JP2016136296A - Medical information display system, server, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical information display system making it possible to share a treatment situation among medical staff members or examination departments even when various examinations are conducted on a highly acute phase patient.SOLUTION: A medical information display system of the present invention includes information terminals and a server. The information terminals are connected to the server over an in-hospital network. The information terminal includes an input unit, a terminal communication control unit, and a display unit that has image display areas, which are associated with respective treatment tasks, defined individually, has a total image display area, which is associated with all the treatment tasks, disposed in one display screen, and displays a screen image representing a progress of a treatment based on distribution data received by the terminal communication control unit. The server includes a storage unit that stores initial screen information associated with a screen image displayed on the display unit, a display information designation unit that designates display information for an image display area so that the associated image display in the image display area can be varied depending on a treatment situation, and a distribution data production unit that produces distribution data on the basis of the display information.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a medical information display system, a server, and a program in which a server and a plurality of information terminals are connected via a predetermined network.

Conventionally, in the medical field, a system for displaying medical information via a network has been proposed.
For example, Patent Document 1 discloses a medical information system in which a medical institution of an ambulance or a transport planned medical institution can refer to the patient's medical chart information by accessing a medical chart management server. Further, Patent Document 2 discloses a clinical management / decision making system having a plurality of interactive display areas, which uses clinical information and diagnosis / treatment decision assistance, and is fixedly connected to an information system in a hospital. Or it can be accessed from a remote device, and it is a system which supports a doctor's judgment.

JP 2002-73807 A

Japanese Patent No. 5238507

  On the other hand, in the field of emergency medicine, for example, rt-PA (thrombolytic drug) intravenous therapy for hyperacute cerebral infarction has been proven to be more effective as soon as possible, and enlightenment activities and emergency systems to recognize the onset of stroke Is being maintained. Also, hospitals that accept stroke patients are expected to shorten the time from arrival to the start of intravenous rt-PA therapy (Door to Needle Time: DNT). Each country's guidelines aim to make it within an hour, but it is difficult to achieve in many hospitals. In order to administer rt-PA intravenous therapy, it is stipulated that all the mandatory study items prepared by the stroke-related societies need to be conducted, but these study items need to be jointly conducted by multiple occupations and departments. is there. Specifically, there are many different characteristics such as confirmation of medical history / medicine history, vital sign measurement, blood sampling test, head CT test / head MRI test, explanation of the medical condition to the family and the person, and approval for treatment. It is necessary for multiple staffs in various occupations / divisions to proceed with the procedures (tasks, work). In addition, there are many cases in which rt-PA intravenous therapy is ineffective even after these treatments, or rt-PA intravenous therapy is not indicated in the first place. Since it is necessary to select and carry out the optimal treatment other than therapy, it is also necessary to determine whether or not rt-PA treatment should be performed promptly.

  In addition to determining whether rt-PA intravenous therapy is applied to stroke patients, various types of emergency tests for emergency patients are performed in the form of interruptions between scheduled tests in multiple testing departments. However, various problems have arisen. Specifically, in CT departments such as CT examinations, MRI examinations, angiography examinations, etc., it is not possible to know when patients will arrive, so scheduled examinations should be performed on the assumption that emergency patients will arrive soon. Even if it is interrupted and waiting, it takes time for the previous processing task, the waiting state continues, and the normal scheduled work is disturbed, or conversely, it is determined that there is still time for the arrival of the emergency patient If an emergency patient arrives sooner than expected immediately after starting a normal scheduled test, the test may not be started immediately. In blood tests, nurses need to collect blood, transport blood samples to the blood laboratory by some means, blood test technicians receive it, perform tests, report results, and doctors need to check the results. . It is difficult for the staff to check the progress status of each of these stages in a place distant from each other in real time, causing various careless mistakes and time loss.

In this way, in actual medical practice, actual progress such as who is going to perform what procedure, which examination items are still left, and how many minutes later the patient arrives at the examination department that he is in charge of It was extremely difficult to accurately share the situation among multiple medical staff. For this reason, after an emergency patient is transported to a hospital, medical staff promptly performs necessary examinations and examinations, and this is an obstacle to a process for performing appropriate treatment. This is an urgent issue in emergency medical settings where 1 minute 1 second is important.
In short, the medical-related systems that have been proposed in the past either support doctors' judgment or make it easier to browse predetermined information, and still respond to patients comprehensively by connecting each treatment department in the medical field. No system has been provided for improving the efficiency of the system, and there is a demand for the development of an apparatus equipped with such a system.

  The present invention was made in order to solve such problems, and the purpose thereof is between various medical staff concerned and various examination departments even when various examinations and the like of patients with advanced acute phase are performed. An object of the present invention is to provide a medical information display system, server, and program capable of sharing the treatment status of each treatment.

As a result of intensive studies to solve the above-mentioned problems, the present inventors have found that it is effective to make a medical worker visually recognize how far the treatment for the patient has progressed, As a result of studying improvements in operability and visibility, the present invention has been completed.
That is, the present invention provides the following inventions.
1. A plurality of information terminals are connected to a server via a predetermined network, data input to each information terminal is processed by the server to generate distribution data, and the progress of treatment based on the distribution data is indicated in the information terminal A medical information display system that displays information in common
The information terminal
An input unit for inputting a treatment status of a treatment task for performing a predetermined treatment on the patient;
A terminal communication control unit for transmitting the treatment status of the treatment task to the server and receiving the delivery data delivered from the server;
An image display area corresponding to each treatment task is individually defined, and all the image display areas corresponding to all the treatment tasks are arranged in one display screen, and the terminal communication control unit A display unit for displaying a screen showing the progress of the treatment based on the distribution data received at
The server
Corresponding to the screen displayed on the display unit, the image display areas are individually defined, and a storage unit storing initial screen information in which all image display areas are arranged in one display screen;
A display information setting unit that sets display information of the image display area so that the image display of the corresponding image display area changes according to the treatment status of the treatment task transmitted from the information terminal;
Based on the display information, a distribution data generation unit that generates the distribution data;
A medical information display system comprising: a communication control unit that receives the treatment status and distributes the distribution data to each information terminal via the network.
2. 2. The display information setting unit sets the display information so that a region display color of the corresponding image display region changes according to a recognized treatment status of the treatment task. Medical information display system.
3. When the display information setting unit recognizes that one of the treatment tasks is completed, the display information setting unit sets predetermined display information for the image display area of the treatment task that is the next stage. 3. The medical information display system according to 1 or 2, which is characterized.
4). The initial screen information further includes a time lapse display area for displaying time lapse information in an area different from the image display area corresponding to the treatment task,
The display information setting unit sets the display information of the time lapse display area so that at least one of the remaining time or the elapsed time until the target time when all the treatment tasks are completed is always displayed. The medical information display system according to any one of 1 to 3.
5. The storage unit further includes individual initial screen information in which only image display areas corresponding to some of the treatment tasks are defined,
The distribution data generation unit generates individual distribution data to be distributed to a specific information terminal based on display information in the part of the treatment tasks among the display information set by the display information setting unit. 3. The medical information display system according to 1 or 2, wherein
6). A server to which a plurality of information terminals are connected via a predetermined network,
The information terminal is a screen in which an image display area corresponding to each treatment task applied to a patient is individually defined, and all image display areas corresponding to all the treatment tasks are arranged in one display screen. And a display unit for displaying a screen showing the progress of treatment based on the distribution data received by the terminal communication control unit,
The server
Initial screen information set in advance so that image display areas corresponding to the respective treatment tasks are individually defined corresponding to the respective treatment tasks, and all the image display areas are arranged in one display screen. A storage unit that stores
Display information on images, characters, and colors displayed in the image display area so that the display image of the corresponding image display area changes according to the treatment status of the treatment task transmitted from the information terminal. A display information setting section for setting
A distribution data generation unit that generates distribution data based on the display information;
A communication control unit for receiving the treatment status of the treatment task and delivering the delivery data to the network;
A server characterized in that the generated distribution data is displayed on each information terminal in common.
7). The display information setting unit sets the display information so that an area display color of an image representing the corresponding image display area changes according to a recognized treatment status of the treatment task. 6. The server according to 6.
8). When the display information setting unit recognizes that one of the treatment tasks is completed, the display information setting unit sets predetermined display information for the image display area of the treatment task that is the next stage. 8. The server according to 6 or 7, which is characterized.
9. The initial screen information further includes a time lapse display area for displaying time lapse information in an area different from the image display area corresponding to the treatment task,
The display information setting unit sets the display information of the time lapse display area so that at least one of the remaining time or the elapsed time until the target time when all the treatment tasks are completed is always displayed. The server according to any one of 6 to 8.
10. The storage unit further includes individual initial screen information in which only image display areas corresponding to some of the treatment tasks are defined,
The distribution data generation unit generates individual distribution data to be distributed to a specific information terminal based on display information in the part of the treatment tasks among the display information set by the display information setting unit. 8. The server according to 6 or 7, wherein
11. A program that causes a computer configured as a server to which a plurality of information terminals are connected via a predetermined network to execute predetermined steps,
The information terminal is a screen in which an image display area corresponding to each treatment task applied to a patient is individually defined, and all image display areas corresponding to all the treatment tasks are arranged in one display screen. And a display unit for displaying a screen showing the progress of treatment based on the distribution data received by the terminal communication control unit,
In the computer, image display areas corresponding to the respective treatment tasks are individually defined corresponding to the respective treatment tasks, and all the treatment tasks are arranged in advance so that the image display areas are arranged in one display screen. A storage unit that stores the set initial screen information is provided.
Receiving a treatment status of the treatment task transmitted from the information terminal;
Setting display information regarding images, characters, and colors displayed in the image display area so that a display image of the corresponding image display area changes according to the received treatment status of the treatment task; ,
Generating distribution data based on the display information;
Delivering the delivery data to the network;
A program that executes
12 In the step of setting the display information, the display information is set so that a region display color of an image representing the corresponding image display region changes according to a recognized treatment status of the treatment task. 11. The program according to 11.
13. In the step of setting the display information, when it is recognized that one of the treatment tasks has been completed, predetermined display information is set for the image display area of the treatment task which is the next stage. The program according to 11 or 12, characterized in that:
14 The initial screen information further includes a time lapse display area for displaying time lapse information in an area different from the image display area corresponding to the treatment task,
In the step of setting the display information, the display information of the time elapsed display area is set so that at least one of the remaining time or the elapsed time until the target time at which all the treatment tasks are completed is always displayed. The program according to any one of 11 to 13, characterized by:
15. The storage unit further includes individual initial screen information in which only image display areas corresponding to some of the treatment tasks are defined,
In the step of generating the distribution data, the individual distribution to be distributed to the specific information terminal based on the display information in the some treatment task among the display information set in the step of setting the display information 13. The program according to 11 or 12, which generates data.

<Action>
In the medical information display system according to the first aspect, the treatment status of the treatment task is transmitted from each information terminal. The storage part of the server stores the initial screen information for visualizing the treatment status indicating the progress of each treatment task as a whole, and the initial screen information corresponds to each treatment task. The displayed image display area is divided. The display information setting unit sets display information for the corresponding image display area so that the image display changes according to the treatment status of the received treatment task. In the distribution data generation unit, for example, distribution data is generated based on the initial screen information and display information, and is distributed to each information terminal by the communication control unit via the network. Note that the information terminal may be a mobile information terminal such as a smartphone or a tablet carried by the person in charge of the treatment task, in addition to a terminal such as a computer fixedly provided in each treatment room.

In the server according to claim 6, initial screen information and the like for visually displaying the treatment status of each treatment task as a whole is stored in the storage unit, and an image display area corresponding to each treatment task is stored. It is divided. The display information setting unit sets display information for the corresponding image display area so that the image display changes according to the treatment status of the received treatment task. In the distribution data generation unit, for example, distribution data is generated based on the initial screen information and display information, and is distributed to each information terminal by the communication control unit via the network.
The program according to claim 11 receives the treatment status of the treatment task transmitted from the information terminal, and changes the display image of the image display area to an image corresponding to the situation based on the received information. Set display information about images, characters and their colors to be displayed in the display area, and based on such display information, the current status from the information displayed on the previous screen until the information is sent The server generates a distribution data having information for changing the screen so as to obtain a screen corresponding to, and distributes the information to each information terminal.

  The medical information display system according to claim 1 transmits the treatment status of the treatment task from the information terminal on the network to the server, and the display information setting unit of the server changes the image display according to the treatment status of the received treatment task. The display data for the corresponding image display area is set, the distribution data is generated in the distribution data generation unit based on the initial screen information and the display information in the storage unit, and the distribution data distributed from the communication control unit The system configuration is used to display the progress of treatment based on each information terminal.

As a result, since the progress of the treatment of all treatment tasks is visually displayed in a list on the display unit of the information terminal, various examinations of patients with advanced acute phase are also performed in multiple examination departments. It is possible to visually share the status of each treatment task among the related medical staff and each examination department. Therefore, for example, even when a treatment task that has been delayed in progress occurs, the fact can be clarified and shared by each medical staff, so that it is possible to concentrate human resources on the treatment task. It is possible to sufficiently contribute to shortening.

  According to the server of claim 6, the display information setting unit sets display information for the corresponding image display area so that the image display changes according to the treatment status of the received treatment task, and the initial setting of the storage unit Based on the screen information and display information, the distribution data generation unit generates distribution data and distributes it via the communication control unit.

  As a result, on each information terminal connected to the server via the network, it is possible to visually display a list of progress of treatments for all treatment tasks. Therefore, even when various examinations of patients with advanced acute phase are performed in multiple examination departments, the progress of the treatment of each treatment task should be visually shared among the related medical staff and each examination department. For example, even if a treatment task with a slow progress occurs, the fact can be clarified and shared with each medical staff, so it is possible to concentrate human resources on the treatment task. It is possible to contribute to the shortening of DNT.

According to the program according to claim 11, the treatment status of the treatment task is grasped, and according to the grasped treatment situation, the images, characters, and their colors in the display image of the image display area in the information terminal are respectively set to the situation. The display can be changed accordingly.
As a result, it is possible to constantly grasp the situation in real time on multiple information terminals, and not only to display characters but also to share information among medical staff in a form that is very easy to see including images and colors. Can be realized.
Further, according to the medical information display system, server and program of the present invention, it is possible to record the time required for processing various tasks for each processing stage. By recording the time in this way and displaying that time directly or as the remaining time, the “visualization” of waste that hinders rapid processing in various tasks that did not appear on the surface in the past is possible. It is done. By intervening, it can be used as a tool to more efficiently “improve” various task processing from stroke onset to treatment execution.

It is a block diagram which shows roughly the internal structure of an information terminal. It is a block diagram which shows the internal structure of a server roughly It is a figure which shows the structure of initial screen information. (A) is a figure which shows the arrangement structure of each information in an image display area, (b) is a figure which shows the arrangement structure of each information in a time passage display area. It is a figure which shows the normal display state of a dashboard. 6A and 6B are diagrams showing how the display color is set in the image display area, where FIG. 6A is an initial state, FIG. 6B is a processing waiting state, FIG. 6C is a processing start state, FIG. e) shows a problem state. It is a figure which shows the input screen in the emergency outpatient treatment task. It is a table | surface which shows collectively the process matter displayed on the process matter column of the input screen of each treatment task. It is a flowchart which shows the control processing performed with a server. It is a flowchart which shows the control processing performed with a server. It is a figure which shows the display state of a dashboard. It is a figure which shows the display state of a dashboard. It is explanatory drawing which illustrated the relationship between the progress order of each treatment task, and time passage.

1 to 8: display area, 100: information terminal, 110: display unit, 120: input unit, storage unit: 130, communication unit: 140, 150: control unit, 152: display control unit, 154: communication control unit (terminal Communication control unit), 200: server, 210: storage unit, 220: communication unit, 230: control unit, 232: display information setting unit, 234: distribution data generation unit, 236: communication control unit, 300: dashboard, 310 320, 330, 340, 350, 360: image display area, 400: initial screen information.

Embodiments of the present invention will be described below with reference to the accompanying drawings.
The medical information display system according to the present embodiment includes an information terminal 100 and a server 200 (see FIGS. 1 and 2), and the information terminal 100 is arranged according to a treatment task for performing a treatment on a patient. It is connected to the server 200 via a hospital network such as a wired LAN or a wireless LAN in the hospital.

[Information terminal]
FIG. 1 schematically shows an internal configuration of the information terminal 100. The information terminal 100 includes a display unit 110, an input unit 120, a storage unit 130, a communication unit 140, and a control unit 150.
The display unit 110 is a display device such as a liquid crystal screen of an information terminal or a single liquid crystal display, and the input unit 120 includes a detection process for acquiring input operation information for a keyboard, a mouse, or a touch panel. That is, when the input unit is a touch panel type display member, the display unit and the input unit are configured by the same member. In this way, the input unit and the display unit may be configured by the same member. The storage unit 130 is a storage device such as a non-volatile memory, and stores various programs necessary for operation control of the information terminal 100, ID information for identifying the information terminal, and the like, and can store various data. it can. The communication unit 140 is a communication module that performs transmission / reception with the server 200 via a network.
The control unit 150 includes a central processing unit (CPU) and the like, performs all operation control of the information terminal 100, executes various programs, and thereby performs display control of the display unit 110, A communication control unit (terminal communication control unit) 154 that performs transmission / reception control of the communication unit 140 is logically configured.

Note that the information terminal 100 may be configured with, for example, a touch panel type tablet information terminal, a portable information terminal such as a smartphone or a PDA, a notebook personal computer, a desktop personal computer body, a keyboard, a mouse, and a monitor. In addition, as a monitor, it may be posted to a large number of medical staff who work using a large wall-mounted digital signage.

〔server〕
FIG. 2 schematically shows the internal configuration of the server 200. The server 200 is configured by a so-called computer including a storage unit 210, a communication unit 220, and a control unit 230. Here, “the computer does not have to be provided with a storage unit, a communication unit, and a control unit as one device, but a collection of a large number of devices having a storage unit, a communication unit, and a control unit, a storage unit, a communication unit, The control unit may exist as a separate device and may be a combination of them or an arbitrary combination thereof.
The storage unit 210 is a storage device such as a non-volatile memory, and stores various programs necessary for operation control of the server 200 and initial screen information 400 (see FIG. 3) described later. The communication unit 220 is a communication module that performs transmission / reception with each information terminal 100 via a network. Note that the server 200 may include an input unit and a display unit (not shown).

The control unit 230 includes a central processing unit (CPU) and the like. The control unit 230 controls all operations of the server 200 and executes various programs to set display information for the initial screen information 400. A distribution data generation unit 234 that generates distribution data to be distributed to the network, a communication control unit 236 that performs transmission / reception control of the communication unit 220, and the like are logically configured.

(Initial screen information)
Here, the initial screen information 400 stored in the storage unit 210 in the server 200 will be described. FIG. 3 shows an example of the initial screen information 400. In the initial screen information 400, image display areas corresponding to each treatment task are individually defined corresponding to the screen displayed on the display unit, and one image display area corresponding to all treatment tasks is displayed. It is arranged in the screen. This is image data serving as a data source for displaying on the browser screen of each information terminal 100 a screen called a dashboard 300 in which various types of information are aggregated.

The initial screen information 400 relates to a treatment task for creating a checklist for performing rt-PA intravenous therapy when a patient has a hyperacute cerebral infarction. In the initial screen information 400, image display areas 310 to 360 corresponding to each treatment task are individually defined on the dashboard 300, and each forms individual initial screen information. In the illustrated example, each of the image display areas 310 to 360 forms a hexagonal display area, and the six image display areas 310 to 360 are arranged in a ring shape. In addition, the central display area, which is a region different from the six image display regions 310 to 360 arranged in a ring shape, is a time lapse display region 370 that displays time lapse information (information that can control the entire treatment). The image display areas 310 to 360 and the elapsed time display area 370 that are all treatment tasks are arranged so as to be displayed on one display screen. In addition, the initial screen information 400 includes a display area 380 indicating the current time, the user name of the user who is currently logged in, and the time information when the scramble support for the patient with severe acute phase is started (information that can control the entire treatment) ) And a display area 390 (information that can manage the entire treatment) for displaying update information of each treatment task, and the like, are arranged so as to be displayed in one screen. Based on the initial screen information, a screen that is changed in consideration of display information generated in the server is displayed on the display unit.

The arrangement configuration of each information in one image display area 310 will be described with reference to FIG. 4A. In order from the top, the display area 1 has the number and task name of the treatment task, and the display area 2 has Is the name of the person in charge, the display area 3 is the name of the person in charge, the display area 4 is the progress status of the treatment task, and the display area 5 is the expected time and actual time taken for the treatment. Although the image display area 310 is representatively shown, the image display areas 310 to 360 have the same arrangement configuration. The arrangement of information in the time lapse display area 370 will be described with reference to FIG. 4B. In order from the top, the display area 6 has the DNT target time and the display area 7 has the target time. Are displayed in the display area 8 and the elapsed time since arrival at the hospital. In the present embodiment, the layout time is designed so that the remaining time until the target DNT to which the most attention should be paid is displayed as a display area 7 larger than other displays and in the center. In the tablet information terminal, the display unit 10 and the input unit 20 are provided on the same member (touch panel display).

(Operation and medical information display processing method)
(Operation and processing method in information terminal)
Here, display, operation, and the like on the information terminal 100 side will be described using a tablet information terminal including a touch panel display as an example. On the display unit 110 of the information terminal 100, first, a login screen (not shown) for connecting to the medical information display system is displayed. The dashboard screen after the login process is shown in FIG. In the example of FIG. 5, a scramble treatment for a highly acute patient is not performed and information is not posted on the dashboard 300.

On the other hand, in the case of scrambling that accepted a patient with a highly acute phase, the person in charge who performs the initial operation touches the new start icon 382 on the screen of the dashboard 300. As a result, the screen of the dashboard 300 is switched to the screen display previously shown in FIG.
As shown in FIG. 3, in the initial state, the image display areas 310 and 320 indicating “1. Emergency outpatient” and “2. Blood collection” are displayed in yellow, and the other image display areas 330 to 360 are gray. It is displayed. In the medical information display system according to the present embodiment, the progress of the treatment of each treatment task is displayed in different colors, and this aspect is shown in FIGS.
(A) The image display area is displayed in gray and shows an initial state, (b) shows in yellow that this treatment task is waiting for processing to be started immediately, and (c) shows this Blue indicates that the action task has started. Further, (d) indicates in green that this treatment task has been completed normally, and (e) indicates in red that some problem has occurred in this treatment task.
As an example of the next operation, for example, “1. Emergency outpatient”, when the treatment task is actually started from the “waiting for processing” state in FIG. 3, the person in charge touches the image display area 310 of the dashboard 300. When operated, the screen display of the display unit 110 of the information terminal 100 is switched to the input screen 301 of “1. Emergency outpatient” shown in FIG. In this input screen 301, a message entry area 302 in which process items to be processed by the treatment task “1. Emergency outpatient” are displayed, and a contact item input that can be entered by a person in charge using a keyboard displayed on the screen is input. In addition to the area 303, operation icons 304 for inputting treatment information including the progress status of this treatment task such as “start”, “end”, “problem”, “update”, “waiting for processing” are arranged.
The treatment information is intended to include all information that directly and indirectly indicates the status of the treatment task, and there is a problem in addition to the progress status of the treatment. If it is information that you want to convey to other medical staff, such as the situation of the staff or the number of staff, the information is not particularly limited, and what information is displayed on the actual medical site What is necessary is just to set suitably.

  When the image display areas 310 to 360 corresponding to the respective treatment tasks are touched on the dashboard 300, the input screen 301 representatively shown in FIG. 7 is displayed in any treatment task. Although the arrangement of the communication item input area 303 and the operation icon 304 is common to each treatment task, the processing items to be performed in each treatment task are defined in detail for each treatment task. The processing items posted in the processing item posting area 302 of the input screen 301 for each treatment task are collectively shown in FIG.

(Processing method on the server)
In response to the operation in the information terminal 100 described above, display information is set in the server 200 and distribution data is generated to control medical information display in each information terminal (display control processing).
Hereinafter, the display control processing of the medical information display system executed by the server 200 will be described by taking as an example a treatment task for creating a checklist for performing rt-PA intravenous therapy.
First of all, at the time when there is a request for transport of a patient who is considered to be eligible for rt-PA intravenous therapy, an emergency outpatient nurse, a blood test engineer, a radiologist or a neuroradiologist, a specialist ward nurse A waiting request is issued to teachers and specialists in charge. The waiting request is transmitted by e-mail or the like, and the waiting request processing is completed by a confirmation procedure for accepting the request. Requests that are not completed will be re-issued by telephone.

  During such scrambling, the person in charge who performs the initial operation operates the information terminal 100 to log in to the medical information display system from a predetermined input screen. Upon receiving this operation, the server 200 distributes the initial screen data of the dashboard 300 shown in FIG. 5 to the information terminal 100. The dashboard 300 shown in FIG. 5 is displayed on the display unit 110 of the information terminal 100 that has received the information. Thereafter, when the person in charge touches the new start icon 382, this information is transmitted to the server 200.

When the server 200 receives the input operation of the new start icon 382, the process shown in the flowchart of FIG. 9 is executed.
First, in S10, the initial screen information 400 shown in FIG. 3 is read, and in the subsequent S12, the display colors of the image display areas 310 and 320 for “1. Emergency outpatient” and “2. Display information consisting of the action information is set.
In continuing S14, the display control of the time passage display area 370 included in the initial screen information 400 is started. This display control is continued until a scrambling end operation is detected.
In subsequent S16, distribution data is generated based on these, the result is output to the communication control unit 236, and distribution control is executed.
Thereby, the screen of the dashboard 300 shown in FIG. 3 is displayed on the display unit 110 of each information terminal 100 connected to the medical information display system at this time, and “1. Emergency outpatient” and “2. Blood sampling” are displayed. ”Is displayed in yellow that both treatment tasks are currently waiting. Therefore, the progress status of the entire treatment task can be easily grasped visually on one display screen, and the progress status of each treatment task among the entire treatment tasks is related via the information terminal 100. Everyone can share clearly.

Step for receiving treatment status Next, for example, when the “blood collection” in the standby state actually starts treatment, the person in charge of this treatment task displays the information “100” on the dashboard 300 displayed on the information terminal 100. A touch operation is performed on the image display area 320 of “blood collection”. This input operation is transmitted to the server 200, and an input screen (see FIG. 7) corresponding to “2. Blood collection” is transmitted to the information terminal 100. Then, the screen display of the information terminal 100 is switched to this input screen, and the person in charge performs an input operation by touching the operation icon 304 indicating “start”.
This input operation is transmitted to the server via the net line, and the server receives the processing status of the action task “start”.

Step of setting display information When the input information is received by the server 200, the processing shown in the flowchart of FIG. 10 is executed.
First, in S20, since the input operation on the “blood collection” input screen is performed by the operation icon 304 indicating “start”, it is confirmed that the treatment task of “blood collection” has been “started”. Identify.
In subsequent S22, it is determined whether the operation has been performed with the end operation icon 304 or not.
In S24, since the treatment state of “blood collection” is “start”, the display color of the image display area 320 is set to blue (see FIG. 6C), this is set as display information, and is recorded in the storage unit. . Specifically, in S26, since the display colors of the immediately preceding image display areas 310 to 360 are stored in the storage unit 210 (initial screen information), this information is read and the image display area 320 set in S24 is read. The display color of is updated and stored.
-Generation | occurrence | production of delivery data In step S28, delivery data are produced | generated based on the initial screen information 400 used as the display reference | standard of the dashboard 300, and the display information set by S24.
Distribution Step The generated distribution data is output to the communication control unit 236 and transmitted to each information terminal at the same time. Whether or not to receive the distribution at the information terminal can be set arbitrarily, but due to the nature of the system, once logged in, the distribution from the server is usually accepted automatically until the end of the pretreatment task. Is set.
As a result, the current processing flow ends. By this processing, the display information setting unit 232 changes the display information so that the area display color of the image display area corresponding to blood collection changes to blue according to “start” that is the treatment status of the recognized treatment task. It is set. When the distribution data is distributed to each information terminal 100 through such processing, the display color of the image display area 320 of the blood collection treatment task is displayed on the display unit 110 of each information terminal 100 as shown in FIG. The dashboard 300 displayed in blue is displayed.

When the blood collection process further progresses and all scheduled processing items are completed, the person in charge of the treatment task touches the “blood collection” image display area 320 of the dashboard 300 displayed on the information terminal 100 on the screen. Then, this input operation is transmitted to the server 200, and the server 200 transmits an input screen (see FIG. 7) corresponding to “2. Blood collection” to the information terminal 100. Then, the screen display of the information terminal 100 is switched to this input screen, and the person in charge touches the operation icon 304 indicating “END” to perform an input operation.
When this input information is received by the server 200, the process of FIG. 10 is started again, and since it is an end operation in S22 following S20, it is determined as “yes” and the process proceeds to S30, and all treatment tasks are completed. Is determined. Here, it is determined as “no”, and the process proceeds to S32, in which display information is set for the current treatment task and display information is also set for the next treatment task. The display information setting unit recognizes that the treatment task “2. Blood collection” has been completed, and “3. Blood collection test” is designated as the next treatment task. For the image display area 320 for “blood collection”, display information is set in green indicating normal end (see FIG. 6D), and the display of the image display area 330 for “blood collection test” which is the next treatment task is displayed. Set the color to yellow to indicate “waiting for processing”. Thereafter, S24 to S28 are executed in the same manner. As shown in FIG. 12, the dashboard 300 displayed on the information terminal 100 displays “1. Emergency outpatient” in yellow, “2. Blood collection” in green, “ 3. “Blood test” is displayed in yellow. As described above, the progress of treatment is displayed in characters and colors on each information terminal, and the same information is simultaneously displayed on each of the plurality of information terminals. Therefore, each person in charge can surely grasp the current situation.
Although not specifically shown, the display information setting unit 232 sets the display information of the time lapse display area so as to always display both the remaining time or the elapsed time until the target time at which all the treatment tasks are completed, Deliver this. Therefore, the target time, elapsed time, and remaining time are displayed in the time elapsed display area 370 of the dashboard 300.

When such processing is repeated and all the treatment tasks are normally completed, it is determined as “yes” in S30 of FIG. 10, and the process proceeds to S34, where a predetermined termination process is executed and this routine is terminated. The predetermined end process is, for example, a state in which the image display areas 310 to 360 are all displayed in green for a predetermined time, and then scrambled on the dashboard 300 as shown in FIG. The normal state in which is not executed is displayed, or various input information and update information are stored in the storage unit 210. Also included is a process of terminating display control of the time lapse display area 370 at the center of the dashboard 300.
Also, the distribution data generation unit 234 distributes to a specific information terminal based on the display information in some treatment tasks and the individual initial screen information among the display information set by the display information setting unit 232. It is also possible to generate individual distribution data.
By adopting the medical information display system shown in the present embodiment, it is possible to visually and effectively display the current status of each treatment task sequence shown in FIG.
As described in the present embodiment, the medical information display system of the present invention divides a series of medical treatments into treatment elements, and displays them on the display unit as one image display area for each divided treatment task. . The display unit displays all the treatment tasks on one screen in the image display area so that the whole treatment can be grasped at a glance. Furthermore, information that can control the entire procedure is also displayed on the same screen.
Then, when the progress of the predetermined treatment or the preparation status (treatment status) of the predetermined treatment is input while confirming these pieces of information, the treatment status input by the display information setting unit of the server is processed and the image in the image display area is processed. , Characters and their colors are changed, and information (display information with all) that can control the whole treatment is set.
And when starting from an initial state, a delivery data production | generation part produces | generates delivery data based on this display information and initial screen information, and delivers it to each information terminal. As a result, the display information is added to the initial screen information, and the current screen reflecting the progress status of the current treatment task is displayed on the display unit 110. Hereinafter, the information forming the current screen is referred to as current screen information. The current screen information is stored in the storage unit, and distribution data is generated using the display information and the current screen information (referred to as current screen information A) instead of the initial screen information. Is updated to the latest current screen information B formed by applying to the current screen information 1. In this way, the screen information is sequentially updated, and distribution data is generated based on the updated screen information and transfer of the display area. In the present invention, the storage unit in the server confirms the type of treatment (whether it is a brain disease or the like), selects a suitable processing program, and performs the processing shown in FIG. 9 according to the selected processing program. A processing program is recorded to do. In addition, a treatment time (threshold value) is set in advance for each progress stage of treatment in each treatment task, and a processing program is set to turn red when the treatment time is exceeded. The color is arbitrary and various colors can be adopted. In addition, it is possible to adopt a change in display method, such as blinking, for the change in color.
Examples of elements that can be set as the threshold value include the following elements.
(A) Time since arrival at the hospital (display of the portion indicated by 370 in FIG. 3)
(B) Processing time of each processing task (display of the part displayed in 310 to 370 in FIG. 3)
(C) Start time of each processing task step (display of the part displayed in 310 to 370 in FIG. 3), a stage where it can start from the relation of each processing task, but if it does not start even after a predetermined time has passed, it will warn by flashing etc. To emit. For example, in the state of FIG. 12, the portion displayed at 330 does not change to blue indicating the start state even after a predetermined time has elapsed.
(D) A case where the standby OK response to the standby request is not received even after a predetermined time has elapsed.
(E) A case where there is no login to the system for a predetermined period of time even if a scramble is communicated to a related party.
In addition to these, it can also be set as follows.
1) Onset-to-Arrival Tim: Time from onset to visit (indicator of public awareness and emergency system)
2) Onset-to-Needle Time: Time from onset to rt-PA administration
3) Door-to-Stroke Team Notification Time: Contact time from the visit to the stroke specialist
4) Door-to-Stroke Team Bedside Time: Time from the visit to the start of a medical examination by a stroke specialist
5) Door-to-CT / MRI Time: Time from CT visit to CT / MRI scan
6) Door-to-CBC Time: Time until blood test (platelet, etc.) results from visit
7) Door-to-PTT Time: Time from the visit to the start of blood collection
8) Door-to-Grion puncture Time: Time from visit to puncture (when endovascular treatment is performed)
9) Door-to-Reperfusion Time: Time from visit to resumption of blood flow (when endovascular treatment is performed)
10) Onset-to-Reperfusion Time: Time from onset to resumption of blood flow

〔program〕
The program of the present invention is a program for performing the above-described system, which is mainly set to cause the server to perform a desired operation, and receives the treatment status to a computer constituting the server. A step, a step of setting display information, a step of generating distribution data, and a step of distributing are executed. As long as it acts in this way, the program code and language are not particularly limited and can be configured in any language.

The present invention is not limited to the above-described embodiment, and various modifications can be made without departing from the spirit of the present invention.
For example, in the present embodiment, an example in which six hexagonal image display areas are arranged in an annular shape in the initial screen information 400 is shown, but the shape and number of image display areas (the number of treatment tasks to be displayed) and the arrangement form are also included. The present invention is not limited to the illustrated example, and can be changed as appropriate. A plurality of types of initial screen information 400 may be prepared according to the patient's symptoms and the like, and the initial screen information 400 may be selectively used as appropriate according to the symptoms of the patient being transported.

The case where the same distribution data is transmitted to all the information terminals 100 connected to the network of the medical information display system as the distribution information distributed from the server 200 is exemplified. It is also possible to employ a configuration in which only specific distribution data is individually transmitted. For example, in the case where only information related to a treatment task or two pieces of information about the treatment task and the preceding treatment task are distributed to the information terminal 100 arranged in a specific treatment task, one image display area or What is necessary is just to set and deliver the display information of a corresponding treatment task with respect to the formed initial screen information.

Furthermore, the case where the display color is changed as the display information of the image display area indicating the progress status of the treatment task has been described. However, the present invention is not limited to this example. For example, the progress of each treatment task is represented by the length of the bar graph. It may be displayed with. In addition, an alert can be displayed in cases such as when the waiting time for processing is too long, when the estimated time for treatment is exceeded, or when the number of people is not on standby due to a shortage of people, etc. In this case, an image of the corresponding treatment task The display area may blink or blink, or an alarm sound may be emitted. In addition to visual observation, it is also possible to use voice guidance together so that progress and the like can be grasped. In addition, as input devices for inputting the progress of treatment tasks, etc., it is configured as a separate switch for each single color and adopts an input method such as pressing this switch using a part of the body such as an arm or leg. Also good.
In the present embodiment, the time elapsed display area 370 shows an example of displaying the remaining time until the target time and the elapsed time from arrival at the hospital, but it is desirable to display at least one at all times. Further, the background is shown as a white display color as the time lapse display area 370 and the remaining time is displayed as a black number. However, when the remaining time with respect to the target time decreases, the background color or the number color The display state may be changed by changing or blinking.

Claims (15)

A plurality of information terminals are connected to a server via a predetermined network, data input to each information terminal is processed by the server to generate distribution data, and the progress of treatment based on the distribution data is indicated in the information terminal A medical information display system that displays information in common
The information terminal
An input unit for inputting a treatment status of a treatment task for performing a predetermined treatment on the patient;
A terminal communication control unit for transmitting the treatment status of the treatment task to the server and receiving the delivery data delivered from the server;
An image display area corresponding to each treatment task is individually defined, and all the image display areas corresponding to all the treatment tasks are arranged in one display screen, and the terminal communication control unit A display unit for displaying a screen showing the progress of the treatment based on the distribution data received at
The server
Corresponding to the screen displayed on the display unit, the image display areas are individually defined, and a storage unit storing initial screen information in which all image display areas are arranged in one display screen;
A display information setting unit that sets display information of the image display area so that the image display of the corresponding image display area changes according to the treatment status of the treatment task transmitted from the information terminal;
Based on the display information, a distribution data generation unit that generates the distribution data;
A medical information display system comprising: a communication control unit that receives the treatment status and distributes the distribution data to each information terminal via the network. The display information setting unit sets the display information so that a region display color of the corresponding image display region changes according to a recognized treatment status of the treatment task. The medical information display system described in 1.   When the display information setting unit recognizes that one of the treatment tasks is completed, the display information setting unit sets predetermined display information for the image display area of the treatment task that is the next stage. The medical information display system according to claim 1 or 2, characterized in that The initial screen information further includes a time lapse display area for displaying time lapse information in an area different from the image display area corresponding to the treatment task,
The display information setting unit sets the display information of the time lapse display area so that at least one of the remaining time or the elapsed time until the target time when all the treatment tasks are completed is always displayed. The medical information display system according to any one of claims 1 to 3. The storage unit further includes individual initial screen information in which only image display areas corresponding to some of the treatment tasks are defined,
The distribution data generation unit generates individual distribution data to be distributed to a specific information terminal based on display information in the part of the treatment tasks among the display information set by the display information setting unit. The medical information display system according to claim 1 or 2.
A server to which a plurality of information terminals are connected via a predetermined network,
The information terminal is a screen in which an image display area corresponding to each treatment task applied to a patient is individually defined, and all image display areas corresponding to all the treatment tasks are arranged in one display screen. And a display unit for displaying a screen showing the progress of treatment based on the distribution data received by the terminal communication control unit,
The server
Initial screen information set in advance so that image display areas corresponding to the respective treatment tasks are individually defined corresponding to the respective treatment tasks, and all the image display areas are arranged in one display screen. A storage unit that stores
Display information on images, characters, and colors displayed in the image display area so that the display image of the corresponding image display area changes according to the treatment status of the treatment task transmitted from the information terminal. A display information setting section for setting
A distribution data generation unit that generates distribution data based on the display information;
A communication control unit for receiving the treatment status of the treatment task and delivering the delivery data to the network;
A server characterized in that the generated distribution data is displayed on each information terminal in common.   The display information setting unit sets the display information so that an area display color of an image representing the corresponding image display area changes according to a recognized treatment status of the treatment task. The server according to claim 6.   When the display information setting unit recognizes that one of the treatment tasks is completed, the display information setting unit sets predetermined display information for the image display area of the treatment task that is the next stage. The server according to claim 6 or 7, characterized in that The initial screen information further includes a time lapse display area for displaying time lapse information in an area different from the image display area corresponding to the treatment task,
The display information setting unit sets the display information of the time lapse display area so that at least one of the remaining time or the elapsed time until the target time when all the treatment tasks are completed is always displayed. The server according to any one of claims 6 to 8. The storage unit further includes individual initial screen information in which only image display areas corresponding to some of the treatment tasks are defined,
The distribution data generation unit generates individual distribution data to be distributed to a specific information terminal based on display information in the part of the treatment tasks among the display information set by the display information setting unit. The server according to claim 6 or 7, characterized by the above. A program that causes a computer configured as a server to which a plurality of information terminals are connected via a predetermined network to execute predetermined steps,
The information terminal is a screen in which an image display area corresponding to each treatment task applied to a patient is individually defined, and all image display areas corresponding to all the treatment tasks are arranged in one display screen. And a display unit for displaying a screen showing the progress of treatment based on the distribution data received by the terminal communication control unit,
In the computer, image display areas corresponding to the respective treatment tasks are individually defined corresponding to the respective treatment tasks, and all the treatment tasks are arranged in advance so that the image display areas are arranged in one display screen. A storage unit that stores the set initial screen information is provided.
Receiving a treatment status of the treatment task transmitted from the information terminal;
Setting display information regarding images, characters, and colors displayed in the image display area so that a display image of the corresponding image display area changes according to the received treatment status of the treatment task; ,
Generating distribution data based on the display information;
Delivering the delivery data to the network;
A program that executes In the step of setting the display information, the display information is set so that a region display color of an image representing the corresponding image display region changes according to a recognized treatment status of the treatment task. The program according to claim 11. In the step of setting the display information, when it is recognized that one of the treatment tasks has been completed, predetermined display information is set for the image display area of the treatment task which is the next stage. The program according to claim 11 or 12, characterized in that: The initial screen information further includes a time lapse display area for displaying time lapse information in an area different from the image display area corresponding to the treatment task,
In the step of setting the display information, the display information of the time elapsed display area is set so that at least one of the remaining time or the elapsed time until the target time at which all the treatment tasks are completed is always displayed. The program according to any one of claims 11 to 13. The storage unit further includes individual initial screen information in which only image display areas corresponding to some of the treatment tasks are defined,
In the step of generating the distribution data, the individual distribution to be distributed to the specific information terminal based on the display information in the some treatment task among the display information set in the step of setting the display information The program according to claim 11 or 12, wherein data is generated.