JP2009223746A - Interactive health care system - Google Patents

Interactive health care system Download PDF

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JP2009223746A
JP2009223746A JP2008069146A JP2008069146A JP2009223746A JP 2009223746 A JP2009223746 A JP 2009223746A JP 2008069146 A JP2008069146 A JP 2008069146A JP 2008069146 A JP2008069146 A JP 2008069146A JP 2009223746 A JP2009223746 A JP 2009223746A
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care recipient
information
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physiological information
care
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Chun-Lung Chen
陳俊榮
Sung-Yan Tsai
蔡松彦
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Abstract

<P>PROBLEM TO BE SOLVED: To provide an interactive health care system capable of achieving home health care of a person in need of nursing care. <P>SOLUTION: The interactive health care system includes a medical service providing device, a home side terminal, and a communication means. The medical service providing device includes at least a digitized clinical chart means, a person in need of nursing care side status means, and a person in need of nursing care side physical information means. The person in need of nursing care side status means stores and processes status data of each person in need of nursing care, and links up with a clinical chart corresponding to the person in need of nursing care stored in the digitized clinical chart means. The person in need of nursing care side physical information means is connected to the person in need of nursing care side status means to store and process all physical information provided by the person in need of nursing care. The home side terminal is provided in the dwelling place of each person in need of nursing care, and has at least a status providing means and a physical information providing means. The status providing means provides the person in need of nursing care side status means with a person in need of nursing care status. The physical information providing means provides physical information of a person in need of nursing care to the person in need of nursing care side physical information means. The communication means connects video signals of the home side terminal and the medical service providing device and provides a data transmission link. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

本発明は携帯式デジタル技術より構築する管理システムに係わるもので、前記管理システムは主に健康管理に用いる。前記健康管理は医療施設において医師の患者に対する治療、及び患者が医療施設を退院した後の自己介護と自己監視を含まれる。
本発明の健康管理システムは主に、自己介護と自己監視の範疇を医療施設の治療情報システムとの連携を取り、管理者と被管理者が共に共有する。
The present invention relates to a management system constructed from portable digital technology, and the management system is mainly used for health management. The health care includes treatment of a doctor's patient at a medical facility, and self-care and self-monitoring after the patient leaves the medical facility.
The health management system of the present invention is mainly linked with the treatment information system of the medical facility, and the manager and the managed person share the categories of self-care and self-monitoring.

病気のとき、正規な医療システムを訪れることによって、医療のプロセスが開始される。狭義的な医療は、外来診療と入院診療に分けられる。そのうち、外来診療は主に患者基本データの構築、患者を関連の外来部門への手配、専門医による問診及び/又は(レントゲン撮影、血液、尿液など)検査の手配、医師からの問診、医師によるカルテ記入、処方が含まれている。その病気は入院治療が必要のときは、入院診療は外来診療の後に発生する。主に入院、看護婦による患者の生命兆候の記録、研修医による患者の既往歴収集、主治医による医療指示の作成、医療指示による処方及び各種治療プロセスを行う。そして、入院段階による健康状態の観察などを含まれる。   In the illness, the medical process is initiated by visiting a legitimate medical system. Narrowly defined medical care can be divided into outpatient care and inpatient care. Among them, outpatient clinics mainly build basic patient data, arrange patients to relevant outpatient departments, consult with specialists and / or arrange examinations (X-ray, blood, urine, etc.), consult with doctors, by doctors Includes chart entry and prescription. When the illness needs hospitalization, hospitalization occurs after outpatient treatment. Mainly hospitalization, recording of patient vital signs by nurses, collection of patient history by resident, creation of medical instructions by attending physician, prescription by medical instructions and various treatment processes. This includes observation of health status at the hospitalization stage.

前記の医療プロセスは患者の全快、又は病状を管理することを目的とし、病気に罹ってから、始まるもので受動的な病気治療である。しかし、高血圧、高脂血、糖尿病などの慢性病について、前記の医療プロセスによって病状が安定した後、退院後の患者が食事管理、運動量及び血圧値、血糖値の管理、薬の服用など、自らの健康を適宜に行えば、この種の病気の再発、又は悪化率を大幅に軽減できる。ただし、現状として医療施設及び担当医は患者退院後の状況について、把握しにくい状況にある。一方、患者も専業な介護がないほか自己介護もままならないことから、病状の有効管理及び改善は望めない。   The medical process is aimed at managing the patient's overall comfort or medical condition, and is a passive disease treatment that starts after getting sick. However, for chronic diseases such as hypertension, hyperlipidemia, diabetes, etc., after the medical condition has been stabilized by the above-mentioned medical process, patients after hospital discharge have their own diet management, exercise and blood pressure values, blood glucose level management, taking medication, etc. With proper health, the recurrence or worsening rate of this type of disease can be greatly reduced. However, at present, it is difficult for medical facilities and attending physicians to grasp the situation after discharge from the patient. On the other hand, since patients do not have full-time care and self-care does not remain, effective management and improvement of medical conditions cannot be expected.

このほか、患者の慢性病は外来診療でフォローアップ必要の程度で入院必要がない、又は健康診断によって問題発覚したときに、治療者又は管理者が患者の家庭生活状況を把握していない場合、適切な提案ができない。   In addition, if the patient's chronic illness does not require hospitalization to the extent that follow-up is required in outpatient care, or if the therapist or administrator does not grasp the patient's family life situation when a problem is detected through a health checkup, it is appropriate I can't make a suggestion

本発明は被介護者在宅の自己健康管理システムを実現できる一種の健康管理システムを提供する。   The present invention provides a kind of health management system capable of realizing a self-health management system at home for a cared person.

本発明の健康管理システムは、主に医療サービス提供装置、自宅側端末、通信手段を含める。前記医療サービス提供装置は少なくともデジタル化カルテ手段、被介護側身分手段、被介護側生理情報手段を含める。前記被介護側身分手段にて、各被介護側の身分データの保存及び処理を行うほか、前記のデジタル化カルテ手段にて保管された被介護側相応のカルテに連結する。前記被介護側生理情報手段を前記被介護側身分手段に連結し、前記被介護側より提供したすべての生理情報の保存及び処理を行う。前記自宅側端末は各被介護側の居住先に設け、少なくとも身分提供手段と生理情報提供手段を有する。前記身分提供手段は前記被介護側身分手段に被介護側身分を提供する。生理情報提供手段は前記被介護側生理情報手段に対して、被介護側の生理情報を提供する。前記通信手段より、前記の自宅側端末及び医療サービス提供装置の映像信号との接続及びデータ伝送リンクを提供する。   The health management system of the present invention mainly includes a medical service providing device, a home terminal, and a communication means. The medical service providing apparatus includes at least digitized medical chart means, care receiver status means, care receiver physiological information means. In addition to storing and processing the status data of each care recipient in the care recipient status means, the care recipient status means is connected to the chart corresponding to the care recipient stored in the digitized medical record means. The care recipient physiological information means is connected to the care recipient status means, and all physiological information provided from the care recipient is stored and processed. The home terminal is provided at each care recipient's residence and has at least an identity providing unit and a physiological information providing unit. The identity providing means provides the care recipient status to the care recipient status means. The physiological information providing means provides the care recipient physiological information to the care recipient physiological information means. The communication means provides a connection between the home terminal and the video signal of the medical service providing apparatus and a data transmission link.

説明の都合上、医療施設又は健康管理センターは以下において、「医療保健施設」という。   For convenience of explanation, the medical facility or health management center is hereinafter referred to as “medical health facility”.

被介護者の飲食、運動量、血圧値、血糖値、体温、呼吸、脈拍、体重など、自己健康管理に関する情報を医療施設又は健康管理センターなどに設置された医療サービス提供装置に接続し、当前記施設の治療関係者が被介護者の健康状況を充分に把握させる、一種の対話型健康管理システムを提供することを本発明の主な目的とする。   Connect information related to self-health management such as food and drink, exercise amount, blood pressure level, blood sugar level, body temperature, breathing, pulse, weight, etc. of the cared person to a medical service providing apparatus installed in a medical facility or health management center, etc. It is a main object of the present invention to provide a kind of interactive health management system that allows a person involved in treatment at a facility to sufficiently grasp the health status of a care recipient.

前記システムは整合型情報表示手段によって曲線グラフ、棒グラフなど画像及びデジタル化方式により、被介護者ある期間の血圧値の健康状況を表示し、被介護者と医療施設側のものの読取りに提供し、健康管理状況の判断とする、一種の対話型健康管理システムを提供することを本発明の一つの目的とする。   The system displays the health status of the blood pressure value of a care recipient for a certain period by an image such as a curve graph, a bar graph, and a digitized system by means of an integrated information display means, and provides for reading of the care recipient and the medical facility side, It is an object of the present invention to provide a kind of interactive health management system for judging the health management status.

前記システムで提供される整合型情報表示手段は被介護者の病気により分類し、関連の健康管理情報及び医療保健施設の治療記録を表示する、一種の対話型健康管理システムを提供することを本発明一つの目的とする。一例として、被介護者に高血圧及び肝臓硬化などの問題を抱えている場合、前記整合型情報表示手段は高血圧及び肝臓硬化などの健康管理項目と医療記録をそれぞれ表示できる。   The present invention provides a type of interactive health management system in which the consistent information display means provided by the system is classified according to the illness of the care recipient and displays related health management information and medical health facility treatment records. One object of the invention. As an example, when the cared person has problems such as high blood pressure and liver sclerosis, the consistent information display means can display health management items such as high blood pressure and liver sclerosis and medical records.

前記システムの被介護側及び医療保健施設との間は対話型に連結し、医療保健施設の治療者たちは、被介護者最新の健康状況を随時に把握できる一方、被介護者側も医療保健施設による最新の専業的な提案と援助が得られる、一種の対話型健康管理システムを提供することを本発明の一つの目的とする。   The system is interactively linked between the care recipient and the medical health facility, and the medical health facility therapists can grasp the latest health status of the care recipient at any time, while the care recipient also It is an object of the present invention to provide a kind of interactive health management system that can obtain the latest professional proposals and assistance from a facility.

前記システムは各医療保健施設同士の連結機能を備え、被介護者すべての病歴、処方などの既存情報を整合して、被介護者本人又はいずれの医療保健施設にその治療状況を全体的に把握できる、一種の対話型健康管理システムを提供することを本発明の一つの目的とする。   The system has a link function between each medical health facility, aligns existing information such as medical history and prescriptions of all the care recipients, and grasps the treatment status of the care recipient himself or any medical health facility as a whole. It is an object of the present invention to provide a kind of interactive health management system that can be used.

被介護者は商業取引手段に連結し、健康製品の購入又はその他健康関連情報を入手できる。必要なとき、前記整合式健康管理システムを介して、医療保健施設に連絡し、意見を諮ることができる、一種の対話型健康管理システムを提供することを本発明の一つの目的とする。   Caregivers can link to commercial transactions and purchase health products or obtain other health-related information. It is an object of the present invention to provide a kind of interactive health management system capable of contacting a medical health facility and consulting opinions through the consistent health management system when necessary.

すなわち、本願の第1発明は、医療サービス提供装置と、少なくとも一つの自宅側端末と、通信手段とを含む対話型健康管理システムであって、医療サービス提供装置は、デジタル化カルテ手段と、被介護側身分手段と、被介護側生理情報手段と、を少なくとも含み、被介護側身分手段は、前記のデジタル化カルテ手段に保存された相応の被介護側のカルテに連結し、被介護側身分データの保存及び処理を行う機能を有し、被介護側生理情報手段は、被介護側身分手段に連結し、被介護側より提供されたすべての生理情報の保存及び処理を行う機能を有し、自宅側端末は、被介護側の居住先に取付けられ、身分提供手段及び生理情報提供手段を少なくとも含み、
身分提供手段は、前記被介護側身分手段に対して被介護側の身分を伝送する機能を有し、生理情報提供手段は、前記被介護側生理情報手段に対して被介護側の生理情報を伝送する機能を有し、通信手段は、前記の自宅側端末及び前記医療サービス提供装置と画像のオンライン接続及びデータ伝送のオンライン接続を提供する機能を有する、対話型健康管理システムを提供することを要旨とする。
That is, the first invention of the present application is an interactive health management system including a medical service providing device, at least one home terminal, and a communication means. The medical service providing device includes a digitized chart means, The care-side identity means and the care-received physiological information means are at least connected to the corresponding care-side chart stored in the digitized chart means. It has a function to save and process data, and the care recipient physiological information means is connected to the care recipient status means and has a function to save and process all physiological information provided by the care recipient. The home terminal is attached to the care recipient's residence, and includes at least an identity providing means and a physiological information providing means,
The identity providing means has a function of transmitting the care recipient's identity to the care recipient status means, and the physiological information providing means provides care recipient physiological information to the care recipient physiological information means. The communication means has a function of transmitting, and the communication means provides an interactive health management system having a function of providing online connection of images and online transmission of data with the home terminal and the medical service providing apparatus. The gist.

また、本願の第2発明は、前記生理情報は、自己測定により得られた血圧値、心拍数、呼吸数、体温値、血糖値、体重を含まれることを特徴とする、本願の第1発明に記載の対話型健康管理システムを提供することを要旨とする。   According to a second invention of the present application, the physiological information includes a blood pressure value, a heart rate, a respiratory rate, a body temperature value, a blood sugar level, and a body weight obtained by self-measurement. The gist is to provide an interactive health management system as described in.

また、本願の第3発明は、前記生理情報提供手段は、携帯式生理情報監視装置を用いることを特徴とする、本願の第2発明に記載の対話型健康管理システムを提供することを要旨とする。   The gist of the third invention of the present application is to provide the interactive health management system according to the second invention of the present application, wherein the physiological information providing means uses a portable physiological information monitoring device. To do.

また、本願の第4発明は、前記医療サービス提供装置は、更に、被介護側その他情報手段を有し、前記自宅側端末は、更に、その他情報提供手段を有し、前記被介護側その他情報手段と前記被介護側身分手段と連結し、前記被介護側より提供受けた非生理情報を保存し、前記その他情報提供手段は前記被介護側その他情報手段に対して非生理情報を提供することを特徴とする、本願の第1発明に記載の対話型健康管理システムを提供することを要旨とする。   According to a fourth aspect of the present invention, the medical service providing apparatus further includes a care receiver side other information unit, and the home terminal further includes other information provision unit, and the care receiver side other information. And non-physiological information provided from the care recipient is stored, and the other information providing means provides non-physiological information to the care recipient other information means. The gist of the present invention is to provide an interactive health management system according to the first invention of the present application.

また、本願の第5発明は、前記非生理情報は、少なくとも投薬時間、運動項目食事内容が含まれることを特徴とする、本願の第4発明に記載の対話型健康管理システムを提供することを要旨とする。   In addition, the fifth invention of the present application provides the interactive health management system according to the fourth invention of the present application, wherein the non-physiological information includes at least a medication time and exercise item meal contents. The gist.

また、本願の第6発明は、前記医療サービス提供装置は、更に、決定判断データベース及び警報システムを有し、前記決定判断データベースは被介護側生理情報手段のデータにより被介護側現在の生理状況に基づいて、必要に応じて、前記警報システムを介して特定装置に警報メッセージを発信することを特徴とする、本願の第1発明に記載の対話型健康管理システムを提供することを要旨とする。   Further, according to a sixth aspect of the present invention, the medical service providing apparatus further includes a decision judgment database and an alarm system, and the decision judgment database indicates the current physiological state of the care recipient by data of the care recipient physiological information means. The gist of the present invention is to provide an interactive health management system according to the first aspect of the present invention, wherein an alarm message is transmitted to a specific device via the alarm system as needed.

また、本願の第7発明は、前記特定装置は、特定の電子メールボックス又は携帯電話装置、前記警報メッセージは電子メール又は簡易メッセージであることを特徴とする、本願の第6発明に記載の対話型健康管理システムを提供することを要旨とする。   According to a seventh aspect of the present invention, in the dialogue according to the sixth aspect of the present invention, the specific device is a specific electronic mailbox or a mobile phone device, and the alarm message is an e-mail or a simple message. The main point is to provide a type health management system.

また、本願の第8発明は、前記医療サービス提供装置は、更に、整合式情報表示手段を有し、前記のデジタル化カルテ手段、被介護側生理情報手段及び被介護側その他情報手段にオンライン接続し、画像及びデジタル化方式により、前記した各手段のデータを表示することを特徴とする、本願の第1発明に記載の対話型健康管理システムを提供することを要旨とする。   Further, according to an eighth aspect of the present invention, the medical service providing apparatus further includes an alignment type information display unit, and is connected online to the digitized medical chart unit, the care receiver physiological information device and the care receiver side other information device. The gist of the invention is to provide the interactive health management system according to the first invention of the present application, wherein the data of each means described above is displayed by an image and a digitization method.

また、本願の第9発明は、前記整合式情報表示手段は被介護側の病気内容により分類し、前記の各手段のデータを表示することを特徴とする、本願の第8発明に記載の対話型健康管理システムを提供することを要旨とする。   Further, according to a ninth aspect of the present invention, in the dialogue according to the eighth aspect of the present invention, the matching formula information display means classifies according to the illness content of the care recipient and displays data of each means described above. The main point is to provide a type health management system.

また、本願の第10発明は、さらに医療情報システム取得手段を含め、前記医療サービス提供装置と他の医療情報システムとの整合を図ることを特徴とする、本願の第1発明に記載の対話型健康管理システムを提供することを要旨とする。   Further, the tenth invention of the present application further includes a medical information system acquisition means, and is intended to match the medical service providing apparatus with another medical information system, and the interactive type according to the first invention of the present application The main point is to provide a health management system.

以下にて、糖尿病患者の一例を本発明による対話型健康管理システムの稼働概要を説明する。まず、前記糖尿病患者はある医療保健施設に治療を受け、前記医療保健施設はデジタル化カルテ手段11でもって、前記患者の個人データ、病状来歴、SOAP(主観的、客観的な病状陳述、診断評価、治療計画)、投薬経過、生命兆候、既往歴、一連の医療実験室データ及び映像診断報告などを詳細に記録しておき、前記患者の主治医はいつでも前記医療保健施設のコンピュータシステムより前記患者のデータを引き出すことができる。前記患者は全快した後、前記医療保健施設より対話式健康管理プランに加入した後、居住先に前記の自宅側端末20を構築し、前記被介護側身分手段12にて、被介護側の身分認証データを作成して、前記のデジタル化カルテ手段に保存された対応の病歴に連結する。前記患者側の携帯式生理情報監視装置、身分提供手段及びコンピュータシステム、伝送インタフェースを整合するとこによって、患者はこの整合された手段化血糖値検知装置を介して、その都度に検出された血糖値をそのまま前記介護者生理情報手段13及び前記被介護側身分手段12にアップロードされ、前記被介護側生理情報手段13によって前記血糖値データを処理及び保存して置く、主治医はいずでも前記医療保健施設のコンピュータシステムより、前記在宅プラットフォーム20からアップロードされたデータにより、前記患者の血糖値管理状況を把握し、前記デジタル化カルテ手段11に保存された病歴及び治療記録に基づいて、前記患者の健康状態を充分に把握できる。前記患者の飲食、運動内容、運動時間数、投薬時間などは前記その他情報提供手段23(コンピュータ又は携帯通信装置と専用プログラム)を介して、前記被介護側その他情報手段14に転送して、医師に前記患者の日常生活概況を把握させる。そして、医師又は被介護側のいずれに直接対話交流が必要のとき、前記の通信手段30を介して、双方の画像のオンライン方式でもって対話できる。   Hereinafter, an outline of the operation of the interactive health management system according to the present invention will be described as an example of a diabetic patient. First, the diabetic patient is treated by a medical health facility, and the medical health facility uses the digitized medical chart means 11 for personal data of the patient, medical history, SOAP (subjective and objective medical statement, diagnostic evaluation). , Treatment plan), medication progress, vital signs, medical history, a series of medical laboratory data and diagnostic imaging reports, etc., and the patient's attending physician can always use the computer system of the medical health facility to Data can be retrieved. After the patient is fully relieved, after joining the interactive health management plan from the medical health facility, the home side terminal 20 is constructed at the place of residence, and the cared side identity means 12 is used as the side of the cared side. Authentication data is created and linked to the corresponding medical history stored in the digitized chart means. The patient's portable physiological information monitoring device, identity providing means and computer system, and transmission interface are matched, so that the patient can detect the blood glucose level each time through the matched means-based blood glucose level detection device. Is directly uploaded to the caregiver physiological information means 13 and the care recipient status means 12, and the blood glucose level data is processed and stored by the care recipient physiological information means 13, regardless of the attending physician. From the computer system, the blood glucose level management status of the patient is grasped from the data uploaded from the home platform 20, and based on the medical history and the treatment record stored in the digitized medical record means 11, the health status of the patient Can be fully understood. The patient's food, drink, exercise content, number of exercise hours, medication time, etc. are transferred to the care recipient other information means 14 via the other information providing means 23 (computer or portable communication device and dedicated program), and then the doctor. Let the patient know the general daily life of the patient. Then, when a direct dialogue exchange is required between the doctor and the care recipient, both of the images can be communicated through the communication means 30 in an online manner.

前記の決定判断データベース16及び警報システム17はただちに処理を要する場面に使用する。一例として、被介護側の生命兆候(心拍、血圧、呼吸)が不安定のとき、前記の医療サービス提供装置10に備える決定判断データベース16は、このような問題を自動的に判断した上、前記警報システム17より電子メール又は簡易メッセージを発信するなど、被介護者の家族又は主治医に素早く通知し、患者に対して医療援助を提供できる。   The decision judgment database 16 and the alarm system 17 are used for scenes that require immediate processing. As an example, when vital signs (heart rate, blood pressure, breathing) on the care recipient side are unstable, the decision judgment database 16 provided in the medical service providing apparatus 10 automatically judges such a problem, By sending an e-mail or a simple message from the alarm system 17, it is possible to quickly notify the caregiver's family or the attending physician and provide medical assistance to the patient.

[実施例]
図1に示す本発明の整合式健康管理システムは、主に医療サービス提供装置10、被介護側の自宅側端末20に構築し、各自宅側端末20を前記医療サービス提供装置10と連結するための通信手段30、及び前記医療サービス提供装置10とその他医療情報システムに整合する医療情報システム取得手段40を含まれている。
[Example]
The consistent health management system of the present invention shown in FIG. 1 is mainly constructed in the medical service providing apparatus 10 and the home terminal 20 on the care recipient side, and connects each home terminal 20 to the medical service providing apparatus 10. Communication means 30 and medical information system acquisition means 40 matching the medical service providing apparatus 10 and other medical information systems.

図2に示す通り、前記医療サービス提供装置10は少なくともデジタル化カルテ手段11、被介護側身分手段12、被介護側生理情報手段、13、被介護側その他情報手段14、整合式情報表示手段18を含まれている。   As shown in FIG. 2, the medical service providing apparatus 10 includes at least a digitized medical chart means 11, a cared side identification means 12, a cared side physiological information means 13, a cared side other information means 14, and a matching information display means 18. Included.

前記デジタル化カルテ手段11は被介護側の個人をベースとし、前記被介護側個人の病歴を保存及び処理する。前記病歴は被介護側の個人データ及び前記被介護側の医療来歴などの記録を含めたすべての医療記録を含まれる。   The digitized medical chart means 11 is based on the individual on the care recipient and stores and processes the medical history of the individual on the care recipient. The medical history includes all medical records including records such as personal data of the care recipient and medical history of the care recipient.

前記被介護側身分手段12において、被介護側の身分データの保存及び処理を行い、前記のデジタル化カルテ手段と被介護側の対応病歴に連結する。   In the care recipient status means 12, the care recipient status data is stored and processed, and connected to the digitized medical record means and the corresponding medical history of the care recipient.

前記被介護側生理情報手段13は前記被介護側身分手段12に連結し、前記被介護側より提供されたすべての生理情報の保存と処理を行う。前記生理情報は少なくとも、血圧値、心拍数、呼吸数、体温値、血糖値、体重を含まれる。   The care recipient physiological information means 13 is connected to the care recipient status means 12 and stores and processes all physiological information provided by the care recipient. The physiological information includes at least a blood pressure value, a heart rate, a respiratory rate, a body temperature value, a blood glucose level, and a body weight.

前記被介護側その他情報手段14は前記被介護側身分手段12に連結し、前記被介護側より提供された薬の服用時間、運動内容、運動時間、飲食内容などの情報を保存する。   The care receiver side other information means 14 is connected to the care receiver side identification means 12 and stores information such as medication time, exercise content, exercise time, food and drink content provided by the care receiver side.

被介護者は商業取引手段15に連結し、健康製品の購入又はその他健康関連情報を知ることができる。そして、被介護者は必要のとき、前記医療サービス提供装置10を介して、医療保健施設に連絡し意見を諮ることができる。   The care recipient can connect to the commercial transaction means 15 to know the purchase of health products or other health related information. When necessary, the cared person can contact the medical health facility through the medical service providing apparatus 10 to consult his / her opinion.

前記整合式健康管理システム18は前記デジタル化カルテ手段11、被介護側生理情報手段13及び被介護側その他情報手段14に連結し、被介護者のある期間の健康関連情報を画像及びデジタル化方式により、曲線グラフ、棒グラフにて、被介護者の血圧、心拍、体温、血糖値などの生理情報、又は運動の時間数、カロリーの摂取数などその他情報を表示できる。前記整合式情報表示手段18は被介護者の病気に従い、一連の健康情報及び医療記録を分類し表示できる。一例として、被介護者に高血圧及び肝臓硬化などの問題を抱えている場合、前記整合型情報表示手段は高血圧及び肝臓硬化などの健康管理項目と医療記録をそれぞれ表示できる。健康内容は、被介護側より自己検査方式で得られたすべての生理情報をいい、医療記録は既往歴、各種検査、処方など医療保健施設より実行されたすべての医療内容を含まれる。このような分類による情報表示方式は、デジタル化カルテ手段11に保存されたすべてのデータを整合して、被介護者又は医療保健施設の関係者が最短期間内に、被介護者の既往歴、検査内容、医療記録、処方記録などを充分に把握できる。   The integrated health management system 18 is connected to the digitized medical chart means 11, the cared side physiological information means 13 and the cared side other information means 14 so that the health-related information of the cared person for a certain period is imaged and digitized. Thus, it is possible to display physiological information such as the blood pressure, heart rate, body temperature, blood sugar level, etc. of the cared person, or other information such as the number of hours of exercise, the number of calories consumed, etc. on the curve graph and the bar graph. The matching type information display means 18 can classify and display a series of health information and medical records according to the illness of the care recipient. As an example, when the cared person has problems such as high blood pressure and liver sclerosis, the consistent information display means can display health management items such as high blood pressure and liver sclerosis and medical records. The health content refers to all physiological information obtained by the self-examination method from the care recipient, and the medical record includes all medical content executed by the medical health facility, such as past medical history, various examinations, and prescriptions. The information display method based on such classification matches all the data stored in the digitized medical chart means 11, and the care recipient or the medical health facility related person within the shortest period, Fully understand the contents of examinations, medical records, prescription records, etc.

前記の自宅側端末20は被介護側の居住先に取付け、少なくとも身分提供手段21、生理情報提供手段22及びその他情報提供手段23を含まれる。前記身分提供手段21より前記被介護側身分手段12に対して、被介護側の身分データを伝送する。前記生理情報提供手段22は前記被介護側生理情報手段13に被介護側の生理情報を伝送する。前記その他生理情報提供手段23は前記被介護側その他生理情報手段13に被介護側の非生理情報を伝送する。前記の身分提供手段21及び前記被介護側身分提供手段12は無線周波数識別装置(RFID)又は他の技術手法により、データ伝送及び認証を実現できる。前記生理情報提供手段22は携帯式生理情報監視装置より測定されたデータを保存し、前記携帯式生理情報監視装置は前記の身分提供手段21とコンピュータシステム及び伝導インタフェースを一つの手段装置に整合できる。前記携帯式生理情報監視装置より被介護側生理情報を測定した上、被介護側の身分及び生理情報を前記被介護側身分手段及び前記被介護側生理情報提供手段に対して、データ伝送を行うことができる。   The home-side terminal 20 is attached to the care recipient's residence, and includes at least an identity providing means 21, a physiological information providing means 22, and other information providing means 23. The identity providing means 21 transmits the care recipient status data to the care recipient status means 12. The physiological information providing means 22 transmits the care recipient physiological information to the care recipient physiological information means 13. The other physiological information providing means 23 transmits non-physiological information on the care recipient side to the care recipient other physiological information means 13. The identity providing means 21 and the care receiver-side identity providing means 12 can realize data transmission and authentication by a radio frequency identification device (RFID) or other technical technique. The physiological information providing means 22 stores data measured by the portable physiological information monitoring apparatus, and the portable physiological information monitoring apparatus can match the identity providing means 21, the computer system, and the conduction interface into one means apparatus. . The care-giving side physiological information is measured from the portable physiological information monitoring device, and the care-giving-side status and physiological information are transmitted to the care-receiving status means and the care-giving physiological information providing means. be able to.

前記の通信手段30より、前記の自宅側端末20及び前記医療サービス提供装置10との画像のオンライン接続とデ―タ伝送を行い、前記の自宅側端末20の前記医療サービス提供装置10に被介護側生理情報を提供するほか、前記医療サービス提供装置10にある特定者(主治医など)と被介護側は画像のオンライン接続により対話でき、主導的、リアルタイムで専業的な提案と協力を提供できる。   The communication means 30 performs online connection and data transmission of images with the home-side terminal 20 and the medical service providing apparatus 10, and care is provided to the medical service providing apparatus 10 of the home-side terminal 20. In addition to providing side physiological information, a specific person (such as an attending physician) in the medical service providing apparatus 10 and a care recipient can interact through online connection of images, and can provide professional proposals and cooperation in a leading, real-time manner.

前記の医療情報システム取得手段40は前記医療サービス提供装置10と他の医療保健施設にある医療情報システムとの整合を提供、医療保健施設同士の連結を実現し、被介護者すべての既往歴、処方などの既存情報をまとめることができる。   The medical information system acquisition means 40 provides alignment between the medical service providing apparatus 10 and medical information systems in other medical health facilities, realizes connection between medical health facilities, and has a history of all care recipients, Existing information such as prescriptions can be compiled.

前記の医療サービス提供装置はさらに、決定判断データベース16及び警告システム17を含まれる。前記決定判断データベース16は前記被介護側生理情報手段13の資料に基づき、前記被介護側現在の生理状況を判断し、被介護側現時点の健康問題の発見及び生理情報警告機制を定めて、必要に応じて、前記警告システム17より警告メッセージ(e-mail又は簡易メッセージ)をあらかじめに設定された携帯電話又は電子メールに発信するなど、被介護者の家族又は医療保健施設の関係者へただちに通知する。   The medical service providing apparatus further includes a decision judgment database 16 and a warning system 17. The determination / judgment database 16 is based on the data of the care recipient physiological information means 13, determines the current physiological condition of the care recipient, determines the current health problem of the care recipient and determines the physiological information warning mechanism, and is necessary In response, the warning system 17 immediately sends a warning message (e-mail or simple message) to a mobile phone or e-mail set in advance to the care recipient's family or the person concerned at the medical health facility. To do.

本発明による対話型健康管理システムのハードウェア配置図である。1 is a hardware layout diagram of an interactive health management system according to the present invention. FIG. 本発明による医療サービス提供装置のシステムブロック図である。It is a system block diagram of the medical service provision apparatus by this invention.

符号の説明Explanation of symbols

10 医療サービス提供装置
11 デジタル化カルテ手段
12 被介護側身分手段
13 被介護側生理情報手段
14 被介護側その他情報手段
15 商業取引手段
16 決定判断データベース
17 警報システム
18 整合型情報表示手段
20 自宅側端末
21 身分提供手段
22 生理情報提供手段
23 その他情報提供手段
30 通信手段
40 医療情報システム取得手段
DESCRIPTION OF SYMBOLS 10 Medical service provision apparatus 11 Digitized medical chart means 12 Care receiver side means 13 Care receiver physiological information means 14 Care receiver side information means 15 Commercial transaction means 16 Decision judgment database 17 Alarm system 18 Consistent information display means 20 Home side Terminal 21 Identity provision means 22 Physiological information provision means 23 Other information provision means 30 Communication means 40 Medical information system acquisition means

Claims (10)

医療サービス提供装置と、少なくとも一つの自宅側端末と、通信手段とを含む対話型健康管理システムであって、
医療サービス提供装置は、
デジタル化カルテ手段と、被介護側身分手段と、被介護側生理情報手段と、を少なくとも含み、
被介護側身分手段は、前記のデジタル化カルテ手段に保存された相応の被介護側のカルテに連結し、被介護側身分データの保存及び処理を行う機能を有し、
被介護側生理情報手段は、被介護側身分手段に連結し、被介護側より提供されたすべての生理情報の保存及び処理を行う機能を有し、
自宅側端末は、被介護側の居住先に取付けられ、身分提供手段及び生理情報提供手段を少なくとも含み、
身分提供手段は、前記被介護側身分手段に対して被介護側の身分を伝送する機能を有し、
生理情報提供手段は、前記被介護側生理情報手段に対して被介護側の生理情報を伝送する機能を有し、
通信手段は、
前記の自宅側端末及び前記医療サービス提供装置と画像のオンライン接続及びデータ伝送のオンライン接続を提供する機能を有する、
対話型健康管理システム。
An interactive health management system including a medical service providing device, at least one home terminal, and communication means,
The medical service providing device
Including at least digitized medical chart means, care recipient status means, care recipient physiological information means,
The cared side identification means is connected to the corresponding cared side chart stored in the digitized chart means and has the function of saving and processing the cared side identification data,
The care recipient physiological information means is connected to the care recipient status means and has a function of storing and processing all the physiological information provided by the care recipient,
The home-side terminal is attached to the care recipient's residence, and includes at least an identity providing unit and a physiological information providing unit,
The identity providing means has a function of transmitting the care recipient's identity to the care recipient identity means,
The physiological information providing means has a function of transmitting the care recipient physiological information to the care recipient physiological information means,
Communication means
A function of providing online connection of images and online transmission of data with the home terminal and the medical service providing apparatus;
Interactive health management system.
前記生理情報は、自己測定により得られた血圧値、心拍数、呼吸数、体温値、血糖値、体重を含まれることを特徴とする、請求項1記載の対話型健康管理システム。 The interactive health management system according to claim 1, wherein the physiological information includes a blood pressure value, a heart rate, a respiratory rate, a body temperature value, a blood glucose level, and a body weight obtained by self-measurement. 前記生理情報提供手段は、携帯式生理情報監視装置を用いることを特徴とする、請求項2記載の対話型健康管理システム。 The interactive health management system according to claim 2, wherein the physiological information providing means uses a portable physiological information monitoring device. 前記医療サービス提供装置は、更に、被介護側その他情報手段を有し、
前記自宅側端末は、更に、その他情報提供手段を有し、
前記被介護側その他情報手段と前記被介護側身分手段と連結し、前記被介護側より提供受けた非生理情報を保存し、前記その他情報提供手段は前記被介護側その他情報手段に対して非生理情報を提供することを特徴とする、請求項1記載の対話型健康管理システム。
The medical service providing apparatus further includes a care recipient and other information means,
The home terminal further has other information providing means,
The non-physiological information provided from the care recipient is stored in connection with the care recipient other information means and the care recipient identity means, and the other information provision means is non-related to the care recipient other information means. The interactive health management system according to claim 1, wherein physiological information is provided.
前記非生理情報は、少なくとも投薬時間、運動項目食事内容が含まれることを特徴とする、請求項4記載の対話型健康管理システム。 The interactive health management system according to claim 4, wherein the non-physiological information includes at least a medication time and exercise item meal contents. 前記医療サービス提供装置は、更に、決定判断データベース及び警報システムを有し、前記決定判断データベースは被介護側生理情報手段のデータにより被介護側現在の生理状況に基づいて、必要に応じて、前記警報システムを介して特定装置に警報メッセージを発信することを特徴とする、請求項1記載の対話型健康管理システム。 The medical service providing apparatus further includes a decision judgment database and an alarm system, and the decision judgment database is based on the current physiological state of the care recipient by the data of the care recipient physiological information means, and if necessary, The interactive health management system according to claim 1, wherein an alarm message is transmitted to a specific device via the alarm system. 前記特定装置は、特定の電子メールボックス又は携帯電話装置、前記警報メッセージは電子メール又は簡易メッセージであることを特徴とする、請求項6記載の対話型健康管理システム。 The interactive health management system according to claim 6, wherein the specific device is a specific electronic mailbox or a mobile phone device, and the alarm message is an electronic mail or a simple message. 前記医療サービス提供装置は、更に、整合式情報表示手段を有し、前記のデジタル化カルテ手段、被介護側生理情報手段及び被介護側その他情報手段にオンライン接続し、画像及びデジタル化方式により、前記した各手段のデータを表示することを特徴とする、請求項1記載の対話型健康管理システム。 The medical service providing apparatus further includes an alignment type information display means, and is connected online to the digitized medical chart means, the care receiver physiological information means and the care receiver side other information means, by an image and digitization method, The interactive health management system according to claim 1, wherein data of each means described above is displayed. 前記整合式情報表示手段は被介護側の病気内容により分類し、前記の各手段のデータを表示することを特徴とする、請求項8記載の対話型健康管理システム。 9. The interactive health management system according to claim 8, wherein the matching type information display means classifies according to the illness content of the care recipient and displays data of each means. さらに医療情報システム取得手段を含め、前記医療サービス提供装置と他の医療情報システムとの整合を図ることを特徴とする、請求項1記載の対話型健康管理システム。 The interactive health management system according to claim 1, further comprising a medical information system acquisition unit for matching the medical service providing apparatus with another medical information system.
JP2008069146A 2008-03-18 2008-03-18 Interactive health care system Pending JP2009223746A (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2001212088A (en) * 1999-11-17 2001-08-07 Siemens Ag Medical system
JP2002083066A (en) * 2000-06-30 2002-03-22 Matsushita Electric Ind Co Ltd Health examination network system
JP2003178142A (en) * 2001-12-10 2003-06-27 Sankyo Co Ltd Telemedicine system

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2001212088A (en) * 1999-11-17 2001-08-07 Siemens Ag Medical system
JP2002083066A (en) * 2000-06-30 2002-03-22 Matsushita Electric Ind Co Ltd Health examination network system
JP2003178142A (en) * 2001-12-10 2003-06-27 Sankyo Co Ltd Telemedicine system

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