JP2016177323A - Data management server and in-home medical care cooperation system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To intelligibly display relation between vital data and action information showing medical practices, nursing actions or care actions of the same patient.SOLUTION: A patient condition confirmation screen 50 includes: a temperature plate area 51; a cooperation area 52; a patient basic information area 53; a ToDo area 54; a chat area 55; and a bulletin board area 56. Pieces of vital data of an object patient, measured by a plurality of medical practitioners are graphed and displayed on the temperature plate area 51. Action classifications (prescriptions, medical practices, service, images) are arranged on a vertical axis 52b to a horizontal axis 51a (date and time) in common with that of the temperature plate area 51 on the cooperation area 52. Marks are displayed at positions equivalent to the date and time when the respective actions are performed in each of a prescription column, a medical practice column, a service column, and an image column of the cooperation area 52.SELECTED DRAWING: Figure 12

Description

  The present invention relates to a data management server and a home medical care cooperation system.

  In recent years, the importance of home medical care and nursing care has increased in the medical field, and the number of home medical care support clinics (supported medical care) has been increasing year by year. In addition to home visits, home medical care involves a number of medical facilities and medical workers such as visiting nursing stations, visiting care establishments, and pharmacies.

  It is effective to know not only the patient's medical information but also the care information (patient's living environment, living conditions, etc.) in order for the home visit to start home care. It is desirable to have a mechanism that can be shared among healthcare professionals who are involved in the medical treatment of the patient.

  For example, an integrated home care service support system that links information among multi-professional people involved in home care has been proposed (see Patent Document 1). In this system, vital data and ADL (daily life movement) data are stored and can be browsed.

JP 2002-215800 A

  However, since home care involves a plurality of medical workers, people who measure vital data such as body temperature and blood pressure of home patients often differ from day to day. For example, a doctor who visits the patient may make a measurement, a nurse who visits a visiting nurse may measure, or a visiting care worker (home helper) who visits a visiting care may measure. For this reason, even if only the amount measured by each measurer is disclosed for each patient's vital data, a change over time could not be read. Particularly for home patients, diagnosis is often performed based on long-term changes in vital data, so it is desirable that vital data measured by various people be managed in an integrated manner.

  In addition, in home medical care, there is a problem that it is difficult to grasp the relationship with vital data when a medical action, a nursing action or a care action is performed on a patient.

  The present invention has been made in view of the above problems in the prior art, and it is an object to display the relationship between vital data of the same patient and action information indicating medical action, nursing action or care action in an easy-to-understand manner. And

  In order to solve the above-mentioned problem, the invention according to claim 1, for each patient, a first storage unit that stores the vital data of the patient and the measurement date and time of the vital data in association with each other, and for each patient, A second storage unit that stores the action information indicating the medical action, the nursing action or the care action for the patient in association with the treatment date and time of the action, and the vital data and the vital data of the target patient from the first storage part Read the measurement date and time associated with each other, read the action information for the target patient and the treatment date and time associated with the action information from the second storage unit, the vital data of the target patient and the action information for the target patient Is generated along a common time axis, and the display data of the patient status confirmation screen is generated and the generated display data of the patient status confirmation screen is transmitted to the communication network. And a control unit that transmits to the terminal device connected through the workpiece, a data management server that comprises a.

  The invention according to claim 2 is the data management server according to claim 1, wherein the action information on the patient status confirmation screen is such that a mark indicating the presence or absence of a prescription issued by a doctor or a period corresponds to the date and time. The displayed prescription column, the medical action column displayed at the position corresponding to the date and time, and the mark indicating the presence or absence of services by nursing or nursing care correspond to the date and time The control unit is divided into service fields displayed in the position to be, when any mark included in the prescription column, the medical practice column or the service column is specified in the terminal device, Data for displaying action information corresponding to the designated mark is transmitted to the terminal device.

  According to a third aspect of the present invention, in the data management server according to the first or second aspect, the patient status confirmation screen further includes a patient basic information area for displaying basic information of the target patient, a time limit related to the target patient. At least one of a ToDo area for displaying attached tasks, a chat area for displaying comments regarding the target patient, and a bulletin board area for displaying communication items regarding the target patient.

  The invention according to claim 4 is the data management server according to any one of claims 1 to 3, wherein for each patient, a plurality of medical workers including a plurality of occupations related to the patient and home medical care of the patient. A third storage unit that is stored in association with a person in advance, and the control unit is a medical worker in which a user in the terminal device is associated with the target patient in the third storage unit Only in this case, display data of the patient status confirmation screen of the target patient is transmitted to the terminal device, and input of vital data and action information of the target patient is received from the terminal device.

  According to a fifth aspect of the present invention, in the data management server according to any one of the first to fourth aspects, the layout information indicating the arrangement of display contents on the patient status confirmation screen is stored for each patient. The control unit includes a storage unit, and generates display data for the patient status confirmation screen of the target patient based on the layout information of the target patient stored in the fourth storage unit.

  The invention described in claim 6 is a home medical care cooperation system comprising a terminal device possessed by each of a plurality of medical workers visiting a patient's home and a data management server connected to the terminal device via a communication network. The data management server includes, for each patient, a first storage unit that stores the vital data of the patient and the measurement date and time of the vital data in association with each other, and for each patient, the medical action, the nursing action or the The second storage unit that stores the action information indicating the care action and the treatment date and time of the action in association with each other, and reads the vital data of the target patient and the measurement date and time associated with the vital data from the first storage unit The action information for the target patient and the treatment date and time associated with the action information are read from the second storage unit, Display data of the patient status confirmation screen that displays the data and the action information for the target patient along a common time axis, and transmit the generated display data of the patient status confirmation screen to the terminal device A control unit, and the terminal device includes a display unit that displays a patient status confirmation screen based on display data of the patient status confirmation screen received from the data management server.

  According to the present invention, the vital data of the target patient and the action information for the target patient are displayed along the common time axis, so that the relationship between the vital data of the same patient and the action information can be displayed in an easily understandable manner. .

It is a system configuration figure of a home medical treatment cooperation system in an embodiment concerning the present invention. It is a block diagram which shows the functional structure of a data management server. It is a figure which shows the example of a team correspondence table. It is a figure which shows the example of 1st home medical treatment information. It is a figure which shows the example of 2nd at-home medical treatment information. It is a figure which shows the example of ToDo information. It is a figure which shows the example of chat information. It is a figure which shows the example of bulletin board information. It is a figure which shows the example of nursing and care schedule information. It is a block diagram which shows the functional structure of a terminal device. It is a ladder chart which shows the patient condition confirmation screen display process performed with a data management server and a terminal device. It is a figure which shows the example of a patient condition confirmation screen. It is an example of a display of the action information of a prescription column. It is an example of a display of the action information of a medical action column. It is an example of a display of the action information of a service column. It is an example of a display of the action information of an image column. It is an example of a display of the action information of an image column. It is an example of a display of the detailed information of patient basic information. It is a figure which shows the example of a vital data input screen. It is a figure which shows the example of a service input screen.

  Hereinafter, an embodiment of a home medical care cooperation system according to the present invention will be described with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples.

[Configuration of home medical care cooperation system]
FIG. 1 shows a system configuration of a home medical treatment cooperation system 100 according to the present embodiment.
As shown in FIG. 1, the home care cooperation system 100 includes a data management server 10 and an external server 20 installed in a local data center, and a home care support clinic 30A as a plurality of medical facilities centered on home patients. , 30B, home-visit nursing station 30C, home-visit care establishment 30D, and terminal device 40 that can be used by medical workers belonging to the pharmacy 30E. The data management server 10 and the terminal device 40 can be connected via a communication network.

  The home care support clinic 30A is a medical facility to which the attending physician of the home patient belongs. The home care support clinic 30B is a medical facility to which a secondary doctor of a home patient belongs. The home care station 30C is a medical facility to which a nurse who performs home care for home patients belongs. The home care facility 30D is a medical facility to which a care manager who creates a care plan for home patients and a home care worker (home helper) who performs home care for home patients belong. The pharmacy 30E is a medical facility to which a pharmacist who handles medicine prescribed for home patients belongs.

A medical worker engaged in home medical care of a home patient inputs treatment details from the terminal device 40. The input information (home medical information and the like) is stored in the data management server 10 and is disclosed to the medical staff in the team formed for the home patient.
The data management server 10 accumulates and manages home medical care information (vital data, action information), ToDo information, chat information, bulletin board information, and nursing / nursing care schedule information input by medical personnel belonging to each medical facility.

  The external server 20 accumulates and manages general medical information including electronic medical record information input by a doctor of the home care support clinic 30A, image data of medical images generated in an external hospital, and the like. Information may be exchanged between the data management server 10 and the external server 20. However, the medical information transmitted from the external server 20 to the data management server 10 is limited to contents permitted to be disclosed within the home medical team.

  In addition, the number of the medical facilities which comprise the home medical treatment cooperation system 100 is not specifically limited. For example, as illustrated in FIG. 1, the home medical care cooperation system 100 may further include a logistic support hospital 30 </ b> F that is a destination for receiving home patients in an emergency.

[Data management server configuration]
FIG. 2 shows a functional configuration of the data management server 10.
As shown in FIG. 2, the data management server 10 includes a control unit 11, an operation unit 12, a display unit 13, a communication unit 14, a RAM 15, a storage unit 16, and the like. ing.

  The control unit 11 is composed of a CPU (Central Processing Unit) and the like, and comprehensively controls the processing operation of each unit of the data management server 10. Specifically, the CPU reads out various processing programs stored in the storage unit 16 in accordance with an operation signal input from the operation unit 12 or an instruction signal received by the communication unit 14, and expands it in the RAM 15. Various processes are performed in cooperation with the program.

  The operation unit 12 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and controls operation signals input by keyboard operations or mouse operations. 11 is output.

  The display unit 13 includes a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to instructions of a display signal input from the control unit 11.

  The communication unit 14 includes a network interface or the like, and transmits and receives data to and from an external device connected via a communication network such as a LAN (Local Area Network), a WAN (Wide Area Network), or the Internet.

  The RAM 15 forms a work area for temporarily storing various programs, input or output data, parameters, and the like read from the storage unit 16 in various processes controlled by the control unit 11.

  The storage unit 16 includes an HDD (Hard Disk Drive), a semiconductor non-volatile memory, and the like, and stores various processing programs, parameters and files necessary for executing the programs, and the like. For example, the storage unit 16 communicates with a web browser installed in the terminal device 40 using the HTTP protocol, and provides the web browser with various web screens including a patient status confirmation screen 50 (see FIG. 12). A web server program for realizing the above functions, an application program that runs on the web server, and provides a home medical care cooperation service to the user of the terminal device 40 via the web browser are stored.

  The storage unit 16 also includes basic patient information 161, team correspondence table 162, first home medical information 163, second home medical information 164, ToDo information 165, chat information 166, bulletin board information 167, nursing / care schedule information 168. Layout information 169 and the like are stored.

  The patient basic information 161 is information related to a patient for each patient. The patient basic information 161 includes, for example, the patient's name, age, date of birth, sex, address, medical facility patient ID, care function user ID, injury, disease, medical condition, drug being administered, care information (care required) Degree, etc.).

  FIG. 3 shows an example of the team correspondence table 162. In the team correspondence table 162, for a plurality of patients, for each patient, the patient and a plurality of medical workers including a plurality of occupations related to the home medical care of the patient are associated in advance. That is, for each patient, a team of medical workers engaged in home medical care for the patient is formed. Examples of the plurality of medical workers include a doctor, a nurse, a care manager, a visiting care worker, and a pharmacist. Among a plurality of medical workers associated with a patient, medical workers of different occupations are included, but medical workers of the same occupation may be included.

The first home medical information 163 and the second home medical information 164 are information regarding home medical care for each patient.
FIG. 4 shows an example of the first home medical care information 163. In the first home medical care information 163, for each patient, vital data of the patient, measurement date and time of the vital data, and a measurer are associated with each other. The vital data includes measurement values for each measurement item such as a patient's body temperature, blood pressure (up / down), pulse, respiratory rate, and the like. In addition, vital data may include SpO ₂ , urine volume, skin condition, and the like. Further, in the first home medical care information 163, in addition to the measurer, the medical facility to which the measurer belongs, the discrimination information such as the doctor / nurse / visiting care worker, and the like may be associated.

FIG. 5 shows an example of the second home medical care information 164. In the second home medical care information 164, for a plurality of patients, for each patient, action information for the patient, action treatment date and time, and an actor are associated with each other. The action information is information indicating a medical action, a nursing action, or a care action for a patient. The action information includes action contents and action categories. The action category is a group in which the action information is classified into a plurality of categories by a predetermined classification method. In the present embodiment, “prescription”, “medical practice”, “service”, and “image” are used as action categories. When the action information is information on a prescription issued by a doctor, it is classified as “prescription”. When the action information is information on a medical action performed based on a doctor's instruction, it is classified as “medical action”. When the action information is information related to services by nursing or care, it is classified as “service”. When the action information is information accompanied by an image, it is classified as “image”. The treatment date and time is the date and time when each action was performed. The actor is a medical worker who performed each act. In addition, in the second home medical care information 164, in addition to the actor, the medical facility to which the actor belongs, the discrimination information such as the doctor / nurse / visiting care worker, and the like may be associated.
The action information classified as “prescription” is acquired from the electronic medical record information of each patient stored in the external server 20.

  FIG. 6 shows an example of ToDo information 165. The ToDo information 165 is information indicating a task with a time limit regarding the patient for each patient. The ToDo information 165 includes, for each of a plurality of patients, a request destination (a person who performs the action), an action content, a time limit, an input person, and completion completion. When the input person records what the input person should do, the request destination and the input person are the same person. The presence / absence of completion is information indicating whether or not the action has been executed for the time-limited task described in the ToDo information 165. With respect to the ToDo information 165, whether or not the record is newly registered is “None”. For records for which task execution has been completed, the completion status is changed to “present”.

  FIG. 7 shows an example of chat information 166. The chat information 166 is information indicating comments about the patient for each patient. The chat information 166 includes, for each patient, a chat ID, a comment regarding the patient, an input date and time, and an input person for each patient. The chat ID is identification information indicating a group of comments to be input, and a plurality of comments including a comment and a reply comment (including a reply comment with respect to a reply comment) for a comment are the same chat. An ID is given.

  FIG. 8 shows an example of the bulletin board information 167. The bulletin board information 167 is information indicating communication items regarding the patient for each patient. The bulletin board information 167 includes, for each patient, the contents of communication items related to the patient, the input date and time, and the input person for a plurality of patients.

  FIG. 9 shows an example of nursing / care schedule information 168. The nursing / nursing care schedule information 168 is information indicating a nursing or nursing care schedule for each patient. The nursing / nursing care schedule information 168 includes a health care worker (actor) who performs nursing or nursing care, the date and time of nursing or nursing care, and the nursing / nursing care content.

  The layout information 169 is information indicating the arrangement of display contents on the patient status confirmation screen for each patient. The layout information 169 includes vital data display items (body temperature, blood pressure, pulse, respiration rate, etc.) included in the patient status confirmation screen, a temperature version area 51, a cooperation area 52, a patient basic information area 53, and a ToDo area 54 described later. , The coordinates where the chat area 55 and the bulletin board area 56 (see FIG. 12) are displayed, the size of each area, and the like are included.

  When the control unit 11 accesses the data management server 10 from the terminal device 40, only when the login user of the terminal device 40 is a medical worker associated with the target patient in the team correspondence table 162, Allows entry and reference of data about the target patient. Specifically, the display data of the patient status confirmation screen of the target patient is transmitted to the terminal device 40, and the vital data and action information of the target patient are received from the terminal device 40.

  The control unit 11 reads out the vital data of the target patient from the first home medical information 163 in the storage unit 16 and the measurement date and time associated with the vital data, and the second home medical information 164 in the storage unit 16 corresponds to the target patient. Read the action information and the treatment date and time associated with the action information. The control part 11 produces | generates the display data of the patient condition confirmation screen which displays the vital data of an object patient, and the action information with respect to an object patient along a common time axis. At this time, the control unit 11 reads the layout information 169 of the target patient stored in the storage unit 16 and generates display data for the patient status confirmation screen of the target patient based on the layout information 169 of the target patient. The control unit 11 transmits the generated display data for the patient status confirmation screen to the terminal device 40 connected via the communication network.

  When any mark included in the prescription field, the medical practice field, the service field, and the image field on the patient status confirmation screen is designated in the terminal device 40, the control unit 11 acts corresponding to the designated mark. Information display data is transmitted to the terminal device 40.

  When the terminal device 40 is instructed to change the layout information of the target patient, the control unit 11 updates the target patient layout information 169 stored in the storage unit 16 based on the change instruction.

[Configuration of terminal device]
The terminal device 40 is possessed by each of a plurality of medical workers who visit a patient's home, and is used for recording home medical care of a home patient when the medical worker visits a home patient. Moreover, a medical worker is good also as using the terminal device 40 in the medical facility etc. to which each belongs. The terminal device 40 includes a tablet terminal, a notebook PC (Personal Computer), and the like, and can be carried. Further, the terminal device 40 has a wireless communication function, and transmits / receives data to / from the data management server 10 via a communication network.

FIG. 10 shows a functional configuration of the terminal device 40.
As shown in FIG. 10, the terminal device 40 includes a control unit 41, an operation unit 42, a display unit 43, a communication unit 44, a RAM 45, a storage unit 46, and the like. Yes.

  The control unit 41 includes a CPU and the like, and comprehensively controls processing operations of the respective units of the terminal device 40. Specifically, the CPU reads out various processing programs stored in the storage unit 46 in accordance with an operation signal input from the operation unit 42 or an instruction signal received by the communication unit 44, expands it in the RAM 45, Various processes are performed in cooperation with the program.

The operation unit 42 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 42 controls operation signals input by keyboard operation or mouse operation. 41 is output.
When the terminal device 40 is a tablet-type terminal, the operation unit 42 includes operation keys such as a power key for turning on / off the power, and a touch panel stacked on the display unit 43, and operations corresponding to the operation keys. An operation signal corresponding to the position of the touch operation by the signal, the user's finger or the like is output to the control unit 41.

  The display unit 43 includes a monitor such as an LCD, and displays various screens according to instructions of display signals input from the control unit 41. For example, the display unit 43 displays the patient status confirmation screen based on the display data of the patient status confirmation screen received from the data management server 10.

  The communication unit 44 is configured by a network interface or the like, performs wireless communication using a mobile phone line or the like, and transmits / receives data to / from an external device connected via a communication network such as the Internet.

  The RAM 45 forms a work area that temporarily stores various programs, input or output data, parameters, and the like read from the storage unit 46 in various processes controlled by the control unit 41.

  The storage unit 46 is configured by an HDD, a semiconductor non-volatile memory, or the like, and stores various processing programs, parameters, files, and the like necessary for executing the programs. For example, the storage unit 46 stores a Web browser program or the like for realizing a Web browser.

[Operations in the home care linkage system]
Next, the operation in the home medical care cooperation system 100 will be described.
FIG. 11 is a ladder chart showing a patient status confirmation screen display process executed by the data management server 10 and the terminal device 40 in the home medical care cooperation system 100. This process is a process executed when a medical worker who belongs to any medical facility in the home medical care cooperation system 100 visits a home patient. The processing in the data management server 10 is realized by software processing in cooperation with the program stored in the control unit 11 and the storage unit 16, and the processing in the terminal device 40 is stored in the control unit 41 and the storage unit 46. This is realized by software processing in cooperation with existing programs.

  First, in the terminal device 40, when a URL for accessing the home medical care cooperation service provided by the data management server 10 is input from the web browser by the operation unit 42, the input URL is input to the data management server by the communication unit 44. 10 is transmitted.

  In the data management server 10, when the communication unit 14 receives a URL for accessing the home medical care cooperation service from the terminal device 40, display data for displaying a login screen is transmitted to the terminal device 40. The Note that HTML, style sheets, image data, and predetermined processing are performed on the terminal device 40 for display data of various Web screens including a login screen transmitted to the terminal device 40 by the Web server function of the data management server 10. Scripts to be executed are included.

  In the terminal device 40, when display data for the login screen is received by the communication unit 44, the login screen is displayed on the display unit 43. The login screen is a screen on which user ID and password input fields are displayed. When the user ID and password are input from the login screen, the input user ID and password are transmitted to the data management server 10 by the communication unit 44 (step S1).

  In the data management server 10, when the communication unit 14 receives the user ID and password, user authentication is performed. Specifically, a record that matches the received user ID is searched from a user management table in which a combination of user ID and password is registered in advance, and the password of the searched record matches the received password On the other hand, it is determined that the user authentication is OK. When the received user ID is not in the user management table, or when the password of the retrieved record does not match the received password, it is determined that the user authentication is NG. If it is determined that the user authentication is OK, the home medical care cooperation service is provided according to the operation on the Web browser of the terminal device 40. When the user authentication is NG, the terminal device 40 is notified via the communication unit 14 that the user authentication is NG.

  Next, in the data management server 10, the control unit 11 refers to the team correspondence table 162 stored in the storage unit 16, and a patient to whom a login user (medical worker) is associated as a member constituting the team. Are extracted (step S2). Then, display data for displaying the extracted patient list screen including one or a plurality of patients is transmitted to the terminal device 40 by the control unit 11 via the communication unit 14.

  In the terminal device 40, when the display data of the patient list screen is received by the communication unit 44, the patient list screen is displayed on the display unit 43 (step S3). When the target patient currently visited is selected from the patient list screen by the operation unit 42 (step S4), the selected target patient is transmitted to the data management server 10 by the communication unit 44.

  In the data management server 10, when the target patient is received by the communication unit 14, the control unit 11 causes the vital data of the target patient and the measurement associated with the vital data from the first home medical information 163 in the storage unit 16. The date and time are read (step S5), and the action information for the target patient and the treatment date and time associated with the action information are read from the second home medical information 164 in the storage unit 16 (step S6). Further, the control unit 11 reads out the patient basic information 161, ToDo information 165, chat information 166, and bulletin board information 167 of the target patient from the storage unit 16.

  Next, display data for the patient status confirmation screen of the target patient is generated by the control unit 11 based on the read information (step S7). At this time, the control unit 11 reads out the target patient layout information 169 stored in the storage unit 16, and based on the target patient layout information 169, the target patient vital data, action information, and patient basic information 161. , ToDo information 165, chat information 166, bulletin board information 167, and the like are arranged, and display data for the patient status confirmation screen of the target patient is generated. The patient status confirmation screen displays vital data of the target patient and action information for the target patient along a common time axis. The generated data for displaying the patient status confirmation screen is transmitted by the control unit 11 to the terminal device 40 via the communication unit 14.

  In the terminal device 40, when display data of the patient status confirmation screen is received from the data management server 10 by the communication unit 44, the control unit 41 determines that the patient of the target patient based on the display data of the patient status confirmation screen. A status confirmation screen is displayed on the display unit 43 (step S8).

[Patient status confirmation screen]
In FIG. 12, the example of the patient condition confirmation screen 50 displayed on the display part 43 of the terminal device 40 is shown. The patient status confirmation screen 50 includes a temperature version area 51, a cooperation area 52, a patient basic information area 53, a ToDo area 54, a chat area 55, and a bulletin board area 56.

The temperature plate area 51 is an area for displaying the vital data in a graph. In the temperature plate region 51, the measurement date and time of vital data is taken on the horizontal axis 51a, and the measured values of vital data such as body temperature, blood pressure, and pulse are taken on the vertical axis 51b. In FIG. 12, in the temperature plate region 51, measured values of body temperature and blood pressure (upper / lower) are displayed in a line graph.
In the temperature version area 51, body temperature, blood pressure, pulse, respiratory rate, and the like are displayed in accordance with the vital data display items included in the layout information 169 of the target patient.

  The cooperation area 52 is an area for displaying the cooperation status in home medical care in the home medical care cooperation system 100. In the cooperation area 52, an action classification (prescription, medical action, service, image) is arranged on the vertical axis 52b with respect to the horizontal axis 51a (treatment date and time) common to the temperature plate area 51. That is, in the temperature version area 51 and the cooperation area 52, the vital data of the target patient and the action information for the target patient are displayed along a common time axis (horizontal axis 51a).

The cooperation area 52 is divided into a prescription column, a medical practice column, a service column, and an image column, and shows the date and time when each act was performed. In the prescription column, a mark indicating the presence or absence of a prescription issued by a doctor or a period is displayed at a position corresponding to the date and time. In the medical practice column, a mark indicating the presence or absence of a medical practice performed based on a doctor's instruction is displayed at a position corresponding to the date and time. In the service column, a mark indicating the presence or absence of service by nursing or care is displayed at a position corresponding to the date and time. In the image column, a mark indicating the presence or absence of an action involving an image is displayed at a position corresponding to the date and time. Specifically, in the cooperation area 52, when an action belonging to each action category is performed on a patient, the column corresponds to the action category on the vertical axis 52b and the treatment date and time on the horizontal axis 51a. A mark indicating that the action has been performed is displayed at the corresponding position. On the date and time when the mark is not displayed, it indicates that an action belonging to each action category was not performed. Each mark may be changed in color, pattern, or shape for each medical worker who performs each action. In addition, the color, pattern, or shape of the mark may be changed for each medical facility to which a medical worker performing each act belongs, or the mark color, pattern, or shape may be changed for each occupation of the medical worker performing each act. It may be changed.
In the prescription column, the mark Ma at the beginning of the time indicates the date and time when the prescription is issued, and the subsequent marks Mb, Mc, Md, Me, Mf, and Mg indicate the period during which the medication is continued. .

In the cooperation area 52, when any mark is designated by a user operation from the operation unit 42, the control unit 41 displays information indicating the position of the designated mark in the patient status confirmation screen 50 as a communication unit. The data is transmitted to the data management server 10 via 44.
In the data management server 10, when information indicating the position of the mark is received by the communication unit 14, action information corresponding to the mark designated from the second home medical care information 164 in the storage unit 16, treatment date / time by the control unit 11. The actor is read, and the read action information, treatment date and time, and display data for displaying the actor are generated and transmitted to the terminal device 40 via the communication unit 14.
In the terminal device 40, the action information, the treatment date and time, and the actor corresponding to the designated mark are displayed on the display unit 43.

  FIG. 13 shows a display example of action information when the mark M1 in the prescription column of the cooperation area 52 is designated. The name of the doctor who issued the prescription, the date and time when the prescription was issued, and the content of the prescription (drug name, amount, usage, etc.) are displayed.

FIG. 14 shows a display example of action information when the mark M2 in the medical action column of the cooperation area 52 is designated. This is an example in which the content entered / displayed in the chat area 55 is displayed as it is, and when the doctor gives an instruction to the nurse in the chat, or the content of the inquiry from the nurse to the doctor The exchange of when approved by is displayed. When an operation instruction (pressing a predetermined button or the like) indicating that it is a medical practice is performed at the time of inputting a comment in the chat area 55, the “chat ID” corresponding to the input comment is “2” in the second home medical care information 164. In addition to being stored in “Action Details” of “Action Information”, “Medical Action” is stored in “Action Classification” of “Action Information” of the second home medical information 164. Then, when the data management server 10 generates action information display data, the “comment content” associated with the “chat ID” stored in the “action content” of the second home medical information 164 , “Input date and time” and “input person” are acquired from the chat information 166. In the example of FIG. 14, the time of the input date is omitted, and the date up to the date is displayed.
The information obtained from the ToDo information 165 may be classified as “medical practice”.

  FIG. 15 shows a display example of action information when the mark M3 in the service column of the cooperation area 52 is designated. The actor who performed the service, the medical facility to which the actor belongs, the treatment date and time, the measurement data and the service contents are displayed.

FIG. 16 shows a display example of action information when the mark M4 in the image column of the cooperation area 52 is designated.
FIG. 17 shows a display example of action information when the mark M5 in the image column of the cooperation area 52 is designated.

  The patient basic information area 53 is an area for displaying the patient basic information 161 of the target patient. When the patient basic information area 53 is pressed by a user operation from the operation unit 42, detailed information of the patient basic information is displayed in a separate window as shown in FIG.

  The ToDo area | region 54 is an area | region for displaying the task with a time limit regarding an object patient. The ToDo area 54 displays what the logged-in user (medical worker) should do regarding the target patient. Specifically, in the data management server 10, the ToDo information 165 for the target patient is extracted when the request destination is the logged-in user and the completion is “None”, and the ToDo area 54 is displayed. Data is generated. For example, in the ToDo area 54, “Issuance request for visiting nursing instruction” is displayed. When any task displayed in the ToDo area 54 is designated by the user's operation from the operation unit 42, detailed information of the designated ToDo information (act contents, deadline, input person (requester)) Is displayed.

When the execution of the task displayed in the ToDo area 54 is completed, the communication unit 44 indicates that the execution of the task has been completed by the control unit 41 according to a user operation from the operation unit 42. Is transmitted to the data management server 10 via
In the data management server 10, when information indicating that the execution of the task is completed is received by the communication unit 14, the control unit 11 indicates whether or not the ToDo information 165 in the storage unit 16 has completed corresponding to the completed task. It is changed to “Yes”. Information for which the presence / absence of completion is “present” is subsequently excluded from the display target in the ToDo area 54 of the patient status confirmation screen 50.

  The chat area 55 is an area for displaying comments regarding the target patient. In the chat area 55, information on today's patients and today's events can be communicated to share information between teams. Specifically, the data management server 10 generates display data for displaying the input person, the input date and time, and the comment content in the chat area 55 for each comment based on the chat information 166 about the target patient. . If the chat information 166 includes a medical facility to which the input person belongs together with the input person, the medical facility to which the input person belongs may be displayed for each comment. In addition, frames 55a and 55b displayed in the chat area 55 indicate comments with the same chat ID. That is, when there is one comment to which the same chat ID is assigned, the number of comments included in the frame is one as in the frame 55b. On the other hand, when there are a plurality of comments to which the same chat ID is assigned, a plurality of comments are included in the frame as in the frame 55a.

  The bulletin board area 56 is an area for displaying communication items related to the target patient. For example, in the bulletin board area 56, a matter to be taken care of by the entire team supporting the patient, such as “decubitus is getting worse” is displayed. Specifically, in the data management server 10, display data for displaying the input person, the input date and time, and the content of the communication item in the bulletin board area 56 is generated for each communication item based on the bulletin board information 167 about the target patient. Is done. When the bulletin board information 167 includes a medical facility to which the input person belongs together with the input person, the medical facility to which the input person belongs may be displayed for each communication item.

  In addition, the temperature version area 51, the cooperation area 52, the patient basic information area 53, the ToDo area 54, the chat area 55, and the bulletin board area 56 on the patient status confirmation screen 50 are the coordinates of each area included in the layout information 169 of the target patient. It is displayed in the position and size according to the size.

Next, a data input method on the patient status confirmation screen 50 will be described. When the today's data input button B1 is pressed by the user's operation from the operation unit 42 on the patient status confirmation screen 50, the control unit 41 changes the position of the today's data input button B1 in the patient status confirmation screen 50. Information shown is transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when the communication unit 14 receives information indicating the position of the input button B1 for today's data, the control unit 11 generates display data for inputting vital data. Via the terminal device 40.
In the terminal device 40, a vital data input screen is displayed on the display unit 43 based on the display data received from the data management server 10.

In FIG. 19, the example of the vital data input screen 60 displayed on the display part 43 of the terminal device 40 is shown. When the body temperature, blood pressure, SpO ₂ , cough / cough, memo, and the like are input by the user's operation from the operation unit 42 on the vital data input screen 60, the input vital data, measurement date / time, The measurer (login user) is associated and transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when vital data, measurement date and time, and a measurer are received by the communication unit 14, the control unit 11 associates the received data (vital data, measurement date and time, measurer) with the target patient. The first home medical information 163 is stored in the storage unit 16.

In the vital data input screen 60, when the service input button B11 is pressed by a user operation from the operation unit 42, the control unit 41 communicates information indicating the position of the service input button B11 in the vital data input screen 60. The data is transmitted to the data management server 10 via the unit 44.
In the data management server 10, when information indicating the position of the service input button B11 is received by the communication unit 14, the control unit 11 generates display data for inputting a service (nursing / nursing care action, etc.) It is transmitted to the terminal device 40 via the communication unit 14.
In the terminal device 40, a service input screen is displayed on the display unit 43 based on the display data received from the data management server 10.

FIG. 20 shows an example of the service input screen 70 displayed on the display unit 43 of the terminal device 40. In the service input screen 70, when the performed service is checked for each item of nursing, nursing care, medical examination, and rehabilitation by the user's operation from the operation unit 42, each of the items in the service input screen 70 is displayed by the control unit 41. Information indicating the check position, treatment date and time, and an actor (login user) are associated with each other and transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when information indicating each check position, treatment date and time, and an actor are received by the communication unit 14, the control unit 11 selects the service contents, treatment date and time, and the actor corresponding to each check position as the target patient. And stored as second home medical care information 164 in the storage unit 16.

  When the return button B21 on the service input screen 70 is pressed, the display on the display unit 43 returns to the vital data input screen 60. When the return button B <b> 12 on the vital data input screen 60 is pressed, the display on the display unit 43 returns to the patient status confirmation screen 50.

When the new button B2 in the ToDo area 54 is pressed by a user operation from the operation unit 42 on the patient status confirmation screen 50, information indicating the position of the new button B2 in the patient status confirmation screen 50 is displayed by the control unit 41. Is transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when information indicating the position of the new button B2 is received by the communication unit 14, the control unit 11 generates display data for a ToDo information input screen for inputting ToDo information. 14 to the terminal device 40.
In the terminal device 40, a ToDo information input screen is displayed on the display unit 43 based on the display data received from the data management server 10.

In the ToDo information input screen, when a request destination, action content, and a time limit are input by a user operation from the operation unit 42, the control unit 41 inputs the request destination, action content, time limit, and an input person (login Are associated with each other and transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when the request destination, the action content, the time limit, and the input person are received by the communication unit 14, the control unit 11 receives the received data (request destination, action content, time limit, input person) as the target patient. And is stored as ToDo information 165 in the storage unit 16.

When a new button B3 in the chat area 55 is pressed by a user operation from the operation unit 42 on the patient status confirmation screen 50, information indicating the position of the new button B3 in the patient status confirmation screen 50 is displayed by the control unit 41. Is transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when the information indicating the position of the new button B3 is received by the communication unit 14, the control unit 11 generates display data for a chat information input screen for inputting chat information. 14 to the terminal device 40.
In the terminal device 40, a chat information input screen is displayed on the display unit 43 based on the display data received from the data management server 10.

In the chat information input screen, when the comment content is input by the user's operation from the operation unit 42, the control unit 41 associates the input comment content, the input date and time, and the input person (login user), The data is transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when a comment content, input date / time, and an input person are received by the communication unit 14, a chat ID is given by the control unit 11, and the chat ID and received data (comment content, input date / time, input Is associated with the target patient and stored as chat information 166 in the storage unit 16.

In addition, when replying to a comment that has already been displayed in the chat area 55, the reply buttons B4 and B5 are pressed by the user's operation from the operation unit 42, and the control unit 41 displays the patient status confirmation screen. Information indicating the positions of the reply buttons B4 and B5 in the list 50 is transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when information indicating the positions of the reply buttons B4 and B5 is received by the communication unit 14, the control unit 11 generates display data for a chat information input screen for inputting chat information. It is transmitted to the terminal device 40 via the communication unit 14.
In the terminal device 40, a chat information input screen is displayed on the display unit 43 based on the display data received from the data management server 10.

When the content of a comment (reply) is input by the user's operation from the operation unit 42 on the chat information input screen, the input comment content, input date and time, and the input person (login user) are handled by the control unit 41. The data is transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when the comment content, input date / time, and the input person are received by the communication unit 14, the control unit 11 assigns the same chat ID as the reply target comment, and the chat ID and the received data (Comment contents, input date and time, input person) are associated with the target patient and stored in the storage unit 16 as chat information 166.

When the new button B6 in the bulletin board area 56 is pressed by a user operation from the operation unit 42 on the patient status confirmation screen 50, the control unit 41 displays information indicating the position of the new button B6 in the patient status confirmation screen 50. Is transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when information indicating the position of the new button B6 is received by the communication unit 14, the control unit 11 generates display data for a bulletin board information input screen for inputting bulletin board information. 14 to the terminal device 40.
In the terminal device 40, a bulletin board information input screen is displayed on the display unit 43 based on the display data received from the data management server 10.

In the bulletin board information input screen, when the contents of the notification items are input by the user's operation from the operation unit 42, the control unit 41 associates the input contents of the notification items, the input date and time, and the input person (login user). Then, the data is transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when a communication item content, input date / time, and an input person are received by the communication unit 14, the received data (contact item content, input date / time, input person) is associated with the target patient by the control unit 11. In addition, the bulletin board information 167 is stored in the storage unit 16.

Further, when changing the layout information of the target patient from the terminal device 40, the user can perform the layout by the operation from the operation unit 42 while the patient status confirmation screen 50 of the target patient is displayed on the display unit 43. Instruct to change information. For example, each area in the patient status confirmation screen 50 is expanded or contracted in the vertical direction or the horizontal direction, or the position of each area is changed. Alternatively, it is instructed not to display an area that does not require display. In addition, regarding the display item of vital data, an item to be newly displayed is selected, and it is instructed to hide the item that is no longer required to be displayed. After these operations, when an instruction to save the layout information change is given by an operation from the operation unit 42, the control unit 41 displays an area to be displayed (temperature plate area 51, linkage area 52, patient basic information area). 53, a ToDo area 54, a chat area 55, a bulletin board area 56), a change instruction including coordinates and size of each area, a display item of vital data, and the like are transmitted to the data management server 10 via the communication unit 44.
In the data management server 10, when an instruction to change the target patient layout information is received by the communication unit 14, the control unit 11 updates the target patient layout information 169 in the storage unit 16 based on the change instruction. After the layout information 169 is updated, display data for the patient status confirmation screen is generated based on the updated layout information 169.

  As described above, according to the present embodiment, the vital data of the target patient and the action information for the target patient are displayed along the common time axis, so the relationship between the vital data of the same patient and the action information. Can be displayed in an easy-to-understand manner. For example, it is possible to instantly grasp what action was performed when the patient's vital data changed.

In addition, since the action information is classified and displayed in the prescription field, the medical action field, the service field, and the image field, it is easy to grasp each performed action.
In addition, when any mark included in the prescription field, medical practice field, service field, or image field is designated, the action information corresponding to the designated mark is displayed, so when and who performed each act Easy to grasp.

Further, the patient status confirmation screen 50 includes a patient basic information area 53, a ToDo area 54, a chat area 55, and a bulletin board area 56 in addition to the temperature version area 51 and the cooperation area 52, thereby sharing various information regarding home medical care. can do.
The patient status confirmation screen 50 displays vital data, action information, basic patient information 161, ToDo information 165, chat information 166, and bulletin board information 167 related to the target patient. Information can be referred to on the same screen.

  Further, only when the user of the terminal device 40 is a medical worker associated with the target patient in the team correspondence table 162 stored in the storage unit 16, the patient status confirmation screen of the target patient is displayed on the terminal device 40. Since 50 display data are transmitted and input of vital data and action information of the target patient is received from the terminal device 40, information can be shared only among members in the restricted group.

  In addition, since the display data of the patient status confirmation screen is generated based on the layout information 169 stored for each patient, the most noticeable contents in each patient should be arranged at a position that is visually noticeable. Can do. For example, for patients with dementia or the like who are more concerned about comments such as chat than vital data, the chat area or ToDo area can be placed larger in the center position of the patient status confirmation screen.

  The description in the above embodiment is an example of the data management server and the home medical care cooperation system according to the present invention, and is not limited thereto. The detailed configuration and detailed operation of each device constituting the system can be changed as appropriate without departing from the spirit of the present invention.

  For example, in the above embodiment, the case where “prescription”, “medical practice”, “service”, “image” is used as an action category has been described as an example. It is good also as classifying for every medical facility to which a person belongs.

  Moreover, although the said embodiment demonstrated the case where the graph of vital data was displayed in the temperature version area | region 51 of the patient condition confirmation screen 50, the measured value of vital data is displayed in a table format for every measurement item. It is good as well.

  Moreover, although the said embodiment demonstrated the case where the temperature version area | region 51, the cooperation area | region 52, the patient basic information area | region 53, the ToDo area | region 54, the chat area | region 55, and the bulletin board area | region 56 were included in the patient condition confirmation screen 50, patient The status confirmation screen 50 only needs to include at least the temperature version area 51 and the cooperation area 52. The patient basic information area 53, the ToDo area 54, the chat area 55, and the bulletin board area 56 are each requested by the user. It may be possible to add selectively according to.

DESCRIPTION OF SYMBOLS 10 Data management server 11 Control part 14 Communication part 16 Memory | storage part 30A, 30B Home medical treatment support clinic 30C Home-visit nursing station 30D Home-visit care establishment 30E Pharmacy 40 Terminal apparatus 41 Control part 42 Operation part 43 Display part 44 Communication part 46 Storage part 50 Patient Status Confirmation Screen 51 Temperature Version Area 52 Cooperation Area 53 Basic Patient Information Area 54 ToDo Area 55 Chat Area 56 Bulletin Board Area 100 Home Medical Care Cooperation System 161 Basic Patient Information 162 Team Corresponding Table 163 First Home Medical Information 164 Second Home Medical Care Information 165 ToDo information 166 Chat information 167 Bulletin board information 168 Nursing / care schedule information 169 Layout information

Claims (6)

A first storage unit that stores the vital data of the patient and the measurement date and time of the vital data in association with each patient;
A second storage unit that stores, in association with each patient, action information indicating a medical action, a nursing action, or a care action for the patient and a treatment date and time of the action;
The vital data of the target patient and the measurement date and time associated with the vital data are read from the first storage unit, and the action information for the target patient and the treatment date and time associated with the action information from the second storage unit For generating the display data of the patient status confirmation screen for displaying the vital data of the target patient and the action information for the target patient along a common time axis, and for displaying the generated patient status confirmation screen A control unit for transmitting data to a terminal device connected via a communication network;
A data management server. The action information on the patient status confirmation screen includes the presence or absence of a prescription issued by a doctor or a prescription column displayed at a position corresponding to the date and time, and the presence or absence of a medical action performed based on an instruction from the doctor. The medical mark column is displayed at the position corresponding to the date and time, and the mark indicating the presence or absence of services by nursing or nursing is divided into the service column displayed at the position corresponding to the date and time.
In the terminal device, when any mark included in the prescription column, the medical practice column, or the service column is designated in the terminal device, action information display data corresponding to the designated mark The data management server according to claim 1, wherein the data management server is transmitted to the terminal device.   The patient status confirmation screen further includes a patient basic information area for displaying basic information of the target patient, a ToDo area for displaying a task with a time limit regarding the target patient, a chat area for displaying a comment regarding the target patient, and the target patient. The data management server according to claim 1, wherein the data management server includes at least one of bulletin board areas for displaying communication items related to the information. For each patient, a third storage unit is provided in which the patient and a plurality of medical workers including a plurality of occupations related to home medical care of the patient are stored in association with each other,
The control unit is for displaying the patient status confirmation screen of the target patient on the terminal device only when the user of the terminal device is a medical worker associated with the target patient in the third storage unit. The data management server according to any one of claims 1 to 3, which transmits data and receives input of vital data and action information of the target patient from the terminal device. A fourth storage unit that stores layout information indicating the arrangement of display contents on the patient status confirmation screen for each patient,
The said control part produces | generates the data for a display of the patient condition confirmation screen of the said subject patient based on the layout information of the said subject patient memorize | stored in the said 4th memory | storage part. Data management server described in 1. A home medical care cooperation system comprising a terminal device possessed by each of a plurality of medical workers visiting a patient's home, and a data management server connected to the terminal device via a communication network,
The data management server is
A first storage unit that stores the vital data of the patient and the measurement date and time of the vital data in association with each patient;
A second storage unit that stores, in association with each patient, action information indicating a medical action, a nursing action, or a care action for the patient and a treatment date and time of the action;
The vital data of the target patient and the measurement date and time associated with the vital data are read from the first storage unit, and the action information for the target patient and the treatment date and time associated with the action information from the second storage unit For generating the display data of the patient status confirmation screen for displaying the vital data of the target patient and the action information for the target patient along a common time axis, and for displaying the generated patient status confirmation screen A control unit for transmitting data to the terminal device;
With
The said terminal device is a home medical treatment cooperation system provided with the display part which displays a patient condition confirmation screen based on the display data of the patient condition confirmation screen received from the said data management server.

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