WO2006059635A1

WO2006059635A1 - Medical care supporting system

Info

Publication number: WO2006059635A1
Application number: PCT/JP2005/021974
Authority: WO
Inventors: Hiroyuki Yuyama; Takao Tsuda; Masanori Sawaki; Makoto Okishio
Original assignee: Yuyama Mfg. Co., Ltd.
Priority date: 2004-12-01
Filing date: 2005-11-30
Publication date: 2006-06-08
Also published as: KR20070088663A; JP4802487B2; JP2006149920A

Abstract

[PROBLEMS] To enable not only easy determination of the type of rehabilitation but also grasp of what portion is concerned with what rehabilitation at a glance. [MEANS FOR SOLVING PROBLEMS] A medical examination terminal (3), a rehabilitation terminal (2), and a server (1) are interconnected over a network. The medical examination terminal (3) comprises display means (44) having a rehabilitation plan input section (53) and a schema section (52), input means (46) for allowing a schema section (52) to display a desired schema while allowing the display means (44) to display patient information so as to perform write to specify a portion on the schema, and control means (43) for performing display identifiably between rehabilitation items when write to specify a portion concerning the rehabilitation item selected using the rehabilitation plan input section (53) is carried out while allowing the display means (44) to display the patient information and while allowing the schema section (52) to display the desired schema by means of the input means (46).

Description

Specification

Medical support system

Technical field

[0001] The present invention relates to a medical support system.

Background art

[0002] Conventionally, there is one in which a schema is displayed on a display and directly written on the schema using a pen so that the corresponding part can be identified (for example, see Patent Document 1).

[0003] Patent Document 1: JP 2002-304467 A

Disclosure of the invention

Problems to be solved by the invention

[0004] However, with the conventional configuration, it is only possible to input a figure or the like for specifying a site in the schema. In the case of rehabilitation (hereinafter referred to as rehabilitation), depending on the patient, it is often required to rehabilitate multiple parts. There is a problem that it cannot be determined whether there is any.

[0005] Therefore, the present invention has an object to provide a medical support system that can easily identify which part of rehabilitation is related to which rehabilitation can be performed at a glance. And

Means for solving the problem

[0006] As a means for solving the above problems, the present invention connects a diagnosis terminal, a rehabilitation terminal, and a server to a network, and the diagnosis terminal selects a rehabilitation plan input unit for selecting a rehabilitation item, and A display unit having a schema unit for displaying a schema, and displaying the desired schema on the schema unit in a state in which patient information is displayed on the display unit, and writing for specifying a part on the schema In the state where the patient information is displayed on the input means and the display means, and the desired schema is displayed on the schema section by the input means, the region for the rehabilitation item selected by the rehabilitation plan input section is specified. And a control means for displaying the rehabilitation items in an identifiable manner. The server includes a storage unit that stores the patient information displayed on the examination terminal in association with the schema in which the rehabilitation site is written.

[0007] With the above configuration, a desired schema can be displayed on the display means, a rehabilitation item can be selected, and the rehabilitation site can be directly written on the schema. If there are multiple rehabilitation items, they can be written to the same schema and the number of schemas is not increased. For this reason, the data capacity does not increase, and it is not necessary to determine whether it is a schema for the rehabilitation of deviation. Since the parts corresponding to each rehabilitation item are displayed so as to be distinguishable from each other, even a single schema does not impair visibility.

[0008] The control unit of the examination terminal is configured to display a content of an instruction sheet corresponding to the rehabilitation item by selecting a rehabilitation item in the rehabilitation plan input unit displayed on the display unit. Is preferably displayed on the display means.

With this configuration, it is possible not only to display a list of rehabilitation patients on the rehabilitation terminal, but also to display the schema of each patient in which the rehabilitation site is written on the examination terminal.

[0010] The selection of the rehabilitation item in the rehabilitation plan input unit in the display means of the examination terminal is performed by displaying a humanoid panel for selecting a part divided into a plurality of areas on the screen. It is preferable that it is performed by selecting one of the areas where the deviation is between the wrinkles and the rehabilitation site to be input while visually recognizing it, and the operability is improved.

[0011] The control means of the examination terminal reflects the contents on the schema displayed on the schema part by selecting any region of the region-selecting humanoid panel and specifying the rehabilitation region. This is preferable because it saves the input of the schema.

[0012] The display means of the examination terminal selects a rehabilitation item when displaying an instruction sheet part for displaying the content of the instruction sheet corresponding to the rehabilitation item by selecting a rehabilitation item in a rehabilitation plan input unit. We like it because it makes it possible to create instructions.

[0013] The rehabilitation terminal reads patient information stored in the storage unit of the server and displays a list of patient names and rehabilitation items; an input unit for displaying a schema on the display unit; The display means is selected by operating the input means. Preferably, the control unit is configured to read a schema in which a rehabilitation site is written corresponding to the rehabilitation item from the storage unit of the server and display it on the display unit.

[0014] With this configuration, it is possible to display a list of rehabilitation items of a plurality of patients and grasp them at a glance. In this case, if the line to be displayed for each rehabilitation item is determined, it is possible to know which reino and piri are performed by which patient. It is possible to easily and appropriately assign patients to each rehabilitation device.

[0015] The display unit of the rehabilitation terminal displays a check column together with the list of rehabilitation items displayed, and the control unit reversely displays the corresponding rehabilitation item when the check column is checked by the input unit. However, it is preferable to determine that the rehabilitation is completed by checking all the rehabilitation items of a patient.

[0016] With this configuration, it is only necessary to perform rehabilitation on the patient by confirming the rehabilitation items listed on the display means of the rehabilitation terminal. By simply checking the check box every time rehabilitation is completed, it is possible to know that all rehabilitation for the patient has been completed.

[0017] The apparatus further includes priority determining means for determining a priority order of each action to be performed by the patient including rehabilitation, and the control means determines a priority level next to the rehabilitation according to the order determined by the priority order determining means. It is preferable to display the high action on the display means as the next destination.

[0018] With this configuration, if the priority order of each action to be performed by the patient is determined in advance, when the rehabilitation is completed, the patient can easily and reliably instruct where to go next. . In this case, if the patient's destination is displayed in a preset identifiable state, the destination can be instructed more easily.

[0019] The display unit of the rehabilitation terminal displays an execution record display screen for rehabilitation performed by the patient, and the control unit displays the contents of the designated patient's rehabilitation in time series on the execution record display screen. It is preferable to let

[0020] In the state where the execution record display screen is displayed on the display unit of the rehabilitation terminal, the control unit further includes an input unit for changing the reno and pi items. It is preferable to display the display contents on the display means so as to be distinguishable from others by changing the rehabilitation items.

[0021] With this configuration, it is possible to prevent accidental changes while flexibly responding to changes in rehabilitation items. In this case, it is possible to clarify the location of responsibility by storing the person who changed the rehabilitation item in association with the changed item.

The invention's effect

[0022] According to the present invention, when rehabilitation sites for a plurality of rehabilitation items are written in the schema, they can be displayed so as to be distinguishable from each other. be able to. In addition, since the display means in which the displayable area is limited only displays a single schema, screen switching and the like do not impair the necessary visibility.

BEST MODE FOR CARRYING OUT THE INVENTION

Hereinafter, embodiments according to the present invention will be described with reference to the accompanying drawings.

FIG. 1 shows an overview of a medical support system according to the present embodiment. In this medical support system, a rehabilitation terminal 2, a medical examination terminal 3, and an accounting (acceptance) terminal 4 are connected to a server 1 via a network. Note that these terminals 2, 3, and 4 are not limited to one location, and other terminals (for example, terminals installed in a treatment room or the like) may be connected. Further, the server 1 may be incorporated in any one of the terminals 2, 3, and 4.

The storage unit of the server 1 stores a rehabilitation plan file, a rehabilitation result file, a reception information file, a medical record information file, and other master files.

[0026] The rehabilitation plan file stores contents created on the rehabilitation plan creation screen of the examination terminal 3, such as rehabilitation action contents and rehabilitation sites. The rehabilitation record file stores the rehabilitation information entered at rehabilitation terminal 2. The reception information file stores the interviews input at the reception terminal 4. The chart information file stores the contents of the chart entered at the examination terminal 3. The master file includes a rehabilitation master file in which a series of rehabilitation contents (points, training, parts, etc.) are registered for each rehabilitation action. This rehabilitation master file can be saved by inputting and using it when creating a rehabilitation plan at the examination terminal 3. [0027] <Rehabilitation terminal>

The rehabilitation terminal 2 includes an input / output unit 11, a storage unit 12, and a control unit 13.

[0028] The input / output unit 11 includes a display unit 14 such as a liquid crystal display and an output unit 15 including notification means such as a buzzer, and an input unit 16 such as a keyboard, a mouse, and a keypad.

[0029] On the display unit 14, the display screen transitions according to the screen transition flow shown in FIG.

[0030] As an initial screen, a login screen shown in FIG. 3 is displayed. When the user name and password are entered, the screen switches to the rehabilitation management menu screen shown in Figure 4. On the rehabilitation management menu screen, a rehabilitation button and an environment setting button are displayed. When the rehabilitation button is operated, the screen switches to the rehabilitation execution input list screen.

[0031] As shown in Fig. 5, the rehabilitation execution input list screen displays the rehabilitation plan information and the name of the patient to be rehabilitated in the header of each column (top row and second row). As the rehabilitation plan information, when a new patient arrives (when a patient name is newly added to the list display), a ♦ mark is displayed for identification. In this case, the user may be notified of the arrival sound. In this way, the rehabilitation execution input list screen allows confirmation of the rehabilitation status of a plurality of patients at a glance, and it is possible to easily confirm detailed information of specific patients and update data as will be described later.

[0032] In the header (left column) of each row of the rehabilitation execution input list screen, the rehabilitation item, the person in charge, the destination, etc. are displayed. The leftmost column (number of rehabilitation people) on the top row displays the number of people indicating the rehabilitation state, that is, the number of people waiting for rehabilitation, being rehabilitated, and being rehabilitated. Rehabilitation start time, end time, etc. are displayed in the five lines below the top line. In each column of the rehabilitation patient in each column, a check box 101 and a rehabilitation item 102 are displayed only for items for which the patient performs rehabilitation. Clicking on the check box 101 highlights the check box 101 and the item. When all the check boxes 101 and items of the patient are highlighted, they are registered as rehabilitation is completed, and are reflected in the number of persons displayed in the Reno / Number of Persons column. In the rehabilitation item column, the contents of rehabilitation (rehabilitation) performed in the rehabilitation room are listed. Here, the order of the items to be initially displayed is determined, and from the top, “traction: waist”, “traction: neck”, and so on. The name of the person in charge of the rehabilitation is displayed in the person in charge column. In the destination column, the patient who has finished rehabilitation The place to go is displayed. Here, if the destination is other than accounting, a color predetermined for each destination is displayed as the background color. The order of the displayed items can be changed freely on the maintenance screen.

[0033] Various buttons are provided at the top of the rehabilitation execution input list screen. That is, on the upper left side, buttons for end person, display update, rehabilitation start, rehabilitation end, SOA, and patient details are provided, and on the upper right side, buttons for execution record, chart, patient, and end are provided. The

[0034] Clicking the finisher button 17 will list only the patients who have already completed rehabilitation in the header of each column. When the display update button 18 is clicked, if a rehabilitation instruction is input to a patient at the examination terminal 3, the contents are reflected.

When the rehabilitation start button 19 is clicked, the rehabilitation start time of the selected patient is determined, and the start time is reflected in the column of the rehabilitation start time.

When the rehabilitation of the selected patient is completed, the time is reflected in the end time column by clicking the rehabilitation end button 20. In addition, the rehabilitation end screen is displayed in a separate window. On the rehabilitation end screen, as shown in Fig. 6, the priority column 21, the implementation time column 22, the implementation content column 23, the enforcer column 24, etc. are displayed. Priority column 21 lists all actions that the patient must perform. A check box is provided in each column of the instruction column and the execution column. Here, since the rehabilitation is to be terminated, the check box in the execution column for rehabilitation is checked. The execution time column 22 displays the rehabilitation start time determined by operating the rehabilitation start button 19 and the end time determined by operating the rehabilitation end button 20, respectively. Each time can be changed. In the action contents column 23, in addition to the rehabilitation items set at the time of the examination, items that have been suspended first are displayed in an active state. Therefore, it becomes possible to select again. Others are grayed out and cannot be checked. These display contents are obtained from the storage unit (adopted score master file) of server 1. In the enforcer column 24, the name of the person in charge of rehabilitation is displayed. In the enforcer column 24, other enforcers can be selected by pull-down display. In addition, using the information displayed in the implementation details column 23, points are calculated in the accounting process described later. [0037] Clicking each button 25 of SOA shown in Fig. 5 corresponds to each button ("S", "0" or "A"), and a text document for each corresponding item using a keyboard or the like. An input screen that allows you to enter a pop-up appears.

[0038] When the patient detail button 26 is clicked, the patient detail information screen of the selected patient is displayed in a separate window. Figure 7 shows the displayed patient details screen. On this screen, the patient information field 28 such as patient ID and patient name is displayed at the top, as well as the observation data input field 29, the instruction field 30 and the schema field. In the observation input field 29, text data can be input using a keyboard or the like. The instruction form field 30 reflects the contents entered on the rehabilitation plan creation screen described later. The display color of the text in the instruction field 30 is the same as the color specified on the rehabilitation plan creation screen. In the schema column 31, as will be described later, the schema in which the rehabilitation site is input on the rehabilitation plan creation screen of the examination terminal 3 is displayed. This makes it possible to grasp at a glance which part is to be rehabilitated. In addition, the color of the figure indicating the rehabilitation location matches the display color of the rehabilitation items individually displayed in the instruction column 30 with different colors. Therefore, the person in charge can easily and surely understand what rehabilitation processing should be performed on which part while viewing the displayed schema screen.

[0039] When the execution record button 27 is clicked, the display is switched to the execution record display screen. As shown in Fig. 8, the rehabilitation record of the specified patient is displayed in time series on the execution record display screen. By selecting the desired column, the top of the column becomes the selected color, and by moving the mouse over the date column, it is possible to pop up the SOAP information with a delay of a predetermined time (here 1 second) . Above the implementation record display screen, a simple monthly implementation record column is displayed, and the implementation records for the year and month selected in the year column and month column on the left are displayed as the number of rehabilitations. In the number of rehabilitations, the number of rehabilitation units or the number of rehabilitations is displayed. Here, the number of rehabilitation units is a number indicating how much time rehabilitation was performed with 20 minutes as one unit. The number of rehabilitations is a number indicating how many times rehabilitation has been performed regardless of the type of rehabilitation. At the bottom of the implementation record display screen, patient information, that is, patient, patient name, age, sex, and causative disease are displayed.

[0040] When the SOAP button 32 is clicked on the execution record display screen, the SOAP display shown in Fig. 9 is displayed. The screen is displayed in a separate window. In the SOAP display screen, S (Subjective Information), O (Objective Information), A (Assessment Information), and P (Plan Information) of the selected patient are Displayed in chronological order (in this case, 3 days are displayed, but any number of days may be displayed. The leftmost column may be the latest rightmost column. ) O Clicking on the date field in each column will pop up the contents of that date. When a rehabilitation plan is changed, the characters in that column are displayed in a different color so that they can be distinguished from other columns.

[0041] When the chart button 33 is clicked on the execution record display screen, the chart information screen of the selected patient is displayed in a separate window. Figure 10 shows the chart information screen displayed. When the patient button 34 is clicked, a patient search screen pops up and a desired patient can be extracted.

The storage unit 12 temporarily stores data created based on the rehabilitation plan file and rehabilitation performance filter stored in the storage unit 12 of the server 1 and the specific patient data read.

[0043] The control unit 13 performs a predetermined display on the display unit 14, and performs a process described later by performing a predetermined input by operating the input unit 16 based on the display content on the display unit 14. To do.

[0044] <Examination terminal>

Similarly to the rehabilitation terminal 2, the examination terminal 3 includes an input / output unit 41, a storage unit 42, and a control unit 43.

[0045] The input / output unit 41 includes a display unit 44 such as a liquid crystal display and an output unit 45 including a notification unit such as a buzzer, and an input unit 46 such as a keyboard, a mouse, and a keypad.

[0046] An electronic medical chart screen is displayed on the display unit 44, and a patient designation dialog screen is displayed by operating a rehabilitation plan button or a rehabilitation plan key of a numeric keypad.

FIG. 11 shows a patient designation dialog screen. In this patient designation dialog screen, patients can be narrowed down by inputting a keyword or the like. Keywords include patient, name, date of birth, sex, date of last diagnosis, etc. A list of records containing the entered keyword is displayed, and the corresponding patient can be selected from the list. It is. When the patient is identified, the screen switches to the rehabilitation plan creation screen.

[0048] As shown in FIG. 12, the rehabilitation plan creation screen includes a patient information column 47, an execution record column 48, a diagnosis column 49, a main complaint input column 50, an instruction sheet display column 51, a schema column 52, and a rehabilitation plan input column. 53 and a comment input field 54 are provided.

[0049] The patient information column 47 is the same as the patient information display portion shown in FIG.

[0050] In the execution record column 48, the rehabilitation execution records up to now are displayed in chronological order simply in units of one month by specifying the year and month in the target year and month column.

[0051] In the diagnosis column 49, the registration information of the patient displayed in the patient information column 47 is displayed. Here, the diagnosis name, start date, etc. are displayed.

[0052] The main complaint input field 50 displays the contents of the main complaint, findings, precautions, and the like, which are input by using a keyboard or the like.

[0053] In the instruction note display field 51, the contents of the rehabilitation instruction note are displayed. In the schema column 52, two types are displayed: a general schema (fixed display) and a partial schema. The selected schema can be drawn by any selected display method using a mouse or a pen. In this case, the display color is registered in advance for each rehabilitation action, and it is easy to identify which rehabilitation action is associated with the display color. Also, the partial schedule can be selected in the rehabilitation plan input field 53 described later.

[0054] In the rehabilitation plan input field 53, it is possible to switch to display contents of instructions, points, causative diseases, persons in charge, and schemas by switching tags.

[0055] In the instruction display, the therapy, site, load, and time are listed, and a check is displayed in the leftmost column of the currently instructed therapy. The therapy to be checked can be arbitrarily selected or deselected by operating the mouse. In the site display, clicking on the corresponding location pops up the input screen shown in Fig. 13A, so you can use this input screen for input. The input screen has a large classification column and a detailed classification column, and the contents selected from them are highlighted and displayed in the display column on the right side by operating the arrow keys ("→"). Then, when the OK button is operated while an appropriate part is displayed in the display column, the display content is reflected as the display content of the instruction display.

[0056] Further, in the instruction display, clicking the part cell 55 on the input screen shown in FIG. 13A. Thus, it is possible to switch to the site selection humanoid panel shown in FIG. 13B and input the site. In other words, the displayed part-selection humanoid panel is divided into a plurality of rectangular regions (major classification chip 56), and by selecting one of the major classification chips 56, as shown in FIG. 13C. The part selection dialog screen 57 is displayed in a separate window. The part selection dialog screen 57 includes a large classification field 58 and a detailed classification field 59, and when a corresponding item is selected, the name of the selected part is displayed in the display field 60 on the right side. Then, by clicking the OK button, the contents are reflected as the display contents of the instruction display. If “Automatically draw on schema” is checked, the contents are reflected in the schema. In this case, an ellipse graphic is displayed on the schema according to the contents of the selected major classification and detailed classification.

[0057] The score display consists of a list of types, categories, and units, and a check is attached to the corresponding item. The causative disease display shows a list of diseases that have been written to the medical chart by the doctor at the time of medical examination and are subject to rehabilitation due to the disease. In the person in charge display, a list of persons in charge of rehabilitation, including the name of the person in charge and the job type, is displayed. In the schema display, the body parts that can be displayed in the partial schema are listed.

[0058] In the comment input field 54, an input dialog is displayed by selecting an input area, and an arbitrary character string is input on the input dialog using a "learning list" or the like.

[0059] The control unit 43 displays the above-described screens on the display unit 44, and executes a process described later by operating the input unit 46 and performing a predetermined input based on the display content. .

[0060] <Accounting (reception) terminal>

The accounting (acceptance) terminal 4 has the same configuration as the rehabilitation terminal 2 and the medical examination terminal 3, and the configuration itself is not so characteristic, and the description thereof is omitted. However, at the time of patient acceptance, it is possible to determine the priority order of each action that the patient should perform on the screen displayed on the display as a display means. In other words, as shown in FIG. 14, it is possible to select each action to be performed by the patient and determine the priority thereof on the examination information registration screen activated in a separate window from the reception screen. Here, out of the set actions, Urinalysis, urinalysis, and infusion are selected in this order, and their contents are reflected in a list. The priority of each action can be changed by operating either the “Move Up” or “Move Down” button with the action you want to change the order selected. Each action is displayed in a different color so that it can be identified. This color is reflected in the destination display on the rehabilitation execution input list screen displayed on the rehabilitation terminal 2 described later.

[0061] <Processing content of medical support system>

Next, with regard to the processing contents of the medical support system having the above-described configuration, first, an overall outline (patient movement) will be described, and then each processing at the examination terminal 3 and the rehabilitation terminal 2 will be described sequentially.

[0062] <Overall outline>

As shown in FIG. 15, first, patient acceptance processing is performed at the accounting (reception) terminal 4 (step S1

o In the reception process, the patient's name is entered. For already registered patients

Read the registered data. In addition, the patient's interview contents are written. Subsequently, the flow of the patient, that is, how the patient should move within the hospital is determined (step S2). Usually, it starts with a medical examination, but there are patients who only perform rehabilitation and patients who only receive drugs.

[0063] In the examination terminal 3, the result of the doctor examining the patient is written in the electronic medical chart (step S3). Then, a rehabilitation plan is created and its contents are entered (step S4). A series of these processes will be described later.

[0064] In the treatment room or the like, the treatment such as injection indicated as a result of the examination is performed and recorded (step S).

Five). In the treatment room, etc., there are terminals provided separately from the above-mentioned terminals, so input that the terminal force treatment has been completed.

[0065] The rehabilitation terminal 2 executes rehabilitation according to the rehabilitation plan input at the examination terminal 3, and inputs the contents (step S6). Record the contents of each rehabilitation (step S7).

[0066] After that, when the input at the examination terminal 3, the terminal such as the treatment room, and the rehabilitation terminal 2 is completed, the accounting (reception) terminal 4 performs accounting processing (step S8).

[0067] <Processing contents at the examination terminal> The examination terminal 3 executes the rehabilitation planning process according to the flowchart of FIG. That is, when the user name and password are entered on the login screen (step S11: indicated by a in FIG. 2), a menu screen is displayed (step S12). Then, by clicking the “Create rehabilitation plan” button on the menu screen (Step S13: Indicated in FIG. 2 by b), the patient specification screen (patient specification dialog screen is available! Or patient search screen) is displayed. (Step S14). Here, when a patient is identified by searching or the like (step S15), the screen changes to the rehabilitation plan creation screen shown in FIG. 12 (indicated by c in FIG. 2), and information on the identified patient is reflected there (step S16). ). By logging in at step S11, the doctor who performed the examination is identified. The same applies to the rehabilitation terminal 2 described later.

[0068] In addition, by clicking the "rehabilitation plan" button on the electronic medical chart screen (indicated by d in FIG. 2), it is possible to switch to the rehabilitation plan creation screen shown in FIG.

[0069] On the rehabilitation plan creation screen, information about the patient identified in step S15 is displayed (step S17). In other words, in addition to personal information such as patient IDs, the results of examinations, the names of diseases for which rehabilitation is determined to be necessary by doctors, and past rehabilitation records are displayed. The patient's personal information is displayed in the patient information column 28. The examination result is displayed in the diagnosis column. The disease name is displayed as the causative disease in the header section of the main complaint input field. The rehabilitation performance record is displayed in the year / month unit selected in the performance record field. In the main complaint input field, the main complaints, findings, precautions, etc. entered using the keyboard, etc. are displayed as necessary items for rehabilitation by the doctor.

[0070] A list of rehabilitation items, rehabilitation parts, etc. is displayed in the rehabilitation plan entry field, so if you select and check the corresponding item (step S18), the contents will be reflected in the instruction field. (Step S19). In this case, the rehabilitation site may be specified by clicking the cell cell 55 in the rehabilitation plan input field to display the site selection humanoid panel and selecting the corresponding site.

[0071] In addition, the rehabilitation item is displayed in the schema column in the color set in advance for the selected therapy (step S20). In the rehabilitation plan creation screen shown in Fig. 12, interference waves and lasers that are checked in the instruction display in the rehabilitation plan entry field are displayed as rehabilitation items. Then select the appropriate button for the medium force of various shapes such as circle, ellipse, square, etc. S21), the selected figure can be directly input to the schema displayed by the mouse or the like (step S22). You can freely change the display location and size of the figure to be entered, and it is easy to delete or undo it. In addition, since the graphic is displayed in a color corresponding to the selected rehabilitation item, it is possible to easily identify which rehabilitation corresponds to. Then, this content, that is, the patient information associated with the schema is stored in the medical record information file of the storage unit of the server 1 (step S23). As a result, the stored case can be opened on the rehabilitation terminal 2, so that the rehabilitation staff can easily understand which rehabilitation should be performed while looking at the screen of the rehabilitation terminal 2. Become.

[0072] When selecting a rehabilitation part from the part selection humanoid panel, it is possible to correspond to the rehabilitation item selected in step S18 by checking "Automatically draw on schema". The oval shape can be automatically input to the rehabilitation site by color.

[0073] When confirming past rehabilitation contents, it is also possible to display a list of pre-registered contents by rehabilitation items by clicking an instruction set button (not shown). Select the rehabilitation item displayed in the list and click the OK button. The contents are displayed in the instruction sheet field, and you can check the contents.

[0074] In addition, by operating the "Past plan" button 111 or the "Latest plan" button 112 on the rehabilitation plan creation screen, the past rehabilitation plan content or the latest rehabilitation plan content (ie, implementation record: diagram) 2) (indicated by e) can be displayed in a separate window. When there are multiple past rehabilitation plans, it is possible to display them by displaying a list of dates and selecting the relevant one from them.

[0075] <Processing content at rehabilitation terminal>

The rehabilitation terminal 2 executes rehabilitation processing according to the flowcharts shown in FIGS. That is, when a user name and password are entered on the login screen (step S31: indicated by g in FIG. 2), a menu screen is displayed (step S32). Then, by clicking the “rehabilitation” button on the menu screen (step S33), the screen is switched to the rehabilitation execution input list screen (step S34: indicated by h in FIG. 2).

[0076] The rehabilitation execution input list screen displays a list of rehabilitation patients input at the examination terminal 3. Is done. If a rehabilitation patient is newly added on the examination terminal side with the rehabilitation execution input list screen opened, the names of the patients are displayed sequentially. Additional displayed patients are marked with ♦ in the column header, making it possible to distinguish them from other patients. In this case, when the patient is additionally displayed, the user may be notified by generating an arrival sound.

[0077] On the rehabilitation execution input list screen, by clicking the end person button (step S35), it is possible to display only a list of patients who have completed rehabilitation (step S36). In addition, by clicking the display update button (step S37), the display contents can be updated (step S38).

[0078] When a patient to be rehabilitated is selected (step S39), the column header displaying the selected patient is changed to a selected color (step S40). In this state, the rehabilitation start button, patient details button, SOA buttons, and rehabilitation end button can be operated.

[0079] When the rehabilitation start button is clicked (step S41), the time at the time of clicking is input as the disclosure time (step S42), and the rehabilitation item 102 performed by the patient is displayed (step S43). Then, the check box 101 of the rehabilitation item 102 can be checked. When the rehabilitation of the selected patient is completed and the check box 101 is clicked (step S44), the display content is inverted (step S45).

[0080] When the patient detail button is clicked (step S46), the patient detail screen shown in FIG. 19 is popped up (step S47). The user can confirm which rehabilitation should be performed on which part by viewing this patient detail screen. On the patient detail screen, character data indicating the contents of each rehabilitation item and the graphic displayed on the schema are displayed in the same color. For this reason, correspondence with a rehabilitation item and a rehabilitation site | part becomes clear.

[0081] When one of the buttons of SOA! Is clicked (step S48), an input screen corresponding to each button is popped up (step S49). It is possible to input the corresponding sentence using a keyboard.

[0082] When all the instructed rehabilitation is completed and all items are highlighted, and the rehabilitation termination button is clicked (step S50), the termination processing screen shown in FIG. 20 is popped up. (Step S51). Depending on the user, the relevant section, that is, the rehabilitation column is When the end button is clicked (step S52), it is registered as a rehabilitation record (step S53), and the number of people displayed in the rehabilitation number column is automatically changed (step S54). In other words, the number of people who are rehabilitating decreases by one, and the number of people who finish rehabilitation increases by one.

[0083] In addition, on the rehabilitation execution input list screen, a place (guide destination) that the patient should go to after the rehabilitation is displayed in the guide destination column (step S55). When the destination is other than accounting, a background color set in advance for each destination is displayed. This makes it possible to determine at a glance where the patient will be guided next.

[0084] It should be noted that all the data input at each terminal is stored in the storage unit of the server 1, so that various statistics are displayed and printed on the display unit 44 of the examination terminal 3 based on the stored data. (It is indicated by f in Fig. 2). For example, display and print annual, monthly implementation results for each patient, annual, monthly implementation results for each staff, annual, monthly implementation results, and rehabilitation activities in the hospital. It is possible to make it.

Brief Description of Drawings

FIG. 1 is a block diagram showing an outline of a medical support system according to the present embodiment.

FIG. 2 is a transition flow diagram of each screen displayed on the rehabilitation terminal and the examination terminal shown in FIG.

3 is a diagram showing a login screen displayed on the examination terminal in FIG.

4 is a diagram showing a rehabilitation management menu screen displayed on the examination terminal in FIG.

5 is a diagram showing a rehabilitation execution input list screen displayed on the examination terminal in FIG.

6 is a diagram showing a rehabilitation end screen displayed on the examination terminal in FIG.

FIG. 7 is a diagram showing a patient detailed information screen displayed on the examination terminal of FIG. 1.

FIG. 8 is a diagram showing an implementation record display screen displayed on the examination terminal in FIG. 1.

FIG. 9 is a diagram showing a SOAP display screen displayed on the examination terminal in FIG. 1.

FIG. 10 is a diagram showing a medical chart information screen displayed on the examination terminal in FIG. 1.

FIG. 11 is a diagram showing a patient designation dialog screen displayed on the examination terminal in FIG. 1.

FIG. 12 is a diagram showing a rehabilitation plan creation screen displayed on the rehabilitation terminal of FIG. 1.

FIG. 13A is a diagram showing an input screen displayed on the rehabilitation terminal of FIG. FIG. 13B is a diagram showing a part-selecting humanoid panel that also displays the input screen force of FIG. 13A. [13C] FIG. 13C is a diagram showing a state in which a part selection dialog screen is displayed by selecting one of the divided areas on the humanoid panel for part selection in FIG. 13B.

[14] It is a diagram showing the examination information registration screen displayed on the display means of the accounting (reception) terminal of FIG.

FIG. 15 is a flowchart showing an overall outline of processing contents of the medical support system according to the present embodiment.

FIG. 16 is a flowchart showing the contents of the rehabilitation planning process performed at the examination terminal in FIG.

FIG. 17 is a flowchart showing the contents of the rehabilitation process performed by the rehabilitation terminal shown in FIG.

FIG. 18 is a flowchart showing the details of the rehabilitation process performed by the rehabilitation terminal shown in FIG. 1.

FIG. 19 is a diagram showing a patient detail screen displayed on the rehabilitation terminal of FIG. 1.

FIG. 20 is a diagram showing a termination processing screen displayed on the rehabilitation terminal in FIG. 1.

Explanation of symbols

1 ... Sano

2 ... Rehabilitation terminal

3. Examination terminal

4 ... Accounting (reception) terminal

11 ... Input / output section

12… Memory part

13 ... Control part

14 ... Display section

15 ... Output section

16 ... Input section

17… Ender button

18 ··· Display update button

19 ... Rehabilitation start button

20 ····································································

21 ... Priority column .... Implementation time column

... Contents of implementation

... Enforcer column

· "Button

… Patient details button

.... Recording button

.... Patient information column

··· Input field for findings etc.

… Instruction column

... Schematic column

· "SOAP button

... chart button

.... Patient button

... Display button

... I / O section

... memory part

... Control unit (control means)

... Display section (display means)

.... Output section

.... Input section (input means)

... Patient information column

... Implementation record column

... Diagnosis column

… Main complaint input field

.... Instruction sheet display field

... Schema column (Schema unit)

··· Rehabilitation plan entry field (Rehabilitation plan entry part) ··· Comment entry field ... Body cell

... Category chip

· "Part selection dialog screen ...

... Detailed classification column

Display column

1 Check box 2 Reinvention item

1 ... "Past plan" button 2 ... "Latest plan" button

Claims

The scope of the claims

[1] Connect the examination terminal, rehabilitation terminal, and server to the network,

The examination terminal

A rehabilitation plan input unit for selecting a rehabilitation item, and a display means including a schema unit for displaying a schema;

In the state where patient information is displayed on the display means, an input means for displaying a desired schema on the schema unit and performing writing for specifying a part on the schema;

When the patient information is displayed on the display means and a desired schema is displayed on the schema part by the input means, and writing for specifying a part for the rehabilitation item selected by the rehabilitation plan input part is performed. And control means for displaying the rehabilitation items in an identifiable manner,

The medical support system, wherein the server includes a storage unit that stores a patient information displayed on the examination terminal in association with a schema in which a rehabilitation site is written.

[2] The control unit of the examination terminal is configured to display the content of the instruction sheet corresponding to the rehabilitation item when the rehabilitation item is selected in the rehabilitation plan input unit displayed on the display unit. The medical support system according to claim 1, wherein the display unit displays the information.

[3] The selection of the rehabilitation item in the rehabilitation plan input unit in the display means of the examination terminal is performed by displaying a humanoid panel for part selection divided into a plurality of areas on the screen, and! The medical support system according to claim 2, wherein the medical support system is performed by selecting any one of the regions.

[4] The control means of the examination terminal includes the contents of the schema displayed on the schema unit by selecting the rehabilitation site by selecting the region of the humanoid panel for selecting the site! The medical support system according to claim 3, wherein the medical support system is reflected.

[5] The rehabilitation terminal is

Display means for reading patient information stored in the storage unit of the server and displaying a list of patient names and rehabilitation items; Input means for displaying a schema on the display means;

Control means for reading a schema in which a rehabilitation site is written in correspondence with the rehabilitation item for the patient selected by the display means by operating the input means from the storage unit of the server and displaying the schema on the display means; Claims provided

5. The medical support system according to any one of 1 to 4.

[6] The rehabilitation terminal display means displays a check column along with the list of rehabilitation items,

The control means highlights the corresponding rehabilitation item by checking the check column by the input means, and judges that the rehabilitation is completed by checking all the rehabilitation items of a patient. The medical support system according to claim 5.

[7] It further comprises a priority determination means for determining the priority of each action to be performed by the patient including rehabilitation,

The control means causes the display means to display an action with the next highest priority after rehabilitation as a next destination according to the order determined by the priority order determination means. Medical support system.

[8] The display means of the rehabilitation terminal displays an implementation record display screen for the rehabilitation performed by the patient,

The medical support system according to any one of claims 5 to 7, wherein the control means displays the contents of the designated patient's rehabilitation in time series on the execution record display screen.

[9] In the state in which the implementation record display screen is displayed on the display unit of the rehabilitation terminal, the system further comprises an input unit for changing the reno and piri items,

9. The medical support system according to claim 8, wherein the control means displays the display contents on the display means so as to be distinguishable from others by changing a rehabilitation item by the input means.