JP7126296B2 - Bedside terminal operation system and medical information display device - Google Patents

Description

The present invention relates to a bedside terminal operation system in which a terminal device is installed on a bedside table placed near a patient bed in a medical institution such as a hospital.

In medical institutions such as hospitals, the medical information of hospitalized patients is stored in a management PC device in a staff station staffed by medical personnel such as doctors and nurses, and/or in a bedhead located near the patient bed. Input is made through a terminal device installed on the table, medical information is stored in an electronic chart server, and is displayed through the management PC device and the terminal device.

Japanese Patent Laying-Open No. 2019-153354 (Patent Document 1) is a conventional technology related to "a terminal device, an information processing device, and an information processing method." This patent document 1 is configured to input patient's medical information from a terminal device.

In Claim 1 of Patent Document 1, "a first acquisition unit for acquiring first patient medical information derived using patient identification information, and displaying the first patient medical information acquired by the first acquisition unit" a first medical information display unit that displays the first patient medical information, and a second acquisition unit that acquires medical worker identification information that identifies a medical worker in a state in which the first patient medical information is displayed by the first medical information display unit; After transmitting the acquired medical worker identification information to the information processing device, medical care for the medical worker to confirm the medical information of the patient based on the second patient medical information acquired from the information processing device a second medical information display unit for displaying a screen for medical staff; and an input for accepting input of status information regarding the condition of the patient from the state in which the screen for medical staff is displayed by the second medical information display unit. and an information display unit that displays at least one of a screen and a change information screen for indicating changes in the state of the patient generated based on the history of the state information." It is
In the above claim 1, it is described as "a terminal device having an input screen for accepting input of state information regarding the state of the patient", and the terminal device enables the state regarding the state of the patient It is specified to input information, ie, medical information such as patient name and chart information.

However, the invention according to Patent Document 1 has the following drawbacks. In the case of inputting state information about the state of the patient, ie, medical information, from the terminal device, the person who inputs the information is naturally a medical worker, ie, a doctor, a nurse, or a medical institution clerk.
In particular, when a patient moves from one patient bed to another, various problems tend to occur because the patient inputs the bed number data of the new patient's bed from the terminal device. Here, the bed number data is composed of (ward/room/bed number). Therefore, the input procedure includes seven steps: (1) input staff authentication, (2) input staff number, (3) input bed number registration to change and register bed number data, and (4) When the bed number selection screen is displayed, it is necessary to (5) select a ward, (6) select a room, and finally (7) select a bed number. Here, the ward/room/bed number is selected by scrolling from a pull-down menu.
The above-described input operation at the bedside is complicated, and if a mistake is made in selecting the bed number, problems such as erasure of other patient information may occur. Therefore, as in Patent Literature 1, input from the terminal device is complicated and involves risks such as loss of medical information.

Japanese Patent No. 5758615 (Patent Literature 2) is a prior art related to a "constant display type medical information display system". This patent document 2 discloses a medical information display system that pictograms medical information of a patient and displays it on a display unit of a terminal device.

In claim 1 of Patent Document 2, "At least one bedside display device arranged at the patient's bedside, a display terminal connected to the bedside display device, and a network with the display terminal. and a storage device connected to said management terminal; said display terminal includes means for recognizing a user's ID number; to the management terminal; means for receiving medical information transmitted from the management terminal; and means for displaying the received medical information on the bedside display device; the management terminal includes means for receiving the ID number transmitted from the display terminal; and the storage device stores the patient corresponding to the received ID number. It is medical information pictogramized on the conditions or restrictions imposed on the patient's movement, posture, excretion, food, or drink according to the type and condition of the disease, degree of freedom of limbs, etc. means for selecting items of medical information that can be displayed at all times; and means for transmitting the selected medical information to the display terminal; For a plurality of patients, medical information stored in the storage device is converted into pictograms regarding conditions or restrictions imposed on patient movement, posture, excretion, meals, or drinks, and can be displayed at all times. means for selecting the medical information of an item and displaying it on its own display device; means for changing the displayed medical information based on input from the outside; and storing the changed medical information together with its change history. An always-on display medical information display system comprising means for storing in the device."

Claim 1 above clearly states that a bedside display device and a display terminal exist near a patient bed, and that a management terminal managed by a medical institution is connected to the display terminal via a network. . Further, it is specified that the management terminal inputs and manages medical information, converts the medical information into a pictogram, and transmits the pictogram to the display terminal for display. That is, it can be seen that the management terminal is an electronic chart server for patient's medical information and also serves as a pictogram server.
In this way, the fact that the management terminal is both an electronic medical record server and a pictogram server means that mutual interference between the electronic medical record server function and the pictogram server function is likely to occur in terms of information processing, and if one fails, the other will work together. It is easy to cause a situation in which the device fails due to failure, and an undesirable situation is likely to occur.

Moreover, according to claim 4 of Patent Document 2, "...the display terminal includes means for receiving input of authentication information, means for transmitting the input authentication information to the management terminal, and from the management terminal, Means for receiving the pictogrammed medical information of items that can be displayed at all times for one or more patients, means for displaying the received pictogrammed medical information on the bedside display device, and a display 4. The constantly displayed medical information according to any one of claims 1 to 3, further comprising means for changing said medical information based on an external input, and means for transmitting said changed medical information to said management terminal. display system."
In the above claim 4, "...the display terminal...has means for changing the displayed medical information based on input from the outside, and means for transmitting the changed medical information to the management terminal. provided”, and clearly states that the display terminal transmits changes to the medical information regarding the patient to the management terminal.

Transmitting changes in medical information from the display terminal to the management terminal is likely to cause the problems detailed in Patent Document 1. Originally, the display terminal next to the patient's bed should be devoted only to the side receiving medical information, but giving the management terminal the authority to change the medical information poses a problem.
In particular, when the patient moves the patient's bed, the display terminal must be operated, and the same problems as described above are likely to occur. That is, the seven-step input procedure described above is required. To rewrite, (1) enter staff authentication, (2) enter staff number, (3) enter bed number registration to change and register bed number data, and (4) bed number selection screen is displayed. Then, it is necessary to (5) select a ward, (6) select a room, and finally (7) select a bed number.
The above-described input procedure at the bedside is cumbersome, and in particular, if a bed number is selected incorrectly, other patient information may be erased. Therefore, as in Patent Document 2, the transmission operation from the display terminal is complicated and contains risks.

JP 2019-153354 A Japanese Patent No. 5758615

(A) The bedside terminal operation system according to the present invention was made to solve the above problems and inconveniences. can be eliminated.
In addition, it is assumed that the manual input work of medical information about patients is only for the electronic medical record server, and is performed only by medical staff. Adopting a configuration that completely blocks human input work such as patient registration and bed change registration work on the terminal device installed on the bedside table near the patient bed, it eliminates the complexity of input work and accidental erasure of medical information. is configured to eliminate
(B) Furthermore, a portable storage medium such as an IC card or a USB memory storing bed number data corresponding to a patient bed is detachably inserted into the terminal device, so that the patient can use the patient bed. When moving, the patient's bed is moved to the destination to simplify the work of moving the patient's bed, and the portable storage medium at the destination is moved to the floor. Only by inserting it into the terminal device of the headrest, the patient's medical information is immediately displayed on the transferred terminal device, and the work of moving the patient's bed is completed.
Accordingly, it is an object of the present invention to provide a bedside terminal operation system and a medical information display device that achieve the above-described effects due to the above-described configuration.

The present invention has been made to solve the above problems, and a first form of the present invention for achieving at least the above problem (A) is to provide a bedhead pedestal arranged on the bedside of a patient bed, A terminal device having terminal identification information and storing linked data in which the terminal identification information and the bed number data of the patient beds are linked is installed, and all the bed number data are stored in the electronic chart server. When the pictogram server receives the linked data in which the terminal identification information and the bed number data are linked via at least the terminal device, and the patient bed is assigned to the patient , the medical staff inputs medical information data including at least patient data and medical chart data of the patient corresponding to the bed number data to the electronic chart server, and the pictogram server is the electronic chart server in the When the medical information data corresponding to the bed number data is found, the medical information data is received, and the pictogram server transmits at least the pictogram corresponding to the medical information data to the terminal device of the terminal identification information. It is a bedside terminal operation system characterized by displaying on a terminal device.
A second aspect of the present invention for simultaneously achieving (B) in addition to the above-mentioned problems (A) is characterized in that, in the above-described first aspect, the terminal device is provided with a reader section for reading data from the outside, and the reader section A portable storage medium storing the bed number data of the patient's bed is inserted in the terminal device in a detachable state, and the linked data in which the terminal identification information and the bed number data are linked is stored in the terminal device. A bedside terminal operating system formed and stored in the terminal device.

According to a third aspect of the present invention, in the second aspect, when the patient moves the patient's bed, the bedhead base of the movement source in which the patient's personal belongings are furnished is placed in the vicinity of the patient's bed of the movement destination. and inserting the portable storage medium detached from the headrest at the destination into the reader section of the terminal device of the headrest that has been moved, and by this insertion, the portable storage medium at the destination The destination bed number data held by the portable storage medium of is associated with the terminal identification information of the terminal device of the bedhead base to which it has been moved, the associated data is formed in the terminal device, and the electronic medical chart server The medical staff changes and inputs the bed number data of the patient to the bed number data of the destination, and the pictogram server receives the linked data at least through the terminal device and changes the bed number data, The medical information data corresponding to the changed bed number data is received from the electronic medical chart server, and the pictogram server transmits at least the pictogram corresponding to the medical information data to the terminal device of the terminal identification information, This is a bedside terminal operation system that displays on a device.

A fourth form of the present invention is any one of the first to third forms, wherein the pictogram server receives the linked data of the terminal identification information and the bed number data via at least the terminal device. , the pictogram server is a bedside terminal operation system that directly receives the linked data from the terminal device.

A fifth form of the present invention is any one of the first to third forms, wherein the pictogram server receives the linking data of the terminal identification information and the bed number data at least via the terminal device. 4. A bedside terminal operation system in which an operation PC is prepared, the operation PC receives the linking data from the terminal device, and the pictogram server receives the linking data from the operation PC. .

According to a sixth aspect of the present invention, in any one of the second to fifth aspects, when the patient moves the patient's bed, the portable storage medium on the bedhead base of the movement source and the movement destination replace the portable storage medium on the headrest of the destination, insert the portable storage medium of the destination into the reader part of the headrest of the destination, and replace the portable storage medium of the destination with the headrest of the destination It is a bedside terminal operation system that is inserted into the reader part of the table.

A seventh form of the present invention is any one of the second to sixth forms, wherein when the portable storage medium is an IC card, the reader unit is a card reader, and the portable storage medium is a USB memory. In the case of , the reader unit is a bedside terminal operation system in which the USB plug-in unit is used.

According to an eighth embodiment of the present invention, a headrest is installed on a bedside bedside of a patient's bed, has terminal identification information, and the terminal identification information and the bed number data of the patient's bed are linked. a terminal device in which the linked data is formed;
A pictogram server that receives from the terminal device the linked data in which the terminal identification information and the bed number data are linked,
When the pictogram server receives the linked data, the pictogram server retrieves patient data and patient medical information data corresponding to the bed number data from the electronic chart server that stores the bed number data, patient data, and patient medical information data. The medical information display device is characterized in that it receives and transmits pictograms and patient data corresponding to the medical information data to the corresponding terminal device of the terminal identification information and displays it on the terminal device.

A ninth form of the present invention is, in the eighth form, provided with a portable storage medium storing the bed number data connected to the terminal device,
In the medical information display device, when the portable storage medium is connected to the terminal device, the linked data in which the terminal identification information and the bed number data are linked is formed in the terminal device.

According to the first aspect of the present invention, the bedside table of the patient's bed has terminal identification information, and the terminal identification information and the bed number data of the patient's bed are associated with each other. A terminal device is installed in which associated data is formed.
More specifically, according to the second aspect of the present invention, a terminal device having terminal identification information is installed on a bedside table of a patient bed, and the terminal device is inserted into and removed from the reader portion of the terminal device. A portable storage medium storing the bed number data of the patient's bed is inserted in a free state, and linked data in which the terminal identification information and the bed number data are linked is formed in the terminal device. .
That is, a terminal device is installed on the bedside bedside of all patient beds in a medical institution, and a portable storage medium pre-stored with bed number data is inserted into each terminal device. By simply placing the data, linked data in which the terminal identification information and the bed number data are linked to each terminal device is automatically formed. Here, the terminal identification information is, for example, the IP address of the terminal. As described in the prior art, this eliminates the need for input to the terminal device over seven steps from (1) staff authentication push to (7) bed number selection, improving work efficiency and reducing human error. In addition, in the first and second forms, the electronic medical record server stores all bed number data, and the pictogram server stores the terminal identification information and the bed number data. The linked data is received via at least the terminal device.
In the present invention, since the electronic medical chart server and the pictogram server are arranged completely separately, there is an advantage that mutual interference in information processing between the electronic medical chart server and the pictogram server does not occur. All the bed number data in the medical institution are stored in the electronic chart server. The pictogram server only receives the linking data between the terminal identification information and the bed number data via at least the terminal device, and manual input work to the pictogram server is unnecessary.

Furthermore, in the above first and second forms, when the patient bed is assigned to the patient, the medical staff sends the patient data (for example, the patient's name) to the electronic medical chart server in correspondence with the bed number data. ) and medical information data including at least chart data.
Therefore, in the present invention, the human input work is only for the electronic chart server, and neither the terminal device nor the pictogram server requires any human input work, and the work efficiency is improved. Furthermore, in the first and second forms, the pictogram server finds the medical information data corresponding to the bed number data in the electronic chart server. , the medical information data is received from an electronic medical record server, and the pictogram server transmits at least a pictogram corresponding to the medical information data to the terminal device of the terminal identification information and displays it on the terminal device there is
That is, the pictogram server only has the role of automatically receiving the medical information data corresponding to the bed number data from the electronic chart server, transmitting the corresponding pictogram to the terminal device, and displaying it on the terminal device. It is clear that no human input work to the server is required. At the same time, the terminal device also automatically receives and displays the transmitted pictograms, and it is clear that there is no need for manual input to the terminal device.
As described above, in the present invention, only the electronic medical chart server requires human input work,
It has the great advantage that the occurrence of human operation errors is strongly eliminated from the system.

According to the third aspect of the present invention, when the patient moves from one patient bed to another, the bed headrest, which is the source of movement and in which the patient's personal belongings are furnished, is moved to the vicinity of the patient bed of the destination, and then moved. The destination portable storage medium detached from the previous headrest is inserted into the reader section of the terminal device of the headrest that has been moved. is associated with the terminal identification information of the terminal device of the headrest that has been moved, and this associated data is formed in the terminal device.
That is, the present invention can exhibit the maximum technical effect when a patient moves between patient beds. The first advantage is that the patient stores most of his/her personal belongings on the bedside table, and when the patient moves to the bed, the bedside table containing the personal items is carried to the destination. There is an advantage that personal belongings can be moved at the same time as the terminal device installed on the bedside table is moved. The fact that the troublesome work of moving personal belongings can be carried out simultaneously only by moving the bed means that the bed can be moved very easily.
As a second advantage, simply by inserting the destination portable storage medium into the reader unit of the terminal device of the headrest that has been moved, the destination bed number data held by the destination portable storage medium is There is an advantage that it is automatically associated with the terminal identification information of the terminal device of the bedside table that has been moved, and the associated data is formed in the terminal device. In other words, the bed number data of the destination can be automatically associated with the terminal device that has been moved, simply by the operation of inserting, without any manual input work. And, there is an advantage that this linking data is automatically formed in the terminal device.
However, the electronic medical chart server requires manual work for medical staff to change and input the bed number data of the patient to the bed number data of the destination. Moreover, the data is entered by medical staff who mainly manage the electronic medical record server, and not by nurses or doctors who deal with patients on site, so the occurrence of input errors can be minimized.
As mentioned above, in the present invention, only the electronic medical record server requires human input work, and neither the terminal device nor the pictogram server requires human input work at all, blocking the occurrence of human input errors. It goes without saying that we can.

Further, according to the third aspect of the present invention, the pictogram server receives the linked data via at least the terminal device to change the bed number data, and changes the bed number data corresponding to the changed bed number data. Receive medical information data from an electronic chart server.
That is, the pictogram server receives the associated data from the terminal device and automatically changes the bed number data, and receives the corresponding medical information data from the electronic medical record server, so the pictogram server is automatically changed. We don't need any human work.
Furthermore, the pictogram server transmits at least the pictogram corresponding to the medical information data to the terminal device of the terminal identification information and displays it on the terminal device.
Therefore, when the pictogram is automatically changed, the pictogram corresponding to the medical information data is transmitted to the terminal device of the terminal identification information, and the latest information is automatically displayed on the terminal device.
From the above, there is an advantage that even if the bed is moved, all changes to the pictogram server and the terminal device are automatically executed only by inserting the portable storage medium, except for the input work to the electronic chart server.

According to a fourth aspect of the present invention, there is provided a bedside terminal operation system in which the pictogram server directly receives the linking data of the terminal identification information and the bed number data from the terminal device.
As described above, the linking data between the terminal identification information and the bed number data is formed by the terminal device, so the pictogram server receives the linking data directly from this terminal device. In this way, there is an advantage that the simplest device configuration can be realized at a low cost and that manual input work to the pictogram server is unnecessary.

According to the fifth aspect of the present invention, an operating PC is prepared, the operating PC receives the linking data from the terminal device, and the pictogram server receives the linking data from the operating PC. A bedside terminal operation system is provided.
In other words, the fifth form has the content of adding an operation PC to the fourth form, and the operation PC receives the linking data from the terminal device, and the pictogram server receives the linking data from the operation PC. A two-stage configuration is adopted.
The reason for arranging the operation PC at the intermediate position is as follows. Since the terminal device at the patient's bedside is placed in the patient's room, there is a possibility that ordinary people, such as patients and visitors, may touch the terminal device and make some kind of erroneous operation, except for medical staff. Therefore, if the terminal device is directly connected to the pictogram server, the terminal device may transmit data such as patient medical data in addition to the automatically transmitted linked data. In such a case, there is a possibility that a third party other than the medical staff may input erroneous information to the pictogram server from the terminal device due to an erroneous operation. Therefore, the operation PC is placed in an intermediate position, that is, the terminal device is connected to the operation PC, and the operation PC is connected to the pictogram server, so that the operation PC is placed as a shock absorber. be.
In addition to being used as a shock absorber, this operation PC is also used to improve communication with the pictogram server, to input bed number data into the portable storage medium used in the present invention, and to It is used to fulfill various roles such as input work when exchanging mold storage media and repair work.

According to the sixth aspect of the present invention, when the patient moves the patient's bed, the portable storage medium on the headrest of the movement source and the portable storage medium on the headrest of the movement destination are Bedside terminal operation in which the portable storage medium of the transfer destination is replaced and inserted into the reader section of the bedhead base of the transfer source, and the portable storage medium of the transfer source is inserted into the reader section of the bedhead base of the transfer destination. A system is provided.
By simply exchanging in this way, the terminal device at the source of movement has the bed number data of the destination and is arranged at the destination, and the terminal device at the destination of movement has the bed number data of the source of movement. It will be placed at the source of movement. In other words, there is the advantage that no human input work is required and the replacement and transfer work can be completed very simply and quickly simply by exchanging the headrest and the portable storage medium at the source and destination.

According to the seventh aspect of the present invention, when the portable storage medium is an IC card, the reader section is a card reader, and when the portable storage medium is a USB memory, the reader section is a USB memory. A bedside terminal operation system is provided.
In the case of an IC card, a card reader compatible with the IC card is used. For example, when a Felica card is used as the IC card, a Felica card reader is used as the card reader. In the case of a USB memory, when a general PC device is used as the terminal device, the USB insertion section is equipped as standard equipment, so there is an advantage that this USB insertion section can be used as a reader section at a very low cost.
In the case of a USB memory, when the USB memory is inserted into the reader, prepare a program for reading the USB data in the terminal device, or store an automatic start program for reading in the USB memory. can also

According to the eighth aspect of the present invention, the headrest is installed on the bedside of the patient's bed, has terminal identification information, and the terminal identification information and the bed number data of the patient's bed are A terminal device in which linked data is formed, and a pictogram server that receives the linked data in which the terminal identification information and the bed number data are linked from the terminal device. receiving the patient data and the patient's medical information data corresponding to the bed number data from an electronic chart server that stores the bed number data, the patient data and the patient's medical information data when the linked data is received; It is possible to provide a medical information display device characterized by transmitting pictograms and patient data corresponding to information data to the terminal device of the corresponding terminal identification information and displaying them on the terminal device.

According to the ninth aspect of the present invention, a portable storage medium storing the bed number data connected to the terminal device is provided, and when the portable storage medium is connected to the terminal device, the terminal device The medical information display device according to claim 8, wherein the linked data is formed in which the terminal identification information and the bed number data are linked.
According to the eighth and ninth forms of the present invention, as in the first and second forms of the invention, only the electronic medical record server requires human input work, and especially in the ninth form, a portable type By simply storing the bed number data in the storage medium, neither the terminal device nor the pictogram server require any human input work, and the occurrence of human input errors can be suppressed. In addition, when the patient moves from bed to bed, the bed number data in the electronic chart server is rewritten by the medical staff. If the bed headrest is not moved, the patient's bed movement can be completed without any particular work.

1 is an overall configuration diagram of a first embodiment of a bedside terminal operation system and a medical information display device according to the present invention; FIG. 1 is a basic data configuration diagram of a first embodiment of a bedside terminal operation system and a medical information display device according to the present invention; FIG. FIG. 2 is a data configuration diagram with no portable storage medium inserted in the first embodiment; 4 is a data configuration diagram with a portable storage medium inserted in the first embodiment; FIG. FIG. 4 is a data configuration diagram of an electronic medical record server in an input state in the first embodiment; FIG. 4 is a data configuration diagram in which a portable storage medium at a destination is inserted when a bed is moved in the first embodiment; FIG. 2 is an overall configuration diagram of a second embodiment of a bedside terminal operation system and a medical information display device according to the present invention; FIG. 10 is a basic data configuration diagram of a bedside terminal operation system and a medical information display device according to a second embodiment of the present invention; FIG. 10 is a data configuration diagram in a state where no portable storage medium is inserted in the second embodiment; FIG. 10 is a data configuration diagram with a portable storage medium inserted in the second embodiment; FIG. 10 is a data configuration diagram of an electronic medical record server in an input state in the second embodiment; FIG. 11 is a data configuration diagram in which a portable storage medium at a destination is inserted when the bed is moved in the second embodiment;

BEST MODE FOR CARRYING OUT THE INVENTION An embodiment of a bedside terminal operating system according to the present invention will be described in detail below with reference to the drawings. It goes without saying that the present invention is not limited to the following embodiments. As used herein, the term "bedside" refers to the area around an inpatient bed, particularly the area easily accessible from the bedside.

<First embodiment>
FIG. 1 is an overall configuration diagram of a first embodiment of a bedside terminal operation system according to the present invention.
In the patient bed section 1, a patient 2 is lying on a patient bed 3, and a bedside table 4 for accommodating personal belongings of the patient 2 is arranged. A terminal device 5 is provided on the bedside table 4, and the terminal device 5 is composed of a terminal 6, which is a patient PC, and a terminal display section 7 for displaying medical information of the patient 2. FIG. The terminal device 5 may be, for example, a tablet terminal in which the terminal 6 and the terminal display unit 7 are integrated. The terminal device 5 mounted on the bedhead stand 4 is illustrated in an enlarged state in duplicate as indicated by the arrow in the figure. This terminal device 5 is provided with a reader section 8, into which a portable storage medium 9, which will be described later, is detachably inserted. If the terminal device 5 is an integrated type, the reader section 8 may be provided on the side surface of the display section, or may be provided on the headrest 4 and connected to the terminal device 5 via a cable or wirelessly.

An electronic medical chart server 11 is arranged in the electronic medical chart server unit 10 , and only a medical staff member 12 of a medical institution such as a hospital makes an input to the electronic medical chart server 11 . Medical workers 12 include doctors, nurses, clerks, and other medical institution personnel. The electronic chart server 11 stores in advance bed number data corresponding to all patient beds existing in the medical institution. Normally, this bed number data consists of a ward number, a room number, and a bed number.

A pictogram server 21 is arranged in the pictogram server unit 20. Here, a pictogram is a mark display of a patient's medical information that can be understood intuitively. Various pictograms 22 are prepared in the pictogram server section 20 . Specifically, the data of various pictograms 22 are recorded in the storage device of the pictogram server 22 in a form linked with each piece of medical information. The pictogram server 21 converts various medical information received from the electronic chart server 11 into corresponding pictograms, transmits the pictograms to the terminal device 5 , and displays the pictograms on the terminal display unit 7 .

FIG. 2 is a basic data configuration diagram before starting operation of the first embodiment of the bedside terminal operation system according to the present invention.
Terminal identification information is stored in advance in the terminal device 5 . Here, an IP address is set as the terminal identification information, and the terminal identification information is "192.168.0.1". The IP address of this embodiment employs class C of IPv4 address, but in the case of a large-scale hospital, it is possible to employ class B, class A, or IPv6 address. In this embodiment, the IP address set in the terminal device 5 is a fixed IP address, but the pictogram server 21 may have a DHCP server function and the IP address of each terminal device 5 may be assigned automatically. All bed number data in the medical institution are stored in advance in the electronic chart server 11, and here, two types of bed number data "1-101-1" and "1-502-3" are picked up. are displayed as The first number is the ward number, the second number is the room number, and the third number is the bed number. No data exists in the pictogram server 21 .

FIG. 3 is a data configuration diagram with no portable storage medium inserted in the first embodiment.
In FIG. 3, a plurality of information transmission processes regarding various types of information are shown. The information transmission step a shows a step of transmitting the terminal identification information and the bed number data linked data from the terminal device 5 to the pictogram server 21. Since the terminal device 5 does not have the bed number data, the pictogram server 21 does not have the terminal identification Only information is sent. The information transmission step b is a step of sending an inquiry from the pictogram server 21 to the electronic chart server 11 regarding the bed number data. However, since bed number data does not exist in the pictogram server 21, the inquiry itself is meaningless. The information transmission step c is a step of transmitting medical information data as a response from the electronic chart server 11 to the pictogram server 21. Since the inquired bed number data does not exist, the corresponding medical information data is not transmitted. Here, medical information data is at least patient data and chart data. The information transmission step d is a step of transmitting a pictogram obtained by converting the medical information data including patient data obtained from the pictogram server 21 to the terminal device 5 into a pictogram. Here, since the pictogram server 21 has not obtained medical information data, no information is transmitted to the terminal device 5 .

FIG. 4 is a data configuration diagram with the portable storage medium 9 inserted in the first embodiment.
When the portable storage medium 9, which is an IC card storing bed number data 1-101-1, is inserted into the terminal device 5, the terminal identification information of the terminal device 5 and the obtained bed number data are linked. , this linking data is formed in the terminal device 5 . In FIG. 4, the terminal identification information of 192.168.0.1 and the bed number data of 1-101-1 are linked data and stored in the terminal device 5 .
Then, in the information transmission step a, this linking data is transmitted from the terminal device 5 to the pictogram server 21, the linking data is input into the pictogram server 21, and 1-101-1 is placed in the position corresponding to the terminal identification information. bed number data is stored.
Even if an inquiry is transmitted from the pictogram server 21 to the electronic medical record server 11 in the information transmission step b, the electronic medical record server 11 does not have medical information data such as patient data and medical record data. Even if step d is executed, nothing progresses and the state shown in FIG. 4 is maintained.

FIG. 5 is a data configuration diagram in a state in which patient data of an inpatient and medical data (medical record data) of the patient are input to the electronic medical chart server in the first embodiment.
When the patient is hospitalized, the medical staff inputs necessary data to the electronic chart server 11 . That is, the assigned patient bed is bed number data 1-101-1, and patient data and medical information data such as chart data are input.
When the pictogram server 21 inquires of the electronic chart server 11 with the linked data in the information transmission step b, medical information data corresponding to the corresponding bed number data is found. Then, medical information data including patient data, medical chart data, etc. is transmitted from the electronic chart server 11 to the pictogram server 21 in the information transmission step c. Further, the pictogram server 21 converts the chart data into pictograms, transmits the patient name and pictograms from the pictogram server 21 to the terminal device 5, and the patient name and pictograms are displayed on the terminal device 5 as shown in FIG.

FIG. 6 is a data configuration diagram when the portable storage medium 9 at the destination is inserted when the bed is moved in the first embodiment.
When the patient changes the patient's bed, the personal belongings on the headrest are taken out and only the patient is moved without moving the headrest. In some cases, the bedhead stand that has been moved is moved to the destination. An example of moving the bedhead stand will be described below. In this case, the entire bedhead base of the movement source is moved to the destination, and the portable storage medium of the destination that has been inserted into the bedhead base of the movement destination is inserted into the bedhead base of the movement source. This is the gist of the bed movement of the present invention.
As shown in FIG. 6, when the portable storage medium 9a, which is the IC card of the moving destination, is inserted into the terminal device 5 that has been moved, the linked data of the terminal identification information and the bed number data of the moving destination are formed in the terminal device 5. be. That is, linked data is formed between the source terminal identification information 192.168.0.1 and the destination bed number data 1-502-3.

In the electronic chart server 11, the patient data and chart data in the source bed number data 1-101-1 are transferred to the destination bed number 1-502-3. -101-1 has neither patient data nor chart data.
Next, the linked data is transmitted from the terminal device 5 to the pictogram server 2 by the information transmission step a.
1, and the bed number data of the pictogram server 21 is automatically changed to 1-502-3. The pictogram server 21 makes an inquiry to the electronic chart server 11 in the information transmission step b, and obtains medical information data including patient data and chart data corresponding to the bed number data 1-502-3 in the information transmission step c.
Furthermore, in the information transmission step d, pictograms of medical information data corresponding to the bed number data 1-502-3 are transmitted from the pictogram server 21 to the terminal device 5, and the terminal device 5 displays these medical information data pictograms. do.
In addition, when the bedhead stand is not moved, for example, the destination terminal device 5 waits in a state in which linked data is formed between the terminal identification information 192.168.0.5 and the bed number data 1-502-3. is doing. In this state, when the information in the electronic medical chart server 11 is rewritten as described above, pictograms of necessary medical information data are displayed on the terminal device 5 at the destination. This is a case where there are few personal belongings on the floor head stand or a case where it is physically difficult to move, such as a change of ward, but the present invention can deal with any case without problems.

<Second embodiment>
FIG. 7 is an overall configuration diagram of a second embodiment of the bedside terminal operation system according to the present invention. This second embodiment is characterized in that an operating PC section 40 having an operating PC 41 is added to the configuration of the first embodiment shown in FIG.

First, in the patient bed section 1, the patient 2 is lying on the patient bed 3, and a bedside table 4 for accommodating personal belongings of the patient 2 is arranged. The bedside table 4 is equipped with a terminal device 5 , and the terminal device 5 is composed of a terminal 6 which is a patient PC and a terminal display section 7 for displaying medical information of the patient 2 . The terminal device 5 mounted on the bedhead stand 4 is illustrated in an enlarged state in duplicate as indicated by the arrow in the drawing. This terminal device 5 is provided with a reader section 8, into which a portable storage medium 9, which will be described later, is detachably inserted. In the terminal device 5, the terminal 6 and the terminal display unit 7 may be integrated, and the reader unit 8 may be provided on the side surface of the display unit when the terminal device 5 is integrated. Alternatively, it is the same as in the first embodiment in that it may be provided on the headrest 4 and connected to the terminal device 5 by cable or wirelessly.

An electronic medical chart server 11 is arranged in the electronic medical chart server unit 10 , and only a medical staff member 12 of a medical institution such as a hospital makes an input to the electronic medical chart server 11 . Medical workers 12 include doctors, nurses, clerks, and other medical institution personnel. The electronic chart server 11 stores in advance bed number data corresponding to all patient beds existing in the medical institution. Normally, this bed number data consists of a ward number, a room number, and a bed number. For example, if the bed number data is 1-101-1, it means bed number 1 of room 101 in the first ward.

A pictogram server 21 is arranged in the pictogram server unit 20. Here, a pictogram is a mark display of a patient's medical information that can be understood intuitively. Various pictograms 22 are prepared in the pictogram server section 20 . Specifically, the data of various pictograms 22 are recorded in the storage device of the pictogram server 22 in a form linked with each piece of medical information. The pictogram server 21 converts various medical information received from the electronic chart server 11 into corresponding pictograms, transmits the pictograms to the terminal device 5 , and displays the pictograms on the terminal display unit 7 .

An operation PC 41 is arranged in the operation PC section 40 . The reason for arranging this operation PC 41 is as follows. Since the terminal device 5 at the bedside of the patient 2 is placed in the hospital room of the patient 2, even if medical personnel are excluded, ordinary people such as the patient 2 and visitors may touch the terminal device 5 and make some kind of erroneous operation. may add. Therefore, when the information transmission step a (see FIGS. 3 to 6) from the terminal device 5 is directly connected to the pictogram server 21, in addition to the automatically transmitted linking data, detailed description in this embodiment However, there is a case where patient's medical data or the like is transmitted from the terminal device 5 . In such a case, there is a possibility that a third party other than the medical staff may input erroneous information to the pictogram server 21 from the terminal device 5 due to an erroneous operation. Therefore, the operation PC 41 is placed in an intermediate position, that is, the terminal device 5 is connected to the operation PC 41, and the operation PC 41 is connected to the pictogram server 21, so that the operation PC 41 is placed as a shock absorber. It is.
In addition to being used as a shock absorber, the operating PC 41 is also used to improve communication with the pictogram server 21 and to input bed number data into the portable storage medium 9 used in the present invention. , replacement and repair of the portable storage medium 9, and reissuance of the portable storage medium 9 when it is lost.

FIG. 8 is a basic data configuration diagram of the second embodiment of the bedside terminal operation system according to the present invention.
Terminal identification information is stored in advance in the terminal device 5 . Here, an IP address is set as the terminal identification information, and the terminal identification information is "192.168.0.1". All bed number data in the medical institution are stored in advance in the electronic chart server 11, and two types of bed number data "1-101-1" and "1-502-3" are exemplified here. It is As mentioned above, the first number is the ward number, the second number is the room number, and the third number is the bed number. No data exists in the operation PC 41 and the pictogram server 21 .

FIG. 9 is a data configuration diagram with no portable storage medium inserted in the second embodiment.
In FIG. 9, a plurality of information transmission steps regarding various information are shown. The information transmission step a1 is a step of transmitting the terminal identification information and the bed number data from the terminal device 5 to the operation PC 41. Since the terminal device 5 does not have the bed number data, the operation PC 41 does not have the terminal identification Only information is sent. The information transmission step a2 shows a step of transmitting data linking the terminal identification information and the bed number data from the operation PC 41 to the pictogram server 21. Since the operation PC 41 does not have the bed number data, the pictogram server 21 does not have the terminal identification information. Only information is sent.
The information transmission step b is a step of sending an inquiry from the pictogram server 21 to the electronic chart server 11 regarding the bed number data. However, since bed number data does not exist in the pictogram server 21, the inquiry itself is meaningless. The information transmission step c is a step of transmitting medical information data as a response from the electronic chart server 11 to the pictogram server 21. Since the inquired bed number data does not exist, the corresponding medical information data is not transmitted. Here, medical information data is at least patient data and chart data. The information transmission step d is a step of transmitting pictograms related to medical information data including patient data obtained from the pictogram server 21 to the terminal device 5 . Here, since the pictogram server 21 has not obtained medical information data, no information is transmitted to the terminal device 5 .

FIG. 10 is a data configuration diagram with a portable storage medium inserted in the second embodiment.
When the portable storage medium 9, which is a USB memory storing bed number data 1-101-1, is inserted into the terminal device 5, the terminal identification information of the terminal device 5 and the obtained bed number data are linked. , this linking data is formed in the terminal device 5 . In FIG. 10 , the terminal identification information of 192.168.0.1 and the bed number data of 1-101-1 are linked data and stored in the terminal device 5 .
An information transmission process a1 shows a process of transmitting the terminal identification information and the bed number data linked data from the terminal device 5 to the operation PC 41, and the operation PC 41 receives the terminal identification information of 192.168. -101-1 bed number data is transmitted, and this linking data is stored in the operation PC 41 . The information transmission step a2 shows a step of transmitting the terminal identification information and the bed number data linked data from the operation PC 41 to the pictogram server 21, and the pictogram server 21 receives the terminal identification information of 192.168. -101-1 bed number data is transmitted, and the pictogram server 21 stores this linked data.

In the information transmission step b, even if an inquiry based on the bed number data is transmitted from the pictogram server 21 to the electronic medical chart server 11, the electronic medical chart server 11 receives medical information data such as patient data and medical chart data corresponding to the bed number data. does not exist. Therefore, even if the electronic medical record server 11 transmits the information to the pictogram server 21 in the information transmission step c, the pictogram server 21 cannot receive any medical information data. Finally, even if there is transmission from the pictogram server 21 to the terminal device 5 in the information transmission step d, the terminal device 5 cannot receive pictograms relating to any medical information data. Therefore, as long as the medical staff does not manually input medical information data to the electronic medical chart server 11, nothing progresses even if the information transmission step b, the information transmission step c, or the information transmission step d is executed. The state shown in is maintained.

FIG. 11 is a data configuration diagram in a state in which patient data of an inpatient and medical data (medical record data) of the patient are input to the electronic medical chart server in the second embodiment.
When the patient is hospitalized, the medical staff inputs necessary data to the electronic chart server 11 . That is, the assigned patient bed is bed number data 1-101-1, and patient data and medical information data such as chart data are input.
When the pictogram server 21 makes an inquiry to the electronic chart server 11 using the linked data in the information transmission step b, medical information data corresponding to the corresponding bed number data is found. Then, medical information data including patient data, medical chart data, etc. is transmitted from the electronic chart server 11 to the pictogram server 21 in the information transmission step c. Furthermore, the pictogram server 21 converts the medical chart data into a pictogram, transmits the patient data (for example, the patient name) and the pictogram from the pictogram server 21 to the terminal device 5 in the information transmission step d, and the terminal device 5 converts the patient name and the pictogram into a diagram. 11 is displayed.

FIG. 12 is a data configuration diagram in which the portable storage medium at the destination is inserted when the bed is moved in the second embodiment.
When the patient 2 changes the patient bed 3, there are two changing methods as described in the first embodiment. An example of moving the bedhead stand 4 to the destination will be described. The whole bedhead base 4 of the movement source is moved to the destination, and the portable storage medium 9a of the movement destination inserted in the bedhead base 4 of the movement destination is inserted into the bedhead base 4 of the movement source. . This is the gist of the bed movement of the present invention.
As shown in FIG. 12, when the portable storage medium 9a made up of the USB memory of the destination is inserted into the terminal device 5 that has been moved, the terminal identification information and the bed number data of the destination are formed in the terminal device 5. be. That is, linked data is formed between the source terminal identification information 192.168.0.1 and the destination bed number data 1-502-3.

In the information transmission step a1, the above linked data is transmitted from the terminal device 5 to the operation PC 41, and the operation PC receives this linked data and transmits the terminal identification information 192.168.0.1 and the destination bed number data. 1-502-3 is stored.
By the information transmission step a2, the above linked data is transmitted from the operation PC 41 to the pictogram server 21, and the pictogram server 21 receives this linked data and transmits the terminal identification information 192.168.0.1 and the destination bed number data. 1-502-3 is stored.
In the electronic chart server 11, a manual input work is performed to move the patient data and chart data that were in the source bed number data 1-101-1 to the destination bed number 1-502-3. The number data 1-101-1 has neither patient data nor chart data.
Next, the pictogram server 21 inquires of the electronic chart server 11 in the information transmission step b, and obtains medical information data including patient data and chart data corresponding to the bed number data 1-502-3 in the information transmission step c.
Furthermore, pictograms of medical information data corresponding to the bed number data 1-502-3 are transmitted from the pictogram server 21 to the terminal device 5, and the terminal device 5 displays these medical information data pictograms.

The present invention is not limited to the above-described embodiments and modifications, but includes various modifications and design changes within the technical scope of the present invention without departing from the technical idea of the present invention. Needless to say. Also, the ninth form of the present invention described above is a medical information display device comprising a terminal device, a portable storage medium, and a pictogram server, as described in the above embodiments.

The bedside terminal operation system according to the present invention has a configuration in which the electronic medical record server and the pictogram server are completely separated and mutual interference in information processing can be eliminated. and should be performed only by medical personnel. Strictly prohibiting human input work of medical information in the terminal device installed on the bedside table near the patient bed, pictogram server, and other PC devices, eliminating the complication of input work and accidental erasure of medical information. configuration.
In addition, a portable storage medium such as an IC card or USB memory storing bed number data corresponding to a patient's bed is detachably inserted into the terminal device, and when the patient moves the patient's bed, In order to facilitate the work of moving the patient's bed by moving the bedhead pedestal with the patient's personal belongings inside to the destination, and moving the portable storage medium from the destination to the bedhead. The medical information of the patient is immediately displayed on the transferred terminal device only by inserting it into the terminal device of the table, and the operation of moving the patient bed is completed.
Therefore, the bedside terminal operation system and the medical information display device according to the present invention minimize and strictly control the work of inputting medical information in medical institutions such as hospitals, and thoroughly pictogram it and prevent accidental loss of medical information. It is possible to prevent the occurrence of this, and it is possible to ultimately simplify the work of moving the patient's bed, and it is clear that it will make a great contribution to the medical industry.

1 patient bed unit 2 patient 3 patient bed 4 bedhead stand 5 terminal device 6 terminal 7 terminal display unit 8 reader unit 9 portable storage medium 9a destination portable storage medium 10 electronic medical chart server unit 11 electronic medical chart server 12 medical care Worker 20 pictogram server unit 21 pictogram server 22 pictogram 40 operation PC unit 41 operation PC
a information transmission process a1 information transmission process a2 information transmission process b information transmission process c information transmission process d information transmission process

Claims (2)

A terminal device having terminal identification information and linking data in which the terminal identification information and the bed number data of the patient bed are linked is formed on the bedside table of the patient bed. is installed and
All bed number data is stored in the electronic chart server,
The pictogram server receives, via at least the terminal device, the linked data in which the terminal identification information and the bed number data are linked,
When the patient bed is assigned to the patient, the medical staff inputs medical information data including at least patient data and chart data of the patient to the electronic chart server in correspondence with the bed number data,
When the pictogram server finds the medical information data corresponding to the bed number data in the electronic chart server, the pictogram server receives the medical information data,
A bedside terminal operation system, wherein the pictogram server transmits at least a pictogram corresponding to the medical information data to the terminal device of the terminal identification information and displays the pictogram on the terminal device. It is installed on a bedside table arranged on the bedside of the patient's bed, has terminal identification information, and forms linked data in which the terminal identification information and the bed number data of the patient's bed are linked. a terminal device;
A pictogram server that receives from the terminal device the linked data in which the terminal identification information and the bed number data are linked,
When the pictogram server receives the linked data, patient data corresponding to the bed number data included in the linked data and patient data and A medical information display device, characterized in that it receives medical information data of a patient, transmits a pictogram corresponding to the medical information data and patient data to a terminal device corresponding to the terminal identification information, and displays the data on the terminal device.

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