JPH09167188A - Visit nursing support system and portable terminal - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a terminal which can more efficiently input the physical situation of a patient and which can easily grasp a part where the physical situation is generated. SOLUTION: In the portable terminal, an operator indicates the part to which the physical situation is inputted on a human body diagram by tapping it with a pen. Then, the list of the physical situations which probably occur in the part is displayed in a pop up list. When the physical situation to be inputted is selected, the pop up list of the value of the physical situation is displayed. The value becomes a value showing the degree of 'heavy' and 'light'. When the operator selects the degree from the pop up list, the value is inputted as the physical situation. Thus, the operator can easily input the physical situation only by tapping with the pen and the like.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a mobile terminal used for constructing a home-visit nursing support system.

[0002]

2. Description of the Related Art In medical practice, important items include "treatment" and "diagnosis". Furthermore, "nursing" is also recognized as important in the medical field. Therefore, various types of systems supporting this nursing have been conventionally proposed.

For example, Japanese Patent Laid-Open No. 7-114596 discloses an example of a nursing management system. A block diagram of the nursing management system shown here is shown in FIG. The purpose of this nursing management system is to input correct and complete data regarding nursing and facilitate the transfer between the day shifter and the night shifter.

As shown in FIG. 4, the portable input device 20 is an electronic notebook type small computer for inputting the name of a nurse, the name of a care recipient, the date and time of nursing, and the content of nursing. Is used for. These input data are once stored in the memory of the portable input device 20, and then, at a predetermined time by optical communication, the host computer 1
1 is transmitted. The host computer 11 extracts the contact information necessary for the takeover from the above data and puts it together in a table and displays it on the display device 12. Further, these data can be printed by the printer 13.

As described above, the nursing management system disclosed in Japanese Patent Laid-Open No. 7-114596 is mainly used to facilitate nursing in a hospital or clinic.

[0006] However, in recent years, so-called home-visit nursing has been performed by various organizations for the purpose of nursing for a certain period after leaving the hospital or nursing a patient who is not hospitalized. Therefore, there is a demand for a system that facilitates this so-called home-visit nursing. For example, FIG. 5 shows an example of a home-visit nursing system using a mobile terminal. As shown in FIG. 5, patient data to be visited is first transmitted from a personal computer to a mobile terminal prior to home-visit nursing. This transmission takes place at the nursing station. Next, a visiting nurse carrying this mobile terminal visited the patient's house, and as a result of nursing,
Input the patient's condition into the mobile device. After the home-visit nursing is completed, the patient data is transmitted from the mobile terminal to the personal computer at the nursing station. As a result, the patient data in the personal computer is updated. It is said that the system shown here can output desired data immediately by a simple and high-speed search function, and can significantly improve the work efficiency of a nurse.

[0007]

As described above, in the conventional home-visit nursing support system, the patient data is downloaded to the mobile terminal or the patient data input to the mobile terminal is uploaded to the personal computer, mainly the personal computer. This enables centralized management of patient data.

However, a system for supporting nursing while downloading patient data from a personal computer to a mobile terminal or uploading it to a personal computer has the same structure as the conventional support system performed in a hospital. It is a thing.

For example, FIG. 6 shows a nursing support system used in a hospital or clinic. The system shown here is a system including a host computer and a pen input type portable terminal for exchanging data with the host computer.

The visiting nursing support system shown in FIG. 5 is such that the terminal of the nursing support system in the hospital shown in FIG. 6 is carried when visiting. However, in actual home-visit nursing care, the nursing work that must be performed for each patient is far more diverse than that for patients in a hospital, and the environment in which the patient is receiving medical care differs greatly for each patient. In addition, unlike the system in the hospital, the interval of home-visit nursing is generally long (once every few days,
Because it is once every few weeks, etc., items to be sent between nurses and check items tend to be extremely complicated. Therefore, a system having a finely-tuned function for further supporting home-visit nursing is desired.

The present invention has been made in view of the above problems, and an object thereof is to provide an excellent mobile terminal for more efficient and smooth home-visit nursing, and a home-nursing support system using the mobile terminal. It is to be. further,
It is to provide technology related to mobile terminals and home-visit nursing systems.

[0012]

In order to solve the above problems, a portable terminal of the present invention is a portable terminal for a nurse to input a physical condition of a patient, and a human body diagram display means for displaying a human body diagram. When the operator designates a predetermined part of the human body shown in the human body diagram, a physical condition candidate display means for displaying a list of physical conditions that can occur at the specified part, and the operator When the physical condition to be input is pointed out from the list of the conditions, the physical condition pointing means for inputting the pointed physical condition is included.

Further, the physical condition candidate display means displays a physical condition list display means capable of displaying a list of items of physical conditions that can occur in the designated part, and a list of candidates of the degree of each item. And a physical condition degree display means.

The physical condition list display means is a pop-up window that displays the physical condition items, and the physical condition degree display means is a pop-up window that displays a list of candidates for the degree of each item. .

Further, according to the present invention, when a human body diagram displaying means for displaying a human body diagram and a predetermined body part of the human body shown in the human body diagram are designated, a list of physical conditions which can occur in the designated body parts. A mobile terminal having a physical condition candidate display means for displaying, and a physical condition indicating means for inputting the physical condition pointed out when a physical condition to be input is indicated from the list of physical conditions, A server for receiving the physical condition of the patient input to the mobile terminal from the mobile terminal;
It is a home-visit nursing support system characterized by including.

According to the present invention, in a portable terminal for a nurse to see the inputted physical condition of a patient, a human body diagram displaying means for displaying a human body diagram and a physical condition for displaying a list of physical conditions occurring in the patient. Display means and, when the operator selects a physical condition to be investigated from the list of physical conditions, a part display means for displaying the part of the human body in which the selected physical condition has occurred on the human body diagram; , Is included.

The physical condition display means is an icon group display means for displaying an icon group representing the physical condition.

Further, the body part display means includes means for displaying, on the human body diagram, a body part in which the selected physical condition is occurring by displaying it in a different color from other parts. .

Further, when the operator selects a plurality of body conditions to be investigated, the body part display means displays all the body parts in which the plurality of selected body conditions occur on the human body diagram. To do.

Further, the body part display means changes the color of the human body diagram for the part of the human body in which the selected physical condition is occurring and the part of the human body in which the plurality of selected physical conditions are occurring. This is what is displayed.

According to the present invention, in a portable terminal for a nurse to see the inputted physical condition of a patient, a human body diagram displaying means for displaying a human body diagram and a body for which the physical condition is inputted on the human body diagram. And an instruction mark display means for displaying an instruction mark for instructing the part.

The instruction mark display means displays a flag connected to the part of the human body.

According to the present invention, the input means is activated when the operator designates the instruction mark with a pointing device, and is for inputting special notes to the part of the human body pointed by the instruction mark. Input means of.

[0024]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Preferred embodiments of the present invention will be described below with reference to the drawings.

Embodiment 1 First, in the following A, the basic configuration and basic operation of the home-visit nursing support system will be described. Then, in B, input of a physical condition, which is an embodiment of the invention related to the present patent application, will be described.

FIG. 1 is an explanatory diagram showing the structure of the home-visit nursing support system and the flow of its operation according to a preferred embodiment of the present invention. As shown in FIG.
A server 100 that controls the entire home-visit nursing support system
However, for example, it is provided in a visiting nursing station or a clinic. The server 100 manages patient data and information on the history of nursing performed on a patient. Furthermore, patient data and nursing history information managed by the server 100 are output to the outside according to an operation / request from the outside.
Used for printing, etc. As a result of this printing or the like, a patient list, a care record list, a follow-up list, etc. can be printed.

This home-visit nursing support system is based on this server 1.
00 and a plurality of mobile terminals 102 that can be connected to the server 100 by LAN or line. A so-called pen PC is used as the mobile terminal 102, and is configured so that anyone can easily operate it (hereinafter referred to as LA.
An example is shown for the case of N connections. ).

First, before performing home-visit nursing, the nurse connects the portable terminal 102 to be carried in the home-visit nursing to the server 100. Then, the patient data (including the information on the nursing history) regarding the patient who is going to perform the home-visit nursing is downloaded from the server 100. In this download, the patient data shown by the nursing schedule system 104 is automatically selected and the patient data is downloaded to the mobile terminal 102 in order to reduce the management burden on the nurse.

A feature of this embodiment is that patient data is automatically downloaded according to the schedule without any instruction from the nurse. In addition, the patient data once downloaded is
The non-updating flag is set, and other nurses cannot download, rewrite and update the data. As described above, in the present embodiment, since the update-disabled flag is set after the regular download is performed, the patient data may be updated twice or the data may be erroneously destroyed. Can be made smaller. That is, the program for downloading patient data checks whether or not the updatable flag is set when a request for downloading patient data is made,
If set, it will not allow downloads.

Specifically, in the server 100, a table storing the update flag of the data for each patient is created, and the flag is set by downloading the patient data.

After the patient data is downloaded, the nurse disconnects the mobile terminal from the server 100 and goes to the patient's home for visiting nursing. At the patient's home, the portable terminal 102 is used to perform predetermined nursing and keep a record of the nursing, and the portable terminal 102 is used to record the physical condition of the patient (including symptoms of illness).

When the home-visit nursing is completed, the nurse takes care of the nursing and the portable terminal 102 on which the physical condition of the patient is recorded.
To the server 100 again. Then, the information newly recorded this time is stored / saved in the server 100.

As described above, the update-disabled flag is set in the patient data, but if the patient data is uploaded by the nurse who has downloaded it legally,
The patient data is updated, and at the same time, the non-updateable flag is also cleared. The cancellation of the non-updatable flag is also performed by the patient data upload program.

As described above, in the present embodiment, the patient data, nursing history data, etc. are centrally managed in the server 100 provided in the nursing station or the like, and the patient data necessary for visiting nursing is provided. Etc. are downloaded to the mobile terminal 102, and this mobile terminal is carried in the patient's house. Therefore, even when handling a large number of patients,
All data can be managed efficiently,
Since necessary patient data is automatically downloaded to the mobile terminal 102 based on the nursing schedule system 104, there is an effect that the management burden on the visitor is significantly reduced. Furthermore, at the patient's home, the nurse inputs the nursing data and the physical condition of the patient to the mobile terminal 102, and by connecting the mobile terminal 102 to the server 100, predetermined nursing performed in the home-visit nursing and It is possible to newly register the physical condition of the patient in the server 100. Further, since the patient data and the like centrally stored in the server 100 can be easily viewed by an external operation, a home-visit nursing support system capable of easily managing the overall home-visit nursing is provided. To be done.

Schedule Management Function for Home- Visit Nursing As described above, in this home-visit nursing support system,
Before the nurse departs for home-visit nursing, a predetermined mobile terminal 10
2 was connected to the server 100 via LAN, and patient data was downloaded to the mobile terminal 102 based on the nursing schedule. A flowchart showing the detailed operation of downloading the patient data is shown in FIG. As shown in FIG. 2, the setting of the visit schedule and the change of the visit schedule are performed as needed in step S2-1 and step S2-2. In this way,
The schedule file representing the created visit schedule has a structure including the date and time and the patient name, as shown in the structure of the tabular portion of FIG. Although not shown in this table, the name of the visiting nurse for the patient is also recorded in the schedule file. In addition, in FIG. 1, a nursing schedule system 1 for managing such a schedule file is provided.
Although 04 has been described as being configured separately from the server 100, it is also preferable to realize the nursing schedule system 104 as a function inside the server 100. Whichever configuration is adopted, the server 1
00 downloads predetermined patient data to the mobile terminal 102 based on the contents of the schedule file (see FIG. 2) managed by the nursing schedule system 104.

Next, a description will be given of how the patient data regarding home-visit nursing on August 1, 1995 is downloaded. First, in step S2-3, the pen PC which is the mobile terminal 102 is connected to the server 100 via LAN, and the mobile terminal 102 is started up. Then, the nurse tries to download the patient data of the patient who is going to visit today (August 1, 1995) from the server 100.

Then, the server 100 operates the mobile terminal 102.
The patient search process is started based on the download request from. At this time, the download operation differs depending on whether or not the nursing schedule function is operating. Step S
In 2-5, it is examined whether or not the schedule function is operating. If the schedule function is not operating, the patient data to be downloaded is selected manually by the nurse.

On the other hand, when the schedule function is operating, the nurse inputs the range of the schedule to be downloaded in step S2-6. This input is, for example, 1
The nurse inputs from the portable terminal 102 for four days from August 1, 995, that is, from August 4, 1995.

Then, the server 100 refers to the contents of the schedule file managed by the nursing schedule 104, and extracts the name of the patient who is scheduled to visit this nurse from August 1, 1995 to August 4, 1995. To do. For example, based on the schedule file shown in FIG. 2, there are three patients, A, B, and C. The server 100 sends the three patient names A, B, and C to the mobile terminal 102 to prompt the nurse to confirm (step S2-7).

Now, the nurse looks at the displayed patient name and judges whether or not addition / deletion is necessary. This is to respond promptly when there is a sudden request from the patient and the need for home-visit nursing care or when the patient suddenly visits the hospital. If the nurse determines in step S2-8 that there is no need to add or delete patients,
In step S2-9, the patient data of the patient corresponding to the patient name currently selected is downloaded from the server 100 to the mobile terminal 102. This data is commonly referred to as the patient master. That is, as schematically shown in FIG. 2, patient data of a predetermined patient, nursing history information, etc. are downloaded from the file of the patient master on the server side to the patient master of the pen PC which is the mobile terminal 102. -ing

On the other hand, when the nurse determines in step S2-8 that the patient needs to be added, the nurse inputs the name of the patient in step S2-10 to retrieve the patient data. Is done. In addition, in the home-visit nursing care support system, since the name of the patient is searched by the pseudonym name matching search, the nurse inputs the name of the patient. It should be noted that this step S2-10 is performed even if it is determined in step S2-5 that the schedule function is not operating. That is, when the nursing schedule system 104 is not functioning, all the names of patients to be visited are input by the nurse.

On the contrary, when the nurse determines in step S2-8 that the patient needs to be deleted, the deleting process is performed in step S2-11. This deletion process is a process in which the server 100 removes a predetermined patient name from the target patient candidates in response to a deletion request input by the nurse on the mobile terminal 102.

The above step S2-10 or step S
In any case of 2-11, the list of patient names after addition / deletion is again displayed from the server 100 to the mobile terminal 10.
2 and the name of the target patient is sent to the mobile terminal 102.
Is displayed to the nurse at. As a result, in step S2-12, the confirmation of the patient who is the target of home-visit nursing is performed again by the nurse. Then, as a result of this confirmation, it is determined again in step S2-8 whether the addition or deletion of the patient is necessary or not,
The same processing as the above processing is performed again.

As described above, in the home-visit nursing system according to the present embodiment, in principle, each operator (nurse) operating each mobile terminal 102 does not specify a patient name and download data. The patient data is automatically downloaded, so to speak, according to a predetermined nursing schedule. Therefore, the work before leaving for home-visit nursing can be simplified, which contributes to reducing the administrative burden on the nurse. Of course, in the case of a sudden schedule change and the like, the nurse can add or delete the patient name as described above, so that it is possible to deal flexibly.

Embodiment 2 Physical Condition Input Function, Physical Condition Investigation Function The portable terminal in this embodiment is carried when visiting a patient's house and used for recording the physical condition of the patient. Therefore, the mobile terminal according to the present embodiment has a function of recording the physical condition of the patient, that is, the symptom related to the disease and the physical condition due to other causes.

FIG. 3 shows the state of the input screen when the physical condition of the patient is input in the mobile terminal.
As shown in FIG. 3, a human figure is shown on this input screen. Then, a stylus pen is used to point out (tap) the human body part where the symptom occurs.
Then, a list displaying the symptoms / physical conditions that may occur at the site is displayed. For example, as shown in FIG. 3, when the operator taps "B: shoulder girdle" with the stylus pen, a list of physical conditions that can occur in this "B: shoulder girdle" is displayed. As shown in this list (see FIG. 3), for example, pressure ulcer, contracture, paralysis, pain, etc. are displayed as symptoms. Further, as physical conditions, upper and lower limb amputation, balance, voluntary movement, etc. are displayed. The list of physical conditions including these symptoms is provided with an entry column for entering the degree of the symptoms and the like. The operator fills in the corresponding symptom entry field with information such as whether the symptom is heavy or light. Also, as shown in FIG. 3, the input words are “heavy” and “light”.
It is also preferable to display a pop-up list showing candidates of a word to be input when there are only fixed words such as. For example, as shown in FIG. 3, in the case of paralysis, the degree of the paralysis is displayed in a pop-up list, and the operator selects the degree of the corresponding symptom from the list, so that the word is displayed. It is entered in the input field.

After the input is completed, tapping the "OK" button completes the input of the physical condition. In this way, on this mobile terminal, by pointing (tapping) a predetermined human body part on the human body diagram, a list of physical conditions corresponding to that part is automatically displayed, so that the physical condition, etc. can be easily displayed. Can be input.

Further, as shown in FIG. 3, icons of various physical conditions (including symptoms) are displayed on the left side of the same input screen. For example, the visiting nurse who receives an instruction from the doctor to treat the pressure sore taps the pressure sore icon. By tapping this pressure ulcer icon, the color of the human body part where the pressure ulcer is occurring on the human body diagram shown in the center changes, so it is possible to inform the operator of the site where the pressure ulcer is occurring. Is. In the example shown in FIG. 3, the operator selects four symptoms of pressure ulcer and contracture, paralysis, and pain. Then, on the human body diagram at the center, the part where any one of these four symptoms occurs is displayed by changing the color. For example, "C: shoulder joint",
"D: elbow", "K: knee" and "B: shoulder girdle" correspond to these.

As described above, in the portable terminal according to the present embodiment, when the operator points out a human body part, the physical condition occurring at that part is displayed, and conversely, the physical condition such as a symptom is selected. By doing so, the human body part where the symptom is occurring is automatically displayed, making it easy to enter the physical condition such as the symptom and promptly deciding which part should be specifically treated for the symptom. It is possible to know. For example, since the site where the pressure ulcer occurs is clearly displayed to the operator, it is possible to appropriately perform the pressure ulcer treatment.

In this embodiment, as shown in FIG. 3, a memo can be written in the section A in FIG. 3 according to each human body part and its symptoms.

Embodiment 3 FIG. 7 shows an example of another embodiment of the input screen for inputting the physical condition of the patient on the portable terminal. As shown in FIG. 7, this physical check screen is a screen for inputting the degree of symptom that can occur for each part of the human body of the patient. Also in the body check screen shown in FIG. 7, a human body diagram 1100 for showing parts of the human body and a symptom list icon group 1102 showing main symptoms that can occur in the human body.
And are shown on the screen. Further, as shown in FIG. 7, the body check screen is provided with a special item display area 1104 for inputting special items for each part of the human body.

As shown in FIG. 7, on the physical check screen, a registration button 1106 for registering the patient's symptom input, or a menu button 1108 for interrupting the registration and returning to the menu screen. And so on.

Inputting Symptoms When inputting the symptoms of a patient, the corresponding body part of the human body diagram 1100 is tapped with a stylus pen or the like. When tapped, the corresponding part changes to light red. Such a state is shown in FIG. 8, for example.
Although the color itself is not clear in FIG. 8, the part 1112 of the shoulder joint C is changed to a light red color by, for example, the operator tapping the part of the shoulder joint C with the stylus pen. As described above, in the second embodiment, the tapped portion is changed to a light red color, so that it is possible to easily grasp which portion is currently selected. Furthermore, when a predetermined part is tapped as shown in FIG. 8, the part is changed to light red, and a symptom popup window 1110 for inputting a symptom that may occur in the part is displayed. In the symptom pop-up window 1110, for example, a list of symptoms that may occur in the shoulder joint is shown, and the operator can input the presence or absence of each symptom and the degree of the symptom.

When the operator taps the display area of each symptom from the symptom pop-up window 1110 shown in FIG. 8, the symptom pop-up window 1110 is displayed.
A symptom degree pop-up window 1114 for selecting the degree of symptom is displayed in. The appearance of the pop-up window 1114 for this symptom is
This is shown in the illustration of FIG. As shown in FIG. 9, for example, when the operator operates the pressure ulcer, “none”,
A symptom degree pop-up window with four items, "yes weak", "yes medium", and "yes strong" is displayed. From this symptom pop-up window 1114, the operator can input a symptom by tapping the symptom to be input with a stylus pen or the like. For example, when the operator selects "in presence" from the state of the screen shown in FIG. 9 and taps this "in presence", the body check screen as shown in FIG. 10 is displayed. That is, as shown in this figure, “medium” is input as the degree of pressure ulcer symptom. Of course, in this case, the display of the symptom degree pop-up window 1114 is erased.

When the operator taps the OK button 1116 (see FIG. 10) of the symptom pop-up window 1110 after inputting the degree of the symptom as described above, the display of the symptom pop-up window 1110 disappears,
The input symptom is stored in the memory in the mobile terminal. At this time, if any symptom is input, the flag of the part button 1118 is displayed on the part of the human body diagram having the symptom.

As described above, in the second embodiment,
In order to show that a symptom has occurred in the part where some symptom is input, a part button flag 1118 is displayed as shown in FIG. By displaying the flag 1118 of the part button in this way,
According to the second embodiment, it is possible to clearly understand the presence or absence of symptoms.

Display of presence / absence of a symptom Further, if any symptom is input to any part, among the icons included in the symptom list icon group 1102, the color of the icon corresponding to the input symptom is pale red. Is displayed. For example, if the symptom of pressure ulcer is input to any part, the color of the icon corresponding to this pressure ulcer is changed to light red and displayed. FIG.
In the figure, the light red color of the pressure ulcer is displayed in a grayish color on the drawing for convenience. Further, an alphabet symbol representing the inputted site of the pressure ulcer symptom is displayed near the icon. For example, FIG.
When the pressure ulcer occurs in the shoulder joint C as shown in FIG. 3, “C” is displayed next to the icon representing the pressure ulcer. In this way, while changing the color of the icon to light red and displaying the alphabet indicating the site where the symptom is occurring adjacent to the icon, it is possible to determine what kind of symptom is occurring in which part in the patient. It is possible to understand clearly.

Further, the present embodiment also provides a means for promptly ascertaining which part of the patient the specific symptom occurs. That is, in order to know whether the operator has a specific symptom, the operator first taps the icon indicating the symptom. As described above, when any one of the icons is tapped, the display of the icon is changed to dark red, and in the human body diagram 1100, all parts of the human body having the corresponding symptom are changed to dark red. Is displayed. This state is shown in the explanatory view of FIG. In the example shown in FIG. 12, an example is shown in which the operator taps an icon representing the symptom of “paralysis”. When the icon corresponding to this “paralysis” is tapped, this paralysis icon is changed to dark red and displayed, and also in the human body diagram 1100, the part of the human body in which this paralysis occurs is displayed in dark red. It is. Note that, in FIG. 12, dark red is shown by cross hatching for the convenience of the drawing.

As described above, in the portable terminal according to the second embodiment, it is possible to quickly determine whether or not a specific symptom occurs in the patient and, if so, in which part of the human body the symptom occurs. It is possible to grasp. In addition,
Such a display is executed by the program of the mobile terminal searching for data regarding a patient, which will be described later. That is, when the “paralysis” icon is tapped, the “paralysis” symptom is searched from the data input as the patient's symptom, and the human body part where this “paralysis” occurs is displayed in the human body diagram 1100. It is displayed in dark red above.

Input of Special Remarks Next, input of special remarks will be described.

Although the physical check screen for inputting the symptoms occurring in the body for each part has been described, it is possible to input special items for each part of the human body on this physical check screen. First, the operator selects the part to which special notes are to be input by the operator tapping the flag 1118 of the part button of the human body diagram 1100. In other words, the flag 1118 of the part button is not displayed unless the symptom is input to the part, and therefore, the special notes cannot be input.

Now, when the flag 1118 of the body part button on the human body diagram is tapped, the tapped part name is displayed on the left side of the display area 1104 of the special item. This situation is shown in FIG.
Is shown in In the example shown in this figure,
For example, the state of the body check screen when the shoulder joint C is tapped is shown. In this example, since the flag 1118 of the part button corresponding to the part of the shoulder joint C is tapped, "C:
"Shoulder joint" is displayed. This "C: shoulder joint" is displayed on the left side of the special notice display area 1104, and the special notice input to the shoulder joint C which is the part is displayed in the special notice display area 1104. is there. For example, in the example shown in FIG. 13, the special note “There is a pressure sore on the back side of the shoulder” is displayed.

On the other hand, when the special note is input, the special note display area 11 is displayed in a state where a predetermined part is selected.
04 itself is tapped (in this case, if some special note is already input, the special note is displayed in the special note display area 1104). The selection of the part is performed by tapping the flag 1118 of the part button attached to the part as described above. And
By tapping the display area 1104 with this part selected, a handwritten character input box (not shown) is displayed, and the operator uses a stylus pen or the like to operate the handwritten character input box. It is possible to enter special notes in the book. When the special note is already input, the special note that has already been input can be rewritten.

The handwritten character input box is a means for recognizing handwritten characters and is a well-known means.

Display of physical check screen and input of physical condition
Data Structure in Operation FIG. 14 is an explanatory diagram of a file structure of data on the physical check screen according to the second embodiment. As shown in FIG. 14, in the present embodiment, first, a human body diagram part data file 1130 is provided. This human body part data file 1130
Is stored in a storage device such as a hard disk or a flash memory in the mobile terminal. this is,
The same applies to each file described below. Further, the mobile terminal is provided with a symptom icon file 1132. The symptom icon file 1132 stores image data of three types of icons for each symptom. These three types of icons are three types of icons, that is, a normal color icon, a light color display icon, and a dark color display icon. The mobile terminal is provided with the evaluation master file 1134. The evaluation master file 1134 is composed of a file group that stores items (symptom names) for inputting symptoms and evaluation values (degrees of the symptoms). The mobile terminal also includes a physical check file 1136. This file is a file in which the symptoms of the patient in the home-visit nursing are actually recorded. The mobile terminal also includes a physical check special note file 1138. The physical check special mention file 1138 is a file for storing the above-mentioned special notes.

FIG. 15 is an explanatory diagram showing the specific contents of the above-mentioned five types of files. FIG.
As shown in, the human body part data file 11
Reference numeral 30 stores data in which the position of each site in the human body diagram 1100, for example, the site of a shoulder joint or an elbow is represented by XY coordinates. As shown in FIG. 15, in the human body diagram part data file 1130, first, an X direction correction value and a Y direction correction value are stored in the header portion. A correction value for relatively changing the coordinate position of the part is set as each correction value of the header portion, and normally 0 is set. When the display position of the human body diagram 1100 is relatively changed, desired values are set as the X-direction correction value and the Y-direction correction value.

In the display of the human body diagram 1100, each part is displayed by displaying a horizontal line included in the part one by one for each part. Then, by displaying the horizontal line in a predetermined color, it is possible to paint the part in a predetermined color. Therefore, in the present embodiment, in the data portion of the human body diagram part data file 1130, information of coordinate position is stored in one record for each line. Specifically, each horizontal line is represented by a start X coordinate, a start Y coordinate, an end X coordinate, and an end Y coordinate. When the human body diagram 1100 is displayed, or when a predetermined part is displayed in a light color as described above, the coordinates for drawing a line are read from the data part in the human body part data file 1130, and the line is drawn in a predetermined color. By drawing on the screen, the part is displayed and the part is filled.

The symptom icon file 1132 stores image data of three types of icons for each symptom.

The evaluation master file 1134 includes the classification file 1134a and the item file 113 as described above.
4b and the evaluation value file 1134c form a file group structure composed of three files.

The classification file 1134a stores a screen name representing this physical check screen. Although only one item of “Physical check” is shown in FIG. 15, the input method using this mobile terminal is not limited to the physical condition, and is also described in the text for inputting personal information and other information of the patient. The same method as the input method for physical symptoms is used.

Therefore, in the case of using this data input method in this portable terminal for inputting other information, the name of the input screen for other information is the classification file 113.
It is recorded in 4a. Of course, for input screens other than the physical check, another type of item file 1134b representing the input items is displayed.
b is prepared.

The item file 1134b stores items of each data that are actually input. In the present embodiment, since the symptom occurring in the patient is input, the symptom names such as “pressure sore”, “contracture”, and “paralysis” are stored in this item file 1134b.

The degree of the symptom to be input according to each symptom stored in the item file 1134b is stored in the evaluation value file 1134c. The evaluation value file 1134c is provided for each symptom stored in the item file 1134b. For example, when the symptom to be input is “pressure sore”, the degree of the symptom to be input to the corresponding evaluation value file 1134c is “none”, “yes weak”, “yes medium”, “yes strong”.
The evaluation values of the four symptom levels are stored. The degree of the symptom stored in the evaluation value file 1134c is used as an item shown in the symptom degree pop-up window 1114 described above.

In the second embodiment, an example in which the data input method according to the present invention is applied to a method of inputting a symptom of a patient in visiting nursing is shown. However, in addition to the symptom occurring in the patient, it can be used as a method for inputting the personal data of the patient and the related information as described above. In this case, in the present embodiment, for example, another screen name is prepared as the screen name stored in the classification file 1134a, and the item file 1134b representing the item of data to be input to the screen is separately prepared. Then, this newly prepared item file 113
If the evaluation value file 1134c representing the value actually input for each item to be input stored in 4b is prepared, the same method as this embodiment is applied when other information is input. It is possible.

The physical check file 1136 is a file for recording physical symptoms, and is a file in which the actual symptoms of the patient are stored in a matrix format. As shown in FIG. 15, the physical check file 1136 has two key items, that is, the ID of the person requiring assistance (patient) and the visit date when the home-visit nursing was performed. One record is specified by the ID of the person requiring assistance and the visit date, and each record has columns for storing the degree of each symptom. Specifically, as shown in FIG. 15, the place where the degree of this symptom is recorded has a two-dimensional array structure of the symptom and the body part where the symptom may occur. Then, the degree of the symptom such as "absence" or "presence" is input to each element of the two-dimensional array structure.

Also, the physical check special mention file 1138
Is, if special notes are entered for the body part,
This file records the special notes for each part. FIG.
As shown in 5, the physical check special note file 1
Reference numeral 138 is a file in which a record is recorded which includes ID of a person requiring assistance (patient), a visit date that is the date of home-visit nursing, a body part that is a part in which special notes are recorded, and actual special notes. Is. As shown in FIG. 15, the body part is described as “A (head)” or “C (shoulder joint)”, for example.

Returning to FIG. 14, the operation of inputting a symptom using the physical check screen according to the present embodiment will be described based on the file structure. In the center of FIG. 14, an explanatory diagram of the flow of operations on the physical check screen is shown. As shown in FIG. 14, when the display of the physical check screen is selected from the menu, the screen is first displayed in S1. In the display of this screen, the data of the light-colored icon is read from the symptom icon file 1132 and the symptom icon is displayed on the screen. In addition, based on the contents of the body check file 1136, a flag 1118 of the body part button is displayed on the human body diagram 1100 as necessary. A flag 1118 for this part button is shown in FIG. 11, for example. Further, in this screen display, the contents of the physical check special mention file 1138 are referred to and the contents are stored in the memory. Then, when the operator designates a predetermined part of the human body, and if a special note is recorded for that part, the special note is displayed in the special note display area 1104. An example of the display of such special notes is shown in FIG. 13, for example.

On the memory of the portable terminal, the ID of the person requiring assistance (patient) input by the operator on the menu screen is displayed.
And each data of the visiting date, which is the date when the visiting nursing was performed, is stored as a key item. In the screen display S1, the physical check file 113 is provided with the corresponding data using the ID of the person requiring assistance (patient) and the date of visit as key items.
6 and the physical check special mention file 1138.

Based on the data thus read out, a symptom table 1140 is formed in the memory as shown in FIG. This symptom table 1140
Is created by expanding on a memory the ID of the person requiring assistance (patient), the visit date, and data in which the degree of symptoms is formed in a matrix.

This symptom table 1140 is specifically formed by reading out the corresponding data from the physical check file 1136 using the ID of the person requiring assistance (patient) stored in the memory and the visit date as a key. It is.

Further, in the screen display S1, the special item table 1142 is also configured on the memory based on the read data. This disclaimer table 1142 is
It is a table in which the contents of the special notes input to the patient are arranged, and is formed by reading the contents of the corresponding special notes from the physical check special note file 1138 when the screen display S1 is performed. As shown in FIG. 14, the special item table 1142 is provided with an update flag for each content of each special item. This update flag is a flag indicating whether or not the contents of the special note stored in the special note table 1142 are written back to the physical check special note file 1138 when the input of the symptom on the physical check screen is completed. The value is "Yes",
It can take two values, "not".

Next, the operator inputs the symptom of the patient by the method as described with reference to FIGS. This is represented as symptom input S2 in FIG. In this symptom input S2, the human body part data file 11
30, the symptom icon file 1132, and the evaluation master file 1134 are used.

First, when the operator clicks on a predetermined portion of the human body diagram with a stylus pen or the like, that portion is displayed as shown in FIG.
As described in, it is displayed in a light red color.
In this case, the coordinates of the part displayed in light red are obtained from the human body diagram part data file 1130.

Next, as described with reference to FIGS. 9 to 11, when the symptom value is input using the symptom pop-up window 1110, the evaluation master file 113
The value of the evaluation value of 4 is used. Specifically, symptoms such as pressure ulcer, contracture, and paralysis are shown in the symptom pop-up window 1110. Items of these symptoms are the item file 1134 in the evaluation master file 1134.
The symptom name stored in b (see FIG. 15) is used.

The symptom degree value shown in the symptom degree pop-up window 1114 (see FIG. 9) is stored in the evaluation value file 1134c (see FIG. 15) provided corresponding to the selected symptom name. The degree of symptoms that are present are used. In this way, the evaluation master file 1
The value of 134 is the symptom pop-up window 1110,
The items displayed in the symptom degree pop-up window 1114 are determined.

When a symptom in a predetermined region is input, the icon representing the symptom is changed to a light red color (normal color display) as shown in FIG.
Indicates that such symptoms have occurred. In this way, when displaying the symptom icon in the normal color, the image data of the icon in the normal color is read from the symptom icon file 1132 and used for display.

The symptoms thus input are stored in the symptom table 1140. That is, the degree of the symptom represented by the matrix in the symptom table 1140 is updated every time the symptom is input.

Furthermore, when a symptom is input and the symptom icon is displayed in a normal color, the status table 1 of the symptom icon is stored in order to store the display color of this symptom icon.
144 is expanded in the memory (see FIG. 14). For example, when a symptom is input to a certain part, a normal color is set to the state flag indicating the state of that part. As shown in FIG. 14, the status flags are arranged as many as the number of body parts in the status table 1144 of the symptom icon.

After a symptom is input to a predetermined part, a special item is input to that part as necessary (see FIG. 1 above).
3). In FIG. 14, the input of this special note is S
It is represented by 3. As described with reference to FIG. 13, the special notice is displayed in the special notice display area 1 in the state in which the region is selected.
This is performed by displaying the handwritten character recognition box by tapping 104 with a stylus pen or the like. The operator can manually input special notes on the handwritten character recognition box with a stylus pen or the like. Further, when the special note is input to a predetermined part of the human body, the special note is displayed in the special note display area 1104 as shown in FIG.

When the special note is input, the special note is stored in the contents of the special note of the special note table 1142 which is expanded in the memory. When a special note is newly stored, the value of the update flag corresponding to the special note is changed from "not" to "yes". As described above, by changing the content of the update flag to “Yes”, the content of the special note in the special note table 1142 is written back to the special physical check file 1138 after all the input on the physical check screen is completed. By doing so, it is saved. In addition, the contents of the special note that the update flag remains the value of "No" is the physical check special note file 1
It is not written back to 138.

That is, this update flag is set to a value of "No" when the physical check display screen is displayed, and when the contents of the special note are stored, the value of the update flag is "Yes". Will be changed to. Then, when the physical check screen ends and the input of the symptom is completed, the value of the update flag is referred to, and only the special note having the value “Yes” is written back to the physical check special file 1138. As a result, only the special notes that really need to be saved are written back to the physical check special note file 1138.

When all the symptoms have been input on the physical check screen, registration processing S4 is performed (see FIG. 14).
In the registration processing S4, as described above, the content of the corresponding special note that needs to be written back in the special note table 1142 is written back to the physical check special note file 1138, and the content of the symptom table 1140 is written to the physical check file 1136. It is executed by returning.

As described above, in the present portable terminal, a means for reading the data of the file stored in the hard disk etc. into the memory as appropriate and smoothly inputting the symptom of the patient using the physical check screen is provided. I did.

[0094]

As described above, according to the first aspect of the present invention, since the relationship between the physical condition and the human body part is displayed by using the human body diagram, the physical condition of the patient can be accurately input. Portable terminal can be obtained.

According to the second aspect of the present invention, since the list of physical conditions is displayed, the operator can easily input the physical condition by selecting the physical condition from the list.

According to the third aspect of the present invention, in addition to the physical condition, a list of the degree of the physical condition is displayed in a pop-up window, so that a portable terminal capable of more easily inputting the physical condition can be obtained.

According to the fourth aspect of the present invention, since the home-visit nursing support system can be constructed by using the above-mentioned mobile terminals,
In this system, the same effects as those of the mobile terminal according to the first to third inventions are obtained.

According to the fifth aspect of the present invention, since the physical condition is displayed on the human body diagram, it is possible to easily grasp in which part the physical condition is occurring.

According to the sixth aspect of the present invention, since the physical condition to be investigated can be designated by using the icon, the physical condition to be investigated can be easily designated.

According to the seventh aspect of the present invention, since the part in which a predetermined physical condition is generated is shown by using different colors, it is possible to obtain a portable terminal in which the part can be easily grasped.

According to the eighth aspect of the present invention, when a plurality of selected physical conditions are displayed, all the parts having the plural physical conditions are displayed. A highly convenient mobile terminal can be obtained.

According to the ninth aspect of the present invention, since the part in which the physical condition is generated is shown in different colors, it is possible to obtain a portable terminal in which the part can be easily grasped.

According to the tenth aspect of the present invention, since the part is indicated by the indication mark, it is possible to obtain a portable terminal capable of accurately grasping the part.

According to the eleventh invention, since the so-called flag is used as the instruction mark, it is possible to easily know the part where the physical condition is occurring.

According to the twelfth aspect of the present invention, it is possible to obtain a portable terminal in which special notes can be easily input using the flag.

[Brief description of the drawings]

FIG. 1 is an explanatory diagram showing a configuration of a home-visit nursing support system that represents a preferred embodiment of the present invention.

FIG. 2 is a flowchart showing a detailed operation of downloading patient data.

FIG. 3 is an explanatory diagram showing an input screen when a physical condition of a patient is input on the mobile terminal.

FIG. 4 is an explanatory diagram of a conventional nursing management system.

FIG. 5 is an explanatory diagram of a system of home-visit nursing care plan software.

FIG. 6 is an explanatory diagram of a conventional nursing support system.

FIG. 7 is an explanatory diagram showing a state of a physical check screen.

FIG. 8 is an explanatory diagram illustrating a state in which a symptom input popup window is displayed.

FIG. 9 is an explanatory diagram showing a state in which a symptom degree pop-up window is displayed on the symptom pop-up window.

FIG. 10 is an explanatory diagram showing how a degree of a symptom is input in a symptom pop-up window.

FIG. 11 is a flag 111 of a body part button on the human body diagram 1100.
It is explanatory drawing showing the mode that 8 is represented.

FIG. 12 is an explanatory diagram showing a state in which a part of a human body where a predetermined symptom appears is displayed in dark red.

FIG. 13 is an explanatory diagram illustrating a state in which a special note input to a predetermined part of the human body is displayed.

FIG. 14 is an explanatory diagram showing a state of an operation when a physical check screen inputs a symptom in the present embodiment.

FIG. 15 is an explanatory diagram of a file group used when a symptom is input on the physical check screen in the present embodiment.

[Explanation of symbols]

100 server, 102 portable terminal, 104 nursing schedule system, 1100 human body diagram, 1102 symptom list icon group, 1104 special notice display area, 110
6 Register button, 1108 Menu button, 1110
Symptom pop-up window, 1112 sites, 11
14 Symptom pop-up window, 1116 O
K button, 1118 part button flag, 1130 human body part data file, 1132 symptom icon file, 1134 evaluation master file, 1136 physical check file, 1138 physical check special file, 1140 symptom table, 1142 special note table, 1144 symptom icon State table.

Front Page Continuation (72) Inventor Seiji Seiji Marunouchi 2-3-3, Chiyoda-ku, Tokyo Sanryo Electric Co., Ltd. (72) Inventor Mari Mochizuki 2-3-3 Marunouchi, Chiyoda-ku, Tokyo Sanryo Denki (72) Inventor Yoshiko Ono 2-3-3 Marunouchi, Chiyoda-ku, Tokyo Sanryo Electric Co., Ltd. (72) Inventor Tokio Arai 2-3-2 Marunouchi, Chiyoda-ku, Tokyo Sanryo Electric Co., Ltd. In-house (72) Inventor Chie Sekine Marunouchi 2-3-3, Chiyoda-ku, Tokyo Sanryo Electric Co., Ltd. (72) Inventor Misa Sugimura 2-3-2 Marunouchi, Chiyoda-ku, Tokyo Sanryo Electric Co., Ltd.

Claims (12)

[Claims] 1. A portable terminal for inputting a physical condition of a patient, wherein when a human body diagram display means for displaying a human body diagram and a predetermined part of the human body shown in the human body diagram are designated, the designation is made. Physical condition candidate display means for displaying a list of physical conditions that can occur in a body part, and a physical condition indicating means for inputting the physical condition pointed out when the physical condition to be input is pointed out from the physical condition list. A mobile terminal comprising: 2. The physical condition candidate display means displays a physical condition list display means capable of displaying a list of items of physical condition that can occur in the designated part, and a list of candidates of the degree of each item. The mobile terminal according to claim 1, further comprising: a physical condition degree display unit. 3. The physical condition list display means is a pop-up window that displays items of the physical condition,
The mobile terminal according to claim 2, wherein the physical condition degree display means is a pop-up window that displays a list of candidates for the degree of each item. 4. A human body diagram display means for displaying a human body diagram, and a body for displaying a list of physical conditions that can occur in the designated region when a predetermined region of the human body shown in the human body diagram is designated. A mobile terminal having status candidate display means, and a physical status indicating means for inputting the physical status pointed out when the physical status to be input is pointed out from the list of physical statuses, and input to the mobile terminal A server for receiving the physical condition of the patient who was given from the mobile terminal, and a visiting care support system. 5. A portable terminal for displaying an inputted physical condition of a patient, a human body diagram displaying means for displaying a human body diagram, and a physical condition displaying means for displaying a list of physical conditions occurring in the patient. When a physical condition to be investigated is selected from the list of physical conditions, a region display means for displaying the region of the human body in which the selected physical condition is occurring on the human body diagram is included. A mobile terminal that does. 6. The mobile terminal according to claim 5, wherein the physical condition display unit is an icon group display unit that displays an icon group representing a physical condition. 7. The body part display means includes means for displaying, on the human body diagram, a body part in which the selected physical condition is occurring by displaying it in a different color from other parts. The mobile terminal according to claim 5 or 6, characterized in that: 8. The body part displaying means, when a plurality of body conditions to be investigated are selected, displays all the body parts having the plurality of selected body conditions on the human body diagram. The mobile terminal according to claim 5. 9. The mobile terminal according to claim 5, wherein the body part display means displays a body part in which a plurality of selected body conditions are occurring by changing the color of the human body diagram. . 10. A portable terminal for displaying an inputted physical condition of a patient, and a human body diagram displaying means for displaying a human body diagram, and indicating a body part to which the physical condition is inputted on the human body diagram. A mobile terminal, comprising: an instruction mark display unit for displaying an instruction mark to perform. 11. The mobile terminal according to claim 10, wherein the instruction mark display means displays a flag connected to the part of the human body. 12. An input unit that is activated when the pointing mark is pointed by a pointing device, the input unit being for inputting special notes to a part of the human body pointed by the pointing mark. The mobile terminal according to claim 11, comprising: