WO2014119575A1 - Management device, management system and management method - Google Patents

Management device, management system and management method Download PDF

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Publication number
WO2014119575A1
WO2014119575A1 PCT/JP2014/051848 JP2014051848W WO2014119575A1 WO 2014119575 A1 WO2014119575 A1 WO 2014119575A1 JP 2014051848 W JP2014051848 W JP 2014051848W WO 2014119575 A1 WO2014119575 A1 WO 2014119575A1
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WO
WIPO (PCT)
Prior art keywords
information
biological information
unit
biological
measuring device
Prior art date
Application number
PCT/JP2014/051848
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French (fr)
Japanese (ja)
Inventor
聡孝 村瀬
小澤　仁
Original Assignee
テルモ株式会社
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Publication date
Application filed by テルモ株式会社 filed Critical テルモ株式会社
Priority to JP2014559698A priority Critical patent/JP6290793B2/en
Publication of WO2014119575A1 publication Critical patent/WO2014119575A1/en

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/40—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for data related to laboratory analysis, e.g. patient specimen analysis
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • the above object is a portable management device for centrally managing a plurality of types of biological information of a subject measured by a plurality of types of biological information measuring devices
  • the communication unit that starts communication when the communicable distance is reached, and the biological information acquired from the biological information measurement device together with the identification information of the target person, and is stored in association with the biological information
  • a storage unit a display unit that displays various types of information, a time information correction unit, and a control unit, and at least a configuration that displays the biological information of the biological related information together with the identification information on the display unit
  • the communication unit starts communication when the communication unit is able to communicate with a medical worker terminal device managed by a medical worker who examines a target person of the biological related information under the control of the control unit
  • the biological information measuring device has a measuring device-side timing unit, and is controlled by the control unit on the condition that the biological information measuring device is in a standby mode or a stationary state.
  • the control of the control unit causes the time information correcting unit to operate and pass through the communication unit. This is achieved by a management device that is configured to correct the time of the time measuring unit side time measuring unit.
  • the subject can measure his / her biological information with each biological information measuring device and also store the biological information in the management device. For this reason, the biological information measured by the biological information measuring device can be automatically stored without taking notes or the like by another means. Therefore, the patient or the like can store his / her multiple types of biological information easily and without omission.
  • the management device has a flat and small card shape and includes a non-contact IC (Integrated Circuit) (integrated circuit) for communicating with the biological information measurement device.
  • IC Integrated Circuit
  • the management apparatus has comprised the small card shape whose shape is flat. For this reason, for example, a patient or the like who carries this management apparatus can carry the management apparatus in a pocket or the like of the clothes, and the shape is extremely easy to handle.
  • the management device also includes a non-contact IC for performing communication with the biological information measurement device. Therefore, a patient or the like who is a user can automatically start communication by simply taking out the card-like management device from the pocket or the like and bringing it close to the biological information measurement device. Therefore, the patient or the like can store his / her multiple types of biological information easily and without omission.
  • the biological information management system includes the biological information measurement device and the management device, wherein the biological information measurement device transmits the biological information of the measured subject to the management device.
  • the management device is configured to determine whether or not it is the target management device.
  • the biological information measuring device is a target biological information acquisition device such as a management device such as a specific patient before transmitting the measured biological information of the subject to the management device. Therefore, the biological information is not erroneously transmitted to an unauthorized management device such as another patient.
  • the biological information measuring device has the measuring device side time measuring unit, and the management device is configured to correct the time information of the measuring device side time measuring unit. Since the information error is appropriately corrected, the time information when the biological information measuring device measures the biological information can be always in an accurate state.
  • the object is a portable biological information management method for managing a plurality of types of biological information of a subject measured by a plurality of types of biological information measuring devices according to the present invention, which can communicate with the biological information measuring device.
  • a communication unit that starts communication when the distance becomes short, and a biometric information storage unit that acquires biometric information acquired from the biometric information measurement device together with the identification information of the target person, and stores the biometric information in association with the information
  • a display unit that displays various types of information, a time information correction unit, and a control unit, and at least the biological information of the biological related information is displayed on the display unit together with the identification information, and the communication
  • the communication unit starts communication when the communication with a medical worker terminal device managed by a medical worker who examines the subject of the biological information is controlled by the control unit, and
  • the biological information measuring device is configured to transmit related information, and the biological information measuring device has a measuring device side timing unit, and the biological information measuring device is in a standby mode or a stationary state, under the control of
  • a plurality of types of biological information for each patient can be stored together with correct measurement time (year / month / day / hour / minute) easily and without omission. Therefore, it is possible to provide a management device, a management system, and a management method that can be centrally managed in conjunction with an electronic medical record of a medical institution such as a hospital.
  • FIG. 1 is a schematic diagram showing, for example, a management system 1 which is a management system for centrally managing patient biological information and prescription information in the present invention.
  • the management system 1 includes an IC card 10 that is a management device, for example.
  • the IC card 10 includes an IC (Integrated Circuit) (integrated circuit), an antenna, and the like, and is a non-contact IC card. That is, these ICs and antennas are examples of the communication unit.
  • the IC card 10 includes a card-side display 11 that is a display unit, for example.
  • the IC card 10 is a flat card-like small card as a whole, and can be easily accommodated in a pocket or the like by a nurse or the like so that it can be easily carried.
  • the management system 1 includes at least a thermometer 30 that is a biological information measuring device, and further includes a pulse oximeter 50, a blood pressure meter 60, a blood glucose meter 70, a moisture meter (not shown), a heart It has an electric meter (not shown), a pedometer (not shown), and the like.
  • the thermometer 30 is a medical device that measures, for example, body temperature, which is biological information of a patient who is a subject.
  • the pulse oximeter 50 is a medical device that monitors biological information such as a pulse rate and percutaneous arterial oxygen saturation (SpO2) by attaching a probe to a fingertip or ear of a patient.
  • SpO2 percutaneous arterial oxygen saturation
  • the blood pressure monitor 60 is a medical device that measures the blood pressure value of the patient, for example, and the blood glucose meter 70 is a medical device that measures the blood glucose level of the patient, for example.
  • the thermometer 30, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 are driven by a battery, and the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 can be replaced with a battery. (In the case of the thermometer 30, there are battery replaceable and battery replaceable).
  • the thermometer 30, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 each have a standby mode to measure body temperature, pulse rate, percutaneous arterial oxygen saturation (SpO2), blood pressure, and blood glucose.
  • the control mode of the measurement device control unit controls the standby mode in which the power consumption is lower than that of the measured and stored power (consumption is lower than when measuring biological information). Driven by electric power).
  • the thermometer 30, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 are preferably in a stationary state (not in a biological information measurement state) by including a triaxial acceleration sensor (not shown). You can tell whether or not.
  • thermometer 30 for the subject at home (patient) or the subject in the hospital (patient), using these thermometer 30, pulse oximeter 50, sphygmomanometer 60, blood glucose meter 70, The pulse rate and other blood pressure values and blood glucose levels will be measured.
  • the thermometer 30, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 each have a “lead / ride” device for near field communication. For this reason, when the above-described IC card 10 is close to the thermometer 30 and the like, communication by “short-range communication” is possible.
  • non-contact communication means eg, power saving IC communication technology of ISO / IEC 14443, communication technology of ISO / IEC 18092, FeliCa (registered trademark of Sony Corporation)
  • Bluetooth Communication technologies such as Bluetooth SIG are also applicable.
  • FeliCa communication technology communication is performed using radio waves of 13.56 MHz, and communication of 100 to 400 kbps is performed in a very close range up to about 10 cm.
  • Bluetooth can communicate at a maximum speed of 24 Mbps using radio waves in the 2.45 GHz band.
  • the IC card 10 individually receives the body temperature, pulse rate, percutaneous arterial oxygen saturation (SpO2), blood pressure, and blood glucose from the thermometer 30, pulse oximeter 50, blood pressure meter 60, and blood glucose meter 70. In order to read, it is performed by a non-contact communication means (ISO / IEC 14443 power-saving IC communication technology, ISO / IEC 18092 communication technology, FeliCa) at a short distance up to about 10 cm.
  • a non-contact communication means ISO / IEC 14443 power-saving IC communication technology, ISO / IEC 18092 communication technology, FeliCa
  • thermometer 30 etc. in the case of a patient at home, when the patient acquires the measurement result of the thermometer 30 etc. from the thermometer 30 etc. at home etc., it is only necessary to bring his own IC card 10 close to the thermometer 30 etc.
  • the communication is automatically started between the two, and the biological information, for example, the body temperature is transmitted to the IC card 10. Further, biological information such as body temperature is displayed on the card side display 11 of the IC card 10.
  • the card-side display 11 is configured to display not only information on the patient's body temperature but also time information obtained by measuring the patient's body temperature.
  • the IC card 10 is configured to be communicable with, for example, a doctor terminal 80 which is a medical staff terminal device disposed in a hospital or the like. That is, the patient brings the IC card 10 to a hospital or clinic at the time of hospital visit, and brings the IC card 10 close to the “doctor terminal side read / write device 81” of the doctor terminal 80 as shown in FIG. It has a configuration that can communicate with.
  • a doctor terminal 80 which is a medical staff terminal device disposed in a hospital or the like. That is, the patient brings the IC card 10 to a hospital or clinic at the time of hospital visit, and brings the IC card 10 close to the “doctor terminal side read / write device 81” of the doctor terminal 80 as shown in FIG. It has a configuration that can communicate with.
  • the doctor terminal 80 is configured to be able to communicate with a hospital server 100 that accumulates various data. Details of the configuration of the hospital server 100 will be described later.
  • biological information such as the patient's body temperature accumulated in the IC card 10 can be transmitted to a doctor terminal 80 such as a doctor in charge, and by operating the doctor terminal 80, The patient data can be acquired quickly and easily. Further, the biological information such as body temperature acquired by the doctor terminal 80 can be stored for each patient in the hospital server 100 including the electronic medical record for each patient.
  • the management system 1 obtains body temperature information measured by the thermometer 30 by a patient (a caregiver or an infant who may be a guardian) carrying the IC card 10 at home or the like. This will be described in detail as an example. For convenience of explanation, measurement of other blood pressure levels, blood glucose levels, and the like is not described, but the present invention naturally includes these.
  • the IC card 10, the thermometer 30, the pulse oximeter 50, the blood pressure meter 60 and the blood glucose meter 70, the doctor terminal 80, and the hospital server 100 shown in FIG. 1 have a computer, which is a CPU (Central Processing Unit), not shown. It has RAM (Random Access Memory), ROM (Read Only Memory), etc., which are connected via a bus.
  • CPU Central Processing Unit
  • RAM Random Access Memory
  • ROM Read Only Memory
  • FIG. 2 is a schematic block diagram showing the main configuration of the IC card 10 of FIG.
  • the IC card 10 has a “card control unit 12” and a “card side communication device 13” or a “card side display 11” which is a communication unit including the above-described IC and antenna. It is the structure which controls.
  • the card control unit 12 includes a “card side information input device 15” for inputting various information, event information, and the like, and preferably a radio clock (not shown), so that an accurate time (year / month / day) can be obtained. (Hour / minute)
  • the “card side clock device 16” that generates information is also controlled.
  • the card control unit 12 also controls various storage units, information processing units (programs) and the like shown in FIG. 2, and specific contents thereof will be described later.
  • FIG. 3 is a schematic block diagram showing a main configuration of a thermometer 30 which is a biological information measuring device driven by the battery (not shown) of FIG.
  • the thermometer 30 has a “thermometer control unit 31” which is a measurement device control unit, and is a “thermometer power switch” which is a measurement device power switch for turning the thermometer 30 on and off.
  • thermometer-side display 33 which is a display on the measuring device side which displays various information
  • thermometer-side information input device 34 which is a measuring device-side information input device which inputs various information
  • the “thermometer side read / write device 35” which is a measurement device side read / write device for communicating with the card 10, is controlled.
  • the thermometer-side control unit 31 is a “thermometer-side main body device 36” that is a measuring device-side main body device that exhibits a function of measuring body temperature, or a measuring device-side timekeeping unit that generates time information. It is the structure which also controls the "timer device side time measuring device 37" etc. which are side time measuring devices.
  • the thermometer control unit 31 controls various storage units, information processing units (programs) and the like shown in FIG. 3, and specific contents thereof will be described later.
  • FIG. 4 is a schematic block diagram showing the main configuration of the doctor terminal 80 of FIG.
  • the doctor terminal 80 has a “doctor terminal control unit 82” and communicates with the “hospital server 100” in FIG.
  • the terminal-side read / write device 81, a “doctor terminal-side display 84” for displaying various information, a “doctor-terminal-side information input device 85” for inputting various information, and the like are configured.
  • the doctor terminal control unit 83 controls the information processing unit (program) shown in FIG. 4 and the like, and specific details thereof will be described later.
  • FIG. 5 is a schematic block diagram showing the main configuration of the hospital server 100 of FIG.
  • the hospital server 100 has a “hospital server control unit 101”, and displays “hospital server side communication device 102” for communicating with the “doctor terminal 80” in FIG. “Hospital server side display 103”, “hospital server side information input device 104” for inputting various information, “hospital server side patient ID information storage unit 105”, “hospital server side measurement biometric information storage unit”
  • the side measurement body temperature information storage unit 106 ", the" hospital server side treatment / medication information storage unit 107 ", and the like are configured to be controlled.
  • the “hospital server-side patient ID information storage unit 105”, “hospital server-side measured body temperature information storage unit 106”, and “hospital server-side treatment / medicine information storage unit 107” store the “electronic medical record 109” for each patient. It is composed.
  • the hospital server control unit 101 controls various information storage units shown in FIG. 5 and the like, which will be described later in detail.
  • the body temperature is equal to or higher than a predetermined value (for example, 38 ° C.) and SpO2 is equal to or lower than the predetermined value (for example, 92%)
  • a predetermined value for example, 38 ° C.
  • the predetermined value for example, 92%)
  • an alarm is generated and the “doctor terminal side display 84” is controlled from the hospital server 100 to display
  • the patient ID information (including name, age, etc.) is displayed together with biological information such as the patient's body temperature, SpO2, etc., and the “doctor terminal side information input device 85” is controlled so that the doctor can make a diagnosis.
  • a comment such as a coping method (medicine prescription) is input so that it can be written in the “electronic medical record 109” of the patient.
  • the IC card 10 allows the patient to access the hospital server 100 and input a patient ID into the IC card 10, so that comments such as a diagnosis by the doctor and a coping method (medicine prescription) are input. ” May
  • FIG. 6 to FIG. 8 are schematic flowcharts showing an example of the operation of the “management system 1” according to the embodiment of the present invention using the thermometer 30 that is a biological information measuring device as an example.
  • a patient which may be a guardian in the case of a caregiver or an infant
  • a temperature measurement result body temperature when brought out
  • reading the body temperature together with the measured correct time (year / month / day / hour / minute).
  • the thermometer 30 refers to the “thermometer-side user ID storage unit 38” in FIG. 3 and determines whether, for example, “user ID”, which is identification information of a patient who uses the thermometer, is stored. to decide.
  • the thermometer 30 displays the registration procedure screen on the “thermometer-side display 33” and “use” "Person ID” is registered (ST3). Further, even when “user ID” has already been registered, change registration of the “user ID” can also be performed.
  • the process proceeds to ST4.
  • ST4 it is determined whether or not the “thermometer side main body device 36” of FIG. 3 has measured the body temperature. That is, it is determined whether the patient has measured the body temperature using the thermometer 30. Specifically, the patient arranges the temperature measuring part of the thermometer 30 on the armpit or the like and measures the body temperature.
  • the process proceeds to ST5.
  • the “body temperature information processing unit (program) 39” in FIG. 3 operates, the body temperature information (for example, 37 ° C.) measured by the “body temperature measurement main body device 36”, and the time information when this body temperature is measured. 3 is identified from the “thermometer-side timing device 37” in FIG. 3, and these are associated with each other and associated with the “user ID” of the “thermometer-side user ID storage unit 38” which is the measurement device-side patient ID information storage unit, It memorize
  • thermometer 30 is stored as information in which the value of the body temperature measured by itself (37 ° C., etc.), the measurement time, and the information of the measured “user ID” of the patient are associated.
  • the patient or the like takes out the “IC card 10” stored in his / her pocket and brings it close to the thermometer 30 where the body temperature is measured. Then, it progresses to ST6.
  • ST6 on the condition that the thermometer 30 is in the standby mode (standby state), the card side communication device 13 of the IC card 10 and the thermometer side read / write device 35 of the thermometer 30 are in a communication state by electromagnetic induction. It is determined whether or not. If it is determined in ST6 that both are in a communication state, the process proceeds to ST7, and the IC card 10 stores the “patient ID” of the patient stored in the “card-side patient ID information storage unit 17” in FIG. Is transmitted to the thermometer 30.
  • thermometer 30 refers to the received “patient ID” and the “thermometer side user ID information storage unit 38” of FIG. It is determined whether or not the patients who are users are the same. Therefore, it is possible to prevent the body temperature and the like of another family living in the same house from being erroneously acquired as the body temperature information of the same patient. That is, the thermometer 30 determines whether or not the received “patient ID” matches the user ID of the “thermometer-side patient ID information storage unit 38”. If so, be a different person. Specifically, this determination is performed by the “patient ID determination processing unit (program) 41” in FIG.
  • the process proceeds to ST10.
  • the IC card 10 stores the “measured body temperature information” received from the thermometer 30 in the “card-side measured body temperature information storage unit 18” which is a living body related information storage unit, for example. Therefore, in the present embodiment, only the biological information such as the body temperature measured by the patient can be stored in the IC card 10 together with the time (year / month / day / character / minute) information and the like. Since it is sufficient to bring the IC card 10 close to the thermometer 30, body temperature information and the like can be stored very easily.
  • the process proceeds to ST11.
  • the “user name search processing unit (program) 19” of the IC card 10 operates and the “card side measurement body temperature information storage unit 18” which is the card side measurement biological information storage unit received from the thermometer 30.
  • the “user ID” of the patient included in the “card side measured body temperature information” is extracted, and the “user ID / name correspondence information storage unit 20” is searched using this “user ID” as a key.
  • “name” information corresponding to the “user ID” is stored. Therefore, by searching the “user ID / name correspondence information storage unit 20” using the “user ID” as a key, the “name information” of the patient corresponding to the “user ID” can be obtained. .
  • the “name” of the patient acquired in this way is displayed on the “card side display 11” of the IC card 10 together with other “body temperature information” and “measurement time information”.
  • the user ID of the patient is a number or the like
  • the received IC card 10 converts the number or the like into the “name” of the patient.
  • the IC card 10 may have a “name” information corresponding to the “patient ID”, and the name information may be displayed on the “card side display 11”.
  • ST12 the “time comparison processing unit (program) 21” of FIG. 2 of the IC card 10 operates, and the IC card 10 acquires “current time information” from the “thermometer side time measuring device 37” of the thermometer 30, Compared with the “current time information” of the “card timing device 16” in FIG.
  • ST13 it is determined whether or not the difference between the “current time information” acquired from the thermometer 30 and the “current time information” of the IC card 10 is “within a certain range”.
  • the “time information correction unit (program) 22” of the IC card 10 operates to correct the time (year / month / day / hour / minute) information of the “thermometer-side time measuring device 37” of the thermometer 30. Such time correction is performed even after the batteries that are the driving power sources of the pulse oximeter 50, the blood pressure monitor 60, and the blood glucose meter 70 are replaced.
  • thermometer 30 can always make the time (year / month / day / hour / minute) of measurement of the body temperature accurate, and can improve the accuracy of the body temperature information. Note that when a radio timepiece is provided in the thermometer 30, it is not necessary to adjust the time, but the power consumption increases, the housing increases, and the cost increases.
  • the patient or the like can use the measured body temperature information, the pulse value of the pulse oximeter 50 shown in FIG. 1, the blood pressure value of the sphygmomanometer 60, the blood glucose value of the blood glucose meter 70, the measurement time information and the patient ID information. It can be associated with (user ID information) etc. and stored in the IC card 10 carried.
  • the IC card 10 only needs to be brought close to the thermometer 10, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70, so that it is extremely simple and does not cause memory leaks. .
  • FIG. 8 is a schematic flowchart showing the operation of the IC card 10 after the patient brings the IC card 10 and the like.
  • the patient who arrives at a medical institution such as a hospital and receives a medical examination by a doctor in charge, etc. reads his / her IC card 10 carried by himself / herself from the doctor terminal side read / write device 81 of the doctor terminal 80 of the doctor in charge of FIG. Close to.
  • the patient who visits a medical institution such as a hospital and receives a medical examination by a doctor in charge of the patient uses his / her IC card 10 carried by himself / herself on the doctor terminal side of the doctor terminal 80 of the doctor in charge of FIG. Approach the device 81.
  • ST21 in ST21, it is determined whether or not the card side communication device 13 of the IC card 10 and the doctor terminal side read / write device 81 of the doctor terminal 80 are in a communication state by electromagnetic induction as near field communication. . If it is determined in ST21 that both are in a communication state, the process proceeds to ST22, and the IC card 10 stores the “patient ID” of the patient stored in the “card-side patient ID information storage unit 17” in FIG. Is transmitted to the doctor terminal side read / write device 81.
  • the doctor terminal 80 refers to the received “patient ID” and the “hospital server side patient ID information storage unit 105” in FIG. 5 of the hospital server 100 in FIG. It is determined whether the patient who is present and the patient who is the user of the IC card 10 match. Specifically, the “doctor terminal side patient ID determination processing unit (program) 86” of FIG. 4 determines.
  • the IC card 10 transmits “card side measured body temperature information” in the “card side measured body temperature information storage unit 18” of FIG. 2 to the doctor terminal 80 via the doctor terminal side read / write device 81.
  • the process proceeds to ST25.
  • the doctor terminal 80 receives the “card-side measured body temperature information” as the card-side measured biological information received from the IC card 10 together with information such as comments, diagnoses, and advice by the doctor in charge, as necessary. 5 is stored in the “hospital server-side measured body temperature information storage unit 106”, which is the hospital server-side measured biological information storage unit in FIG.
  • the process proceeds to ST26, and the “card side measured body temperature information” stored in the “hospital server side measured body temperature information storage unit 106” is displayed on the “doctor terminal side display 84” of the doctor terminal 80 in FIG.
  • This “card-side measured body temperature information” has not only the body temperature information as described above but also the measurement time (year / month / day / hour / minute) information, etc.
  • Information stored in the “hospital server-side treatment / medicine information storage unit 107” can be displayed on the “doctor terminal-side display 84” and used as a reference.
  • SYMBOLS 1 Management system, 10 ... IC card, 11 ... Card side display, 12 ... Card control part, 13 ... Card side communication apparatus, 15 ... Card side information input device, 16 ... Card side timing device, 17 ... Card side patient ID information storage unit, 18 ... Card side measurement body temperature information storage unit, 19 ... User name search processing unit (program), 20 ... User ID / name correspondence information storage unit, 21 ... time comparison processing unit (program), 22 ... time information correction unit (program), 30 ... thermometer, 31 ... thermometer control unit, 32 ..Thermometer power switch, 33 ... thermometer side display, 34 ... thermometer side information input device, 35 ...
  • thermometer side read / write device 36..thermometer side main body device, 37 ... thermometer side timekeeping Equipment, 38 ⁇ Thermometer side user ID storage unit, 39 ⁇ Body temperature information processing unit (program), 40 ⁇ Measurement body temperature information storage unit, 41 ⁇ Patient ID determination processing unit (program), 50 ⁇ Pulse Oximeter, 60 ... Blood pressure monitor, 70 ... Blood glucose meter, 80 ... Doctor terminal, 81 ... Doctor terminal side read / write device, 82 ... Doctor terminal control unit, 83 ... Doctor Terminal side communication device, 84 ... Doctor terminal side display, 85 ... Doctor terminal side information input device, 86 ... Doctor terminal side patient ID judgment processing part (program), 100 ...

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

[Problem] To provide a management device and the like which enable a patient or the like to store a plurality of kinds of organism information relating thereto easily without omission. [Solution] A management device (10) is a portable device for managing a plurality of kinds of organism information relating to a subject, the management device being provided with: a communication unit (13) which starts communication when located at a distance communicable with an organism information measurement device (30); an organism-associated information storage unit (18) which associates and stores the organism information acquired from the organism information measurement device with identification information relating to the subject; and a display unit (11), and at least having a configuration in which the organism information of organism-associated information is displayed with the identification information on the display unit, and a configuration in which the communication unit starts communication when located at a distance communicable with a medical worker terminal device (80) managed by a medical worker who examines the subject of the organism-associated information, and transmits the organism-associated information.

Description

管理装置、管理システム及び管理方法Management device, management system, and management method
　本発明は、例えば、看護師等が病院内や在宅患者宅等で体温等の生体情報を体温計等で計測した患者の生体情報を、電子カルテと連動して一元管理可能にするために使用する管理装置、管理システム及び管理方法に関するものである。 The present invention is used, for example, in order that nurses and the like can centrally manage patient biological information obtained by measuring biological information such as body temperature with a thermometer or the like in a hospital or home of a patient at home or the like in conjunction with an electronic medical record. The present invention relates to a management apparatus, a management system, and a management method.
　従来より、病院等の医療施設では、患者の生体情報である例えば、計測した体温を記憶する際には、患者ごとに巡回して電子体温計の表示部に表示された体温を看護師等がメモをしたり、読取り装置に記憶させ（例えば、特許文献１）、その後、患者ごとの処方データ等のデータベースに記憶することで管理していた。
　また、生体情報測定手段の時刻を修正するシステムが提案されている（例えば、特許文献２）。 Conventionally, in a medical facility such as a hospital, when memorizing a measured body temperature, which is a patient's biological information, for example, a nurse or the like makes a note of the body temperature that is circulated for each patient and displayed on the display unit of the electronic thermometer. Or stored in a reader (for example, Patent Document 1) and then stored in a database such as prescription data for each patient.
Further, a system for correcting the time of the biological information measuring means has been proposed (for example, Patent Document 2).
特許第３７５９７８４号公報Japanese Patent No. 3759784 特許第４８７４０２１号公報Japanese Patent No. 4874221
　しかしながら、電子体温計等の生体情報測定装置は電池により駆動されるため、初期設定時や電池交換時において、時刻（年・月・日・時・分）が正しく設定できていない場合、測定された体温等の生体情報が正確な測定日時と共にデータベースに記憶されないという問題があった。 However, since biological information measuring devices such as electronic thermometers are driven by batteries, the time (year / month / day / hour / minute) was not correctly set at the time of initial setting or battery replacement. There has been a problem that biological information such as body temperature is not stored in the database together with an accurate measurement date.
　そこで、本発明は、患者毎の複数種類の生体情報（少なくとも体温を含む）を簡易且つ漏れなく、患者毎に対応付けして、正しい測定時刻（年・月・日・時・分）とともに記憶することができ、電子カルテと連動して一元管理可能な管理装置、管理システム及び管理方法を提供することを目的とする。 Therefore, the present invention stores a plurality of types of biological information (including at least body temperature) for each patient in a simple and complete manner, in association with each patient, and with the correct measurement time (year / month / day / hour / minute). It is an object of the present invention to provide a management device, a management system, and a management method that can be integrated and managed in conjunction with an electronic medical record.
　上記目的は、本発明にあっては、複数種類の生体情報計測装置が計測した対象者の複数種類の生体情報を一元管理するための携帯用の管理装置であって、前記生体情報計測装置と通信可能な距離となったときに通信を開始する通信部と、前記生体情報計測装置から取得した生体情報を、その対象者の識別情報と共に取得し、関連付けて生体関連情報として記憶する生体関連情報記憶部と、各種情報を表示する表示部と、時刻情報修正部と、制御部とを備え、少なくとも、前記生体関連情報の前記生体情報を前記識別情報と共に、前記表示部に表示する構成と共に、前記通信部は、前記制御部の制御により前記生体関連情報の対象者を診察する医療従事者が管理する医療従事者端末装置と通信可能な距離となったときに通信を開始し、前記生体関連情報を送信する構成であり、前記生体情報計測装置は、計測装置側計時部を有し、前記生体情報計測装置が待機モードまたは静置状態にあることを条件に、前記制御部の制御により、前記計測装置側計時部の時刻情報が所定以内にないと判断された場合に、前記制御部の制御により、前記時刻情報修正部を動作させて前記通信部を経て、前記生体情報計測装置の前記計時装置側計時部の時刻を修正する構成となっていることを特徴とする管理装置により達成される。 In the present invention, the above object is a portable management device for centrally managing a plurality of types of biological information of a subject measured by a plurality of types of biological information measuring devices, The communication unit that starts communication when the communicable distance is reached, and the biological information acquired from the biological information measurement device together with the identification information of the target person, and is stored in association with the biological information A storage unit, a display unit that displays various types of information, a time information correction unit, and a control unit, and at least a configuration that displays the biological information of the biological related information together with the identification information on the display unit, The communication unit starts communication when the communication unit is able to communicate with a medical worker terminal device managed by a medical worker who examines a target person of the biological related information under the control of the control unit, and The biological information measuring device has a measuring device-side timing unit, and is controlled by the control unit on the condition that the biological information measuring device is in a standby mode or a stationary state. When the time information of the time measuring unit on the measuring device side is determined not to be within a predetermined range, the control of the control unit causes the time information correcting unit to operate and pass through the communication unit. This is achieved by a management device that is configured to correct the time of the time measuring unit side time measuring unit.
　前記構成によれば、管理装置は、生体情報計測装置と通信可能な距離となったときに通信を開始する通信部と、生体情報計測装置から取得した生体情報を、その対象者の識別情報と共に取得し、関連付けて生体関連情報として記憶する生体関連情報記憶部と、を有している。
　このため、管理装置は、体温等の生体情報等を計測する生体情報計測装置と通信可能な距離に配置するだけで、自動的に、当該生体情報計測装置から当該対象者の識別情報と共に、生体情報を取得でき、生体関連情報として生体関連情報記憶部に記憶することができる。また、計測装置側計時部の時刻情報の狂いを適宜修正するので、生体情報計測装置が生体情報を計測した時刻情報を常に正確な状態とすることができる。
　したがって、対象者は各生体情報計測装置で自己の生体情報を計測すると共に、併せて、その生体情報を管理装置に記憶させることができる。このため、生体情報計測装置で計測した生体情報を別の手段でメモ等をすることなく、自動的に記憶させることができる。したがって、患者等が自己の複数種類の生体情報を簡易且つ漏れなく記憶することができる。 According to the said structure, the management apparatus starts communication when it becomes a distance communicable with a biometric information measurement apparatus, and the biometric information acquired from the biometric information measurement apparatus with the identification information of the subject person A living body related information storage unit that acquires and associates and stores it as biological related information.
For this reason, the management device is automatically placed together with the identification information of the subject from the biological information measurement device only by placing it at a distance communicable with the biological information measurement device that measures biological information such as body temperature. Information can be acquired and can be stored in the living body related information storage unit as living body related information. In addition, since the time information deviation of the time measuring unit on the measuring device is appropriately corrected, the time information when the biological information measuring device measures the biological information can always be in an accurate state.
Therefore, the subject can measure his / her biological information with each biological information measuring device and also store the biological information in the management device. For this reason, the biological information measured by the biological information measuring device can be automatically stored without taking notes or the like by another means. Therefore, the patient or the like can store his / her multiple types of biological information easily and without omission.
　好ましくは、前記管理装置は、その形状が扁平の小型のカード状を成し、前記生体情報計測装置との通信を行うための非接触ＩＣ（Ｉｎｔｅｇｒａｔｅｄ　Ｃｉｒｃｕｉｔ）（集積回路）を備えていることを特徴とする。 Preferably, the management device has a flat and small card shape and includes a non-contact IC (Integrated Circuit) (integrated circuit) for communicating with the biological information measurement device. Features.
　前記構成によれば、管理装置は、その形状が扁平の小型のカード状を成している。このため、この管理装置を携帯する例えば、患者等はその服のポケット等に、管理装置を入れて持ち運ぶことができ、極めて扱い易い形状となっている。
　また、管理装置は、生体情報計測装置との通信を行うための非接触ＩＣを備えている。このため，使用者である患者等は、カード状の管理装置を、そのポケット等から取り出して、生体情報計測装置に近接させるだけで自動的に通信を開始することができる。したがって、患者等が自己の複数種類の生体情報を簡易且つ漏れなく記憶することができる。 According to the said structure, the management apparatus has comprised the small card shape whose shape is flat. For this reason, for example, a patient or the like who carries this management apparatus can carry the management apparatus in a pocket or the like of the clothes, and the shape is extremely easy to handle.
The management device also includes a non-contact IC for performing communication with the biological information measurement device. Therefore, a patient or the like who is a user can automatically start communication by simply taking out the card-like management device from the pocket or the like and bringing it close to the biological information measurement device. Therefore, the patient or the like can store his / her multiple types of biological information easily and without omission.
　好ましくは、前記生体情報計測装置と、前記管理装置と、を備える生体情報管理システムであって、前記生体情報計測装置は、その計測した対象者の前記生体情報を前記管理装置に送信する前に、当該前記管理装置が目的の前記管理装置であるか否かを判断する構成となっていることを特徴とする。 Preferably, the biological information management system includes the biological information measurement device and the management device, wherein the biological information measurement device transmits the biological information of the measured subject to the management device. The management device is configured to determine whether or not it is the target management device.
　前記構成によれば、生体情報計測装置は、その計測した対象者の生体情報を管理装置に送信する前に、当該管理装置が特定の患者等の管理装置等の目的の生体情報取得装置であるか否かを判断する構成となっているので、他の患者などの権限のない管理装置に誤って生体情報を送信することがない。 According to the above configuration, the biological information measuring device is a target biological information acquisition device such as a management device such as a specific patient before transmitting the measured biological information of the subject to the management device. Therefore, the biological information is not erroneously transmitted to an unauthorized management device such as another patient.
　前記構成によれば、生体情報計測装置は、計測装置側計時部を有し、管理装置は、計測装置側計時部の時刻情報を修正する構成となっているので、計測装置側計時部の時刻情報の狂いを適宜修正するので、生体情報計測装置が生体情報を計測した時刻情報を常に正確な状態とすることができる。 According to the above configuration, the biological information measuring device has the measuring device side time measuring unit, and the management device is configured to correct the time information of the measuring device side time measuring unit. Since the information error is appropriately corrected, the time information when the biological information measuring device measures the biological information can be always in an accurate state.
　前記目的は、本発明による、複数種類の生体情報計測装置が計測した対象者の複数種類の生体情報を管理するための携帯用の生体情報管理方法であって、前記生体情報計測装置と通信可能な距離となったときに通信を開始する通信部と、前記生体情報計測装置から取得した生体情報を、その対象者の識別情報と共に取得し、関連付けて生体関連情報として記憶する生体関連情報記憶部と、各種情報を表示する表示部と、時刻情報修正部と、制御部とを備え、少なくとも、前記生体関連情報の前記生体情報を前記識別情報と共に、前記表示部に表示する構成と共に、前記通信部は、前記制御部の制御により前記生体関連情報の対象者を診察する医療従事者が管理する医療従事者端末装置と通信可能な距離となったときに通信を開始し、前記生体関連情報を送信する構成され、前記生体情報計測装置は、計測装置側計時部を有し、前記生体情報計測装置が待機モードまたは静置状態にあることを条件に、前記制御部の制御により、前記計測装置側計時部の時刻情報が所定以内にないと判断された場合に、前記制御部の制御により、前記時刻情報修正部を動作させ、前記通信部を経て、前記生体情報計測装置の前記計時装置側計時部の時刻を修正することを特徴とする管理方法により達成される。 The object is a portable biological information management method for managing a plurality of types of biological information of a subject measured by a plurality of types of biological information measuring devices according to the present invention, which can communicate with the biological information measuring device. A communication unit that starts communication when the distance becomes short, and a biometric information storage unit that acquires biometric information acquired from the biometric information measurement device together with the identification information of the target person, and stores the biometric information in association with the information A display unit that displays various types of information, a time information correction unit, and a control unit, and at least the biological information of the biological related information is displayed on the display unit together with the identification information, and the communication The communication unit starts communication when the communication with a medical worker terminal device managed by a medical worker who examines the subject of the biological information is controlled by the control unit, and The biological information measuring device is configured to transmit related information, and the biological information measuring device has a measuring device side timing unit, and the biological information measuring device is in a standby mode or a stationary state, under the control of the control unit, When it is determined that the time information of the time measuring unit on the measuring device side is not within a predetermined range, the time information correcting unit is operated under the control of the control unit, and the communication unit is configured to operate the time information correcting unit. This is achieved by a management method characterized by correcting the time of the time measuring unit side time measuring unit.
　以上説明したように、本発明によれば、患者毎の複数種類の生体情報（少なくとも体温，血圧を含む）を簡易且つ漏れなく、正しい測定時刻（年・月・日・時・分）とともに記憶することができ、病院等の医療機関の電子カルテと連動して一元管理可能な管理装置、管理システム及び管理方法を提供することができる。 As described above, according to the present invention, a plurality of types of biological information (including at least body temperature and blood pressure) for each patient can be stored together with correct measurement time (year / month / day / hour / minute) easily and without omission. Therefore, it is possible to provide a management device, a management system, and a management method that can be centrally managed in conjunction with an electronic medical record of a medical institution such as a hospital.
本発明の管理システムを示す概略図である。It is the schematic which shows the management system of this invention. 図１のＩＣカードの主な構成を示す概略ブロック図である。It is a schematic block diagram which shows the main structures of the IC card of FIG. 図１の体温計の主な構成を示す概略ブロック図である。It is a schematic block diagram which shows the main structures of the thermometer of FIG. 図１の医師端末の主な構成を示す概略ブロック図である。It is a schematic block diagram which shows the main structures of the doctor terminal of FIG. 図１の病院サーバの主な構成を示す概略ブロック部である。It is a schematic block part which shows the main structures of the hospital server of FIG. 患者による体温の計測工程を示す概略フローチャートである。It is a schematic flowchart which shows the measurement process of the body temperature by a patient. 患者による体温の計測工程を示す他の概略フローチャートである。It is another schematic flowchart which shows the measurement process of the body temperature by a patient. 病院におけるＩＣカード１０の動作等を示す概略フローチャートである。It is a schematic flowchart which shows operation | movement etc. of the IC card 10 in a hospital.
　以下、この発明の好適な実施の形態を、添付図面等を参照しながら、詳細に説明する。 Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings.
　尚、以下に述べる実施の形態は、本発明の好適な具体例であるから、技術的に好ましい種々の限定が付されているが、本発明の範囲は、以下の説明において特に本発明を限定する旨の記載がない限り、これらの態様に限られるものではない。 The embodiments described below are preferred specific examples of the present invention, and thus various technically preferable limitations are given. However, the scope of the present invention is particularly limited in the following description. Unless otherwise stated, the present invention is not limited to these embodiments.
　図１は、本発明における患者の生体情報や処方情報を一元管理する管理システムである例えば、管理システム１を示す概略図である。
　図１に示すように、管理システム１は、管理装置である、例えば、ＩＣカード１０を有している。
　ＩＣカード１０は、ＩＣ（Ｉｎｔｅｇｒａｔｅｄ　Ｃｉｒｃｕｉ）（集積回路）及びアンテナ等を備えており、非接触ＩＣカードとなっている。
　すなわち、これらＩＣ及びアンテナ等が、通信部の一例となっている。
　また、ＩＣカード１０は、図１に示すように、表示部である例えば、カード側ディスプレイ１１を有している。
　そして、ＩＣカード１０は、全体が扁平な板状の小型のカードとなり、看護師等が制服等のポケット等に容易に収容でき、携帯が容易な形状となっている。 FIG. 1 is a schematic diagram showing, for example, a management system 1 which is a management system for centrally managing patient biological information and prescription information in the present invention.
As shown in FIG. 1, the management system 1 includes an IC card 10 that is a management device, for example.
The IC card 10 includes an IC (Integrated Circuit) (integrated circuit), an antenna, and the like, and is a non-contact IC card.
That is, these ICs and antennas are examples of the communication unit.
Further, as shown in FIG. 1, the IC card 10 includes a card-side display 11 that is a display unit, for example.
The IC card 10 is a flat card-like small card as a whole, and can be easily accommodated in a pocket or the like by a nurse or the like so that it can be easily carried.
　また、管理システム１は、図１に示すように、生体情報計測装置である例えば、体温計３０を少なくとも含み、さらにパルスオキシメータ５０、血圧計６０、血糖計７０、水分計（不図示）、心電計（不図示）、歩数計（不図示）等を有している。
　すなわち、体温計３０は、対象者である例えば、患者の生体情報である例えば、体温を計測する医療機器である。また、パルスオキシメータ５０は、プローブを患者の指先や耳に付けて生体情報である例えば、脈拍数、経皮的動脈血酸素飽和度（ＳｐＯ２）をモニターする医療機器である。
　そして、血圧計６０は、患者の生体情報である例えば、血圧値を計測する医療機器であり、血糖計７０は、患者の生体情報である例えば、血糖値を計測する医療機器である。
　これら、体温計３０、パルスオキシメータ５０、血圧計６０、血糖計７０は、電池が駆動電源となっていて、パルスオキシメータ５０、血圧計６０、血糖計７０は、電池交換が可能となっている（体温計３０場合は、電池交換可能なものや電池交換が不可能なものがある）。 As shown in FIG. 1, the management system 1 includes at least a thermometer 30 that is a biological information measuring device, and further includes a pulse oximeter 50, a blood pressure meter 60, a blood glucose meter 70, a moisture meter (not shown), a heart It has an electric meter (not shown), a pedometer (not shown), and the like.
That is, the thermometer 30 is a medical device that measures, for example, body temperature, which is biological information of a patient who is a subject. The pulse oximeter 50 is a medical device that monitors biological information such as a pulse rate and percutaneous arterial oxygen saturation (SpO2) by attaching a probe to a fingertip or ear of a patient.
The blood pressure monitor 60 is a medical device that measures the blood pressure value of the patient, for example, and the blood glucose meter 70 is a medical device that measures the blood glucose level of the patient, for example.
The thermometer 30, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 are driven by a battery, and the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 can be replaced with a battery. (In the case of the thermometer 30, there are battery replaceable and battery replaceable).
　また、好ましくは、体温計３０，パルスオキシメータ５０、血圧計６０、血糖計７０は、それぞれ待機モードを備え、体温，脈拍数，経皮的動脈血酸素飽和度（ＳｐＯ２），血圧，血糖が測定、記憶された後は、これらの値がＩＣカード１０で読み取られるまでは、計測装置制御部の制御により、測定、記憶される電力よりも省電力な待機モード（生体情報の測定時よりも低消費電力）で駆動されるようになっている。
　また、体温計３０，パルスオキシメータ５０、血圧計６０、血糖計７０は、好ましくは、それぞれ３軸加速度センサ（不図示）を備えることで静置状態（生体情報の計測状態にない状態）にあるか否かが分かるようになっている。 Preferably, the thermometer 30, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 each have a standby mode to measure body temperature, pulse rate, percutaneous arterial oxygen saturation (SpO2), blood pressure, and blood glucose. After being stored, until these values are read by the IC card 10, the control mode of the measurement device control unit controls the standby mode in which the power consumption is lower than that of the measured and stored power (consumption is lower than when measuring biological information). Driven by electric power).
The thermometer 30, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 are preferably in a stationary state (not in a biological information measurement state) by including a triaxial acceleration sensor (not shown). You can tell whether or not.
　本実施の形態では、在宅での対象者（患者）あるいは病院内の対象者（患者）に対して、これら体温計３０、パルスオキシメータ５０、血圧計６０、血糖計７０を使用して、体温、脈拍数等、血圧値、血糖値を計測することとなる。
　そして、これら体温計３０、パルスオキシメータ５０、血圧計６０、血糖計７０は、近距離通信のための「リード／ライド」装置をそれぞれ有している。
　このため、上述のＩＣカード１０が、これら体温計３０等に近接すると、「近距離通信」による通信が可能となる構成となっている。 In the present embodiment, for the subject at home (patient) or the subject in the hospital (patient), using these thermometer 30, pulse oximeter 50, sphygmomanometer 60, blood glucose meter 70, The pulse rate and other blood pressure values and blood glucose levels will be measured.
The thermometer 30, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70 each have a “lead / ride” device for near field communication.
For this reason, when the above-described IC card 10 is close to the thermometer 30 and the like, communication by “short-range communication” is possible.
　「近距離通信」の例として、電磁誘導によるデータ送受信について説明する。例えば、～１０ｃｍ程度までの近距離の非接触通信手段（例えば、ＩＳＯ／ＩＥＣ　１４４４３の省電力ＩＣ通信技術、ＩＳＯ／ＩＥＣ　１８０９２の通信技術、ＦｅｌｉＣａ（ソニー（株）の登録商標））、Ｂｌｕｅｔｏｏｔｈ（Ｂｌｕｅｔｏｏｔｈ　ＳＩＧの登録商標）等
の通信技術等も適用できる。
　ＦｅｌｉＣａの通信技術では、１３．５６ＭＨｚの電波で通信し、１０ｃｍ程度までのごく近距離で非接触に１００～４００ｋｂｐｓの通信が行なわれる。Ｂｌｕｅｔｏｏｔｈでは、２．４５ＧＨｚ帯の電波を利用し、最高２４Ｍｂｐｓの速度で通信を行うことができる。 As an example of “near field communication”, data transmission / reception by electromagnetic induction will be described. For example, non-contact communication means (eg, power saving IC communication technology of ISO / IEC 14443, communication technology of ISO / IEC 18092, FeliCa (registered trademark of Sony Corporation)), Bluetooth ( Communication technologies such as Bluetooth SIG are also applicable.
In the FeliCa communication technology, communication is performed using radio waves of 13.56 MHz, and communication of 100 to 400 kbps is performed in a very close range up to about 10 cm. Bluetooth can communicate at a maximum speed of 24 Mbps using radio waves in the 2.45 GHz band.
　本実施の形態では、ＩＣカード１０は、体温計３０、パルスオキシメータ５０、血圧計６０、血糖計７０から、体温，脈拍数，経皮的動脈血酸素飽和度（ＳｐＯ２）、血圧、血糖を個別に読取るようにするため、～１０ｃｍ程度までの近距離の非接触通信手段（ＩＳＯ／ＩＥＣ　１４４４３の省電力ＩＣ通信技術，ＩＳＯ／ＩＥＣ　１８０９２の通信技術、ＦｅｌｉＣａ）により行うようにしている。 In the present embodiment, the IC card 10 individually receives the body temperature, pulse rate, percutaneous arterial oxygen saturation (SpO2), blood pressure, and blood glucose from the thermometer 30, pulse oximeter 50, blood pressure meter 60, and blood glucose meter 70. In order to read, it is performed by a non-contact communication means (ISO / IEC 14443 power-saving IC communication technology, ISO / IEC 18092 communication technology, FeliCa) at a short distance up to about 10 cm.
　したがって、本実施の形態では、在宅での患者の場合、患者が自宅等で体温計３０等の計測結果を体温計３０等から取得する場合には、自己のＩＣカード１０を体温計３０等に近づけるだけで、両者間で自動的に通信が開始され、その生体情報、例えば、体温がＩＣカード１０に送信される構成となっている。
　また、体温等の生体情報は、ＩＣカード１０のカード側ディスプレイ１１に表示される構成となっている。
　また、このカード側ディスプレイ１１には、当該患者の体温の情報のみならず、その患者の体温を計測した時刻情報も併せて表示される構成となっている。 Therefore, in the present embodiment, in the case of a patient at home, when the patient acquires the measurement result of the thermometer 30 etc. from the thermometer 30 etc. at home etc., it is only necessary to bring his own IC card 10 close to the thermometer 30 etc. The communication is automatically started between the two, and the biological information, for example, the body temperature is transmitted to the IC card 10.
Further, biological information such as body temperature is displayed on the card side display 11 of the IC card 10.
The card-side display 11 is configured to display not only information on the patient's body temperature but also time information obtained by measuring the patient's body temperature.
　＜在宅患者での使用例＞
　以下、生体情報が体温である場合を例にして詳細に説明する。患者は、自己のＩＣカード１０を携帯していれば、自宅で自己が計測した体温等を容易且つ漏れなく記憶することができる。
　また、ＩＣカード１０は、病院等に配置される医療従事者端末装置である例えば、医師端末８０とも通信可能な構成となっている。すなわち、通院時に患者がＩＣカード１０を病院や診療所等まで持参して、図１に示すように、医師端末８０が備える「医師端末側リード／ライト装置８１」にＩＣカード１０を近接させることで通信可能な構成となっている。 <Examples of use in home patients>
Hereinafter, the case where the biological information is body temperature will be described in detail as an example. If the patient carries his / her IC card 10, the patient's body temperature measured at home can be stored easily and without omission.
Further, the IC card 10 is configured to be communicable with, for example, a doctor terminal 80 which is a medical staff terminal device disposed in a hospital or the like. That is, the patient brings the IC card 10 to a hospital or clinic at the time of hospital visit, and brings the IC card 10 close to the “doctor terminal side read / write device 81” of the doctor terminal 80 as shown in FIG. It has a configuration that can communicate with.
　また、この医師端末８０は、図１に示すように，各種データを蓄積する病院サーバ１００とも通信可能な構成となっている。病院サーバ１００の構成についての詳細は、後述する。 Further, as shown in FIG. 1, the doctor terminal 80 is configured to be able to communicate with a hospital server 100 that accumulates various data. Details of the configuration of the hospital server 100 will be described later.
　本実施の形態の管理システム１では、ＩＣカード１０内に蓄積した患者の体温等の生体情報を、担当医師等の医師端末８０に送信でき、医師端末８０を操作することで、担当医師は、当該患者のデータを迅速且つ容易に確実に取得することができる。また、医師端末８０が取得した体温等の生体情報は、患者毎の電子カルテを含む病院サーバ１００に患者毎に記憶させることができる構成ともなっている。 In the management system 1 of the present embodiment, biological information such as the patient's body temperature accumulated in the IC card 10 can be transmitted to a doctor terminal 80 such as a doctor in charge, and by operating the doctor terminal 80, The patient data can be acquired quickly and easily. Further, the biological information such as body temperature acquired by the doctor terminal 80 can be stored for each patient in the hospital server 100 including the electronic medical record for each patient.
　以下、管理システム１を、患者（介護者や乳幼児にあっては保護者の場合もある）等が自宅内等でＩＣカード１０を携帯して、体温計３０で体温計測された体温情報を取得することを例に、詳細に説明する。説明の便宜上、他の血圧値や血糖値等の計測については記載していないが、本発明がこれらを含むものであることは勿論である。 Hereinafter, the management system 1 obtains body temperature information measured by the thermometer 30 by a patient (a caregiver or an infant who may be a guardian) carrying the IC card 10 at home or the like. This will be described in detail as an example. For convenience of explanation, measurement of other blood pressure levels, blood glucose levels, and the like is not described, but the present invention naturally includes these.
　図１に示すＩＣカード１０、体温計３０、パルスオキシメータ５０、血圧計６０及び血糖計７０、医師端末８０及び病院サーバ１００は、コンピュータを有し、コンピュータは、図示しないＣＰＵ（Ｃｅｎｔｒａｌ　Ｐｒｏｃｅｓｓｉｎｇ　Ｕｎｉｔ）、ＲＡＭ（Ｒａｎｄｏｍ　Ａｃｃｅｓｓ　Ｍｅｍｏｒｙ）、ＲＯＭ（Ｒｅａｄ　Ｏｎｌｙ　Ｍｅｍｏｒｙ）等を有し、これらは、バスを介して接続されている。 The IC card 10, the thermometer 30, the pulse oximeter 50, the blood pressure meter 60 and the blood glucose meter 70, the doctor terminal 80, and the hospital server 100 shown in FIG. 1 have a computer, which is a CPU (Central Processing Unit), not shown. It has RAM (Random Access Memory), ROM (Read Only Memory), etc., which are connected via a bus.
　図２は、図１のＩＣカード１０の主な構成を示す概略ブロック図である。
　図２に示すように、ＩＣカード１０は、「カード制御部１２」を有し、上述のＩＣ及びアンテナ等を含む通信部である「カード側通信装置１３」や上述の「カード側ディスプレイ１１」を制御する構成となっている。
　また、カード制御部１２は、各種情報やイベント情報等を入力するための「カード側情報入力装置１５」や、好ましくは電波時計（不図示）を備えることで正確な時刻（年・月・日・時・分）情報を生成する「カード側計時装置１６」も制御する構成となっている。各種情報やイベント情報等としては、治療情報，投薬（処方）情報（処方された薬剤名，用法，用量等），発熱，インフルエンザ，ノロウイルス等感染症の情報等がある。
　また、カード制御部１２は、図２に示す各種記憶部や情報処理部（プログラム）等も制御しているが、これらの具体的な内容については、後述する。 FIG. 2 is a schematic block diagram showing the main configuration of the IC card 10 of FIG.
As shown in FIG. 2, the IC card 10 has a “card control unit 12” and a “card side communication device 13” or a “card side display 11” which is a communication unit including the above-described IC and antenna. It is the structure which controls.
In addition, the card control unit 12 includes a “card side information input device 15” for inputting various information, event information, and the like, and preferably a radio clock (not shown), so that an accurate time (year / month / day) can be obtained. (Hour / minute) The “card side clock device 16” that generates information is also controlled. Examples of various information and event information include treatment information, medication (prescription) information (prescription drug name, usage, dosage, etc.), fever, information on infectious diseases such as influenza, norovirus, and the like.
The card control unit 12 also controls various storage units, information processing units (programs) and the like shown in FIG. 2, and specific contents thereof will be described later.
　図３は，図１の電池（不図示）で駆動される、生体情報測定装置である体温計３０の主な構成を示す概略ブロック図である。
　図３に示すように、体温計３０は、計測装置制御部である、「体温計制御部３１」を有し、体温計３０への電源のＯＮ／ＯＦＦを行う計測装置電源スイッチである、「体温計電源スイッチ３２」、各種情報を表示する計測装置側ディスプレスである、「体温計側ディスプレイ３３」、各種情報を入力する計測装置側情報入力装置である、「体温計側情報入力装置３４」や、上述のＩＣカード１０と通信するための計測装置側リード／ライト装置である、「体温計側リード／ライト装置３５」を制御している。
　また、体温計側制御部３１は、体温を測定する機能を発揮する計測装置側本体装置である、「体温計側本体装置３６」や、時刻情報を生成する計測装置側計時部である例えば、計測装置側計時装置である、「体温計側計時装置３７」等も制御する構成となっている。
　なお、体温計制御部３１は、図３に示す各種記憶部や情報処理部（プログラム）等を制御しているが、これらの具体的な内容については、後述する。 FIG. 3 is a schematic block diagram showing a main configuration of a thermometer 30 which is a biological information measuring device driven by the battery (not shown) of FIG.
As shown in FIG. 3, the thermometer 30 has a “thermometer control unit 31” which is a measurement device control unit, and is a “thermometer power switch” which is a measurement device power switch for turning the thermometer 30 on and off. 32 ”,“ thermometer-side display 33 ”which is a display on the measuring device side which displays various information,“ thermometer-side information input device 34 ”which is a measuring device-side information input device which inputs various information, and the above-mentioned IC The “thermometer side read / write device 35”, which is a measurement device side read / write device for communicating with the card 10, is controlled.
Further, the thermometer-side control unit 31 is a “thermometer-side main body device 36” that is a measuring device-side main body device that exhibits a function of measuring body temperature, or a measuring device-side timekeeping unit that generates time information. It is the structure which also controls the "timer device side time measuring device 37" etc. which are side time measuring devices.
The thermometer control unit 31 controls various storage units, information processing units (programs) and the like shown in FIG. 3, and specific contents thereof will be described later.
　図４は、図１の医師端末８０の主な構成を示す概略ブロック図である。
　図４に示すように、医師端末８０は、「医師端末制御部８２」を有し、図１の「病院サーバ１００」と通信等するための「医師端末側通信装置８３」や上述の「医師端末側リード／ライト装置８１」、各種情報を表示する「医師端末側ディスプレイ８４」及び各種情報を入力する「医師端末側情報入力装置８５」等を制御する構成となっている。
　なお、医師端末制御部８３は、図４に示す情報処理部（プログラム）等を制御しているが、これらの具体的な内容については、後述する。 FIG. 4 is a schematic block diagram showing the main configuration of the doctor terminal 80 of FIG.
As shown in FIG. 4, the doctor terminal 80 has a “doctor terminal control unit 82” and communicates with the “hospital server 100” in FIG. The terminal-side read / write device 81, a “doctor terminal-side display 84” for displaying various information, a “doctor-terminal-side information input device 85” for inputting various information, and the like are configured.
The doctor terminal control unit 83 controls the information processing unit (program) shown in FIG. 4 and the like, and specific details thereof will be described later.
　図５は、図１の病院サーバ１００の主な構成を示す概略ブロック部である。
　図５に示すように、病院サーバ１００は、「病院サーバ制御部１０１」を有し、図１の「医師端末８０」と通信等するための「病院サーバ側通信装置１０２」、各種情報を表示する「病院サーバ側ディスプレイ１０３」及び各種情報を入力する「病院サーバ側情報入力装置１０４」、「病院サーバ側患者ＩＤ情報記憶部１０５」、病院サーバ側計測生体情報報記憶部である「病院サーバ側計測体温情報記憶部１０６」、「病院サーバ側治療・投薬等情報記憶部１０７」等を制御する構成となっている。
　なお、「病院サーバ側患者ＩＤ情報記憶部１０５」、「病院サーバ側計測体温情報記憶部１０６」、「病院サーバ側治療・投薬等情報記憶部１０７」は、患者毎の「電子カルテ１０９」を構成している。
　なお、病院サーバ制御部１０１は、図５に示す各種情報記憶部等を制御しているが、これらの具体的な内容については、後述する。 FIG. 5 is a schematic block diagram showing the main configuration of the hospital server 100 of FIG.
As shown in FIG. 5, the hospital server 100 has a “hospital server control unit 101”, and displays “hospital server side communication device 102” for communicating with the “doctor terminal 80” in FIG. “Hospital server side display 103”, “hospital server side information input device 104” for inputting various information, “hospital server side patient ID information storage unit 105”, “hospital server side measurement biometric information storage unit” The side measurement body temperature information storage unit 106 ", the" hospital server side treatment / medication information storage unit 107 ", and the like are configured to be controlled.
The “hospital server-side patient ID information storage unit 105”, “hospital server-side measured body temperature information storage unit 106”, and “hospital server-side treatment / medicine information storage unit 107” store the “electronic medical record 109” for each patient. It is composed.
The hospital server control unit 101 controls various information storage units shown in FIG. 5 and the like, which will be described later in detail.
　なお、ＩＣカード１０から直接病院サーバ１００に、体温、ＳｐＯ２、血圧、血糖等の生体情報を患者ＩＤとともに記憶させるようにしてもよい。こうすることで、ＩＣカード１０を担当医師のもとに持参する必要がなくなる。
　この場合、体温が所定値（例えば、３８℃）以上，ＳｐＯ２が所定値（例えば９２％）以下の場合、アラームを発生させ、病院サーバ１００から「医師端末側ディスプレイ８４」を制御して、表示させ、患者ＩＤ情報（氏名，年齢等を含む）と共に、当該患者の体温，ＳｐＯ２等の生体情報と併せて表示させ、「医師端末側情報入力装置８５」を制御して、当該医師が、診断、対処方法（薬剤の処方）等のコメントを入力し、当該患者の「電子カルテ１０９」に書き込めるようにする。
　ＩＣカード１０は、患者が病院サーバ１００にアクセスして、ＩＣカード１０に患者ＩＤを入力することで、当該医師による診断、対処方法（薬剤の処方）等のコメントが入力された「電子カルテ１０９」を確認できるようにしもよい。 In addition, you may make it memorize | store biometric information, such as body temperature, SpO2, blood pressure, and blood glucose, with patient ID directly from the IC card 10 to the hospital server 100. This eliminates the need to bring the IC card 10 to the doctor in charge.
In this case, when the body temperature is equal to or higher than a predetermined value (for example, 38 ° C.) and SpO2 is equal to or lower than the predetermined value (for example, 92%), an alarm is generated and the “doctor terminal side display 84” is controlled from the hospital server 100 to display The patient ID information (including name, age, etc.) is displayed together with biological information such as the patient's body temperature, SpO2, etc., and the “doctor terminal side information input device 85” is controlled so that the doctor can make a diagnosis. A comment such as a coping method (medicine prescription) is input so that it can be written in the “electronic medical record 109” of the patient.
The IC card 10 allows the patient to access the hospital server 100 and input a patient ID into the IC card 10, so that comments such as a diagnosis by the doctor and a coping method (medicine prescription) are input. ”May be confirmed.
　図６乃至図８は、本発明の実施の形態に係る「管理システム１」の動作例を、生体情報測定装置である体温計３０を使用する場合を例として示す概略フローチャートである。
　本実施の形態では、患者（介護者や乳幼児にあっては保護者の場合もある）等が自宅あるいは外出時等でＩＣカード１０を所持して体温計３０（外出時には持参）による検温結果（体温）を取得し、その体温を、測定された正しい時刻（年・月・日・時・分）とともに読取る場合を例に説明する。 FIG. 6 to FIG. 8 are schematic flowcharts showing an example of the operation of the “management system 1” according to the embodiment of the present invention using the thermometer 30 that is a biological information measuring device as an example.
In the present embodiment, a patient (which may be a guardian in the case of a caregiver or an infant) or the like owns an IC card 10 at home or when going out, etc., and a temperature measurement result (body temperature when brought out) ) And reading the body temperature together with the measured correct time (year / month / day / hour / minute).
　先ず、患者等は、図１の「ＩＣカード１０」を自己の服等のポケット等に収納した状態で、体温計３０により測定した体温を読取る。図６及び図７は、患者（介護者や乳幼児にあっては保護者の場合もある）による体温の計測工程を示す概略フローチャートである。
　先ず、ステップＳＴ（以下「ＳＴ」とする）１では、体温計３０の図３に示す「体温計電源スイッチ３２」がＯＮ状態となっているか否かを判断し、ＯＮ状態であれば、ＳＴ２へ進む。 First, the patient or the like reads the body temperature measured by the thermometer 30 in a state where the “IC card 10” of FIG. 6 and 7 are schematic flowcharts showing a body temperature measurement process by a patient (may be a guardian in the case of a caregiver or an infant).
First, in step ST (hereinafter referred to as “ST”) 1, it is determined whether the “thermometer power switch 32” shown in FIG. 3 of the thermometer 30 is in an ON state. .
　ＳＴ２では、体温計３０は、図３の「体温計側使用者ＩＤ記憶部３８」を参照し，当該体温計を使用する患者の識別情報である例えば、「使用者ＩＤ」が記憶されているか否かを判断する。
　ＳＴ２で、「体温計側使用者ＩＤ記憶部３８」に患者の「使用者ＩＤ」が登録されていないときは、体温計３０は、登録手続の画面を「体温計側ディスプレイ３３」に表示し、「使用者ＩＤ」を登録させる（ＳＴ３）。また、既に「使用者ＩＤ」について登録があった場合でも、その「使用者ＩＤ」の変更登録も行わせることができる。 In ST2, the thermometer 30 refers to the “thermometer-side user ID storage unit 38” in FIG. 3 and determines whether, for example, “user ID”, which is identification information of a patient who uses the thermometer, is stored. to decide.
In ST2, when the “user ID” of the patient is not registered in the “thermometer-side user ID storage unit 38”, the thermometer 30 displays the registration procedure screen on the “thermometer-side display 33” and “use” "Person ID" is registered (ST3). Further, even when “user ID” has already been registered, change registration of the “user ID” can also be performed.
　次いで、ＳＴ４へ進む。ＳＴ４では、図３の「体温計側本体装置３６」が体温の計測を実施したか否かが判断される。
　すなわち、患者が体温計３０を使用して、体温の測定を行ったか否かが判断される。具体的には、患者が体温計３０の検温部を脇下等に配置して体温を計測する。 Next, the process proceeds to ST4. In ST4, it is determined whether or not the “thermometer side main body device 36” of FIG. 3 has measured the body temperature.
That is, it is determined whether the patient has measured the body temperature using the thermometer 30. Specifically, the patient arranges the temperature measuring part of the thermometer 30 on the armpit or the like and measures the body temperature.
　ＳＴ４で、体温の計測が実施され、体温の温度が特定されると、ＳＴ５へ進む。
　ＳＴ５では、図３の「体温情報処理部（プログラム）３９」が動作し、「体温計測本体装置３６」が測定した体温情報（例えば、３７°Ｃ）と、この体温を計測したときの時刻情報を図３の「体温計側計時装置３７」から特定し、これらを関連付けると共に、計測装置側患者ＩＤ情報記憶部である「体温計側使用者ＩＤ記憶部３８」の「使用者ＩＤ」と関連付けて、図３の「計測体温情報記憶部４０」に記憶させる。 When the body temperature is measured in ST4 and the temperature of the body temperature is specified, the process proceeds to ST5.
In ST5, the “body temperature information processing unit (program) 39” in FIG. 3 operates, the body temperature information (for example, 37 ° C.) measured by the “body temperature measurement main body device 36”, and the time information when this body temperature is measured. 3 is identified from the “thermometer-side timing device 37” in FIG. 3, and these are associated with each other and associated with the “user ID” of the “thermometer-side user ID storage unit 38” which is the measurement device-side patient ID information storage unit, It memorize | stores in the "measured body temperature information storage part 40" of FIG.
　したがって、体温計３０は、自己が計測した体温の数値（３７°Ｃ等）と、計測時刻、並びに、計測した患者の「使用者ＩＤ」の情報が関連付けられた情報として記憶されることになる。 Therefore, the thermometer 30 is stored as information in which the value of the body temperature measured by itself (37 ° C., etc.), the measurement time, and the information of the measured “user ID” of the patient are associated.
　次いで、患者等は自己がポケットに収納している「ＩＣカード１０」を取り出し、体温が計測された体温計３０に近接させる。
　すると、ＳＴ６へ進む。ＳＴ６では、体温計３０が待機モード（待機状態）にあることを条件に、電磁誘導により、ＩＣカード１０のカード側通信装置１３と、体温計３０の体温計側リード／ライト装置３５とが通信状態となったか否かを判断する。
　ＳＴ６で、両者が通信状態であると判断したときは、ＳＴ７に進み、ＩＣカード１０は、図２の「カード側患者ＩＤ情報記憶部１７」に記憶されている、当該患者の「患者ＩＤ」を体温計３０へ送信する。 Next, the patient or the like takes out the “IC card 10” stored in his / her pocket and brings it close to the thermometer 30 where the body temperature is measured.
Then, it progresses to ST6. In ST6, on the condition that the thermometer 30 is in the standby mode (standby state), the card side communication device 13 of the IC card 10 and the thermometer side read / write device 35 of the thermometer 30 are in a communication state by electromagnetic induction. It is determined whether or not.
If it is determined in ST6 that both are in a communication state, the process proceeds to ST7, and the IC card 10 stores the “patient ID” of the patient stored in the “card-side patient ID information storage unit 17” in FIG. Is transmitted to the thermometer 30.
　次いで、ＳＴ８で、体温計３０は、受信した「患者ＩＤ」と、体温計３０が有する図３の「体温計側使用者ＩＤ情報記憶部３８」を参照し、体温計３０を使用した患者と、ＩＣカード１０の使用者である患者が同一であるか否かを判断する。
　したがって、同じ家に住む他の家族の体温等を誤って同一の患者の体温情報として取得することを未然に防ぐことができる。
　すなわち、体温計３０は、受信した「患者ＩＤ」と、「体温計側患者ＩＤ情報記憶部３８」の使用者ＩＤとが一致するか否かを判断し、一致した場合は、同一人とし、一致しない場合は、別人とする。
　この判断は、具体的には、図３の「患者ＩＤ判断処理部（プログラム）４１」が実行する。 Next, in ST8, the thermometer 30 refers to the received “patient ID” and the “thermometer side user ID information storage unit 38” of FIG. It is determined whether or not the patients who are users are the same.
Therefore, it is possible to prevent the body temperature and the like of another family living in the same house from being erroneously acquired as the body temperature information of the same patient.
That is, the thermometer 30 determines whether or not the received “patient ID” matches the user ID of the “thermometer-side patient ID information storage unit 38”. If so, be a different person.
Specifically, this determination is performed by the “patient ID determination processing unit (program) 41” in FIG.
　ＳＴ８で、患者ＩＤが一致した場合のみ、体温計３０は、図３の「計測体温情報記憶部４０」内の「計測体温情報」をＩＣカード１０へ送信する（ＳＴ９）。
　このように、本実施の形態では、別人である患者に、当該患者の体温情報等を誤って送信することがない構成となっている。 Only when the patient IDs match in ST8, thermometer 30 transmits “measured body temperature information” in “measured body temperature information storage unit 40” in FIG. 3 to IC card 10 (ST9).
Thus, in this Embodiment, it becomes the structure which does not transmit the patient's body temperature information etc. to the patient who is another person accidentally.
　次いで、ＳＴ１０へ進む。ＳＴ１０では、ＩＣカード１０は、体温計３０から受信した「計測体温情報」を生体関連情報記憶部である例えば、「カード側計測体温情報記憶部１８」に記憶する。
　したがって、本実施の形態では、ＩＣカード１０に、当該患者が計測した体温等の生体情報のみを時刻（年・月・日・字・分）情報等と共に記憶することができ、また、この記憶はＩＣカード１０を体温計３０に近づけるだけで足りるので、極めて容易に体温情報等を記憶させることができる。 Next, the process proceeds to ST10. In ST10, the IC card 10 stores the “measured body temperature information” received from the thermometer 30 in the “card-side measured body temperature information storage unit 18” which is a living body related information storage unit, for example.
Therefore, in the present embodiment, only the biological information such as the body temperature measured by the patient can be stored in the IC card 10 together with the time (year / month / day / character / minute) information and the like. Since it is sufficient to bring the IC card 10 close to the thermometer 30, body temperature information and the like can be stored very easily.
　次いで、ＳＴ１１へ進む。ＳＴ１１では、ＩＣカード１０の「使用者氏名検索処理部（プログラム）１９」が動作して、体温計３０から受信した、カード側計測生体情報記憶部である、「カード側計測体温情報記憶部１８」の「カード側計測体温情報」に含まれている当該患者の「使用者ＩＤ」を抽出し、この「使用者ＩＤ」をキーに「使用者ＩＤ／氏名対応情報記憶部２０」を検索する。
　この「使用者ＩＤ／氏名対応情報記憶部２０」には、「使用者ＩＤ」と対応する「氏名」の情報が記憶されている。
　このため、この「使用者ＩＤ」をキーに「使用者ＩＤ／氏名対応情報記憶部２０」を検索することで、当該「使用者ＩＤ」に対応する患者の「氏名情報」を得ることができる。 Next, the process proceeds to ST11. In ST11, the “user name search processing unit (program) 19” of the IC card 10 operates and the “card side measurement body temperature information storage unit 18” which is the card side measurement biological information storage unit received from the thermometer 30. The “user ID” of the patient included in the “card side measured body temperature information” is extracted, and the “user ID / name correspondence information storage unit 20” is searched using this “user ID” as a key.
In the “user ID / name correspondence information storage unit 20”, “name” information corresponding to the “user ID” is stored.
Therefore, by searching the “user ID / name correspondence information storage unit 20” using the “user ID” as a key, the “name information” of the patient corresponding to the “user ID” can be obtained. .
　このようにして取得した患者の「氏名」を、ＩＣカード１０の「カード側ディスプレイ１１」に他の「体温情報」や「計測時間情報」と共に表示する。 The “name” of the patient acquired in this way is displayed on the “card side display 11” of the IC card 10 together with other “body temperature information” and “measurement time information”.
　したがって、カード側ディスプレイ１１の表示を視認した当該患者の担当の看護師等の医療従事者は、当該体温情報の内容を確認することができると共に、当該体温情報が当該患者の情報か否かを確認することもできる。 Therefore, a medical worker such as a nurse in charge of the patient who visually recognizes the display on the card-side display 11 can confirm the content of the body temperature information, and whether the body temperature information is information on the patient. It can also be confirmed.
　特に、本実施の形態では「カード側ディスプレイ１１」には、患者の番号等ではなく「氏名」が表示されるので、より容易に確認をすることができる構成となっている。 In particular, in the present embodiment, the “card-side display 11” displays “name” instead of the patient number and the like, so that it can be confirmed more easily.
　なお、本実施の形態では、患者の使用者ＩＤを番号等とし、受信したＩＣカード１０が、この番号等を患者の「氏名」に変換していたが、本発明は、これに限らず、ＩＣカード１０が、「患者ＩＤ」に対応する「氏名」情報を有し、この氏名情報を「カード側ディスプレイ１１」に表示する構成としても構わない。 In this embodiment, the user ID of the patient is a number or the like, and the received IC card 10 converts the number or the like into the “name” of the patient. However, the present invention is not limited to this, The IC card 10 may have a “name” information corresponding to the “patient ID”, and the name information may be displayed on the “card side display 11”.
　次いで、ＳＴ１２へ進む。ＳＴ１２では、ＩＣカード１０の図２の「時刻比較処理部（プログラム）２１」が動作して、ＩＣカード１０が、体温計３０の「体温計側計時装置３７」から「現在時刻情報」を取得し、図２の「カード側計時装置１６」の「現在時刻情報」と比較する。 Next, proceed to ST12. In ST12, the “time comparison processing unit (program) 21” of FIG. 2 of the IC card 10 operates, and the IC card 10 acquires “current time information” from the “thermometer side time measuring device 37” of the thermometer 30, Compared with the “current time information” of the “card timing device 16” in FIG.
　そして、ＳＴ１３へ進む。ＳＴ１３では、体温計３０から取得した「現在時刻情報」とＩＣカード１０の「現在時刻情報」との差が「一定範囲内」であるか否かを判断する。 Then, proceed to ST13. In ST13, it is determined whether or not the difference between the “current time information” acquired from the thermometer 30 and the “current time information” of the IC card 10 is “within a certain range”.
　そして、ＳＴ１３で、時刻（年・月・日・時・分）の差が「一定範囲内」でない場合（例えば、「分」が１分以内でない場合）は、計測装置側計時部である、体温計３０の「体温計側計時装置３７」の時刻に狂いが生じている判断して、ＳＴ１４へ進む。 In ST13, when the difference in time (year / month / day / hour / minute) is not “within a certain range” (for example, when “minute” is not within 1 minute), the time is measured by the measuring device. It is determined that the time of the “thermometer-side time measuring device 37” of the thermometer 30 is incorrect, and the process proceeds to ST14.
　ＳＴ１４では、ＩＣカード１０の「時刻情報修正部（プログラム）２２」等が動作し、体温計３０の「体温計側計時装置３７」の時刻（年・月・日・時・分）情報を修正する。
　このような時刻修正は、パルスオキシメータ５０、血圧計６０、血糖計７０の駆動電源である電池を交換した後にも行うようにしている。 In ST14, the “time information correction unit (program) 22” of the IC card 10 operates to correct the time (year / month / day / hour / minute) information of the “thermometer-side time measuring device 37” of the thermometer 30.
Such time correction is performed even after the batteries that are the driving power sources of the pulse oximeter 50, the blood pressure monitor 60, and the blood glucose meter 70 are replaced.
　これにより、体温計３０は、常に、体温の計測の時刻（年・月・日・時・分）を正確にすることができ、その体温情報の精度を高めることができる。
　なお、体温計３０に電波時計を設けておく場合、時刻修正する必要がなくなるが、消費電力が大きくなり、筺体が大きくなり、コストが高くなる。 Thereby, the thermometer 30 can always make the time (year / month / day / hour / minute) of measurement of the body temperature accurate, and can improve the accuracy of the body temperature information.
Note that when a radio timepiece is provided in the thermometer 30, it is not necessary to adjust the time, but the power consumption increases, the housing increases, and the cost increases.
　以上で、患者等は、計測した体温情報や図１に示すパルスオキシメータ５０の脈拍値、血圧計６０の血圧値及び血糖計７０の血糖値等の情報を、その測定時刻情報及び患者ＩＤ情報（使用者ＩＤ情報）等と共に関連付けて、携帯するＩＣカード１０に記憶させることができる。
　しかも、それは，上述のように、ＩＣカード１０を体温計１０、パルスオキシメータ５０、血圧計６０及び血糖計７０に近接させるだけよいので、極めて簡単であり、記憶漏れが生じ難い構成となっている。 As described above, the patient or the like can use the measured body temperature information, the pulse value of the pulse oximeter 50 shown in FIG. 1, the blood pressure value of the sphygmomanometer 60, the blood glucose value of the blood glucose meter 70, the measurement time information and the patient ID information. It can be associated with (user ID information) etc. and stored in the IC card 10 carried.
In addition, as described above, the IC card 10 only needs to be brought close to the thermometer 10, the pulse oximeter 50, the sphygmomanometer 60, and the blood glucose meter 70, so that it is extremely simple and does not cause memory leaks. .
　図８は、患者等がＩＣカード１０を持参した後のＩＣカード１０の動作等を示す概略フローチャートである。
　病院等の医療機関に着いて、担当医師等の診察を受ける当該患者は、自己が携帯している自己のＩＣカード１０を図１の担当医師の医師端末８０の医師端末側リード／ライト装置８１に近接させる。
　病院等の医療機関に出向いて、そこで担当医師等の診察を受ける当該患者は、自己が携帯している自己のＩＣカード１０を、図１の担当医師の医師端末８０の医師端末側リード／ライト装置８１に近接させる。 FIG. 8 is a schematic flowchart showing the operation of the IC card 10 after the patient brings the IC card 10 and the like.
The patient who arrives at a medical institution such as a hospital and receives a medical examination by a doctor in charge, etc., reads his / her IC card 10 carried by himself / herself from the doctor terminal side read / write device 81 of the doctor terminal 80 of the doctor in charge of FIG. Close to.
The patient who visits a medical institution such as a hospital and receives a medical examination by a doctor in charge of the patient, uses his / her IC card 10 carried by himself / herself on the doctor terminal side of the doctor terminal 80 of the doctor in charge of FIG. Approach the device 81.
　すると、ＳＴ２１へ進む。ＳＴ２１では、ＳＴ２１では、近距離通信として、電磁誘導により、ＩＣカード１０のカード側通信装置１３と、医師端末８０の医師端末側リード／ライト装置８１とが通信状態となったか否かを判断する。
　ＳＴ２１で、両者が通信状態であると判断したときは、ＳＴ２２に進み、ＩＣカード１０は、図２の「カード側患者ＩＤ情報記憶部１７」に記憶されている、当該患者の「患者ＩＤ」を医師端末側リード／ライト装置８１へ送信する。 Then, it progresses to ST21. In ST21, in ST21, it is determined whether or not the card side communication device 13 of the IC card 10 and the doctor terminal side read / write device 81 of the doctor terminal 80 are in a communication state by electromagnetic induction as near field communication. .
If it is determined in ST21 that both are in a communication state, the process proceeds to ST22, and the IC card 10 stores the “patient ID” of the patient stored in the “card-side patient ID information storage unit 17” in FIG. Is transmitted to the doctor terminal side read / write device 81.
　次いで、ＳＴ２３で、医師端末８０は、受信した「患者ＩＤ」と、図１の病院サーバ１００が有する図５の「病院サーバ側患者ＩＤ情報記憶部１０５」を参照し、病院サーバ１００に記憶されている患者と、ＩＣカード１０の使用者である患者が一致するか否かを判断する。
　具体的には、図４の「医師端末側患者ＩＤ判断処理部（プログラム）８６」が判断する。 Next, in ST23, the doctor terminal 80 refers to the received “patient ID” and the “hospital server side patient ID information storage unit 105” in FIG. 5 of the hospital server 100 in FIG. It is determined whether the patient who is present and the patient who is the user of the IC card 10 match.
Specifically, the “doctor terminal side patient ID determination processing unit (program) 86” of FIG. 4 determines.
　そして、一致した場合は，既に診察等の履歴等が存在するとして、ＳＴ２４へ進む。ＳＴ２４では、ＩＣカード１０は、図２の「カード側計測体温情報記憶部１８」内の「カード側計測体温情報」を医師端末側リード／ライト装置８１を介して、医師端末８０へ送信する。 If they match, it is determined that there is already a history of medical examination and the like, and the process proceeds to ST24. In ST 24, the IC card 10 transmits “card side measured body temperature information” in the “card side measured body temperature information storage unit 18” of FIG. 2 to the doctor terminal 80 via the doctor terminal side read / write device 81.
　次いで、ＳＴ２５へ進む。ＳＴ２５では、医師端末８０は、ＩＣカード１０から受信したカード側計測生体情報としての「カード側計測体温情報」を、必要に応じて、担当医師によるコメント，診断，アドバイス等の情報と共に、病院サーバ１００の図５の、病院サーバ側計測生体情報記憶部である「病院サーバ側計測体温情報記憶部１０６」に記憶させる。
　次いで、ＳＴ２６へ進み、「病院サーバ側計測体温情報記憶部１０６」に記憶させた「カード側計測体温情報」を、図４の医師端末８０の「医師端末側ディスプレイ８４」に表示させる。
　この「カード側計測体温情報」は、上述のように体温情報のみならず、その計測時刻（年・月・日・時・分）情報等も有するので、担当医師は、当該患者の診察に際し、「病院サーバ側治療・投薬等情報記憶部１０７」に記憶された情報を「医師端末側ディスプレイ８４」に表示させ、かかる情報を参考とすることができる。 Next, the process proceeds to ST25. In ST25, the doctor terminal 80 receives the “card-side measured body temperature information” as the card-side measured biological information received from the IC card 10 together with information such as comments, diagnoses, and advice by the doctor in charge, as necessary. 5 is stored in the “hospital server-side measured body temperature information storage unit 106”, which is the hospital server-side measured biological information storage unit in FIG.
Next, the process proceeds to ST26, and the “card side measured body temperature information” stored in the “hospital server side measured body temperature information storage unit 106” is displayed on the “doctor terminal side display 84” of the doctor terminal 80 in FIG.
This “card-side measured body temperature information” has not only the body temperature information as described above but also the measurement time (year / month / day / hour / minute) information, etc. Information stored in the “hospital server-side treatment / medicine information storage unit 107” can be displayed on the “doctor terminal-side display 84” and used as a reference.
　＜入院患者での使用例＞
　上述のＳＴ１～ＳＴ２４において、ＩＣカード１０の使用者を、病院等の医療機関内の看護師等の医療従事者と置き換えることで説明でき、管理システムの構成は、図１のものと同様である。 <Examples of use in hospitalized patients>
In the above ST1 to ST24, it can be explained by replacing the user of the IC card 10 with a medical worker such as a nurse in a medical institution such as a hospital, and the configuration of the management system is the same as that of FIG. .
　ところで、本発明は、上述の実施の形態に限定されない。本実施の形態では、生体情報の後、特に体温情報を例に説明したが、上述のように、他の脈拍情報、血圧情報、血糖値情報等も同様に扱うことができる。また、携帯用の管理装置として、ＩＣカード１０を用いて説明したが、上述の実施例に限られるものではなく、電話機能・ｅ－メール機能の他にＰＤＡ機能が付いた多機能携帯電話（いわゆるスマートフォン）、ＰＤＡ（Ｐｅｒｓｏｎａｌ　Ｄｉｇｉｔａｌ　Ａｓｓｉｓｔａｎｔ）、携帯型ＰＣ（パーソナルコンピュータ）等も適用可能である。さらには、上述した生体情報計測装置の一つが携帯用の管理装置としての機能を有するものであってもよく、特に通常、携帯して用いられる歩数計、血糖計等に本発明の機能を搭載してもよい。 By the way, the present invention is not limited to the above-described embodiment. In the present embodiment, the body temperature information has been described as an example after the biological information. However, as described above, other pulse information, blood pressure information, blood glucose level information, and the like can be handled in the same manner. Further, although the IC card 10 has been described as a portable management device, the present invention is not limited to the above-described embodiment, and is a multi-function mobile phone with a PDA function in addition to a telephone function / e-mail function ( A so-called smartphone, PDA (Personal Digital Assistant), portable PC (personal computer), and the like are also applicable. Furthermore, one of the above-described biological information measuring devices may have a function as a portable management device, and in particular, the function of the present invention is mounted on a pedometer, a blood glucose meter, etc. that are usually carried around. May be.
　１・・・管理システム、１０・・・ＩＣカード、１１・・・カード側ディスプレイ、１２・・・カード制御部、１３・・・カード側通信装置、１５・・・カード側情報入力装置、１６・・・カード側計時装置、１７・・・カード側患者ＩＤ情報記憶部、１８・・・カード側計測体温情報記憶部、１９・・・使用者氏名検索処理部（プログラム）、２０・・・使用者ＩＤ／氏名対応情報記憶部、２１・・・時刻比較処理部（プログラム）、２２・・・時刻情報修正部（プログラム）、３０・・・体温計、３１・・・体温計制御部、３２・・・体温計電源スイッチ、３３・・・体温計側ディスプレイ、３４・・・体温計側情報入力装置、３５・・・体温計側リード／ライト装置、３６・・体温計側本体装置、３７・・・体温計側計時装置、３８・・・体温計側使用者ＩＤ記憶部、３９・・・体温情報処理部（プログラム）、４０・・・計測体温情報記憶部、４１・・・患者ＩＤ判断処理部（プログラム）、５０・・・パルスオキシメータ、６０・・・血圧計、７０・・・血糖計、８０・・・医師端末、８１・・・医師端末側リード／ライト装置、８２・・・医師端末制御部、８３・・・医師端末側通信装置、８４・・・医師端末側ディスプレイ、８５・・・医師端末側情報入力装置、８６・・・医師端末側患者ＩＤ判断処理部（プログラム）、１００・・・病院サーバ、１０１・・・病院サーバ制御部、１０２・・・病院サーバ側通信装置、１０３・・・病院サーバ側ディスプレイ、１０４・・・病院サーバ側情報入力装置、１０５・・・病院サーバ側患者ＩＤ情報記憶部、１０６・・・病院サーバ側計測体温情報記憶部、１０７・・・病院サーバ側治療・投薬等情報記憶部、１０９・・・電子カルテ DESCRIPTION OF SYMBOLS 1 ... Management system, 10 ... IC card, 11 ... Card side display, 12 ... Card control part, 13 ... Card side communication apparatus, 15 ... Card side information input device, 16 ... Card side timing device, 17 ... Card side patient ID information storage unit, 18 ... Card side measurement body temperature information storage unit, 19 ... User name search processing unit (program), 20 ... User ID / name correspondence information storage unit, 21 ... time comparison processing unit (program), 22 ... time information correction unit (program), 30 ... thermometer, 31 ... thermometer control unit, 32 ..Thermometer power switch, 33 ... thermometer side display, 34 ... thermometer side information input device, 35 ... thermometer side read / write device, 36..thermometer side main body device, 37 ... thermometer side timekeeping Equipment, 38 ··· Thermometer side user ID storage unit, 39 ··· Body temperature information processing unit (program), 40 ··· Measurement body temperature information storage unit, 41 ··· Patient ID determination processing unit (program), 50 ··· Pulse Oximeter, 60 ... Blood pressure monitor, 70 ... Blood glucose meter, 80 ... Doctor terminal, 81 ... Doctor terminal side read / write device, 82 ... Doctor terminal control unit, 83 ... Doctor Terminal side communication device, 84 ... Doctor terminal side display, 85 ... Doctor terminal side information input device, 86 ... Doctor terminal side patient ID judgment processing part (program), 100 ... Hospital server, 101 ..Hospital server control unit, 102 ... Hospital server side communication device, 103 ... Hospital server side display, 104 ... Hospital server side information input device, 105 ... Hospital server side patient ID information storage unit, 106 ・· Hospital server-side measurement temperature information storage section, 107 ... hospital server-side treatment and medication such information storage unit, 109 ... electronic medical records

Claims (4)

  1. 　複数種類の生体情報計測装置が計測した対象者の複数種類の生体情報を一元管理するための携帯用の管理装置であって、
    　前記生体情報計測装置と通信可能な距離となったときに通信を開始する通信部と、
    　前記生体情報計測装置から取得した生体情報を、その対象者の識別情報と共に取得し、関連付けて生体関連情報として記憶する生体関連情報記憶部と、
    　各種情報を表示する表示部と、時刻情報修正部と、制御部とを備え、
    　少なくとも、前記生体関連情報の前記生体情報を前記識別情報と共に、前記表示部に表示する構成と共に、前記通信部は、前記制御部の制御により前記生体関連情報の対象者を診察する医療従事者が管理する医療従事者端末装置と通信可能な距離となったときに通信を開始し、前記生体関連情報を送信する構成であり、
    　前記生体情報計測装置は、計測装置側計時部を有し、前記生体情報計測装置が待機モード又は静置状態にあることを条件に、前記制御部の制御により、前記計測装置側計時部の時刻情報が所定以内にないと判断された場合に、前記制御部の制御により、前記時刻情報修正部を動作させて前記通信部を経て、前記生体情報計測装置の前記計時装置側計時部の時刻を修正する構成となっていることを特徴とする管理装置。     A portable management device for centrally managing multiple types of biological information of a subject measured by multiple types of biological information measurement devices,
    A communication unit that starts communication when a distance communicable with the biological information measuring device is reached;
    A biological information storage unit that acquires the biological information acquired from the biological information measuring device together with the identification information of the target person, and stores the biological information as related biological information;
    A display unit that displays various information, a time information correction unit, and a control unit,
    The communication unit is configured to display at least the biological information of the biological related information together with the identification information on the display unit, and a medical worker who examines the subject of the biological related information under the control of the control unit. It is configured to start communication when it becomes a communicable distance with a medical staff terminal device to manage, and transmit the biological related information,
    The biological information measuring device has a measuring device side time measuring unit, and the time of the measuring device side time measuring unit is controlled by the control unit on condition that the biological information measuring device is in a standby mode or a stationary state. When it is determined that the information is not within a predetermined range, the time information correction unit is operated by the control of the control unit, and the time of the time measuring unit side time measuring unit of the biological information measuring device is set via the communication unit. A management apparatus characterized by being configured to be corrected.
  2. 　前記管理装置は、その形状が扁平の小型のカード状を成し、前記生体情報計測装置との通信を行うための非接触ＩＣ（Ｉｎｔｅｇｒａｔｅｄ　Ｃｉｒｃｕｉｔ）（集積回路）を備えていることを特徴とする請求項１に記載の管理装置。 The management device has a flat and small card shape, and includes a non-contact IC (Integrated Circuit) (integrated circuit) for communicating with the biological information measuring device. The management apparatus according to claim 1.
  3. 　前記生体情報計測装置と、
    　前記管理装置と、を含む生体情報管理システムであって、
    　前記生体情報計測装置は、その計測した対象者の前記生体情報を前記管理装置に送信する前に、当該前記管理装置が目的の前記管理装置であるか否かを判断する構成となっていることを特徴とする請求項１又は請求項２に記載の生体情報取得装置を有する管理システム。     The biological information measuring device;
    A biological information management system including the management device,
    The biological information measuring device is configured to determine whether or not the management device is the target management device before transmitting the measured biological information of the subject to the management device. A management system comprising the biological information acquisition apparatus according to claim 1 or 2.
  4. 　複数種類の生体情報計測装置が計測した対象者の複数種類の生体情報を管理するための携帯用の生体情報管理方法であって、
    　前記生体情報計測装置と通信可能な距離となったときに通信を開始する通信部と、
    　前記生体情報計測装置から取得した生体情報を、その対象者の識別情報と共に取得し、関連付けて生体関連情報として記憶する生体関連情報記憶部と、
    　各種情報を表示する表示部と、時刻情報修正部と、制御部を備え、
    　少なくとも、前記生体関連情報の前記生体情報を前記識別情報と共に、前記表示部に表示する構成と共に、前記通信部は、前記制御部の制御により前記生体関連情報の対象者を診察する医療従事者が管理する医療従事者端末装置と通信可能な距離となったときに通信を開始し、前記生体関連情報を送信し、
    　前記生体情報計測装置は、計測装置側計時部を有し、前記生体情報計測装置が待機モードまたは静置状態にあることを条件に、前記制御部の制御により、前記計測装置側計時部の時刻情報が所定以内にないと判断された場合に、前記制御部の制御により、前記時刻情報修正部を動作させ、前記通信部を経て、前記生体情報計測装置の前記計時装置側計時部の時刻を修正することを特徴とする管理方法。     A portable biological information management method for managing a plurality of types of biological information of a subject measured by a plurality of types of biological information measuring devices,
    A communication unit that starts communication when a distance communicable with the biological information measuring device is reached;
    A biological information storage unit that acquires the biological information acquired from the biological information measuring device together with the identification information of the target person, and stores the biological information as related biological information;
    A display unit for displaying various information, a time information correction unit, and a control unit,
    The communication unit is configured to display at least the biological information of the biological related information together with the identification information on the display unit, and a medical worker who examines the subject of the biological related information under the control of the control unit. Start communication when it becomes a communicable distance with the medical staff terminal device to manage, transmit the biological body related information,
    The biological information measuring device has a measuring device-side time measuring unit, and the time of the measuring device-side time measuring unit is controlled by the control unit on the condition that the biological information measuring device is in a standby mode or a stationary state. When it is determined that the information is not within the predetermined range, the time information correction unit is operated by the control of the control unit, and the time of the time measuring unit side time measuring unit of the biological information measuring device is set via the communication unit. A management method characterized by correcting.
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