JP6069600B2 - Information and communication network system in emergency medicine - Google Patents

Description

  TECHNICAL FIELD The present invention relates to an information communication network system for emergency medical information, and in particular, an emergency medical information communication network system for performing smooth medical cooperation between an ambulance member who is on an ambulance and rushes to an emergency request site, an instruction instruction doctor, and a transport destination hospital. Related.

  Conventionally, paramedics and other emergency personnel rush to the emergency site according to the instructions of the fire department headquarters, and transmit the condition of the rescuer (hereinafter referred to as a patient as appropriate) to the instruction supervising doctor using a mobile phone or the like. Under the guidance of, perform necessary procedures and follow-up, and report related matters.

  Here, the instruction supervising doctor is a specific doctor registered in advance, and since the transport destination hospital is determined according to the situation, there is a situation where there is an instruction supervising doctor in contact with the emergency personnel at the transport destination hospital. There are few, especially in the case of nighttime emergency requests.

  In addition, there are many operations that emergency personnel perform from arrival at the site to arrival at the destination hospital, for example, hemostasis, medication, body temperature / blood pressure / pulse measurement. On the other hand, after arrival at the destination hospital, it is necessary to report the background of the above work and take over immediately. For this reason, the ambulance crew is incomplete, but the actual situation is that various information such as work contents, numerical data, and time are written down on gloves or paper, and reports are made based on this.

  In addition, ambulance crews must prepare and submit a report every time they are dispatched, but they often rush to the next site without returning from the destination hospital to the next site, where the contents are insufficient, There was a possibility that the information would be complicated.

  In other words, conventionally, there has been a problem that the work load of the emergency personnel is large. In spite of being an emergency, the transport destination hospital has a fundamental problem that the situation can only be grasped after receiving reports from emergency personnel (reports that must be incomplete in some cases). It was. In addition, the site is often a remote area, and the communication environment is not always perfect. This also has a problem that medical cooperation is hindered.

JP 2009-294996 A JP 2008-279032 A JP 2004-171394 A JP 2000-237148 A WO2005 / 045720

  The present invention has been made in view of the above, and provides an emergency medical information communication network system that reduces the work burden of emergency personnel and enables smooth medical cooperation from before the transfer to the transfer destination hospital. With the goal.

The emergency medical information communication network system according to claim 1 is installed in a member terminal device, which is a portable communication device with a display function, possessed by an emergency member , a communication device possessed by an instruction supervising doctor, and a destination hospital An emergency medical information and communication network system including a hospital terminal device, and a member terminal device performs a treatment content or instruction guidance doctor or transport performed by an emergency crew member based on an instruction from an instruction guidance doctor via a communication device. Voice input means for voice input of treatment report contents, which are report contents to the previous hospital, voice characterizing means for voice recognition of the treatment report contents input by the voice input means, and characters by the voice characterizing means History information creating means for creating history information by adding the time when the action report content was voice-input by voice input means to the action report content that has been converted to History information recording means for recording the history information created by the report creation means, history information created by the history information creation means, or history information display means for displaying the history information recorded by the history information recording means, and history information A history information transmitting means for transmitting the history information created by the creating means, and a hospital transmission control means for controlling the history information transmitting means and transmitting the history information created by the history information creating means to the hospital terminal device; together comprise a sound output unit for outputting sound, and controls the sound output unit, a character voice output control means for outputting a character of has been treated reported content as synthesized speech by the speech character means, the speech character means Predetermined content determining means for determining whether the action report content transcribed by the above is predetermined predetermined content, and predetermined content by the predetermined content determining means If it is determined that there is a time voice that controls the voice output means and outputs the action report contents and the elapsed time after a predetermined time from the time when the action report contents are voice-input by the voice input means. Output control means, and the hospital terminal device visualizes and sequentially outputs the hospital side receiving means for receiving the history information transmitted by the hospital transmission control means and the history information received by the hospital side receiving means. A hospital-side sequential output unit and a hospital-side recording unit that records history information received by the hospital-side receiving unit are provided.

In other words, the invention according to claim 1 can provide an emergency medical information communication network system that reduces the work burden on emergency personnel and enables smooth medical cooperation from before the transfer to the transfer destination hospital. . Specifically, emergency personnel can report their work in a so-called hands-free manner without taking their hands, and even before the arrival, the minimum necessary treatment details regarding the rescuer in text are available even if the hospital is not fat. It can be grasped dynamically. Further, even in an environment where communication is interrupted, it is possible to display and transmit the minimum necessary treatment details regarding the rescuer immediately and accurately after arrival at the hospital. In addition, when an ambulance crew prepares a report later, it is possible to refer to the history information recorded in the history information recording means. From this point, the work load of the emergency crew is reduced, and if necessary, The confirmation of whether or not the report content is appropriate can be made objectively by matching the history information recorded in the hospital recording means.
Further, according to the first aspect of the present invention, it is possible to confirm that the contents of the treatment report are called back and correctly input by voice, that is, without eyes, that is, eyes-free, and the work load of the emergency personnel is further reduced. In addition, for specific treatments such as drug administration, it is necessary to report the progress to the instructing doctor after a predetermined time, such as 30 seconds, 60 seconds, etc., while other work is being performed during that time. Even if there is, it is alerted by voice, and proper reporting is possible without forgetting. Also, utterances related to this can be recorded and transmitted as treatment report contents. Note that the predetermined time elapsed is not limited to one time, but includes a mode in which a plurality of times are set as described above. Depending on the mode of use, it may be a notice of notice that “there is ○ second and 30 seconds from XX”. Priorities may be given to treatments and the callback may be controlled.

  In addition, although a member terminal device is not specifically limited, For example, the mobile communication apparatus with a display function, such as a smart phone and PDA, can be mentioned. At this time, by employing a headset, an efficient hands-free environment can be provided, and the S / N ratio at the time of voice input can be increased. When voice is input and converted into text, the voice recognition rate of each emergency crew can be increased individually by providing a learning function. The content of urgent utterances or words to be used are relatively limited. Therefore, the learning function may be used to tune up the speech recognition rate for a specific word in particular. “Ambulance crew possesses” does not necessarily require possession of the entire device, and a part of the function may exist separately. In this sense, possessing can be paraphrased as using.

An emergency medical information communication network system according to claim 2 is an emergency medical information communication network system according to claim 1 , further comprising a headquarter terminal device installed at the firefighting headquarters. The member terminal device comprises a headquarters transmission control means for controlling the history information transmitting means and transmitting the history information created by the history information creating means to the headquarters terminal device.
The headquarters side receiving means for receiving the history information transmitted by the headquarters transmission control means, the headquarters side sequential output means for visualizing and sequentially outputting the background information received by the headquarters side receiving means, and the headquarters transmission control means. The headquarters side recording means for recording the history information and the headquarters side transfer means for transferring the history information received by the headquarters side receiving means to the hospital terminal device, and the hospital terminal device stores the transferred history information. The transfer receiving means for receiving and the history information received by the transfer receiving means are compared with the history information received by the hospital receiving means, and the history information not received by the hospital receiving means is transferred and received. The extraction means for extracting from the history information received by the means and the hospital-side sequential output means are controlled, and the history information received by the hospital-side reception means is extracted by the extraction means. A sequential output control unit history information supplement to the performing the output was characterized by comprising a.

In other words, the invention according to claim 2 can grasp the circumstances even at the fire department headquarters, and even in an environment where communication between the ambulance crew and the hospital is interrupted, this can be complemented and smooth medical cooperation can be achieved. Here, if the fire fighting radio is used, data transmission / reception via a communication network or network different from the communication network or network between the member terminal device and the hospital terminal device can be performed, and the complementary efficiency is improved (de facto efficiency). The communication area expands). In a mode in which communication by fire fighting radio is performed, the headquarter transmission control means appropriately includes a fire fighting radio device and related devices mounted on an ambulance. In addition, if necessary, it is possible to objectively confirm whether or not the contents of ambulance crew reports are appropriate by matching the background information recorded in the headquarters recording means.

Further, the emergency medical information communication network system according to claim 3 is the emergency medical information communication network system according to claim 1 or 2 , wherein the member terminal device controls the background information transmission means, and the background information creation means A doctor transmission control means for transmitting the history information created by the communication device to the call device, and the call device is received by the doctor side reception means for receiving the history information transmitted by the doctor transmission control means, and the doctor side reception means. The doctor side sequential output means for visualizing and sequentially outputting the history information, and the doctor side transfer means for transferring the history information received by the doctor side receiving means to the hospital terminal device, and the hospital terminal device transfers Compare the history information received by the transfer reception means, the history information received by the transfer reception means, and the history information received by the hospital side reception means, Background information received by the hospital side receiving means by controlling the extraction means for extracting the background information not included in the background information received by the hospital side receiving means from the background information received by the transfer receiving means and the hospital side sequential output means. And a sequential output control means for performing output by complementing the history information extracted by the extraction means to the information.

That is, the invention according to claim 3 can be visualized even on the instruction supervising doctor side, the situation can be grasped more reliably, and the situation can be grasped more reliably, and this is supplemented even in an environment where communication between the emergency personnel and the hospital side is interrupted. Thus, smooth medical cooperation becomes possible.

Moreover, the emergency medical information communication network system according to claim 4 is the emergency medical information communication network system according to any one of claims 1 to 3 , wherein the member terminal device performs call control with the call device. And a voice recording means for voice-recording the contents of a call between the telephone and the telephone.

That is, according to the fourth aspect of the present invention, it becomes possible to grasp the details of information and circumstances that could not be transcribed from the recorded voice. As a result, detailed information can be transmitted promptly as needed after arrival at the hospital, and a report can be created more accurately. It should be noted that a voice input button or a voice input tap may be provided as appropriate so as to distinguish between a characterized part and a call part.

  In each of the above inventions, there are many cases where ambulance crew members are dispatched on multiple ambulances, so each ambulance crew member carries a crew terminal device, and the instructions from the instruction supervising doctor are those who receive direct instructions. In addition, other members may be able to listen to instructions as voices through member terminal devices, etc., and background information and elapsed time may be output from other member terminal devices (screen display and synthesized speech). The information may be shared in such a way that the information is shared.

  Similarly, in the hospital side terminal device and / or the headquarters terminal device and / or the communication device, when the history information is sequentially output, it is not only visualized (screen display) but also output as synthesized speech. good. In addition, the voice of the speaker in the hospital side terminal device and / or the headquarter terminal device and / or the communication device may also be recognized and input as text.

  ADVANTAGE OF THE INVENTION According to this invention, the emergency medical information communication network system which reduces the work burden of an emergency worker, and enables smooth medical cooperation from before conveyance with a destination hospital can be provided.

It is the conceptual diagram which showed an example of the emergency medical information communication network system (emergency medical system) of this invention. It is a system operation | movement concept schematic diagram of the emergency medical information communication network system (emergency medical system) of this invention. Here, the communication device is displayed as a personal computer. It is the block diagram which showed an example of the hardware constitutions of a member terminal device. It is the block diagram which showed an example of the hardware constitutions of a hospital terminal device. It is the block diagram which showed an example of the functional structure of the emergency medical information communication network system (emergency medical system). It is the screen block diagram which showed the example of the starting screen of a member terminal device. It is a screen block diagram in which a pull-down menu such as treatment contents is displayed. It is the figure which showed the example of a screen display of a body temperature report and a blood pressure report. It is the multi-surface block diagram which showed the aspect which cancels CPR work after 30 second progress from CPR start. It is the figure which showed the example of a screen at the time of cancellation of airway ensuring.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
In the present embodiment, a smartphone connected with a headset as a member terminal device possessed by an emergency member, a mobile phone as a communication device possessed by an instruction supervising doctor, a hospital terminal device installed at a destination hospital and a fire command headquarters An emergency medical information communication network system that employs a computer as the headquarters terminal device installed in will be described. Hereinafter, the emergency medical information communication network system will be appropriately referred to as an emergency medical system. Each device is connected to a communication network including the Internet, and in the ambulance, a conversion device (wireless communication device) that sends background information from a smartphone carried by an ambulance crew to a headquarters terminal device via a fire fighting radio. ).

<System overview>
FIG. 1 is a conceptual diagram showing an example of an emergency medical system according to the present invention. FIG. 1 a is a system outline diagram, and FIG. 1 b is a schematic diagram of a system operation concept.
As illustrated, the emergency medical system 1 includes a member terminal device 100, a hospital terminal device 200, a headquarter terminal device 300, a communication device 400, and a wireless communication device 500 mounted on an ambulance. The wireless communication device 500 is physically separate from the member terminal device 100, but will be described as being a part of the member terminal device 100 functionally.

An example in which an emergency medical system is applied will be described.
・ Report → Arrival at site:
The ambulance crew member E receives a command from the fire department command headquarters F that received the 119 report, and boards the ambulance A and rushes to the scene.
・ Patient contact → treatment:
In response to the condition of the rescuer C, the emergency member E calls the call device 400 of the instructing doctor D from the member terminal device 100 and explains the situation. Before and after this, the body temperature, pulse, etc. are input by voice using the member terminal device 100, and the member terminal device 100 converts the voice input contents into characters and calls back. Upon receiving an instruction for drug administration from the instruction supervising doctor D, the emergency member E administers the drug and inputs this by voice (the member terminal device 100 also calls back this content). After 30 seconds have elapsed, the member terminal device 100 automatically outputs the elapsed time using synthesized speech. The ambulance crew E receives this and reports the condition to the instruction supervising doctor D, and receives further instructions as necessary to continue the treatment. These treatment contents or report contents (speech contents) are converted into text and sequentially transmitted to the hospital terminal device 200 as time information together with time information.
・ Transfer → Takeover:
The rescuer C is transported to the transport hospital H by the ambulance A while being subjected to various treatments by the emergency personnel E. Which hospital is designated as the destination hospital H is notified from the fire command headquarter F by fire radio. The history information created by the member terminal device 100 from before and after arrival is output to the monitor of the hospital terminal device 200. In the transport destination hospital H, preparations are made while sequentially confirming the background information, the rescuer C is accepted, and the doctor of the hospital performs the subsequent treatment. The hospital terminal device 200 receives data from the headquarters terminal device 300 or the communication device 400 via the wireless communication device 500 as appropriate when the line status with the member terminal device 100 is poor. The background information is complemented and displayed.
・ Work report:
The ambulance crew E returns to the station and creates a report while looking at the history information of the crew terminal 100.

Next, the hardware configuration of the emergency medical system 1 will be described.
<Hardware configuration: member terminal device 100>
FIG. 2 is a block diagram illustrating an example of a hardware configuration of the member terminal device 100. The member terminal device 100 has a hardware configuration including a CPU 101, a ROM 102, a RAM 103, a storage 104, a graphics chip 105, a screen 106, a communication unit 107, a microphone 181 and an earphone 182. 108.

  The CPU 101 controls the entire member terminal device 100 together with the OS, and performs voice processing, communication processing, display processing, and the like. Specifically, the CPU 101 performs a process of converting voice input from the microphone 181 of the headset 108 into text according to a program stored in the storage 104 and outputting (calling back) the voice from the earphone 182 of the headset 108. The text content is displayed on the screen 106. In addition, history information is created by adding time information to the treatment report content that is converted into text by voice recognition and the treatment report content, and the history information is created by the hospital terminal device 200, the communication device 400, and the wireless communication device 500. To the headquarters terminal device 300. In addition, the CPU 101 stores background information in the storage 104 and the RAM 103, and also performs control such as temporarily saving various data stored in the storage 104 in the RAM 103.

  The ROM 102 stores a boot program and the like. Depending on the mode of use, the ROM 102 may store a control program for the member terminal device 100. In addition, a voice recognition engine may be stored to increase the speed and efficiency of the voice recognition process. The RAM 103 is used as a work area for the CPU 101. Specifically, the contents of data read from the storage 104, the contents of programs, and the like are temporarily stored.

  The storage 104 stores an operating system (OS), application programs, and various data. The configuration of the storage will be described later.

  The graphics chip 105 sends an image signal to be output to the screen 106. Although a display example of the screen 106 will be described later, an input method using a touch panel is adopted as many smartphones adopt to improve the operability and workability of the emergency personnel E.

  The communication unit 107 performs control to enable communication or connection with various communication networks and devices such as Wi-Fi, USB, Bluetooth (registered trademark), HSDPA, and TDMA. The background information may be appropriately switched depending on the transmission destination, or may be transmitted in parallel without switching. For example, a 3GS line is used between the member terminal device 100 and the hospital terminal device 200, and the ambulance A is relayed by Wi-Fi between the member terminal device 100 and the headquarters terminal device 300, and the member terminal device 100 is used. -A 3GS line may be used between the communication devices 400. Also, priorities are assigned and the transmission destination is switched to the headquarters terminal device 300 only when the hospital terminal device 200 is disconnected, and the transmission destination is switched to the communication device 400 when the headquarters terminal device 300 is also disconnected. May be. A connection method and a connection protocol are not particularly limited, and hardware corresponding to a radio wave standard and a telegraph standard corresponding to a use environment is provided.

  The headset 108 includes a microphone 181 and an earphone 182. From the earphone 182, the voice of the instruction guidance doctor D in the call with the call device 400 is also output in addition to the output of the callback with the synthesized voice and the elapsed time notification. The microphone 181 inputs the content of the treatment report issued by the emergency crew member E, and also inputs the speech voice of the emergency crew member E in the call with the instruction supervising doctor D. Headset 108 is worn by ambulance crew E on the head and ears, so the signal-to-noise ratio is high. For example, even if there is a siren sound in ambulance A, the voice of emergency crew E can be collected efficiently. In addition, it is preferable that sound from the earphone 182 is not easily heard.

  It should be noted that a speech recognition ON / OFF switching button or switching tap is provided on the headset 108 so that speech to be recognized and utterance in conversation with the instructing doctor D are distinguished and only the treatment report content is recognized. If provided, the voice recognition efficiency is improved, and the load on the member terminal device 100 is reduced. This switching may be performed by voice recognition of the switching process itself in addition to the above buttons and taps, or may be switched by a touch operation on the screen 106. Further, it may be notified by electronic sound such as “beep” or “beep” whether the switching process has been performed. In addition, when the mode is capable of voice input, a 10,000 Hz electronic sound may be output continuously or intermittently so that emergency personnel E can speak while recognizing the mode.

  Next, the storage 104 will be described. The storage 104 includes an application unit 110 and a data storage unit 130. The application unit 110 includes an OS 111 that controls the entire member terminal device 100, a voice processing program 112, a history information creation program 113, and a communication program 114.

  The data storage unit 130 includes a preset word storage unit 131, a learning word storage unit 132, a history information storage unit 133, and an audio data storage unit 134.

  The speech processing program 112 performs control to recognize a speech input word as speech and convert it into text and output it as synthesized speech. For speech recognition, matches the candidate words (“patient contact”, “AED enforcement”, “high blood pressure”, “cancel”, various numerical values (115, 180), etc.) from the preset word storage unit 131 and the learning word storage unit 132 The process of determining whether to do so is performed to improve the recognition rate. When the speech-recognized word is a specific word, for example, “medicine administration”, the voice processing program 112 also displays “drug administration 30 seconds”, “drug administration 30 seconds”, “ A synthetic voice in which information related to the elapsed time is added to the content of the treatment report, such as “60 seconds after drug administration”.

  The history information creation program 113 creates the history information by adding the time when the speech is input to the speech-recognized word. In order to reduce the load depending on the mode of use, only the words stored in the preset word storage unit 131 and the learning word storage unit 132 may be set as the content of the treatment report, and time information may be added thereto.

  Note that the voice processing program 112 or the history information creation program 113 may have a cancel function as appropriate, and when it is found that the character conversion is not properly performed by the callback, the contents may be canceled. When canceling, it may be canceled by voice recognition, or may be canceled by touching the screen 106.

  The communication program 114 transmits the history information to the head office terminal device 300 and the communication device 400 via the hospital terminal device 200 and the wireless communication device 500 in real time. The emergency medical system 1 is less likely to be loaded because the data to be transmitted and received is text-based, and the same content is finally transmitted to the hospital terminal device 200 via a plurality of routes, so the communication line is slow. In addition, even if the communication environment is partially interrupted, the supplement is made and smooth medical cooperation becomes possible.

  The preset word storage unit 131 stores the treatment report contents that are the contents of the treatment given by the ambulance crew E based on the instruction from the instruction instruction doctor D or the report contents to the instruction instruction doctor D or the transport destination hospital H. Since these words have a relatively small number of words and are set as preset words, the ranks of recognition candidates are high, and the recognition rate can be improved. Specifically, "patient contact", "CPR start", "airway securing start", "venous route", "defibrillator", "drug administration", "AED enforcement", "maximum blood pressure", "minimum Words such as “blood pressure” and “body temperature” are stored.

  The learning word storage unit 132 is a group of words learned from the preset word itself according to the voice of the emergency member E, for example, numbers “35.0 ° C.”, “35.1 ° C.” of body temperature and blood pressure, .. “39.5 ° C.”, “39.6 ° C.”, “72” “73”,... “195” “196” are stored. The numbers are relatively short words, and there is a habit of the speaker, so that the voice recognition rate can be improved by recognizing each emergency member E.

  The history information storage unit 133 stores the history information created by the history information creation program 113. As a result, even if the site is in a remote area where all communication is not possible, immediately after arrival at the transfer destination hospital H, it is possible to quickly and accurately transmit the history of treatments to the hospital. Further, since communication is restored when it is close to the destination hospital, it can be used when transmitting missing information at that time.

  The voice data storage unit 134 records all conversations with the instruction supervising doctor D and utterance contents of the emergency personnel E. As a result, the situation can be recalled when creating a report, and an accurate report can be created. Depending on the mode of use, detailed information may be confirmed on the hospital side upon arrival at the transport destination hospital H. In addition, post-verification and the like can be easily and objectively performed as necessary by separately storing data for each dispatch.

  Specific examples of the OS include Windows-Mobile OS and Windows 7 (both manufactured by Microsoft Corporation: registered trademark). Examples of software include AmiVoice (manufactured by Advanced Media) and VoiceCan Tool (manufactured by Techshiro System) as voice recognition engines.

<Hardware Configuration: Wireless Communication Device 500>
FIG. 2 also shows an example of the hardware configuration of the wireless communication device 500. The member terminal device 100 is assumed to be a smart phone in the present embodiment. While the smart phone generally does not have a built-in communication means using a fire fighting radio, the ambulance A is equipped with a fire fighting radio device. Yes. In the present embodiment, there is provided a wireless communication device 500 that relays between a smartphone and a fire fighting radio device, and enables sending of history information to a transport destination hospital H via the fire fighting radio. Depending on the mode of use, the wireless communication device 500 may be physically connected to the connection port of the member terminal device 100 and carried. In any case, the wireless communication device 500 is functionally regarded as a part of the member terminal device 100 even if it is physically separated.

  The wireless communication device 500 includes a Wi-Fi connection unit 501, a data conversion unit 502, a protocol control unit 503, and a fire fighting wireless device connection unit 504.

  The Wi-Fi connection unit 501 establishes a network connection between the member terminal device 100 and the fire fighting wireless device using a wireless LAN. The data conversion unit 502 converts the history information transmitted from the member terminal device 100 into data suitable for transmission by the fire fighting radio device. The protocol control unit 503 performs processing necessary for the fire fighting wireless device to send the data converted by the data conversion unit 502 to the headquarter terminal device 300. The fire fighting radio apparatus connection unit 504 connects the wireless communication apparatus 500 to the fire fighting radio apparatus, and performs processing that enables the fire fighting radio apparatus to send the history information to the headquarters terminal apparatus 300.

<Hardware configuration: hospital terminal device 200>
Next, the hardware configuration of the hospital terminal apparatus 200 will be described. FIG. 3 is a block diagram illustrating an example of a hardware configuration of the hospital terminal device 200. The hospital terminal device 200 includes, as its hardware configuration, a CPU 201, a ROM 202, a RAM 203, a hard disk (HD) 204, a graphics card 205, a monitor 206, a network interface card (NIC) 207, a mouse 208, A keyboard 209.

  The CPU 201 controls the entire hospital terminal apparatus 200 together with the OS, and performs a process of sequentially displaying history information. Specifically, the CPU 201 sequentially displays the background information sent from the member terminal device 100 on the monitor 206, and the history from the member terminal device 100 based on the background information sent from the headquarters terminal device 300 and the communication device 400 as appropriate. Perform control to supplement information. In addition, the CPU 201 stores background information in the HD 204 and RAM 203 and also performs control to temporarily save various data in the RAM 203.

  The ROM 202 stores a boot program and the like. Depending on the mode of use, the ROM 202 may store a control program for the hospital terminal device 200. The RAM 203 is used as a work area for the CPU 201. Specifically, the contents of data read from the HD 204, the contents of programs, and the like are temporarily stored.

  The HD 204 includes an operating system (OS) 241, a display control program 242 that controls the display and complementing of history information, and a data recording unit 243 that records the history information. When the history information is supplemented, the display control program 242 re-sorts in order of time based on the time information. That is, the history information is displayed again according to the time series. At this time, in the case of complementing between the already displayed history information, the display color is changed as appropriate so that the supplementary information can be understood.

  The graphics card 205 sends an image signal to be output to the monitor 206. The monitor 206 sequentially displays the history information, and when the radio wave from the member terminal device 100 does not reach, the monitor 206 sorts and complements the history information sent from others according to the time in the history information.

  The NIC 207 is connected to the Internet and inputs history information from the member terminal device 100 and others. The mouse 208 and the keyboard 209 are used as normal PC input means. In addition, the hospital terminal device 200 may include a DVD drive or the like as appropriate, and may be connected to a printer or the like in order to transmit information to a doctor waiting at the transport destination hospital H.

  Specific examples of the OS include Windows XP and Windows 7 (both manufactured by Microsoft Corporation). Examples of software include AmiVoice (manufactured by Advanced Media) and VoiceCan Tool (manufactured by Techshiro System) as voice recognition engines.

  The headquarters terminal device 300 and the communication device 400 will be described as a functional configuration of the system.

<Functional configuration>
Next, the functional configuration of the emergency medical system 1 will be described. FIG. 4 is a block diagram illustrating an example of a functional configuration of the emergency medical system 1.
The emergency medical system 1 includes a voice input unit 301, a voice output unit 302, a call control unit 303, a voice characterizing unit 304, a history information creating unit 305, and a history information as a functional configuration of the member terminal device 100. Transmission unit 306, character voice output control unit 307, predetermined content determination unit 308, time voice output control unit 309, hospital transmission control unit 310, headquarter transmission control unit 311, doctor transmission control unit 312, history An information recording unit 313, a history information display unit 314, and an audio recording unit 315 are included.

  In addition, the emergency medical system 1 includes a wireless side reception unit 317, a data conversion unit 318, and a wireless side sequential transmission unit 319 as a functional configuration of the wireless communication device 500.

  The emergency medical system 1 includes a hospital-side receiving unit 321, a hospital-side sequential output unit 322, a transfer receiving unit 323, an extraction unit 324, and a sequential output control unit 325 as a functional configuration of the hospital terminal device 200. And a hospital-side recording unit 326.

  The emergency medical system 1 includes a headquarter-side receiving unit 331, a headquarters-side sequential output unit 332, a headquarter-side transfer unit 333, and a headquarter-side recording unit 334 as functional configurations of the headquarters terminal device 300.

  In addition, the emergency medical system 1 includes a doctor-side receiving unit 341, a doctor-side sequential output unit 342, and a doctor-side transfer unit 343 as a functional configuration of the communication device 400.

<Functional configuration: member terminal device 100 and wireless communication device 500>
The voice input unit 301 inputs the treatment report contents spoken by the emergency member E by voice. This treatment report content is based on a conversation with the instruction supervising doctor D via the communication device 400 and based on an instruction from the instruction supervising physician D (for example, AED enforcement: utterance content “AED enforcement”) Or the report content to the instruction supervising doctor D (example: utterance content “blood pressure 131”), or report content to the transport destination hospital H (example: utterance content “cardiopulmonary arrest”). The voice input unit 301 is also used for a call with the instruction / instructing doctor D. The voice input unit 301 can realize its function by, for example, the microphone 181, the voice processing program 112, the OS 111, and the like.

  The voice output unit 302 outputs a synthesized voice of the callback and is also used for a call with the instruction supervising doctor D. The content of the callback is the content of the treatment report or the elapsed time added to it. Depending on the mode of use, the content may be appropriately spoken content other than preset words and learning words. The sound output unit 302 can realize its function by, for example, the earphone 182, the sound processing program 112, the OS 111, and the like.

  The call control unit 303 performs call control with the call device 400. In order to distinguish the content of the utterance to be the treatment report content from the conversation between the emergency crew member E and the instruction supervising doctor D as a mobile phone, the software switching means or the hardware switching means of the crew terminal device 100 is appropriately distinguished. Alternatively, the call control unit 303 may perform this process. The call control unit 303 can realize its functions by, for example, the headset 108, the OS 111, the communication unit 107, the communication program 114, and the like.

  The voice characterizing unit 304 recognizes the treatment report content input by the voice input unit 301 as voice and converts it to text (text). By converting to text, the amount of data can be significantly reduced as compared with the case where audio files are sequentially sent to the hospital terminal device 200 as they are. In addition, when the conversation part is not converted into text and only the treatment report content is converted into text, necessary information can be provided more efficiently. The speech recognition technology is not particularly limited, but a learning function is provided to increase the recognition rate of frequently used terms. In addition, learning may be performed so as to increase the recognition rate in consideration of the voice color and intonation of the ambulance crew E. The voice characterizing unit 304 can realize its function by, for example, the RAM 103, the CPU 101, the voice processing program 112, the preset word storage unit 131, the learning word storage unit 132, and the like.

  The history information creation unit 305 creates the history information by adding the time when the treatment report content is voice-input by the voice input unit 301 to the treatment report content transcribed by the voice characterizing unit 304. The history information transmission unit 306 transmits the history information created by the history information creation unit 305. The transmission destination is the hospital terminal device 200 of the transport destination hospital H, the headquarters terminal device 300 of the fire fighting command headquarters F via the wireless communication device 500, and the communication device 400 possessed by the instruction supervising doctor D. May be transmitted to the destination sequentially, with priorities appropriately assigned, the first order being the hospital terminal device 200, the second order being the headquarters terminal device 300, and the third order being the call device 400, Control may be made so that the line is sent to the apparatus of the next priority only when the disconnection of the line is detected. Thereby, the processing load of the member terminal device 100 and the processing load of the final hospital terminal device 200 are reduced.

  That is, the hospital transmission control unit 310 controls the history information transmission unit 306 and directly sends it to the hospital terminal device 200, but the headquarter transmission control unit 311 controls the history information transmission unit 306 at all times or as necessary. Then, the history information created by the history information creation unit 305 may be transmitted to the headquarters terminal device 300 via the Wi-Fi connected wireless communication device 500 (the history information is then sent to the headquarters terminal). The doctor transmission control unit 312 controls the history information transmission unit 306 and the history information created by the history information creation unit 305 at all times or when necessary. May be transmitted to the communication device 400 using a mobile phone line (the history information is then transferred from the communication device 400 to the hospital terminal device 200).

  The history information creation unit 305 can realize its function by, for example, the history information creation program 113, the RAM 103, the CPU 101, and the like. The history information transmission unit 306 can realize its function by, for example, the RAM 103, the communication unit 107, the communication program 114, and the like.

  The hospital transmission control unit 310 can realize its function by the communication unit 107 and the communication program 114, for example. The headquarter transmission control unit 311 has functions thereof by, for example, the communication unit 107, the communication program 114, the Wi-Fi connection unit 501, the data conversion unit 502, the protocol control unit 503, the fire fighting radio apparatus connection unit 504, and the like. Can be realized. The doctor transmission control unit 312 can realize the function by the communication unit 107 and the communication program 114, for example.

  The character voice output control unit 307 controls the voice output unit 302 to output the treatment report contents converted into characters by the voice characterizing unit 304 as voice. That is, the action report content is called back. Thereby, the emergency member E can confirm whether or not the contents of the treatment report spoken by himself / herself are correctly recognized without looking at the screen 106 of the member terminal device 100, that is, without eyes. The text voice output control unit 307 can realize its function by, for example, the earphone 182, the voice processing program 112, the history information creation program 113, and the like.

  The predetermined content determination unit 308 determines whether or not the action report content that has been converted to a character by the voice characterizing unit 304 is a predetermined content. When the predetermined content determination unit 308 determines that the predetermined content is the predetermined content, the time audio output control unit 309 controls the audio output unit 302 to start from the time when the treatment report content is input by the audio input unit 301. After a predetermined time has elapsed, the content of the treatment report and the elapsed time are output as audio. That is, by these two functional units, a progress report request for a specific treatment such as drug administration is aroused by voice, and the progress report to the instruction supervising doctor D is forgotten by other work performed in parallel by the emergency personnel E. Appropriate management is possible without any problems.

  The predetermined content determination unit 308 can realize its function by, for example, the CPU 101, the history information creation program 113, the preset word storage unit 131, the RAM 103, and the like. The time audio output control unit 309 can realize its function by, for example, the CPU 101, the history information creation program 113, the RAM 103, and the like.

  The history information recording unit 313 records the history information created by the history information creating unit 305. The history information display unit 314 displays the history information created by the history information creation unit 305 or the history information recorded by the history information recording unit 313. Thereby, the ambulance crew member E can review the background information during the work (for example, during transportation), and can transmit the background information to the hospital immediately after arrival at the hospital. In addition, after returning to the station, work reports can be created without recording errors. In addition, the objectivity of description can also be ensured, and verification can be performed as necessary.

  In the emergency medical system 1, an untransmitted portion recorded in the history information recording unit 313 when communication is recovered even in an environment where communication is disconnected until it arrives at the destination hospital H from the emergency request site. The data may be transmitted or transferred to the communication connection destination that has recovered, and the hospital terminal device 200 supplements this, so that smooth medical cooperation from before the rescuer is transported becomes possible. That is, the hospital transmission control unit 310 and / or the headquarter transmission control unit 311 and / or the doctor transmission control unit 312 monitor the line connection and the line disconnection state, respectively, try to reconnect the line after the line is disconnected, After restarting, by sending the untransmitted portion recorded in the history information recording unit 313, smooth medical cooperation becomes possible.

  The history information recording unit 313 can realize its function by the history information storage unit 133 and the RAM 103. The history information display unit 314 can realize its function by the CPU 101, the graphics chip 105, the screen 106, and the like.

  The voice recording unit 315 voice-records the content of a call with the instruction supervising doctor D. Depending on the mode of use, what is uttered as the content of the treatment report or only what is uttered as the content of the treatment report may be recorded as a voice. The recorded content may be reproduced when more detailed details are requested at the destination hospital H, or can be used when a report is created. It can also be provided as raw data when post-validation becomes necessary. The voice recording unit 315 can realize its functions by, for example, the voice processing program 112 and the voice data storage unit 134.

  The wireless-side receiving unit 317 receives the history information transmitted from the headquarter transmission control unit 311. Reception is performed by Wi-Fi, but is not limited to this as long as it is suitable for transmission / reception between the fire fighting radio device mounted on the ambulance A and the crew terminal device 100. The wireless reception unit 317 can realize its function by, for example, the Wi-Fi connection unit 501 and the protocol control unit 503.

  The data conversion unit 318 converts the history information received by the radio side reception unit 317 into data suitable for data communication by the fire fighting radio. Needless to say, this data can be received and restored by the headquarters terminal device 300. The function of the data conversion unit 318 can be realized by, for example, the data conversion unit 502 and the protocol control unit 503.

  The wireless side sequential transmission unit 319 sequentially transmits the history information converted by the data conversion unit 318 to the headquarter terminal device 300. By transmitting data by the fire fighting radio, the hospital transmission control unit 310 can supplement the history information via the headquarters terminal device 300 even in an area where the history information cannot be transmitted, thereby enabling smooth medical cooperation. The wireless side sequential transmission unit 319 can realize its function by the protocol control unit 503, the fire fighting wireless device connection unit 504, and the like.

<Functional configuration: Hospital terminal apparatus 200>
The hospital side receiving unit 321 receives the history information transmitted by the hospital transmission control unit 310. Since the crew member device 100 is carried by the emergency crew member E, a network via the G line is used. However, the line or network to be used is not particularly limited as long as data transmission / reception is performed appropriately. The hospital-side receiving unit 321 can be an orphan who realizes its function by, for example, the NIC 207, the OS 241 and the RAM 203.

  The hospital side sequential output unit 322 visualizes the history information received by the hospital side reception unit 321 and sequentially outputs the information. The history information is sorted and displayed in the order of time information. By providing the sort function, it is possible to interpolate the history information that is missing from the headquarters terminal device 300 and the communication device 400 later in time series. In this case, attention may be drawn by changing the display color. The hospital-side sequential output unit 322 can realize its function by, for example, the monitor 206 and the display control program 242.

  The transfer receiving unit 323 receives the transferred history information. The transfer source is the headquarters terminal device 300 and / or the communication device 400. The extracting unit 324 compares the history information received by the transfer receiving unit 323 with the history information received by the hospital side receiving unit 321, and transfers the background information not included in the background information received by the hospital side receiving unit 321. Extracted from the history information received by the receiving unit 323. The sequential output control unit 325 controls the hospital-side sequential output unit 322 to output the background information received by the hospital-side reception unit 321 by complementing the background information extracted by the extraction unit 324 in time series. . By these functional units, history information is received through a plurality of routes, and even when the line between the member terminal device 100 and the hospital terminal device 200 is disconnected due to radio wave conditions or the like, a thorough and smooth medical cooperation becomes possible. .

  The transfer receiving unit 323 can realize its function by, for example, the NIC 207, the OS 241, the RAM 203, the display control program 242, and the like. The extraction unit 324 can realize its function by, for example, the RAM 203 and the display control program 242. The sequential output control unit 325 can realize its function by, for example, the display control program 242 and the monitor 206.

  The hospital recording unit 326 records the history information received by the hospital receiving unit 321. As a result, it is possible to objectively perform post-verification of whether or not the content of the report of the ambulance crew E is appropriate, or whether or not the post-conveying treatment is appropriate. The hospital recording unit 326 can realize its function by the data recording unit 243 and the like.

<Functional configuration: headquarters terminal device 300>
The headquarter side receiving unit 331 receives the history information transmitted by the headquarter transmission control unit 311. By receiving the history information via the fire fighting radio and performing data restoration, a backup function between the member terminal device 100 and the hospital terminal device 200 can be achieved. The headquarters-side receiving unit 331 can realize its functions by the firefighting radio reception device on the firefighting command headquarter F side, the OS and RAM of the headquarters terminal device 300, and the like.

  The headquarters side sequential output unit 332 visualizes the history information received by the headquarters side receiver 331 and sequentially outputs it. The fire-fighting command headquarters F side can grasp the details of the emergency request, and can select an appropriate transport destination hospital or change notification depending on the situation. The headquarters side sequential output unit 332 can realize the function by the monitor and processing program of the headquarters terminal device 300, for example.

  The headquarter-side transfer unit 333 transfers the history information received by the headquarters-side receiving unit 331 to the hospital terminal device 200. This transmission can use a network via a broadband router and an appropriate server. The headquarter-side transfer unit 333 can realize its function by the processing program of the headquarters terminal device 300 and the NIC.

  The headquarter side recording unit 334 records the history information transmitted by the headquarter transmission control unit 311. Thereby, it can use when the emergency member E produces a report, and the post-verification of whether the contents of the report were appropriate can also be performed as needed. The head office recording unit 334 can realize its function by the hard disk of the head terminal 300.

  Since the network used between the member terminal device 100 and the hospital terminal device 200 and the network used between the member terminal device 100 and the headquarters terminal device 300 and between the headquarters terminal device 300 and the hospital terminal device 200 are usually different, it is practical. The communication area can be expanded and smooth medical cooperation is realized.

<Functional configuration: Call device 400>
The doctor side reception unit 341 receives the history information transmitted by the doctor transmission control unit 312. By receiving the history information via the instruction supervising doctor D, a backup function between the member terminal device 100 and the hospital terminal device 200 can be achieved. The doctor-side receiving unit 341 can realize its function by the OS and RAM of the call device 400.

  The doctor side sequential output unit 342 visualizes the history information received by the doctor side receiving unit 341 and sequentially outputs it. The instruction supervising doctor D can also visualize and grasp the process of the treatment etc. performed by the instructing supervising doctor, and send a more appropriate instruction. When there are a plurality of rescuers, it is possible to distinguish which patient is instructed what treatment, and in such a case, convenience is particularly enhanced. The display color may be different for each patient. The doctor side sequential output unit 342 can realize the function by, for example, the screen of the communication device 400 and the processing program.

  The doctor-side transfer unit 343 transfers the history information received by the doctor-side receiving unit 341 to the hospital terminal device 200. This transmission can be performed using a cellular phone line as appropriate, but is not limited to this as long as data transmission can be performed appropriately. The doctor-side transfer unit 343 can realize its function by the processing program of the call device 400 and the communication unit.

  Since the network used between the member terminal device 100 and the hospital terminal device 200 is usually different from the network used between the member terminal device 100 and the communication device 400 and between the communication device 400 and the hospital terminal device 200, the actual communication area. And a smooth medical cooperation is realized.

<Screen of member terminal device 100>
Next, a screen transition example of the member terminal device 100 will be described. FIG. 5 is a screen configuration diagram showing an example of a startup screen of the member terminal device 100. The screen 106 includes a menu box 401, an execution decision button 402, a numerical value input text box 403, a cancel check box 404, a previous operation cancel button 405, a history display window 406, and the like (FIG. 5A).

  The emergency member E depresses the menu box 401 and selects one of the preset menus “emergency” and “fire fighting”. The menu currently being selected is displayed in reverse color. The selected content is output (callback) by synthesized speech. It is also possible to select by voice input. As a result, the recording of the history information and other business histories is started and the contents are sequentially output to the history display window 406. Recording is also started (FIG. 5B).

  The menu box 401 switches to the next menu when “Emergency” is selected, and when the menu box 401 is pressed again, a pull-down menu is displayed. In FIG. 6A, “patient contact”, “CPR start”, “airway securing start”, “venous route”, “defibrillation wearing”, and “medicine administration” are displayed. Display is also possible. These menus can also be selected by voice input. The menu being selected is highlighted. FIG. 6B shows a screen example when “patient contact” is spoken.

  When ambulance crew member E reports body temperature, utter "body temperature 36.5 degrees". At this time, the “body temperature” menu is selected in the menu box 401, and “36.5” is input in the numerical value input text box 403. Regarding numerical values, the numerical input text box 403 may be pressed separately so that the emergency member E can input numerical values with a finger or the like. Screen display examples of body temperature reports and blood pressure reports are shown in FIGS. 7 (a) and 7 (b), respectively.

  When canceling a work unit, utter “(menu contents) + cancel”. FIG. 8 shows a mode in which CPR work is canceled after 30 seconds have elapsed from the start of CPR. Emergency member E speaks “CPR start cancel” and cancels the operation after automatic reading 30 seconds after the start of CPR. These operations can also be executed by pressing the cancel check box 404.

  Although illustration is omitted, it goes without saying that the automatic reading time (in the above case, 30 seconds) can be set in advance as appropriate. Various adjustments can be made on the application setting screen.

  To cancel the previous work, simply say “cancel”. FIG. 9 shows an example of a screen when canceling airway reservation. It shows how to cancel the “airway securing start” item by saying “cancel”. This canceling operation can also be executed by pressing the previous operation cancel button 405.

  When the job is to be ended, the “business end box” is displayed by pressing the lower left of the screen 106, and this is pressed. This completes the creation / recording and recording of the history information.

  As described above, the emergency medical system 1 releases work such as taking notes from the emergency crew E, provides an eye-free and hands-free work environment by voice input and callback, and reduces the work load. The subsequent report preparation work is also facilitated from these recorded contents. In addition, since the history information is output from the hospital terminal device 200 before the patient arrives, smooth medical cooperation is possible. In addition, backup processing is performed in which the route information is transmitted via another route via the headquarters terminal device 300 or the communication device 400 even if the radio wave status or line status cannot be transmitted to the hospital side device 200 at the transfer destination or during transfer. Therefore, there is no loss of background information. In addition, even if it is a remote environment where any communication is cut off, by sending the background information recorded in the member terminal device 100 via the line to return when approaching the hospital, The history information can be recognized by the hospital apparatus 200. Since the history information is supplemented and arranged according to time series as appropriate, the history is clarified and clarified.

  In other words, the emergency medical system 1 of the present invention is not a simple emergency medical IT (Information Technology), but a so-called ICT (Information And Communication Technology), that is, a system that places importance on communication. In addition to improving efficiency, the emergency command headquarters F (including the fire department that dispatches ambulance A when contacted) and 119 are received and ambulance A is transported to ambulance A. It can be said that it is possible to construct a quaternary information communication network system of the transport destination hospital H that accepts the rescuer C and the instruction supervising doctor D.

  In addition, the emergency medical system 1 is not limited to said aspect. For example, the emergency member E possesses a mobile phone separately, and performs voice input using the member terminal device 100 only when performing conversation or the like with the instruction / instructing doctor D using the mobile phone. good. Further, a barcode reader may be attached to the member terminal device 100, and the treatment report content may be input by using the barcode reader as a supplement using a sheet on which each treatment content is displayed as a barcode. Similarly, the treatment report content may be input using an electronic pen, a touch panel, RFID, or the like.

  ADVANTAGE OF THE INVENTION According to this invention, smooth medical cooperation with a conveyance destination hospital can be performed before conveyance regarding a rescuer required. A mobile base station may be provided in the ambulance A to secure the line. In addition, even if the transport destination hospital to which ambulance A should go should be changed as needed by grasping the road conditions etc. from the firefighting command headquarters by GPS, the background information should be appropriately received from the crew terminal device or the firefighting command headquarters. Can be sent back and smooth cooperation can be established.

1 emergency medical system 100 member terminal device 101 OS
103 RAM
104 Storage 105 Graphics chip 106 Screen 107 Communication unit 108 Headset 110 Application unit 112 Audio processing program 113 Background information creation program 114 Communication program 130 Data storage unit 131 Preset word storage unit 132 Learning word storage unit 133 Background information storage unit 134 Audio Data storage unit 181 Microphone 182 Earphone 200 Hospital terminal device 205 Graphics card 206 Monitor 242 Display control program 243 Data recording unit 300 Central terminal device 301 Voice input unit 302 Voice output unit 303 Call control unit 304 Voice characterizing unit 305 Background information creation unit 306 Background information transmission unit 307 Character voice output control unit 308 Predetermined content determination unit 309 Time voice output control unit 310 Hospital transmission control unit 311 Headquarter transmission control unit 31 Doctor transmission control unit 313 History information recording unit 314 History information display unit 315 Audio recording unit 317 Radio side reception unit 318 Data conversion unit 319 Radio side sequential transmission unit 321 Hospital side reception unit 322 Hospital side sequential output unit 323 Transfer reception unit 324 Extraction Unit 325 Sequential output control unit 326 Hospital side recording unit 331 Main unit side receiving unit 332 Main unit side sequential output unit 333 Main unit side transfer unit 334 Main unit side recording unit 341 Doctor side receiving unit 342 Doctor side sequential output unit 343 Doctor side transfer unit 400 Device 401 Menu box 402 Execution decision button 403 Numeric input text box 404 Cancel check box 405 Previous operation cancel button 406 History display window 500 Wireless communication device 501 Wi-Fi connection unit 502 Data conversion unit 503 Protocol control unit 504 Fire fighting wireless device connection unit A first aid C main rescuer D indication guidance physician E paramedics F fire command headquarters H transport destination hospital

Claims (4)

Emergency medical information and communication network system including a member terminal device, which is a portable communication device with a display function, possessed by an emergency member , a communication device possessed by an instruction supervising doctor, and a hospital terminal device installed in a destination hospital Because
The member terminal device
Voice input means for voice-inputting the treatment contents given by the ambulance crew based on the instruction from the instruction supervising doctor via the communication device or the report contents to the instruction supervising doctor or the destination hospital;
A voice characterizing means for recognizing and characterizing the treatment report content input by the voice input means;
A history information creating means for creating a history information by adding the time when the treatment report content was voice-input by the voice input means to the treatment report contents transcribed by the voice narration means;
History information recording means for recording the history information created by the history information creating means;
A history information display means for displaying the history information created by the history information creation means or the history information recorded by the history information recording means;
History information transmitting means for transmitting the history information created by the history information creating means;
A hospital transmission control means for controlling the history information transmitting means and transmitting the history information created by the history information creating means to the hospital terminal device;
With comprising a,
Audio output means for outputting audio;
A character voice output control means for controlling the voice output means to output the treatment report contents transcribed by the voice characterizing means as synthesized speech;
Predetermined content determination means for determining whether the treatment report content transcribed by the voice characterizing device is predetermined content;
When it is determined that the predetermined content is determined by the predetermined content determination unit, the audio output unit is controlled, and after the predetermined time elapses from the time when the treatment report content is input by the audio input unit A time voice output control means for outputting time and voice;
Comprising
Hospital terminal equipment
A hospital-side receiving means for receiving the history information transmitted by the hospital transmission control means;
Hospital side sequential output means for visualizing and sequentially outputting the history information received by the hospital side receiving means,
Hospital-side recording means for recording the history information received by the hospital-side receiving means;
An emergency medical information communication network system characterized by comprising: Furthermore, an emergency medical information communication network system including a headquarters terminal device installed in the firefighting command headquarters,
The member terminal device
A headquarters transmission control means for controlling the background information transmitting means and transmitting the background information created by the background information creating means to the headquarters terminal device;
The headquarters terminal device
Headquarter side receiving means for receiving the history information transmitted by the headquarter transmission control means,
Headquarters side sequential output means for visualizing and sequentially outputting the history information received by the headquarters side receiving means;
Headquarters-side recording means for recording the history information transmitted by the headquarters transmission control means;
Headquarters-side transfer means for transferring the history information received by the headquarters-side receiving means to the hospital terminal device;
Comprising
Hospital terminal equipment
Transfer receiving means for receiving the transferred history information;
The history information received by the transfer receiving means is compared with the history information received by the transfer receiving means and the history information received by the hospital receiving means, and the history information received by the transfer receiving means is not included in the history information received by the hospital receiving means. Extraction means for extracting from,
A sequential output control means for controlling the hospital-side sequential output means and performing output by complementing the background information extracted by the extraction means to the background information received by the hospital-side receiving means;
The emergency medical information communication network system according to claim 1, comprising: The member terminal device
Comprising a doctor transmission control means for controlling the background information transmitting means and transmitting the background information created by the background information creating means to the call device;
The communication device
Doctor side receiving means for receiving the history information transmitted by the doctor transmission control means;
The doctor side sequential output means for visualizing and sequentially outputting the history information received by the doctor side receiving means,
Doctor-side transfer means for transferring the history information received by the doctor-side receiving means to the hospital terminal device;
Comprising
Hospital terminal equipment
Transfer receiving means for receiving the transferred history information;
The history information received by the transfer receiving means is compared with the history information received by the transfer receiving means and the history information received by the hospital receiving means, and the history information received by the transfer receiving means is not included in the history information received by the hospital receiving means. Extraction means for extracting from,
A sequential output control means for controlling the hospital-side sequential output means and performing output by complementing the background information extracted by the extraction means to the background information received by the hospital-side receiving means;
The emergency medical information communication network system according to claim 1 or 2 , further comprising: The member terminal device
Call control means for performing call control with a call device;
A voice recording means for voice-recording the content of a call with the telephone device;
The emergency medical information communication network system according to any one of claims 1 to 3 , further comprising:

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