JPH09185657A - Visiting nurse server, visiting nurse supporting system and portable terminal - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an improved visiting nurse supporting system for performing a more efficient and smooth visiting nurse. SOLUTION: When a portable terminal 102 is connected with a server 100 through a LAN, according to the schedule of nurse schedule system 104, the server 100 down loads the nurse data of a prescribed patient to the portable terminal 102. Therefore, the patient data can be automatically stored in the portable terminal 102 without necessity for an operator to perform complicated processing such as inputting the name of patient every time. Besides, after the end of visiting nurse, new patient data registered at the destination of visit are up loaded from the portable terminal to the server 100 so that the patient data in the server 100 can be efficiently updated.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a visiting nursing support system and a technique related to the construction of this 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. 17, the portable input device 20 is a small electronic notebook type 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 temporarily stored in the memory of the portable input device 20 and then transmitted to the host computer 11 by optical communication at a predetermined time. 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. 18 shows an example of a home-visit nursing system using a mobile terminal. As shown in FIG. 18, 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 the mobile terminal visits the patient's home and inputs the result of nursing, the condition of the patient, etc., to the mobile terminal. 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. 19 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. 18 is such that the terminal of the nursing support system in the hospital shown in FIG. 19 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. Also, unlike the in-hospital system, the interval of home-visit nursing is generally long (once every few days, once every few weeks, etc.), so items to be sent between nurses and check items are extremely complicated. Tend to be next door. 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 home-visit nursing support system for more efficient and smooth home-visit nursing.
And technology related thereto.

[0012]

In order to solve the above problems, the first invention is used in a home-visit nursing support system, and manages patient data downloaded to a mobile terminal carried by a nurse at a patient's home. In the nursing server, at least a schedule managing means for storing a nursing schedule including a nurse, a patient, and a date and time of each visiting nursing, and a request for downloading patient data for visiting nursing from a predetermined mobile terminal. When requested,
Based on the name of the nurse who operates the mobile terminal, a schedule extraction unit that extracts a nursing schedule corresponding to the nurse name from the schedule stored by the schedule management unit and a nursing schedule that is extracted by the schedule extraction unit And a patient data download means for downloading the patient data of the included patient to the mobile terminal.

Since the download is automatically performed based on the schedule, it is possible to reduce the burden on the visiting nurse.

In the present invention, the server has the schedule managing means, but it may be constructed separately from the server. In the case where the server is configured separately, a predetermined access is made from the server to the schedule management means via a communication means such as LAN. If configured in this way, the invention would be the entire home-visit nursing support system.

Further, in order to cope with a change in the schedule which the schedule managing means does not manage in time, data of patients other than the patient set by the schedule managing means can be manually downloaded in a certain case. It is desirable to keep it.

A second aspect of the present invention is the home-visit nursing server according to the first aspect, wherein the schedule extracting means retrieves only a nursing schedule for a predetermined period requested from the portable terminal. Server.

When home-visit nursing care is performed for several days, it is desirable to collectively download the data for a certain period. With this configuration, it is not necessary to return to the nursing center each time home visit is performed (every day), and efficient home visit can be performed.

In order to solve the above problems, a third aspect of the present invention includes a server for managing nursing data, a plurality of portable terminals connectable to the server, which are carried by a nurse at a patient's home. In the home-visit nursing support system having
The server sets a non-updatable flag to the downloaded nursing data when the portable terminal uses the nursing data of the prescribed patient for visiting nursing of the prescribed patient, when the nursing data of the prescribed patient is downloaded from the server. An update prohibition flag setting means and an update prohibition means for prohibiting the update when the mobile terminal other than the certain mobile terminal attempts to update the nursing data to which the update impossible flag is set. Is a home-visit nursing support system.

Once the legitimate download has been made, the update-disabled flag is set to prevent the same patient data from being downloaded by another nurse. Therefore, it is possible to carry out safe and reliable home-visit nursing care without bringing wrong patient data to the patient's home or accidentally destroying correct patient data.

A fourth aspect of the present invention is the home-visit nursing care support system according to the third aspect of the present invention, wherein the server further reflects the result of the home-visit nursing by the certain portable terminal in the nursing data managed by the server. In addition, when the nursing data of the predetermined patient managed by the server is updated, an updatable flag releasing means for releasing the updatable flag set by the updatable flag setting means is included. It is a visiting nursing support system.

In the third aspect of the present invention, the invention is that the update of the patient data is impossible. However, a legitimate nurse inputs the legitimate patient data at the patient's house and the legitimate patient data is stored in the server. It is preferable to allow the patient data to be updated when uploading. And
After the upload is legally done, the update is no longer required to be disabled, so the update-disabled flag is cleared. As described above, according to the fourth aspect of the present invention, since the patient data can be updated smoothly, the entire system can be operated smoothly.

In order to solve the above-mentioned problems, the fifth aspect of the present invention is used in a home-visit nursing support system, and a portable terminal carried by a nurse to a patient's home is connected to a server when the portable terminal is started up. It is a mobile terminal characterized by including control means for inspecting whether the mobile terminal is connected or not, and controlling the operation of the mobile terminal to be different depending on whether the terminal is connected or not.

The mobile terminal performs different tasks at the patient's home and at the nursing station. In a general computer, it is difficult to carry out the work smoothly in each case unless the setting is changed each time. In the present invention, the operation automatically differs depending on whether or not the mobile terminal is connected to the server, so that the setting of the computer can be flexibly changed.

In order to solve the above-mentioned problems, the sixth aspect of the present invention is used in a home-visit nursing support system, and a portable terminal carried by a nurse to a patient's home is connected to a server when the portable terminal is started up. It is a mobile terminal characterized by including a control means for inspecting whether or not there is a connection, and a control means for differentiating an operation that can be performed by an operator depending on whether or not it is connected.

In the home-visit nursing support system, the work performed by the mobile terminal at the nursing station or the like is generally different from the work performed at the patient's home. In particular, the operations that can be performed at the nursing station are often different from the operations that can be performed at the patient's home. Therefore, in the mobile terminal of the present invention,
The operation that can be performed when the server is not connected and when it is connected is automatically changed. As a result, it is possible to prevent a situation in which an operation that cannot be performed, the mobile terminal hangs up, or an unexpected error occurs.

Further, the portable terminal of the sixth aspect of the present invention is characterized in that the control means includes an execution limiting means for limiting execution of a predetermined operation when the server is not connected. It is a terminal.

Generally, compared to the operation that can be executed at a nursing station or the like in which a mobile terminal is connected to a server,
The operations that can be performed at the patient's home are often limited. Therefore, it is often simple and convenient to simply limit the operations that can be executed, rather than changing the operations that can be executed. In the present invention, the operations that can be executed at the patient's home are simply limited as compared with the case of being connected to the server, so that the configuration of the program of the mobile terminal is simplified and the types of operations that can be executed are understood by the operator. It will be easy to do.

In a seventh aspect of the present invention, in the portable terminal of the sixth aspect of the present invention, when the operation restricted by the execution restricting means is displayed as a menu, a light color menu for displaying the restricted operation in a light color. A mobile terminal having a display means.

In order to solve the above problems, the eighth aspect of the present invention is used in a home-visit nursing support system, and in a portable terminal carried by a nurse to a patient's home, the past nursing content and nursing data for a certain period from the present. Nursing history storage means for storing, and from the nursing history storage means according to the operator's request,
Read the prescribed past nursing content or nursing data,
Display means for displaying, wherein the display means, when the operator requests nursing content or nursing data older than the certain period, the server provides the further nursing content or nursing data. The mobile terminal is characterized by reading and displaying.

Therefore, the operator does not need to care where the nursing data exists.

In order to solve the above-mentioned problems, the ninth aspect of the present invention is used in a home-visit nursing support system, and in a portable terminal carried by a nurse to a patient's home, the past nursing content and nursing data for a certain period from the present. Nursing history storage means for storing the past nursing content requested by the nursing history storage means in response to the request when the operator requests past nursing contents or nursing data within the certain period from the present. First display means for reading and displaying content or nursing data, and whether or not the mobile terminal is connected to the server when the operator requests nursing content or nursing data older than the certain period from the present If the mobile terminal is not connected to the server as a result of the inspection by the inspection means for inspecting whether or not the requested data cannot be displayed. Second display means for displaying a message to the operator and, when the mobile terminal is connected to the server, reading out and displaying the further past nursing content or nursing data from the server. It is a mobile terminal characterized by the above.

The first display means is similar to the eighth invention,
The nursing data and the like stored in the mobile terminal are read out and displayed, but the second display means of the ninth aspect of the present invention, unlike the eighth aspect of the present invention, has a different action depending on whether or not a server is connected. .

That is, when connected to the server, the nursing data and the like are read from this server and displayed, but when not connected to the server, a message indicating that the data cannot be displayed is displayed for operation. Call attention to the person.

[0034]

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

Embodiment 1 Basic Configuration and Basic Operation of Home-visit Nursing Support System FIG. 1 is an explanatory diagram showing the configuration of the home-visit nursing support system and the flow of its operation according to a preferred embodiment of the present invention. ing. As shown in FIG. 1, a server 100 that controls the entire visiting nursing support system is provided, for example, 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. Further, in response to an operation / request from the outside, patient data and nursing history information managed by the server 100 are output to the outside and used for printing or the like. 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. The portable terminal 102 is a so-called pen PC, and is configured so that anyone can easily operate it. (Hereinafter L
An example is shown for the case of AN connection. ) First, before performing home-visit nursing, the nurse connects the portable terminal 102, which should 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.

What is characteristic of the present 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 home-visit 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 prohibition flag is set in the patient data, but if the patient data is uploaded by the nurse who has been properly downloaded,
The patient data is updated, and at the same time, the non-updateable flag is also cleared. The cancellation of the update-disabled flag is also performed by uploading patient data.

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 the 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 the present home-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, it is necessary to set the visit schedule or change the visit schedule in steps ST2-1 and ST2-2.
At any time, it will be carried out as needed. In this way, the schedule file representing the created visit schedule has a structure including the date and time and the patient name, as the structure is shown in 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. Although the nursing schedule system 104 that manages such a schedule file is described as being configured separately from the server 100 in FIG. 1, the nursing schedule system 104 is a function inside the server 100. Realization is also suitable. 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 ST2-3, the pen PC which is the mobile terminal 102 is LAN-connected to the server 100 to start up the mobile terminal 102. 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 T2-5, a check is made as to 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 ST2-6. This input is, for example, 4 days from August 1, 1995, that is, 8
The nurse inputs from the mobile terminal 102 as before the 4th of a month.

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 ST2-7).

Now, the nurse looks at the displayed patient name and determines 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. When the nurse determines that it is not necessary to add or delete the patient in step ST2-8, the patient data of the patient corresponding to the patient name currently selected in step ST2-9 is transferred from the server 100 to the mobile terminal 102. Downloaded to. 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 ST2-8 that the patient needs to be added, the nurse inputs the patient name in step ST2-10 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. Incidentally, this step ST2-10
This process is also performed when it is determined in step ST2-5 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 ST2-8 that the patient needs to be deleted, the deleting process is performed in step ST2-11. 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.

In either case of step ST2-10 or step ST2-11, the list of patient names after addition / deletion is sent again from the server 100 to the portable terminal 102, and the name of the target patient is Mobile terminal 1
Displayed to the nurse at 02. As a result, in step ST2-12, the confirmation of the patient who is the target of the home-visit nursing is performed again by the nurse. And
As a result of this confirmation, it is determined again in step ST2-8 whether the addition or deletion of the patient is necessary or not, and 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) who operates each mobile terminal 102 does not specify the patient name by himself / herself to download the 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.

System Start-up As described above, the home-visit nursing care support system uses the server 1
00 and a plurality of mobile terminals 102 that can be connected to the server 100 via a LAN. In particular, in the present embodiment, the mobile terminal 102 inspects whether or not it is connected to the server 100 via LAN when it is started up, and changes its own operation mode based on the inspection result.

FIG. 9 is an explanatory diagram of the operation at the time of starting up the portable terminal 102 in the present embodiment. As shown in FIG. 9, when the power of the mobile terminal 102 is turned on, the initial program is started and the operating system is started, as in a general computer. A feature of this embodiment is that the portable terminal 102 tries to open the management master file of the server 100 when the system is started up. By attempting to open this management master file, it is possible to determine that the server 100 is connected to the LAN if the opening is successful, and it is possible to determine that the server 100 is not connected if the file opening fails. is there.

Then, when the file open succeeds and when the file open fails, FIG.
The operations that can be executed on the menu screen are different as shown in FIG. As shown in FIG. 9, when the file is opened successfully, “preparation”,
Buttons for calling the functions of “record”, “transfer”, “center”, and “end”, and an input field for entering the password of the operator are displayed. On the other hand, if the file open fails, the menu screen of the home-visit nursing support system will be displayed as well.
With respect to the three functions of "transfer" and "center", so-called light color display (gray display) is performed, and the operator is informed that selection is not possible. In this state, the operator can select only "record" and "end". As described above, according to the present embodiment, it is inspected whether or not the server 100 is connected when the system is started up, and the operation is changed depending on the inspection result. Therefore, it is determined whether the operator is connected to the server or not. There is no need to change the settings of the mobile terminal. Therefore, when connected to the server 100, the function for the server 100 can be automatically executed, and at the patient's home, only the function required at the patient's home is automatically set. Is done. Therefore, the operator does not need to set the computer according to the environment, and can provide a very convenient mobile terminal. As a result, the work of nursing can be made more efficient and home-visit nursing can be implemented effectively.

Display of Past Data When the portable terminal 102 in the present embodiment is LAN-connected to the server 100 at the nursing station, it reads the management data inside the server 100 to carry past patient data. It can be displayed on the screen of the terminal 102. On the other hand, the mobile terminal 102 is the server 1
Even when not connected to 00, the past patient data for a predetermined period can be stored and the past patient data can be viewed as a so-called stand-alone during the predetermined period.

A flowchart for explaining the operation of such a portable terminal 102 is shown in FIG.

The current patient data is first displayed, as shown in FIG. At this time, 0 is assigned to the number counter, which is a variable inside the mobile terminal 102. In the present embodiment, the value 0 of the frequency counter means the present. (Step ST15-1).

Next, the operator depresses the previous button when viewing the previous patient data. (Step ST15
-2). A predetermined key on the keyboard may be assigned to the previous button, or a predetermined button on the screen may be used as the previous button.

Next, the number counter is decremented (step ST15-3). Then, by checking the value of the number of times counter, it is determined whether the user wants to see the data within the past five times or the patient data older than that (step ST15-4). Specifically, this judgment is made by inspecting whether the frequency counter is greater than minus 5 or less than minus 6.
If the result of the examination is greater than minus 6, it is desired to see the patient data within the past 5 times, so step ST15.
The processing shifts to -5. Since the portable terminal 102 in the present embodiment holds patient data within the past five patient data, it is possible to read the internal data (step ST15-5). Then, in step ST15-6, this data is displayed on the screen.

On the other hand, in step ST15-4, if the frequency counter is smaller than -5, that is, if it is desired to view patient data older than the past five times, in step ST15-7 it is determined whether the server is connected to the server. To be inspected. As a result of this inspection, the server 100
When connected to, the past (sixth and earlier) data stored in the server 100 is read (step ST15-8). Then, the read data is displayed in step ST15-6 as described above.

When it is determined in step ST15-7 that the server 100 is not connected, the data to be displayed cannot be read, and a predetermined message is displayed on the screen. Is not changed (step ST15-9).

As described above, in this embodiment, patient data is registered in the portable terminal 102 until a certain past period, and the operator's instruction is given even when the server 100 is not LAN-connected. It is possible to recall past patient data (within a certain period). Moreover, when connected to the server 100, all patient data can be read. A characteristic of this embodiment is that the operator does not need to be aware of where the patient data is. That is, the operator only gives an instruction to the mobile terminal 102 only to see how many times the data should be viewed, and the display program of the mobile terminal 102 reads past data as much as possible depending on whether or not the display program is connected to the server 100. If it cannot be read, a message indicating that it cannot be displayed is displayed on the screen as a message. Therefore, the operator can refer to all the patient data that can be viewed at that time without being aware of where the patient data is stored.

Second Embodiment Next, another preferred second embodiment of the present invention will be described with reference to the drawings.

Basic Configuration and Basic Operation In the second embodiment, as in the first embodiment, a server device installed at a home-visit nursing station or the like and a mobile device that can be connected to the server device via a LAN or a line. A home-visit nursing support system consisting of a terminal is constructed.

FIG. 20 shows an explanatory diagram for explaining the basic configuration and the basic operation of the home-visit nursing system according to the second embodiment. In FIG. 20, an outline of server-side control data in the home-visit nursing support system and
An outline of terminal-side control data is shown respectively. Further, FIG. 20 shows how each control data is used in each function of the home-visit nursing support system.

First, in the system startup 300 of the terminal, it is checked whether the terminal is connected to the server via the LAN, and this connection state is set in the LAN connection state flag L. Further, the terminal status flag S indicates whether the reception completion state or the transmission completion state is set depending on the execution status of each reception / transmission process of the terminal.

Next, based on the information such as these two flags L and S, this terminal displays a predetermined menu screen display 302.
I do.

Next, if the terminal is going to be carried to home-visit nursing and therefore it is necessary to internally store the information regarding the patient such as the personal basic file 400 and the history file 402 from the server, the reception is performed. Process 3
The process of 04 is performed. The reception process 304 is performed by reading out the information corresponding to the visited patient from the personal basic file 400 and the history file group 402 stored in the server. In this reception process 304, the carry-out flag M included in the personal basic file 400 is checked and updated. The carry-out flag M is a flag indicating whether or not the information for the patient is downloaded to any of the terminals and used in home-visit nursing, and is a flag provided to prevent so-called double carry-out. Is. The carry-out flag M will be described in detail later. When the information corresponding to the patient is downloaded from the personal basic file 400 in the reception process 304, the value of the carry-out flag M is updated, indicating that the data of the patient is taken out. Is set as follows.

In this receiving process 304, the number of received files is controlled by a predetermined download target history file number D. This download target history file number D is set to a value, for example, by master maintenance in the server, and a value such as 5 or 30 is set in advance. In the reception process 304, the data of the history file group 402 of D cases is downloaded based on the set number of files D.

The specific contents of the personal basic file 400 and the history file group 402 will be described later.

In this receiving process 304, the schedule file 40 is selected when selecting the patient to be downloaded.
Refer to FIG. By referring to this schedule file 404, the recipient can be extracted. Then, the data of the extracted personal basic file 400 of the target person and the corresponding data from the history file group 402 are downloaded. Of course, as will be described later, in addition to the patients shown in the schedule file 404, it is also possible to download the data of other predetermined patients at the discretion of the person who performs the home-visit nursing.

In this way, after the data of the personal basic file 400 regarding the patient and the data of the history file group 402 are downloaded from the server to the terminal in this manner, the display processing 5 of the past data of the patient in the actual visiting nursing is performed.
00 and past data recording processing 502 is performed. The past data display processing 500 and the recording processing 502 are actually performed in one processing flow, as will be described later. Further, in the past data display processing 500, the past data older than a predetermined set value D (D is the number of download target history files and represents a certain past number) is referred to, and the terminal When the is connected to the LAN, the old past data is not downloaded to the terminal, so the history file group 402 on the server side is directly accessed and the past data display process 500 of the patient is performed. Such operation will also be described in detail later.

In the home-visit nursing, a nurse performs various kinds of nursing for a patient, and the contents of the nursing are added to the history file 402a to become the history file 402b (see FIG. 20).

The home-visit nurse returns to the home-visit station or the like from the home-visit nurse and connects the terminal to the server so that L
Connect to AN. Then, a transmission process 306 is performed to add the history file 402b to which the predetermined nursing history information is added to the server-side history file group 402. By this transmission processing 306, new nursing history information is added to the history file group 402.

Further, in the home-visit nursing care support system according to this embodiment, when the terminal is connected to the LAN, the personal basic file 400 and the history file group 402 are provided.
It is possible to directly reference or change the server-side history file group 402 from the terminal without downloading the file to the terminal. In the present embodiment, such processing is called station processing 308.

FIG. 21 is an explanatory diagram showing the specific contents of the personal basic file 400, the history file group 402, and the schedule file 404.

First, the personal basic file 400 is shown in FIG.
As shown in, it is a file that records fixed information such as name, date of birth, and address of each patient. For example, in addition to the patient ID, name, address, etc., the nurse in charge of the patient Is recorded. Further, a carry-out flag M is set for each patient in the personal basic file 400. The carry-out flag M is a flag indicating whether or not data regarding the patient is downloaded to the terminal for home-visit nursing, and is a flag provided to prevent so-called double carry-out. The specific operation of the carry-out flag M will be described later.

Further, the history file group 402 is a file in which the kind of nursing care performed for each patient and the nursing contents are recorded one by one. Specifically, FIG.
As shown in FIG. 3, a date and information (nursing history information) representing the content of nursing on that date are stored for each patient.

Further, the schedule file 404 is a file representing a visiting nursing schedule in this visiting nursing support system. This schedule file 40
As shown in FIG. 21, a nurse in charge of home-visit nursing, the date and time of the home-visit nursing, the name of the patient who is the target of home-visit nursing, and the like are stored in 4. There is.

The contents of the schedule file 404 are created by the schedule creation process 406 in the server. The schedule creation processing 406 also corrects the once created schedule.
In this way, the contents of the history file group 402 and the data of the personal basic file 400 to be received in the receiving process are selected based on the schedule file 404 created in the schedule creating process 406 as described above. It should be noted that in the above-described reception process 304, not only the case where only the data relating to the home-visit nursing care for the day is downloaded, but the case where the data relating to the home-visit nursing care for the past one week from today is also considered to be downloaded at once. . This also takes into consideration cases such as long-term home-visit nursing care such as when a patient lives in a remote place, and cases where the home-visit nursing station cannot be visited due to the working conditions of the nurse. Such adjustment is performed for each case according to the contents of the schedule file 404.

Menu screen from terminal system startup
Display Control FIG. 22 shows a flowchart showing the operation of the terminal in the home-visit nursing support system according to the present embodiment.

As shown in FIG. 22, when the power of this portable terminal is turned on and the program of the home-visit nursing care support system is started, it is first checked in step ST22-1 whether this terminal is in the LAN connection state. It Next, the result is determined in step ST22-2, and if it is in the connected state, the process proceeds to step ST22-3,
If not connected, the process proceeds to step ST22-4.

In step ST22-3, it is determined that the LAN connection state is established, and the value of "LAN" is substituted into the LAN connection state flag L. LAN connection status flag L
The value of "LAN" indicates that this terminal is in the LAN connection state.

On the other hand, in step ST22-4, L
The value of “LOC” is substituted into the AN connection state flag L. Substitution of "LOC" into the LAN connection status flag L means that this terminal is not connected to LAN ("LOC" means LOCAL).

In step ST22-3, the terminal is set to L
When the flag is set to the AN connection state, the process proceeds to step ST22-5, and the value of the terminal status flag S of this terminal is checked. When the value of the terminal status flag S is "9", step ST22-
The processing shifts to 6 and the menu pattern A is selected. This menu pattern is a pattern for controlling the display of the menu, and its specific content will be described in detail later.

On the other hand, when it is determined in step ST22-5 that the terminal status flag S is "1", the process proceeds to step ST22-7 and C is selected as the menu pattern.

If it is determined in step ST22-5 that the terminal status flag S is "0", the menu pattern E is selected in step ST22-8.

It should be noted that the value of the terminal status flag S is S = beforehand when this system is installed in the terminal.
It is set to "9". This terminal status flag S
The meaning of the value of will be described in detail later.

On the other hand, in step ST22-4, LA
When the value of “LOC” is substituted for the N connection status flag L and it is determined that the terminal is not LAN-connected, the value of the terminal status flag S is checked in step ST22-9. As a result of this inspection, when it is determined that the value of the terminal status flag S is "1", the menu pattern D is selected in step ST22-10, and it is determined that the terminal status flag S is "0". In this case, the menu pattern F is selected in step ST22-11. On the other hand, in step ST22-
When it is determined that the value of the terminal status flag S is "9" in 9, the message (M5) is displayed,
System shutdown is executed.

The contents of the terminal status flag S and the menu patterns A, B, C, D, E and F will be described below.

FIG. 23 shows the value of the terminal status flag S and a menu control pattern for controlling the screen display of the terminal. FIG. 23 (1) shows a table for explaining the value of the terminal status flag S and the content of the processing permitted on the terminal based on the LAN connection status (represented by the LAN connection status flag L). There is.

First, when the value of the terminal status flag S is "9", it means that the terminal is in the initial state. Immediately after the home-visit nursing system is installed, the terminal has the value "9" set as the value of the terminal status flag S, and it is necessary to connect to the server via the LAN and download predetermined data for home-visit nursing. It is indicated by the number "9". If the value of the terminal status flag S is "9", the LAN
When not connected, that is, in the local state, the initial processing is in the disapproved state as shown in FIG. 23 (1), and a predetermined message M5 is displayed.
The specific content of this message M5 is shown in FIG. That is, when the power of this mobile terminal is turned on immediately after the installation of this home-visit nursing system, the message "This mobile terminal is in the initial state is displayed.
Please connect to the server and power cycle. Message is displayed. Such an operation corresponds to step ST22-12 in FIG. In this step ST22-12, this message is displayed and only the button for ending the system is displayed. The operator of this mobile terminal ends the system by clicking the system end button with a mouse or the like. In the present embodiment, such a display control pattern is called B. This B is classified as a menu control pattern in the bottom column of the table of FIG.

When the value of the terminal status flag S is "9" and the terminal is in the initial state and is connected to the LAN (the LAN connection state flag L is "LAN").
When the power is turned on (in the case where the value of is substituted), the three processes of the initial process, the receiving process, and the station process are permitted as shown in FIG.
On the other hand, the transmission process and the recording process are not permitted. This indicates to the operator that the buttons for initial processing, reception processing, and station processing are shown in a normal state on the screen, and the buttons for transmission processing and recording processing are displayed in gray color so that they cannot be selected. . The display of such a screen,
In this embodiment, the menu control pattern is called A. By the way, the transmission process is dimmed and cannot be selected. However, when the operator selects this transmission process (clicks with a mouse or the like), the message M is displayed.
2 is displayed to indicate to the operator the reason why the processing cannot be performed, and to draw attention. The content of the message M2 is specifically shown in FIG. 23 (3). In other words, this message M2 has the content that "there is no data on the mobile terminal side". That is, when the mobile terminal is in the initial state, the transmission process cannot be performed because the history file 402b and the personal basic file 400a to be sent to the server do not exist inside the mobile terminal.

Although the recording process is also displayed in a light color on the screen, if the operator selects this recording process, a message M3 is displayed to show the reason why the recording process cannot be executed. At the same time, the operator will be alerted. The content of this message M3 is
Specifically, as shown in FIG. 23 (3), the message "There is no data on the mobile terminal side. Please perform the receiving process" is displayed. This is the recording process 502.
As shown in FIG. 20, is a process of adding nursing information representing the contents of nursing to the downloaded history file group 402a. Therefore, if there is no history file group 402a which is the past data of the patient in the mobile terminal, the recording process 502 is not accepted.

As described above, when the value of the terminal status flag S is "9" and the LAN is in the connected state, it is possible to perform all other processes except the transmission process and the recording process (502). is there. As described above, the control of the menu in which only the transmission process and the recording process 502 are displayed in light color is referred to as a menu control pattern A in the present embodiment, and this process is step ST2 in FIG. 22 described above.
It corresponds to 2-6.

Next, when the value of the terminal status flag S is "1", it means that the reception is completed. here,
The reception completion means that the reception process 304 in FIG. 20 is completed. Therefore, in this state, the personal basic file 400a downloaded from the server and the history file group 402 are stored in the mobile terminal.
It means that a is present. In such a state, the mobile terminal is carried for home-visit nursing, and a predetermined recording process 502 according to the content of nursing is performed. Therefore, as shown in FIG. 23A, the mobile terminal is in the local state (the value of the LAN connection state flag L is "LO").
In the case of “C”), only the initial processing and the recording processing 502 are permitted, and other reception processing, transmission processing, station processing, etc. are not permitted. All of these receiving processes are possible only when the mobile terminal is in the LAN connection state, and are naturally not permitted because they cannot be executed in the local state. Therefore,
All the buttons of the menu corresponding to the reception process, the transmission process, and the station process are displayed in gray color so that they cannot be selected. In the present embodiment, such a menu control pattern of the screen is called D. Such a screen display corresponds to step ST22-10 in FIG. 22 described above.

Note that neither reception processing nor transmission processing can be selected in the case of this menu control pattern D, but if the operator mistakenly selects this reception processing, for example, a message M1 is displayed, Call attention to the operator. The specific content of this message M1 is shown in FIG.
As shown in (3), the message "Already searched" is displayed. Further, when the operator erroneously selects the transmission processing which is displayed in a light color, the message M4 is displayed.
Is displayed. The specific content of this message M4 is
As shown in FIG. 23 (3), the message "Processing is canceled because the server is not connected" is displayed. It should be noted that when the operator selects the station processing displayed in light color, the message M
4 is displayed to alert the operator.

On the other hand, when the value of the terminal status flag S is "1" and the portable terminal is in the LAN connection state (when the LAN connection state flag has the value "LAN"), all the reception processings are performed. Processing can be executed. The reception process is not permitted because the value of the terminal status flag S is "1" and there is a history file 402b to which data of nursing content is added in the mobile terminal. This is because it is inappropriate to download the group 402. This is to prevent the history file 402b having the data added by the recording process from being lost due to this download.

As described above, when the value of the terminal status flag S is "1" and the portable terminal is in the LAN connection state, the menu control pattern is C for controlling the screen display.
Call. The process of displaying the menu control pattern C is shown in step ST22-7 of FIG. It should be noted that when the screen display is being performed based on the menu control pattern C, the reception process is displayed in a light color and it is clear that it cannot be selected. However, if the operator selects this reception process. , A message M1 is displayed to call the operator's attention. Specifically, the content of the message M1 is "already received", as shown in FIG.

When the value of the terminal status flag S is "0", the history file 4 is sent from the portable terminal.
The content of 02b is uploaded to the history file group 402 in the server by the transmission processing 306 (that is, the transmission is completed).

In this state, when not in the LAN connection state (that is, in the local state), only the initial processing is permitted, and the other receiving processing, transmitting processing, station processing, recording processing 502, etc. are all permitted. No (see FIG. 23 (1)). This is because the LAN connection is not made, so that the reception process and the transmission process are not permitted and the station process is not permitted. Besides, since the history file 402b inside the mobile terminal has been transmitted to the server side, it is not permitted to newly record nursing data or the like. After all, when the value of the terminal status flag S is "0" and the mobile terminal is not in the LAN connection state, only the initial processing is permitted as normal processing.

Note that such a screen display in which only the initial processing is permitted is called a menu control pattern F. The control pattern F of this menu is shown in FIG.
2 corresponds to step ST22-11.

When the screen display based on the menu control pattern F is being performed, the receiving process, the transmitting process, the station process 308, the recording process 502, etc. are all displayed in a light color, indicating that they cannot be selected. . In this case, when the operator selects the reception process, the message M4 is displayed and the operator is alerted. Specifically, the content of the message M4 is, as shown in FIG. 23 (3), "the processing is canceled because it is not connected to the server." A similar message will be displayed if you select station processing.

On the other hand, when the operator selects the transmission process, the message M2 is displayed to alert the operator. The specific content of the message M2 is, as shown in FIG. 23C, "there is no data on the mobile terminal side." Furthermore, when the recording process displayed in a light color is selected, a message M3 is displayed to alert the operator. This message M3
Specifically, as shown in FIG. 23 (3),
The content is "There is no data on the mobile terminal side. Please perform reception processing." In this way, a menu display pattern in which only the initial processing is permitted and the reception processing and the transmission processing are not permitted is called a menu control pattern F in the present embodiment. This menu control pattern F is the above-mentioned step ST22 of FIG.
Corresponds to -11.

When the value of the terminal status flag S is "0" and the portable terminal is in the LAN connection state (when the value of the LAN connection state flag is "LAN").
, Only the transmission process and the recording process 502 are in the non-permission state, and other processes are in the permissive state. This is because, since the transmission has been completed, it is inappropriate to repeat the transmission, and therefore the transmission processing is prohibited. Also, since the transmission has been completed, valid data has been transferred to the server side. Therefore, in this case, the nursing data etc. are newly added to the history file 4.
It is inappropriate to record as 02b.

As described above, the value of the terminal status flag S is "0" and the value of L of the LAN connection status flag is "L".
A menu control pattern for screen display in the case of "AN" is called E. This menu control pattern E corresponds to step ST22-8 in FIG. When the display according to the menu control pattern E is being performed, the transmission process and the recording process 502 are displayed in a light color, which indicates that they cannot be selected, but the operator selects the transmission process due to an error or the like. If it does, a message M2 is displayed to alert the operator. The content of this message M2 is "there is no data on the mobile terminal side" as in the case described above. Further, when the recording process is selected by the operator due to an error or the like, the message M3 is similarly displayed to alert the operator. The content of the message M3 is, as described above, "there is no data on the mobile terminal side. Please perform reception processing."

The terminal status flag S has a total of 3 such a terminal initial state, a reception completed state and a transmission completed state.
Means the state of an individual. A more detailed meaning of the terminal status flag S is shown in FIG. 23 (2), and its flag transition is shown in FIG. When the value of the terminal status flag S is "9", it means that the terminal is in the above-mentioned initial state, and specifically means a state immediately after the home-visit nursing support system is installed, that is, immediately after setup. The value of the terminal status flag S becomes "9" only when the mobile terminal is used as a mobile terminal of the home-visit nursing support system.
For example, except when software is newly installed, the value of the terminal status flag S does not become "9" again after it once becomes "1" or "0".

The value of the terminal status flag S becomes "1" at the time when the reception of the data such as the history file group 402 from the server is normally completed. At the time when this reception is completed, the value of the terminal status flag S becomes "1". The fact that the value of the terminal status flag S is "1" as shown in FIG. 23 (2) is included during transmission as shown in FIG. 23 (2). This is because the value of the terminal status flag S is changed from "1" or the like to "0" at the time when the transmission is completed. That is, the value of the terminal status flag S is still "1" during the transmission.

The value of the terminal status flag S becomes "0" when the content of the history file 402b is uploaded from the portable terminal to the server by the transmission process 306 and this upload is completed. The completion of this transmission indicates that the server-side history file group 402 is valid data and the terminal-side data is invalid. The value of the terminal status flag S is "0" from the time when the transmission is completed to the time when the data reception is completed. In other words, the value of the terminal status flag S remains "0" during the data reception. This is because the value of the terminal status flag S is changed to "1" as described above because the reception is completely completed. That is, the value of the terminal status flag S is still maintained at "0" during the reception.

FIG. 24 shows how the value of the terminal status flag S changes. As shown in FIG. 24, the content of the terminal status flag S is "9" immediately after the installation, and thereafter, "1" and "0" each time the reception process or the transmission process is completed in the visiting care. Will be taken alternately.

Returning to FIG. 22, the description of the operation of the flowchart will be continued.

As described above, step ST22-
In step 6 and step ST22-7, when a predetermined menu pattern is selected, then step ST22-1
The processing shifts to 3 and the initial processing is performed.

Next, in Step ST22-14,
The menu screen is displayed. This menu screen is displayed in the above step ST22-6 or step ST22.
This is performed based on the menu control pattern selected in -7 or the like.

Next, in step ST22-15, it is checked whether or not the end is selected. As a result of this inspection,
When the termination is selected, the system is terminated.
On the other hand, when a process other than the end is selected, the process proceeds to step ST22-16.

At step ST22-16, it is checked whether the selected process is permitted to be executed.

In step ST22-17, if the result of this check is that execution is permitted, the process proceeds to step ST22-18, but if execution is not permitted, the process proceeds to step ST22-19. Will shift.

In step ST22-19, after displaying a predetermined message on the screen, the above-mentioned step ST22-
The processing shifts to 2, and the same processing is repeated again.

On the other hand, in step ST22-18, it is checked whether or not the selected process is reception. If it is reception, the process proceeds to step ST22-20 and the reception process is performed. After this receiving process is performed,
In step ST22-21, the terminal status flag S is set to "1".

If the process selected in step ST22-18 is not reception, it is checked whether the selected process is transmission. When the selected process is transmission, the transmission process is performed in step ST22-23, and "0" is set to the terminal status flag S in step ST22-24.

If the process selected in step ST22-22 is not the transmission process, it is checked whether the process selected in step ST22-25 is the recording process. If the result of this inspection is a recording process, a recording process is performed in steps ST22-26. It should be noted that, if it is not the recording process in step ST22-25, it is theoretically impossible, but the process shifts to step ST22-2 again without performing any process.

FIG. 25 is a flow chart showing the detailed operation of the menu screen display operation of step ST22-14 in FIG. FIG. 26 is a flowchart showing the detailed operation of the process execution permission check in step ST22-16 in FIG. Hereinafter, each process will be described in detail based on these flowcharts.

First, as shown in the flow chart of FIG. 25, when the menu screen is displayed, the item variable I
Is used. This item variable I means the menu item to be displayed.

First, in step ST25-1, "0" is assigned to this item variable I.

Next, in step ST25-2, the item variable I is incremented (+1).

Next, in step ST25-3, I
It is checked whether or not the number menu, that is, the menu (I), exists. As a result of the inspection, if the menu (I) is present, the process proceeds to step ST25-4, and if not, the process proceeds to step ST25-5.

At step ST25-4, it is checked whether the menu (I) is an executable menu. As a result of this inspection, if the menu (I) is executable, the process proceeds to step ST25-6, and the normal color is set in the menu (I). This step S
At T-6, only the color setting for display is performed.

On the other hand, when it is determined in step ST25-4 that the menu (I) cannot be executed, the process proceeds to step ST25-7, and the light color is set in the menu (I). .

Step ST25-6 or Step ST
After the color is set in the menu in 25-7, the process proceeds to step ST25-2 again.

When the colors have been set for all menus and the process proceeds to step ST25-5, the screen is displayed using the set colors in this step.

In this way, the screen display of the menu is performed based on the pattern set by the menu control patterns A, B, C, D and the like.

FIG. 26 is a flow chart showing the operation of the process execution permission check (step ST22-16) in FIG. As shown in FIG. 26, first, in step ST26-1, menu selection is performed by the operator.

Then, it is checked whether or not the function selected in step ST26-2 is executable. If it can be executed, the process proceeds to step ST26-3, OK is assigned to the result, and the process ends.

On the other hand, if it is determined in step ST26-2 that the selected function cannot be executed, NG is substituted for the result, and the check process ends.

Reception Processing By the above description, detailed operations of the system start-up processing 300 and the menu screen display processing 302 in FIG. 20 have been described. Next, reception processing 3 in FIG.
The operation of 04 will be described.

27, 28, and 29 are flowcharts showing the operation of the receiving process 304 in the home-visit nursing care support system according to the present embodiment. A characteristic of the reception processing 304 of the present embodiment is that the exclusive processing is performed to prevent double update of data and the like, thereby ensuring complete data protection.

First, as shown in the flow chart of FIG. 27, at the start of the reception process, the presence or absence of the schedule function is inspected (step ST27-1).
As a result of the inspection, if there is no schedule function,
The processing shifts to the B section in 8.

On the other hand, if it is determined in step ST27-1 that there is a schedule function, step S
After the schedule I / F process in T27-2 is performed, the process shifts to the C section in the flowchart of FIG. The detailed operation of the schedule I / F process will be described later.

In this way, when the schedule function is functioning, the processing shifts to the C section in FIG. 28, and when there is no schedule function, the processing shifts to the B section in FIG.

If the schedule function is operating, the process moves to the section C in FIG. 28, and step ST28-
In 1, the addition / deletion of the patients to be the subject of visiting nursing is performed. When the additional process is selected in this step ST28-1, the process of step ST28-2 shifts and the operator selects a patient to be added.
This selection is realized by searching the patient name by the prefix match search by inputting "Kana".

Next, in step ST28-3,
The carry-out flag M of the selected corresponding patient is checked.

As a result of checking the carry-out flag M in step ST28-3, it is checked in step ST28-4 whether this flag is "0". When the result is 0, the process proceeds to step ST28-5, the information of the target person is acquired, and the confirmation screen is displayed. Then, after that, the process proceeds to step ST28-6.

If the value of the carry-out flag M is not "0" in step ST28-4, step S28.
At T28-7, it is checked whether or not the value of this flag is "1". As a result of this inspection, the carry-out flag M
If the value of is "1", the message "Receiving by other"
Is displayed on the screen (step ST28-8). After displaying this message, the process proceeds to step 28-6.

If the value of the carry-out flag M is not "1" in step ST28-7, step ST28
The processing shifts to 28-9, and it is checked whether or not the value of the carry-out flag M is "2". As a result of this inspection, when the value of the taking-out flag M is “2”, the process proceeds to step ST28-10, the message “Taking out for other” is displayed on the screen, and then step ST28.
The processing shifts to -6.

If the value of the carry-out flag M is not "2" in step ST28-9, step S28 is executed.
At T28-11, the value of the carry-out flag M is "3".
Is checked. As a result of this inspection, if the value of the carry-out flag M is "3", step ST2
The processing shifts to 8-10, and the message “Sending by other” is displayed on the screen.

When it is determined in step ST28-11 that the value of the taking-out flag is not "3", it is checked in step ST28-13 whether the value of the taking-out flag M is "4". To be done. If the result of this inspection is "4", step ST28-14.
After the message "Under station processing in progress" is displayed on the screen at, the process proceeds to step ST28-6.

If the value of the carry-out flag M is not "4" in step ST28-13, the process directly proceeds to step ST28-6.

In this way, when a patient is added, by checking the carry-out flag M of the patient, so-called double calling can be prevented and patient data can be protected. Is possible.

When the deletion is selected in step ST28-1, the person to be deleted is selected from the confirmation screen in step ST28-15.

Next, in step ST28-16, this subject is deleted from the confirmation screen. Then, step S
At T28-6, a screen confirmation process is performed.

In step ST28-6, a screen for confirming that these processes have been performed and only confirmation is displayed. For example, only a confirmation button is displayed on the screen. When the operator clicks this confirmation button or the like, the processing shifts to step ST28-1 again.

When it is determined in step ST28-1 that addition or deletion of patients is not necessary and all the patients to be the visiting nursing care have been selected without excess or deficiency, part D in FIG. Processing shifts to.

As shown in the flowchart of FIG. 29, first, in step ST29-1, it is checked whether or not there is a download target person. As a result of this inspection, if there is a target person, the process proceeds to step ST29-2, and if there is no target person, step ST29-
The process shifts to 3.

In step ST29-2, the carrying-out flag M of the patient to be downloaded is checked.

Then, in step ST29-4, it is checked whether or not the value of the carrying-out flag M is "0".

As a result of the inspection in step ST29-4,
When the taking-out flag M is “0”, the taking-out flag M is set to “1” in step ST29-5. As a result, the message “Received by others” can be displayed to another person who is trying to download the data (see the flowchart of FIG. 28), and the receiving process of the nursing data of the patient is exclusively performed. It is possible.

After the carry-out flag M is set to "1", the receiving process 304 is performed in step ST29-6. In this receiving process, as shown in FIG. 20, the corresponding data of the personal basic file 400 and the corresponding data of the history file group 402 of the patient are received.

After the reception processing in step ST29-6 is completed, 2 is assigned to the carry-out flag M in step ST29-7. This is because the reception process has been normally completed, so that the value of M of the taking-out flag is arbitrarily set to display the message "taken out by another" to another terminal operator (the flowchart in FIG. 28). Step ST28-10).

After the setting of the carry-out flag M in step ST29-7 is completed, the above step ST29-1 is executed again in order to receive the corresponding data regarding the next target person.
The process shifts to, and it is inspected whether there is a target person who has not yet performed the reception process.

When it is determined in step ST29-4 that the value of the carry-out flag is not "0", the process proceeds to step ST29-8 and it is determined that the reception cannot be performed by the target person. , Set the target person name related to the unreceivable person array. After the setting to the unreceivable person array in step ST9-8 is completed, the process moves to step ST29-1 again, and the presence or absence of the target person is inspected in order to proceed with the reception process of other target person.

When it is determined in step ST29-1 that there is no target person, the process proceeds to step ST29-3, and it is checked whether the target person is set in the unreceivable person array. As a result of the inspection, if there is a target person who is set in the unreceivable person array (this person is called unreceivable person), the process proceeds to step ST29-9, and if there is no unreceivable person, all The process ends.

At step ST28-10, the name of the target person set in the unreceivable person array is displayed on the screen to let the operator confirm that the reception was not possible. After such confirmation, all the processing ends.

Schedule I / F Processing Schedule I / F processing is executed in step ST27-2 of the flowchart in FIG. This schedule I / F process is a process (see FIG. 20) for extracting the recipients based on the contents of the schedule file 404, and its detailed operation is shown in the flowcharts of FIGS. 30 and 31. The detailed operation of the schedule I / F process will be described below with reference to these flowcharts.

First, in step ST30-1 of the flowchart of FIG. 30, the nurse in charge is selected.
In the selection of the nurse in charge, the nurse who provides home-visit nursing is selected.

Next, in step ST30-2, the schedule range is input. This is for the operator to enter the period for home-visit nursing. For this, for example, it is possible to input only one day today, or it is possible to input a period of one week from today. This is because if the patient who is the target of home-visit nursing lives in a remote place, the home-visit nursing may be performed for several days. Enter the schedule range in this step according to the individual circumstances of each patient.

In step ST30-3, the schedule file 404 is read. When the end of the file is detected as a result of the file read, the screen is confirmed in step ST30-4, and then the system termination process is performed.

In step ST30-3, when the normal data is read without reaching the end of the file, in step ST30-5, the above-mentioned step ST
In 30-1, it is checked whether or not the nurse is the same nurse as the nurse input in the selection of the nurse in charge.
As a result of the inspection, when it is determined that the schedules of the same nurse are in charge, the process proceeds to step ST30-6, and when it is determined that the nurses are not in charge of the same, the schedule file 404 is again stored. In order to perform the reading, the processing shifts to step ST30-3.

In step ST30-6, the visit schedule of the read schedule is the same as that in step ST3.
It is checked whether or not it is within the schedule range input in 0-2. As a result of the inspection, if it is determined that it is within the schedule range, the process proceeds to step ST30-7.

On the other hand, if it is determined in step ST30-6 that the schedule is not within the schedule range, the process proceeds to step ST30-3 again to read the schedule file 404 and read the next schedule.

At step ST30-7, the carry-out flag M of the patient is checked. After the check in step ST30-7 is performed, the process proceeds to the E section in FIG.

Step ST3 of the flowchart shown in FIG.
In 1-1, it is checked whether or not the check result of the carry-out flag M in step ST30-7 is "0". When the value of the carry-out flag M is “0”, the process proceeds to step ST31-2, the target person acquires the information, and displays the confirmation screen. After the process of step ST31-2, step ST30-
The processing shifts to 3, and the next schedule file 404 is read.

In step ST31-1, if it is determined that the value of the carry-out flag M is not "0",
In step ST31-3, it is checked whether or not the value of the carry-out flag M is "1". As a result of this inspection,
When it is determined that the value of the carry-out flag M is "1", the message "Receiving by other" is displayed on the screen in step ST31-4. By displaying this message on the screen, the operator can know the state in which the data of the target person (patient) who tried to download is currently the target of the download process in another terminal. After the process of step ST31-4, the process proceeds to step ST30-3 to read the schedule file 404 again.

If it is determined in step ST31-3 that the value of the carry-out flag M is not "1", the process proceeds to step ST31-5. In step ST31-5, it is checked whether or not the value of the carry-out flag M is "2". This step ST3
When it is determined in 1-5 that the value of the carry-out flag M is "2", the process proceeds to step ST31-6, and the message "Take-out for other" is displayed on the screen. By displaying such a message on the screen, the operator can know that the information of the target person has been downloaded to another mobile terminal and is being used in home-visit nursing care. After the display in step ST31-6 is performed, the process proceeds to step ST30-3 to read the next schedule file 404.

When it is determined in step ST31-5 that the value of the carry-out flag M is not "2", the process proceeds to step ST31-7.

In step ST31-7, it is checked whether or not the value of the carry-out flag M is "3". As a result of this inspection, the value of the carry-out flag M is “3”.
If so, the process moves to step ST31-8 and the message “Sending by other” is displayed on the screen. The display of this message informs the operator that the target information has been uploaded from another mobile terminal. After the processing in step ST31-8, the processing moves to step ST30-3 to read the next schedule file.

If it is determined in step ST31-7 that the value of the carry-out flag M is not "3",
The processing moves to step 31-9.

In step ST31-9, it is checked whether or not the value of the carry-out flag M is "4".
As a result of the inspection, when it is determined that the carry-out flag M is “4”, the process proceeds to step ST31-10, and the message “Station processing in other station” is displayed on the screen. By displaying such a message, the operator can know that another person is updating target information by the station processing. After the processing in step ST31-10 is performed, the processing shifts to step ST30-3 to read the schedule file again.

On the other hand, if it is determined in step ST31-9 that the carry-out flag M is not "4", the process goes to step ST30-3 to read the next schedule file without performing any operation. Transition.

In this manner, the operator selects the nurse in charge of home-visit nursing and inputs the schedule for home-visit nursing, so that the schedule is searched from the schedule range of the nurse in charge and the corresponding home-visit nursing is selected. The information of the target person is automatically read.

Transmission Process Next, the detailed operation of the transmission process 306 in FIG. 20 will be described with reference to the flowchart.

FIG. 32 shows a flowchart showing the operation of the transmission process 306. As shown in the figure, in the transmission process 306, first, in step ST3.
In 2-1 it is checked whether or not there is a subject to be transmitted. If there is no target person to be sent, the sending process 306 ends.

On the other hand, as a result of the inspection, if the target person exists, the carry-out flag M is set to "3". This “3” represents “transmitting in other”, and indicates that the transmission process is being performed on the data of the target person to another mobile terminal (step ST32-2).

After the carry-out flag M is set to "3", the actual data transmission process is performed in step ST32-3.

After the transmission process is normally completed, the carry-out flag M is set to "0" in step ST32-4. By setting the carry-out flag M to "0" in step ST32-4, the data of the subject can be operated by another mobile terminal. Then, the above-mentioned step ST32-
The processing shifts to 1 again, and it is examined whether or not there are any patients to be transmitted, and if any, the transmission is continued. In this way, the data of all patients are transmitted. As a result of the above inspection, if there is no transmission target person remaining (which means that transmission has been performed for all patient data), the transmission processing 306 ends.

In the present embodiment, step S
When the carry-out flag M is set to "3" at T32-2, the value of the carry-out flag M immediately before that should be "2". In the flowchart shown in FIG. 32, it is not particularly checked that the value of the carry-out flag M is “2”, but this step ST32 is performed to prevent an unexpected error or the like.
It is also preferable to confirm that the value of the carrying-out flag M is "2" before setting "3" to the reading flag M in -2. Further, in the present embodiment, the carrying-out flag M is set in step ST32-4.
After “0” is set to “0”, the data of the patient who is the transmission target is cleared.

Station Processing Next, the detailed operation of the station processing in FIG. 20 will be described.

33 and 34 are flowcharts showing the operation of the station process 308.

First, in step ST33-1 of FIG. 33, a patient to be subjected to station processing 308 is selected. This patient selection is performed by a prefix match search using the "Kana" character.

At step ST33-2, the value of the carrying-out flag M of the selected patient is checked.

In step ST33-3, it is checked whether or not the value of the carry-out flag M is "0".
If it is "0", the process proceeds to step ST33-4, the information of the target person is acquired, and the confirmation screen is displayed.

After the confirmation screen is displayed in step ST33-4, the screen confirmation process in step ST34-1 of FIG. 34 is performed. This screen confirmation is performed by the operator confirming the contents of the confirmation screen.

In step ST34-2, it is checked whether or not the confirmation contents are the contents intended by the operator. If the contents are the contents intended, the process proceeds to step ST34-3, but the contents are not intended. 33, the processing shifts to step ST33-1 in FIG. 33 again, and the patient selection is redone.

In step ST34-3, the holding flag M is checked.

In step ST34-4, it is checked whether or not the value of the carry-out flag M is "0",
If it is "0", the process proceeds to step ST34-5, and if it is not "0", step ST34 described later.
The processing shifts to -8.

In step ST34-5, the carrying-out flag M is set to "4". As described above, by setting the carrying-out flag M to "4", the carrying-out flag M has a meaning of "station processing is being performed by another", and thus the patient concerned with respect to another mobile terminal or the like. Station data is being processed.

In step ST34-6, each station process is performed. Various processes such as updating and registration of patient data, display of the contents, and addition of new data can be performed in each processing of the station.

When each station processing in step ST34-6 is completed, "0" is set in the carry-out flag M in step ST34-7. By setting the reading flag M to "0", other mobile terminals can perform station processing and other processing on the patient data. In this way, by setting the reading flag M to "0", one station processing is completed.

On the other hand, step ST3 in FIG.
When the value of the taking-out flag M is not “0” in 3-3, the process proceeds to step ST33-5, and it is checked whether the value of the taking-out flag M is “1”. . As a result of this inspection, when the value of the carry-out flag M is “1”, the process proceeds to step ST33-6, and the message “Receiving by other” is displayed on the screen.
Then, the process proceeds to the screen confirmation process of step ST34-8.

If the value of the reading flag M is not "1" in step ST33-5, the process proceeds to step ST33-7 and the carrying flag M is taken out.
Is checked to see if it has a value of "2". As a result of this inspection, when the value of the carry-out flag M is “2”,
In step ST33-8, the message "Bringing out elsewhere" is displayed on the screen. Then, when the value of the carrying-out flag M is not "2" in step ST33-7 in which the processing shifts to step ST34-8 (see FIG. 34) of the screen confirmation processing, the processing shifts to step ST33-9. Then, it is checked whether or not the value of the carry-out flag M is "3". As a result of this inspection, when the value of the carry-out flag M is "3", the message "Sending by other" is displayed on the screen (step ST33-1).
0). After that, the process proceeds to step ST34-8 in FIG. 34, and screen confirmation is performed.

As a result of the inspection in step ST33-9, if the value of the taking-out flag M is not "3", it is determined in step ST33-11 whether the value of the taking-out flag M is "4". To be inspected. As a result of this inspection, when the value of the carry-out flag M is "4", the message "In-station processing in other" is displayed on the screen in step ST33-12, and then the screen confirmation processing in step ST34-8 is performed. Transition. If the value of the carry-out flag M is not "4", the station process ends.

In step ST34-8 in FIG. 34, the screen confirmation process is performed as in step ST34-1.

However, in this step ST34-8, unlike the confirmation screen in step ST34-1, the message "Only display is possible because other processes are in progress" is displayed. This is because the value of the carry-out flag M is "1" to "4" in step ST34-8, and therefore the data of the patient cannot be updated.

In step ST34-9, it is checked whether or not the confirmation contents are those intended by the operator. As a result of this inspection, if the operator's intention is met, the process proceeds to step ST34-10, and each station process is performed. On the other hand, if the confirmation content is different from the operator's intention in step ST34-9, the process proceeds to step ST33-1 and the selection of the patient is redone.

Note that the processing of each station in step ST34-10 cannot update the data as described in step ST34-8. for that reason,
Unlike the processing at each station in step ST34-6, the registration (update) button is not displayed on the screen. That is, each station processing in step ST34-10 can only display the data of the corresponding patient. After the processing of each station in step ST34-10 is completed, the station processing 308 is completed.

Exclusive Control of Terminal Operation FIG. 35 is an explanatory diagram of a table showing the processing relationship between the two mobile terminals A and B in the visiting nursing support system. This explanatory diagram shows whether or not the process of the mobile terminal B is permitted while the mobile terminal A is performing a predetermined process for the same person requiring protection (patient).

As shown in FIG. 35, the portable terminal A
When the reception process 304, the station processes 308, and the transmission process 306 are performed by the mobile terminal B, the mobile terminal B cannot perform the reception process 306 in any case, and it is theoretically possible to perform the transmission process. Is impossible. If the mobile terminal A receives the reception process 304 and processes 308 of each station.
If the portable terminal B tries to perform the transmission process 306 while performing the above, it means that some error has occurred in the exclusive control. Further, even when the mobile terminal A is performing the reception process 304, the station processes 308, and the transmission process 306, the mobile terminal B can perform the station processes 308 for display. This is because the process (display) other than the process involving data update does not interfere with the reception process 304 of the mobile terminal A.

As each station processing 308, in addition to the display processing, there is a person requiring assistance (patient) registration processing, instruction input processing, end input processing, determination input processing, and the like.

If the mobile terminal A is performing some kind of processing and the mobile terminal B is allowed to process each station only for display, the fact is displayed on the screen of the mobile terminal B, and the operation is performed. The person can easily know that the other mobile terminal A performs some processing on the data of the patient.

Change in value of carry-out flag M As described above, in the present embodiment, the value of the carry-out flag M plays an extremely important role in controlling processing of data. This carry-out flag M
The meaning of the value of is shown in detail in FIG. FIG.
As shown in 6 (a), the value of the carry-out flag M being "0" means that the data of the patient has not been taken out. Further, the taking-out flag M being "1" means that the history data is being received. Further, the value of the carry-out flag M being “2” means that the data of the patient is taken out by another mobile terminal. Further, the value of the carry-out flag M being “3” means that the transmission process is being performed. Further, the value of the carry-out flag being "4" means that the history data of the patient and the like are being updated by another mobile terminal by the station processing.

FIG. 36 (b) is an explanatory diagram showing how the value of the carry-out flag M changes. FIG.
As shown in (b), in the reception process 304, the value of the carry-out flag M changes from "0" to "1" at the start of this reception process. This change informs other mobile terminals that the reception process is currently being performed. When the reception process 304 ends, the value of the carry-out flag M changes from "1" to "2".
This means that the receiving process is completed and the data of the patient is taken out.

In each station process, the carry-out flag M is changed from "0" to "4" when the station process 308 is started. The value "4" of the carry-out flag M means that the station processing update is being displayed. When each processing 308 of the station is completed, the value of the carry-out flag M is changed from “4” to “0”, and the processing from another mobile terminal becomes possible. It should be noted that the value of the carry-out flag M is not changed during the processing only for display among the processing 308 of each station. This is because only the value of the data is browsed, and it is not necessary to notify other mobile terminals of the state.

In the transmission process 306, the carry-out flag M is changed from "2" to "3" at the start of the transmission process 306. This means that the data of the patient being taken out is uploaded from the mobile terminal. Then, the transmission process 306
When the process is finished, the data of the patient can be freely processed by another mobile terminal, so that the value of the carry-out flag M is changed from "3" to "0".

FIG. 36C is an explanatory diagram showing how the execution of each processing such as the reception processing 304 is controlled by the value of the carry-out flag M. These controls have already been described in the above flow charts, and a detailed explanatory diagram thereof is shown in FIG. 36 (c).

As shown in FIG. 36C, the reception process is permitted only when the value of the carry-out flag M is "0", and is not permitted in any other case. This is because when the value of the carry-out flag M is other than “0”, it means that the mobile phone is subject to processing by another mobile terminal, and carrying out is not appropriate.

Each station process 308 is permitted only when the value of the taking-out flag M is "0", and only the display is permitted when the value of the taking-out flag M is a value other than "0". It This is because when the value of the carry-out flag M is other than “0”, the data of this patient is the target of processing by another mobile terminal. On the other hand, among the respective processes 308 of the stations, only the display process does not interfere with the process of other portable terminals, and therefore the display process can be always performed regardless of the value of the carry-out flag M.

The transmission processing 306 is permitted to be executed only when the value of the carry-out flag M is "2". This is a process in which the transmission process 306 uploads the data of the patient who was taking out to the server, and naturally the value of the taking-out flag M is “2” for the patient data that is the target of the process of the transmission process 306. Because it should be. In addition,
If the value of the carry-out flag M is other than "2", it is theoretically impossible for the mobile terminal to perform the transmission process 306.
If the portable terminal tries to perform the transmission process 306 when the value of the carry-out flag M is other than "2", it is considered that some kind of system error has occurred.

Display of Past Data In the mobile terminal of the home-visit nursing support system according to this embodiment, display processing 500 of past data of a patient is possible (see FIG. 23). The detailed operation of the past data display processing 500 is shown in the flowcharts of FIGS. 37, 38 and 39.

When the operator selects the display processing 500 of past data on the menu screen of the portable terminal, first, FIG.
The process proceeds to step ST37-1 in. In step ST37-1, the recording date selection screen is displayed, and the operator inputs the recording date on which the data processing is performed. This recording date is for correcting the data corresponding to the recording date, and the one for trying to display the data before this recording date is the present past data display processing 5
00.

Next, in step ST37-2, the recording date is set in the lead pointer on the portable terminal side. The read pointer is a pointer that represents the read position of the file to be read and is set for each file.

Next, in step ST37-3, the operator depresses a predetermined button to instruct whether he wants to see the previous data or the next data (actually, the button displayed on the screen). It means tapping / clicking. Of course, it is also possible to actually provide a predetermined button on the mobile terminal and the operator pushes it down with his / her own finger). At this time, if the operator wants to return to the menu screen, the operator depresses the menu button. Step S
At T37-4, it is inspected whether the button pushed down by the operator is the previous button or the next button.

If the pressed button is the next button, the process proceeds to step ST37-5 to read the history file in ascending order on the terminal side, while if the pressed button is the previous button. In step ST37-9, the history file is read in descending order. If the pressed button is the button for returning to the menu, the past data display processing 500 ends.

When the next button is pressed in step ST37-4, the history file on the terminal side is read in ascending order in step ST37-5. When EOF (End of File) is detected as a result of this ascending order read, the process moves to step ST37-8, and the message "There is no data to be displayed" is displayed on the screen.

If the reading of the file in step ST37-5 is completed normally, the read data is displayed on the screen in step ST37-6.

Then, in step ST37-7, the date of the read data is assigned to the read pointer.

In either case of step ST37-7 or step ST37-8, the process moves to step ST37-3 again and waits for the button depression by the operator.

On the other hand, if the previous button was pressed in step ST37-4, step ST3
In 7-9, the history file is read in descending order.
As a result of this file read, if EOF (more accurately, it should be called TOF (top of file) because it is a read in descending order) of the file is detected, FIG.
The process proceeds to step ST38-1 in 8. When the descending order read in step ST37-9 is successful, the data read in step ST37-10 is displayed in the same manner as in step ST37-6.

Next, in step ST37-11, the date of the read data is assigned to the current read pointer.

After the processing of step ST37-11, the processing shifts to step ST37-3 again to wait for the button depression by the operator.

As described above, the flow chart shown in FIG. 37 has been described focusing on the operation of displaying the past data based on the history file previously downloaded in the portable terminal device according to the present embodiment.

[0230] When the button is held down next time, the EOF of the history file is detected eventually, and step ST37
At -8, the message "There is no data to display" is displayed. This is because the date is too new,
This is because they tried to display future data. That is, a certain number of past nursing data are recorded in the mobile terminal based on the present. Therefore, if the user tries to view the nursing data newer than the newest nursing data by pressing the button next time, the fact that there is no such data is displayed in step ST37-8.

On the other hand, when the end of the file is detected by reading the history file stored in the portable terminal in descending order by pressing and holding the previous button,
The processing shifts to FIG. This is an attempt to view nursing data that is older than the oldest nursing data in the history file stored in the mobile terminal, and in this case, the processing differs depending on whether or not the server side is LAN-connected. Hereinafter, this processing will be described.

In step ST38-1 in FIG. 38, the value of the LAN connection status flag L is checked. When the value of the LAN connection status flag L is "LOC" and it is in the local status, the process proceeds to step ST38-2, and the message "There is no data to be displayed" is displayed on the screen. Then, the processing shifts to step ST37-3 in FIG. 37 described above again, and the operation waits for the button pressing operation by the operator.

On the other hand, when the value of the LAN connection status flag L is "LAN" in step ST38-1, the process proceeds to step ST38-3, and the history file stored in the portable terminal as the read pointer. The oldest date in the nursing data of is substituted. The read pointer in step ST38-3 is the read pointer on the server side.

A characteristic of this embodiment is that when the past data is displayed on the mobile terminal in this way, the past data is older than the data included in the history file stored in the mobile terminal. If it is data, it means that the history file stored on the server side is checked and the past data is extracted from the history file on the server side. Of course, in order to read the history file on the server side, the portable terminal needs to be connected to the server via LAN. Therefore, first of all, the above step ST
In 38-1, it was inspected whether or not the portable terminal was LAN-connected. If the LAN connection is not established, a message indicating that the display cannot be made is displayed on the screen as described in step ST38-2.

As described above, in step ST38-3, the oldest date among the history files stored in the portable terminal is set as the read pointer on the server side,
In the next step ST38-4, the read pointer is used to read the history file in descending order. If EOF (TOF) is detected as a result of reading this file, if you try to display nursing data with an older date than the oldest nursing data contained in the history file stored on the server side. Means However, since such old data is not stored in any of them, the processing shifts to the above step ST38-2,
In this step ST38-2, a message is displayed on the screen to the effect that it cannot be displayed (such old data is not stored).

On the other hand, when the reading of the file is normally completed in step ST38-4, the read data is displayed on the screen in step ST38-5.

Next, in step ST38-6, the read date is stored in the read pointer. This saves the value on the mobile terminal side as the maximum date on the server side (the youngest date from which data should be read from the server side, in other words, nursing data with a date younger than this maximum date is read from the file in the mobile terminal). To do.
The saved date will be described later in detail.

Next, in step ST38-7, the operator further depresses the button.

It is checked in step ST38-8 whether the button depressed by the operator is the previous button or the next button. If it is the previous button, the process proceeds to step ST38-9, and the history file is read again on the server side. On the other hand, if it is determined in step ST38-8 that the button has been pressed next time, step ST39- in FIG.
The processing shifts to 1. Now, if the previous button was pressed in step ST38-8, step ST38
At -9, the history file is read in descending order on the server side. Then, in step ST38-10, the read data is displayed on the screen of the mobile terminal.

In step ST38-11, the date of the read data is stored in the read pointer. After the date is stored in the read pointer, the process shifts to step ST38-7 again and waits for the operator to depress the button.

When the button is pressed next time in step ST38-8 in FIG. 38, the process proceeds to step ST39-1 in FIG. This step ST
In 39-1, the read pointer is compared with the maximum date on the server side. The maximum date on the server side means the youngest date to be read from the history file on the server side. That is, when referring to nursing data on a date smaller than this date, the data is read from the history file stored in the mobile terminal, and it is not necessary to read it from the server side.

Therefore, if the result of comparison in step ST39-1 is that the read pointer is older than the server-side maximum date, the process moves to step ST39-2 and the history file is read from the server side. On the other hand, if the read pointer is the same date as the maximum date on the server side or the read pointer is a younger date, the process moves to step ST37-5 in FIG. 37, and the history file is read on the portable terminal side. It is done.

At step ST39-2, the history file on the server side is read in ascending order. And
In step ST39-3, the read data is displayed on the screen.

Then, the date of the data read in step ST39-4 is stored in the read pointer. After storing the value in the read pointer in this step ST39-4, step ST in FIG.
The processing shifts to 38-7, and waits for the operator to press the button.

As described above, the process shown in FIG. 37 is a process of displaying past data by using the history file stored in the portable terminal, and the process according to the flowcharts shown in FIGS. 38 and 39. Is a display process of past data using a history file stored on the server side. Then, by comparing the current read pointer value with the maximum date on the server side in FIG. 39, when the date of the nursing data to be read becomes younger, the history file inside the mobile terminal in FIG. 37 is used again. The display processing of the past data is performed.

In the display of past data in the first embodiment described above, only a predetermined number of nursing data are stored in the mobile terminal and the past data is managed by this number. When displaying nursing data older than a predetermined number, the server side data is referred to.

However, in the case where home-visit nursing is performed for many days and the mobile terminal is not returned to the home-visit nursing station, the nursing data stored in the mobile terminal increases daily. I will go. Therefore, the number of nursing data stored in the mobile terminal will gradually increase. Therefore, it may not be desirable to determine whether to access the file in the mobile terminal or to access the server side based only on the number of nursing data. Therefore, in the second embodiment, the past data to be displayed can be shifted by one day by the previous button or the next button, and whether or not the server side should be accessed is determined by the date of the past data. for that reason,
Even when the number of nursing data is increasing on the mobile terminal, it is possible to display the appropriate past data.

Other Embodiment 3 Data Input Function As described above, the home-visit nursing care support system in this embodiment is mainly a server 100 and a mobile terminal 102. Mobile terminal 1 according to the present embodiment
02 inputs various data at the patient's house.

What is characteristic of the input method of the present mobile terminal 102 is that it is possible to easily confirm whether or not the input is made surely and the input is easy. This is because the portable terminal 102 is used especially for the purpose of nursing related to human life, and therefore a method of easily and surely inputting data is desirable.

FIG. 3 shows an explanatory view showing an example of the input screen displayed on the liquid crystal screen of the portable terminal 102. As shown in FIG. 3, the input screen has an input area in which input fields for inputting predetermined data are arranged, and a check for checking whether or not data is input in each input field. It is composed of a check area in which a box is arranged. A characteristic of this embodiment is that the check box group included in this check area has a hierarchical structure.

In order to control the check boxes on the input screen (FIG. 3) of the mobile terminal 102, the mobile terminal 10
A control file as shown in FIG. 4 is stored in the second storage device. The control file for controlling the check box group stores one line of control information for each check box. The first line of FIG. 4 represents the item name of the control information of each check box. Here, the first, second, and third are codes for indicating the hierarchy of the check boxes, and the “previous value display category”, the “check required category”, and the “input required category” are the third as described later. It is a flag showing the function of the check box included in the hierarchy.
Then, in the check boxes of the first layer and the second layer,
Information about the “previous value display category”, “check required category”, and “input required category” is not stored, but the item name corresponding to the check box is stored. Hereinafter, this item name is also used as the name of the corresponding check box itself.

In the second line, a check box corresponding to the item name "about patient's medical history" is displayed. This check box exists in the first layer. In the present embodiment, the first code is a numerical value other than “00” and the second code
And the third code is “00”, the check box represents the check box of the first layer. Also,
When the first and second codes are values other than "00" and the third code is "00", it represents a check box in the second layer. If any of the first, second, and third codes has a value other than "00", it represents a check box in the third layer. As shown in FIG. 4, in the third line, a checkbox “medicine information” in the second layer is displayed. The "medicine information" is a check box located under the first-level check box "About patient's medical history". And FIG.
As shown in the 4th to 6th lines, three check boxes are provided in the third layer. The three check boxes of the third layer are check boxes provided below the check box “Medication information” of the second layer. The check boxes on the third layer are check boxes provided corresponding to the respective input fields included in the input area as shown in FIG.

That is, in the present embodiment, the check boxes in the third layer correspond to the input fields in the input area,
Collectively for each predetermined group, a check box in the second layer is provided above the plurality of check boxes in the third layer with a predetermined item name (for example, “medicine information”). For example, as shown in the 7th line of FIG. 4, the check box “information on treatment” of the second layer is the check box “medication information” of the second layer.
Similarly to the above, the check box is provided under the first-level check box “About patient's medical history”. Then, under the check box "information on treatment" in the second layer, 2
Three third-tier check boxes are provided. These two checkboxes of the third layer correspond to the respective input fields of the input area similarly to the checkboxes of the above-mentioned three layers of the third layer (provided below the checkbox “Medication information” of the second layer). This is a check box provided by

As shown in FIG. 4, the check boxes in the third layer have various flags for the attributes of the corresponding input fields. For example, "Previous value display category"
Is a flag indicating whether or not the previously input value is displayed as the default value in the input field. When this value is "1", the previously input value is displayed in the input field. However, when it is “0”, it means that the previously input value is not displayed in the input field (a blank is displayed). On the other hand, the “required check category” is a flag indicating whether or not the operator needs to check the check box of the third layer, and when the value is “1”, the operator checks the check box. This means that the box must be checked to indicate that the entry is complete. Also,
When the value is “0”, it means that it is not always necessary for the operator concerned to check. The "input required category" is a flag indicating whether or not the operator needs to input the value, and the value must be always input when the value is "1". When the value is “0”, it means that data input is not necessarily required. For example, the check box in the third layer shown in the fourth line of FIG. 4 displays the data previously input in the input field corresponding to this check box as a default value in advance and uses the value as it is. It is an essential requirement for the operator to check the check box in the third layer. Further, unlike the check box shown in the fourth line, the check box shown in the fifth line in FIG. 4 does not display the data previously input in the corresponding input field as a default value in advance. do not do.

When the input screen is displayed on the screen of the mobile terminal 102 to actually input the predetermined data, the predetermined control information is first read from the control file and the memory of the mobile terminal 102 is read. A certain table is built on top. The manner in which this table is constructed is shown in FIG. As shown in FIG. 5, this table is added to the information of the above-mentioned control file and the information of each check box to fill in each flag of the checked division and the input division corresponding to each check box. And a work area that was created. This work area represents what kind of processing was performed on each check box, and is, so to speak, a work area that stores the state of the input operation. Here, the checked category is a flag indicating whether or not a check is input in the corresponding check box, and when the value is “0”, the check is not input and the value is When the value is "1", it means that the check is input. The input-completed category is a flag that indicates whether or not data has been input, and its value is "0".
When it is, it means that the data has not been input, and when the value is “1”, it means that the data has been input.

In this way, after a certain table is constructed on the memory in the mobile terminal 102, the mobile terminal 10 is actually
The input screen is displayed on the second screen. When this input screen is displayed, the previously input data is read from the history file inside the mobile terminal 102, and the previously input data is previously displayed as default values in the necessary input fields. FIG. 6 shows how the input screen is displayed in this way.
Is shown in In the display of this input screen, first, according to the hierarchy of the control information recorded in the control file, the check boxes are displayed in the check area so as to represent the hierarchy. As shown in FIG. 5, this control information is expanded in the memory in advance, so that the data is actually read from the memory.

Next, based on the previous value display classification of the control information, the default value of each input field is displayed as necessary. As described above, the previous value display category indicates whether or not the previously input data is displayed as the default value, and the check box belonging to the third layer whose previous value display category is "1" is selected. The predetermined previously input data is displayed as the default value in each corresponding input field.

Next, "1" is set in the input completed section of the work area (see FIG. 5) corresponding to the check box in which the required input section in the control file information is "0". That is, since the input field corresponding to the check box in which the input required category is "0" is not required, there is no input by setting "1" in the input completed category of the work area in advance. Even in some cases, this kind of handling is performed in order to handle it as having already been input.

On the other hand, in the information in the control file, in the input field corresponding to the check box in which the value of the check-required section is "0", the entered section of the work area (see FIG. 5) is "1". ”Is set. This is because it is not necessary to check the input field corresponding to the check box in which the value of the check-required category is "0", so the check is completed by setting the value of the entered category to "1". It treats them as if they had been mistaken.

As described above, as shown in FIG. 6 (similar to FIG. 3), the check area formed of the check boxes hierarchically displayed and the check boxes of the third hierarchy An input area composed of input fields provided so as to correspond one-to-one is displayed on the screen. In the present embodiment, only the check boxes in the third layer included in the check area are check boxes checked by the operator,
The operator does not input the check boxes of the first and second layers. The check boxes of the first and second layers are check boxes for displaying whether or not all the check inputs of the check boxes belonging to the lower layers of the hierarchy have been completed. That is, the check is automatically input to indicate whether or not the predetermined data is input in the input field corresponding only to the check box of the third layer.

Next, the input of data and the check for it are performed using this input screen. An explanatory diagram showing this state is shown in FIG. Data is input by using a stylus pen, a mouse, a keyboard, or the like as shown in FIG. In the mobile terminal 102, input is mainly performed with a stylus pen in a patient's home, but a mouse or keyboard may be connected in a nursing station or the like.

First, in the input field corresponding to the check box in which the value of the mandatory input section is "1", the data is always input. When the operator inputs data into this input field, "1" is entered in the input completed section on the table expanded on the memory as shown in FIG.
Is set, and "1" is set to the checked category regardless of the value of the check processing category.

When data is entered in the input field corresponding to the check box in which the value of the check-required category is "1", it is considered as checked at the same time as the entry and "1" is set in the checked category. It If the value of the check-required category is "0", "1" has already been set in the work area of the checked category as described above, and therefore, when the operator completes the data input. The check is automatically entered in the check box of the third layer.

On the other hand, if the previously entered data is displayed as the default value in the input field corresponding to the check box in which the value of the previous display category is "1", the operator writes this as a new value. When changing, the check is automatically input in the check box of the third layer after the input is completed, as in the case described above. This eliminates the need for the operator to enter the check by himself. Of course, in order to realize more reliable data input, the operator may manually input the check in principle. On the contrary, when inputting the same value as the value input last time, the operator can input the data only by checking the check box corresponding to the input field. At this time, "1" is set in the input-completed section of the work area, which means that the input has been completed.

[0265] In this way, when all the inputs or checks in the input fields are completed and the check boxes in the third layer are respectively checked (the work area of the table shown in Fig. 5 (checked category) When,
When all the values in the (input category) are “1”, a check is automatically input to the check box of the second layer under a certain condition. That is, each of the check boxes in the second layer automatically becomes a check box in the second layer when all the check boxes in the third layer below are checked. The check is entered in. That is, the checkbox in the second layer is checked (automatically)
To be input means that all the check boxes in the third layer below the check box are checked.

Similar control is applied to the check boxes in the first layer. That is, each of the check boxes in the first layer is a check box in the first layer when all the check boxes in the second layer below the check boxes are checked. The check is automatically entered in.
That is, a check (automatically) entered in the check box of the first layer means that all the check boxes of the second layer below the check box are checked. . This means
Further, it also means that a check is entered in all the checkboxes of the third layer below it.

As described above, the portable terminal 102 according to the present embodiment has a structure in which a check box is provided corresponding to each input field on the input screen to check whether or not the data is surely input. doing. In particular, this check box has a hierarchical structure, and only when all the check boxes of the lower check boxes have been entered, the check boxes of the upper check boxes are automatically entered. Therefore, it is possible to quickly find the case where you forget to enter data in any of the input fields, and you can save the time and effort of entering data by displaying the previously input value as the default value. is there.

Further, in the present embodiment, when it is determined that the check box in the first layer is not checked, it is determined that the input is to be completed without checking this check box. Configured to display the warning message on the screen. This warning message is preferably a message that calls the operator's attention to the fact that there is unentered data, such as "There is unentered data. Are you sure you want to end the entry?" In some cases, the operator may notice that he / she has forgotten to enter this message and may try again. Or, if the operator is in a situation where he / she does not have to enter the input field, the warning message will be displayed. You can ignore the and end the input.

As described above, in the present embodiment, since the check boxes for managing the inputs are structured in a hierarchical structure, it is possible to prevent forgetting the inputs, etc., and to input the data safely and surely. It is possible. In particular, as shown in FIG. 8, by making an overview of the input / check status from the upper layer, it is possible to easily confirm the case where the input screen covers several pages.

Input of Handwritten Data In the mobile terminal of the home-visit nursing care support system according to this embodiment, it is possible to handle not only data such as letters and numbers but also atypical data. As such an application, for example, the inside of the patient's home, the surroundings of the home, and the like can be managed as handwritten data.

FIG. 10 shows an example in which a sketch of a house is input by hand using the portable terminal according to this embodiment. This mobile terminal is provided with a liquid crystal display screen and a so-called pressure-sensitive transparent sheet on the liquid crystal,
It is possible to capture the locus traced on the pressure sensitive sheet with a predetermined stylus pen as digital data. Inputting handwritten data using such a configuration is widely known in the field of pen-input computers. As shown in FIG.
The floor plan of this house is, for example, 6 tatami mats for a Japanese-style room and 4.
It is entered by filling in 5 tatami mats, kitchen, toilet, bathroom, etc.

Further, in the present embodiment, the names of important points for the actions of physically handicapped persons and the elderly are listed near the portion where the sketch is to be entered in advance. In this way, since the points to be noted when drawing the sketch are listed in advance, it is possible to prevent forgetting these places when writing the sketch. These important places may be, for example, steps or stairs as shown in FIG. In addition, water supply, gas, outlets, etc. can be considered important points in terms of nursing.

Furthermore, what is characteristic of this mobile terminal is that the operator can freely input, for example, a symbol (icon) representing a step by handwriting. Similarly, for the stairs, the water supply, etc., the operator can easily input the pictograms (icons) that he / she can easily understand, thereby further reducing the labor for drawing the sketch. Thus, by simply displaying the names of important places and their pictograms (icons), it is possible to draw the attention of the operator who enters the sketch and complete the sketch that is more useful for nursing. In addition, it is also preferable that, when specifically drawing a sketch, an icon input by handwriting can be copied to an arbitrary place by operating a stylus pen. By thus enabling the icon once input to be copied to any place on the sketch, the labor for drawing the sketch will be further reduced.

Further, in FIG. 10, the names of five places from the step to the outlet are shown as the default value of the system, but the place and its icon which the operator thinks are important are set in advance in the system. It is also possible to register. For example, by registering items such as air conditioners and heaters that are considered to be important for health management under the gas and outlets shown by default, users can enter information such as air conditioners and heaters when drawing a sketch. You can prevent forgetting. of course,
It is possible for the operator to freely set and input the icons corresponding to these air conditioners and heaters so that the operator can easily understand them.

As described above, in the present embodiment, the name of the place (or thing) and the icon thereof which are important when inputting the handwritten data are displayed, so that the input of the handwritten data is more accurate. It is possible to

The input by the handwritten data is not limited to the sketch of the house, and it is also preferable to input the data such as the environment around the house. FIG. 11 shows an example of the case where the environment around the home is input by handwriting in this way. Even when inputting the home environment like this, FIG.
It is desirable to display in advance the names of important places and the icons representing them, as shown in 0. FIG.
In the example shown in FIG. 1, names of places that are considered important in home-visit nursing care, such as homes, slopes, and stairs, and icons corresponding to the names are displayed. Of course, similarly to the example shown in FIG. 10, these icons can be freely set in a shape that the operator can easily understand.

The input of the memorandum handwritten data is not limited to the home peripheral diagram, and can be used for inputting other atypical data.
By utilizing such a feature of inputting handwritten data, a memorandum function using handwritten data input is realized in the present embodiment.

FIG. 12 shows a screen of a memorandum according to the present embodiment. As shown in FIG.
For example, three columns are prepared for inputting handwritten data. The memorandum in the present embodiment includes a check button 200 and a clear button 20 for each input field of handwritten data.
2 is provided.

An explanatory view showing the function of the check button 200 is shown in FIG. FIG. 13A shows an explanatory view showing the state of the check buttons when inputting a memorandum. As shown in FIG. 13 (a), the check button 200 is initially in a blank state, and when predetermined handwritten data is input, a message such as "Tap here when changing attributes" is output. It At that time, tap the check button 200 with a stylus pen etc.
Character and a rectangular check box appear. In this state, it means that the execution monitoring state has been entered in this memorandum. Although not clear from the figure, it is desirable to change the color of the check button 200 (for example, pink) in order to visually clarify that the execution monitoring state has been entered. Further, the clear button 202 is a button for collectively clearing the contents of the field for inputting handwritten input data. And the same check button 2 again
When 00 is tapped, it returns to the white blank state again, and the execution monitoring state is canceled.

On the other hand, in the screen for referring to the memorandum (FIG. 13B), in the execution monitoring state, the check button 200 is displayed as a check box and the characters "check". Then, when the execution is completed, tapping the check button 200 causes the check button 2
The character inside 00 changes to "completed", and an X is added to the check box inside. Although it is not clear from the figure, in the state where "Completed" appears, in order to make it clear that it has changed, a color (for example, red) is also added.
Is attached to the check button 200.

Also in this reference screen, if the check button 200 displayed as "Completed" is tapped again with the stylus pen, the pink state in which the character "Check" is displayed is restored again.

[0282] As described above, in the memorandum according to the present embodiment, handwritten input data can be input. Then, regarding a matter that must be done, a memorandum that can monitor its execution can be configured.

Color coding of input screen and display of past data The mobile terminal 102 in the present embodiment visits a patient's home and a nurse inputs the patient data to the mobile terminal 102. The input is performed by displaying an input screen corresponding to the type of data to be input. As the data to be input, in the present embodiment, (1) data to be input every time such as body temperature, (2) fixed data such as address, and (3) change in symptom to be noted from the medical point of view, Data that is recorded only when a change occurs is roughly divided into three types.

Therefore, in the present embodiment, the above 3
A color that should be called a theme color is added to each input screen of the type data to indicate that it is one of the above three types. That is, in the data input screen belonging to (1) above, the configuration of the input screen based on blue is adopted, and in the data input screen belonging to (2) above, the input screen based on yellow is used. The configuration of (3) is adopted, and the configuration of the input screen based on pink is adopted in the data input screen belonging to (3) above.

As described above, since the color of the input screen is determined based on the character of the input data, there is an effect that errors during data input are reduced.

Further, in the present embodiment, data input in the past is stored, and when new data is input, efficient data input using the data input in the past is achieved. There is. Therefore, the mobile terminal 10
In the second input screen, the value of the previously input data is displayed as the default value. Therefore, if the previously input value does not need to be changed, it can be used as the current data without being changed.
The data displayed as the default value has a color different from the character color of the data normally input by the operator. This is because if the colors are all the same, it will be impossible to distinguish whether they are input as default values or newly input by the operator.

Further, depending on the type of data, only a plurality of certain data may be input. In such a case, it is preferable to display a plurality of data on the input screen by, for example, a pop-up list instead of the previous data. The operator can easily input data by selecting desired data from the pop-up list with a stylus pen or the like. And
The data selected in the past is specified by changing the color of that part. If the data selected in the past does not need to be changed, it is possible to easily input the data by instructing (for example, tapping with a pen) the data whose color has been changed.

Physical Condition Input Function, Physical Condition Investigation Function The mobile terminal in the present embodiment is carried when visiting a patient's house and used for recording the patient's physical condition. 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. 14 shows a state of the input screen in the case of inputting the physical condition of the patient on the portable terminal. As shown in FIG. 14, a human body diagram 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. 14, when the operator taps "B: shoulder girdle" with a stylus pen, a list of physical conditions that can occur in this "B: shoulder girdle" is displayed. As shown in this list (see FIG. 14), for example, as a symptom, pressure ulcer,
Contracture, paralysis, pain, etc. are displayed. 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. Further, as shown in FIG. 14, when the input words are only fixed words such as “heavy” and “light”, it is also preferable to display a pop-up list showing candidates for the input words. . For example, as shown in FIG. 14, 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 this list to display the word. 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. 14, 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. 14, pressure ulcer and contracture
Four symptoms of paralysis and pain are selected by the operator. 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 human body 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 the carrying of this embodiment, as shown in FIG. 14, the parts shown in FIG.
It is possible to write a memo in the section A inside.

Checking of Care Contents In addition to the function of inputting the physical condition of the patient, the mobile terminal 102 in the present embodiment has a function of recording the actual care contents. In the present embodiment, this nursing content is called care content. FIG. 15 shows the state of the care content selection scene when checking the care content on the mobile terminal 102.

[0295] In the mobile terminal 102, the contents of care include "rehabilitation training / recreation" and "insurance / insurance."
They are classified into "consultation / guidance", "nursing / nursing / medical care assistance", "housework assistance", etc. FIG. 15 shows a case in which specific care contents for “housework assistance” are displayed in this. As the care of the housework assistance, as shown in FIG. 15, for example, "assistance of movement" and "assistance of excretion" are included. The stylus pen is used to check each of the cares performed this time in the corresponding check box. In this way, since each of the completed care is entered on this screen, it is possible to grasp at a glance what care has not been done,
It is possible to prevent forgetting to do it.

What is characteristic of this embodiment is that the care performed last time is displayed in different colors around it. As shown in FIG. 15, 1
61: Assistance for movement and 163: Assistance for meal are displayed in different colors around those of other cares. this is,
This 161: movement assistance and 163: meal assistance indicate that the care was previously performed. In this way, the mobile terminal 102 simply performs the care (nursing content)
Not only is it checked, but the care given last time is displayed so that the operator can see it at a glance. With such a configuration, it is possible to prevent forgetting the care this time even though the care was performed last time. As shown in FIG. 15, the color around the movement assistance and the meal assistance is different from those of other cares, so the nurse calls attention to these two items again. Because it is done.

Thus, according to the portable terminal 102,
The care you gave last time is also called this time, so you can prevent you from forgetting to do it, but in the unlikely event that you did not give this care even if you did the last time. , Is configured to output a constant warning.

That is, as shown in FIG.
Assistance of movement and assistance of meal are shown as the last care, but the selection screen of this care content without performing these cares (without checking the check boxes corresponding to these cares) When is finished, a message showing a warning is displayed on the screen. For example, this message is "There is a nursing care content that you have not done this time even though you went last time. Do you want to register as it is?"
And the like are suitable. If it is not really necessary to take care of this time, the operator will choose to end as it is, and if he did not take care of what he should have done due to some error, or enter it on the screen. In the case where the user has forgotten, etc., the user will return to the care content selection screen shown in FIG. 15 again and check the predetermined care.

[0299] As described above, the present portable terminal 102 can notify the caregiver of the previous care performed at a glance, and if there is any care that was performed last time but not this time, a certain warning is given. Went to the person. For this reason, it is possible to prevent forgetting the same care as this time, even though it was performed last time.

In this embodiment, the color of the surrounding care is displayed differently from the other care in order to display the care taken last time. However, another method can be used if the operator can be notified of the care taken last time. May be adopted. For example, it is conceivable to put a predetermined mark on the head of each care. Furthermore, although the predetermined warning message is displayed on the screen in the present embodiment when the registration screen is completed without checking the care last time, it is also preferable to make a predetermined warning sound. Is. This warning sound
A voice message such as "There is a check omission" or a simple beep sound is suitable. These warning sounds are preferably used alone or in combination with a predetermined message displayed on the screen. of course,
It is also preferable to blink the LED or the like at the time of warning in order to call the operator's attention.

Invention of Third Embodiment Thus, although not the invention of the present application, the third embodiment of the home-visit nursing support system has been described above. These inventions are related to other patent applications filed at the same time as this application. Hereinafter, these outlines will be described.

The other first aspect of the present invention is used in a home-visit nursing support system, and in a portable terminal carried by a nurse to a patient's home, means for inputting handwritten data and the handwritten data must be input without fail. A display device for displaying essential data, and a portable terminal.

In the present invention, since the essential data that must be input is displayed, it is possible to prevent forgetting to fill in the essential data.

Furthermore, the portable terminal of the other first aspect of the present invention is the portable terminal characterized in that the display means displays the name of the essential data and the icon of the essential data.

In the case of handwritten data, it is often the case that symbols or icons are used as essential data instead of character information. In such a case, the content may be difficult to understand only by the icon. Therefore, in the present invention, the name is described in association with the icon or the like, and the content is confirmed.

The other second aspect of the present invention is the portable terminal according to the other aspect of the first aspect of the present invention, wherein the display means displays the name of the essential data and the essential data manually input by the operator. It is a mobile terminal characterized by the above.

In the case of the above-mentioned first aspect of the present invention, if the operator can register handwritten data in addition to the icons registered in the system, the convenience of the operator is improved. It is possible.

According to the other first and second aspects of the present invention, when a handwritten data is input, an icon or the like, which is a standard for inputting essential data, is appropriately displayed, so that a portable terminal in which handwriting input is easy can be provided. .

The other third aspect of the present invention is used in a home-visit nursing support system, and in a portable terminal carried by a nurse to a patient's home, registration screen display means for registering a predetermined item in the memo, and registration in the memo. A reference screen display means for displaying and referring to the contents, and the registration screen display means,
A display including one or more input fields for inputting predetermined items to be registered and a check attribute setting field provided corresponding to each of the input fields is performed, and the check attribute setting field corresponds to the above. The predetermined attribute entered in the input field is a matter that must be executed in the future, and a check attribute indicating that it is necessary to confirm whether or not the execution is completed is added to the predetermined item in the corresponding input field. The reference screen display means is provided corresponding to the input field, and corresponds to at least one content display field for displaying registered items and the content display field. The check attribute display column indicating whether or not the check attribute is set for the item displayed in the content display column is displayed, and the check attribute display column is
The mobile terminal is characterized in that, when the check attribute is set, it can indicate that the execution of the corresponding item is completed by the operation of the operator.

As described above, since the check attribute column and the check attribute display column are displayed on the registration screen and the reference screen, respectively, it is possible to easily confirm whether or not the matter to be executed has been executed. In addition to being able to perform, it is also possible to easily change the setting of whether or not the matter is to be executed.

According to the other third aspect of the present invention, since it is possible to easily manage the matters to be done, it is possible to obtain a home-visit nursing support system that does not forget to execute the matters to be nursing.

The other fourth aspect of the present invention is used in a home-visit nursing support system, and an input screen display means capable of switching and displaying a plurality of input screens for inputting data in a mobile terminal carried by a nurse at a patient's home. Input data classification means for classifying data to be input into a plurality of groups based on access frequency, and each of the input screens displayed by the input screen display means is included in any one of the groups. Enter only the input data, the input screen,
The mobile terminal is characterized in that a color based on the group including the input data input by the input screen is added.

In the present invention, the predetermined grouping is performed based on the access frequency of the data to be input. Then, based on the grouping, colors that should be called theme colors are added to each group. Then, by using a screen based on this theme color in each input screen, it is possible to allow the operator to easily determine whether or not the type of data is being input at the time of input.

According to the other fourth aspect of the present invention, since the color tone of the input screen differs depending on the type of input data, a portable terminal with few input errors can be provided.

The other fifth aspect of the present invention is used in a home-visit nursing support system and displays a field for inputting nursing record data on a mobile terminal carried by a nurse at a patient's home, and the nursing record data is stored in the field. An input unit that prompts the operator to input, and specifies the input unit that displays the data that was input in the past in the field and the data that is displayed by the input unit as the data that should be input this time. A portable terminal including a designating means.

In the present invention, since the data inputted in the past is displayed and the operator can designate it, the labor of the operator in inputting the same data as the past can be reduced.

Furthermore, in the portable terminal of the other fifth aspect of the present invention, the input means displays a plurality of data input in the past in the field, and the designating means displays the plurality of data. The mobile terminal is characterized in that a predetermined single piece of data is designated from the data.

Effectively use the data input in the past,
In order to reduce the labor at the time of data input, in the present invention, a plurality of data that have been input in the past are displayed. Then, the operator can easily input data by designating desired data from these.

The other sixth aspect of the present invention is the portable terminal of the other fifth aspect of the present invention, wherein the input means displays the past input data or the previously input data when displaying the data. The portable terminal is characterized by displaying the generated data with a color different from the color used to display the data input by the operator in order to distinguish the data from the data input by the operator.

When displaying the data input in the past, unless it is clearly stated that the data is the data input in the past, it may be the data newly input by the operator or the past data. There is a possibility of confusion if there is. Therefore, in the present invention, in order to express explicitly that it is past data, the color is changed and displayed. This makes it easy to distinguish whether the data is past data or newly input data.

According to the other fifth and sixth aspects of the present invention, the data input in the past can be effectively used and the data can be input efficiently. Therefore, the clerical work processing in the home-visit nursing can be speeded up.

The other seventh aspect of the present invention is used in a home-visit nursing support system, and includes input means for inputting the physical condition of the patient in a portable terminal carried by a nurse to a patient's home, the input means comprising: A human body diagram displaying means for displaying a human body diagram, and a physical condition for displaying a list of physical conditions related to the designated region when the operator designates a predetermined region of the human body shown in the human body diagram A mobile terminal comprising: display means; and physical condition indicating means for inputting the indicated physical condition when the operator points out the physical condition to be input from the list of physical conditions. Is.

Since the human figure is used, it becomes easy to visually grasp the physical condition. Therefore, it is possible to accurately grasp the physical condition of each part of the human body, which contributes to the smooth operation of home-visit nursing.

The other eighth aspect of the present invention is used in a home-visit nursing support system, and in a portable terminal carried by a nurse to a patient's home, a human body diagram display means for displaying a human body diagram and a physical condition that may occur in the human body. Body condition display means for displaying a list, and when the operator selects a body condition to be investigated from the list of the body condition, the human body part in which the selected body condition may occur is displayed on the human body diagram. And a site display means for performing the operation.

The other 8th aspect of the present invention is different from the 7th aspect of the present invention described above, in which the body condition is used to display the parts of the human body in which the body condition may occur, using a human body diagram. Since the human body diagram is used, as in the case of the other seventh aspect of the present invention, the site where the symptom or the like occurs can be accurately grasped, so that accurate nursing can be performed.

Another ninth aspect of the present invention is the portable terminal of the other eighth aspect of the present invention, wherein the part display means is selected when the operator selects a plurality of physical conditions to be investigated. It is a mobile terminal characterized in that all parts of a human body in which a plurality of physical conditions may occur are displayed on the human body diagram.

In the above-mentioned eighth aspect of the present invention, it is convenient if a plurality of body conditions can be input and the human body parts in which they occur can be displayed at one time. According to the present invention, a plurality of physical conditions and the like can be input and a part where those physical conditions and the like occur can be grasped at once, so that more efficient home-visit nursing can be realized.

The other tenth invention is the other ninth invention.
In the portable terminal of the present invention, 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 can occur, and the part of the human body in which the plurality of selected physical conditions can occur. It is a mobile terminal characterized by displaying by doing.

Various methods are conceivable for displaying a predetermined part in the human body diagram, but in the present invention, the part is displayed to the operator by changing the color of the part. Since the color is changed, it is not necessary to display an arrow or the like for indicating the part, and it is possible to effectively use the screen area.

In the other seventh, eighth, ninth and tenth inventions, since the relationship between the physical condition and the human body part is displayed using the human body diagram, the nursing work can be performed accurately.

The eleventh aspect of the present invention, which is used in a home-visit nursing support system, displays a field for checking whether or not a nursing item has been carried out on a mobile terminal carried by a nurse at a patient's home. The input means for prompting the operator to input whether or not it has been carried out, wherein the input means is provided in the above-mentioned column depending on whether the nursing item has been carried out last time or not. The mobile terminal is characterized by displaying different colors.

According to the present invention, the color of the nursing item carried out last time is displayed differently. Therefore, the operator carried out last time,
It is possible to prevent forgetting the nursing items that need to be done this time.

The other twelfth aspect of the present invention is the other first aspect.
In the portable terminal according to the second aspect of the present invention, when the input by the input means is completed and the fact that the care item was performed last time is not input, the operator is warned. The mobile terminal is characterized by including a warning means for issuing.

According to the present invention, a predetermined warning sound is emitted when a predetermined nursing item that was performed last time is not performed this time. Therefore, compared with the above-mentioned other twelfth invention,
It is possible to more reliably prevent non-implementation of nursing items.

In the other eleventh and twelfth aspects of the present invention, it is possible to prevent forgetting the nursing work since the previously performed nursing work is known in advance.

The other thirteenth invention of the present invention is used in a home-visit nursing support system, and is provided with an input screen display means for inputting predetermined data in a portable terminal carried by a nurse to a patient's home. A plurality of input item fields for inputting the data, and a plurality of lower check fields provided corresponding to each of the input item fields, the lower check fields being classified into a predetermined number of groups, When all the lower check boxes belonging to the same group among the check boxes are checked, the check boxes are automatically entered, and are provided for each group. The check box is automatically input when the nurse inputs data in the corresponding input item field. A mobile terminal characterized by Rukoto.

Therefore, data can be input efficiently.

The other fourteenth invention is the other first invention.
In the mobile terminal of the present invention of 3, the default data is displayed in advance in the lower check box, and when the nurse wants to input the default data, the nurse checks the lower check field by himself / herself. The mobile terminal is characterized by being able to input.

Therefore, it is possible to input data without re-inputting the data.

The other fifteenth invention is the other first invention.
In the mobile terminal of the present invention, the number of groups is 1
However, only one upper check box is provided, and when no check is entered in the upper check box, when the nurse tries to finish inputting data, The mobile terminal is provided with a warning means for issuing a warning that data has not been input.

Therefore, since a warning is issued, it is possible to prevent forgetting to input data.

The other 16th aspect of the present invention is the portable terminal according to the 13th aspect of the present invention, wherein the input screen is automatically checked when all the upper check boxes are checked. Including the upper check column,
This mobile terminal is a warning means for issuing a warning that all the data has not been input when the nurse is about to finish inputting data when a check has not been input in the highest check box. It is a mobile terminal characterized by comprising.

Therefore, while the data input is managed hierarchically, a warning is issued in a predetermined case, and it is possible to prevent forgetting to input the data.

In the other thirteenth, fourteenth, fifteenth and sixteenth aspects of the present invention, the check boxes are hierarchically provided, and when all the lower check boxes are checked, the check boxes of the upper check boxes are automatically entered. With this configuration, it is possible to realize a data input method that can reliably prevent forgetting to input data.

[0345]

As described above, according to the first and second aspects of the present invention, a home-visit nursing server in which patient data can be easily handled is provided, and a smooth home-visit nursing support system can be constructed.

According to the third and fourth aspects of the present invention, it is possible to construct a home-visit nursing support system capable of accurately managing the update of patient data.

According to the fifth, sixth and seventh aspects of the present invention, the operating environment is inspected when the portable terminal is started up and desired settings are made, so that the portable terminal with high convenience is provided.

According to the eighth aspect of the present invention, it is possible to automatically refer to past data without knowing where the past patient data is stored, and it is possible to efficiently support home-visit nursing. .

Further, in the ninth aspect of the present invention, when the operator tries to view past nursing data which is not stored in the mobile terminal when the mobile terminal is not connected to the server, the data is viewed. A message indicating that the operation cannot be performed is displayed and the operator is alerted, so that the operation of the operator can be facilitated.

[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 of an input screen of the mobile terminal.

FIG. 4 is an explanatory diagram of a control file.

FIG. 5 is an explanatory diagram showing how a certain table is constructed on a memory of a mobile terminal.

FIG. 6 is an explanatory diagram showing how an input screen is displayed.

FIG. 7 is an explanatory diagram of data input and the like.

FIG. 8 is an explanatory diagram for an overview of data input / check.

FIG. 9 is an explanatory diagram of an operation at startup of the mobile terminal.

FIG. 10 is an explanatory diagram when a sketch of a house is input by handwriting.

FIG. 11 is an explanatory diagram when a sketch of the surroundings of the home is input by handwriting.

FIG. 12 is an explanatory diagram showing a state of a screen of a memorandum on a mobile phone according to the present embodiment.

FIG. 13 is an explanatory diagram illustrating a function of a check button.

FIG. 14 is an explanatory diagram showing an input screen when a physical condition of a patient is input on the mobile terminal.

FIG. 15 is an explanatory diagram illustrating a state of a care content selection screen.

FIG. 16 is a flowchart showing the operation of the mobile terminal.

FIG. 17 is an explanatory diagram of a conventional nursing management system.

FIG. 18 is an explanatory diagram of a system of home-visit nursing care plan software.

FIG. 19 is an explanatory diagram of a conventional nursing support system.

FIG. 20 is an explanatory diagram illustrating a basic configuration and a basic operation of the home-visit nursing system according to the second embodiment.

FIG. 21 is an explanatory diagram showing specific contents of an individual basic file, a history file group, and a schedule file.

FIG. 22 is a flowchart showing the operation of the terminal in the home-visit nursing care support system according to the present embodiment.

FIG. 23 is an explanatory diagram of a value of a terminal status flag S and a menu control pattern for controlling screen display of the terminal.

FIG. 24 is an explanatory diagram showing how the value of the terminal status flag S changes.

FIG. 25 is a flowchart showing the detailed operation of the menu screen display operation in step ST22-14 in FIG.

FIG. 26 is a flowchart showing a detailed operation of a process execution permission check in step ST22-16 in FIG.

FIG. 27 is a flowchart showing an operation of a reception process.

FIG. 28 is a flowchart showing the operation of a reception process.

FIG. 29 is a flowchart showing the operation of a reception process.

FIG. 30 is a flowchart showing the operation of a schedule I / F process.

FIG. 31 is a flowchart showing the operation of a schedule I / F process.

FIG. 32 is a flowchart showing the operation of transmission processing.

FIG. 33 is a flowchart showing an operation of station processing.

FIG. 34 is a flowchart showing an operation of station processing.

FIG. 35 is an explanatory diagram showing a processing relationship between two mobile terminals A and B in the home-visit nursing care support system.

FIG. 36 is an explanatory diagram of a carry-out flag M.

FIG. 37 is a flowchart showing an operation of display processing of past data.

FIG. 38 is a flowchart showing an operation of display processing of past data.

FIG. 39 is a flowchart showing an operation of display processing of past data.

[Explanation of symbols]

100 server, 102 mobile terminal, 104 nursing schedule system, 200 check button, 202 clear button, 300 system startup, 302 menu screen display, 304 reception process, 308 station process, 400 individual basic file, 402 history file group, 402a history File, 402b History file, 404 Schedule file, 406 Schedule creation process, 500 Past data display process, 50
2 Display processing of past data.

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 (9)

[Claims] 1. A home-visit nursing server used in a home-visit nursing support system for managing patient data downloaded to a mobile terminal carried by a nurse at a patient's home, and at least patient data storage means for storing patient data, , A schedule management means for storing a nursing schedule in which a nurse of each home-visit nursing, a patient and a date and time are associated with each other, and a request from the predetermined mobile terminal to download patient data for home-visit nursing. In this case, based on the name of the nurse who operates the mobile terminal, a schedule extraction unit that extracts a nursing schedule corresponding to the nurse name from the schedule stored by the schedule management unit, and a schedule extraction unit that retrieves the nursing schedule. The patient data of the patients included in the nursing schedule is converted into the patient data. Removed from 憶 means, home nursing server which comprises a patient data download means for downloading to the mobile terminal. 2. The home-visit nursing server according to claim 1, wherein the schedule extracting unit extracts only a nursing schedule for a predetermined period requested from the mobile terminal. 3. A home-visit nursing support system, comprising: a server for managing nursing data; and a terminal connectable to the server, the plurality of mobile terminals being carried by a nurse at a patient's home. When the mobile terminal downloads the nursing data of the predetermined patient from the server, the portable terminal uses it for visiting nursing of a predetermined patient, and sets a flag of non-updatable to the downloaded nursing data. Means and the nursing data in which the non-updating flag is set,
When a mobile terminal other than the certain mobile terminal attempts to update, the update nursing prohibiting means for prohibiting the updating is included, and a visiting nursing support system is provided. 4. The server further updates the nursing data of the predetermined patient managed by the server so that the mobile terminal reflects the result of the home-visit nursing on the nursing data managed by the server. In this case, the home-nursing support system according to claim 3, further comprising update-unable flag canceling means for canceling the update-disabled flag set by the update-disabled flag setting means. 5. A mobile terminal used for a home-visit nursing support system and carried by a nurse to a patient's home is inspected to see if it is connected to a server when the mobile terminal is started up. A mobile terminal comprising: a control unit that makes the operation of the mobile terminal different when not connected. 6. A mobile terminal used for a home-visit nursing support system, which is carried by a nurse to a patient's home, is inspected as to whether or not it is connected to a server when the mobile terminal is started up. And a control unit that makes the operation that the operator can perform different depending on whether the server is not connected, and the control unit limits execution of a predetermined operation when the server is not connected. A mobile terminal comprising: 7. The mobile phone according to claim 6, further comprising: a light-colored menu display means for displaying a display of the restricted operation in a light color when the operation restricted by the execution restricting means is displayed in a menu. Terminal. 8. A portable terminal used for a home-visit nursing support system, which is carried by a nurse to a patient's home, and a nursing history storage unit for storing past nursing content and nursing data for a certain period from the present, and a request from an operator. Display means for reading out and displaying a predetermined past nursing content or nursing data from the nursing history storage means according to the above, and the displaying means further includes the nursing content past the certain period from the operator or A mobile terminal, wherein when the nursing data is requested, the past nursing content or nursing data is read out from the server and displayed. 9. A mobile terminal used in a home-visit nursing support system, which a nurse carries to a patient's home, and a nursing history storage unit for storing past nursing content and nursing data for a certain period from the present, and an operator When requesting past nursing content or nursing data within the certain period from, the first display means for reading out and displaying the requested past nursing content or nursing data from the nursing history storage means in response to the request. And an inspection means for inspecting whether or not the mobile terminal is connected to the server when the operator requests nursing contents or nursing data older than the certain period from the present, and an inspection of the inspection means. As a result, if the mobile terminal is not connected to the server, a message indicating that the requested data cannot be displayed is displayed to the operator, Portable terminal end is on when connected to the server, from the server, said further read past nursing contents or nurse data, characterized in that it comprises a second display means for displaying.