JP2013137678A - Biological information measurement device and biological information measurement system - Google Patents

Biological information measurement device and biological information measurement system Download PDF

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Publication number
JP2013137678A
JP2013137678A JP2011288725A JP2011288725A JP2013137678A JP 2013137678 A JP2013137678 A JP 2013137678A JP 2011288725 A JP2011288725 A JP 2011288725A JP 2011288725 A JP2011288725 A JP 2011288725A JP 2013137678 A JP2013137678 A JP 2013137678A
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Prior art keywords
patient
unit
biological information
information
medical worker
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JP2011288725A
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Japanese (ja)
Inventor
Tomonori Inoue
智紀 井上
Yoshihisa Miwa
芳久 三輪
Ayumi Okada
歩 岡田
Maki Inoue
真希 井上
Katsuhiro Mori
勝弘 森
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Omron Healthcare Co Ltd
オムロンヘルスケア株式会社
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Abstract

To provide a biological information measuring device capable of efficiently and reliably recording biological information of a patient with a simple input operation according to a business form in a hospital.
A biomedical information measuring device is configured to perform a patrol mode to be carried and used by a medical worker who patrols each patient in a hospital, and the biometric information measuring device is installed in a hospital. And a fixed mode control unit that executes a fixed mode to be arranged and used for each patient. A selection unit 3 is provided for switching between the cyclic mode control unit and the fixed mode control unit.
[Selection] Figure 6

Description

  The present invention relates to a biological information measuring device, and more particularly to a biological information measuring device that acquires at least one type of biological information from a patient and transmits the acquired biological information via a network.
  The present invention also provides such a biological information measuring device, a relay server that relays communication data from the biological information measuring device, a patient ID (identification number) for identifying a patient, and the biological information of the patient. The present invention relates to a biological information measurement system including a hospital information server that records the electronic medical record information in association with each other.
In recent years, medical institutions have been digitizing medical records that record patient conditions and treatment processes. With the increasing number of medical institutions that have introduced electronic medical records, it is usually 2 to 3 times a day when measuring patient biometric information (so-called spot check) such as blood pressure, body temperature, and SpO 2 (arterial oxygen saturation) The nurse takes measurements and takes notes, and then manually enters and transcribes them into an electronic medical record. For this reason, there is a problem that the burden of a nurse's input work is heavy, and there are problems of data transcription mistakes, input mistakes, and input omissions.
  In addition, a system for storing medical information input with a pen-type pointing device or the like has been proposed (paragraphs [0075] and [FIG. 14] of Patent Document 1). There is a problem that the contained information is stored as it is.
Japanese Patent Laid-Open No. 9-171528
  Under such circumstances, the present applicant has previously proposed a biological information measurement system capable of efficiently and reliably recording the biological information of a patient with a simple input operation (Japanese Patent Application No. 2011-154665). ). However, the present invention is not limited to this, and it is desirable to make such a system more suitable for the type of business at the hospital.
  Accordingly, an object of the present invention is to provide a biological information measuring device capable of efficiently and surely recording patient biological information by a simple input operation in accordance with a business form in a hospital.
  The present invention also relates to such a biological information measuring device, a relay server that relays communication data from the biological information measuring device, a patient ID for identifying a patient, and the patient's biological information. A biometric information measuring system comprising a hospital information server for recording as electronic medical record information, and capable of recording patient biometric information in an electronic medical record efficiently and reliably with a simple input operation according to the type of work at the hospital It is to provide.
  In hospitals, nurses and other health care workers carry biological information measurement devices while traveling around each patient to measure biological information, and biological information measurement devices for each hospitalized patient (around the bed) There is a case where it is desired to switch between a business mode in which the biological information is measured by using the biological information measuring device.
Therefore, the biological information measuring device of the present invention is
A biological information measuring device for acquiring at least one type of biological information from a patient,
The body,
A biometric information acquisition unit for acquiring biometric information;
A display unit for displaying the acquired biological information;
An operation unit for performing input for confirming the biological information displayed on the display unit;
A communication unit that communicates with the outside of the main body via a network;
A traveling mode control unit that executes a traveling mode for the biological information measuring device to be carried and used by a medical worker who visits each patient in a hospital;
A fixed mode control unit for executing a fixed mode for the biological information measuring device to be used for each patient in the hospital; and
A selection unit for switching between the cyclic mode control unit and the fixed mode control unit is provided.
In this specification, “biological information” broadly refers to information related to a patient's living body, such as blood pressure, body temperature, and SpO 2 (arterial blood oxygen saturation).
  “Hospital” refers to medical institutions that perform medical diagnosis and treatment regardless of names such as clinics and health centers.
  “Healthcare professionals” refers broadly to nurses, doctors, MEs (Medical Engineers), and the like.
  The “network” broadly refers to a network such as a local area network (LAN), a wide area network (WAN), and the Internet regardless of whether it is wired or wireless.
  “ID” refers to a code for identifying a person or an object (device). The ID is not limited to numbers only, and may include alphabets and symbols.
  In the biological information measuring device of the present invention, the selection unit can switch between the patrol mode control unit and the fixed mode control unit for selection. In both the cyclic mode and the fixed mode, the biological information acquisition unit acquires the biological information, and the display unit displays the acquired biological information. When an input for confirming the biological information displayed on the display unit is performed by the operation unit, the biological information is transmitted to the outside of the main body via the network by the communication unit. Therefore, the patient's biological information can be efficiently and surely recorded by a simple input operation in accordance with the form of work at the hospital.
In the biological information measuring device of one embodiment,
The patrol mode control unit
A medical worker ID authenticating unit that captures and authenticates a medical worker ID for identifying the medical worker;
After the medical worker ID is authenticated, a patient ID authentication unit that captures and authenticates a patient ID for identifying a patient;
After the patient ID is authenticated, the measurement display control unit that controls the biometric information acquisition unit to acquire the biometric information and displays the acquired biometric information on the display unit;
When the biometric information displayed on the display unit is confirmed by an input to the operation unit, the biometric information, confirmed information indicating that the biometric information is confirmed, and the patient ID are associated with each other as communication data. A transmission control unit that performs control to transmit to the outside of the main body by the communication unit,
The fixed mode control unit
A patient ID authenticating unit that captures and authenticates a patient ID for identifying a patient;
After the patient ID is authenticated, the measurement display control unit that controls the biometric information acquisition unit to acquire the biometric information and displays the acquired biometric information on the display unit;
After the patient ID is authenticated, and before or after the control by the measurement display control unit, a medical worker ID authentication unit that captures and authenticates a medical worker ID for identifying the medical worker,
When the biometric information displayed on the display unit is confirmed by an input to the operation unit, the biometric information, confirmed information indicating that the biometric information is confirmed, and the patient ID are associated with each other as communication data. And a transmission control unit that performs control of transmission to the outside of the main body by the communication unit.
  In the biological information measuring device of this embodiment, when the patrol mode control unit is selected by the selection unit, the biological information measuring device is carried and used by a medical worker who visits each patient in the hospital. The cyclic mode processing for this is executed by the cyclic mode control unit as follows. First, the medical worker ID authenticating unit takes in and authenticates the medical worker ID for specifying the medical worker. After the medical worker ID is authenticated, the patient ID authenticating unit captures and authenticates the patient ID for identifying the patient. After the patient ID is authenticated, the measurement display control unit controls the biometric information acquisition unit to acquire the biometric information and controls the display unit to display the acquired biometric information. The medical staff can determine whether or not the measured value is appropriate by looking at the biological information (measured value) displayed on the display unit. When the medical worker determines that the measured value is appropriate, the medical worker confirms the measured value by an input to the operation unit. When the biological information displayed on the display unit is confirmed by an input to the operation unit, the transmission control unit associates the biological information with the confirmed information indicating that the biological information is confirmed and the patient ID. In addition, control is performed to transmit the communication data to the outside of the main body by the communication unit. For example, a server managing an electronic medical record in a hospital receives this communication data, so that the patient's biological information can be recorded in the electronic medical record.
  On the other hand, when the fixed mode control unit is selected by the selection unit, processing in the fixed mode for the biological information measuring device to be arranged and used for each patient in the hospital is performed by the fixed mode control unit. Is executed as follows. First, a patient ID authentication unit captures and authenticates a patient ID for specifying a patient. After the patient ID is authenticated, the measurement display control unit controls the biometric information acquisition unit to acquire the biometric information and controls the display unit to display the acquired biometric information. After the patient ID is authenticated and before or after the control by the measurement display control unit, the medical worker ID authentication unit captures and authenticates the medical worker ID for specifying the medical worker. When the medical information (measurement value) is not displayed on the display unit, the medical worker causes the measurement display control unit to acquire the biological information from the biological information acquisition unit, and causes the display unit to Control to display the acquired biological information is prompted. If the acquired biometric information is displayed on the display unit, the medical staff looks at the biometric information (measurement value) displayed on the display unit and determines whether or not the measurement value is appropriate. Judgment can be made. When the medical worker determines that the measured value is appropriate, the medical worker confirms the measured value by an input to the operation unit. When the biological information displayed on the display unit is confirmed by an input to the operation unit, the transmission control unit associates the biological information with the confirmed information indicating that the biological information is confirmed and the patient ID. In addition, control is performed to transmit the communication data to the outside of the main body by the communication unit. For example, a server managing an electronic medical record in a hospital receives this communication data, so that the patient's biological information can be recorded in the electronic medical record.
  Therefore, according to the biometric information measuring apparatus of this embodiment, the biometric information of a patient can be efficiently and surely recorded in the electronic medical record by a simple input operation according to the business form in the hospital.
  In the biological information measuring device of one embodiment, the patrol mode control unit initializes the biological information and patient ID acquired in the past when the medical worker ID is authenticated by the medical worker ID authentication unit. The biometric information acquired in the past is initialized when the patient ID is authenticated by the patient ID authenticating unit.
  In the biological information measuring device of this embodiment, the patrol mode control unit initializes the biological information and patient ID acquired in the past when the medical worker ID is authenticated by the medical worker ID authentication unit. At the same time, when the patient ID is authenticated by the patient ID authentication unit, biometric information acquired in the past is initialized. Therefore, it is possible to prevent a situation in which biometric information with unknown origin (measured values of different patients, etc.) is transmitted outside the device.
  In the biological information measuring device of one embodiment, the patrol mode control unit is configured to transmit the communication data by the transmission control unit when the biological information displayed on the display unit is confirmed by an input to the operation unit. Thereafter, when the biometric information and the patient ID acquired in the past are initialized, and the biometric information displayed on the display unit is not confirmed by the input to the operation unit, the patient ID authentication unit again authenticates the patient ID. It is characterized by returning control to do.
  In the biological information measuring device according to this embodiment, the patrol mode control unit transmits the communication data by the transmission control unit when the biological information displayed on the display unit is confirmed by an input to the operation unit. After that, the biometric information and patient ID acquired in the past are initialized. Therefore, it is possible to prevent a situation in which biometric information with unknown origin (measured values of different patients, etc.) is transmitted outside the device. On the other hand, when the biometric information displayed on the display unit is not confirmed by an input to the operation unit, the patrol mode control unit returns control so that the patient ID authentication unit authenticates the patient ID again. Therefore, the medical staff can smoothly advance the biological information measurement of the patient to be visited next.
  In the biological information measuring device of one embodiment, an ID reading unit for reading a medical worker ID and a patient ID from a medical worker and a patient, respectively, is provided integrally with the main body or detachable from the main body. It is characterized by.
  In the biological information measuring device according to this embodiment, an ID reading unit for reading a medical worker ID and a patient ID from a medical worker and a patient, respectively, is detachable integrally with the main body or attached to the main body. Therefore, the work for authentication of the medical worker ID and authentication of the patient ID is facilitated.
  In the biological information measuring device of one embodiment, the fixed mode control unit performs the measurement display control if the biological information is not acquired when the medical worker ID is input by the medical worker ID authentication unit. According to the control of the unit, the biological information acquisition unit acquires the biological information, and the display unit displays the acquired biological information.
  In the biological information measuring device of this embodiment, the fixed mode control unit is configured to display the measurement display if the biological information is not acquired when the medical worker ID is input by the medical worker ID authentication unit. Under the control of the control unit, the biological information acquisition unit acquires the biological information and causes the display unit to display the acquired biological information. Therefore, after the patient ID is authenticated and before or after the medical worker ID, a time when the measurement display control unit should perform the control is allowed. Therefore, if the patient is relatively healthy, the patient himself / herself measures the biological information using the biological information measuring device fixed around the bed, and the medical worker confirms (determines) the measured value later. Usage modes are possible. Therefore, it is possible to further adapt to the business form in the hospital.
  The biological information measuring device according to an embodiment includes an entry information input unit for inputting entry information representing the bed number assigned to the patient in association with the patient ID of the patient.
  In the biological information measuring device according to the present invention, for example, a medical worker can input bed information representing the bed number assigned to the patient in association with the patient ID of the patient by using the bed information input unit. . For example, a server that manages an electronic medical record in a hospital receives communication data including the above-mentioned bed entry information, so that the patient bed entry information can be recorded. Therefore, the medical staff can record patient entry information via the biological information measuring device.
  In this specification, “bed number” refers to a code for identifying a bed in a hospital. The bed number is not limited to only numbers, and for example, the bed may be identified by including the ward, the room number, etc., as in the case of the No. 3 bed in Room No. 1401 of the Department of Internal Medicine.
In the biological information measuring system of the present invention,
The biological information measuring device of the invention,
A hospital information server for associating a patient ID for identifying a patient with the biological information of the patient and recording it as electronic medical record information;
The biometric information measuring device and the hospital information server are communicably connected via a network, and include a relay server that relays communication data from the biometric information measuring device,
The relay server receives the communication data from the biological information measuring device, and transmits the communication data to the hospital information server when the communication data includes the confirmed information, while the communication data is transmitted to the confirmed information. When not included, the communication data is suspended.
  In the biological information measurement system of this one embodiment, the relay server receives the communication data from the biological information measurement device, and when the communication data includes the confirmed information, the relay data is sent to the hospital information server. Send. When the communication data includes the confirmed information, the hospital information server records the patient's biological information in the electronic medical record using the biological information included in the communication data and the corresponding patient ID. Can do. On the other hand, the relay server holds the communication data when the communication data does not include the confirmation information. Therefore, it is possible to prevent biometric information of unknown origin (measured values of different patients, etc.) from being transmitted to the hospital information server. As a result, the hospital information server can be prevented from being confused.
  Moreover, since the history of the patient operating the biological information measuring device is known from the communication data held by the relay server, for example, the behavior of the patient can be analyzed based on this history.
  In the biological information measurement system of one embodiment, an ID reading unit for reading a medical worker ID and a patient ID from a medical worker and a patient, respectively, on the biological information measuring device and the hospital information server or the hospital information server. The present invention is characterized in that it is provided integrally or detachably with respect to at least one of the communicably connected computers.
  In the biological information measurement system of this embodiment, the medical information and the ID reading unit for reading the medical worker ID and patient ID from the medical worker and the patient, the biological information measuring device and the hospital information server or the hospital information server, respectively. And detachably or integrally with a computer connected to the computer. Therefore, the work for authentication of the medical worker ID and authentication of the patient ID is facilitated.
  As is clear from the above, according to the biological information measuring device of the present invention, the biological information of a patient can be efficiently and reliably recorded by a simple input operation according to the business form in the hospital.
  Further, according to the biological information measuring system of the present invention, such a biological information measuring device, a relay server that relays communication data from the biological information measuring device, a patient ID for specifying a patient, and the patient's A hospital information server that records biometric information in association with biometric information, and records patient biometric information in an electronic medical record efficiently and reliably with a simple input operation according to the type of work in the hospital it can.
It is a figure which shows the structure of the biological information measurement system of one Embodiment of this invention. It is a block diagram which shows the structure of the biometric information measurement apparatus contained in the said biometric information measurement system. It is a block diagram which shows the structure of the relay server contained in the said biometric information measurement system. It is a block diagram which shows the structure of the hospital information server contained in the said biometric information measurement system. It is a block diagram which shows the structure of the hospital terminal contained in the said biometric information measurement system. It is a perspective view which shows the external appearance of the said biological information measuring device. It is a figure which shows the display part of the said biological information measuring device. It is a figure which shows the processing flow of the cyclic mode by the control part of the said biological information measuring device. It is a figure which shows the processing flow of the fixed mode by the control part of the said biological information measuring device. It is a figure which shows the flow of the floor-entry process by the control part of the said hospital terminal. It is a figure which shows the flow of the floor-entry process by the control part of the said biological information measuring device. It is a figure which shows the flow of the process by the control part of the said relay server. It is a figure which shows the flow of the process by the control part of the said hospital information server. It is a figure which shows the state by which the measured value was displayed on the display part of the said biological information measuring device. It is a figure explaining the flow of the communication data among the said biometric information measurement apparatus, the said relay server, and the said hospital information server.
  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
  FIG. 1 shows a system configuration of a biological information measuring system (the whole is denoted by reference numeral 90) according to an embodiment of the present invention. This biological information measuring system 90 includes a biological information measuring device 100, a relay server 200, a hospital information server 300, and a hospital terminal 400 so that they can communicate with each other via a network 900. A plurality of biological information measuring devices 100 and hospital terminals 400 may be connected to each other.
  Communication via the network 900 may be either wireless or wired. In this embodiment, the network 900 is an in-hospital LAN (Local Area Network), but is not limited thereto, and may be another type of network such as a network via the Internet, or a USB ( One-to-one communication using a universal serial bus) cable or the like may be used.
  As shown in FIG. 2, the biological information measuring device 100 includes a main body 100M, a control unit 110, a memory 120, an operation unit 130, a display unit 140, and a biological information acquisition unit mounted on the main body 100M. Measurement unit 150 and communication unit 190.
  The operation unit 130 inputs an operation signal corresponding to the operated content to the control unit 110 in response to operation of an operation device (described in detail later) such as operation buttons and operation keys by an operator.
The measuring unit 150 includes a sphygmomanometer 100A including a cuff 151 for measuring blood pressure and a blood pressure measuring unit 154, a thermometer 100B including a thermistor or a thermometer incorporating an infrared detection circuit, a light emitting unit, and a light receiving unit. 2 This includes a pulse oximeter 100C for measuring (arterial blood oxygen saturation) and an RFID (Radio Frequency IDenditification) sensor 153 (see FIG. 6) for taking in biological information by wireless communication. The biological information acquired from the sphygmomanometer 100 </ b> A, the thermometer 100 </ b> B, and the pulse oximeter 100 </ b> C via the RFID sensor 153 is input to the control unit 110.
  The memory 120 is data of a program for controlling the biological information measuring device 100, data used for controlling the biological information measuring device 100, setting data for setting various functions of the biological information measuring device 100, and Stores measurement result data. The memory 120 is used as a work memory when the program is executed.
  The control unit 110 includes a CPU (Central Processing Unit), and detects from the measurement unit 150 according to an operation signal from the operation unit 130 according to a program for controlling the biological information measuring device 100 stored in the memory 120. Based on the signal, the memory 120, the display unit 140, and the communication unit 190 are controlled. In particular, according to the setting via the operation unit 130, the control unit 110 works as the cyclic mode control unit 111 to execute the cyclic mode process, or works as the fixed mode control unit 112 to execute the fixed mode process. .
  The display unit 140 includes a display, an indicator, and the like, and displays predetermined information according to a control signal from the control unit 110 (details will be described later).
  The communication unit 190 is controlled by the control unit 110 to transmit predetermined information to an external device via the network 900, or receives information from the external device via the network 900 and transmits it to the control unit 110. I hand it over.
  In this example, a barcode reader 152 as an ID reading unit is detachably connected to the main body 100M via a USB cable. The barcode reader 152 is used to read the medical worker ID and the patient ID from an ID card or a wristband (barcode is displayed) carried by the medical worker or patient, respectively. The barcode reader 152 may be provided integrally with the main body 100M. Instead, if an IC chip for authentication is embedded in the ID card, the medical worker ID and the patient ID may be read by the RFID sensor 153 provided integrally with the main body 100M.
  As illustrated in FIG. 3, the relay server 200 includes a control unit 210, a storage unit 220, an operation unit 230, a display unit 240, and a communication unit 290. The relay server 200 has a program (software) installed so that a general-purpose computer apparatus can perform a relay mode process described later.
  The control unit 210 includes a CPU (Central Processing Unit) and its auxiliary circuit, controls each unit of the server 200, executes predetermined processing according to the program and data stored in the storage unit 220, the operation unit 230, and Data input from the communication unit 290 is processed, and the processed data is stored in the storage unit 220, displayed on the display unit 240, or output from the communication unit 290.
  The storage unit 220 includes a RAM (Random Access Memory) used as a work area necessary for executing the program by the control unit 210 and a ROM (Read) for storing a basic program to be executed by the control unit 210. Only Memory). Further, as a storage medium of an auxiliary storage device for assisting the storage area of the storage unit 220, a magnetic disk (HD (Hard Disk), FD (Flexible Disk)), optical disk (CD (Compact Disc), DVD (Digital Versatile Disk) ), BD (Blu-ray Disc)), a magneto-optical disk (MO (Magneto-Optical disk)), or a semiconductor memory (memory card, SSD (Solid State Drive)) may be used.
  The operation unit 230 includes a keyboard and a mouse, and inputs an operation signal indicating an operation by the user to the control unit 210. In addition, the operation unit 230 may be configured with another operation device such as a touch panel instead of or in addition to the keyboard and the mouse.
  Display unit 240 includes a display (for example, LCD (Liquid Crystal Display)). The display unit 240 is controlled by the control unit 210 to display a predetermined image on the display.
  The communication unit 290 transmits information from the control unit 210 to other devices via the network 900, and receives information transmitted from other devices via the network 900 and passes it to the control unit 210.
  FIG. 12 shows a flow of relay mode processing by the control unit 210 of the relay server 200. First, it waits for communication data received via the communication unit 290 (step S501). If there is received communication data (received data) (YES in step S501), the received data is temporarily stored in the storage unit 220 (step S501). Step S502). Next, if the received data includes final information or bed entry information (YES in step S503), the received data is transmitted to the hospital information server 300 (step S504). On the other hand, if the received data does not include confirmed information or entry information (NO in step S503), the received data is suspended.
  As illustrated in FIG. 4, the hospital information server 300 includes a control unit 310, a storage unit 320, an operation unit 330, a display unit 340, and a communication unit 390. This hospital information server 300 is a commercially available electronic medical record program (for example, Fujitsu's electronic medical record system “HOPE / EGMAIN-EX” (registered trademark)) so that a general-purpose computer device can manage electronic medical records, which will be described later. Is installed. The configuration and function of the control unit 310, the storage unit 320, the operation unit 330, the display unit 340, and the communication unit 390 of the hospital information server 300 are basically the same as the control unit 210 and the storage unit of the relay server 200 described above. The configuration and functions of 220, operation unit 230, display unit 240, and communication unit 290 are the same. However, the storage unit 320 is different in that the electronic medical record program is installed and an electronic medical record information storage unit 321 for storing electronic medical record information is present.
  The electronic medical record information storage unit 321 stores an electronic medical record in which a patient name, a patient ID, and the patient's biological information are recorded in association with each other.
The electronic medical record is as follows, for example.
(Electronic medical record)
[Patient ID 1001 Patient name Taro Omron]
  Such an electronic medical record is stored in the electronic medical record information storage unit 321 for each patient (patient ID).
  Furthermore, in this example, the storage unit 320 includes a list of medical workers who record the names of medical workers working at hospitals and the medical worker IDs in association with each other, and the names and patient IDs received by the hospitals. A patient list that is recorded in association with each other, and a bed patient list that is recorded in association with the bed number, patient name, and patient ID in the hospital are stored.
The medical staff list is, for example, the following list.
(List of medical workers)
The patient list is, for example, the following list.
(Patient list)
The bed entry patient list is, for example, the following list.
(List of patients entering the hospital)
  FIG. 13 shows a flow of electronic medical record management by the control unit 310 of the hospital information server 300. First, it waits for communication data received via the communication unit 390 (step S601). If there is received communication data (received data) (YES in step S601), the received data is temporarily stored in the storage unit 320 (step S601). Step S602). Next, if the received data includes fixed information or entry information described later (YES in step S603), biometric information is recorded in the electronic medical record or entry information is recorded based on the received data. (Step S604). On the other hand, if the received data does not include confirmed information or entry information (NO in step S603), the received data is put on hold without being recorded.
  Note that recording biometric information in the electronic medical record means writing new content or updating the content in the electronic medical record as exemplified above.
  Also, recording the bed entry information means writing new contents or updating the contents in the bed patient list as exemplified above.
  In this example, the above-described medical staff list, patient list, and bed entry patient list are transferred from the hospital information server 300 to the relay server 200 and stored in the storage unit 220 of the relay server 200.
  As shown in FIG. 5, the hospital terminal 400 includes a main body 400M, a control unit 410, a memory 420, an operation unit 430, a display unit 440, and a communication unit 490 mounted on the main body 400M. The hospital terminal 400 includes a commercially available notebook personal computer, and is used to access the hospital information server 300 to record or update electronic medical chart information.
  In this example, a barcode reader 431 as an ID reading unit is detachably connected to the main body 400M via a USB cable. The barcode reader 431 is used to read the medical worker ID and the patient ID from an ID card (not shown) carried by the medical worker and the patient, respectively.
  FIG. 6 shows the appearance of the biological information measuring device 100. The biological information measuring device 100 includes a measurement / stop button 1, a menu / confirmation button 2, a setting operation key 3, and a tray 4 at the front of the main body 100M. Further, an NIBP (Non Invasive Blood Pressure) connector 5 is provided on the left side of the main body 100M. A power connector 6, a USB connector 7, and a LAN connector 8 are provided on the right side of the main body 100M. Further, a display unit 140 is provided on the upper part of the main body 100M. In addition, an RFID sensor 153 constituting the measurement unit 150 described above is built in the main body 100M.
  The measurement / stop button 1 is a power switch, and when pressed when the power is off, blood pressure measurement is started. When pressed during blood pressure measurement, blood pressure measurement stops.
  The menu / confirm button 2 is used to display various menus of the device 100 on the display unit 140 and confirm the measurement value.
  The setting operation key 3 includes an up key 3a, a down key 3b, a left key 3c, and a right key 3d. These keys 3a, 3b, 3c and 3d are used for switching the screen of the display unit 140 and inputting various settings.
  These menu / confirmation button 2 and setting operation key 3 constitute the above-described operation unit 130.
  The tray 4 includes a storage unit 4a for storing a dedicated electronic thermometer (in this example, OMRON electronic thermometer MC-1600-HP), and a dedicated pulse oximeter (in this example, pulse oximeter HPO-1600-FP). ) For accommodating the housing 4b.
  The NIBP connector 5 is used to connect a tube / air hose connected to a cuff 151 for blood pressure measurement to the main body 100M.
  The power connector 6 is used to connect an AC (alternating current) adapter to the main body 100M. This AC adapter is used to charge a battery (not shown) built in main body 100M.
  In this example, the USB connector 7 is used to connect a barcode reader 152 (see FIG. 2) to the main body 100M.
  In this example, the LAN connector 8 is used to connect the biological information measuring device 100 to the network 900.
As shown in FIG. 7, the display unit 140 displays a measurement value display unit 21 for performing display for prompting input of measurement values and various settings, a bed number display unit 22 for displaying a bed number, and a patient's name. Patient name display unit 23, medical worker name display unit 24 that displays the name of a medical worker who has been ID-authenticated, a charging indicator 25 that indicates whether charging is performed, and a body temperature input display that is turned on when a measured body temperature value is input Unit 26, an SpO 2 input display unit 27 that lights up when an SpO 2 measurement value is input, a tour mode display unit 28 that lights up in the tour mode, a time display unit 29 that displays the current time, and the remaining battery power A battery remaining amount display unit 30 for displaying the amount, a wireless LAN display unit 31 for displaying presence / absence of wireless LAN communication, a USB communication display unit 32 for displaying presence / absence of USB communication, and the presence / absence of untransmitted data. Not the transmission data display unit 33, and a transition destination display unit 34 to inform the like transition destination when operating the menu / confirm button 2 and setting operation keys 3.
  Now, when the biological information measuring device 100 is used in a hospital, a medical worker (for example, ME) operates the operation unit 130 as a selection unit to select either the patrol mode or the fixed mode. The patrol mode is adapted to a business mode in which a medical staff such as a nurse visits each patient while carrying the biological information measuring device 100 and performs biological information measurement in a hospital. On the other hand, in the fixed mode, the biological information measuring device 100 is fixedly arranged for each hospitalized patient (around the bed) and the biological information measuring device 100 is used to measure the biological information of the patient. Adapt to form.
Specifically, either the cyclic mode or the fixed mode is selected as follows. For example, when a medical worker operates the menu / confirmation button 2 and the setting operation key 3, the display field (1) that prompts the patrol / fixed selection as follows is displayed on the display unit 140 by default.
Patrol / fixed selection: Fixed… (1)
This display indicates that the fixed mode is selected by default. Here, when the medical staff presses the upper key 3a or the lower key 3b, for example, the display field is switched as shown in (2) below.
Tour / fixed selection: Tour… (2)
  This display indicates that the patrol mode has been selected.
  In this manner, when the medical staff operates the operation unit 130, either the patrol mode or the fixed mode is selected.
  When the tour mode is selected, the tour mode control unit 111 of the biological information measuring device 100 executes the process shown in the flow of FIG.
  First, the patrol mode control unit 111 works as a medical worker ID authentication unit, and takes in and authenticates a medical worker ID for identifying a medical worker (for example, a nurse) (step S101). Subsequently, the traveling mode control unit 111 initializes biometric information (hereinafter referred to as “measured value” as appropriate) and a patient ID (step S102). Therefore, it is possible to prevent a situation in which biometric information with unknown origin (measured values of different patients, etc.) is transmitted outside the device.
  Thereafter, the patrol mode control unit 111 operates as a patient ID authentication unit, and takes in and authenticates a patient ID for specifying a patient (step S103). In this example, the barcode reader 152 is used for taking in the medical worker ID and the patient ID. Therefore, the work for the authentication of the medical worker ID and the authentication of the patient ID becomes easy. Subsequently, the cyclic mode control unit 111 initializes the measurement value (step S104). Accordingly, it is possible to prevent a situation in which past unknown measurement values and the like are transmitted to the outside of the device.
  Thereafter, in response to the measurement start input from the medical staff (or patient) to the operation unit 130, the patrol mode control unit 111 works as a measurement display control unit to cause the measurement unit 150 to acquire a measurement value and to display the display unit. Control is performed to display the measured value acquired in 140 (step S105). The screen displayed on the display unit 140 at this stage is, for example, as shown in FIG. The medical staff can determine whether or not the measurement value is appropriate by looking at the measurement value displayed on the display unit 140. When the medical worker determines that the measured value is appropriate, the measured value is confirmed by an input to the operation unit 130 (specifically, the menu / confirm button 2).
  When the measurement value displayed on display unit 140 is confirmed by input to operation unit 130 (YES in step S106), cyclic mode control unit 111 acts as a transmission control unit, and the measurement value and this measurement value are confirmed. Control that transmits the communication information 190 to the relay server 200 via the network 900 as communication data in association with the confirmed information indicating that and the patient ID is performed (step S107).
  Note that, after the measurement is completed, when a certain period of time elapses without the measurement value being confirmed, the traveling mode control unit 111 moves away from the flow of FIG. The communication unit 190 controls the communication data to be transmitted to the relay server 200 via the network 900. However, the measurement value for which the patient ID is not specified is suspended in the biological information measuring device 100 without being transmitted.
In this embodiment, in the cyclic mode flow (FIG. 8) and the fixed mode flow (FIG. 9) described later, the authentication of the medical worker ID and the authentication of the patient ID are:
i) The medical worker ID or patient ID captured by the biological information measuring device 100 is transmitted to the relay server 200,
ii) In the relay server 200, the control unit 210 receives the received medical worker ID or patient ID, the medical worker list stored in the storage unit 220, the medical worker ID listed in the patient list, and the patient. Contrast with ID,
iii) The relay server 200 returns the information indicating whether or not there is a medical worker ID and a patient ID that match each other to the biological information measuring device 100.
  However, the medical worker ID or patient ID captured by the biological information measuring device 100 is directly transmitted to the hospital information server 300. In the hospital information server 300, the control unit 310 receives the received medical worker ID or patient ID and the storage unit. Authentication may be performed by comparing the medical staff ID list and the patient ID listed in the medical staff list list and patient list list stored in 320.
  In addition, the medical worker list and the patient list are stored in the storage unit 120 of the biological information measuring device 100, and the medical worker ID captured by the control unit 110 using the barcode reader 152 in the biological information measuring device 100. Alternatively, authentication may be performed by comparing the patient ID with the medical staff list stored in the storage unit 120, the medical staff ID listed in the patient list, and the patient ID.
  On the other hand, when the fixed mode is selected, the hospital performs a floor entry process for associating a patient with a bed number before measuring biometric information.
  For example, FIG. 10 shows a flow for performing the floor entry process using the hospital terminal 400.
The medical worker first captures a medical worker ID for identifying the medical worker (nurse in this example) using the barcode reader 431 connected to the hospital terminal 400 in the operating state of the hospital terminal 400. (Step S301). Subsequently, the medical staff uses the operation unit 430 to specify the patient ID and the bed number assigned to the patient. Then, the control unit 410 of the hospital terminal 400 inputs the bed entry information that represents the bed number assigned to the patient in association with the patient ID of the patient (step S302). The entered bed information is controlled by a control signal from the control unit 410 together with the patient name, for example.
Is displayed on the display unit 440. Subsequently, the hospital terminal 400 transmits the entrance information to the hospital information server 300 via the network 900 by the communication unit 490 (step S303). Then, the hospital information server 300 records the entrance information based on the flow shown in FIG.
  FIG. 11 shows a flow for performing the floor entry process using the biological information measuring device 100 instead of the hospital terminal 400.
The medical worker first uses the barcode reader 152 connected to the biological information measuring device 100 in the operating state of the biological information measuring device 100 to first identify a medical worker (in this example, a nurse). The patient ID is acquired and authenticated (step S401), and the patient ID for specifying the patient is acquired and authenticated (step S402). Subsequently, the medical staff uses the operation unit 130 to specify the bed number assigned to the patient. Then, the control unit 110 of the biological information measuring device 100 works as an entry information input unit, and inputs entry information that represents the bed number assigned to the patient in association with the patient ID of the patient (step S403). The inputted bed entry information is controlled by a control signal from the control unit 110 together with the patient name, for example.
Is displayed on the display unit 140. Subsequently, the biological information measuring device 100 transmits the floor entry information to the relay server 200 via the network 900 by the communication unit 190 (step S404). Then, the relay server 200 transmits the entrance information to the hospital information server 300 based on the flow shown in FIG. The hospital information server 300 records the floor entry information based on the flow shown in FIG.
  In this way, the floor entry process is performed according to the flow of either FIG. 10 or FIG.
  When the fixed mode is selected, the fixed mode control unit 112 of the biological information measuring device 100 executes the process shown in the flow of FIG.
  First, the fixed mode control unit 112 works as a patient ID authentication unit, and takes in and authenticates a patient ID for specifying a patient (step S201). In this example, the barcode reader 152 is used for taking in the patient ID. Therefore, the work for patient ID authentication is facilitated. Subsequently, the fixed mode control unit 112 initializes the measurement value (step S202). Therefore, it is possible to prevent a situation in which biometric information with unknown origin (measured values of different patients, etc.) is transmitted outside the device.
  Thereafter, the fixed mode control unit 112 works as a measurement display control unit in response to an input of measurement start to the operation unit 130 by the patient, and causes the measurement unit 150 to acquire a measurement value and the measurement acquired by the display unit 140. Control to display the value is performed (step S203). The screen displayed on the display unit 140 at this stage is the same as that shown in FIG. 14, for example. The reason for accepting this step S203 is that if the patient is a relatively healthy patient, the patient can measure biological information by himself / herself, and the measurement by the patient's own measurement can be performed even if the medical staff does not bother to perform the measurement. This is because the value can be used.
  Next, the fixed mode control unit 112 works as a medical worker ID authentication unit, and takes in and authenticates a medical worker ID for specifying the medical worker (step S204). In this example, the barcode reader 152 is used for taking in the medical worker ID. Therefore, the work for authentication of the medical worker ID is facilitated.
  If no measurement value is displayed on the display unit 140 at this stage (NO in step S205), the medical worker inputs measurement start to the operation unit 130 (step S206). Then, the fixed mode control unit 112 functions as a measurement display control unit, and controls the measurement unit 150 to acquire the measurement value and controls the display unit 140 to display the measurement value acquired (step S206).
  If the measurement value is displayed on the display unit 140 as a result of step S205 or step S206, the medical worker looks at the measurement value displayed on the display unit 140 and determines whether or not the measurement value is appropriate. can do. When the medical worker determines that the measured value is appropriate, the measured value is confirmed by an input to the operation unit 130 (specifically, the menu / confirm button 2).
  When the measurement value displayed on the display unit 140 is confirmed by input to the operation unit 130 (YES in step S207), the fixed mode control unit 112 works as a transmission control unit, and the measurement value and the measurement value are confirmed. Control that transmits the communication information 190 to the relay server 200 via the network 900 as communication data in association with the confirmed information indicating that and the patient ID is performed (step S208).
  Note that, after the measurement is completed, when a certain period of time has passed without the measurement value being confirmed, the fixed mode control unit 112 moves away from the flow of FIG. The communication unit 190 controls the communication data to be transmitted to the relay server 200 via the network 900.
  In this way, according to the biological information measuring device 100, the measurement value displayed on the display unit 140 is determined by the input to the operation unit 130 regardless of whether the cyclic mode or the fixed mode is selected. When this is done, the measurement value, the confirmation information, and the patient ID are associated with each other and transmitted to the relay server 200 as communication data. On the other hand, after a measurement is completed, when a certain period of time has passed without the measurement value being confirmed, the measurement value and the patient ID are associated with each other and transmitted to the relay server 200 as communication data without the confirmation information. Note that the measurement value for which the patient ID is not specified is suspended in the biological information measuring device 100 without being transmitted. Data without confirmation information may be sent together with the next confirmation.
  As a result, as shown in FIG. 15, the relay server 200 does not include the communication data including the confirmation information (referred to as “communication data A”) and the confirmation information as communication data via the network 900. One of the communication data (this is referred to as “communication data B”) is received. The relay server 200 transmits the communication data A including the confirmation information to the hospital information server 300 according to the flow of FIG. 12, while holding the communication data B not including the confirmation information.
In the example shown in FIG. 15, the items of communication data A include patient ID, medical worker ID, blood pressure (maximum), blood pressure (minimum), pulse rate, body temperature, SpO 2 , and confirmed date and time as confirmed information. Can be included. The items of communication data B include patient ID, blood pressure measurement date / time, blood pressure (maximum), blood pressure (minimum), pulse measurement date / time, pulse rate, body temperature measurement date / time, body temperature, SpO 2 measurement date / time, and SpO 2. it can. It is noted that the communication data B does not include a medical worker ID and a fixed date and time.
  Next, the hospital information server 300 receives the communication data A via the network 900. In the above example, the hospital information server 300 corresponds to the measurement value included in the communication data A and the patient ID according to the flow of FIG. Attach it to the electronic medical record.
  Thus, according to the biological information measuring device 100 and / or the biological information measuring system 90 equipped with the biological information measuring device 100, the patient's biological information can be efficiently and reliably electronically input by a simple input operation according to the business form in the hospital. Can be recorded in medical records. The communication data B that does not include the confirmation information is held in the relay server 200 (can be used as a log). Therefore, it is possible to prevent biometric information of unknown origin (measured values of different patients, etc.) from being transmitted to the hospital information server 300, and to prevent confusion in the hospital information server 300.
  Further, for example, the history of the operation of the biological information measuring device 100 by the patient can be found from the communication data B reserved in the relay server 200, and therefore the behavior of the patient (the number of remeasurements, etc.) can be analyzed based on this history. Furthermore, by sending and managing the device ID together with the measurement data, the number of times the device is measured can be grasped, and the maintenance time of the device can be grasped.
  The medical worker may access the communication data B held in the relay server 200 and confirm and confirm the measured value afterwards at a time different from the measured time. As such, when the measurement value included in the communication data B is confirmed afterwards, the communication data B is changed to the communication data C and sent to the hospital information server 300. The item of communication data C is the same as the item of communication data A. Therefore, it is possible to transmit the biometric information determined by the medical staff to be appropriate not only from the biometric information measuring device 100 but also from the relay server 200 to the hospital information server 300.
  Here, the access to the communication data B reserved in the relay server 200 is performed on the operation unit 230 of the relay server 200, the operation unit 330 of the hospital information server 300, or the hospital terminal 400, for example, on the condition of authentication of the medical worker ID. This can be performed from any of the operation units 430. In those cases, the medical staff sees the measured values displayed on the display unit 240 of the relay server 200, the display unit 340 of the hospital information server 300, or the display unit 440 of the hospital terminal 400, respectively, and the measured values are appropriate. It can be determined whether or not there is.
In the above embodiment, the “biological information” measured by the biological information measuring device 100 is mainly blood pressure, body temperature, and SpO 2 . Of course, the present invention is not limited to this, and the biological information measuring device of the present invention may widely measure information related to a patient's living body such as a pulse and a respiratory rate.
  Further, the relay server 200 and the hospital information server 300 may be housed in a physically integrated casing.
100 Biological Information Measuring Device 200 Relay Server 300 Hospital Information Server 400 Hospital Terminal 900 Network

Claims (9)

  1. A biological information measuring device for acquiring at least one type of biological information from a patient,
    The body,
    A biometric information acquisition unit for acquiring biometric information;
    A display unit for displaying the acquired biological information;
    An operation unit for performing input for confirming the biological information displayed on the display unit;
    A communication unit that communicates with the outside of the main body via a network;
    A traveling mode control unit that executes a traveling mode for the biological information measuring device to be carried and used by a medical worker who visits each patient in a hospital;
    A fixed mode control unit for executing a fixed mode for the biological information measuring device to be used for each patient in the hospital; and
    A biological information measuring device comprising: a selection unit for switching between the cyclic mode control unit and the fixed mode control unit.
  2. The biological information measuring device according to claim 1,
    The patrol mode control unit
    A medical worker ID authenticating unit that captures and authenticates a medical worker ID for identifying the medical worker;
    After the medical worker ID is authenticated, a patient ID authentication unit that captures and authenticates a patient ID for identifying a patient;
    After the patient ID is authenticated, the measurement display control unit that controls the biometric information acquisition unit to acquire the biometric information and displays the acquired biometric information on the display unit;
    When the biometric information displayed on the display unit is confirmed by an input to the operation unit, the biometric information, confirmed information indicating that the biometric information is confirmed, and the patient ID are associated with each other as communication data. A transmission control unit that performs control to transmit to the outside of the main body by the communication unit,
    The fixed mode control unit
    A patient ID authenticating unit that captures and authenticates a patient ID for identifying a patient;
    After the patient ID is authenticated, the measurement display control unit that controls the biometric information acquisition unit to acquire the biometric information and displays the acquired biometric information on the display unit;
    After the patient ID is authenticated, and before or after the control by the measurement display control unit, a medical worker ID authentication unit that captures and authenticates a medical worker ID for identifying the medical worker,
    When the biometric information displayed on the display unit is confirmed by an input to the operation unit, the biometric information, confirmed information indicating that the biometric information is confirmed, and the patient ID are associated with each other as communication data. A biological information measuring device, comprising: a transmission control unit configured to control transmission to the outside of the main body by the communication unit.
  3. The biological information measuring device according to claim 1 or 2,
    When the medical worker ID is authenticated by the medical worker ID authenticating unit, the patrol mode control unit initializes biometric information and patient ID acquired in the past, and the patient ID authenticating unit performs the patient ID authentication. A biometric information measuring device that initializes biometric information acquired in the past when is authenticated.
  4. In the biological information measuring device according to any one of claims 1 to 3,
    When the biometric information displayed on the display unit is confirmed by input to the operation unit, the patrol mode control unit is configured so that the biometric information and the patient acquired in the past after transmission of the communication data by the transmission control unit While initializing the ID, when the biometric information displayed on the display unit is not confirmed by an input to the operation unit, the control is returned so that the patient ID authentication is performed again by the patient ID authentication unit. Biological information measuring device.
  5. In the biological information measuring device according to any one of claims 1 to 4,
    A biological information measuring apparatus comprising an ID reading unit for reading a medical worker ID and a patient ID from a medical worker and a patient, respectively, in an integrated manner with the main body or detachable from the main body.
  6. In the living body information measuring device according to any one of claims 1 to 5,
    When the medical worker ID is input by the medical worker ID authenticating unit and the biological information is not acquired, the fixed mode control unit is controlled by the measurement display control unit to control the biological information acquiring unit. The biological information measuring device characterized in that the biological information is acquired and the acquired biological information is displayed on the display unit.
  7. In the biological information measuring device according to any one of claims 1 to 6,
    A biological information measuring device comprising an entry information input unit for inputting entry information representing the bed number assigned to the patient in association with the patient ID of the patient.
  8. The biological information measuring device according to any one of claims 1 to 7,
    A hospital information server for associating a patient ID for identifying a patient with the biological information of the patient and recording it as electronic medical record information;
    The biometric information measuring device and the hospital information server are communicably connected via a network, and include a relay server that relays communication data from the biometric information measuring device,
    The relay server receives the communication data from the biological information measuring device, and transmits the communication data to the hospital information server when the communication data includes the confirmed information, while the communication data is transmitted to the confirmed information. The biological information measurement system, wherein the communication data is suspended when not included.
  9. The biological information measuring system according to claim 8,
    An ID reading unit for reading a medical worker ID and a patient ID from a medical worker and a patient, respectively, and at least the biological information measuring device and the hospital information server or a computer connected to the hospital information server so as to be communicable On the other hand, a biological information measuring system characterized by being provided integrally or detachably.
JP2011288725A 2011-12-28 2011-12-28 Biological information measurement device and biological information measurement system Pending JP2013137678A (en)

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