KR20230145966A - Monitoring apparatus using dialysis sheet - Google Patents

Abstract

A monitoring device using a dialysis sheet is disclosed. The dialysis monitoring device using the dialysis monitoring sheet of the present invention includes a hemodialysis patient terminal, a patient information DB storing dialysis patient information and the IP address of a hemodialysis machine connected to the hemodialysis patient terminal, and a dialysis information DB storing dialysis information. A hospital server that provides various information about the hemodialysis machine based on real-time information of the hemodialysis machine and information in the DB, and stores information and applications related to the dialysis monitoring sheet, and the hospital server and hemodialysis patient. By configuring it to be provided through a terminal, it is possible to escape from temporal and spatial constraints for patient treatment, and has the effect of increasing profitability and strengthening competitiveness of medical facilities by reducing management costs and expanding the scope of treatment.

Description

Dialysis monitoring device using dialysis monitoring sheet {Monitoring apparatus using dialysis sheet}

The present invention relates to a monitoring method, and more specifically, to enable the information needed by patients requiring hemodialysis, hemodialysis technicians, medical staff, and their members to be integrated and managed through an app, and to monitor the transfer of substances in the body and the cardiovascular system. This is about a dialysis monitoring device using a dialysis monitoring sheet that can check customized prescriptions for dialysis patients based on the relationship model and autonomic nervous system model.

Renal insufficiency is a serious and life-threatening condition in which the mammalian kidneys do not function properly to remove impurities, remove excess water, and perform other physiologically important functions. People suffering from kidney failure need regular dialysis treatment to purify the blood and remove water.

The use of dialysis cartridges with hemodialysis machines to remove blood-containing toxins and metabolic by-products has been common for many years.

Typically, such cartridges contain a pair of chambers separated by a semi-permeable membrane. Blood perfuses the first chamber and returns to the patient. At the same time the dialysate solution circulates in the opposite direction through the second chamber. Thus, a concentration gradient is formed, which causes waste products contained in the blood to move through the semi-permeable membrane into the dialysate solution, producing dialysate effluent.

One of the most basic considerations when treating patients with hemodialysis is the issue of treatment adequacy. For example, seeking an answer to how long a patient should be on dialysis on a given day. A number of medical side effects can occur due to insufficient dialysis of patients.

Currently, the average dialysis patient has a life expectancy of only about 5 years. One reason why dialysis patients tend to have short life expectancies is the deleterious effects of the chronic formation of various toxins that are not completely eliminated, i.e., do not pass through hollow fibers or are not sufficiently reduced to non-toxic levels. The identity of many of these putative toxins is not known, although those known to be eliminated in urine, such as urea, creatinine, phosphate, and hydrogen ions, may have serious medical consequences if allowed to accumulate above normal levels. .

Generally, from the perspective of a nurse or doctor working in a kidney room with 20 dialysis machines for each day of the week, dialysis patients visit on Mondays, Wednesdays, Fridays, Tuesdays, Thursdays, Saturdays, and at different times in the morning, afternoon, or night. Therefore, it is necessary to manage information on when and where patients receive dialysis in a consistent manner to keep dialysis patients in check. You can decide at what time and where to come for dialysis, you can find out at a glance whether the patient is currently receiving dialysis or whether it has finished (whether they received dialysis today or not yet), and you can find out at a glance what medications are being used without looking at the patient's chart one by one, using your cell phone. You need a ledger to be able to treat the patient with dialysis only if you see it.

KR Publication of Patent No. 10-1999-029075 (April 15, 1999)

The purpose of the present invention to solve these problems is to provide a dialysis monitoring device that can manage the information needed by patients requiring hemodialysis, hemodialysis machine technicians, medical staff, and their members through a dialysis monitoring sheet. .

To solve these problems, the dialysis patient information, dialysis day, dry weight, anticoagulant therapy, dialysis setting, blood transfusion and drug status, and infection status are displayed on the dialysis management application using a dialysis monitoring sheet. The dialysis monitoring device includes a hemodialysis patient terminal that displays dialysis monitoring sheet control information provided through the application. It includes a patient information DB in which dialysis patient information and the IP address of the hemodialysis machine connected to the hemodialysis patient terminal are stored, and a dialysis information DB in which dialysis information is stored, based on real-time information on the hemodialysis machine and information in the dialysis information DB. A hospital server that provides various information about the hemodialysis machine and stores information and applications related to the dialysis monitoring sheet, and real-time information of the dialysis monitoring sheet and the hemodialysis machine provided by the hospital server and the hemodialysis patient terminal. Includes a medical staff terminal that displays,

The hemodialysis patient terminal is

A communication unit for connection to the hemodialysis machine and external devices, a user interface for network connection of the hemodialysis patient terminal, a sheet management algorithm for storing dialysis-related applications related to the status of dialysis patients using the hemodialysis machine, and each of the above components. Includes a control unit for controlling the elements,

The medical staff terminal is

When the hemodialysis patient terminal approaches, the dialysis management application of the present invention is automatically executed through short-distance wireless communication, the received dialysis monitoring sheet is displayed on the display, the status of the hemodialysis patient is checked, and the hemodialysis machine is controlled accordingly. Characterized by being a terminal for a doctor, nurse, etc., through which information is provided,

The hemodialysis patient terminal is

When the dialysis management application of the sheet management algorithm is activated and patient information is entered, information on dialysis days, dry weight, anticoagulant therapy, dialysis settings, blood transfusion and medication, and infection is received from the hospital server to create a dialysis monitoring sheet. Create and save, and when the medical staff terminal approaches, automatically execute the dialysis management application through short-distance wireless communication to transmit the dialysis monitoring sheet to the medical staff terminal, and connect with authentication information when accessing the hospital server, A dialysis monitoring sheet is created by receiving information on dialysis days, dry weight, anticoagulant therapy, dialysis settings, blood transfusion and medication status, and infection status according to the accessed authentication information, and the hospital server uses the received dialysis patient information and This can be achieved by creating and storing a dialysis monitoring sheet for the corresponding dialysis day, dry weight, anticoagulation therapy, dialysis settings, blood transfusion and medication, and infection, and transmitting the dialysis monitoring sheet to the medical staff terminal at the same time. .

Therefore, according to the dialysis monitoring device of the present invention, the information needed by patients in need of hemodialysis, hemodialysis technicians, medical staff, and their members can be integrated and managed in a monitoring sheet through the web, thereby saving time for patient treatment. It is possible to escape from spatial constraints and has the effect of increasing profitability and strengthening competitiveness of medical facilities by reducing management costs and expanding the scope of treatment.

1 is a main configuration diagram of a hemodialysis monitoring and control device using a dialysis sheet according to the present invention;
Figure 2 is a diagram of the internal configuration of each terminal;
Figure 3 is a DB configuration diagram of the server,
and
Figure 4 is a diagram showing an example of a dialysis ledger for dialysis patients.

The terms or words used in this specification and claims are not to be construed limited to their ordinary or dictionary meanings, and the inventor can appropriately define the concept of terms in order to explain his or her invention in the best way. It must be interpreted based on the meaning and concept consistent with the technical idea of the present invention.

Throughout the specification, when a part is said to “include” a certain element, this means that it may further include other elements rather than excluding other elements, unless specifically stated to the contrary. In addition, terms such as "...unit", "...unit", "module", and "device" used in the specification refer to a unit that processes at least one function or operation, which is implemented by a combination of hardware and/or software. It can be.

Throughout the specification, the term “and/or” should be understood to include all possible combinations from one or more related items. For example, “the first item, the second item and/or the third item” means not only the first, second or third item, but also the meaning that may be derived from two or more of the first, second or third items. It means a combination of all possible items.

Throughout the specification, identification codes (e.g., a, b, c, ...) for each step are used for convenience of explanation. The identification codes do not limit the order of each step, and each step Unless a specific order is clearly stated in the context, it may occur in a different order than the specified order. That is, each step may occur in the same order as specified, may be performed substantially simultaneously, or may be performed in the opposite order.

Hereinafter, an embodiment of the present invention will be described with reference to the drawings.

Figure 1 is a main configuration diagram of a hemodialysis monitoring and control device using a dialysis sheet according to the present invention. As shown, the present invention largely consists of a hemodialysis patient terminal 100, a medical staff terminal 200, and a server. It is composed of 300 and an output unit 400, and the hemodialysis patient terminal 100, medical staff terminal 200, server 300, and output unit 400 are connected through a network.

The hemodialysis patient terminal 100 executes the application to create a monitoring sheet related to hemodialysis and provides it to the server 300, and uses the control information related to hemodialysis from the medical staff terminal 200 or the server 300 to perform hemodialysis. Patients in need, hemodialysis technicians, medical staff, and the information needed by these members can be integrated and managed through a monitoring sheet.

Referring to the internal configuration of each terminal in FIG. 2, the hemodialysis patient terminal 100 includes a communication unit 150 and a processor 120 for connection to the hemodialysis machine and external devices such as a storage device or display device and to the network 500. , It can be configured to include an algorithm for managing the dialysis sheet of the present invention, that is, a sheet management algorithm 130 with a built-in application, and a user interface 140.

Additionally, the hemodialysis patient terminal 100 may be equipped with a communication unit that performs short-distance communication to transmit and receive data with the medical staff terminal 200 or the hospital server 300.

The user interface 140 is an Internet interface when the hemodialysis patient terminal 100 is connected to the Internet and a network to the medical staff terminal 200 and the server 300, and can be used as an Ethernet interface when the hemodialysis patient terminal 100 is connected via Ethernet.

The output unit 400 is mainly connected to the hemodialysis patient terminal 100 and the medical staff terminal 200 to output a dialysis monitoring sheet, or may be connected to a dialysis machine to output dialysis machine control information.

The medical staff terminal 200 is a terminal of a doctor or nurse, and displays dialysis ledger data on dialysis days, dry weight, anticoagulation therapy, dialysis settings, presence of blood transfusions and drugs, and presence of infection in the application.

Through this dialysis ledger data, nurses or doctors can perform dialysis on patients by identifying dialysis days, dry weight, anticoagulation therapy, dialysis settings, presence of blood transfusions and drugs, and presence of infection.

The dialysis days of the week are for patients to normally receive dialysis on Mondays, Wednesdays, Fridays, Tuesdays, Thursdays, and Saturdays, so that after checking the dialysis ledger, patients can easily find out on which day they receive dialysis and when the next dialysis day is.

For dry weight, in order to receive dialysis, it is necessary to set pre-dialysis weight and post-dialysis weight depending on the patient, so individual weight is entered so that the patient can easily know how the patient's target weight is set.

Anticoagulant therapy requires different drugs for each dialysis patient, so for example, heparin or futan is generally used. By setting the futan or heparin and the dose (dose required during administration), you can check the dose needed on the day to save the kidney room. This is to ensure that there are no difficulties in preparing medications and that it is easy to check when administering them to patients.

Dialysis settings are set for each patient for sodium concentration during dialysis, blood flow rate during dialysis, and body temperature during dialysis. Generally, even if dialysis is set to the default settings, if the settings are changed depending on the patient, you can make a note of it so that you can check it during the next dialysis and easily use it for the next dialysis. This is because you can prepare for dialysis.

Depending on the patient, drugs may need to be injected together during dialysis treatment. If you write down the drugs to be used (blood transfusion, antibiotics, nutritional supplements, etc.), medical staff such as doctors and nurses performing dialysis will be able to help you. This is because the drug can be conveniently injected and the doctor can check at once whether the drug is being administered.

Depending on the infection, such as type B infection, a separate machine must be used because it is transmitted through blood. Therefore, if the infection status is written down, the information can be confirmed according to the patient and the location and time of dialysis can be determined. .

In other words, from the perspective of nurses and doctors working in a kidney room with 20 dialysis machines each day of the week, dialysis patients visit on Mondays, Wednesdays, Fridays, Tuesdays, Thursdays, Saturdays, and in the morning, afternoon, or night time slots, so they collectively manage information on what time and where patients receive dialysis. Only then can a dialysis patient decide at what time and where to come for dialysis, find out at a glance whether the patient is currently receiving dialysis or has finished (whether he or she has received dialysis today or not yet), and check what medications are being used in the application without having to look at the patient's chart one by one. This is so that you can check the displayed content at once.

The server 300 serves to integrate the hemodialysis patient terminal 100 and the medical staff terminal 200 through the network 500, enables real-time monitoring and control of the hemodialysis machine 110, and runs the application of the present invention. The application is stored and configured to be transmitted and installed on the patient terminal 100 or the medical staff terminal 200 when necessary.

In addition, it is possible to provide customized prescriptions for dialysis patients by the medical staff terminal 200 through analysis that combines the body mass transfer model, cardiovascular system model, and autonomic nervous system model.

Referring to the DB configuration diagram of the server in FIG. 3, the server 300 includes the hemodialysis patient terminal 100, the medical staff terminal 200, and the operation information DB 310 in which various data necessary for operation of the server 300 are stored. , a patient information DB 320 that stores patient information and the unique ID of a hemodialysis machine (not shown) connected to the hemodialysis patient terminal 100, a dialysis information DB 330 that stores dialysis information, and medical staff related to the patient. It includes a medical staff DB 340 in which information about is stored.

In particular, the dialysis information DB 330 can store data on dialysis days, dry weight, anticoagulation therapy, dialysis settings, blood transfusion and drug status, and infection status for each patient's unique ID and each dialysis machine's unique ID.

In addition, the medical staff terminal 200 displays the dialysis ledger of dialysis patients as shown in FIG. 4 based on the DB information of the server 300.

Referring to the drawing showing an example of the dialysis ledger of dialysis patients in Figure 4,

Patients undergoing dialysis on Mondays, Wednesdays and Fridays are displayed at the top, and patients undergoing dialysis on Tuesdays, Thursdays and Saturdays are separately displayed at the bottom.

And patient name, ward, part, infection, F/U hospital, time, UF/DW, dialysis method, anticoagulant, note 1, note 2, specialist, addition, dialysis date, presence of hypotension/edema, and presence of blood transfusion. etc. may be displayed.

In addition, the server 300 provides a screen as shown in Figure 4 based on information from the patient information DB 320, dialysis information DB 330, and medical staff DB 340, and shows the meaning of each item of dialysis information. is giving

In addition, in order to accurately interpret the cardiovascular response of a dialysis patient during hemodialysis/filtration prescription for hemodialysis machine control, the server 300 uses three models, including a cardiovascular system model and an autonomic nervous system model, as well as the substance transfer phenomenon within the dialysis machine. It is also possible to provide customized prescriptions for dialysis patients to the medical staff terminal 200 by providing numerical analysis combining .

In addition, the medical staff terminal 200 may control the hemodialysis machine through direct contact with the hemodialysis patient terminal 100 through the network 500, but may be configured to monitor and control the hemodialysis machine through an application. You can.

A dialysis monitoring device using a dialysis monitoring sheet that displays dialysis patient information, dialysis days, dry weight, anticoagulation therapy, dialysis settings, presence of blood transfusions and drugs, and presence of infection in the dialysis management application using this device, A hemodialysis patient terminal 100 that displays dialysis monitoring sheet control information provided through the application, and a patient information DB 320 and dialysis information that store dialysis patient information and the IP address of the hemodialysis machine connected to the hemodialysis patient terminal. It includes a dialysis information DB 330 in which dialysis information is stored, provides real-time information on the dialysis machine (not shown) and various information about the hemodialysis machine based on the information in the DB, and stores information and applications related to the dialysis monitoring sheet. It may be configured to include a hospital server 300, and a medical staff terminal 200 that displays real-time information on the dialysis monitoring sheet and the hemodialysis machine provided by the hospital server 300 and the hemodialysis patient terminal 100. .

In addition, since the medical staff terminal 200 can be configured with the same hardware as the hemodialysis patient terminal 100 of FIG. 2, overlapping descriptions will be omitted.

That is, a communication unit and processor for connection to external devices such as a hemodialysis machine and storage device or display device and connection to the network 500, an algorithm for managing the dialysis sheet of the present invention, that is, a seat management algorithm with a built-in application, and a user interface. It can be configured including.

This medical staff terminal 200 is a terminal of a doctor or nurse, and displays dialysis ledger data on dialysis days, dry weight, anticoagulant therapy, dialysis settings, presence of blood transfusions and drugs, and presence of infection in the application.

Additionally, the medical staff terminal 200 may be equipped with a communication unit that performs short-distance communication to transmit and receive data with the hospital server 300 or the hemodialysis patient terminal 100.

In addition, when a hemodialysis patient terminal approaches, the medical staff terminal 200 automatically runs the dialysis management application of the present invention through short-distance wireless communication of the communication unit and displays the dialysis monitoring sheet on the display so that the medical staff can check it.

The present invention is characterized by running an application to display information related to dialysis and controlling the dialysis machine tailored to the patient. Therefore, in order to automatically run the application to display related information and control the devices, a dialysis application is installed on the medical staff terminal. When a patient terminal approaches, it is recognized and the application is automatically run.

In other words, of course, in addition to automatically running the medical staff terminal 200, the medical staff terminal 200 can manually run the relevant application and input patient information, and then connect to the patient terminal to receive and display the relevant information.

For this purpose, the communication unit can be configured as a wired or wireless connection means, a serial port for serial communication, or a wireless communication module that enables Bluetooth or RF communication.

In addition, the medical staff terminal 200 is composed of a terminal such as a doctor or nurse that checks the status of the hemodialysis patient using a dialysis monitoring sheet through the network 500 and displays hemodialysis machine control information accordingly.

Additionally, this medical staff terminal 200 can also be used as a medical device expert terminal that provides information for technical control of the hemodialysis machine.

In addition, the hemodialysis patient terminal 100 downloads the dialysis management application from the hospital server 300 and stores it in the sheet management algorithm 130, and then activates the application stored in the sheet management algorithm 130 to collect patient information. It is entered and transmitted to the hospital server 300 through the communication unit 150.

Of course, at this time, if the hospital server 300 or medical staff terminal 200 capable of short-distance communication transmits patient information, only the hospital server 300 that has received the patient information can transmit the stored dialysis monitoring sheet to the hemodialysis patient terminal 100. there is.

At this time, the dialysis monitoring sheet can also include information on dialysis days, dry weight, anticoagulation therapy, dialysis settings, blood transfusion and medication, and infection.

Meanwhile, the hemodialysis patient terminal 100 connects to the hospital server 300 with authentication information, and according to the accessed authentication information, dialysis day, dry weight, anticoagulation therapy, dialysis setting, blood transfusion and medication, and infection. A dialysis monitoring sheet is created by receiving information on the presence or absence of dialysis, and the hospital server 300 records the received dialysis patient information and the corresponding dialysis day, dry weight, anticoagulant therapy, dialysis setting, blood transfusion and medication, and infection. A dialysis monitoring sheet is created and stored, and at the same time, the dialysis monitoring sheet is transmitted to the corresponding medical staff terminal 200 so that dialysis patients and medical staff can share related dialysis information.

At this time, the hospital server 300 includes a medical staff DB that provides information on the medical staff terminal 200, searches the medical staff DB 340 for medical staff information of hemodialysis patients, and provides a dialysis monitoring sheet to the searched medical staff terminal 200. When transmitting, be sure to transmit the unique information of the dialysis machine corresponding to the relevant dialysis patient information.

Meanwhile, when the medical staff terminal 200 approaches the hemodialysis patient terminal 100, which has received the dialysis monitoring sheet, the hemodialysis patient terminal 100 automatically runs the dialysis management application and transmits the stored dialysis monitoring sheet to the medical staff terminal 100.

At this time, the medical staff terminal 200 receives and stores the dialysis monitoring sheet from the hospital server 300, and automatically receives the dialysis monitoring sheet through short-distance wireless communication with the dialysis patient terminal 100, based on the dialysis patient information. Both dialysis monitoring sheets are compared and, if they match, operate to transmit dialysis machine control information to the corresponding dialysis machine using the unique information of the received dialysis machine.

In addition, the dialysis machine control information is a value that combines three models, including the cardiovascular system model and the autonomic nervous system model, as well as the substance transfer phenomenon within the dialysis machine, in order to accurately interpret the cardiovascular system response of dialysis patients during hemodialysis/filtration prescription for control. Interpretation is needed. Therefore, the present invention enables the medical staff terminal 200 to provide customized prescriptions for dialysis patients through numerical analysis using a patient-specific body substance transfer model, cardiovascular system model, and autonomic nervous system model in the hospital server 300.

In addition, the dialysis machine receives and stores the dialysis monitoring sheet and dialysis machine control information from the medical staff terminal 200, and when dialysis patient information is input, the dialysis monitoring sheet of the corresponding dialysis patient is displayed and the dialysis machine is operated using the received control information. It is controlled.

Meanwhile, when dialysis is completed, the dialysis patient terminal 100 runs the application and stores the dialysis date and dialysis time, the dialysis monitoring sheet related to dialysis, and the unique information of the medical staff terminal in the dialysis monitoring sheet, and stores the unique information of the medical staff terminal in the dialysis monitoring sheet. ) to upgrade the information in the dialysis information DB (330) so that related information can be used next time.

Although the present invention has been described in detail with respect to the described embodiments above, it is obvious to those skilled in the art that various changes and modifications are possible within the technical scope of the present invention, and it is natural that such changes and modifications fall within the scope of the appended patent claims.

100: patient terminal 110: data receiver
120: Processor 130: Sheet management algorithm
140: User Interface 150: Communication Department
200: Medical staff terminal 300: Hospital server
310: Operation DB 320: Patient information DB
330: Dialysis information DB 340: Medical staff DB
400: output unit

Claims (6)

In the dialysis monitoring device using a dialysis monitoring sheet, the dialysis monitoring sheet for dialysis patient information, dialysis day, dry weight, anticoagulation therapy, dialysis setting, presence of blood transfusion and medication, and presence of infection is displayed on the dialysis management application,
A hemodialysis patient terminal that displays dialysis monitoring sheet control information provided through the application;
It includes a patient information DB in which dialysis patient information and the IP address of the hemodialysis machine connected to the hemodialysis patient terminal are stored, and a dialysis information DB in which dialysis information is stored, based on real-time information on the hemodialysis machine and information in the dialysis information DB. A hospital server that provides various information about the hemodialysis machine and stores information and applications related to the dialysis monitoring sheet; and
a medical staff terminal that displays real-time information on the dialysis monitoring sheet and the hemodialysis machine provided by the hospital server and the hemodialysis patient terminal;
Including,
The hemodialysis patient terminal is
A communication unit for connection with the hemodialysis machine and external devices;
User interface for network connection of hemodialysis patient terminal;
A sheet management algorithm that stores dialysis-related applications related to the status of dialysis patients using the hemodialysis machine; and
A control unit for controlling each of the components;
Including,
The medical staff terminal is
When the hemodialysis patient terminal approaches, the dialysis management application of the present invention is automatically executed through short-distance wireless communication, the received dialysis monitoring sheet is displayed on the display, the status of the hemodialysis patient is checked, and the hemodialysis machine is controlled accordingly. Characterized by being a terminal for a doctor, nurse, etc., through which information is provided,
The hemodialysis patient terminal is
When the dialysis management application of the sheet management algorithm is activated and patient information is entered, information on dialysis days, dry weight, anticoagulant therapy, dialysis settings, blood transfusion and medication, and infection is received from the hospital server to create a dialysis monitoring sheet. Create and save, and when the medical staff terminal approaches, automatically execute the dialysis management application through short-distance wireless communication to transmit the dialysis monitoring sheet to the medical staff terminal, and connect with authentication information when accessing the hospital server, A dialysis monitoring sheet is created by receiving information on dialysis days, dry weight, anticoagulant therapy, dialysis settings, blood transfusion and medication status, and infection status according to the accessed authentication information, and the hospital server uses the received dialysis patient information and Dialysis using a dialysis monitoring sheet that creates and saves a dialysis monitoring sheet for the corresponding dialysis day, dry weight, anticoagulation therapy, dialysis settings, blood transfusion, drug status, and infection, and simultaneously transmits the dialysis monitoring sheet to the medical staff terminal. Monitoring device. According to clause 1,
The medical staff terminal is
A dialysis monitoring device using a dialysis monitoring sheet, comprising a communication unit for transmitting and receiving data with the hospital server or the hemodialysis patient terminal.
According to clause 3,
The Department of Communications
A dialysis monitoring device using a dialysis monitoring sheet, characterized in that it is a serial port for serial communication as a wired or wireless connection means, or a wireless communication module that enables Bluetooth or RF communication.
According to clause 4,
The medical staff terminal is
A dialysis monitoring device using a dialysis monitoring sheet, characterized in that it is a medical device expert terminal that provides information for technical control of the hemodialysis machine through the Internet.
According to paragraph 1,
The dialysis machine receives and stores the dialysis monitoring sheet and dialysis machine control information from the medical staff terminal, and when dialysis patient information is input, the dialysis monitoring sheet displays the dialysis monitoring sheet for the dialysis patient and simultaneously controls the dialysis machine with the received control information. Dialysis monitoring device using a sheet.
In claim 5,
The hemodialysis patient terminal is
When dialysis is completed, the date of dialysis, dialysis time, dialysis monitoring sheet related to dialysis, and unique information of the medical staff terminal are stored in the dialysis monitoring sheet and transmitted to the hospital server to upgrade the information in the dialysis information DB. Dialysis monitoring device using a sheet.