JPH11296592A - Medical treatment and care support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable flexible revision easily, storing wide-range irregular information generated in a medical treatment and care field and allowing more people including patients and persons under care to use the information. SOLUTION: This is a medical treatment and care support system 10 equipped with a server 11, a data base, and a dedicated terminal device 13 installed in a medical treatment and care field. The dedicated terminal device 13 is equipped with a display screen, a receiver, and a reader writer which inputs the code of a user by reading data out of an information card. The data base includes a voice data base. The voice data inputted from the receiver are stored in the voice data base while a code of the person inputting his/her voice data, the kind of the data, an address, etc., are added and the voice data from the receiver are reproduced by pressing a button displayed on the screen of the dedicated terminal device 13.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical / nursing support system, and more particularly, to a medical / nursing support system capable of easily accumulating and referring to various kinds of information generated daily at medical and nursing sites.

[0002]

2. Description of the Related Art In a medical institution such as a hospital, an information management system in charge of various information processing accompanying medical treatment has been introduced in order to streamline medical treatment and streamline office work. In this system, client terminals are arranged at reception desks, examination rooms, examination rooms, administrative departments, pharmacies, various examination rooms, nurse stations, ward clinics, etc., and connected to server machines via LAN, It performs data exchange and various arithmetic processing, and also performs various managements between the patient and the clinic.It can transfer various data of individual patients and various data of hospital operations from outpatient reception to medical treatment, inpatient treatment, examination, etc. It can be stored in a database and can be used to extract and refer to data and to perform accounting operations. For example, when a doctor inputs a medication order for a patient from a terminal at hand, a prescription is automatically printed out from the terminal of the pharmacy to prompt a pharmacist to perform dispensing, and the medication data is managed by a server. Is stored in the database, and used as basic data for issuing a medical remuneration statement (recept).

[0003] With the establishment of the nursing care insurance system, nursing care services are provided to hospitals and nursing homes (such as nursing homes, etc.) under their umbrella. An office management system for efficient and efficient operation is being introduced separately from the medical information management system or as an optional function.

[0004]

In any case, the existing information management systems provided at medical institutions and nursing care facilities were introduced mainly for the purpose of streamlining management, and the types of information handled are also different. Access to the information is limited to those who meet the purpose, and those who can access the information are also limited to those within a certain range. In addition, it is not easy to expand or modify the system once it has been introduced, and it has basically been necessary to modify the entire system. Of course, due to the nature of the core system of medical institutions and nursing care facilities,
Above all, safety and stability should be given priority, and it is not appropriate to grant access to unspecified people, and it must also be difficult to modify it. It can also be unavoidable that the types of information to be handled are limited to those that directly match the purpose of introducing the system.

[0005] However, medical care and nursing care are tasks for living human beings, and familiar and irregular information that occurs every day at medical and nursing care sites is more easily accumulated and shared among many people. The importance of mutual interaction has been recognized. For example, information such as “impressions and impressions” of the nurse in charge of the patient in contact with it is unlikely to be subject to the existing information management system, but is transmitted to medical staff in other departments. By doing so, you may be able to build a strong relationship of trust with the patient. In addition, when a nurse is replaced, a small amount of advice is received from a predecessor, so that subsequent nursing may be carried smoothly. Such information has been used to some extent in a limited area such as within the same medical department, in the form of memos and records in nursing diaries, but if it becomes widely available within the same medical institution, medical services will become available. Can be improved.

[0006] Also, referring to the information stored in the existing information management system by field staff such as nurses and care workers as appropriate contributes to the improvement of the quality of medical care and nursing care. It is not easy to directly access the strictly protected existing systems and extract information at the point of care, and it is also necessary to limit the range and layout of the information to be displayed to those necessary for the user, and to arrange the information for easy viewing. It was not easy. Furthermore, the existing information management system does not consider the use of patients and cared persons who play a leading role in medical and nursing care at all, but strengthens the trusting relationship with patients and cared persons. In order to do so, it is useful to provide a means for transmitting information from the patient or cared person to the medical / care staff, or to disclose information on the manager side within a certain range.

[0007] The present invention has been made in view of the above-described situation in a conventional medical institution or nursing care facility,
It is possible to easily accumulate a wide range of indefinite information generated at medical and nursing care sites, and it can be used by more people, including patients and care recipients. Another object of the present invention is to provide a system that can flexibly change the system as time passes.

[0008]

To achieve the above object, a medical / nursing support system according to the present invention is connected to a system control device, a database managed by the system control device, and the system control device. A medical / nursing support system including at least a terminal device installed at a medical or nursing site, wherein the terminal device displays various data associated with medical or nursing care and inputs various data. A display screen for displaying a screen item for selecting and instructing execution of various functions realized by the present system, a voice input unit and a reproduction unit, and a code for identifying a user of the terminal device. Code input means for storing voice data at least for storing voice data. The voice data input through the voice input means of the terminal device includes a code indicating an attribute such as a person who inputs the voice data, a type of data, and an addressee. By selecting a screen item associated with the audio data stored in the terminal device and displayed on the screen of the terminal device, the reproduction of the audio data is realized via the reproduction means of the terminal device. Is done. The screen items refer to selection buttons, keyboards, numeric keyboards, icons, and the like displayed on the screen. As described above, information can be input by voice via a terminal device installed at a medical site or a nursing site, so that information can be easily accumulated even in a busy location. Moreover, since the reproduction of the audio data can be realized by selecting the screen item displayed on the screen of the terminal device, the effective use of the stored information can be promoted.

[0009] As the terminal device, a device provided with a card reading means for reading data stored in an information card such as a magnetic card or an IC card is employed, and the data stored in the information card owned by each user is transferred to the card. By allowing the reading means to read, a code for specifying the user can be input, and a screen display associated with the code can be realized on the screen of the terminal device. can do. The card reading means corresponds to a card reader or a card reader / writer. However, instead of using such an information card, the user of the terminal device is identified by using a keyboard or numeric keypad connected to the terminal device, buttons, a keyboard, or a numeric keyboard displayed on the screen of the terminal device. May be entered.

The selection of the screen items and the input of the data may be performed using an input device such as a keyboard, a mouse, a pressure-sensitive pad, a trackball or the like mounted on the terminal device. By arranging a touch screen as an input means and touching a screen item displayed on the screen, input of data or selection of a function is realized through the touch screen, so that the touch screen can be further easily used. Become. Here, the touch screen is a system that enables an input operation by touching the screen with a finger or the like, and includes various types such as an optical type and an electrostatic induction type. Since the touch screen itself is publicly known, further description is omitted, but any principle based on any principle that can detect coordinates touched by a finger or the like on the screen can be applied. Alternatively, a configuration may be employed in which the terminal device is provided with voice recognition means, and the selection of the screen item is realized by voice.

[0011] When the user of the terminal device is composed of a service provider such as a doctor, a nurse, a care worker or the like who provides medical or nursing services, and a service recipient such as a patient who receives these services or a cared person. Then, when the card reader reads the data on the information card of the service provider and the service receiver, a screen indicating the action of the service provider on the service receiver is displayed, and a screen associated with each action is displayed. By selecting an item and inputting a voice, the voice data is stored in a voice database in a form to which a code indicating the procedure is added, and a screen associated with the voice data is displayed on the screen of the terminal device. An item may be displayed, and reproduction of the audio data may be realized by selecting the screen item. . If screen items corresponding to treatments, examinations, and medical examinations performed by doctors and nurses are prepared in advance on the screen of the terminal device, registration, search, and reproduction of voice data can be more easily performed. It becomes possible to promote the use of this system.

Alternatively, by selecting a screen item associated with the service recipient and inputting a voice,
The voice data is stored in a voice database with a code indicating the service recipient added thereto,
A screen item associated with the audio data may be displayed on the screen of the terminal device, and reproduction of the audio data may be realized by selecting the screen item. In this case, it is possible to improve the quality of the service by registering the fact that the nurse or care worker or the like has noticed about the patient or the cared person as a handover item and referring to this as a successor.

[0013] The database includes a system management database for storing a program for realizing data display and function selection in the terminal device. The program includes a plurality of modules and a combination of each module. The program is stored in the system management database in a state in which a code associated with the user of the terminal device is added to the program, and each user has a self-service program in the terminal device. When the code is input, at least a part of the program associated with the code is downloaded from the system management database to the terminal device by the system control device, thereby realizing the screen display previously associated with the user. It is desirable to configure so that In this way, if a program associated with each user is downloaded to the terminal device and a screen display suitable for the user can be realized, it is necessary to adjust the screen layout each time the terminal device is operated. Instead, only the necessary data items and selection screen items can be displayed immediately. As a result, the layout on the screen is simplified and can be used more easily. Further, even if the screen layout is changed later, it is sufficient to simply change the module or combination of the program associated with itself without changing the entire system, and there is an advantage that the screen can be changed more flexibly as needed. .

Further, an information management database for storing various data associated with medical care and nursing care in the database, individual data stored in the information management database and displayed on the screen of the terminal device. It is desirable to provide a data management database that stores a data conversion table indicating a correlation with various data and screen items. In this way, by preparing a data management database for defining the correspondence between data in the information management database and each part of the display screen in addition to the information management database for storing data, There is an advantage that data items handled by the system can be freely added and changed later. That is, when it becomes necessary to display data items that were not expected at the time of designing this system on the terminal device, necessary items are newly set in the information management database and the data conversion table in the data management database is added to the data conversion table. Once the changes have been made, there is no need to redesign the information management database itself. As a result, it is possible to flexibly respond to various information requests that occur every day at the medical care site. Individual data stored in the information management database is displayed on the screen by selecting a screen item displayed on the screen of the terminal device, for example.

When the system control device is connected to an external information management system, a screen item associated with data stored in the database of the external information management system is displayed on the screen of the terminal device. It is convenient to display the data and display the data of the external information management system on the screen of the terminal device by selecting the screen item. For example, in the database, for displaying data stored in the database of the external information management system, emulation data for outputting a signal imitating a key operation of a terminal device belonging to the external information management system is included. Are stored in a form associated with screen items displayed on the screen of the terminal device belonging to the present system. When the screen item is selected, the corresponding emulation data is transmitted to the external information management system side, and the corresponding data on the external information management system side is transferred to the terminal device of this system, and the necessary data is displayed on the screen. Is displayed. Also, in the terminal device of the present system, data such as blood pressure, pulse, body temperature and the like can be input by operating a screen item such as a numeric keyboard displayed on the screen. If the data overlaps with the above, it is desirable that the data on the external information management system side and the data stored in the information management database of the present system are periodically synchronized.

[0016]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will be described below with reference to the illustrated embodiments. FIG. 1 shows a typical hardware configuration example of the medical / care support system 10.
The medical / care support system 10 includes a server 11 as a system control device that controls the entire system, a plurality of dedicated terminal devices 13 connected to the server 11 via a hub 12,
It also has a design terminal 14 connected to the server 11. The server 11 and the design terminal 14 are both composed of personal computers. The dedicated terminal device 13 is located in the same hospital 15 as the server 11 (that is, a medical office, a nurse station, a reception, a hospital room,
Although it is installed in an examination room, an X-ray room, a rehabilitation room, etc.), a dedicated terminal device 13 installed outside the hospital 15 is also connected to the server 11 via a dedicated line or a public line. For example, the hospital's branch 16 or external pharmacy 1
7. A dedicated terminal device 13 installed in a nursing facility 18 such as a special nursing home for the elderly under the group corresponds to the above. Alternatively, when traveling around the home requiring care using a vehicle dedicated to nursing care, the dedicated terminal device 13 may be installed in the dedicated vehicle and connected to the server 11 via wireless communication. A large-capacity hard disk device 19 is connected to the server 11, and the hard disk device 19 stores application programs that govern the operation of the system and various data handled by the system.

The medical / nursing support system 10 includes:
It is assumed that there is an existing information management system (external medical office management system 20) deployed in the same hospital 15.
The external medical office management system 20 includes a server 21 composed of a personal computer, and a plurality of client terminals composed of personal computers connected to the server 21 via a hub 12 via a network.
It has 22. A hard disk device 23 is connected to the server 21. In the hard disk device 23, application programs for managing the operation of the system 20 and various data related to medical care are stored. The present system 10 and the external medical office management system 20 are mutually connected via respective servers 11 and 21.

As shown in FIG. 2, the dedicated terminal device 13 has a display screen 24 made of a liquid crystal, a CRT and a PDP (plasma display panel), and a card
It includes a reader / writer 26, an infrared port 27 for optical communication, and a receiver 28 which also serves as a voice input unit and a reproducing unit. On the surface of the display screen 24, a touch screen capable of inputting coordinates by pressing a finger is arranged. The reader / writer 26 is an information card inserted from the card insertion slot 25.
It has a function of reading and writing data from / to 29 (magnetic card, IC card, etc.). In addition, the receiver
Via 28, voice input and playback are possible. The dedicated terminal device 13 is implemented as a cordless network via the infrared port 27. That is, a pair of infrared port members 80 connected to the server 11 via the hub 12 is provided on the ceiling or upper wall of the room where the dedicated terminal device 13 is installed (FIG. 1). Communication using is performed. For this reason, when the dedicated terminal device 13 is arranged in a narrow hospital room or examination room, it is possible to avoid the risk of being caught by the wiring cord. When the dedicated terminal device 13 is installed in such a place where there is little danger, a cable connection can be made via a network adapter.

The dedicated terminal device 13 has substantially the same configuration as a personal computer, and although not shown, a central processing unit (CPU), a main memory, a hard disk device as an auxiliary storage device, an input / output An interface, a network adapter and the like are provided. Further, as shown in FIG. 1, a printer 30 can be connected as needed. Instead of using the dedicated terminal device 13 as described above, a general-purpose personal computer may be used as the terminal device. In this case, the touch screen is placed on the surface of the display device connected to the personal computer, and the external card
Connect a reader / writer. Also, a microphone as sound input means and a speaker or headphones as sound reproduction means are attached.

Next, an example of using the medical / care support system 10 will be described. First, in the hospital 15 where the system 10 is installed, hospitals such as medical and nursing staff such as doctors, nurses, care workers, physiotherapists, radiographers, clinical technologists, pharmacists, care workers, and general clerical staff are provided. An information card 29 has been issued not only to the side staff but also to the patient and his / her family. The information card 29 is a card capable of storing certain data such as a magnetic card or an IC card, and includes an ID number exclusively assigned to the card owner, name, gender, date of birth, address, Attribute information such as type (doctor, nurse, patient, etc.) and affiliation (internal medicine, surgery, accounting section, etc.) are coded and recorded. In addition, the information card 29 owned by the patient can accumulate test data, treatment history information, visit history information, and the like within a certain period in the past.

The user of this system operates the dedicated terminal 13
When you press the display screen 24 with your finger, the information card
A guide prompting insertion of 29 is displayed (not shown). In accordance with this, for example, the nurse inserts his / her own information card 29 into the slot 25
When the data stored in the information card 29 is read by the reader / writer 26, the information card 29 is ejected, and a guide prompting the user to insert another information card 29 is displayed (not shown). ). When the information card 29 received from the patient in charge is inserted into the insertion slot 25, the data stored in the information card 29 of the patient is read by the reader / writer 26, and then the information card 29 is ejected. Then, after the names of the nurse and the patient are displayed, a display prompting confirmation of correctness is made (not shown). When the confirm button is pressed here, necessary screen display data is searched using the ID numbers of the nurse and the patient as keys, and based on the screen display data, the display screen 24 of the dedicated terminal device 13 is displayed as shown in FIG. Such a screen layout appears.

This screen shows the state of the patient and is divided into three areas. In the first area 31,
In addition to the current date and time, the patient's ID number (970012)
5), attributes such as sick room (room 103), name (Taro Yamada) and disease name (cirrhosis) are displayed. Also, an "existing" button 32 for calling a screen showing the patient's antecedent, a "V" button 33 for registering voicemail, and accessing the external medical office management system 20 to display specific data. “Medical” button 34 is arranged.

The second area 35 mainly displays the past history of the patient. First, the left box 36
Shows graphically the vital data (blood pressure, body temperature, pulse rate) of the patient for a certain period in the past. In the boxes 37 to 39 on the right, the treatment history of the patient is 3
Are displayed. That is, for this patient, 1997
That the “inspection” was carried out at 5:00 pm on December 5 of the same year, the same month
It shows that "treatment" was given at 10 am on the 17th and "medication" was given at noon on the 19th of the same month. These pieces of information may be stored in the patient's information card 29 or may be read from the system database.

When the "medicine" button 40 arranged in the boxes 37 to 39 describing each procedure is pressed, data corresponding to the procedure stored in the external medical office management system 20 can be displayed. Becomes For example, when the “medicine” button 40 of the examination box 37 is pressed, detailed numerical data indicating the examination result can be viewed. In addition, when the “medicine” button 40 of the treatment box 38 is pressed, the data input by the doctor to the medical chart at the time of treatment can be viewed. Further, when the "medicine" button 40 of the medication box 39 is pressed, the contents of the prescription can be viewed.

When the "V" button 41 arranged in each of the boxes 37 to 39 describing each procedure is pressed, the nursing record registered by the nurse at the time of each procedure is recorded via the receiver 28 of the dedicated terminal device 13. Can hear. For example, when the “V” button 41 of the examination box 37 is pressed, a record dictated by the nurse regarding the contents and results of the examination is reproduced. When the "V" button 41 of the treatment box 38 is pressed, a record of the contents of the treatment, the state of the patient, and the like are reproduced. further,
When the "V" button 41 of the medication box 39 is pressed, a record of the kind of the medicine instructed for medication, the method of taking the medicine, and the like is reproduced.

The dictation record for each procedure by the nurse can be made by pressing the "nurse record" button 42 arranged below the second area 35. In other words, "nursing records"
When the button 42 is pressed, as shown in FIG. 4, six buttons of "body temperature", "blood pressure", "pulse", "medication", "examination", and "treatment" appear on the screen. Among them, the three buttons in the right column are for dictation recording, and when any of them is pressed, a display prompting the user to input a voice through the receiver 28 appears on the screen 24. For example, by selecting the “treatment” button, dictating the specific contents of the treatment, and pressing the confirm button, the voice data is registered after being associated with the patient's ID number (code). At this time, the date and time of the input, the treatment content (treatment), and the code indicating the input person are automatically registered together with the voice data. When the end button is pressed to return to the screen of FIG. 3, the current treatment is newly displayed in the box 39.

The three buttons shown in the left column of FIG. 4 are for inputting so-called vital data, and when any of them is pressed, a numeric keyboard for inputting numerical values is displayed on the screen. For example, when the “body temperature” button is selected, a display as shown in FIG. When the patient's body temperature is input using the numeric keyboard 43, the input numbers are sequentially displayed in the display up box 44. If there is no mistake in the number in the display up box 44, the “registration” button is pressed to confirm the input of the body temperature. After inputting “blood pressure” and “pulse” in the same manner and returning to the screen of FIG. 3 by pressing the “end” button, the line graph displayed in the box 36 reflects the previously input numerical value. Each numerical data input here is temporarily stored in the present system, and is also reflected in the database of the external medical office management system 20. The details will be described later.

The "takeover registration" button 45 arranged next to the "nurse record" button 42 is for recording the same voice data. However, this is not information corresponding to each treatment, and is not information corresponding to each treatment. This is for recording information about. For example, if there is a fact that the patient has complained of abdominal pain many times in the morning, the nurse in charge presses the “takeover registration” button 45 and registers that fact by voice.
Then, when the duty is changed with the duty nurse, the duty nurse reproduces the voice data and recognizes the fact, so that special consideration can be given. Specifically, when the "takeover registration" button 45 is pressed, a guidance prompting the user to pick up the handset 28 and input a takeover message is displayed, and after dictating necessary contents, press the registration button to register voice data ( Not shown). Once dictated, a selection button may be prepared to cancel the registration and allow re-entry from the beginning.

Note that the “V” button 33 arranged in the first area 31 is also a “nursing record” button 42 and a “takeover registration” button.
Similar to 45, this is related to the registration of voice data, but it is characterized in that it is selected when it is desired to leave a patient or a treatment for the patient and to convey a message to a specific person by voice. For example, if the nurse in charge wants to hear the nurse's opinion regarding the nursing of the patient, if the "V" button 33 is pressed, voice data containing the question will be stored as voice mail in the mailbox of the nurse. be able to. The nurse can periodically check his / her own mailbox to recognize the presence of the voicemail addressed to him / herself and reproduce it to grasp the contents of the question. Of course, the answer to the question can be returned by voice mail with the nurse in charge as the addressee. This voice mail is different from the voice data based on the “nursing record” and the voice data based on the “takeover registration” in that only the person in the designated range can recognize and reproduce the voice mail. In a busy medical setting, there is generally no room to operate a keyboard to exchange normal e-mails. However, voice mails by voice can exchange opinions relatively easily.

Specifically, when the "V" button 33 is pressed, a numeric keyboard is displayed (not shown). When the ID number of the other party is input by using this, the name of the other party is displayed on the screen, and when the confirmation button is pressed, voice input via the receiver 28 becomes possible. In addition, since the ID number of the other party is not stored, "Nurse → Internal Medicine → Maternity → XX
It is desirable to prepare a menu such as "OO" that can specify a target person by sequentially going down the hierarchy. In addition, "all nurses in internal medicine", "1
A selection button may be prepared such that the same voice mail can be simultaneously sent to a plurality of persons having a certain relationship, such as "all patients in room 03".

In the third area 46 of the display screen 24, the ID number (397), name (Hanako Tanaka), affiliation and status (internal medicine nurse) of the nurse in charge are displayed. In addition, a “pull / present” button 47 indicating that a “takeover item” relating to the patient is present, and a “V • present” button 48 indicating that a new voice mail for the nurse is present are displayed. . When the “draw / present” button 47 is pressed, as shown in FIG. 6, a screen appears in which past transfer cases registered for the patient are listed. The registered date and time, the name of the registrant, and the ID number are displayed in each case. When a required case is selected by operating the touch screen, a voice message can be heard via the handset 28. When the "V / Yes" button 48 is pressed, a screen appears in which voice mail cases sent to the nurse are listed, as shown in FIG. In each case, the registered date and time, the name of the caller, and the ID number are displayed. If a required item is selected from the list, the voice mail can be heard via the handset 28. If there are no transfer items or new voicemails,
It goes without saying that neither the "pull / present" button 47 nor the "V / present" button 48 is displayed. By pressing the "end" button 49 when all the treatments for the patient are completed, the user can exit from the patient treatment menu.

In the above, when each button displayed on the display screen 24 is pressed with a finger, the coordinate position is detected by the touch screen, and the function corresponding to the selected button (switching the display screen, inputting data). And display), the data input and the function selection may be realized using voice. That is,
A voice recognition system is built in the dedicated terminal device 13 in advance, and a word corresponding to the button is input by voice from the receiver 28 instead of pressing the button. For example, if a nursing record is to be added on the screen of FIG. 3, instead of pressing the "nurse record" button 42, if the user speaks "kango kiroku" toward the handset 28, the screen switches to the screen of FIG.
Then, the screen is switched to the screen shown in FIG. Here, when you say "Sanju Nanatin strawberry" and specific body temperature,
"37.15" is displayed in the display up box 44,
The input of the body temperature can be completed by saying "Touroku". This speech recognition system can be realized as software by installing an application program for speech recognition on the hard disk device of the dedicated terminal device 13, but is realized as hardware by incorporating the speech recognition device. Is also good.

Although the above-mentioned patient treatment menu is designed for use by the nurse in charge who is a medical staff, this medical / care support system 10 shows its true value by being widely opened to patients. Is what you do. That is, the dedicated terminal device 13 includes a medical examination room, an X-ray room, an examination room, a nurse station, a sick room, a waiting room,
It is also located in the lobby. Then, when the patient inserts his / her own information card 29 into the insertion slot 25 alone, the patient-specific screen layout shown in FIG.

When the "listen to voice mail" button is pressed on this screen, a new voice mail is listed as shown in FIG. Select the necessary one from these and set the handset
You can hear the voice message from the caller by touching 28.

When "send voice mail" is selected, a menu showing the type of the other party to whom the voice mail is to be sent is expanded as shown in FIG. If "Nurse in charge" is selected, a message addressed to the nurse in charge can be directly input from the handset 28.
On the other hand, when "other nurses" is selected,
As shown in FIG. 1, a menu indicating the type of medical department is displayed. When the button of the target medical department is pressed, a list of the ID numbers and names of nurses belonging to the relevant medical department is displayed (not shown). Should be registered. Although not shown in FIG. 9, after listening to the voice mail, a button for selecting whether or not to send a reply is displayed on the screen,
When "Send" is selected, the setting may be made so that voice mail can be immediately sent to the other party.

When the patient selects "view the treatment history", a screen substantially similar to that shown in FIG. 3 is developed. That is, at least a graph showing the transition of vital data up to the present, and items showing examination, treatment, and medication are displayed. In addition, the audio data of the nursing record recorded during the treatment can be heard. On this occasion,
It is also possible to permit browsing of data stored in the external medical office management system 20 (however, limited to data relating to the patient itself). The level of data to be released to the patient is left to the system administrator's settings, but if the past medication data and treatment data are made widely available, it is possible for the patient to check the adequacy of medical treatment by himself, You can build strong trust with patients. Of course, you need to be very careful in managing your personal information to protect your privacy. For example, information card 29
Since there is a risk that it is not possible to prevent impersonation of another person only by inserting the password, it is conceivable to condition the input of the personal identification number via the numeric keyboard displayed on the screen.

It is to be noted that when the patient's family inserts his or her own information card 29 into the insertion slot 25 of the dedicated terminal device 13, although not shown, the display screen 24 has the same structure as that shown in FIGS. A similar screen layout is developed, and it becomes possible to communicate with the patient, the attending physician, the nurse in charge, and the like using voice mail, and browse the treatment history.

Next, a description will be given of a mechanism of the present system 10 which enables the above functions to be realized. First, since the server 11 is constituted by a normal personal computer, at least a central processing unit (CPU) and an RA
M, a hard disk device 19 in which application programs for realizing the present system are installed, a display device, a keyboard,
An input / output interface circuit and the like are provided between the CPU and external devices such as a mouse and a network adapter. Then, by executing the application program, the CPU, as shown in FIG.
System control unit 50, system design unit 51, terminal control unit 52,
Each functional component of the information processing unit 53 and the external interface unit 54 will be provided. In the hard disk device 19 connected to the server 11, at least a system management database 55, a data management database 56, an information management database 57, and a voice database 58 are stored, and a database group is configured.

The system control unit 50 is a part that exerts a function of controlling the entire system, and in particular, traffic control of data communication between the dedicated terminal device 13, the design terminal 14, and the external medical office management system 20. Work to do That is, data (excluding voice data) generated in connection with the operation of this system is finally stored at a predetermined address in the information management database 57 via the information processing unit 53. Before that, the data is temporarily stored in a transaction file managed by the system control unit 50, and the consistency of the data is checked. If the same data already exists in the information management database 57, an instruction such as “overwrite update” or “discard” is issued to the information processing unit 53.

As one of the features of this system, the layout of the screen of the dedicated terminal device 13 and the functions realized by selecting and executing items (such as buttons) on the screen can be freely set according to the user. Can be set to. That is, the screen layout shown in FIG. 3 is realized by inserting the information cards of the internal nurse “Hanako Tanaka” and the patient “Taro Yamada”, but is different for the combination of other nurses and patients. Screen layout is displayed. For example, when a card for a nurse and a patient related to plastic surgery is inserted, a graph display of vital data is unnecessary, and a rehabilitation history or the like is displayed instead. Also, if you need to change the display items over time,
Display items can be easily added, deleted, and moved.

In this system, the program executed in the dedicated terminal device 13 is modularized in a form including a screen layout and various functions (data search, data display, data registration, etc.), and is selected in advance. A series of operations are realized by combining a plurality of modules. Therefore, a new module,
By modifying or changing the combination of modules, the functional operation of the dedicated terminal device 13 can be easily changed. In addition, by registering each module and a combination thereof in association with a user ID number (code), it becomes possible to execute a different function operation for each user.

The design and modification of the module are performed on the design terminal 14 in which an application program for module design is installed. For example, when designing the second area 35 of the screen shown in FIG. 3, first, as shown in FIG. 13, a necessary item type, display position, and its function are defined on a basic screen area. Go. That is, A
When displaying a graph of vital data at the position of, data type (line graph), screen coordinates (a: 100, 100,
b: 200, 200), display data (body temperature / blood pressure / pulse), display period (for the past three days), data storage location (in the information card), and the like. As described above, a module is created for each screen layout, and the combination and order of each module are also defined.

The module data created in the design terminal 14 in this way is given a unique code, and is associated with the user's ID number (code) and the like, and is stored in the system management database 55. Is stored. Also, sequence control data indicating the combination and order of each module is stored in the system management database 55 after being associated with the user ID number and the like. For this reason, the user's information card 29 is
, The module transfer request is output from the dedicated terminal device 13 to the server 11, and the sequence control data to which the user ID number is assigned and the necessary modules are transmitted via the terminal control unit 52 to the dedicated terminal device And the desired screen display and functions are realized. The sequence control data once downloaded and the corresponding module group are stored in the hard disk device of the dedicated terminal device 13 as they are. For this reason, when the same information card 29 is inserted into the dedicated terminal device 13 next, the screen can be displayed without communicating with the server 11. Of course, when the screen layout is changed, the sequence control data and the module group necessary for realizing the latest screen layout are transferred to the dedicated terminal device 13 via the terminal control unit 52. The module data is downloaded to the dedicated terminal device 13 in advance, and when the user inserts the information card 29 into the reader / writer 26, the corresponding sequence control data is downloaded so that the download time is reduced. Can also be shortened.

As described above, the necessary display and functional operation can be realized by downloading the minimum module data for each user from the system management database 55 of the server 11 to the dedicated terminal device 13 for use. Therefore, the dedicated terminal device 13 is not required to have a very high information processing capability or a large storage capacity, and the hardware configuration can be further simplified.

The module can be designed for each user as described above. However, rather than designing a module dedicated to each user from scratch, "modules for combining surgeons and patients" and " Create several basic forms (standard specifications) according to the user, such as "for a combination of an internal nurse and a patient", "for a doctor only", "for a nurse only", "for a patient only". It is realistic that each person makes fine adjustments based on this.

Another feature of the present system is that data items can be freely increased / decreased / changed later.
In a normal information management system, it is necessary to set necessary data items at the time of database design, and if it becomes necessary to add or change data items later,
In order to prevent occurrence of a system failure (a state in which a data item required by a program does not exist), it is necessary to correct all programs that access the data item. Further, when a calculation process using the data item is performed, it is necessary to correct the calculation result. If there is any omission of correction, abnormal termination of the program or abnormal calculation results will occur, resulting in a system down. If the program is frequently used, it can be easily found at the time of debugging, but it is difficult to find an abnormality in the calculation result, and there is a risk of causing a major trouble later. External medical office management system 20 described above
The above is also the same, and only use within a preset range is permitted on the client terminal 22 side, and it has been difficult to flexibly cope with the needs of individual nurses and doctors at medical sites. In contrast, in the present system, when designing the screen layout in the design terminal 14,
Data items to be displayed can be freely added or changed.

In order to enable this flexible design change, in this system, a data management database 56 is prepared in addition to the information management database 57. The information management database 57 has an infinite number of data storage areas that are not defined in advance, whereas the data management database 56 has data items and screen items displayed on the screen and the information management database 57. A conversion table indicating a correlation with the stored actual data is stored. That is, certain module data is transferred to a dedicated terminal
When the data is expanded on the screen 24 of FIG. 13, the data selected / input at a certain position on the screen should be stored in the information management database, or the data in the information management database should be What should be fitted to the box is defined in the data management database 56. For example, on a screen, patient A's March 1998
If the blood pressure measurement on the 18th is entered, the ID of patient A,
With the code indicating the blood pressure measurement value as a key, the measurement value is stored in a predetermined location of the information management database 57 in accordance with the conversion table in the data management database 56.
Next, when it is necessary to display the blood pressure measurement value of the patient A on March 18, 1998 on another screen, the data management database 56 is first referred to and the patient A's blood pressure on March 18, 1997 is displayed. The location in the information management database where the blood pressure measurement value is stored is determined, and the target data is transmitted to the dedicated terminal device 13.

When it is necessary to change the data items to be displayed, new items are added to the information management database 57 by operating the design terminal 14 and changes are made to the conversion table in the data management database 56. It only needs to. Due to the change of the data item, an item that is no longer used in the information management database 57 may occur, but the item is managed simply as “unused” in the data management database 56, and each program has such “ Since the handling of "unused" data items is specified in advance, the system will not go down even if there is an omission in correction, and if an unused calculation result is referred to, a "processing impossible" message will be displayed. Anomalies can be discovered quickly. Of course, as the number of unused items increases, the redundancy of the data structure increases. However, it is not planned to store such a large amount of data in the information management database 57, and is negligible in practical use. Fits.

Another feature of the present system is that data managed by the external medical office management system 20 can be referred to as needed. This is specifically realized through the external interface unit 54 based on emulation data stored in the system management database 55. The emulation data is composed of a signal simulating a key operation on the client terminal 22 of the external medical office management system 20. The emulation data is associated with a function selection button (for example, a “medicine” button 34) displayed on the screen of the dedicated terminal device 13. When the button is pressed, the signal is transmitted from the external interface unit 54 to the external medical office management. Sent to system 20. As a result, online external medical office management system
Twenty data are extracted, converted into a data format suitable for the present system, and displayed on the screen of the dedicated terminal device 13. Alternatively, send and receive data according to the communication form (including protocol) of the external medical office management system 20,
Thus, a program may be programmed to extract the data on the external medical office management system 20 side.

The data in the information management database 57 and the data in the external medical office management system 20 can be synchronized via the external interface unit 54.
For example, one week's worth of data stored in the information management database 57 is converted into a data capture file format supported by the external medical office management system 20 and transmitted periodically (for example, every Sunday at 24:00). If the operation is managed by the external medical office management system 20, the data amount of the information management database 57 can be reduced accordingly, and the load on the system can be reduced.

In the above, an example has been shown in which a nurse inputs vital data of a patient using the numeric keyboard 43 displayed on the screen of the dedicated terminal device 13. However, regarding such data, an information management database of the present system is used. 57
And an external medical office management system via the external interface unit 54 as well as stored in the patient information card 29
It is also possible to set a program to access 20 and write data directly into the corresponding database. Regarding vital data, existing medical office management systems are usually prepared as data items,
Since the data entry person is also limited to medical staff such as nurses, there should be no major problem even if direct access is granted, and there is an advantage that the trouble of re-inputting data can be omitted.

Another feature of the present invention is the storage and use of data using voice. As we have emphasized several times before, in medical practice there are many cases where there is no room for character input by keyboard operation.
If the data is input by voice through the 13 receivers 28, a small amount of information noticed by a nurse or the like can be easily registered. Such accumulation of voice data results in smooth medical treatment and elimination of medical mistakes. In addition, by actively using voice mail to interact with patients and their families, the mutual trust between them can be ensured.

The voice input through the receiver 28 of the dedicated terminal device 13 is converted into a digital signal by an A / D conversion circuit in the dedicated terminal device 13, and the sender, date and time of transmission of the signal, and transmission type (takeover) Matter registration, treatment record, examination record,
It is transmitted to the server 11 as an audio file to which a code indicating a medication record, voice mail, etc.) is added. The audio file is stored in the audio database 58 through the system control unit 50, organized by code. And
When a command for reproducing audio data is input on the display screen 24 of the dedicated terminal device 13, an audio file of the specified code is searched from the audio database 58, and the dedicated terminal device 13 is transmitted via the system control unit 50. After being converted into an analog signal by the D / A conversion circuit, the signal is reproduced by the receiver 28. The correspondence between the display screen 24 of the dedicated terminal device 13 and the audio file is also defined on the design terminal 14.

In addition, the information management database 57 stores a master file that records the names, ID numbers, ages, genders, addresses, etc. of system users such as doctors, nurses, patients and their families. This master file is taken in periodically from the external medical office management system 20. The information card 29 carried by the patient can hold a certain range of examination data, medication records, and the like in addition to the attribute information such as the patient's ID number and name.
The type and period of data to be stored in the terminal can be set on the design terminal. For example, if the information card 29 has a built-in IC memory having a large storage capacity, by storing more data in the information card 29, the number of accesses to the information management database 57 can be reduced, and Speeding up can be achieved. Of course, it is also possible to configure the information card 29 with a magnetic card having a low storage capacity from the viewpoint of cost, but in this case, the range of data to be held on the information card 29 may be carefully selected.

In the above, an example of use at a medical site has been described. However, this system can be similarly used at a care site. For example, an insertion port 25 of a dedicated terminal device 13 installed in a nursing facility 18 such as a nursing home.
Then, when the information card 29 of the care worker and the care receiver is inserted, a screen as shown in FIG. 14 is displayed.

This screen layout is for recording the implementation status of the nursing care service, and is divided into three areas. Among them, in the first area 59, in addition to the current date and time, the ID number of the cared person (9800521), the nursing care room (No. 310), the name (Seiichi Ota), the age and gender (98-year-old man) And other attributes and symptoms (dementia / mildness) are displayed. Also, an “exist” button 32 for calling a screen showing a history of the care receiver and a “V” for registering a voice mail.
A button 33 and an “through” button 60 for accessing the existing care administration system and displaying specific data are arranged. Here, a description will be given assuming that the existing care office management system is included in the external medical office management system 20, but it is naturally possible that the care office management system exists independently.

In the third area 61, the care worker I
The D number (526), name (Hiroko Makabe), and status (care worker) are displayed. In addition, an “attached / present” button 47 indicating that there is a “transfer item” regarding the cared person and a “V • present” button 48 indicating that a new voicemail for the care worker exists are displayed. .

As described above, the items displayed in the first area 59 and the third area 61 are substantially the same as the screen configuration for nursing treatment shown in FIG. On the other hand, the items displayed in the second area 62 are specialized for the care treatment. That is, on the right side of the second area 62, the treatment content of the care plan preset for the cared person is displayed, and on the left side, the implementation status of each intervention included in the care plan is displayed. Is displayed. Observing the listed nursing care plans, today (December 20, 1997), it is necessary to provide breakfast support to this care recipient at 8:00 am, for example. It is possible to recognize that it is determined in advance that it is necessary to guide to a toilet. Therefore, the care worker will sequentially carry out the nursing care according to this plan. Before starting the concrete work, the care worker pushes the nursing care treatment (bathing assistance) to be carried out from the nursing care treatments on the right side. Then, the "start work" button 63 on the left side is pressed. As a result, a display indicating that the bathing assistance is being performed is displayed in the implementation status list. Then, when the “work end” button 64 is pressed when the bathing is completed, a sign indicating that bathing assistance has been completed is displayed in the implementation status list (

[Done]) will be displayed.

As described above, the contents of nursing care for each cared person are listed in the nursing care plan display column, and the progress is displayed in the implementation status column, so that the previously set nursing care plan is reliably executed. be able to. Also, by transferring this implementation record to the database of the external care administration management system, it can be used for evaluation of care insurance.

In the second area 62, a “care record” button 65 is displayed.
If the user selects this during the work of each care treatment and inputs a voice message from the receiver 28 of the dedicated terminal device 13, the care record associated with the care treatment can be left. For example, during the work of walking assistance (before returning from the walk and pressing the “work end” button 64),
After pressing the button 65 to record the course of the walk, the required time, the state of the cared person, etc., press the `` End work '' button 64,
"V" button indicating that there is a nursing record by voice
66 will be added to the right side of "walking assistance" in the implementation status list. By pressing the "V" button 66, it is needless to say that the recorded contents are reproduced.

A "takeover registration" button 45 is provided next to the "care record" button 65, and is selected when information on the cared person is recorded separately from the individual care treatment. For example, if the caretaker's complexion is not excellent from the morning, the care worker in charge presses the “takeover registration” button 45 and dictates that from the handset 28 of the dedicated terminal device 13. Is stored in the audio database 58 as an audio file to which a code indicating the person is added. On the next day, when you change work with another care worker, the successor presses the "On / Off" button 47, selects the previous day's matter from the handover list, and plays the voice message, so that the above information from the previous worker Can be surely grasped.

In FIG. 14, only the implementation status for the current day is displayed. However, it is natural that there is a need to list the previous implementation status and refer to the care record left by the predecessor. For this reason, it is desirable to prepare a “history” button 67 for displaying the past implementation status. When the "history" button 67 is pressed, a plurality of buttons displaying dates in the past fixed period appear (not shown), and by selecting a necessary date, the implementation status of the day is listed. The user may press the "V" button 66 of the necessary care procedure and listen to the care record, and then press the "return" button (not shown) to return to the current day.

The above-mentioned care treatment screen is a case where the information card 29 of the care worker and the care receiver is inserted, and even if the same care receiver is inserted together with the information card 29 of the nurse. Needless to say, a nursing treatment screen as shown in FIG. 3 is displayed.

Next, a method of formulating a care plan will be described. Under the long-term care insurance system, the service (nursing care) content differs depending on the individual cared person, so it is important to formulate a care plan for each cared person. This can be easily realized using the terminal 14. FIG. 15 shows a screen of the design terminal 14 during the preparation of the nursing care plan. The preparation work is performed according to a dedicated application program installed in the design terminal 14.

As shown in the figure, the contents of specific care treatment are listed on the right side of the screen. On the left side of the screen, a schedule table indicating when care treatment should be performed is displayed. Here, a care procedure to be performed on a monthly basis is set, and accordingly, 1 to 30 days (3 days) is set.
Monthly schedule table 69 with date column 68 up to 1 day)
Has been expanded. Here, for example, assuming that the care receiver "Seiichi Ota" needs to undergo a health check on the third day of every month, the screen item of "health check" is displayed from the list on the right using a pointing device such as a mouse. Move and paste it in the “3rd” column of the monthly schedule table 69. As a result, the “health checkup” is automatically listed on the third day of every month in the care plan list of the care receiver.

Next, in order to set the care treatment to be performed on a weekly basis, the "week" 70 of the cycle selection button is selected to display a weekly schedule table having a day of the week field from Sunday to Saturday. Then, paste the screen item to the required day of the week column in the same manner as described above. For example, when it is necessary to perform “rehabilitation” every Saturday and Friday, the screen item “rehabilitation” is pasted in the “Monday” column and the “Friday” column. As a result, "rehabilitation" is automatically listed every Monday and Friday in the care recipient's care plan list.

Next, in order to set a care treatment that needs to be performed every day, the "day" 71 of the cycle selection button is selected.
Display a daily schedule table with a time column from 0:00 to 24:00, and paste the screen item in the required time column in the same manner as above. For example, when it is necessary to perform a nursing care procedure of "breakfast assistance" every morning, the screen item of "breakfast assistance" is pasted in the "08:00" column. As a result, in the care plan list of the cared person, “Breakfast assistance” is automatically listed with the time display every day.

When a special care treatment having no periodicity (eg, “health consultation”) is set, the user selects the “Special” 72 of the cycle selection button to display a date and time input screen (not shown). The user operates the keyboard of the design terminal 14 to input a specific date and time. For example, when setting up an interview with the attending physician at 2:00 pm on June 3, the “health consultation” screen item is clicked with the mouse to select it, and then the “special” button 72 is clicked to select “6. 2:00 pm on March 3. "
As a result, "health consultation (14:00)" will be listed on the care plan list of the care receiver on June 3.

If it is necessary to specify the time before setting the monthly plan and the weekly plan, the "time" button 73 is pressed to display a date and time input screen (not shown), and the keyboard of the design terminal is operated. It is only necessary to operate and input a specific date and time. For example, if it is necessary to perform rehabilitation every Monday at 11:00 am, the “time” button 73 is displayed immediately after the “rehabilitation” screen item is pasted in the “Monday” column.
Click and enter "11:00 am" to display "Rehabilitation (11:00)" every Monday. Also, every time the mode is switched between “Month”, “Week”, “Day”, and “Special” with the cycle selection button, only the screen items listed in the nursing care content that are suitable for the selected mode are displayed. You may comprise. The screen items listed in the nursing care content are obtained through the external interface unit 54 by taking care treatment data managed by an external care office management system, and registered as a master file in the information management database 57. Therefore, when registering in this master file, each of the care treatments has "month", "week", "day", "special"
By adding an index indicating another, it is possible to realize a limited display of the screen items listed in the care content as described above.

After the pasting of the screen item indicating the necessary care procedure and the input operation of the date and time on the screen of the design terminal 14 are completed as described above, the care plan of the cared person is updated by the update registration. Is determined. The data of the care plan is stored in the information management database 57 in a form to which codes indicating the care receiver, the care procedure, and the set date and time are added. Then, when the care treatment screen of FIG. 14 is displayed, the data is searched using the code as a key and transmitted to the dedicated terminal device 13.

[0071]

According to the medical / care support system according to the present invention, as described above, the accumulation and
By adopting the system, it is possible to easily accumulate a wide range of indefinite information generated at medical and nursing care sites, and to use it for more people, including patients and care recipients.
It is possible to improve the quality of services in medical care and nursing care. Further, the system can be flexibly modified according to the user or as time elapses.

[Brief description of the drawings]

FIG. 1 is an image diagram showing a hardware configuration of a medical / care support system according to the present invention.

FIG. 2 is a plan view showing a dedicated terminal device according to the system.

FIG. 3 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 4 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 5 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 6 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 7 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 8 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 9 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 10 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 11 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 12 is a block diagram showing a functional configuration of the system.

FIG. 13 is an explanatory diagram showing a process of designing a screen of the dedicated terminal device.

FIG. 14 is a plan view showing a screen display example of the dedicated terminal device.

FIG. 15 is a plan view showing a process of formulating a care plan on the screen of the design terminal.

[Explanation of symbols]

 10 Medical / nursing support system 11 Server 13 Dedicated terminal device 20 External medical office management system 22 Client terminal 24 Display screen 26 Card reader / writer 28 Handset 29 Information card 55 System management database 56 Data management database 57 Information management database 58 Voice database

Claims (11)

[Claims] 1. A medical / care support system comprising: a system control device; a database managed by the system control device; and a terminal device connected to the system control device and installed at least at a medical or nursing site. The terminal device displays various data associated with medical care and nursing care, and screen items for inputting various data and screen items for selecting and instructing execution of various functions realized by the present system. A display screen for displaying
A voice input unit and a reproduction unit; and a code input unit for inputting a code for specifying a user of the terminal device. The database includes at least a voice database for storing voice data. The voice data input through the voice input means of the terminal device is stored in the voice database in a state where a code indicating an attribute of a person who inputs the voice data, a type of the data, an addressee, etc. is added. Then, by selecting a screen item associated with the audio data displayed on the screen of the terminal device, the reproduction of the audio data is realized via the reproduction means of the terminal device. Medical / nursing support system. 2. The system according to claim 1, wherein the database includes a system management database for storing a program for realizing data display and function selection in the terminal device. The program includes a plurality of modules and each module. The program is stored in the system management database in a state where a code associated with the user of the terminal device is added to the program, and each user is provided with the terminal device. When the user inputs his / her own code, at least a part of the program associated with the code is downloaded from the system management database to the terminal device by the system control device, and the screen display associated with the user in advance 2. The medical device according to claim 1, wherein And long-term care support system. 3. The database includes an information management database for storing various data associated with medical care and nursing care, individual data stored in the information management database, and data displayed on the screen of the terminal device. 3. The medical / care support system according to claim 1, further comprising a data management database for storing a data conversion table indicating a correlation with various data and screen items. 4. The terminal device has card reading means for reading data stored on an information card such as a magnetic card or an IC card, and reads data stored on an information card owned by each user. 4. The method according to claim 1, wherein a code for identifying the user is input by reading by the means, and a screen display associated with the code is realized on a screen of the terminal device. The medical / nursing support system according to any of the above. 5. A touch screen as coordinate input means is provided on a display screen of the terminal device, and by touching a screen item displayed on the screen, data input or data input through the touch screen can be performed. The medical / care support system according to any one of claims 1 to 4, wherein selection of a function is realized. 6. The medical device according to claim 1, wherein the terminal device includes voice recognition means, and the selection of the screen item is realized by voice.
Nursing support system. 7. A user of the terminal device includes a service provider such as a doctor, a nurse, or a care worker who provides medical or nursing services, and a service recipient such as a patient who receives these services or a cared person. In such a case, when the data on the information card of the service provider and the service recipient is read by the card reading means, a screen showing the service provider's action on the service recipient is displayed, and the screen is associated with each action. By selecting the screen item and inputting a voice, the voice data is stored in the voice database in a form to which a code indicating the procedure is added, and is associated with the voice data on the screen of the terminal device. Screen item is displayed, and reproduction of the audio data is realized by selecting the screen item. Medical and nursing care support system according to any one of Motomeko 1-6. 8. A user of the terminal device may include a service provider such as a doctor, a nurse, or a care worker who provides medical or nursing services, and a service recipient such as a patient who receives these services or a care recipient. In such a case, when the data on the information card of the service provider and the service recipient is read by the card reading means, a screen indicating the action of the service provider on the service recipient is displayed, and the service recipient and the service recipient are displayed. By selecting the associated screen item and inputting the voice, the voice data is stored in the voice database in a form to which a code indicating the service recipient is added, and the voice is displayed on the screen of the terminal device. The screen item associated with the data is displayed,
The medical / care support system according to any one of claims 1 to 7, wherein the reproduction of the audio data is realized by selecting the screen item. 9. The system control device is connected to an external information management system, and a screen item associated with data stored in a database of the external information management system is displayed on a screen of the terminal device. And
9. The medical / medical device according to claim 1, wherein data of the external information management system is displayed on a screen of the terminal device by selecting the screen item.
Nursing support system. 10. A key of a terminal device belonging to the external information management system for displaying data stored in the database of the external information management system connected to the system control device in the database. Emulation data for outputting a signal simulating an operation is stored in a form associated with a screen item displayed on a screen of a terminal device belonging to the present system, and when the screen item is selected, the corresponding emulation data is stored. 10. The data transmitted to the external information management system side, and the relevant data of the external information management system side are transferred to the terminal device of the present system, and necessary data is displayed on the screen. Medical / nursing support system described in 1. 11. The data of the external information management system,
10. The method according to claim 9, wherein data is periodically synchronized with data stored in the information management database.
Or the medical / nursing support system according to 10.