization screen 22h performed by the care manager includes a rectangular box, a non-responsible staff box 22l, a staff selection box 22i that includes left and right staff boxes 22m, a non-responsible staff box 22l, and a staff staff box 22m. Is provided with a change button 22n.
[0116]
As shown in FIG. 27, when a care manager wants to newly add a patient in charge from the non-responsible staff box 22l, after selecting a new staff from the non-responsible staff box 22l shown on the left, By pressing the add button 22o in the center, the user can move to the staff member box 22m on the right.
[0117]
If the care manager wants to remove the staff member from the patient's charge, the care manager selects the staff member to be removed first from the staff member box 22m shown on the right, and after selecting, presses the delete button 22p. Can be removed from charge. The staff shown in the non-responsible staff box 22l and the responsible staff box 22m can both display the name, age, and sex of the staff. After selecting each staff member, each screen can be returned to by pressing the 22j button for returning to the care manager menu or the 22k button for returning to the menu.
[0118]
FIG. 28 and FIG. 29 show personal menu screens showing an example of staff members constituting the unified care recording system according to the present invention. The personal menu screen is a menu screen used for staff members except the above three screens of the doctor menu screen, the care manager menu screen, and the administrator menu screen described later. 28 and 29, details of the medical nurse menu screen 25 will be described as a specific example of the personal menu.
[0119]
As shown in FIG. 28, the medical nurse menu screen 25 includes a title 25a displaying a nurse's name, a patient list 25b, and a change button 25c. The nurse to be displayed is displayed.
[0120]
Also, as shown in FIG. 29, the medical nurse can display a staff data reference screen 25d which is his / her own personal data. The staff data reference screen 25d displays personal data such as name, date of birth, gender, postal code, address, telephone number, affiliation class belonging to the affiliation of the office, etc. The license qualification 25g including the staff ID 25e, the password 25f written under the telephone number, the license number of the nurse, the date of acquisition, etc. can be displayed.
[0121]
Next, the details of the administrator login screen 24 will be described with reference to FIG. As shown in FIG. 30, the administrator login screen 24 is pressed when it is desired to switch the title 24a describing the administrator's name, the patient list 24b shown below the title 24a, and the administrator login screen 24. It consists of a change button 24c. As shown in FIG. 30, when the administrator is only managing, the patient name is not displayed in the assigned patient list 24b. However, when the administrator is concurrently serving as a doctor, the assigned patient can be displayed. .
[0122]
FIG. 31 shows an administrator menu screen 24d for each office. Since it is the same as the contents of the management menu shown in FIG. 5, detailed description is omitted. Note that operations other than those described in the general information operation 26 in FIG. 31 can also be performed.
[0123]
The staff information operation 28 is hospital staff information such as a home doctor, a doctor, a physical therapist, a nurse, a care manager, and a helper in charge of a patient. Mainly, new registration of staff information, reference of staff information, update of staff information, cancellation of acceptance of staff information, etc. can be decided.
[0124]
When newly registering staff information, as in the case of the new registration of patient information, the character section of the new registration of staff information is pressed, and the name, date of birth, sex, password, etc. are entered. The types of staff include associate nurses, public health nurses, midwives, physiotherapists, occupational therapists, speech therapists, care workers, dentists, dental hygienists, nutritionists, dietitians, judo reductionists, and masseurs. There are acupuncturists, dormitories, nursing assistants, office staff, etc., and the occupations of staff in charge of patients other than the above 17 types can be added as appropriate.
[0125]
The operation information operation 30 is information on establishments such as hospitals and long-term care insurance business owners. Mainly consists of new registration of establishment information, reference to establishment information, update of establishment information, and deletion of establishment information.
[0126]
In addition, when registering a new office, press the new registration text part of the previous office information, so that the office name, office TEL number, office FAX number, postal code, address, nursing insurance You can enter the office number, password, and parent office. The parent office is the name of a management source such as the DB server 3.
[0127]
FIG. 32 shows a staff information reference screen 28a shown in the center of the staff information operation 28 shown in the middle of the administrator menu screen 24d in FIG. The staff information reference screen 28a is a screen for the manager of each business office to input staff.
On the staff information reference screen 28a, personal information of the staff such as name, date of birth, gender, postal code, address, telephone number, etc. can be entered, as well as the name of the PASSWORD 28c and the affiliated office 28d.
[0128]
Also, FIG. 33 shows a staff information reference screen 28b of the staff information operation 28 shown in the middle part of FIG. Used mainly when changing personal information of staff. The staff information reference screen 28b includes a staff information selection frame 28e, a selection button 28g to be pressed after selecting a staff member, a staff member list display frame 28f displaying the IDs of staff members constituting the staff information selection frame 28e, and the like. It consists of a check box 28i that is checked when narrowing down by occupation, and a staff narrowing down button 28j that is a button for actually performing a search.
[0129]
As displayed at the top of the staff information selection frame 28f of the staff information reference screen 28b, the number, name, occupation, age, sex, etc. of the manager ID as the staff can be displayed. In addition, as shown on the right side of the staff information selection frame 28f, the staff information narrowing frame 28h is used to input the name of the staff in charge of the patient, and the manager, doctor, care manager, nursing By selecting a teacher and a care helper, staff information can be narrowed down and displayed.
[0130]
FIG. 34 shows the office information reference 30a screen of the office information operation 30 shown in the lower part of FIG. The office information reference screen is the staff member frame 30c described at the lower part of the office information display frame 30b.
[0131]
The business establishment display frame 30b is made up of a business establishment ID 30, business establishment name, business establishment TEL, business establishment FAX, postal code, address, and the like with arbitrary numbers for each establishment. In addition, the nursing care insurance business number 30e, the parent business 30f, and the child business 30g can be described in the business office display frame 30b.
[0132]
The parent establishment 30f is the name of the management source 1a shown in FIG. 1, and the child establishment 30g is the establishment 1c under the management of the management source 1a. In addition, the branch 1g which is a grandchild office can also be set under the child office 30g.
[0133]
【The invention's effect】
Since the unified care recording system according to the present invention is configured as described above, the following effects can be obtained.
First, the unified care record system according to the present invention can greatly reduce the number of care record sheets for medical institutions that currently use paper care records and has two servers. In addition, since care records can be distributed for each parent or child or office and document backup can be easily performed, care documents can be managed with extremely high security.
[0134]
Secondly, between the service provider (medical care worker) and the user (patient and their family) in the medical care field, the care information document unified with the care information by the doctor in charge of the patient can be viewed every day. Since the home doctor can restrict the disclosure of the document, the information disclosure of the care record can be promoted, and the care service maintaining a certain quality can be provided.
[0135]
Thirdly, since the unified care recording system according to the present invention can browse patient information, the anxiety and distrust between the user including the patient and the doctor can be solved.
[0136]
Fourthly, the unified care recording system according to the present invention can easily change the person in charge such as a doctor. As a result, not only the nursing care business but also the overall service level of medical activities is improved. It is possible to provide reassuring retirement for people who receive medical care, that is, the entire nation.
[Brief description of the drawings]
FIG. 1 is a component device of a unified care recording system according to the present invention.
FIG. 2 is a table constituting the unified care recording system according to the present invention.
FIG. 3 is a relationship diagram of each group constituting the unified care recording system according to the present invention.
FIG. 4 is a screen transition diagram constituting the unified care recording system according to the present invention.
FIG. 5 is an operation diagram of an administrator menu constituting the unified care recording system according to the present invention.
FIG. 6 is a medical group creation flow constituting the unified care recording system according to the present invention.
FIG. 7 is a care group creation flow that constitutes the unified care recording system according to the present invention;
FIG. 8 is a TOP screen of the unified care recording system according to the present invention.
FIG. 9 is a patient menu screen of the unified care recording system according to the present invention.
FIG. 10 is a dismissal screen of the home doctor of the unified care recording system according to the present invention.
FIG. 11 is a search screen (in the case of a care manager) of the unified care recording system according to the present invention.
FIG. 12 is a document attribute screen of the unified care recording system according to the present invention.
FIG. 13 is a document writing screen constituting the unified care recording system according to the present invention.
FIG. 14 is a nursing information input screen of a nursing record screen constituting the unified nursing record system according to the present invention.
FIG. 15 is a nursing information input screen of a nursing record screen constituting the unified nursing record system according to the present invention.
FIG. 16 is a care information input screen of a care record screen constituting the unified care record system of the present invention.
FIG. 17 is a care information input screen of a care record screen constituting the unified care record system of the present invention.
FIG. 18 is a care information input screen of a care record screen constituting the unified care record system of the present invention.
FIG. 19 is a care information input screen of a care record screen constituting the unified care record system of the present invention.
FIG. 20 is a care information input screen of a care record screen constituting the unified care record system according to the present invention.
FIG. 21 is a care information input screen of a care record screen constituting the unified care record system of the present invention.
FIG. 22 is a “home doctor login screen” constituting the unified care recording system of the present invention.
FIG. 23 is a “home doctor menu screen” constituting the unified care recording system of the present invention.
FIG. 24 is a “medical group organization screen” which is constituted by the home doctor who constitutes the unified care recording system according to the present invention.
FIG. 25 is a “care manager login screen” constituting the unified care recording system of the present invention.
FIG. 26 is a “care manager menu screen” constituting the unified care recording system of the present invention.
FIG. 27 is a “care group organization screen” which is constituted by the care manager and constitutes the unified care record system according to the present invention.
FIG. 28 is a “personal menu screen” constituting the unified care recording system of the present invention.
FIG. 29 is a “staff data reference screen showing details of a personal menu screen” constituting the unified care recording system of the present invention.
FIG. 30 is an “administrator login screen” constituting the unified care recording system according to the present invention.
FIG. 31 is an “manager menu screen” constituting the unified care recording system according to the present invention.
FIG. 32 is an “administrator staff information selection screen” constituting the unified care recording system according to the present invention.
FIG. 33 is a “manager setting information screen for an administrator” constituting the unified nursing care record system of the present invention.
FIG. 34 is an “administrator staff information input screen” constituting the unified care recording system of the present invention.
[Explanation of symbols]
1 unified nursing record system
1a Manager
1b Administrator
1c establishment
1d administrator
1e office
1f Administrator
1g branch
1h Administrator
1i branch
1j Document
1k Web / DB server
1l 1-to-many relationship
1m many-to-many relationship
2 Web server
2a CPU
2b HTML conversion
2c office group
2d office
2e Affiliation
2f Association between patient and patient
2g Staff Group
2h individual
2i Individual
2j occupation
2k AsID
3 DB server
3a storage device
3b Document
4 input devices
4a Output device
5 Web / DB server
5a CPU
5b storage device
5c input device
5d output device
6 Web / DB server
6a Input device
6b Output device
7 Web / DB server
7a Input device
7b Output device
8 Internet communication lines
9 Family groups
9a Patient
9b Client PC
9c family
9d staff
10 Medical groups
10a Home Doctor
10b Client PC
10c Medical staff
11 Nursing care group
11a Care Manager
11b Client PC
11c Nursing staff
12 Mobile phones, etc.
13 Group relationship diagram
14 Unified care record system screen transition diagram
15 TOP page
15a Dedicated ID
15b password
15c Login button
16 Main menu
16a Document search, etc.
16b Menu screen etc.
16c Change screen etc.
17 Personal information change screen
18 Change password
19 Canceled contract with business office
20 Document Search and Document Reference
20a Setting search conditions
20b Write condition setting
20c Document print screen
20d Document writing screen
20e Document display frame
20f date
20g Filler
20h display section
20i Document search button
20j Document writing button
20k Document attribute screen
20l document writing screen
20m Patient name
20n occupation
20o Visit date
20p writing frame
20q Nursing information input
20r Nursing information input
20s Nursing care information input
20t Nursing care information input
20u Nursing care information input (general bathing)
20v Nursing care information input (special bathing)
20w Nursing care information input
20x Nursing care information input
21 Doctor login screen
21a Title
21b List of patients in charge
21c Change button
21d Doctor menu screen
21e Patient information selection frame
21f Medical group organization
21g Doctor's primary office
21h Medical group organization screen
21i staff selection box
21j Medical document disclosure settings
21k menu buttons
21l Non-in-charge staff box
21m Staff box in charge
21n Add button
21o Delete button
21p check box
21q Document disclosure setting change button
22 Care Manager Login Screen
22a title
22b List of patients in charge
22c Change button
22d Care manager menu screen
22e Selecting patient information
22f Nursing care group organization
22g Care manager's main office
22h Care group organization screen
22i staff selection box
22j Return to Care Manager menu
Return to 22k menu
22l Non-personnel box
22m Person in charge box
22n Change button
22o Add button
22p delete button
23 Patient menu screen
23a Person in charge
23b Home Doctor Request Form
23c Affiliated office
23d change button
23e Home Doctor Staff ID
23f Request button
23g Staff data reference screen
23h title
23i Staff ID
23j password
23k Dismissed home doctor
24 Administrator login screen
24a title
24b List of patients in charge
24c Change button
24d Administrator menu screen
25 Medical Nurse Menu
25a title
25b List of patients in charge
25c Change button
25d Staff data reference screen
25e Staff ID
25f password
25g license qualification
26 General information operations
27 Operation of patient information
28 Operation of staff information
28a Staff information reference screen
28b Staff information reference screen
28c PASSWORD
28d Office
28e Selection frame for staff information
28f Person in charge list display frame
28g selection button
28h Narrow down staff information
28i check box
28j Staff selection button
29 Operation of family information
30 Operation of office information
30a Office information reference screen
30b Office information display frame
30c Affiliated staff
30d Office ID
30e Nursing Care Insurance Office Number
30f Parent office
30g Child office
S1 Client PC startup
S2 Access this system
S3 Login to Web server
S4 Patient asks home doctor from personal menu
Either the S5 Home Doctor receives the patient's request or leaves it
Choose
Organization of medical group by S6 home doctor
S7 Doctor sets the staff in charge
S8 Document reference and writing for each item in charge
S9 Client PC startup
S10 Access this system
S11 Login to Web server
S12 Login to the administrator menu
S13 Office manager selects the care manager
S14 The care manager in charge receives a plurality of patient assignments from the manager of the manager.
S15 The care manager in charge selects a patient from a plurality of persons and forms a care group necessary for care.
S16 The care manager in charge selects a patient.
S17 A care group is formed after selecting a patient.
S18 Either writing or browsing for each document and job type can be performed.

Claims (5)

A Web server connected to the Internet communication line and installed at the management source, a DB server connected to the Web server and storing the latest document (care information) in a storage device, and connected to the Internet communication line and managed by the management source From a Web / DB server that periodically stores past documents stored in a DB server in a business office in another location, and a client PC that connects to the Internet communication line and browses and writes documents in the DB server Unified care recording system characterized by The storage device of the DB server stores personal information of the patient, family, medical care and care staff, and assigns a medical group, a care group, and a family group to the patient. The unified care record system according to claim 1, wherein staff members and family members can refer to and write to a document of an assigned patient. The medical group of the storage device of the DB server is a medical group creation flow means in which a home doctor appointed from a patient organizes a plurality of medical staff, and a care manager assigned by a business office has a plurality of care managers. 3. The unified care recording system according to claim 2, wherein the care group creation flow means for organizing the staff and the family group creation flow means that can be assigned to each patient by the office. The storage device of the DB server can simultaneously associate a plurality of staff members and family members with one patient, and can associate a plurality of patients with one staff member at the same time. 3. The unified nursing care record system described in 3. The home doctor described in claim 2 performs the disclosure setting of the medical document on the organization screen of the medical group with his authority, and restricts the disclosure status of the patient's medical document to the staff belonging to the medical group. A unified nursing care record system characterized by having a means to do so.

Images