JP6326384B2 - Community comprehensive care support device, method, and program - Google Patents

Description

  The present invention relates to a regional comprehensive care support device, method, and program for accurately grasping the state of a patient or a person being watched over.

  Conventionally, there is a family note for exchanging information between a patient and a family or a helper who watches the patient. For example, when the family is absent, the state of the corresponding patient is grasped from the contents of the family note. I was able to.

  In recent years, information is often shared using a tool for sharing information such as a social networking service (SNS). Such tools for sharing information can be used to share information between the patient and the family or helper watching over the patient.

  In addition, sending patient information to health care professionals (see Patent Document 1), clinical evaluation of diseases based on medical examination results, etc., and providing treatment schedules and advice to patients ( (See Patent Document 2).

JP 2001-258857 A JP 2002-56099 A

  However, whether the patient or watching target family is in good condition because the helper of the patient or watching target or the family of the watching target does not know the relationship between the symptoms of the patient or watching target and daily life. It is difficult to judge. The person to be watched is a person who needs to watch, for example, a certified care recipient who should be examined.

  In addition, since the health care worker only contacts the patient or the person being watched for during the time of medical care, it may not be possible to grasp the state of daily life of the patient or the person being watched over. There is a problem that changes cannot be easily judged.

  In addition, there is a problem that medical staff do not have time to see vital information of patients or watching subjects as the number of patients or watching subjects to be examined increases.

  The present invention has been made paying attention to the above circumstances, and its purpose is to provide a regional comprehensive care support device, method, and program for accurately grasping the state of a patient or a person being watched over. It is in.

In order to achieve the above object, a first aspect of the present invention includes the following components. That is, according to a first aspect of the present invention, there is provided disease information acquisition means for acquiring disease information relating to a first user, and data including items relating to first life information associated with disease information based on the disease information. The state of the first user is changed according to the level of the second life information related to the first user input by the generation means for generating the first user and the second user related to the first user based on the data. Living information determination means for determining whether or not to notify the second user and vital information acquisition means for acquiring vital information regarding the first user when it is determined that the state of the first user should be notified When the vital information determining means for determining whether the value of the vital data contained in the vital information is within a predetermined range, have a value of vital data within a predetermined range If no, a device comprising a notifying means for notifying the state of the first user to the second user.

The first aspect of the present invention is characterized by further including the following aspects.
That is, the generation unit determines an item according to the first user attribute information from a plurality of items related to the first life information, based on the first user attribute information included in the disease information. Generate data to include the selected items.

  The living information determining means determines that the state of the first user should be notified when the character information in the item relating to the living information input by the second user corresponds to the character information set in advance. To do.

  The first aspect of the present invention also includes a method and program having similar components and aspects.

  That is, according to the present invention, it is possible to provide a regional comprehensive care support device, method, and program for accurately grasping the state of a patient or a person being watched over.

The figure which shows the background where the regional comprehensive care oversight system of embodiment of this invention is applied. The conceptual diagram which shows the structural example of the regional comprehensive care monitoring system of the embodiment. The functional block diagram which shows the structural example of the regional comprehensive care support server which concerns on the same embodiment. An example of a watching target person state determination processing sequence in the regional comprehensive care support processing executed by the regional comprehensive care support server according to the embodiment. The example of the process sequence which receives and stores the vital information in the community comprehensive care support process performed by the community comprehensive care support server which concerns on the embodiment. The example of the process sequence which produces | generates the living information input item in the community comprehensive care support process performed by the community comprehensive care support server which concerns on the embodiment. An example of a processing sequence in a case where it is determined that there is no notification regarding living information in the watching target person state determination processing in the regional comprehensive care support processing executed by the regional comprehensive care support server according to the embodiment. An example of a processing sequence when it is determined that there is something to be notified about living information in the watching target person state determination process in the regional comprehensive care support process executed by the regional comprehensive care support server according to the embodiment. The example of the life information input item presentation process sequence in the regional comprehensive care support process performed by the regional comprehensive care support server according to the embodiment. The example of the external appearance of the life information input item screen regarding the life information input item produced | generated by the regional comprehensive care support process performed by the regional comprehensive care support server which concerns on the embodiment. An example of a watching target person database structure stored in the regional comprehensive care support server according to the embodiment. The example of the life information database structure stored in the regional comprehensive care support server which concerns on the embodiment. The example of the used vital apparatus information database structure stored in the regional comprehensive care support server which concerns on the embodiment. The example of the disease life information database structure stored in the regional comprehensive care support server which concerns on the embodiment. The example of the check rule information database structure stored in the regional comprehensive care support server which concerns on the embodiment. The example of the notifier information database structure stored in the regional comprehensive care support server according to the embodiment. The example of the vital information database structure stored in the regional comprehensive care support server which concerns on the embodiment. The example of the life information basic entry setting database structure stored in the regional comprehensive care support server according to the embodiment.

Embodiments according to the present invention will be described below with reference to the drawings.
FIG. 1 is a diagram showing the background to which the regional comprehensive care monitoring system according to the embodiment of the present invention is applied.

  The comprehensive community care monitoring system of the present invention is a monitoring target person who is routinely measured on the condition of a patient who has received certification for long-term care required at home or the like or a monitoring target person (hereinafter referred to as “watching target person 11”). By combining 11 vital information, life information of the watching target person 11 included in the report from a third party, and disease information of the watching target person 11, the state of the watching target person 11 is grasped, and the watching target object When there is a possibility that the condition of the person 11 has deteriorated, care is given to the medical staff 15 such as a family doctor or visiting nurse who performs treatment for the person 11 to be watched or the person 11 to be watched for This is a system for notifying a care worker 14 or the like of the state of the person 11 to be watched over, and is managed by the regional comprehensive care support server 10.

  In more detail, as shown in FIG. 1, a caregiver worker 14 such as a helper or a physical therapist who provides a care support service to the watching target person 11, Register in the regional comprehensive care support server 10. In addition, police officers, firefighters, and private companies 13 such as courier companies who provide support for watching over the person to be watched 11 are in trouble in daily life as a result of the support provided to the person under watch 11. Is registered in the regional comprehensive care support server 10. Also, the watching target person family 12, who is the family of the watching target person 11, registers the life information related to the watching target person 11 in the regional comprehensive care support server 10. In addition, the watching target person 11 or a person related to the watching target person 11 registers vital data such as blood pressure and weight of the watching target person 11 in the regional comprehensive care support server 10. The vital data may be automatically registered in the regional comprehensive care support server 10 using, for example, a vital device that measures vital data of the person 11 to be watched over.

  Although details will be described later with reference to FIG. 3, the regional comprehensive care support server 10 executes a local comprehensive care support process for comprehensively care for the person 11 to be watched over in a predetermined region. The regional comprehensive care support server 10 determines whether or not the vital data is within a predetermined threshold range based on vital data or life information registered in the regional comprehensive care support server 10 (hereinafter referred to as “vital”). Data analysis process including a determination process related to life information, a language process related to the contents of registered data, and the like.

  Then, the regional comprehensive care support server 10 transmits an alert to, for example, the medical worker 15 or the care worker 14 according to the result of the data analysis processing. When receiving the alert, the medical worker 15 or the care worker 14 performs, for example, home medical care on the person 11 to be watched over. In addition, the regional comprehensive care support server 10 does not hold the meeting by the concerned parties in order to review the service contents for the care manager 16 or the person to be watched 11 regarding the person to be watched 11 or the like, not the health care worker 15 or the care worker 14. You may send an alert to the local government staff 17 etc. which hold.

  Next, with reference to FIG. 2, the structure of the community comprehensive care monitoring system 1 is demonstrated in detail. FIG. 2 is a conceptual diagram illustrating a configuration example of the regional comprehensive care monitoring system 1 according to the embodiment of the present invention.

  The regional comprehensive care monitoring system 1 of the present invention includes a regional comprehensive care support server 10, a medical information management server 20, a terminal 21-a provided in a medical worker facility 21, and a terminal 22 provided in a patient home / care facility 22. -A and the vital device 25, and a terminal 23-a provided in the care worker facility 23, the regional comprehensive care support server 10, the medical information management server 20, the medical worker facility 21, and the patient home / care facility 22 , And the care worker facility 23 are connected via a network 24 such as the Internet.

  The regional comprehensive care support server 10 has support information necessary for executing the regional comprehensive care support processing. The details of this support information will be described later with reference to FIG. 3 and the like. As shown in FIG. 2, for example, the watching target person information 10-a, the watching person information 10-b, and the used vital device information 10-c. , Life information 10-d, disease life correspondence information 10-e, check rule 10-f, notifier information 10-g, vital information 10-h, and watching target person information determination result 10-i.

  The medical information management server 20 provides the disease information related to the watching target person 11 to the regional comprehensive care support server 10 or the like. The medical information management server 20 has disease information and the like related to the person 11 to be watched over, and the disease information includes, for example, medical information 20-a, patient information 20-b, and medical worker information 20-c. The medical treatment information 20-a is information related to the medical treatment for the watching target person 11. The patient information 20-b is information related to the watching target person 11. The medical worker information 20-c is information on the medical worker 15 who performed medical care on the person 11 to be watched over, for example.

  The medical worker facility 21 is a facility where the medical worker 15 is engaged, such as a hospital. The medical worker facility 21 includes a terminal 21-a. The medical staff 15 can communicate with, for example, the medical information management server 20 via the network 24 using the terminal 21-a.

  The patient home / care facility 22 is the home of the person to be watched 11 or a care facility. The patient home / care facility 22 includes a terminal 22-a. The watching target person 11 can communicate with, for example, the medical information management server 20 via the network 24 using the terminal 22-a.

  The patient home / care facility 22 includes a vital device 25. The vital device 25 is a device for measuring vital data of the person 11 to be watched over as described above. Further, the person to be watched 11 or the like can communicate with the regional comprehensive care support server 10 via the network 24 using the vital device 25, for example.

  The care worker facility 23 is a facility where the care worker 14 is engaged. The care worker facility 23 includes a terminal 23-a. The care worker 14 can communicate with, for example, the regional comprehensive care support server 10 via the network 24 using the terminal 23-a.

  Note that these servers / databases / applications are described as independent entities, but in any combination, implementation as the same entity is not limited.

  The network 24 includes a LAN such as Ethernet (registered trademark), or a WAN to which a plurality of LANs are connected via a public line or a dedicated line. In the case of a LAN, it is composed of a number of subnets via routers as necessary. In the case of a WAN, a firewall or the like for connecting to a public line is provided as appropriate, but illustration and detailed description thereof are omitted here.

  The regional comprehensive care monitoring system 1 according to the present embodiment reads, for example, a program recorded on a recording medium such as a magnetic disk or a program downloaded via the network 24, and a server whose operation is controlled by the program. Realized by a computer.

FIG. 3 is a functional block diagram showing a configuration example of the regional comprehensive care support server 10 according to the embodiment of the present invention.
The community comprehensive care support server 10 includes a life information processing unit 30, a vital information processing unit 31, an information storage unit 32, a watcher information processing unit 33, an alert notification unit 34, a log output unit 35, a process reception unit 36, and an authentication processing unit. 37 and a life information basic entry setting file 38.

  The process reception unit 36 receives vital information of the person 11 to be watched over from the vital device 25. Further, the process receiving unit 36 receives life information, authentication information, disease information, and the like from the user terminal 55. The user terminal 55 is any one of the terminal 21-a, the terminal 22-a, or the terminal 23-a. For example, the process reception unit 36 receives disease information or authentication information from the terminal 21-a, and receives living information or authentication information from the terminal 22-a or the terminal 23-a.

  Then, the process reception unit 36 stores the received vital information, life information, authentication information, disease information, or the like in the information storage unit 32. The process reception unit 36 does not store the received vital information, life information, authentication information, disease information, or the like in the information storage unit 32, and does not store the vital information, living information, authentication information, or disease information. It may be sent to the processing unit 33, the authentication processing unit 37, or the like.

  The information storage unit 32 includes a watching target person information storage unit 44, a watcher information storage unit 45, a life information storage unit 46, a used vital device information storage unit 47, a disease life correspondence information storage unit 48, a check rule storage unit 49, and a notification. A person information storage unit 50, a vital information storage unit 51, and a watching target person information determination result storage unit 52 are provided.

  The watching target person information storage unit 44 stores watching target person information 10-a related to the watching target person 11. The watching target person information 10-a includes, for example, information as shown in the watching target person database 60 of FIG.

  The watcher information storage unit 45 stores watcher information 10-b related to the watcher related to the watch target person 11. The watcher is the watched person family 12, the care worker 14, the health care worker 15, the care manager 16, or the local government staff 17. The watcher information 10-b includes, for example, a user ID that can identify the watcher, a watcher's name and a pseudonym of the name, an address, a date of birth, or sex (not shown).

  The life information storage unit 46 relates to the watching target person 11 input by the watching target person family 12, the care worker 14, or the care manager 16 (hereinafter referred to as “watching related person”) related to the watching target person 11. The life information 10-d is stored. In addition, you may include the medical worker 15, the care manager 16, or the local government staff 17 which is a watcher as mentioned above in the monitoring related person. The living information 10-d includes information as shown in the living information database 61 of FIG.

  The used vital device information storage unit 47 stores used vital device information 10-c related to the used vital device 25. The used vital device information 10-c includes, for example, information as shown in the used vital device information database 62 of FIG.

  The disease life correspondence information storage unit 48 stores disease information and disease life correspondence information 10-e indicating the correspondence between the disease information and the life information. The disease life correspondence information 10-e includes information as shown in the disease life information database 63 of FIG.

  The check rule storage unit 49 stores a check rule 10-f that is used to determine whether to watch the state of the person 11 to be watched and notify a related person based on disease information or vital information. The check rule 10-f includes, for example, information as shown in the check rule information database 64 in FIG.

  The notifier information storage unit 50 stores the notifier information 10-g related to the notifier. The notifier is a watcher or a watch-related person. The notifier information 10-g includes information as shown in the notifier information database 65 of FIG.

  The vital information storage unit 51 stores vital information 10-h of the person 11 to be watched over. The vital information 10-h includes information as shown in the vital information database 66 of FIG.

  The watching target person information determination result storage unit 52 stores a watching target person information determination result 10-i (not shown) indicating a determination result related to the watching target person 11. Whether the watching target person information determination result 10-i is, for example, vital data determination processing, determination processing related to living information, language processing related to the contents of registered data, or watching the state of the watching target person 11 to notify relevant persons It includes information on the result of determination processing such as determination processing regarding whether or not. In addition, the watching target person information determination result 10-i includes, for example, information related to the report including the content reported by the watching related person or information related to the daily life of the watching target person 11.

  The living information processing unit 30 includes a living information input item generating unit 39, a living information receiving unit 40, and a living information determining unit 41.

  The life information input item generation unit 39 is associated with the disease information based on the disease information stored in the disease life correspondence information storage unit 48 or the disease information received by the process reception unit 36 or general life information. Data including items related to living information is generated. The items related to the life information will be described in detail with reference to FIG. 10, but items generated based on the state of the person 11 to be watched about the life information associated with the disease information and the frequency of the state, or general It includes items generated based on the state of the person 11 to be watched about life information and the frequency of the state. General life information is stored in the life information basic entry setting file 38.

  Moreover, the life information input item generation part 39 determines the item according to the attribute information of the watching target person 11 from a plurality of items related to the living information based on the attribute information of the watching target person 11 included in the disease information, Data is generated to include the determined item. In other words, the item to be reported to the notifier or the like is determined according to the symptoms of the watching target person 11. For example, data is generated by automatically combining appropriate items according to attributes such as age and sex of the person 11 to be watched over. Further, in the case of targeting a plurality of watching target persons 11, each attribute of the watching target person 11 is associated with a predetermined item in advance, and data is generated so as to include the related items.

  Moreover, the living information input item generation part 39 produces | generates a living information input item screen etc. so that the watching related person can input the living information regarding the watching target person 11 based on the produced | generated data. The life information input item screen will be described later with reference to FIG.

  Then, for example, when reporting the life information of the watching target person 11 to a third party or the like, the life information processing unit 30 watches the data including the generated life information input item screen and presents it to the related parties. For example, the data is transmitted to the user terminal so that the life information input item screen generated on the user terminal 55 is automatically displayed on the user terminal 55 using a transmission unit (not shown) in the regional comprehensive care support server 10 or the like. To 55.

  The life information receiving unit 40 receives the life information related to the watching target person 11 (hereinafter referred to as “watching target person living information”) input by the watching related person based on the transmitted data via the process receiving unit 36. Receive.

  The living information determination unit 41 determines whether or not to notify the notifier of the state of the watching target person 11 according to the level of the received watching target person living information. The life information determination unit 41 determines that the state of the watching target person 11 should be notified to the notifier when the character information in the item related to the watching target person life information corresponds to the character information set in advance. .

The vital information processing unit 31 includes a vital information reception unit 42 and a threshold determination processing unit 43.
The vital information receiving unit 42 receives vital information related to the watching target person 11 obtained via the process receiving unit 36 or vital information related to the watching target person 11 stored in the vital information storage unit 51. For example, the vital information receiving unit 42 acquires vital information when the living information determining unit 41 determines that the state of the watching target person 11 should be notified to the notifier.

  Based on the vital information received by the vital information receiver 42, the threshold determination processor 43 determines whether or not the vital state of the person 11 to be watched is within a predetermined range. The vital status may be included in the vital information as information related to the vital status, or may be acquired based on information such as the blood pressure, heart rate, body temperature, or weight of the watching target person 11 included in the vital information. Good. The predetermined range or threshold value may be determined each time, for example, according to the situation regarding the person 11 to be watched by the medical staff 15. In other words, a predetermined range or threshold value may be watched and set to a normal range value corresponding to the target person 11. For example, when the person 11 to be watched over is not in a hospital, the predetermined range or threshold value may be set to a standard value, for example, an average value of healthy persons.

  When the threshold determination processing unit 43 determines that the vital state of the watching target person 11 is not within the predetermined range, the alert notification unit 34 notifies the watching related person of the state of the watching target person 11.

The log output unit 35 watches the above-described watching target person information determination result 10-i and outputs it to the watching target person information determination result storage unit 52 and the like.
The watcher information processing unit 33 includes a watcher information setting unit 53 and a watcher information browsing unit 54.
The watcher information setting unit 53 performs processing for registering watcher information. For example, the access authority for the information stored in the information storage unit 32 is set. The watcher information setting unit 53 stores the registered watcher information in the watcher information storage unit 45.

  The watcher information browsing unit 54 confirms the contents such as the access authority described in the watcher information registered by the watcher information setting unit 53, and the contents that can be displayed on the user terminal 55 based on the contents. Limit. For example, the browsing of the sick life correspondence information 10-e is not restricted for the medical worker 15, while the care worker 14 other than the medical worker 15 has the disease life correspondence information 10-e. Restrict viewing.

  The authentication processing unit 37 performs an authentication process related to the user corresponding to the vital device 25 or the user device 55. For example, when the vital device 25 accesses the vital information stored in the vital information storage unit 51, it is determined whether the user is a user who can access the vital information.

  In the claims, disease information acquisition means for acquiring disease information related to the first user corresponds to, for example, the processing reception unit 36. A generation unit that generates data including items related to the first life information associated with the disease information based on the disease information corresponds to the life information input item generation unit 39, for example. Should the second user be notified of the state of the first user according to the level of the second living information about the first user entered by the second user related to the first user based on the data The life information determination means for determining whether or not corresponds to the life information determination unit 41, for example. When it is determined that the state of the first user should be notified, vital information acquisition means for acquiring vital information related to the first user corresponds to the vital information receiving unit 42, for example. Vital information determination means for determining whether or not the vital status of the first user is within a predetermined range based on the vital information corresponds to the threshold determination processing unit 43. The notification means for notifying the second user of the state of the first user when the vital state is not within the predetermined range corresponds to the alert notification unit 34.

  Further, in the claims, based on the attribute information of the first user included in the disease information, an item corresponding to the attribute information of the first user is determined from a plurality of items related to the first life information. The generating means for generating data so as to include the corresponding items corresponds to the living information input item generating unit 39, for example.

  Further, in the claims, if the character information in the item relating to the life information input by the second user corresponds to the character information set in advance, the life to be determined that the state of the first user should be notified The information determination unit corresponds to the living information determination unit 41, for example.

Next, an example of the watching target person state determination process in the regional comprehensive care support process executed by the regional comprehensive care support server 10 will be described with reference to FIG.
The regional comprehensive care support server 10 starts a watching target person state determination process for determining the state of the watching target person 11 (step S40). The life information receiving unit 40 receives the watching target person life information (step S41). Note that the watching target person state determination process may be executed, for example, at a constant cycle, or may be started with the process in step S41 as a trigger.

  Next, the regional comprehensive care support server 10 executes a process for specifying the watching target person 11 (step S42). The process in step S42 is, for example, a process of identifying a watching target person by a combination of the name of the watching target person described in the watching target person life information and the watching related person.

  And the living information determination part 41 determines a notification level according to the frequency of the received monitoring subject person living information (step S43). The notification level includes, for example, a level for determining whether or not the state of the watching target person 11 should be notified to the notifier. Moreover, the life information determination part 41 may determine a notification level according to the level of watching target person life information regarding character information as described above, instead of the frequency of watching target person life information. Moreover, the life information determination part 41 may determine a notification level according to the condition level which shows the state or condition of the person 11 to be watched over. For example, when the situation level decreases, it is determined that the notification person should be notified.

  As a result of determining the notification level, the living information determination unit 41 determines whether there is anything to be notified to the notifier (step S44). When it is determined that there is nothing to be notified (step S44: NO), the watching target person state determination process is ended. When it is determined that there is something to be notified (step S44: YES), processing for acquiring vital data of the watching target person 11 is performed (step S45 to step S47).

  In step S45 to step S47, first, the vital information receiving unit 42 acquires vital data including vital information related to the watching target person 11 as described above according to the status of the check rule (step S45). For example, vital data including vital information corresponding to the disease information indicated in the check rule is acquired (step S45).

  Next, the threshold determination processing unit 43 determines the notification level of the check rule (hereinafter referred to as the vital notification level) (step S46). Note that the vital notification level is a level used to determine a threshold value related to vital information, and is different from the notification level related to living information in step S43. For example, when the vital information of the person to be watched 11 measured by the person concerned with watching exceeds the normal range, or the difference between the vital information measured this time and the vital information measured last time exceeds the normal range. If so, it is determined that an abnormality has occurred in the person 11 to be watched over.

  Then, the regional comprehensive care support server 10 determines whether there is anything to be notified to the notifier based on the determination result by the threshold determination processing unit 43 (step S47). When it is determined that there is nothing to be notified (step S47: NO), the watching target person state determination process is ended. When it is determined that there is something to be notified (step S47: YES), the watching-related person 11 is notified of the state of the watching target person 11 (step S48). For example, when it is determined that there is something to be notified, the notification person is notified using e-mail, telephone, or the like according to the vital notification level corresponding to the disease information indicating each symptom of the watching target person 11.

  Thus, by performing the watching target person state determination process as shown in FIG. 4, for example, the situation level of the watching target person 11 is lowered based on the watching target person life information and the vital information of the watching target person 11. If the value of the vital data included in the vital information of the person being watched over 11 exceeds or falls below the threshold value, the notifier that the situation of the person 11 being watched for may have changed. Can be notified. For this reason, it is possible to determine the priority of the person 11 to be watched that needs to be examined by the person concerned with watching.

Next, an example of a processing sequence for receiving and storing vital information will be described with reference to FIG.
First, the vital device 25 transmits vital information to the process reception unit 36 (step S50). Note that when the vital information is transmitted to the process reception unit 36 in a plurality of times, the authentication process may be executed at the first transmission time. In this case, at the time of the first transmission, for example, the authentication information of the watching target person 11 is embedded in the header of the first vital information to be transmitted, and the authentication processing is executed by the authentication processing unit 37 or the like based on the embedded authentication information. Is done.

  Next, the process reception part 36 transmits the vital information received from the vital device 25 to the vital information reception part 42 (step S51). The vital information receiving unit 42 registers the vital information received from the process accepting unit 36 in the vital information storage unit 51 (step S52).

Next, with reference to FIG. 6, an example of a processing sequence for generating a living information input item according to disease information related to the watching target person 11 will be described.
First, the terminal 22-a transmits user authentication information to the process reception unit 36 in order to perform user authentication (step S60). The process accepting unit 36 transmits the user authentication information received from the terminal 22-a to the authentication processing unit 37 (step S61). The authentication processing unit 37 performs user authentication related to the terminal 22-a based on the user authentication information received from the process reception unit 36. Note that user authentication is performed, for example, by comparing user authentication information preset in the regional comprehensive care support server 10 with received user authentication information.

  If the user authentication is successful, the authentication processing unit 37 transmits the authentication result to the process receiving unit 36 (step S62). Based on the authentication result received from the authentication processing unit 37, the process receiving unit 36 notifies the terminal 22-a that the user authentication has been successful (step S63).

  Next, the terminal 22-a transmits watching target person information regarding the watching target person 11 to the process receiving unit 36 (step S64). Note that the watching target person information may include, for example, information as shown in the watching target person database 60 of FIG. The process reception unit 36 transmits the watching target person information received from the terminal 22-a to the living information input item generation unit 39 (step S65).

  Next, the living information input item generation unit 39 acquires disease information related to the watching target person 11 from the watching target person information storage unit 44 based on the watching target person information received from the process reception unit 36 (step S66). Moreover, the item regarding the state or frequency of the life information regarding the watching target person 11 is acquired from the disease life correspondence information storage unit 48 (step S67). Items relating to the state or frequency of life information include, for example, information as shown in the disease life information database 63 of FIG. Moreover, the basic item of the life information regarding the watching target person 11 included in the general life information as described above is acquired from the life information basic entry setting file 38 (step S68).

  Then, the life information input item generation unit 39 transmits the generated life information input item to the process reception unit 36 as data including the items related to the life information described above (hereinafter referred to as “life information input item data”). (Step S69). In order for the process reception unit 36 to display the life information input item data received from the life information input item generation unit 39 on the terminal 22-a in a format that can be recognized by a user such as a watcher using the terminal 22-a. The life information input item data is transmitted to the terminal 22-a (step S70).

  In addition, the process which receives and stores vital information as shown in FIG. 5 and the process which produces | generates the life information input item as shown in FIG. 6 start a monitoring object person state determination process as shown in FIG. May be performed in advance, or may be performed during the watching target person state determination process.

Another example of the processing sequence for generating the life information input item shown in FIG. 6 will be described later with reference to FIG.
Next, an example of a processing sequence corresponding to the watching target person state determination process shown in FIG. 4 will be described in more detail with reference to FIGS. 7 and 8.
FIG. 7 shows an example of a processing sequence corresponding to NO in steps S40 to S44 in FIG. That is, FIG. 7 shows an example of a processing sequence when it is determined that there is nothing to be notified as a result of determining the notification level by the life information determination unit 41 in the watching target person state determination process.

  First, the terminal 22-a transmits watching target person life information to the process reception unit 36 (step S71). The process accepting unit 36 transmits the watching target person life information received from the terminal 22-a to the life information receiving unit 40 (step S72).

  Next, the living information receiving unit 40 acquires watching target person information from the watching target person information storage unit 44 (step S73). Based on the acquired watching target person information, the watching target person life information received from the process reception unit 36 is stored (registered) in the living information storage unit 46 (step S74). For example, when a database related to the watching target person 11 specified by the acquired watching target person information is already stored in the living information storage unit 46, the process acceptance is performed so as to be associated with the already stored database related to the watching target person 11 The watching target person life information received from the unit 36 may be further stored in the life information storage unit 46.

  Then, the living information receiving unit 40 notifies the processing accepting unit 36 that the watching target person living information has been successfully stored (step S75). In response to the notification from the life information receiving unit 40, the process receiving unit 36 notifies the terminal 22-a that the watching target person life information has been successfully stored (step S76).

  Next, the living information receiving unit 40 transmits the watching target person information acquired in step S73 and the watching target person living information registered in step S74 to the living information determining unit 41 (step S77).

  The living information determination unit 41 uses the sick life correspondence information 10-e stored in the sick life correspondence information storage unit 48 based on the watching target person information and the watching target person life information received from the life information receiving unit 40. Information regarding the state or notification level of the monitoring subject person life information of the watching target person 11 is acquired from the disease life correspondence information storage unit 48 (step S78). And based on the information regarding the state or notification level of the monitoring target person life information of the acquired monitoring target person 11, the state or notification level of the monitoring target person 11 is determined, and the determination result is monitored and the target person information determination result storage unit 52 is monitored. (Step S79).

Then, the living information determining unit 41 notifies the living information receiving unit 40 that there is nothing to notify the notifier (step S80).
On the other hand, FIG. 8 shows an example of a processing sequence corresponding to YES to step S48 in step S44. That is, FIG. 8 is notified in the determination result of the vital data determination process when it is determined that there is something to be notified as a result of determining the notification level by the living information determination unit 41 in the watching target person state determination process. An example of the processing sequence in the case where it is determined that there is nothing (step S81) and in the case where it is determined that there is something to be notified in the determination result of the vital data determination process (step S82) is shown.

  Therefore, the process of step S81 is performed after it is determined in step S80 of FIG. 7 that the life information determination unit 41 should notify the life information reception unit 40 that there is something to be notified to the notifier. In this case, it is not always necessary to notify the living information receiving unit 40 that there is something to be notified to the notifier.

  In step S81, the living information determination unit 41 transmits the watching target person information to the threshold determination processing unit 43 (step S83).

  The threshold determination processing unit 43 acquires, from the check rule storage unit 49, a check rule corresponding to the watching target person 11 corresponding to the received watching target person information based on the received watching target person information (step S84). . In addition, based on the received watching target person information, vital information of the watching target person 11 corresponding to the received watching target person information is acquired from the vital information storage unit 51 (step S85). The vital information may be acquired directly from the vital device 25 by the vital information receiving unit 42 instead of from the vital information storage unit 51.

  Further, the threshold determination processing unit 43 watches the past determination result and acquires it from the target person information determination result storage unit 52 as necessary based on the check rule acquired in step S84 (step S86). For example, when a past determination result is used for the acquired check rule, the past determination result is acquired.

  Then, the threshold determination processing unit 43 determines vital data based on the check rule acquired in step S84, the vital information acquired from the vital information storage unit 51 in step S85, or the past determination result acquired in step S86. Processing determination processing is performed, and the determination result is watched and registered in the target person information determination result storage unit 52 (step S87).

  When the threshold determination processing unit 43 obtains the determination result of the vital data determination processing in step S87 indicating that there is nothing to notify the notifier, in other words, it is determined that there is nothing to notify the notifier. In other words, if it is determined not to notify the notifier, the living information determination unit 41 is notified that the determination process of the vital data determination process has been completed (step S88). Then, the life information determination unit 41 notifies the life information reception unit 40 that the vital data determination process is completed in response to the notification from the threshold value determination processing unit 43 that the vital data determination process has been completed. (Step S89).

  On the other hand, in step S82, the threshold value determination processing unit 43 notifies the notifier in other words when the determination result of the vital data determination process indicating that there is something to be notified to the notifier in step S87. When it is determined that there is something, in other words, when it is determined that it is necessary to notify the notifier, the watching target person information received in step S83 is transmitted to the alert notification unit 34 (step S90).

  Next, the alert notification unit 34 acquires notifier information from the notifier information storage unit 50 based on the watching target person information received from the threshold determination processing unit 43 (step S91). For example, information about a notifier associated with the watching target person 11 corresponding to the watching target person 11 corresponding to the received watching target person information is acquired. And it notifies to a notifier based on the acquired notifier information.

  Further, the alert notification unit 34 notifies the threshold determination processing unit 43 that the watching target person state determination processing including the vital data determination processing is completed (hereinafter referred to as “processing completion notification”) (step S31). S93). Next, the threshold determination processing unit 43 notifies the living information determination unit 41 of the processing completion notification in response to receiving the processing completion notification from the alert notification unit 34 (step S94). Then, the living information determining unit 41 notifies the living information receiving unit 40 of the processing completion notification in response to receiving the processing completion notification from the threshold value determining processing unit 43 (step S95).

  Next, an example of the living information input item presentation process in the regional comprehensive care support process executed by the regional comprehensive care support server 10 will be described with reference to FIG. As described above, FIG. 9 is another example of the processing sequence for generating the life information input item corresponding to FIG. Further, FIG. 6 has been described assuming that the watching target person 11 is a patient or the like suffering from a disease, but FIG. 9 also assumes a case where the watching target person 11 is not suffering from a disease. .

  First, the regional comprehensive care support server 10 starts processing for watching and presenting life information input items to related parties and the like (step S100).

  Next, the life information input item generation unit 39 performs a process for specifying the watching target person 11 (step S101). For example, unique identification information that can distinguish the watching target person 11 included in the watching target person information from the other watching target person 11 is received from the terminal 22-a, and the watching target person 11 is specified based on the received unique identification information. Process to do.

  Next, the life information input item generation unit 39 monitors the disease information of the watching target person 11 and acquires it from the watching target person information storage unit 44 (step S102). Moreover, it is determined using a notification level whether it is an item required in order to produce | generate a living information input item based on the frequency etc. of watching target person living information (step S103). For example, when it is determined that the information regarding the frequency included in the latest monitoring target person life information is a level to be notified to the notifier, the life information input item is set so that the item associated with the level to be notified is included. It may be generated.

  Then, the life information input item generation unit 39 determines whether or not the disease information is included in the items necessary for generating the life information input item (step S104). When it is determined that the disease information is not included in the items necessary for generating the life information input item (step S104: NO), the process proceeds to step S106.

  The life information input item generation unit 39, when the disease information is included in the items necessary for generating the life information input item (step S104: YES), the state of the life information related to the disease information and the frequency of the life information The matter regarding is acquired (step S105).

  Next, the life information input item generation unit 39 acquires confirmation items related to general life information (step S106). A life information input item is generated based on the items related to the state of life information related to the disease information acquired in step S105 and the items related to the frequency of the life information and the confirmation items related to general life information acquired in step S106 (step S107). ). The generated life information input item is presented as a life information input item screen 100 as shown in FIG. 10, for example, to the watching parties via the terminal 22-a (step S108).

Next, an example of the appearance of the life information input item screen 100 will be described with reference to FIG.
As shown in FIG. 10, the life information input item screen 100 includes, for example, a state of life information related to a disease and a disease-related item 101 generated based on the frequency of the life information, a state of general life information and its It has general related items 102 generated based on the frequency of life information, and an input item 103 in which a person concerned with watching can input characters freely.

  As shown in FIG. 10, the disease-related item 101 includes items indicating the state of life information related to a disease such as “time / place sense” and “repetition frequency”. In addition, the disease-related items 101 include, for example, life information related to diseases indicated by “uncertain”, “sometimes uncertain”, and “normal” so as to correspond to items indicated by “sense of time / place”. Have frequency.

  As shown in FIG. 10, the general related item 102 includes items indicating the state of general life information such as “meal” and “toilet”, for example. In addition, the general related item 102 is, for example, a general life indicated by “almost complete meal”, “somewhat left behind”, and “almost untouched” so as to correspond to an item indicated by “meal”. Have information frequency.

  Next, an example of the structure of the watching target person database 60 stored in the watching target person information storage unit 44 will be described with reference to FIG.

  As shown in FIG. 11, the watching target database 60 includes, for example, user ID information 60-a, name information 60-b, kana information 60-c, address information 60-d, date of birth information 60-e, gender, and the like. Information 60-f, disease 1 information 60-g, hospital 1 information 60-h, attending physician 1 information 60-i, disease 2 information 60-k, hospital 2 information 60-m, and attending physician 2 information 60-n Has a field.

  The user ID information 60-a indicates information related to a user identifier that can identify the watching target person 11. The name information 60-b indicates information related to the name of the person 11 to be watched over. The kana information 60-c indicates information related to the name “Kana” of the person 11 to be watched over. Address information 60-d indicates information related to the address of the person 11 to be watched over. The date of birth information 60-e indicates information related to the date of birth of the person 11 to be watched over. The sex information 60-f indicates information related to the gender of the person 11 to be watched over. The disease 1 information 60-g indicates the disease information of the watching target person 11. The hospital 1 information 60-h indicates hospital information related to the disease 1 information 60-g. The doctor-in-charge 1 information 60-i indicates the doctor-in-charge information of the watching target person 11 related to the disease 1 information 60-g. Similarly, the disease 2 information 60-k indicates the disease information of the watching target person 11. The hospital 2 information 60-m indicates hospital information related to the disease 2 information 60-k. The doctor 2 information 60-n indicates the doctor information of the person 11 to be watched over related to the disease 2 information 60-k.

  For example, as shown in FIG. 11, the name of the user ID information 60-a “12345678” is “Shohei Chiba”, and the name of the name is “Chiba Shohei”. The address of the user ID information 60-a “12345678” is “Tokyo XX ward XX”, and the date of birth is May 28, 1938 as indicated by “1938/05/28”. , The gender means male as indicated by “M”. The watching target person 11 corresponding to the user ID information 60-a “12345678” suffers from the disease 1 information 60-g “dementia” and the disease 2 information 60-k “chronic heart failure”. -G “Dementia” is treated by the physician 1 information 60-i “Yuichi Fukushima” at the hospital 1 information 60-h “A clinic”, and the disease 2 information 60-k “chronic heart failure” This means that the doctor 2 information 60-n “Hiromi Okazaki” is being treated in the hospital 2 information 60-m “B hospital”.

Next, an example of the structure of the life information database 61 stored in the life information storage unit 46 will be described with reference to FIG.
As shown in FIG. 12, the life information database 61 includes, for example, user ID information 61-a, registration date and time information 61-b, reporter information 61-c, life information 1 61-d, result 1 information 61-e, It has fields of life information 2 61-f, result 2 information 61-g, life information 3 61-h, result 3 information 61-i, and other information 61-k.

  The user ID information 61-a indicates information related to a user identifier that can identify the watching target person 11. The registration date / time information 61-b includes the date / time when the life information 10-d was input by the person concerned with watching corresponding to the reporter information 61-c described later or the input life information 10-d to the regional comprehensive care support server 10. It shows information about the registered date and time. The reporter information 61-c indicates information related to a watch-related person who has input the life information 10-d.

  Living information 1 61-d, living information 2 61-f, and living information 3 61-h indicate general living information or living information related to a disease. The result 1 information 61-e indicates the state of the life information corresponding to the life information 161-d. Similarly, the result 2 information 61-g indicates the state of the life information corresponding to the life information 261-f. Further, the result 3 information 61-i indicates the state of the living information corresponding to the living information 361-h.

  The other information 61-k indicates information including character information related to the watching target 11 corresponding to the user ID information 61-a input by the watching related person corresponding to the reporter information 61-c.

  For example, as shown in FIG. 12, at the date and time indicated by the registration date and time information 61-b “2014/10/01 16:32”, the user ID is given by the watching party indicated by the reporter information 61-c “helper001”. Life information 1 61-d “meal” and result information “complete meal”, life information 2 61-f “conversation” and result information “repetition frequency” regarding the person 11 to be watched indicated by the information 61-a “12345678” That the information indicated by “Many”, Life information 3 61-h “Conversation” and the result information “Random / anger frequency” and other information 61-k “Looks like snacking” means.

  In addition, although the information regarding user ID information 61-a "12345678" is shown in FIG. 12, a plurality of different user ID information 61-a corresponding to each of a plurality of different watching subjects 11 is stored in the life information database 61. May be included.

  Next, an example of the structure of the used vital device information database 62 stored in the used vital device information storage unit 47 will be described with reference to FIG.

  As illustrated in FIG. 13, the used vital device information database 62 includes, for example, fields of user ID information 62-a, vital device 1 information 62-b, and vital device 2 information 62-c.

  The user ID information 62-a indicates information related to a user identifier that can identify the watching target person 11. The vital device 1 information 62-b and the vital device 2 information 62-c respectively indicate information regarding different vital devices 25 used by the watching target person 11 corresponding to the user ID information 62-a.

  For example, as shown in FIG. 13, in the vital device 25 and the vital device 2 information 62-c “weight scale” indicated by the vital device 1 information 62-b “body motion sensor” by the user ID information 62-a “12345678”. It means that the indicated vital device 25 is used.

  Next, an example of the structure of the disease life information database 63 stored in the disease life correspondence information storage unit 48 will be described with reference to FIG.

  As shown in FIG. 14, the disease life information database 63 includes fields for disease information 63-a, life information 63-b, state information 63-c, frequency information 63-d, and notification level information 63-e, for example. Have.

  The disease information 63-a indicates information related to the disease. The life information 63-b indicates information related to the life of the person 11 to be watched over. The state information 63-c indicates information related to the state of life information corresponding to the life information 63-b. The frequency information 63-d indicates information regarding the frequency of the state of the life information indicated by the state information 63-c. The notification level information 63-e indicates information related to the notification level corresponding to the frequency information 63-d. The notification level is set, for example, according to the status of life information. For example, when the living information deteriorates, the notification level is set to a level indicating that an abnormality has occurred in the watching target person 11 in other words.

  For example, as shown in FIG. 14, disease information 63-a “dementia”, life information 63-b “daily life”, status information 63-c “time / place sense”, frequency information 63-d “uncertain / “Sometimes sure / normal” and notification level 63-e “uncertain” are associated with each other. Similarly, disease information 63-a “dementia”, life information 63-b “conversation”, state information 63-c “repetition frequency”, frequency information 63-d “many / sometimes / low”, and notification level 63- Each “e” is associated with each other.

  Similarly, for example, disease information 63-a “dementia”, life information 63-b “others”, state information 63-c “spear, lost child, violence, hallucination, repetition of the same ...”, frequency information 63 -D "-(means that there is no frequency information)" and notification level 63-e "when at least one keyword described in the state is included in the description" are associated with each other. When the frequency information 63-d is not set as described above, the regional comprehensive care support server 10 includes the keyword included in the state information 63-c, for example, “徘徊”, in the watching target person life information. It is determined whether or not the notification person should be notified when the keyword included in the state information 63-c is included by executing language processing on the monitoring target person life information.

  In addition, the disease life information database 63 used as a determination rule regarding each life information of the watching target person 11 as shown in FIG. 14 is registered in the regional comprehensive care support server 10 by, for example, a medical worker included in the watching person. May be.

  Next, an example of the structure of the check rule information database 64 stored in the check rule storage unit 49 will be described with reference to FIG.

  As shown in FIG. 15, the check rule information database 64 includes, for example, fields of user ID information 64-a, disease information 64-b, vital information 64-c, situation information 64-d, and notification level 64-e. Have.

  The user ID information 64-a indicates information related to a user identifier that can identify the watching target person 11. The disease information 64-b indicates information related to the disease. The vital information 64-c indicates information related to vitals. The situation information 64-d indicates information related to the vital situation corresponding to the vital information 64-c. The notification level 64-e indicates information related to the vital notification level corresponding to the situation information 64-d.

  For example, as illustrated in FIG. 15, regarding the watching target person 11 corresponding to the user ID information 62-a “12345678”, vital data regarding the watching target person 11 corresponding to the user ID information 62-a “12345678” is disease information. If the status information 64-d “increased 2 kg or more from the previous day” corresponds to 64-b “chronic heart failure” and vital information “weight”, the community comprehensive care monitoring system 1 will notify the notification level information 64-e “immediately” As shown in “Notification”, this means that the notification person is notified immediately.

  In addition, as shown in the check rule information database 64, information regarding the symptoms of the person 11 to be watched over, life information related to the symptoms, vital information related to the symptoms or life information, and a correspondence table regarding the occurrence of an abnormality are as follows: For example, it may be created by a medical worker included in the watcher. Moreover, the information regarding the symptom of the watching target person 11 may be registered in the regional comprehensive care support server 10 by, for example, a medical worker included in the watching person.

  FIG. 15 shows information related to the user ID information 64-a “12345678”, but the check rule information database 64 includes a plurality of different user ID information 64- corresponding to each of the plurality of different watching subjects 11. a may be included.

  Further, when executing the vital data determination process for a plurality of vital data using the check rule information database 64, if it is determined that it is necessary to notify at least one vital data, the notifier is notified. May be.

  Next, an example of the structure of the notifier information database 65 stored in the notifier information storage unit 50 will be described with reference to FIG.

  As illustrated in FIG. 16, the notifier information database 65 includes, for example, user ID information 65-a, contact 1 information 65-b, contact 2 information 65-c, contact 3 information 65-d, and contact information. 4 fields of 65-e.

  The user ID information 65-a indicates information regarding a user identifier that can identify the watching target person 11. The contact 1 information 65-b, the contact 2 information 65-c, the contact 3 information 65-d, and the contact 4 information 65-e each indicate information related to the notifier.

  For example, as shown in FIG. 16, when it is necessary to notify a notification person related to the watching target person 11 corresponding to the user ID information 64-a “12345678”, the contact 1 information 65-b “y_fukushima @ hos_a. co.jp ”, contact 2 information 65-c“ okzk@hos_b.co.jp ”, contact 3 information 65-d“ kaigo_tantoh@xxx.lg.jp ”, and contact 4 information 65-e“ care @ ” Notification is made using e-mail or the like to the e-mail address that is the contact address shown in “cs_c.co.jp”.

  Note that the contact 1 information 65-b, the contact 2 information 65-c, the contact 3 information 65-d, and the contact 4 information 65-e may not be email addresses, for example, telephone numbers. Address may be used.

  Next, an example of the structure of the vital information database 66 stored in the vital information storage unit 51 will be described with reference to FIG.

  As shown in FIG. 17, the vital information database 66 includes, for example, fields of user ID information 66-a, acquisition date information 66-b, vital device information 66-c, and data information 66-d.

  The user ID information 66-a indicates information related to a user identifier that can identify the watching target person 11. The acquisition date / time information 66-b indicates information related to the date / time when the vital information regarding the watching target person 11 corresponding to the user ID information 66-a is acquired. The vital device information 66-c indicates information regarding the vital device 25 that measures the vital information acquired in the acquisition date / time information 66-b. The data information 66-d indicates information related to vital data included in the vital information measured by the vital device 66-c.

  For example, as shown in FIG. 17, the data information 66-d “64.64” measured by the vital device 66-c “weight scale” used by the watching target person 11 corresponding to the user ID information 64-a “12345678”. It means that the vital data indicated by “2 Kg” is acquired by the regional comprehensive care support server 10 at the date indicated by the acquisition date 66-b “2014/10/01 20:30:24”. In addition, the data information 66-d “sleep” corresponding to the vital device information 66-c “body motion sensor” indicates that the watching target person 11 corresponding to the user ID information 64-a “12345678” is sleeping, for example. Etc.

  In FIG. 17, information on the user ID information 66-a “12345678” is shown, but a plurality of different user ID information 66-a corresponding to each of a plurality of different watching subjects 11 is stored in the vital information database 66. May be included.

  Next, an example of the structure of the life information basic entry setting database 67 stored in the life information basic entry setting file 38 will be described with reference to FIG.

  As shown in FIG. 18, the life information basic entry setting database 67 has, for example, fields of life information 67-a, state information 67-b, and frequency information 67-c.

  The life information 67-a indicates information related to general life. The state information 67-b indicates information regarding a state corresponding to the life information 67-a. The frequency information 67-c indicates information regarding the frequency corresponding to the state information 67-b.

  For example, as shown in FIG. 18, the status information 67-b “meal” corresponding to the life information 67-a “life” is frequency information 67-c “almost complete / some left over / almost untouched”. Corresponding to The status information 67-b “toilet” corresponding to the life information 67-a “life” corresponds to the frequency information 67-c “self-powered / some assistance / cannot go alone”.

  Note that such data registered in the life information basic entry setting database 67 is provided by, for example, a watcher.

According to this embodiment as described above, the following effects can be obtained.
It becomes possible to accurately grasp the state of the person 11 to be watched over. Further, based on the monitoring target person life information and the vital information of the watching target person 11, it is possible to notify the notifier that there is a possibility that the situation of the watching target person 11 has changed.

  More specifically, in the case where the vital data exceeds or falls below a set threshold, the vital information is combined with a check item corresponding to the symptom of the watching target person 11 to change the situation of the watching target person 11. Therefore, when there is a large change in vital data, it becomes possible to accurately tell the person to be watched 11 to be examined immediately to medical personnel or the like.

  Specifically, it is possible to accurately determine the situation of the person to be watched over 11 by combining vital information of persons who have received certification for long-term care and life information including daily life logs, etc. It is also possible to determine the priority of the person 11 to be watched that needs to be examined, and to accurately tell the person 11 to be watched 11 to be seen by the person concerned.

  In addition, by automatically generating life information input items according to the symptoms of the person 11 to be watched over, the watch-related persons etc. Even when there is no detailed knowledge about the symptoms of the person 11 to be watched over, it is possible to watch the point to be watched and confirm the point without being aware of the concerned person.

  Moreover, it becomes possible to specify the vital information which should be seen according to the symptom of the person 11 to be watched over. In addition, by setting a threshold value corresponding to each individual of the watching target person 11, it is possible for the watching related person to accurately grasp the situation of the watching target person 11.

  The present invention is not limited to the above embodiment. For example, FIGS. 11 to 18 are examples of each database, and since fields can be added as appropriate, FIGS. 11 to 18 can be implemented with various modifications without departing from the gist of the present invention. It is.

  In short, the present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying the constituent elements without departing from the scope of the invention in the implementation stage. Further, various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the embodiment. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, you may combine suitably the component covering different embodiment.

DESCRIPTION OF SYMBOLS 1 ... Local comprehensive care monitoring system, 10 ... Local comprehensive care support server, 10-a ... Monitoring subject information, 10-b ... Monitoring person information, 10-c ... Used vital equipment information, 10-d ... Life information, 10 -E ... disease life correspondence information, 10-f ... check rule, 10-g ... notifier information, 10-h ... vital information, 10-i ... watching target person information determination result, 11 ... watching target person, 12 ... watching Target family, 13 ... Private sector, 14 ... Care workers, 15 ... Medical workers, 16 ... Care managers, 17 ... Local government staff, 20 ... Medical information management server, 20-a ... Medical information, 20-b ... Patients Information, 20-c ... Medical worker information, 21 ... Medical worker facility, 21-a, 22-a, 23-a ... Terminal, 22 ... Patient home / care facility, 23 ... Care worker facility, 24 ... Network , 25 ... bye 30 ... Life information processing unit, 31 ... Vital information processing unit, 32 ... Information storage unit, 33 ... Watcher information processing unit, 34 ... Alert notification unit, 35 ... Log output unit, 36 ... Process reception unit, 37 ... Authentication processing unit, 38 ... Living information basic entry setting file, 39 ... Living information input item generating unit, 40 ... Living information receiving unit, 41 ... Living information determining unit, 42 ... Vital information receiving unit, 43 ... Threshold value Judgment processing unit, 44 ... watching target person information storage unit, 45 ... watching person information storage unit, 46 ... life information storage unit, 47 ... used vital device information storage unit, 48 ... disease life correspondence information storage unit, 49 ... check rule Storage unit: 50 ... Notifier information storage unit, 51: Vital information storage unit, 52 ... Monitoring target person information determination result storage unit, 53 ... Watcher information setting unit, 54 ... Watcher information browsing unit, 60 ... Watching Elephant database, 60-a ... user ID information, 60-b ... name information, 60-c ... kana information, 60-d ... address information, 60-e ... date of birth information, 60-f ... gender information, 60 -G ... disease 1 information, 60-h ... hospital 1 information, 60-i ... medical doctor 1 information, 60-k ... disease 2 information, 60-m ... hospital 2 information, 60-n ... medical doctor 2 information, 61 ... life information database, 61-a ... user ID information, 61-b ... registration date information, 61-c ... reporter information, 61-d ... life information 1, 61-e ... result 1 information, 61-f ... life Information 2, 61-g ... Result 2 information, 61-h ... Life information 3, 61-i ... Result 3 information, 61-k ... Other information, 62 ... Vital device information database used, 62-a ... User ID information, 62-b ... Vital device 1 information, 62-c ... Vital device 2 information, 6 3 ... disease life information database, 63-a ... disease information, 63-b ... life information, 63-c ... status information, 63-d ... frequency information, 63-e ... notification level information, 64 ... check rule information database, 64-a ... User ID information, 64-b ... Disease information, 64-c ... Vital information, 64-d ... Status information, 64-e ... (Vital) notification level, 65 ... Notifier information database, 65-a ... User ID information, 65-b ... Contact 1 information, 65-c ... Contact 2 information, 65-d ... Contact 3 information, 65-e ... Contact 4 information, 66 ... Vital information database, 66-a ... User ID information, 66-b ... acquisition date and time information, 66-c ... vital device information, 66-d ... data information, 67 ... life information basic entry setting database, 67-a ... life information, 67-b ... status information , 7-c ... frequency information 100 ... living information input item screen, 101 ... diseases related items 102 ... generally related items 103 ... input items.

Claims (8)

Disease information acquisition means for acquiring disease information related to the first user;
Generating means for generating data including items relating to the first life information associated with the disease information based on the disease information;
Based on the level of the second life information related to the first user inputted by the second user related to the first user based on the data, the state of the first user is changed to the second user information. Life information determination means for determining whether or not to notify the user;
When it is determined that the state of the first user should be notified, vital information acquisition means for acquiring vital information related to the first user;
Vital information determination means for determining whether the value of the vital data included in the vital information is within a predetermined range;
A notification means for notifying the second user of the state of the first user if the value of the vital data is not within the predetermined range;
A device comprising:   The generation means determines an item according to the attribute information of the first user from a plurality of items related to the first life information, based on the attribute information of the first user included in the disease information. The apparatus of claim 1, wherein the data is generated to include the determined item.   When the character information in the item regarding the life information input by the second user corresponds to character information set in advance, the life information determination unit should notify the state of the first user. The apparatus of claim 1 for determining. A method executed by a computer including an information processing unit and an information storage unit,
The computer obtains disease information about the first user;
The computer generates data including items related to first life information associated with the disease information based on the disease information;
According to a level of second life information related to the first user inputted by a second user related to the first user based on the data, the computer changes the state of the first user. Determining whether to notify the second user;
If it is determined that the state of the first user should be notified, the computer obtains vital information about the first user;
The computer determines whether the value of the vital data included in the vital information is within a predetermined range;
When the value of the vital data is not within the predetermined range, the computer notifies the second user of the state of the first user.   The generating determines an item according to the attribute information of the first user from a plurality of items related to the first life information based on the attribute information of the first user included in the disease information. 5. The method of claim 4, wherein the data is generated to include the determined item.   Determining whether or not to notify the state of the first user is performed when the character information in the item relating to life information input by the second user corresponds to character information set in advance. The method according to claim 4, wherein it is determined that the status of one user should be notified. On the computer,
Obtaining disease information about the first user;
A procedure for generating data including items relating to the first life information associated with the disease information based on the disease information;
Based on the level of the second life information related to the first user inputted by the second user related to the first user based on the data, the state of the first user is changed to the second user information. A procedure for determining whether to notify the user;
A procedure for obtaining vital information about the first user if it is determined that the state of the first user should be notified;
A procedure for determining whether or not a value of vital data included in the vital information is within a predetermined range;
And a program for notifying the second user of the state of the first user when the value of the vital data is not within the predetermined range.   The generating step determines an item according to the attribute information of the first user from a plurality of items related to the first life information based on the attribute information of the first user included in the disease information. The program according to claim 7, wherein the data is generated to include the determined item.