JP2006195669A5 - - Google Patents

Description

Medical support system

  The present invention relates to a medical support system for medical personnel to manage patient information and the like.

  Recently, systemization in the medical field is rapidly progressing with the shift to IT in society, and a portable terminal that is carried by a medical worker and supports medical work has been proposed.

  Cited Document 1 describes a portable terminal that displays the contents of a scheduled medical practice when a medical worker carries it and inputs patient information with a barcode reader. Also, cited document 2 describes a portable terminal that uses a hospital wireless LAN to transmit and receive patient treatment plan data and treatment content data.

  However, the portable terminals of the above cited references 1 and 2 have a problem that voice communication cannot be performed and emergency communication cannot be performed even when an immediate report such as a sudden change in a patient's medical condition is required.

  In addition, there is a problem that personal information may be leaked if the portable terminal of the cited documents 1 and 2 is transferred to a third party while holding the personal information of the patient.

  Furthermore, the portable terminals of the cited documents 1 and 2 have a problem that information is not immediately updated even when a patient's medical condition suddenly changes or a treatment plan is changed in a medical field.

JP 2003-99529 A JP 2003-70851 A

  The present invention has been made in view of the above-described conventional circumstances, and can be used inside and outside a medical facility, and has a voice call function, a data communication function, a hands-free function, a personal authentication function, and the like. The purpose is to propose a medical support system that performs electronic medical record management, order management, business schedule management, article management, medical knowledge management, and the like using a terminal.

  In order to solve the above problems, the medical support system according to the present invention employs the following means.

  In other words, claim 1 is an external network connected to a wide area such as the Internet, and a medical facility management connected to an internal network provided with a plurality of base stations in the medical facility and capable of communicating only within the medical facility. And a portable terminal that communicates with the medical facility management apparatus via the external network or the internal network. The portable terminal includes input means for inputting data such as voice and character strings, and voice and character strings. If it is possible to communicate with the output means for outputting data such as whether or not communication with the base station is possible, the communication method is set for the internal network and communication is performed via the internal network. If possible, a communication means for setting the communication method for an external network and communicating via the external network and the voice received by the communication means The digital data is converted into analog data and output by the output means, and the voice conversion means for converting the analog data of the voice input from the input means into digital data and transmitted by the communication means, and the portable terminal holder's Storage means in which biometric information such as a voiceprint and fingerprint is recorded in advance, biometric information of the portable terminal holder requested by the output means when the power is turned on, and the storage means inputted by the input means by the portable terminal holder And a processing means for starting a power supply when the biometric information recorded in the table matches and matches.

  According to this means, the mobile terminal is connected to the medical facility management apparatus via the internal network inside the medical facility and via the external network outside the medical facility, and communicates with the medical facility management apparatus.

  Furthermore, the portable terminal is activated only by a medical worker who has recorded biological information in the storage means.

  Further, according to claim 2, in the medical support system according to claim 1, the medical facility management apparatus includes: a database in which predetermined information such as a patient and a medical worker used in the medical facility is stored; A server that distributes predetermined information to the portable terminal, stores the predetermined information received from the portable terminal in the database, a storage device that stores the predetermined information received from the portable terminal, and a transmission / reception process of the information And a processing device for storing the predetermined information.

  According to this means, the medical facility management apparatus transmits information stored in the database to the mobile terminal, whereby the mobile terminal acquires information from the medical facility management apparatus, and the information transmitted from the mobile terminal to the medical facility management apparatus Is received by the medical facility management apparatus and stored in the database.

  According to a third aspect of the present invention, in the medical support system according to the first or second aspect, the biological information is stored in advance in the database of the medical facility management apparatus, and the portable terminal transmits information to the medical facility management apparatus. The medical facility management apparatus that transmits the mobile terminal holder's biometric information together and receives the information compares the biometric information in the database with the biometric information received from the mobile terminal to authenticate the mobile terminal holder. It is characterized by performing.

  According to this means, when transmitting information from the portable terminal to the medical facility management apparatus, personal authentication of the sender is performed using the biological information received by the medical facility management apparatus and the biological information stored in the database.

  According to a fourth aspect of the present invention, in the medical support system according to any one of the first to third aspects, the server of the medical facility management apparatus generates a secret key and transmits the secret key to the mobile terminal, and the medical facility management apparatus and the mobile terminal Is characterized by encrypting information to be transmitted based on the secret key when transmitting information and decrypting information received based on the secret key when receiving information.

  According to this means, information exchanged between portable terminals and between a medical facility management apparatus and a portable terminal is encrypted.

  Further, according to claim 5, in the medical support system according to any one of claims 1 to 4, the storage unit of the mobile terminal includes encoded information of a voice pattern of an instruction word that is an arbitrarily selected word, A processing command associated with the command word, and the processing means of the mobile terminal encodes the voice input by the input means and compares it with the encoded information of the command word. A processing command associated with the instruction word is executed.

  According to this means, the command set in the portable terminal by voice input is executed.

  Further, according to claim 6, in the medical support system according to any one of claims 2 to 5, the predetermined information includes a patient ID for identifying a patient in a medical facility and a prescription drug name corresponding to the patient ID. When order information including prescription date and time is included and the portable terminal transmits a patient ID to the medical facility management apparatus and requests the order information, the server obtains order information corresponding to the patient ID received from the database. When the portable terminal transmits a patient ID and order information to the medical facility management apparatus, the server receives the order information and stores it in the database. .

  According to this means, the order information stored in the database of the medical facility management apparatus can be received by the portable terminal. Also, order information can be transmitted from the portable terminal to the medical facility management apparatus.

  Further, according to claim 7, in the medical support system according to any one of claims 2 to 6, the predetermined information includes, for each patient, a patient ID for distinguishing the patient in the medical facility and a symptom or disease name. When the mobile terminal transmits a patient ID to the medical facility management apparatus and requests medical record information, the server obtains order information corresponding to the patient ID received from the database, and the information When the portable terminal transmits a patient ID and medical chart information to the medical facility management apparatus, the server receives the medical chart information and stores it in the database.

  According to this means, the chart information stored in the database of the medical facility management apparatus can be received by the portable terminal. Also, medical chart information can be transmitted to the medical facility management apparatus by the portable terminal.

  Further, according to claim 8, in the medical support system according to any one of claims 2 to 7, the predetermined information includes medical knowledge information including a plurality of pieces of medical information and keywords associated therewith, and the portable terminal Transmits a keyword to the medical facility management apparatus and requests medical knowledge information, the server acquires medical information associated with the keyword received from the database and transmits the information to the portable terminal. And

  According to this means, by inputting a keyword to the portable terminal and transmitting it to the medical facility management apparatus, information related to the keyword in the medical information stored in the database of the medical facility management apparatus is acquired by the portable terminal. can do.

  Further, according to a ninth aspect of the present invention, in the medical support system according to any one of the second to eighth aspects, the predetermined information includes an item ID for identifying an item used in the medical facility and a stock quantity corresponding to the item ID. When the portable terminal transmits the article ID to the medical facility management apparatus and requests the article information, the server acquires the article information corresponding to the article ID received from the database and receives the information. Is transmitted to the portable terminal, and when the portable terminal transmits an article ID and article information to the medical facility management apparatus, the server receives the article information and stores it in the database.

  According to this means, the article information stored in the database of the medical facility management apparatus can be received by the portable terminal. Further, the article information can be transmitted to the medical facility management apparatus from the portable terminal and stored in the database of the medical facility management apparatus.

  Further, according to claim 10, in the medical support system according to any one of claims 2 to 9, the predetermined information includes a medical worker ID for identifying a medical worker in a medical facility and a business content corresponding thereto. When the work schedule information including the scheduled work execution date and time is included, and the portable terminal transmits the medical worker ID to the medical facility management apparatus and requests the work schedule information, the server receives the medical worker information from the database. It is characterized in that business schedule information corresponding to an ID is acquired and the information is transmitted to a portable terminal.

  According to this means, the work schedule information stored in the database of the medical facility management apparatus can be received by the portable terminal.

  Further, according to claim 11, in the medical support system according to any one of claims 1 to 10, the predetermined information includes medical fee information including a medical practice and a score corresponding thereto, and the mobile terminal When medical record information including patient ID and information on a medical practice performed is transmitted to the medical facility management apparatus, the server acquires a score corresponding to the medical practice of the medical record information received from the database.

  According to this means, by transmitting medical chart information from the portable terminal to the medical facility management apparatus, the medical facility management apparatus can acquire points from the medical reward information stored in the database regarding the performed medical practice. .

  According to the present invention, a medical worker can acquire information stored in a database of a medical facility management apparatus using a mobile terminal. Moreover, the medical worker can store the information in the database of the medical facility management apparatus by transmitting information related to the business from the portable terminal to the medical facility management apparatus.

  In addition, the mobile terminal automatically switches the communication method between the medical facility and the outside of the medical facility for connection, so that the mobile terminal can be used without worrying about malfunction of the medical device inside or outside the medical facility. Communication can be performed.

  Furthermore, since the mobile terminal is activated only by the medical staff registered as the owner, information leakage can be prevented even when the mobile terminal is stolen or the mobile terminal is lost.

  And when a medical facility management apparatus receives information from a portable terminal, unauthorized access to the medical facility management apparatus is prevented by performing personal authentication of the sender.

  Since all information exchanged between the medical facility management apparatus and the portable terminal is encrypted, wiretapping and falsification of the information is prevented.

  In addition, since a command set in the mobile terminal can be executed by voice, processing by the mobile terminal can be performed even in a situation where a medical worker cannot use a hand such as during surgery.

  Hereinafter, an embodiment (1) of the present invention will be described with reference to FIGS. FIG. 1 shows a schematic configuration of a medical support system 1 of the present invention.

  The medical support system 1 of the present invention is connected to the external network 21 that is a wide area network, the internal network 22 that can communicate only within the medical facility, and the external network 21 and the internal network 22 to collectively collect information in the medical facility. A medical facility management device 3 to be managed, and a portable terminal 6 possessed by medical personnel such as doctors and nurses and capable of switching communication methods for the external network 21 and the internal network 22 are provided.

  The external network 21 is a wide area network such as a WAN (Wide Area Network) and the Internet, and a plurality of base stations 211 and an exchange (not shown) directly communicating with the mobile terminal 6 are installed outside the medical facility. The medical facility management apparatus 3 and the mobile terminal 6 can perform data communication such as voice, text, and images via the external network 21.

  The internal network 22 is a network such as a wireless LAN (Local Area Network) that enables communication only in the medical facility by installing a plurality of base stations 221 and an exchange (not shown) in the medical facility. Communication between the portable terminals 6 and communication between the medical facility management apparatus 3 and the portable terminal 6 in the medical facility are performed via the base station 221.

  The base stations 211 and 221 include a wireless transmission / reception unit that performs wireless communication with the mobile terminal 6, a modem demodulator that demodulates received data from the mobile terminal 6, a channel codec that encodes and compresses data and expands the data during playback, A voice codec that performs digital / analog conversion of a voice signal, a modem modulator that modulates data from the exchange and sends it to the wireless transceiver, a wireless processing device that controls communication with the portable terminal 6, and a base station ID are stored. An auxiliary storage device, a main memory for performing various processes, a line processing device for controlling communication with the exchange, and a transmission circuit for performing data transmission with the exchange via the line.

  The radio transceiver unit includes a reception amplifier, a first mixer, a second mixer, an intermediate frequency generation unit, a quadrature modulator, a third mixer, a reception amplifier, an antenna switch, and frequencies of the first to third mixers and the quadrature modulator. It consists of a synthesizer that controls.

  Here, when the wireless processing device receives control data indicating dial operation information based on the transmission operation of the mobile terminal 6 via the wireless transmission / reception unit, the modem demodulator, and the channel codec, the wireless processing device transmits the control data to the line processing device. To do. The line processing apparatus transmits the control data to the exchange side via the transmission circuit, thereby calling the other party.

  On the other hand, when the line processing device receives control data such as incoming data from the exchange side via the transmission circuit, the control data is transmitted to the wireless processing device. The wireless processing device sends the received control data to the channel codec.

  As a result, the control data is transmitted to the portable terminal 6 via the channel codec, the modem modulator, and the wireless transmission / reception unit, and the portable terminal 6 rings.

  In response to such a flow of control data, audio data from the mobile terminal 6 via the wireless transmission / reception unit, modem demodulator, and channel codec is sent to the audio codec. Then, it is converted into an analog signal by a voice codec and transmitted to the exchange side. An analog voice signal from the exchange side is converted into a digital signal by a voice codec and transmitted to the portable terminal 6 via a channel codec, a modem modulator, and a wireless transmission / reception unit.

Medical facility management device 3, as shown in FIG. 2, audio, text, an input device 3 2 to input various information such as an image, an output device 3 1 which outputs their various information, stores various information The storage device 34 is provided with a processing device 33 that controls the input device 3 2 , the output device 3 1 , the storage device 34, and the like, and performs various processes that will be described later.

  Further, the medical facility management apparatus 3 includes a firewall 35 and a security gateway 36 such as a VPN (Visual Private Network) gateway for security protection.

  The firewall 35 restricts access from outside the medical facility to the inside of the medical facility, and allows access only to those permitted. The security gateway 36 encrypts the communication path and creates a state where it is virtually connected by a dedicated line. The security gateway 36 is placed at the contact point between the external network and the internal network, and communication data from the internal network 22 to the external network is encrypted by the security gateway 36. Then, it is decrypted by the security gateway of the received terminal and received by the target computer. It may be decrypted after being received by the destination computer.

  Moreover, the database block diagram of the medical facility management apparatus 3 is shown in FIG. The medical facility management apparatus 3 includes a database group 4 including a patient database 41, a medical staff database 42, a medical history database 43, an order database 44, an article database 45, a medical fee database 46, a medical knowledge database 47, and the like. These database groups 4 are subjected to processing such as record addition, correction, and deletion by a server group 5 described later.

  Furthermore, the medical facility management apparatus 3 includes an ordering server 51 that manages order information, an electronic medical record server 52 that manages electronic medical records, a business management server 53 that manages medical staff's business, calculation of medical expenses, Medical accounting server 54 that performs distribution, inventory management and distribution management of medical materials, etc., medical personnel management server 56 that manages medical personnel, medical knowledge server 57 that distributes medical knowledge, etc. A server group 5 including a key management server 58 and the like is provided.

  The patient database 41 includes a patient ID for identifying each patient in a medical facility, and a name, address, telephone number, gender, date of birth, blood type, allergy presence, insurance type, insurance card number. Patient information table storing personal information such as patient ID, patient ID, scheduled processing date and time, schedule table storing processing content, patient ID, scheduled execution date, order contents, order date, order And an order table in which the medical worker ID of the medical worker is stored.

  The medical worker database 42 includes medical worker IDs for distinguishing medical workers within the facility, occupations such as doctors and nurses, affiliation such as surgery and internal medicine, team IDs when performing team medical care, terminal IDs used, fingerprints Medical staff information table storing biometric information such as voiceprints, team ID, team name, medical staff ID of the medical staff belonging to the team, and medical care of the team representative Team table storing worker IDs, patient IDs in charge of teams, etc., work schedule database storing medical worker IDs, scheduled work dates and times, scheduled work hours, responsible patient IDs, and scheduled implementation dates And a work schedule database storing patient ID, patient name, ward, ward, instruction content, etc. of the patient in charge.

  The medical history database 43 includes a patient ID, a patient name, a ward, a hospital room, a medical worker ID of a medical worker in charge, a medical worker name, a medical department name, a subjective symptom, a symptom, a disease name, Test name, test result, test result findings, policy, treatment, instruction content, date and time of instruction, physical test results such as height, weight, and body fat percentage, vital test results such as blood pressure, body temperature, pulse rate, respiratory rate, etc. Medical chart table storing date and time, and order history table storing patient ID, patient name, medical worker ID of ordering medical worker, order type, order contents, execution date and time, etc. And an image diagnosis history database storing a patient ID, a patient name, an image diagnosis name, an image diagnosis result, an image diagnosis execution date, and the like of the patient who performed the image diagnosis.

  The order database 44 stores a patient ID, a patient name, a disease name, an injection date, an injection drug name, an injection amount, an execution date and time, an ID of a medical worker who performed the order, remarks, etc. Table and patient ID, patient name, disease name, drug ID, drug name, prescription period, number of prescriptions, prescription amount, scheduled execution date, ID of the medical worker who performed the order, remarks, etc. And prescription drug table in which patient is placed, patient ID, patient name, hospitalization period, ward, ward, scheduled implementation date, medical worker ID in which order is placed, remarks, etc. And an examination table storing the patient ID, patient name, disease name, examination content, examination date, scheduled date and time of execution, ID of the medical worker who placed the order, remarks, etc. -A patient table that stores the patient ID, patient name, disease name, meal type such as low-calorie diet, scheduled date and time, ID of the medical worker who performed the order, remarks, etc. .

  The article database 45 includes an inventory table in which article IDs, article names, handling company IDs, handling company names, prices, number of stocks, storage locations, supplementary explanations, and the like are stored, article IDs, article names, used amounts, and used. And a use history table in which medical worker IDs, remarks, and the like are stored.

  The medical fee database 46 includes a medical fee table in which medical action IDs, names of medical actions, points, remarks, and the like are stored.

  The medical knowledge database 47 includes a medical knowledge table storing medical knowledge IDs, medical knowledge titles, classifications, specific contents, keywords, related medical knowledge IDs, and the like, and drug IDs, drug names, classifications, processing methods, It has a drug knowledge table in which indications, precautions, etc. are stored.

  The ordering server 51 acquires corresponding order information from the order database 44 in response to a request from the mobile terminal 6 and transmits it to the mobile terminal 6. In addition, the order information input and transmitted in the portable terminal 6 is received and stored in the order database 44.

  The medical facility management apparatus 3 is connected to a prescription issuing machine for issuing a prescription such as an injection note, and the ordering server 51 is based on the order information based on an instruction from a medical worker or a timer function. Issue prescriptions such as injections.

  In response to a request from the mobile terminal 6, the electronic medical record server 52 acquires appropriate medical record information from the medical history database 43 and transmits it to the mobile terminal 6. When medical record information is input to the mobile terminal 6 and the information is transmitted to the electronic medical record server 52, the electronic medical record server 52 receives the medical record information and stores it in the corresponding column of the medical history database 43.

  In response to a request from the mobile terminal 6, the business management server 53 acquires business information such as a schedule such as a working time of the medical worker, a patient in charge, a vital examination time, and a traveling time from the medical worker database 42. Transmit to the terminal 6. Further, when the work schedule is rewritten by the medical worker or the medical staff in the team, the rewritten work information is immediately transmitted to the portable terminal 6.

  The medical accounting server 54 extracts the score from the medical fee database 46 for the medical practice performed for the medical medical fee calculation work for the medical practice, and calculates the medical fee. When there is a request for medical fee information for medical practice from the mobile terminal 6, the medical fee is calculated and the calculation result is transmitted to the mobile terminal 6.

  When the article information is requested from the portable terminal 6, the article management server 55 acquires the article information from the article database and transmits it to the portable terminal 6. In addition, upon receiving information on article replenishment and consumption, the article management server 55 calculates information such as the number of articles in stock and rewrites a predetermined column in the article database 45.

  Further, the article management server 55 acquires the information when the article management shelf 72 confirms that the article is put in and taken out, and reflects the information in the article database 45.

  When the medical worker management server 56 receives the medical worker information such as the medical worker ID and biological information from the mobile terminal 6, the medical worker information and the medical worker information registered in the medical worker database 42 are displayed. Personal authentication is performed against the above. In addition, the work schedule and work schedule of the medical staff are managed and distributed to the mobile terminal 6.

  When the medical knowledge server 57 receives a keyword from the mobile terminal 6, the medical knowledge server 57 extracts an item having the keyword from the medical knowledge database 47 and transmits the specific contents of the item to the mobile terminal 6. In addition, information such as papers and latest medical care is distributed to the mobile terminal 6. Furthermore, the information is distributed to terminals outside the medical facility via the external network 21 as necessary.

  The common key management server 58 is a server that manages a secret key used for encrypting data on a wireless line, generates and updates a secret key, and is portable via the external network 21 and the internal network 22. The secret key is distributed to the terminal 6.

  The secret key is generated and updated regularly, and when requested by the medical facility management apparatus 3 and the portable terminal 6, the secret key is generated and updated as needed.

  Signals transmitted and received between the mobile terminals 6 and between the medical facility management apparatus 3 and the mobile terminal 6 are encrypted using a secret key, thereby preventing data from being wiretapped or tampered with. The encryption and the decryption are performed by the medical facility management apparatus 3 or the portable terminal 6 that has received the data.

Next, the portable terminal 6 mainly includes character, image, output means 61 for outputting sound or the like, a voice input unit 62 for inputting characters and the like, various treatment processes hand stage of performing such communication processing and data processing storage means to electrically and magnetically recording the data, a communication vehicle for transmitting and receiving data, speech conversion means to convert between audio and audio data, still picture, capturing means to record movies, power hand stage or Ranaru.

  The output unit 61 includes a display 611 that outputs characters, images, and the like, a speaker that outputs sound, and the like. In addition, when using the speaker in a hands-free manner, it is possible to expand the sound to such an extent that the sound can be sufficiently heard without the medical worker holding the mobile terminal 6 on the ear.

The input means 62 includes a microphone for inputting voice and a command microphone for inputting voice commands. As shown in FIG. 4 , the mobile terminal 6 includes an up / down / left / right key 621, an OK key 622, a power key 623, a call key 624, a menu key 625, a clear key 626, and a numeric keypad 627.

Processing hand stage is provided with a CPU which performs control and arithmetic of each device. This CPU performs various processes such as a voice call process, a communication process, an image process, a photographing process, a communication method switching process, a voice recognition process, a biometric information recognition process, a biometric information registration process, and a data encryption process, which will be described later. I do.

Storing hand stage is provided with a main storage device such as RAM (Random Accress Memory) that stores data electrically, and an auxiliary storage device such as a hard disk or a ROM for recording data magnetically (Read Only Memory) . The auxiliary storage device stores portable terminal ID information of the portable terminal 6 itself.

Further, the auxiliary storage device of the storage hand stage, order information acquisition program, order information input program, medical record information acquisition program, medical record information input program, the business schedule management program, article management information obtaining program, the article management information input program, medical Various programs such as a knowledge acquisition program are stored.

  The above program is created in a language such as Java (registered trademark) operating on the mobile terminal 6 and recorded in a compiled and executable state. The portable terminal 6 is preinstalled with an environment capable of executing the above program such as Java (registered trademark).

  When the menu key 625 of the input means 62 is pressed, the list of programs recorded in the auxiliary storage device is displayed on the display 611 of the output means 61 as shown in FIG. The program is activated by moving the cursor with the up / down / left / right keys 621 and selecting a program to be executed from the list and pressing the OK key 622 or pressing the numeric key 627 corresponding to the execution command.

Incidentally, the program can be removed more processing hand stage, also, it is possible to add a new program by receiving more a communication vehicle which will be described later.

A communication vehicle includes a communication connector, transceiver means, a modem demodulator, channel codec, voice codec has a modem demodulator, and an antenna or the like. Receiving means, the command processing hand stage or al, data such as image data and directories encoding, carried on the carrier and conjugated, and transmits or receives via an antenna.

Communication connector is a connector for sending and receiving information such as image data by wire, transmits the data stored in the storage hands stage to the device corresponding to the communication connector, also sent from the other party and stores the data in the memory hand stage.

Speech conversion hand stage is an audio converter. The voice conversion circuit is a codec function for mutually converting an analog signal and a digital signal, and a TDMA (Time Division Multiple Access) time-sharing multiple access (TDMA) system in which one frequency is alternately shared by a plurality of callers at short intervals. A communication function is provided, and an audio signal received by the transmission / reception unit is output to the speaker, and a voice input from the microphone is output to the transmission / reception unit as a transmission signal.

  Note that the voice communication system is not limited to the TDMA system, but a CDMA (radio communication system) that multiplies the voice signals of a plurality of callers by different codes, synthesizes all the voice signals and sends them using one frequency. A clear voice call is made by using Code Division Multiple Access (Code Division Multiple Access) or the like.

Shooting hand stage, CCD (Charge Coupled Devices, charge-coupled device) for converting into an electrical signal an image using the semiconductor device and a digital camera such as a camera, a video, a DSP (Disital Signal Processor) for processing the image, CCD A shutter that adjusts the time for which light is applied to the lens, a lens such as a plastic lens that adjusts the aperture, and a flash that instantaneously emits light.

The auxiliary storage device of the storage hand stage, still image, though photographing means for controlling an operation of capturing a moving image is stored, also more shooting process is executed in the processing hand stage.

The processing hand stage, the sampling timing control of the image data of the digital camera, the exposure control including the aperture and shutter speed, etc., focus control, zoom control, white balance setting, recording control of image data, display control, the pixels of the image data Shooting processing such as number conversion processing and various conversion processing of image data is performed.

The auxiliary storage device of the storage hand stage, the image processing unit of the image data, provided with an image compressing means, those means are performed more processing hand stage.

Image processing means changes the number of pixels, sharpness correction, gamma correction, contrast correction, and performs image processing of the white balance compensation, etc., the image data subjected to image processing temporarily stored in the main storage device of the storage hand stage Is done.

  The image compression means performs processing for compressing data such as image data into data such as JPEG and MPEG, and processing for decompressing the compressed data. Thereby, large-capacity data such as image data can be efficiently transmitted and received.

Next, biometric authentication performed when the mobile terminal 6 is activated will be described. An auxiliary storage device of the storage hand stage, medical personnel fingerprint is the holder of the portable terminal 6, a palm print, finger type, voice, retina, and acquires the biometric information of the iris, etc., in owner himself from the biometric information Biometric information authentication means for authenticating whether or not there is provided.

  A procedure for performing personal authentication in the portable terminal 6 will be described with reference to the flowchart of FIG. The mobile terminal 6 takes either a normal use state where normal processing can be performed or a standby state where only personal authentication is performed, in which the state management means operates in the normal use state and the biometric information authentication means operates in the standby state. is doing.

The portable terminal 6 is in a standby state when the power is turned off or not used, and the biometric information authenticating unit is operating (S101). When medical personnel processing hand stage of pressing the power key 623 of the portable terminal 6 portable terminal 6 detects a signal indicating the depression of the power key 623 (S102), the processing hand stage, sentence display 611 of the output unit 61 Is displayed or voice is reproduced from the speaker to request the input of the biometric information of the medical worker (S103), and waits until the input of the biometric information by the medical worker is detected (S104).

Here, the input of biometric information by the medical staff is, for example, when the biometric information is a voiceprint, the medical staff inputs a voice with the microphone of the input means 62, and when the biometric information is a fingerprint, the medical staff but do so by typing and more taking a fingerprint to the shooting hand stage.

Then, the processing hand stage, when detecting the input of the biometric information (S105) and temporarily stores the inputted biometric information in the main storage device of the storage hand stage (S106).

Biometric information authenticating means is provided with a determination criterion whether or not the same person for a plurality of biological information, when the processing hand stage of executing the biometric information authentication device, the biometric information input by said input means It is determined whether or not the biometric information recorded in the auxiliary storage device belongs to the same person (S107).

If the determination result is of the same person, the process hands stage shifts the mobile terminal 6 in the normal use state (S108). If the determination result is not that of the same person, processing such as prompting the input of biometric information again or turning off the mobile terminal 6 is performed.

  According to the above procedure, personal authentication is performed by the mobile terminal 6, and the mobile terminal 6 shifts to the normal use state only when the personal authentication is successful.

The auxiliary storage device of the storage hand stage, the mobile terminal 6 is provided with the usage state management unit to transition to automatically standby state when not used for a certain time when a normal use state.

  The use state management means monitors the use state when the mobile terminal 6 is in a normal use state, and if the mobile terminal 6 has been in a non-use state for a certain period of time, the program counter or operation until immediately before was performed. The memory area is saved and the biometric information authentication unit is activated.

  The biometric information authenticating means performs the above personal authentication again, and when it is recognized that the portable terminal 6 is a legitimate owner, the biometric information authenticating means shifts the use state to the normal use state, and saves the program counter and operation Restore the memory area that was used to its original state.

  Note that the mobile terminal 6 can be set in advance so that the mobile terminal 6 can receive incoming calls or mails even in the standby state, that is, when the biometric information authentication unit is activated.

Further, the same portable terminal 6 when sharing a plurality of medical personnel, the biometric information of the medical personnel all be used to store the hand stage of the mobile terminal 6 may be recorded, the recorded medical personnel It is also possible to give permission to use all as legitimate holders.

  Furthermore, the authentication method is not limited to such biometric information authentication, and password authentication such as a numeric string or a character string may be used.

  Thereby, the personal authentication by the biometric information in the portable terminal 6 can be performed without using the external network 21 or the internal network 22. That is, even when the mobile terminal 6 is put out of the medical facility, the personal authentication can be performed without problems even when the mobile terminal 6 is placed in an out-of-service area where radio waves do not reach.

  In addition, even when the biometric information authentication can be performed, the portable terminal 6 is in a standby state if it is not used for a certain period of time, and biometric information authentication is required again in order to return, so even if it is lost or stolen Unauthorized use of the mobile terminal 6 is prevented.

Next, a description will be given of a procedure for registering biometric information of medical personnel as a holder of the portable terminal 6 to the storage hands stage flow chart of FIG. Storing hand stage of the auxiliary memory device includes a biometric information registration means for recording the biometric information of the owner to the mobile terminal 6 in order to perform the biometric information authentication.

When executing the biometric information registration unit in the portable terminal 6, the processing hand stage requires the input of the biometric information by displaying the entry field of medical personnel ID, the biological information on the display 611 of the output unit 61 (S121), the medical It waits until the input by the worker is completed (S122). Holder and a medical practitioner of the portable terminal 6, input by the input means 62 the medical personnel ID to a predetermined input field, more input to the input unit 62 or captured hand stage biological information.

When the processing hand stage detects their input (S123), medical personnel ID input, sends more medical personnel management server 56 of the medical facility management device 3 to a communication vehicle biometric information (S124).

  The medical worker management server 56 stands by until receiving information from the portable terminal 6 (S131), but when detecting the reception of the medical worker ID and biometric information (S132), the medical worker database 42 is engaged in medical care. The corresponding biometric information is acquired using the person ID as a key, and compared with the biometric information received from the portable terminal 6, it is determined whether or not the same person belongs (S 133).

  As a result of the determination, if it is determined that the person is the same person, the medical worker management server 56 transmits registration permission data for permitting registration to the mobile terminal 6 (S134). The mobile terminal ID of the mobile terminal 6 is stored in the column storing the mobile terminal ID of the medical worker (S135). As a result of the determination, if it is determined that they are not the same person, the medical staff management server 56 transmits registration refusal data indicating that registration is rejected to the mobile terminal 6.

The portable terminal 6, when detecting the reception of the registration permission data from the medical personnel management server 56 (S126, S127), the biological information is recorded more storage hands stage processing hand stage (S128), the fact registered The output means 61 is made to output (S129). Further, when detecting the reception of the registration rejection data (S126, S127N), the processing hand stage is output to the effect that registration to the output section 61 is rejected (S128N), or terminates the biometric information registration unit, again medical personnel The user is prompted to input ID and biometric information (S121).

By the above procedure, the biometric information of the medical person is holder in the storage hand stage of the mobile terminal 6 is recorded (registered).

  Next, a hands-free function that prompts the medical staff to process the mobile terminal 6 using only voice without using hands will be described. As an example, a method for dialing with a hands-free function will be described below.

The auxiliary storage device of the storage hand stage, a speech recognition means for recognizing the voice input from the input unit 62, and a command current dictionary in which a plurality of instruction words are registered is provided. In addition, the auxiliary storage device stores encoded information of semi-syllable standard sound patterns “a”, “b”, “c”, and so on word by word.

  As main command words, there are a start keyword and an end key word for instructing the start of dial input and the end of a call, and a positive word and a negative word for responding to a confirmation request message output by speech synthesis. These command words can be arbitrarily set by the user. As a fixed word, a numeric name is registered in advance.

  As an example of an instruction word, the start keyword is registered as “Kaishi”, the end keyword as “Exit”, the positive word as “High”, and the negative word as “No”. The fixed words are 0 “zero”, 1 “1” to 9 “kyu”. These keywords are preferably set to words that are not normally pronounced in daily conversation in order to prevent the voice recognition means from malfunctioning.

  Also, for example, input message at the time of outgoing call "Please enter your name or number", confirmation message is "confirm", incoming message is "take a call", message at the end of the call " It will end ".

When inputting a command, voice is input to the command microphone of the portable terminal 6. Voice inputted from the command microphone is a method for converting a voice into digital data ADPCM (Adaptive Differential Pilse Code Modulation, adaptive differential pulse-code modulation) in the main storage device of the storage hand stages via encoded in such register Temporarily stored.

  The speech recognition means is compatible with 16-bit character codes, reads out the encoded information of the semi-syllable standard speech pattern recorded in the auxiliary storage device one by one, and stores the encoded information of the input speech stored in the main storage device. Is detected, and the input speech is recombined with the standard speech pattern. When the input speech is assembled into a standard speech pattern, each word is read from the command word dictionary and compared with the recognition result to determine whether or not they match.

Further, in the auxiliary storage device of the storage hand stage of the portable terminal 6, the address book is data associated with a previously names and phone numbers are recorded.

  Hereinafter, a procedure for performing a telephone call process using the hands-free function of the mobile terminal 6 will be described with reference to the flowchart of FIG.

When you start speech recognition means, processing hand stage of the mobile terminal 6 waits until there is an input of the start word (S201). Medical personnel enter the voice command microphone, when the word entered is determined to be a start password by voice recognition means (S202), the process manually stage input request message during a call by the output means 61 Is output until the input of destination information by the medical staff is completed (S203).

Health care workers, the telephone number or name of the destination terminal T input from the command microphone, processing hand stage is speech recognition, such as described above to detect the voice input, if the name has been input from the address book The telephone number information of the destination for which the match is determined is extracted (S204). Then, the processing hand stage performs a confirmation request by the voice synthesizing output unit 61 (e.g., by outputting a "Yamada 0301234567" prompt confirmation), and waits until detection of the confirmation information input by a medical practitioner (S205).

  If voice recognition fails or a destination that matches the voice input from the address book is not found, the destination information is requested again.

Medical personnel affirmative words, if you enter the confirmation information, such as negative word processing hand stage detects an input of confirmation information (S206), if confirmation information is positive word processing hand stage call process (S207). Also, if confirmation information is a negative word processing hand stage requests input again the destination information.

  Note that when the owner inputs a negative word, the voice recognition means may make a confirmation request again by selecting the closest destination that did not match but the match.

  As described above, the telephone call processing is performed only by inputting a voice without performing a key operation.

  When the calling process is performed and the other party answers and enters a call state, the voice input through the command microphone and the voice output from the speaker are communicated with the mobile phone circuit via the communication means. The voice recognition means authenticates only the end word.

Sound medical practitioner has entered from the command microphone, when it is determined that it end word by the speech recognition means (S208), the processing hand stage disconnects the communication (S209).

  At this time, the line disconnection process of the mobile terminal 6 may be performed in response to the line disconnection by the other party of the call instead of inputting the end word.

  Next, communication method switching in the mobile terminal 6 will be described. A communication method is set for the mobile terminal 6, and a network to be connected is selected by switching the communication method. The portable terminal 6 is connected to the internal network when communication is possible using the internal network 22, and is connected to the external network 21 otherwise.

  That is, when communication with the internal network 22 is possible, the communication method for medical facilities is set, and when communication with the internal network 22 is impossible, the communication method for medical facilities is set. The setting is performed by setting the radio frequency band of the incoming data to the mobile terminal 6 to one of the frequency band for the medical facility and the frequency band for the medical facility by controlling the synthesizer in the radio transceiver unit. Is called.

  Below, the procedure in which the portable terminal 6 switches a communication system is demonstrated based on FIG. 8, FIG. FIG. 8 is a flowchart when the mobile terminal 6 is inside the medical facility, and FIG. 9 is a flowchart when the mobile terminal 6 is outside the medical facility.

  The base station 221 registers the location of the mobile terminal 6. The base station ID information of the base station 221 of the auxiliary storage device is periodically transmitted via the control channel of the radio transmission / reception unit of the base station 221 (S311), and waits until there is a response from the portable terminal 6 for a certain time ( S312).

Processing hand stage of the mobile terminal 6 waiting until the reception of the base station ID information from the base station 221 is (S301), receives the base station ID information from the base station 221 in the communication area of the base station 221 Then (S302), the processing hand stage sends back the portable terminal ID information to the base station 221 (S303), it sets the communication mode to the mode for the medical facility (S304).

  The base station 221 that has received the mobile terminal ID information of the mobile terminal 6 (S313) stores the mobile terminal ID information in the main storage device, and the location registration of the mobile terminal 6 is performed (S314). If the base station 221 does not receive the mobile terminal ID information within the time, the mobile terminal ID information whose location is registered is deleted from the main storage device (S314N).

  In this way, when the base station 221 detects an incoming call addressed to the mobile terminal 6 while the location of the mobile terminal 6 is registered in the base station 221, the base station 221 notifies the mobile terminal 6 whose location has been registered.

  In addition, by setting the radio frequency band to various frequency bands by the processing device of the base station 221, the base station 221 can be used as a base station of another communication system, for example, a PHS system (Personal Handyphone System) or a PDC system (Personal Digital Cellular). Is possible.

  At this time, the portable terminal 6 can also be used as a portable terminal of the PHS system and the PDC system by controlling the synthesizer in the wireless transmission / reception unit to change the frequency band. That is, the mobile terminal 6 is used as the mobile terminal 6 that is used for both wireless LAN communication and PDC communication, for example, by changing the frequency.

The processing hand stage of the mobile terminal 6, and transmits the portable terminal ID information periodically to the base station 221 (S321).

  The base station 221 waits until the mobile terminal ID information is received from the mobile terminal 6 (S331). When the mobile station ID information is received (S332), the base station 221 transmits its own base station terminal ID information to the mobile terminal 6. (S333).

  Then, the portable terminal 6 waits for a response from the base station 221 for a certain time (S302). When the base station terminal ID is transmitted from the base station 221 (S323), the above-described location registration is performed and the communication method is changed. The system is set for the medical facility (S324). If no response is received from the base station 221 even after a predetermined time has elapsed, the communication system is set to a system outside the medical facility (S324N).

  Note that the mobile terminal 6 makes a determination to switch the communication method during a call, but does not switch the communication method itself. Here, when location registration is performed during a call using a method outside the medical facility (moving into the medical facility), it is necessary to switch the communication method at the end of the call. In addition, when location registration is performed (moved outside the medical facility) during a call using the medical facility system, it is necessary to switch to the medical facility external system. As described above, when it is necessary to switch the communication method depending on the presence / absence of location registration during a call, a change may be made.

  The operation example described above is an example in which the communication method is switched when position registration or the like is detected, but the communication method may be switched at the time of transmission.

  Next, the medical support system of this embodiment includes a medical device group 7. The medical device group 7 includes various inspection devices such as blood pressure monitors and electrocardiogram inspection devices, various in-hospital medical devices such as X-ray, CT, and MRI image diagnosis devices, and medical material medical treatment such as medicines and bandages. It consists of various medical devices such as barcode readers and IC tag readers that read and recognize barcodes and IC tags attached to materials.

Portable IC tag reader 71, an IC tag reader that is detachably connected to the communication connector of a communication vehicle mobile terminal 6. When the mobile terminal 6 is connected to the IC tag reader 71, the IC tag data read by the IC tag reader 71 can be received via the communication connector.

  The article management shelf 72 is a storage shelf that stores articles such as sterilized surgical instruments, medicines, and medical devices, and an IC tag is attached to the stored articles. In addition, a mobile IC tag reader for reading the IC tag of the stored article is attached to the side surface of the article management shelf 72.

  That is, a rail is horizontally attached to the side surface of the article management shelf 72, and wheels that run on the rail of the article management shelf 72, an air cylinder and a motor controlled by a control device are attached to the IC tag reader, and the IC tag reader Moves horizontally from end to end with the rod (secondary conductor) facing the inside of the article management shelf 72 on one side of the article management shelf 72.

  Further, the control device has means for communicating with the internal network 22, and transmits data read by the IC tag reader to the medical facility management device 3 via the internal network 22.

  Next, inventory information update processing in the article management shelf 72 will be described with reference to the flowchart of FIG. When the medical facility management apparatus 3 receives the article ID and current warehouse data of the article detected from the article management shelf 72 by the IC tag reader, the medical facility management apparatus 3 transmits the article ID and inventory data to the article management server 55.

  The control device of the article management server 55 periodically moves the IC tag reader, detects the article information to which the IC tag is attached in the article database 45 (S401), and transmits the article information to the medical facility management apparatus 3 ( S402).

  The article management server 55 stands by until the article information is received from the article management shelf 72 (S411). When the article information is received (S412), the article management server 55 acquires the article information of the article from the article database 45. The information is compared with the information received from the article management shelf 72 (S413). As a result, if the information is different, the information received from the article management shelf 72 is stored in the article database 45 (S414).

  The article management shelf 72 detects article information at regular time intervals (for example, every hour), but a health care worker provides an activation switch that prompts the above operation, and the article information is detected by the activation switch. Also good.

  The medical staff only needs to check the article information by the medical facility management device 3 or the portable terminal 6 at every predetermined time, and replenish the article only when the number of articles in stock is less than the predetermined amount.

  In this way, an article having an IC tag stored in the article management shelf 72 is automatically read by the mobile IC tag reader and transmitted to the medical facility management apparatus 3 via the control device, and the article database 45 By automatically updating the inventory information, it is possible to reduce the labor and burden of medical staff. Particularly in medical facilities, medical workers are often busy, and the effect is great.

  Further, when the medical facility management apparatus 3 confirms an article newly stored in the article management shelf 72, the article database 45 stores the article and the date and time when the article was stored, and manages the elapsed time from that point. Accordingly, the inventory period of the article can be managed.

  Next, personal authentication by the medical facility management apparatus 3 will be described. When the mobile terminal 6 acquires information from the medical facility management apparatus 3, the biological information of the medical staff is input to the mobile terminal 6 and the biological information is transmitted from the mobile terminal 6 to the medical facility management apparatus 3. It is necessary to perform personal authentication. The procedure will be described below based on the flowchart of FIG.

When the menu key 625 of the input unit 62 by the medical practitioner is depressed, the processing hand stage, as shown in FIG. 12, to display a list of the each program to display 611 of the output unit 61. When medical personnel to select one of the programs, processes hand stage, medical personnel ID on the display 611 of the portable terminal 6, without personal authentication screen (not including the input field of medical personnel information of the biological information, etc. ) Is displayed (S501), and the medical worker ID and the input of the biological information are waited for by the medical worker (S502).

  The medical worker inputs his / her medical worker ID through the input means 62 of the portable terminal 6. In addition, a medical worker inputs his / her biological information, for example, by inputting voice from a microphone of a portable terminal or photographing a fingerprint with a camera.

Processing hand stage, upon detecting medical personnel ID, and input of biometric information (S503), and transmit their healthcare professional information to medical personnel management server 56 of the medical facility management apparatus 3 (S504), a medical facility Wait until there is a response from the management apparatus 3 (S505).

In addition, the biological information that has been sent to the medical personnel management server 56, in order to avoid the use once by the person who illegally carrying the portable terminal 6, the transmission to be deleted stored hand stage whether these portable terminal (6) at the same time.

  The medical worker management server 56 stands by until there is an access from the mobile terminal 6 (S511), but when receiving the medical worker information is detected (S512), it is temporarily stored in the storage device. The medical worker management server 56 acquires the biological information of the corresponding medical worker from the medical worker database 42 using the medical worker ID received from the mobile terminal 6 as a key, and the biological body acquired from the medical worker database 42. The information is compared with the biological information received from the portable terminal 6 (S513).

  As a result, if they match, if it is determined that the sender from the portable terminal 6 is the corresponding medical worker (S507), information is transmitted from each server of the medical facility management apparatus 3 to the portable terminal 6. (S514). If they do not match, it is determined that the sender from the portable terminal 6 is not a corresponding medical worker, and authentication failure information is transmitted to the portable terminal 6.

Processing hand stage of the mobile terminal 6 detects the reception of information from the healthcare professional management server 56 (S506), if the information is a correct information output by the output unit 61 the information (S507), If it is authentication failure information, the fact that the authentication has failed is output to the output means 61 (S507N).

  The personal authentication is always performed when the mobile terminal 6 and the medical facility management apparatus 3 perform data transmission / reception.

  The input and browsing of order information by the portable terminal 6 of this embodiment will be described in detail. First, a procedure for receiving and browsing order information by the mobile terminal 6 will be described with reference to a flowchart of FIG.

  Acquisition, addition, correction, deletion, and the like of order information are performed by accessing the ordering server 51 from the mobile terminal 6. Here, the order is a prescription drug, an injection, an infusion, an inspection of an endoscope, etc., and instructions such as a meal, hospitalization, etc. The order information is information in which a patient and an order are associated with each other.

And processing hand stage presses the menu key 625 of the input means 62 displays a list of programs on the display 611 of the output unit 61. When the medical staff presses the numeric keypad 627 corresponding to the order information acquisition program, or moves the cursor to the position of the program with the up / down / left / right keys 621 and presses the OK key 622, the order information acquisition program is activated.

When you start order information acquisition program, the processing hand stage, waiting until the personal authentication screen medical personnel ID, together with the input field of the biological information displayed patient ID input field (S601), input by a medical practitioner terminates (S602).

  A medical worker inputs order request information such as a patient ID of a patient whose order information is to be acquired by the input means 62 of the portable terminal 6 together with the medical worker information. At this time, it is also possible to input patient IDs of a plurality of patients and acquire order information of the plurality of patients at a time.

Processing hand stage patient information by medical personnel of the portable terminal 6, when detecting the input of the medical personnel information (S603), and sends the information to the medical personnel management server 56 of the medical facility management apparatus 3 (S604) The process waits until there is a response from the medical facility management apparatus 3 (S605).

  The medical worker management server 56 stands by until there is an access from the mobile terminal 6 (S611), but when detecting reception of the order request information from the mobile terminal (S612), the biometric information received as described above is stored. Using this, personal authentication is performed (S613). If the personal authentication is successful (when it is determined that the medical worker has the received medical worker ID), the information is transmitted to the ordering server 51.

  The ordering server 51 performs medical worker authentication to determine whether the sender from the portable terminal 6 is in charge of the patient and is a medical worker who may acquire order information (S614). When the medical worker authentication is successful (when the sender is a medical worker who is permitted to receive information), the ordering server 51 transmits the requested order information to the mobile terminal 6 (S615). ). If personal authentication or medical worker authentication fails, authentication failure information is transmitted to the mobile terminal 6.

Processing hand stage of the mobile terminal 6 detects the reception of information from the medical facility management apparatus (S606), the information in the case of the order information and outputs the order information to the output unit 61. If it is authentication failure information, the fact that the authentication has failed is output to the output means 61.

  The order information acquisition by the portable terminal 6 is thus completed.

  Next, a procedure for a medical worker to place an order from the mobile terminal 6 will be described based on the flowchart shown in FIG. As an example, prescription drug ordering will be described.

  When the medical worker presses the menu key 625 of the input means 62, a list of programs is displayed on the display 611 of the output means 61, and the medical worker presses the numeric keypad 627 corresponding to the order information input program, or the up / down / left / right key 621. By moving the cursor to the position of the program and pressing the OK key 622, the order information input program is activated.

When order information input program is started, the processing hand stage, as shown in FIG. 15, medical personnel information on the display 611 of the mobile terminal 6, and, patient ID, name, type of prescription drugs, such as prescription agencies An order information input field is displayed to request the information (S621), and the system waits for an input by a medical worker (S622).

  The medical worker inputs the requested information to the portable terminal 6 through the input means 62, and selects the send button 612 displayed on the display 611 when the input is completed.

Processing hand stage, upon detecting the selection of the transmission button 612 (S623), order information, and sends more a communication vehicle for medical personnel information in a medical facility management apparatus 3 (S624), the response from the medical facility management apparatus 3 It waits until there is (S625).

  The medical facility management apparatus 3 is on standby until there is an access from the mobile terminal 6 (S631). However, when receiving the order information and medical worker information from the mobile terminal 6 is detected (S632), the information Is temporarily stored in the storage device 34. The medical worker management server 56 performs personal authentication (S633) and medical worker authentication (S634) of the sender. If the authentication is successful, the patient information of the patient to whom the medicine is prescribed is acquired from the patient database 41, the medical history database 43, and the order database 44.

  The information to be acquired includes information such as the patient's allergies, current prescription drugs, patient's disease name and treatment details, etc. The patient information is compared with the order information received from the mobile terminal. It is determined whether the prescription of the selected drug is safe. If it is determined that the determination result is safe, the order information is stored in the storage device 34 and transmitted as confirmation information to the portable terminal 6 again (S635), and waits until there is a response from the portable terminal 6 ( S636). If it is determined that it is not safe, the mobile terminal 6 is transmitted to the mobile terminal 6 that it is not safe.

  In addition, when the above personal authentication or medical worker authentication fails, authentication failure information is transmitted to the mobile terminal 6.

  The portable terminal 6 detects reception of information from the medical facility management apparatus 3 (S626), and if the information is the requested order information, the information is output by the output means 61 (S627). Similarly, when it is received that the prescription of the medicine is not safe, it is output to the output means 61. When the mobile terminal 6 receives the authentication failure information, the mobile terminal 6 outputs to the output means 61 that the authentication has failed (S627N).

  The medical staff confirms the order information output to the output means 61, and if the order is not changed, confirmation information to confirm the order is transmitted from the portable terminal 6 to the ordering server 51 (S628). In addition, when the medical staff changes the order, the confirmation information is not transmitted to the ordering server 51.

  When the ordering server 51 detects reception of confirmation information from the portable terminal 6 (S637), the order database 44 stores the order information stored in the storage device 34 and the medical worker information of the medical worker who placed the order. The data is stored in a predetermined column of the patient database 41 (S638). Further, as necessary, the updated order information is transmitted to the mobile terminal 6 owned by a medical staff such as a doctor or nurse who is in charge of the patient. At this time, instead of transmitting the order information, information indicating that the information has been updated may be transmitted to prompt the medical staff in charge to acquire the order information again.

  As described above, the order information is centrally managed by the ordering server 51 by performing the ordering from the portable terminal 6 to the medical facility management apparatus 3. Thereby, order information is reliably transmitted without delay between medical staffs, and the burden on medical staffs is reduced.

  Next, a description will be given in detail regarding the input and browsing of medical records by the mobile terminal 6 of the present embodiment. In this embodiment, in order to prevent falsification of the medical chart, a function for once correcting the medical chart information stored in the medical history database 43 is not provided.

  Below, the procedure in which the medical staff of the present invention receives and browses patient chart information will be described in detail with reference to the flowchart shown in FIG.

  When the medical worker presses the menu key 625 of the input means 62, a list of programs is displayed on the display 611 of the output means 61, and the medical worker presses the key corresponding to the medical record information acquisition program, or by the up / down / left / right key 621. By moving the cursor to the position of the program and pressing the OK key 622, the chart information acquisition program is started.

When medical record information acquisition program is activated, the processing hand stage of the mobile terminal 6, a patient ID on the display 611, and displays an input field, such as medical personnel information requesting the information (S641), information of healthcare professionals Wait until the input is completed (S642).

  The medical staff inputs medical staff information and medical chart request information such as the patient ID of the patient in charge using the input means 62 in each input column.

Processing hand stage, when detecting the input of a chart request information by the medical practitioner (S643), the information input and transmitted to the medical facility management apparatus 3 makes a request of the medical record information of the patient (S644), a medical facility Wait until there is a response from the management apparatus 3 (S645).

  The medical facility management apparatus 3 is on standby until there is an access from the mobile terminal 6 (S651), but when receiving medical chart request information from the mobile terminal 6 (S652), the received information is temporarily stored. Store in device 34. Then, personal authentication of the sender from the portable terminal 6 is performed by the medical staff management server 56 as described above (S653). When the personal authentication is successful, the information is transmitted to the electronic medical record server 52.

  The electronic medical record server 52 performs authentication of the medical staff of the sender (S654). If the medical worker authentication is successful, the electronic medical record server 52 acquires the patient's medical record information designated from the medical history database 43 using the patient ID as a key and transmits it to the portable terminal 6 (S655). Further, if the sender's personal authentication or medical worker authentication fails, authentication failure information is transmitted to the mobile terminal 6.

The portable terminal 6, and records when detecting reception of medical record information from an electronic medical record server 52 (S646) medical record information in the storage hand stage, as shown in FIG. 19, the medical record information received in the display 611 of the output unit 61 Is displayed (S647). In addition, when the portable terminal 6 receives the authentication failure information from the electronic medical record server 52, the portable terminal 6 outputs the fact that the authentication has failed by the output means 61 (S647N).

  As described above, the portable terminal 6 acquires medical chart information from the medical facility management apparatus 3.

  The medical record information starts with a patient ID and a patient name, and includes items such as a ward, a hospital room, a disease name, and a symptom. Only the item name such as “disease name” is initially displayed on the display 611. Is displayed. These item names are linked to the specific contents of each item, and when an item is selected by the medical staff, the specific contents of the item are displayed.

When the power key 623 corresponding to the end of the input means 62 of the portable terminal 6 is pressed, the output means 61 stops displaying the chart information. At the same time, the portable terminal 6 is used to prevent leakage of personal information. memory hand stage whether we chart information of is deleted.

Incidentally, in this case, depending on the circumstances, or keep a record on the storage hands stage the received medical record information until a deletion instruction as history information of the medical record information, also recorded to the history information reaches a predetermined amount It may be set to enter.

  Next, input of reception information by a patient when the patient is an outpatient will be described based on a flowchart shown in FIG. A reception terminal is installed at the medical facility for reception of examinations. The reception terminal includes output means, input means, processing means, and storage means similar to the medical facility management apparatus 3, and is connected to the internal network 22.

  A patient who wishes to have a medical examination inputs the reception information by using the input means of the reception terminal installed at the above-mentioned medical examination reception, and registers that he / she wishes to have a medical examination. The reception information input at this time is name, address, telephone number, gender, date of birth, blood type, presence of allergies, desired department name, subjective symptoms, and patient ID if issued. .

  The reception information input by the patient is transmitted to the electronic medical record server 52 of the medical facility management apparatus 3 by the reception terminal. The electronic medical record server 52 of the medical facility management apparatus 3 stands by until there is an access from the reception terminal (S661), but upon receiving reception information from the reception terminal (S662), the patient database is based on the reception information. Patient information is acquired from 41 (S663), and it is determined whether or not a patient having the patient ID, name, and date of birth of the patient is registered in the patient database 41 (S664).

  If the information about the patient exists as a result of the determination, the electronic medical record server 52 compares the information in the patient database 41 with the received information, and if there is a different item, the corresponding column in the patient database 41 is replaced with new information (accepted). Information) (S665), and information such as the name of the clinical department and subjective symptoms is added to the corresponding column of the medical history database 43.

  If the information about the patient does not exist as a result of the determination, new patient information is added to the patient database 41 by the electronic medical record server 52, and the clinical department name, subjective symptoms, etc. are added to the medical history database 43. The new chart information described is added (S665N).

  As described above, patient reception information is input by the reception terminal.

  Next, the procedure in which the medical staff of the present invention inputs patient chart information by the input means 62 of the portable terminal 6 and transmits the information to the electronic chart server 52 will be described in detail with reference to the flowchart shown in FIG. Explained.

  When the medical staff presses the menu key 625 of the input means 62, a list of programs is displayed on the display 611 of the output means 61, and the medical staff presses the key corresponding to the medical record information input program, thereby inputting electronic medical chart information. The program starts.

When chart information input program is started, the processing hand stage of the mobile terminal 6, medical personnel information on the display 611, and displays the input column such as a patient ID require medical personnel information, the patient ID, etc. (S681), It waits until there is an input by the medical staff (S682).

  The medical worker inputs patient information such as a patient ID of the patient in charge, the medical worker's own medical worker ID, and biological information using the input unit 62 of the portable terminal 6.

Processing hand stage of the mobile terminal 6, when detecting the information input by the medical personnel (S683), makes a request of the medical record information of the patient and transmits the information input to the medical facility management apparatus 3 (S684) The process waits until there is a response from the medical facility management apparatus 3 (S685).

  The medical facility management apparatus 3 waits until information is received from the portable terminal 6 (S691), but when receiving medical record information and medical worker information from the portable terminal 6 is detected (S692), the information Is temporarily stored in the storage device 34. Personal authentication is performed in the medical staff management server 56 (S693), and if successful, the received patient information and medical staff information are transmitted to the electronic medical record server 52.

The electronic medical record server 52 performs medical worker authentication (S694), and if successful, extracts the electronic medical record information of the patient from the medical history database 43 and transmits it to the portable terminal 6 (S695). If personal authentication or medical worker authentication fails, authentication failure information is transmitted to the mobile terminal 6.
The mobile terminal 6 that has received the chart information outputs confirmation information to the output means 61.

  In addition, if the portable terminal 6 receives medical chart information from the electronic medical record server 52, the mobile terminal 6 displays an electronic medical chart screen described later on the display 611 of the output means 61 (S687). When the authentication failure information is received, the fact that the authentication has failed is displayed on the display 611 (S687N).

  In addition, when the medical staff inputs the electronic medical record screen described later by the input unit 62 and inputs a transmission instruction, the mobile terminal 6 inputs the medical record information and the medical record information to the electronic medical record server 52. The worker information is transmitted (S688). When the electronic medical record server 52 detects reception of medical record information and medical staff information (S697), the electronic medical record server 52 stores the received electronic medical record information in a predetermined column of the medical history database 43 (S698).

  As described above, the chart information is transmitted to the medical facility management apparatus 3 by the portable terminal 6.

  In addition, a method for inputting medical chart information by the portable terminal 6 will be specifically described below. As shown in FIG. 19, which is a screen view of the display 611 when inputting medical chart information by the portable terminal 6, the display 611 includes items such as disease name, symptom, vital, test value, medication order, treatment order, schedule, and the like. An electronic medical record screen with a list of names is displayed.

  Each item name in the list is linked to the item content, and when the item name is selected by the medical staff, the item content and the input column for the item are displayed on the display 611. FIG. 20 shows, as an example, a medication order input screen when a medication order item is selected by a medical worker.

Further, the medical staff examines the patient while browsing the electronic medical record screen, and inputs information corresponding to each of the input fields as necessary. At this time, when the cursor is moved by the up / down / left / right key 621 to select an input field to be input and the OK key 622 is pressed, an input field as shown in FIG. 21 is displayed on the display 611 of the output means 61. . When medical personnel to select the OK button 614 performs input by the input means 62 to the input field, the input information is recorded in the storage hand stage.

When a medical worker performs an image diagnosis such as an X-ray diagnosis on a patient, information such as the name of the image diagnosis, the image diagnosis result that is a captured image, and the date of image diagnosis is obtained from the image diagnosis apparatus and the portable terminal. wirelessly to 6, or sent through the cable, the portable terminal 6 displays the column of test results of the electronic medical record screen on the display 611 of the output unit 61 receives more the result to a communication vehicle. At this time, the image diagnosis apparatus also transmits information such as the image diagnosis name, the image diagnosis result, and the image diagnosis execution date to the medical history database 43 at the same time.

Further, when the portable terminal 6 receives the examination result as an image, the portable terminal 6 displays the received image in the examination result column on the electronic medical record screen on the display 611 of the output means 61. And when a medical worker selects the image on the portable terminal 6, while drawing a figure, a line, a point, text information etc. on the image of a test result via an image processing means, the drawn state it can be recorded in the storage hand stage.

  Note that processing such as correction and deletion other than drawing on the image is prohibited in the column of the examination result on the electronic medical record screen. In addition, the above input fields are not limited to text input, but may be input by displaying and selecting options.

  When the input of all the chart information is completed, the medical worker transmits the chart information to the medical facility management apparatus 3 using the portable terminal 6. At that time, the processing device 33 of the medical facility management apparatus 3 transmits medical chart information to the electronic medical record server 52, and the electronic medical record server 52 based on the medical chart information, the patient schedule table and the medical history database 43 of the patient database 41. The information corresponding to each column is stored in the electronic medical record table.

  The electronic medical record server 52 transmits medical chart information to the medical accounting server 54. The medical accounting server 54 calculates the total amount of medical fee to be paid by the patient from information on treatment, examination, etc. included in the medical record information, based on the medical action and score information stored in the medical fee database 46. .

  Further, the electronic medical record server 52 transmits electronic medical record information to the article management server 55. The article management server 55 grasps the usage status of articles such as used medical materials from information such as treatments and examinations included in the electronic medical record information, and updates the number of inventory in the article database 45 and the like.

  As described above, the electronic medical record information can be acquired from the medical facility management apparatus 3 using the mobile terminal 6, or the electronic medical record information can be input and transmitted to the medical facility management apparatus 3 using the mobile terminal 6.

  Even when the medical worker is outside the medical facility, it is confirmed that the portable terminal holder is a medical worker who is permitted to transmit and receive information by transmitting biological information and the like via the external network 21. Then, it is possible to receive medical chart information by the portable terminal 6, to input the medical chart information, and to transmit the inputted medical chart information. Therefore, even when a medical worker visits a medical facility outside the medical facility, the electronic medical record can be written in the same manner as when the medical worker is in the medical facility.

  Next, a procedure for receiving a work schedule by the portable terminal 6 by a medical staff such as a nurse of the present invention will be described in detail with reference to a flowchart shown in FIG.

  When the medical worker presses the menu key 625 of the input means 62, a list of programs is displayed on the display 611 of the output means 61, and the medical worker presses the key corresponding to the work schedule acquisition program or uses the up / down / left / right keys 621. When the cursor is moved to the position of the program and the OK key 622 is pressed, the electronic medical record information management program is activated.

When the work schedule management program is started, processing hand stage, on the display 611 of the portable terminal (6), health care to health care workers to display medical personnel ID, biological information, the input field of medical personnel information such as the team ID The user information is requested to be input (S701), and the system waits until there is an input by the medical staff (S702).

  The medical staff uses the input means 62 to input the medical staff ID when performing business individually and the team ID together with the biological information when performing business as a team.

Processing hand stage of the mobile terminal 6, when detecting the input of the medical personnel information by the medical practitioner (S703), and requests the work schedule information and transmits the medical personnel information input to the medical facility management apparatus 3 ( S704), and waits for a response from the medical facility management apparatus 3 (S705).

  The medical facility management apparatus 3 is on standby until there is an access from the mobile terminal 6 (S711). When receiving a request for medical worker information and work schedule information from the mobile terminal 6 (S711), the medical facility management apparatus 3 receives the information. It is temporarily stored in the storage device 34. The medical worker management server 56 performs the above-described personal authentication based on the received medical worker information and the information stored in the medical worker database 42 (S713).

  If the personal authentication is successful, the business management server 53 acquires business schedule information of the medical worker or medical team from the business schedule table of the medical worker database 42 using the medical worker ID or team ID as a key, and the mobile terminal 6 (S714). If the personal authentication fails, the medical worker management server 56 transmits authentication failure information to the mobile terminal 6.

  In addition, when performing business with a team, if the biometric information received by the medical worker management server 56 matches any biometric information among the medical workers belonging to the team, the mobile terminal 6 performs the business. Although the schedule information can be acquired, depending on the situation, the work schedule information may not be acquired unless it matches the ecological information of the representative of the team.

The portable terminal 6 receives the more Additional work schedule information in a communication vehicle (S706), stores the business schedule information in the auxiliary storage device of the storage hand stage, including the information on the display 611 of the output unit 61 work A schedule screen is displayed (S707). The portable terminal 6 receives more authentication failure information to a communication vehicle, and outputs the effect that the authentication has failed to the display 611 of the output unit 61 (S707N).

  The work schedule information is a list of work contents having information such as scheduled execution date and time, patient ID, patient name, ward, ward, instruction contents, and the like. In addition, on the work schedule screen, the execution date and time of each work, patient name, instruction contents, etc. are displayed as a list. When a medical worker selects a task to be performed by moving the cursor with the up / down / left / right key 621 from the list and presses an OK key 622, detailed information on the task is displayed.

  The business schedule management program includes a time stamp function for giving an input date and time to information when the information is input to the mobile terminal 6.

  In addition, a medical worker uses an IC tag reader 71 that is detachably connected to the mobile terminal 6 and transmits the read information to the mobile terminal 6, and a medical worker is provided with an IC tag having patient information when performing business. Patient information can be inputted to the portable terminal 6 from the IC tag to confirm the patient.

  Hereinafter, as an example, a procedure in which a medical staff such as a nurse executes a work schedule management program using the mobile terminal 6 to visit a patient will be described with reference to a flowchart shown in FIG.

Processing hand stage, the output unit 61 based on the cyclic order data stored in the storage hand stage, displays a cyclic order display screen as shown in FIG. 24. When the medical staff selects the patient by moving the cursor with the up / down / left / right key 621 from among the patients displayed on the patrol order display screen, the display 611 of the output means 61 has a display as shown in FIG. A test result input screen that prompts input of patient information of the selected patient is displayed, the medical worker is requested to input patient information (S721), and the process waits until input by the medical worker is completed (S722).

  The output means 61 displays on the output means 61 an examination result input screen for inputting the result of the cyclic examination for each patient. A patient ID, name, ward, ward, disease name, department name, and the like are displayed at the top of the test result input screen of this embodiment.

  In the center of the test result input screen, input fields for items such as body temperature, pulse, blood pressure maximum / minimum values, water content, urine output, blood glucose level, and the like are displayed. At this time, numerical values and the like are already displayed for each inspection item. These numerical values indicate the result data of the previous round inspection.

  In this way, by displaying the previous result data on the input screen of the mobile terminal, it is possible to quickly recognize changes in the patient's condition by quickly comparing with the numerical value obtained by conducting the current round examination. Can do.

First, connect the IC tag reader 71 to the portable terminal 6 to be temporarily stored in the memory hand stage of the mobile terminal 6 reads the IC tag information. An IC tag indicating a patient ID is attached to the patient's bed or the patient's body (necklace, wristband, etc.). The patient is confirmed by reading the IC tag information of the IC tag for each patient, and misidentification of the patient is prevented.

When the medical staff measures the patient's body temperature and inputs a numerical value, the body temperature input field on the input screen is selected. Thus, the processing hand stage is displayed on the display 611 candidates numeric be input as a pop-up menu (not shown). In this embodiment, data at the time of the previous measurement is usually displayed. When the up / down / left / right key 621 of the input means 62 is pressed, the numerical value is moved up and down and redisplayed. Numbers after the decimal point are displayed in a separate pop-up menu.

  The input data is displayed in the input field. At this time, the input field or the data input in the input field is displayed in a color different from that before input. Thereby, the medical staff can confirm that the measurement data has been input properly. The same applies to the input of other items.

  In addition, by displaying the previous result data in the pop-up menu in this way, it is possible to reduce the input work of the medical staff. Also, it is often the case that when you measure body temperature, only the numbers below the decimal point change as shown above. This is to further reduce the input work of the medical staff.

Next, when the pulse input field is selected, candidate values for pulse measurement time are displayed in a pop-up menu. In the case of a pulse, first, a pop-up menu for selecting a measurement time is displayed, and candidate values for the measurement time, for example, 10, 15, 20, 25, 30, 60 (seconds) are displayed. For example, if 10 seconds is selected as the measurement time, then a pop-up menu for inputting the measured data is displayed. For example, the tenth place and the first place are displayed in separate windows. The medical staff selects the tenth place and the first place and inputs the pulse data. Then, is displayed on the input field of the pulse as a result is converted to a more one minute of data processing manual stage data is stored in the storage hand stage.

  The measurement time may be set in advance, or the measurement time when the previous pulse measurement was performed may be stored. Thereby, the pop-up menu display of the measurement time can be omitted, and the trouble of displaying only the set or stored measurement time and selecting the measurement time can be omitted.

  In addition, when the input numerical value is a three-digit numerical value as in the case of inputting the maximum value of blood pressure, the candidate numerical value “0-9” for the hundreds and the candidate numerical value “0-9” for the pickup are The first candidate number “0-9” is displayed. At this time, the previous inspection result data is displayed as the specified value.

  Thereafter, the measured data is sequentially input in the same manner. By selecting the graph display button 615, the medical staff can display the data input as described above on the output means 61 of the portable terminal 6. For example, when a medical worker wants to display a graph of vital data, when the graph display button 615 of the body temperature item is selected, the measurement data of body temperature, respiration, and blood pressure are vertically displayed on the display 611 as shown in FIG. A line graph (or bar graph) with the axis and the measured date and time as the horizontal axis is displayed. When the return button 613 is selected, the output unit 61 displays a screen before the graph is displayed.

  When the graph is displayed, the display can be scrolled back and forth with respect to the time axis by pressing the up / down / left / right key 621. By changing the scale or scrolling in this way, even a small screen can be used effectively to display a graph that can be easily viewed.

  Further, the medical worker can display the measurement results such as the minimum value and the maximum value of the body temperature, the pulse, and the blood pressure in the form of a table together with the measurement date and time by selecting the data display button 616. Similarly, when the return button 613 is selected, the output unit 61 displays the screen before the table is displayed.

  In addition, when a health care worker inputs in the input field for each of the above items, since the character string input in the input field or the input field is displayed in a color different from that before input, the health care worker inputs An uninput item can be recognized at a glance by the color of the column.

  When the medical worker inputs the result data of all items of the patrol examination, he / she inputs the medical worker ID and biological information of the medical worker himself / herself and selects the transmission button 612.

Processing hand stage of the mobile terminal 6, when detecting a selection of the transmission button 612 (S723), and sends the inputted patrol inspection result information, a medical person information to the medical facility management apparatus 3 (S724), next to the display 611 Displays the input screen for the patient. In addition, it waits for a response from the medical facility management apparatus 3 (S725).

  In this manner, the medical staff sequentially performs a patrol of the patient. Normally, the cyclic inspection is performed in the cyclic order displayed on the terminal. The cyclic inspection can be performed most efficiently, but the cyclic order may be arbitrarily changed as necessary.

  The medical facility management device 3 is on standby until there is an access from the portable terminal 6 (S731). When the patient information is received (S732), the medical worker management server 56 performs the above personal authentication ( S733).

  When the personal authentication is successful, the above-described electronic medical record server 52 performs medical worker authentication (S734). When the medical worker authentication is successful, the electronic medical record server 52 stores the cyclic examination result information received from the portable terminal 6 in a predetermined column of the medical history database 43 (S735). If personal authentication or medical worker authentication fails, the electronic medical record server 52 transmits authentication failure information to the portable terminal 6.

Processing hand stage of the mobile terminal 6 receives the authentication failure information (S726) and outputs a message indicating that the authentication has failed to the output unit 61 (S727N).

  As described above, the medical staff transmits the patient's inspection result information to the medical facility management apparatus 3 using the portable terminal 6.

  When the business schedule management program is executed, the timer function continues to operate, and when the execution result is not input at the scheduled execution date and time of each business, a warning sound is emitted and the business content is stored in the mobile terminal 6. It is displayed on the output means 61. At this time, it is possible to set so as not to emit a warning sound according to the situation.

  Further, in this embodiment, the result data is transmitted to the medical facility management apparatus 3 for each patient. However, after the examination is completed for some patients or all patients, the data is transmitted to the medical facility management apparatus 3 collectively. Also good.

  In this embodiment, a time stamp at the time of input (data of input date and time) is given to the result data input for each inspection item by the clock function.

  Hereinafter, a procedure for a medical worker such as a doctor, a nurse, a pharmacist, or a medical clerk of the present invention to receive article information such as medical equipment and medical materials by the mobile terminal 6 will be described in detail with reference to the flowchart shown in FIG. Explained.

  When the medical worker presses the menu key 625 of the input means 62, a list of programs is displayed on the display 611 of the output means 61, and the medical worker presses the key corresponding to the article management information acquisition program, or the up / down / left / right key 621. By moving the cursor to the position of the program and pressing the OK button 622, the article management information acquisition program is started.

When the article management information obtaining program is activated, the processing hand stage, medical personnel information on the display 611 of the portable terminal 6, the article ID, view and medical personnel information input column of articles required information such as the article name, article information (S741), and waits until the input by the medical staff is completed (S742).

  The medical staff inputs the article request information through the input unit 62 of the mobile terminal 6. At this time, when the article name input field is selected, a list of article names is displayed, and the article name is input by selecting the article with the up and down keys. It is also possible to select a plurality of article names.

Processing hand stage of the mobile terminal 6 detects the input of the article request information by the medical practitioner (S743), and requests the article information and transmits the input information to the medical facility management apparatus 3 (S744), a medical facility Wait until there is a response from the management apparatus 3 (S745).

  The medical facility management apparatus 3 is on standby until there is an access from the mobile terminal 6 (S751), but when receiving the article request information from the mobile terminal 6 (S752), the information is temporarily received. Stored in the storage device. The medical worker management server 56 performs personal authentication using the received medical worker information and the information stored in the medical worker database 42 (S753).

  When the personal authentication is successful (S746, 747), the article management server 55 performs the medical worker authentication for determining whether the sender is a medical worker who should handle the article (S754). If the medical worker authentication is successful, the product information is acquired from the product database 45 using the product ID as a key and transmitted to the portable terminal 6 (S755). If personal authentication or medical worker authentication fails, authentication failure information is transmitted to the mobile terminal 6.

When the portable terminal 6 receives the article information by the communication means (S746), stores the article information in the auxiliary storage device of the storage hand stage, displays an article screen including the item information on the display 611 of the output unit 61. The article information includes an article ID, an article name, an inventory quantity, a storage location, and the like. When the mobile terminal 6 receives the authentication failure information, the display 611 displays that the authentication has failed.

  As described above, a medical worker can acquire article information using the mobile terminal 6.

  Next, a procedure for inputting and transmitting article information such as medical devices and medical materials by the portable terminal 6 by a medical worker such as a doctor, nurse, pharmacist, medical office worker, etc. of the present invention will be described with reference to the flowchart shown in FIG. Will be described in detail.

List for each program to display 611 of the output unit 61 and the medical personnel presses the menu key 625 of the input means 62 is displayed, the medical personnel presses a key corresponding to the article management information input program, the processing hand stage This starts the article management information input program.

When the article management information input program is started, the processing hand stage, as shown in FIG. 29, the medical practitioner ID on the display 611 of the portable terminal 6, article name, refill number, the number of consumers, displays the input column of the storage location The medical worker is requested to input medical worker information and article information (S762), and waits until input is performed by the medical worker (S761).

  The medical worker inputs data into the respective input fields such as the medical worker ID and the article name by the input means 62 of the portable terminal 6 (S763). At this time, if the input column for the article name and storage location is selected, a list of the article name and storage location is displayed, and the article name and storage location are input by selecting the article and storage location using the up and down keys.

  The replenishment number is input only when the article is replenished, the consumption number is input only when the article is consumed, and the storage location is input only when the article is moved. In addition, by inputting voice from the microphone of the mobile terminal or photographing a fingerprint with a camera, the biometric information of the medical worker is input.

Processing hand stage of the mobile terminal 6, healthcare workers information by a medical practitioner, the article information is input (S763), and transmits the information to the medical facility management apparatus 3 requests the article information (S764) The process waits until there is a response from the medical facility management apparatus 3 (S765).

  The medical worker management server 56 stands by until there is a response from the portable terminal 6 (S771). However, when receiving the medical worker information and article information from the portable terminal 6 (S772), the medical worker management server 56 obtains the information. Received and temporarily stored in the storage device 34. The medical worker management server 56 performs the above-described personal authentication based on the received medical worker information and the information stored in the medical worker database 42 (S773).

  If the personal authentication is successful, the article management server 55 transmits the article information received from the portable terminal 6 as confirmation information to the portable terminal again (S774), and waits for a response from the portable terminal 6 (S775). If personal authentication fails, authentication failure information is transmitted to the mobile terminal 6.

  When the portable terminal 6 receives the confirmation information from the medical facility management apparatus 3 (S766), the portable terminal 6 displays the confirmation information on the output means 61 (S767) and prompts the medical staff to confirm. When registration instruction information for instructing the portable terminal 6 to register article information is input by the medical staff, the portable terminal 6 transmits the registration instruction information to the article management server 55 (S768). When the mobile terminal 6 receives the authentication failure information from the medical facility management apparatus 3, the mobile terminal 6 outputs a message indicating that the authentication has failed to the output means 61 (S767N).

  When receiving the registration instruction information from the portable terminal 6 (S776), the article management server 55 stores the received article information in a predetermined column of the article database 45. At this time, the article management server 55 rewrites the corresponding article row in the article database 45 of the article database 45 by adding the replenishment number to the stock quantity when it is replenished, and from the stock quantity to the consumption quantity when consumed. The article information stored in the article database 45 is updated, for example, by rewriting it with minus and rewriting the storage location when moved.

  As described above, the medical staff transmits the article information from the portable terminal 6 to the medical facility management apparatus 3.

  Next, a procedure for receiving medical knowledge by the portable terminal 6 by a medical staff such as a doctor of the present invention will be described in detail with reference to the flowchart shown in FIG.

  When the medical worker presses the menu key 625 of the input means 62, a list of programs is displayed on the display 611 of the output means 61, and the medical worker presses the key corresponding to the medical knowledge acquisition program or uses the up / down / left / right keys 621. The medical knowledge acquisition program is activated by moving the cursor to the position of the program and pressing the OK key 622.

When medical knowledge acquisition program is activated, the processing hand stage, the display 611 of the mobile terminal 6, as shown in FIG. 31, medical personnel information, input fields, such as the search keyword, and display to healthcare a list of categories Person information, keyword information, etc. are requested (S781), and it waits until such information is input by the medical staff (S782).

  The medical worker inputs medical worker information and a search keyword using the input unit 62 of the mobile terminal 6 and selects the transmission button 612 of the mobile terminal 6.

Processing hand stage of the mobile terminal 6 has detected the selection of the transmission button (S783), and requests the medical knowledge information transmits the input information to the medical facility management apparatus 3 (S784), from the medical facility management apparatus 3 (S785).

  The processing device 33 of the medical facility management device 3 stands by until there is an access from the mobile terminal 6 (S791), but detects the reception of the medical worker information and the search keyword information from the mobile terminal 6 (S792). ), And temporarily stores the information in the storage device 34.

  Personal authentication is performed by the medical staff management server 56 (S793), and if successful, the medical knowledge server 57 searches the medical knowledge information including the search keyword using the search keyword received from the medical knowledge database 47 as a key. Extracted and transmitted to the mobile terminal 6 (S794). If personal authentication fails, authentication failure information is transmitted to the mobile terminal 6.

The portable terminal 6 receives the more requested medical knowledge information in a communication vehicle (S786), stores the medical knowledge information in the auxiliary storage device of the storage hand stage, including the information on the display 611 of the output unit 61 A medical knowledge screen is displayed (S787). Further, when receiving the authentication failure information, the portable terminal 6 outputs a message indicating that the authentication has failed to the output means 61 (S787N).

  The medical knowledge information includes detailed information such as medical knowledge titles, classifications, and specific contents, and is displayed as a list in which the medical knowledge titles and the like are listed on the medical knowledge screen. When a medical worker selects one of the titles in the list, specific information on the work is displayed.

In addition to the method of acquiring medical knowledge information using the above keywords, information can also be acquired for each category. The medical knowledge database 47 stores various medical knowledge information as shown below.
・ Test value reference value data, medical treatment guidelines, disease diagnosis manuals, etc. Information that is useful for medical care as basic knowledge of medical professionals ・ Exchange of medical information, for example, university, medical office, or individual doctors Information on current research status and results, information on excellent and advanced abstracts from medical societies in Japan and overseas, information necessary for overseas study by medical students and in-service doctors, latest medicines, latest medical devices, advanced medicine, etc. Introduction information and guidance information on medical related forums and exhibitions

FIG. 1 shows an overall configuration diagram of the embodiment (1). FIG. 2 shows a configuration diagram of the medical facility management apparatus. FIG. 3 shows a configuration diagram of a database group of the medical facility management apparatus. FIG. 4 shows a front view of the key input means of the portable terminal. FIG. 5 shows a flowchart when biometric information is authenticated in the portable terminal. FIG. 6 is a flowchart for recording biometric information on the mobile terminal. FIG. 7 shows a flowchart when processing is performed by the hands-free function. FIG. 8 is a flowchart for switching communication in the hospital of the mobile terminal. FIG. 9 shows a flowchart when switching the communication of the portable terminal outside the hospital. FIG. 10 is a flowchart for managing the inventory quantity of articles using the article management shelf. FIG. 11 is a flowchart when personal authentication is performed in the medical facility management apparatus. FIG. 12 shows a program list display screen. FIG. 13 shows a flowchart when order information is acquired. FIG. 14 is a flowchart when order information is input. FIG. 15 shows an order information input screen. FIG. 16 is a flowchart for obtaining electronic medical record information. FIG. 17 shows a flowchart when the patient inputs the questionnaire. FIG. 18 is a flowchart for inputting electronic medical chart information. FIG. 19 shows an electronic medical chart display screen. FIG. 20 shows a medication order input screen. FIG. 21 shows an input screen diagram of the electronic medical record. FIG. 22 is a flowchart for obtaining the work schedule information. FIG. 23 shows a flowchart when inputting work schedule information. FIG. 24 shows a tour order display screen. FIG. 25 shows an inspection result input screen. In FIG. 26, the graph display screen figure of a test result is shown. FIG. 27 is a flowchart for acquiring article information. FIG. 28 shows a flowchart for inputting article information. FIG. 29 shows a screen for inputting article information. FIG. 30 is a flowchart for obtaining medical knowledge information. FIG. 31 shows a display screen of medical knowledge information.

Explanation of symbols

1 Medical Support System 21 External Network 211 Base Station 212 Security Gateway 22 Internal Network 221 Base Station 3 Medical Facility Management Device 31 Output Device 32 Input Device 33 Processing Device 34 Storage Device 35 Firewall 36 Security Gateway 4 Database Group 41 Patient Database 42 Medical Worker database 43 Medical history database 44 Order database 45 Goods database 46 Medical fee database 47 Medical knowledge database 5 Server group 51 Ordering server 52 Electronic medical record server 53 Business management server 54 Medical accounting server 55 Goods management server 56 Medical worker management server 57 Medical knowledge server 58 Common key management server 6 Portable terminal 61 Output means 611 Display 611
612 Send button 613 Return button 614 OK button 615 Graph display button 616 Data display button 62 Input means 621 Up / down / left / right key 622 OK key 623 Power key 624 Call key 625 Menu key 626 Clear key 627 Numeric keypad 7 Medical device group 71 IC tag reader 72 Article Management shelf T Counterpart terminal