WO2018110295A1

WO2018110295A1 - Care plan ouput apparatus, care plan ouput method and care plan ouput system, and person-to-be-monitored monitoring system

Info

Publication number: WO2018110295A1
Application number: PCT/JP2017/043040
Authority: WO
Inventors: 雅史西角; 篤広野田; 雅己浅野
Original assignee: コニカミノルタ株式会社
Priority date: 2016-12-13
Filing date: 2017-11-30
Publication date: 2018-06-21
Also published as: JP7137142B2; JPWO2018110295A1

Abstract

In the care plan output apparatus, care plan output method, and care plan output system according to the present invention, a plurality of care plans associated respectively with a plurality of persons to be cared are stored, unimplemented care plan elements are sorted for each of the plurality of persons to be cared on the basis of the stored plurality of care plans and in a prescribed order of priority regarding time in reference to a prescribed point in time, and the unimplemented care plan elements are output for each of the plurality of persons to be cared so that the care plan elements are displayed in order of the sorting in a case where the care plans are displayed. The person-to-be-monitored monitoring system according to the present invention includes the care plan output apparatus.

Description

Care plan output device, method and system, and monitored person monitoring system

The present invention relates to a care plan output device that outputs a care plan such as a nursing plan or a care plan, a care plan output method and a care plan output system, and a monitored person monitoring system including the care plan output device.

Japan (Japan) is an aging society, more specifically, an aging society with an aging rate exceeding 21%. In such an aging society, nurses who need nursing or nursing care due to illness, injury, elderly age, etc. need caregivers who need nursing care or need care in a normal society that is not an aging society. That increase is expected. These nurses and care recipients enter hospitals and other facilities such as welfare facilities for the elderly (Japanese old law short-term entrance facilities, nursing homes for the elderly and special nursing homes for the elderly, etc.) and receive nursing and nursing care. . In such a facility, care plans such as nursing plans and care plans are created (drafted and formulated), and care recipients and care recipients (care recipients) are cared for according to the care plans. As one of techniques related to such a care plan, for example, Patent Document 1 discloses a care plan creation system.

By the way, nurses and caregivers (caregivers) carry out predetermined care according to a care plan for nurses requiring care and caregivers (care recipients). However, since the care plan is usually created in advance, the situation and circumstances of the care target at the timing (time point) at which the care is actually performed according to the care plan are not considered. For this reason, for example, when a caregiver tries to perform care, when the caregiver goes to a place where the care target is located, the care target is absent or the care target is performing The care person may be in a situation of a care target person who cannot perform the care on the care target person. In addition, for example, when a care recipient receives a visit when the care recipient is about to take care, the care cannot be performed, or the care recipient is not sleeping or the care recipient does not want to wake up. In addition, there may be a situation of a care target person who does not want to receive care, such as being awakened when receiving a visit by a care person. In such a case, care efficiency may be reduced due to waste of visits by the caregiver, troublesome work for the care recipient, and the comfort of the care recipient may be impaired.

JP 2003-99537 A

The present invention is an invention made in view of the above-described circumstances, and its purpose is a care plan output device, a care plan output method, and a care plan output that can carry out more appropriate care according to the situation and circumstances of the person to be treated Is to provide a system. And the objective of this invention is providing the to-be-monitored person monitoring system containing the said care plan output device.

In order to achieve the above-described object, a care plan output device, a care plan output method, and a care plan output system that reflect one aspect of the present invention store a plurality of care plans associated with a plurality of care subjects, respectively. Based on the plurality of stored care plans, the care plan elements that are not yet performed in each of the plurality of care subjects are sorted in a predetermined priority order with respect to time based on a predetermined time point. When displaying, the care plan element which is not yet implemented in each of the plurality of care subjects is output so as to be displayed in the sorted order. The monitored person monitoring system reflecting one aspect of the present invention includes the care plan output device.

The advantages and features afforded by one or more embodiments of the invention will be more fully understood from the detailed description and accompanying drawings provided below. The detailed description and the accompanying drawings are given by way of example only and are not intended as a definition of the limitations of the invention.

It is a figure which shows the structure of the to-be-monitored person monitoring system in embodiment. It is a figure which shows the structure of the sensor apparatus in the said to-be-monitored person monitoring system. It is a figure which shows the structure of the management server apparatus in the said to-be-monitored person monitoring system. It is a figure which shows the structure of the monitoring information table memorize | stored in the said management server apparatus. It is a figure which shows the structure of the care plan information table memorize | stored in the said management server apparatus. It is a figure which shows the structure of the care record information table memorize | stored in the said management server apparatus. It is a figure which shows the structure of the next care information table memorize | stored in the said management server apparatus. It is a figure which shows the structure of the portable terminal device in the said to-be-monitored person monitoring system. It is a figure which shows an example of the standby screen displayed on the said portable terminal device. It is a figure which shows an example of the monitoring information screen displayed on the said portable terminal device. It is a figure which shows an example of the nurse call reception screen displayed on the said portable terminal device. It is a flowchart which shows operation | movement of the said management server apparatus. It is a flowchart which shows the process of the 1st care plan shown in FIG. It is a flowchart which shows the process of the 2nd care plan shown in FIG. It is a flowchart which shows the process of the care record shown in FIG. It is a sequence diagram which shows operation | movement of the care plan display (1st care plan display mode) of the 1st aspect in the said to-be-monitored person monitoring system. It is a figure which shows an example of the submenu screen displayed on the said portable terminal device. It is a figure which shows an example of the 1st care plan screen displayed on the said portable terminal device. It is a sequence diagram which shows operation | movement of the care plan display (2nd care plan display mode) of the 2nd aspect in the said to-be-monitored person monitoring system. It is a figure which shows an example of the format selection screen displayed on the said portable terminal device. It is a figure which shows an example of the 2nd care plan screen displayed on the said portable terminal device. It is a figure which shows an example of the recording format screen for excretion care displayed on the said portable terminal device. It is a figure which shows an example of the recording format screen for morning care displayed on the said portable terminal device.

Hereinafter, one or more embodiments of the present invention will be described with reference to the drawings. However, the scope of the invention is not limited to the disclosed embodiments. In addition, the structure which attached | subjected the same code | symbol in each figure shows that it is the same structure, The description is abbreviate | omitted suitably. In this specification, when referring generically, it shows with the reference symbol which abbreviate | omitted the suffix, and when referring to an individual structure, it shows with the reference symbol which attached | subjected the suffix.

The monitored person monitoring system according to the embodiment monitors a monitored person (watched person) Ob that is a monitored object (watched object) to be monitored (watched). In this embodiment, the monitored person is monitored. A care plan output system for outputting care plans with Ob as a care target is included. The care plan is a plan that includes one or a plurality of care schedule elements and types of care associated with each other as care plan elements, and is created (planned, formulated, and planned) corresponding to the care target person. The In this embodiment, the monitored person monitoring system is provided corresponding to the monitored person (that is, the care target person) Ob and detects a predetermined event related to the monitored person Ob, A central management device that is communicably connected to the sensor device, manages an event detected by the sensor device and received from the sensor device, and the central management device that is communicably connected to the central management device via the central management device. A terminal device that receives notification of an event detected by the sensor device is provided. The central management device includes a care plan output device that outputs a care plan. In this embodiment, the care plan output device includes a care plan information storage unit that stores a plurality of care plans associated with each of a plurality of care subjects Ob, and a plurality of cares stored in the care plan information storage unit. Based on the plan, the care plan sort processing unit that sorts the care plan elements that are not yet implemented in each of the plurality of care target Obs in a predetermined priority order with respect to time based on a predetermined time point, and the care plan are displayed A care plan output that outputs unexecuted care plan elements in each of the plurality of care target Obs sorted by the care plan sort processing unit so as to be displayed in the order sorted by the care plan sort processing unit. A processing unit. Although the terminal device may be one type of device, in the present embodiment, the terminal device is two types of devices, a fixed terminal device and a mobile terminal device. The main difference between these fixed terminal devices and portable terminal devices is that the fixed terminal device is fixedly operated, while the portable terminal device is carried by a monitor (caregiver, user) such as a nurse or a caregiver. The fixed terminal device and the portable terminal device are substantially the same. Such a monitored person monitoring system will be described more specifically below. In the monitored person monitoring system including the care plan output system, the monitored person Ob and the monitor (user) in the monitored person monitoring system correspond to the care target person Ob and the care person in the care plan output system, respectively. .

FIG. 1 is a diagram illustrating a configuration of a monitored person monitoring system according to the embodiment. FIG. 2 is a diagram showing a configuration of a sensor device in the monitored person monitoring system. FIG. 3 is a diagram showing the configuration of the management server device in the monitored person monitoring system. FIG. 4 is a diagram showing a configuration of a monitoring information table stored in the management server device. FIG. 5 is a diagram showing a configuration of a care plan information table stored in the management server device. In FIG. 5, italicized data registered in the eighth record is data added by an update process described later. FIG. 6 is a diagram showing a configuration of a care record information table stored in the management server device. FIG. 7 is a diagram showing a configuration of a next-time care information table stored in the management server device. FIG. 8 is a diagram showing a configuration of a mobile terminal device in the monitored person monitoring system.

More specifically, the monitored person monitoring system MS includes, for example, as shown in FIG. 1, one or a plurality of sensor devices SU (SU-1 to SU-4), a management server device SV, and a fixed terminal device. SP, one or more portable terminal devices TA (TA-1, TA-2), and private branch exchange (PBX) CX, which are wired or wireless, LAN (Local Area Network) Or the like via a network (network, communication line) NW. The network NW may be provided with repeaters such as repeaters, bridges, and routers that relay communication signals. In the example shown in FIG. 1, the plurality of sensor devices SU-1 to SU-4, the management server device SV, the fixed terminal device SP, the plurality of portable terminal devices TA-1, TA-2, and the private branch exchange CX include an L2 switch. Are connected to each other by a wired / wireless LAN (for example, a LAN in accordance with the IEEE 802.11 standard) NW including the LS and the access point AP. More specifically, the plurality of sensor devices SU-1 to SU-4, the management server device SV, the fixed terminal device SP, and the private branch exchange CX are connected to the line concentrator LS, and the plurality of portable terminal devices TA-1, TA-2. Is connected to the line concentrator LS via the access point AP. The network NW constitutes a so-called intranet by using Internet protocol groups such as TCP (Transmission control protocol) and IP (Internet protocol).

A private branch exchange (line switching unit) CX is connected to the network NW, controls extension calls such as outgoing calls, incoming calls, and calls between the portable terminal devices TA, and performs extension calls between the portable terminal devices TA, and For example, outgoing calls, incoming calls, and calls between the external telephone TL and the mobile terminal device TA are connected to an external telephone TL such as a fixed telephone or a mobile telephone via a public telephone network PN such as a fixed telephone network or a mobile telephone network. The outside line telephone is controlled between the outside line telephone TL and the portable terminal device TA. The private branch exchange CX is, for example, a digital exchange or an IP-PBX (Internet Protocol Private Branch eXchange).

The monitored person monitoring system MS is arranged at an appropriate place according to the monitored person Ob. In this embodiment, the person being monitored (person to be watched) Ob is the person to be observed as described above. For example, the person who needs nursing due to illness, injury, etc. And those who live alone. In particular, from the viewpoint of enabling early detection and early action, the monitored person Ob may be a person who needs the detection when a predetermined inconvenient event such as an abnormal state occurs in the person. preferable. For this reason, the monitored person monitoring system MS is suitably arranged in a building such as a hospital, a welfare facility for the elderly, and a dwelling unit according to the type of the monitored person Ob. In the example illustrated in FIG. 1, the monitored person monitoring system MS is disposed in a building of a care facility that includes a plurality of rooms RM in which a plurality of monitored persons Ob live and a plurality of rooms such as a nurse station.

The sensor device SU includes a communication function that communicates with other devices SV, SP, TA via the network NW, and is a device that notifies the management server device SV of a predetermined event related to the monitored person Ob. is there. The predetermined event is preferably a predetermined event that needs to be dealt with. For example, in the present embodiment, the predetermined event is a predetermined action and a nurse call set in advance in the monitored person Ob. For this reason, in this embodiment, the sensor device SU detects a predetermined action in the monitored person Ob, notifies (transmits) the detection result to the management server device SV as an example of the predetermined event, and accepts a nurse call. Then, the nurse call is notified (transmitted) to the management server device SV as another example of the predetermined event, and the device makes a voice call with the terminal devices SP and TA. For example, as shown in FIG. 2, the sensor device SU includes a sensor unit 11, a sensor side sound input / output unit (SU sound input / output unit) 12, a nurse call reception operation unit 13, and a sensor side control process. Unit (SU control processing unit) 14, sensor side communication interface unit (SU communication IF unit) 15, and sensor side storage unit (SU storage unit) 16.

The sensor unit 11 is a device that is connected to the SU control processing unit 14 and detects predetermined various amounts set in advance in the monitored person Ob in accordance with the control of the SU control processing unit 14. The predetermined amounts are appropriately determined according to a predetermined action to be detected in the monitored person Ob. In the present embodiment, the predetermined behavior includes, for example, getting up when the monitored person Ob occurred, leaving the monitored person Ob away from the bedding, falling down when the monitored person Ob fell from the bedding, and monitored person Ob. There are four actions of falling. In order to detect these from the image, the sensor unit 11 includes, for example, an imaging unit.

The imaging unit is an apparatus that is connected to the SU control processing unit 14 and generates an image (image data) according to the control of the SU control processing unit 14. The image includes a still image (still image data) and a moving image (moving image data). The imaging unit is arranged so as to be able to monitor a space (location space, in the example shown in FIG. 1, a room (room) RM) where the monitored subject Ob to be monitored is located. Then, the location space is imaged from above, an image (image data) overlooking the imaging target is generated, and the image (target image) of the imaging target is output to the SU control processing unit 14. Preferably, since there is a high probability that the entire monitored person Ob to be monitored can be imaged, the imaging unit is positioned when the head of the monitored person Ob is located in the bedding (for example, a bed) on which the monitored person Ob is lying. It arrange | positions so that a to-be-photographed object can be imaged from right above the preset head planned position (usually arrangement | positioning position of a pillow) set beforehand. The sensor device SU uses the imaging unit to acquire an image of the monitored person Ob taken from above the monitored person Ob, preferably an image taken from directly above the planned head position.

Such an imaging unit may be a device that generates an image of visible light, but in the present embodiment, it is a device that generates an infrared image so that the monitored person Ob can be monitored even in a relatively dark place. . For example, in the present embodiment, such an imaging unit includes an imaging optical system that forms an infrared optical image of an imaging target on a predetermined imaging surface, and a light receiving surface that matches the imaging surface. An area image sensor that is arranged and converts an infrared optical image in the imaging target into an electrical signal, and data representing an infrared image in the imaging target by performing image processing on the output of the area image sensor The digital infrared camera includes an image processing circuit for generating image data. In the present embodiment, the imaging optical system of the imaging unit is preferably a wide-angle optical system (so-called wide-angle lens (including a fisheye lens)) having an angle of view that can image the entire living room RM in which the imaging unit is disposed. .

In this embodiment, since the sensor unit 11 includes a camera, the sensor device SU generates an image including a moving image and distributes the moving image to the terminal devices SP and TA.

In addition, the sensor unit 11 may further include a Doppler sensor in order to detect awakening and sleep as another one of the predetermined actions. This Doppler sensor is a body motion sensor that transmits a transmission wave, receives a reflection wave of the transmission wave reflected by an object, and outputs a Doppler signal having a Doppler frequency component based on the transmission wave and the reflection wave. . When the object is moving, the frequency of the reflected wave is shifted in proportion to the moving speed of the object due to the so-called Doppler effect. Arise. The Doppler sensor generates a signal of the Doppler frequency component as a Doppler signal and outputs it to the SU control processing unit 14. The transmission wave may be an ultrasonic wave, a microwave, or the like, but is a microwave in the present embodiment. Since the microwave can be transmitted through the clothing and reflected from the body surface of the monitored person Ob, the movement of the body surface can be detected even when the monitored person Ob is wearing clothes. For detection of arousal using a Doppler sensor, for example, “Yuta Masuda, Takayuki Yamaji,“ Sleep State Visualization Technology Using Microwave Sensors ”, Multimedia, Distributed, Collaboration and Mobile (DICOMO2014) Symposium, July 2014 , P1700-p1703 ”,“ Yamamoto Kohei, Tachibana Motoko et al., “Sleep Depth Estimation Based on Remote / Non-contact Body Motion Measurement Using Microwave”, The 29th Annual Conference of the Japan. Known techniques such as the technique disclosed in the literature of Society for Artificial Integrology, 2015 are used.

The SU sound input / output unit 12 is a circuit that inputs and outputs sound. That is, the SU sound input / output unit 12 is a circuit that is connected to the SU control processing unit 14 and generates and outputs a sound corresponding to an electrical signal representing sound according to the control of the SU control processing unit 14. It is a circuit for acquiring the sound of and inputting it into the sensor device SU. The SU sound input / output unit 12 includes, for example, a speaker that converts a sound electrical signal (sound data) into a sound mechanical vibration signal (acoustic signal), and a microphone that converts a sound mechanical vibration signal in the audible region into an electrical signal. And so on. The SU sound input / output unit 12 outputs an electric signal representing an external sound to the SU control processing unit 14, and converts the electric signal input from the SU control processing unit 14 into a sound mechanical vibration signal and outputs the sound. .

The nurse call reception operation unit 13 is connected to the SU control processing unit 14 and is a switch circuit such as a push button switch for inputting the nurse call to the sensor device SU. Note that the nurse call reception operation unit 13 may be connected to the SU control processing unit 14 by wire, or may be connected to the SU control processing unit 14 by short-range wireless communication such as Bluetooth (registered trademark) standard.

The SU communication IF unit 15 is a communication circuit that is connected to the SU control processing unit 14 and performs communication according to the control of the SU control processing unit 14. The SU communication IF unit 15 generates a communication signal containing data to be transferred input from the SU control processing unit 14 in accordance with a communication protocol used in the network NW of the monitored person monitoring system MS, and the generated communication The signal is transmitted to other devices SV, SP, TA via the network NW. The SU communication IF unit 15 receives communication signals from other devices SV, SP, and TA via the network NW, extracts data from the received communication signals, and the SU control processing unit 14 can process the extracted data. The data is converted into data in a proper format and output to the SU control processing unit 14. The SU communication IF unit 15 includes, for example, a communication interface circuit that complies with the IEEE 802.11 standard or the like.

The SU storage unit 16 is a circuit that is connected to the SU control processing unit 14 and stores various predetermined programs and various predetermined data under the control of the SU control processing unit 14. Examples of the various predetermined programs include a SU control program that controls each unit of the sensor device SU according to the function of each unit, and a SU monitoring processing program that executes predetermined information processing related to monitoring of the monitored person Ob. And the like. In the SU monitoring processing program, a predetermined action in the monitored person Ob is detected, and a detection result is notified to the predetermined terminal devices SP and TA via the management server device SV as an example of the predetermined event. When a nurse call is received by the action detection processing program or the nurse call reception operation unit 13, this is notified to the management server device SV as another example of the predetermined event, and the SU sound input / output unit 12 or the like is used. The nurse call processing program for performing a voice call with the terminal devices SP and TA, and the SU streaming that distributes the moving image generated by the imaging unit of the sensor unit 11 to the terminal devices SP and TA that requested the moving image by streaming. A processing program is included. For each of the various predetermined data, each program such as a sensor device identifier (sensor ID) that is an identifier for identifying and identifying the sensor device SU of the own device and a communication address of the management server device SV is executed. Data necessary for doing this is included. The SU storage unit 16 includes, for example, a ROM (Read Only Memory) that is a nonvolatile storage element, an EEPROM (Electrically Erasable Programmable Read Only Memory) that is a rewritable nonvolatile storage element, and the like. The SU storage unit 16 includes a RAM (Random Access Memory) that serves as a working memory of the so-called SU control processing unit 14 that stores data generated during the execution of the predetermined program.

The SU control processing unit 14 is a circuit for controlling each unit of the sensor device SU according to the function of each unit and notifying the management server device SV of a predetermined event related to the monitored person Ob. . More specifically, in the present embodiment, the SU control processing unit 14 detects a predetermined action in the monitored person Ob and notifies the management server device SV of the detection result as an example of the predetermined event (notification, The nurse call is received, the nurse call is notified (notified and transmitted) to the management server device SV as another example of the predetermined event, a voice call is performed between the terminal devices SP and TA, and a moving image is transmitted. Is generated and a moving image is distributed to the terminal devices SP and TA. The SU control processing unit 14 includes, for example, a CPU (Central Processing Unit) and its peripheral circuits. The SU control processing unit 14 executes a sensor processing unit (SU control unit) 141, a behavior detection processing unit 142, a nurse call processing unit 143, and a sensor side streaming processing unit (SU streaming processing) by executing the control processing program. Part) 144 is functionally provided.

The SU control unit 141 controls each part of the sensor device SU according to the function of each part, and governs overall control of the sensor device SU.

The behavior detection processing unit 142 detects a predetermined behavior set in advance in the monitored person Ob and notifies the management server device SV of a detection result as an example of the predetermined event. More specifically, for example, the behavior detection processing unit 142 detects the head of the monitored person Ob based on the target image captured by the imaging unit 11, and the size of the head of the detected monitored person Ob is detected. Based on this time change, the monitored person Ob is detected from getting up, getting out of bed, falling, and falling. More specifically, first, the first threshold Th1 for identifying the location area of the bedding BD, the size of the head of the lying posture and the size of the head of the sitting posture in the location area of the bedding BD, the location area of the bedding BD The second threshold Th2 for identifying whether or not the head is in the standing posture in the living room RM except for the size of the head, and the size of the head in the lying position in the living room RM excluding the area where the bedding BD is located The third threshold value Th3 for identifying whether or not the value is stored in advance in the SU storage unit 16 as one of the various predetermined data. Then, the behavior detection processing unit 142 extracts a moving body region from the target image by using, for example, the background subtraction method or the frame subtraction method, and extracts, for example, a circular or elliptical Hough from the extracted moving body region. The head region of the monitored person Ob is extracted by conversion, for example, by pattern matching using a model of a head prepared in advance, or by, for example, a neural network learned for head detection, and the extracted head Detect waking up, getting out of bed, falling and falling from the position and size of. For example, the behavior detection processing unit 142 determines that the position of the extracted head is within the region where the bedding BD is located, and the size of the extracted head uses the first threshold Th1 to determine the size of the lying posture. When the time changes from the sitting posture to the size of the sitting posture, it is determined that the user gets up and the rising is detected. For example, the behavior detection processing unit 142 is a case where the position of the extracted head changes over time from the location of the bedding BD to the outside of the location of the bedding, and the size of the extracted head is the second size. When the time Th is changed from a certain size to the size of the standing posture by using the threshold Th2, it is determined that the user has left the bed and the bed is detected. For example, the behavior detection processing unit 142 is a case where the position of the extracted head changes over time from the location where the bedding BD is located to the outside of the location where the bedding BD is located, and the size of the extracted head is the first size. When the time changes from a certain size to the size of the recumbent posture by using the three threshold Th3, it is determined that the vehicle has fallen, and the fall is detected. For example, the behavior detection processing unit 142 uses the third threshold value Th3 when the extracted head position is in the room RM excluding the location area of the bedding BD and the extracted head size is the third threshold Th3. When the time changes from the size to the size of the recumbent posture, it is determined that the vehicle has fallen, and the fall is detected.

In addition, when the sensor unit 11 includes the Doppler sensor, the behavior detection processing unit 142 detects awakening and sleep of the monitored person Ob based on the output of the Doppler sensor by using the known technology.

When the predetermined behavior is detected in this way, the behavior detection processing unit 142 notifies the event containing event information (event information) representing the content of the predetermined event (phenomenon) related to the monitored person Ob. The first event notification communication signal is notified to the management server device SV by the SU communication IF unit 15. More specifically, the behavior detection processing unit 142 is a communication signal (first event notification communication signal) containing a sensor ID of the own device, event information indicating the content of the event, and a target image used for detection of the predetermined behavior. ) Is transmitted to the management server device SV via the SU communication IF unit 15. In the present embodiment, the event information is one or more of getting up, getting out of bed, falling, falling, and nurse call (NC). One or more of the falls are accommodated in the first event notification communication signal as the event information. The image may be at least one of a still image and a moving image. In the present embodiment, first, the still image is notified and the moving image is distributed in response to a user request. First, a moving image may be distributed, a still image and a moving image may be transmitted, and the still image and the moving image may be displayed on the terminal devices SP and TA by screen division. Note that the first event notification communication signal may further contain the predetermined action and the detection time of the nurse call.

The nurse call processing unit 143 notifies the management server device SV of a first event notification communication signal accommodated as another example of the predetermined event when the nurse call reception operation unit 13 receives a nurse call. A voice call is performed with the terminal devices SP and TA by using the SU sound input / output unit 12 or the like. More specifically, when the nurse call reception operation unit 13 is input and operated, the nurse call processing unit 143 transmits the first event notification communication signal containing the nurse call as the sensor ID of the own device and the event information as the SU communication. The data is transmitted to the management server device SV via the IF unit 15. The nurse call processing unit 143 uses the SU sound input / output unit 12 and the like to perform a voice call with the terminal devices SP and TA, for example, using VoIP (Voice over Internet Protocol).

When there is a video distribution request from the fixed terminal device SP or the portable terminal device TA via the communication IF unit 3, the SU streaming processing unit 144 sends the request to the fixed terminal device SP or the portable terminal device TA that has made the request. The moving image (for example, live moving image) generated by the imaging unit of the sensor unit 11 is distributed via the SU communication IF unit 15 by streaming reproduction.

FIG. 1 shows, as an example, first to fourth sensor devices SU-1 to SU-4, and the first sensor device SU-1 is one of the monitored persons Ob, Mr. Ob-1 The second sensor device SU-2 is disposed in the living room RM-2 (not shown) of Mr. B Ob-2 who is one of the monitored persons Ob. The third sensor device SU-3 is disposed in the room RM-3 (not shown) of Mr. C Ob-3, one of the monitored subjects Ob, and the fourth sensor device SU-4 is the monitored subject. It is arranged in the room RM-4 (not shown) of Mr. Ob, one of Ob.

The management server device SV has a communication function for communicating with other devices SU, TA, SP via the network NW. When the notification of the predetermined event is received from the sensor device SU, the management server device SV has information on monitoring of the monitored person Ob ( Monitoring information (in this embodiment, for example, the predetermined event (the type of the predetermined action detected by the sensor device SU or the nurse call received by the sensor device SU), the image (still image and moving image) of the monitored person Ob, and The time when the notification is received, etc.), the predetermined event is notified (re-notification, re-notification, transmission) to the predetermined terminal device SP, TA, and the client (the terminal device SP, TA, etc. in this embodiment) ) To the client, and manages the entire monitored person monitoring system MS including the care plan output system. In the present embodiment, the management server device SV manages a plurality of care plans for each of a plurality of monitored persons (care target persons) Ob, and each of the plurality of monitored persons (care target persons) Ob. Manage the contents of the care provided for them as a care record. That is, in this embodiment, the management server device SV includes a care plan output device that outputs a care plan. For example, as shown in FIG. 3, the management server device SV includes a server-side communication interface unit (SV communication IF unit) 21, a server-side control processing unit (SV control processing unit) 22, and a server-side storage unit. (SV storage unit) 23.

Similarly to the SU communication IF unit 15, the SV communication IF unit 21 is a communication circuit that is connected to the SV control processing unit 22 and performs communication according to the control of the SV control processing unit 22. The SV communication IF unit 21 includes, for example, a communication interface circuit that complies with the IEEE 802.11 standard or the like.

The SV storage unit 23 is a circuit that is connected to the SV control processing unit 22 and stores various predetermined programs and various predetermined data under the control of the SV control processing unit 22. Examples of the various predetermined programs include an SV control program for controlling each part of the management server device SV according to the function of each part, and an SV monitoring process for executing predetermined information processing related to monitoring of the monitored person Ob. A care plan processing program for executing predetermined information processing related to a care plan in a program, a monitored person (care target person) Ob, a care recording processing program for executing predetermined information processing related to care recording in a monitored person Ob, A control processing program such as a clock program for measuring time is included. The various kinds of predetermined data include an identifier (server ID) for identifying the management server apparatus SV and identifying the management server apparatus SV, the monitoring information of the monitored person Ob, and the predetermined event. For inputting information between devices SU, SP, and TA, such as notification destinations, sensor information about sensor devices SU, care plan information about care plans, and details of care performed as care records Necessary for executing each program such as format information relating to a recording format of a predetermined format prepared in advance, care record information which is a record of the contents of the care performed, and next care information relating to the next implementation of care. Data etc. are included. In order to store each of these monitoring information, inter-device information, sensor information, care plan information, format information, care record information, and next-time care information, the SV storage unit 23 includes a server-side monitoring information storage unit (SV monitoring information storage unit). ) 231, an inter-device information storage unit 232, a sensor information storage unit 233, a care plan information storage unit 234, a format information storage unit 235, a care record information storage unit 236 and a next-time care information storage unit 237.

The SV monitoring information storage unit 231 stores monitoring information of the monitored person Ob transmitted / received to / from each device SU, SP, TA. More specifically, in the SV monitoring information storage unit 231, in this embodiment, as the monitoring information, information stored in communication signals such as a first event notification communication signal and a corresponding intention notification communication signal described later is stored. Based on sensor ID, event information (event information, in this embodiment, getting up, getting off, falling, falling and nurse call), reception time (or detection time), target image (still image and video), and presence / absence of corresponding reception (Presence / absence of countermeasures) are stored in association with each other.

In this embodiment, this monitoring information is stored in the SV monitoring information storage unit 321 in a table format. The server-side monitoring information table (SV monitoring information table) MT-SV for registering this monitoring information includes, for example, sensor IDs contained in communication signals received from the devices SU, SP, and TA as shown in FIG. A sensor ID field 2311 to be registered, an event field (event field) 2312 for registering event information accommodated in the received communication signal, a reception time field 2313 for registering a reception time of the received communication signal, and the reception A still image field 2314 for registering the still image accommodated in the received communication signal, and a communication address (for example, an IP address) of the sensor device SU corresponding to the sensor ID accommodated in the received communication signal as a live video acquisition source Etc.) and the received video signal 2315 and the received communication signal. A corresponding field 2316 for registering the presence or absence of the corresponding reception to the event information comprises a record for each communication signal thus received (for each event). In the still image field 2314, for example, still image data may be registered, and for example, a file name of still image data may be registered. In the response field 2316, as will be described later, the terminal devices SP and TA accept that the event information contained in the received communication signal is willing to respond (corresponding, treating, or taking measures) (“corresponding”). A flag (corresponding flag) indicating whether or not has been registered. For example, in the present embodiment, the correspondence field 2316 indicates that there is an intention (“corresponding”) to deal with event information (event information registered in the event field 2312) contained in the received communication signal. The terminal device SP or TA indicates that the corresponding flag “1” means that it has been received by the devices SP and TA, or the intention to deal with the event information contained in the received communication signal (“corresponding”). Corresponding flag “0” meaning that it is not accepted is registered. Note that by default, the correspondence field 2316 registers a correspondence flag “0” meaning “not accepted”. When the first event notification communication signal contains the detection time when the predetermined action is detected or the nurse call reception time when the nurse call is received, the detection time or the nurse is used instead of the reception time. The call reception time may be registered.

The inter-device information storage unit 232 stores the inter-device information. In the present embodiment, the inter-device information includes information indicating a notification destination correspondence and information indicating a communication address correspondence. The notification destination correspondence relationship includes a sensor ID and a notification destination (re-transmission destination) indicating a notification destination (re-notification destination, re-notification destination, transmission destination) such as a first event notification communication signal transmitted from the sensor device SU. This is the correspondence relationship with the terminal ID that is the notification destination. The correspondence between the sensor ID and the terminal ID may be many-to-one, one-to-many, or many-to-many. The communication address correspondence relationship is a correspondence relationship between IDs (sensor IDs and terminal IDs) of the devices SU, SP, and TA and their communication addresses. The terminal ID is an identifier for identifying the terminal devices SP and TA and identifying the terminal devices SP and TA. The communication address correspondence relationship is stored in advance in the inter-device information storage unit 232, and the notification correspondence relationship is input from, for example, the terminal devices SP and TA, and the inter-device information storage unit 232 of the management server device SV via the network NW. Stored in advance.

The sensor information storage unit 233 stores the sensor information in advance. In the present embodiment, the sensor information includes the sensor ID of the sensor device SU, the location of the sensor device SU, the monitored person name (care target person name) of the monitored person (care target person) Ob monitored thereby. Is information associated with each other.

The care plan information storage unit 234 stores the care plan information. The care plan is a schedule of care scheduled to be carried out for a care target person, and includes one or a plurality of sets of care execution scheduled times and types of care associated with each other as care plan elements. In the present embodiment, the implementation status information (implementation flag) indicating whether the care plan element is not implemented or has been implemented is stored in the care plan information storage unit 234 in association with the care plan element. . The scheduled execution time of the care is a time when the care is scheduled to be performed. The name of the type of care varies depending on care practices such as nursing practice and care practice, and is arbitrary. As the name of the type of care, for example, morning care (changing clothes, washing face and denture wearing, etc.), meal care (breakfast care, lunch care, dinner care), snack food care, medication, etc. Care, toothpaste care, hydration care, vital check, evening care (change of clothes, toothpaste, removal of dentures, bed transfer, etc.), patrol, and position change, etc., and bathing care that is performed every day of the week or every day, Rehabilitation, recreation, home visits, body wiping, body weight measurement, and the like can be mentioned. For example, excretion care can be given as a place-dependent care. Such a care plan is created for each of a plurality of monitored persons (care target persons) Ob. The morning care is care including at least changing clothes, which is performed when a care target person (monitored person) Ob gets up. The hydration care is care related to hydration in the care subject Ob. The excretion care is care related to excretion in the care subject Ob. This excretion care includes at least one of excretion assistance for assisting the excretion of the care subject Ob and diaper exchange for exchanging the diaper of the care subject Ob. The care plan information storage unit 234 stores a plurality of care plans created for each of a plurality of care target persons (monitored persons) Ob in association with each of the plurality of care target persons (monitored persons) Ob. The initial care plan information is input from, for example, the terminal devices SP and TA, and is stored in advance in the care plan information storage unit 234 of the management server device SV via the network NW.

In this embodiment, this care plan information is stored in the care plan information storage unit 234 in a table format. The care plan information table PT for registering care plan information includes, for example, an execution schedule time field 2341 for registering the scheduled execution time of care and an execution schedule registered in the scheduled execution time field 2341 as shown in FIG. This care is performed for the care type field 2343 in which the type name of the care scheduled to be performed at the time is registered, and the care of the scheduled time and type name registered in the scheduled execution time field 2341 and the care type field 2343, respectively. And an implementation field 2345 for registering the implementation status information indicating whether it has been completed or not implemented, and has a record for each set of scheduled execution time and type name (care plan element). In the implementation field 2345, an implementation flag is registered as the implementation status information. The implementation flag includes an implementation flag “1” indicating that the care has been performed and an execution flag “0” indicating that the care has not been performed. With. Note that, by default, an execution flag “0” indicating that the execution has not been executed is registered in the execution field 2345.

Such a care plan information table PT (PT-SU1, PT-SU2, PT-SU3,...) Is prepared for each care target (monitored person) Ob, and each care of each care target Ob. Each target person name (monitored person name) is associated with each other. FIG. 5 shows, as an example, a care plan information table PT-SU1 associated with “NAME1” which is the name of the care target of the care target Ob monitored by the first sensor device SU-1. . It should be noted that the care plan information table PT is replaced with the care target person name of the care target person Ob or in addition to the care target person name of the sensor apparatus SU that monitors the care target person Ob of the care target person name. It may be associated with the sensor ID.

The format information storage unit 235 stores the format information in advance. The format information is information relating to a recording format for inputting the details of the care performed as a care record, and the recording format is a predetermined format (format, input form) defined in advance, and the type of care. A plurality of them are prepared in advance. The record format is, for example, a record format for morning care, a record format for meal care, a record format for snack food, a record format for medication care, a record format for toothpaste care, a record format for hydration care, In addition, there is a recording format for excretion care, and an example thereof is shown in FIGS. 22 and 23 described later. FIG. 22 shows an example of a recording format for morning care on a screen displayed on the portable terminal device TA. FIG. 23 shows an example of a recording format for excretion care on a screen displayed on the portable terminal device TA. The recording format is an electronic file described in a markup language such as HTML (Hyper Text Markup Language) or XML (Extensible Markup Language), and is stored in the format information storage unit 235 in association with the care type name. The

The care record information storage unit 236 stores the care record information, which is a record of the details of the care performed. A care record information storage unit as the care record information in which the care subject name (monitoree name) of the care subject (monitored person) Ob who is the subject of care is associated with the contents of the care record. 236 is stored.

In this embodiment, such care record information is stored in the care record information storage unit 236 in a table format. More specifically, as shown in FIG. 6, for example, a care record information table RT for registering care record information is prepared for each care target person Ob and is associated with the care target person name of the care target person Ob. Care record information set RS (RS-1, RS-2,...). This care record information set RS is prepared for each care type and is associated with the care type name RST (RST-11, RST-12,..., RST-21, RST-22). ... The care record sub-table RST includes an implementation time field 2361 for registering the time (execution time) at which care is performed, an item field 2362 for registering the contents of the care performed at the time registered in the implementation time field 2361, and an implementation. A memo field 2363 for registering a memo (free description) for the care performed at the time registered in the time field 2361, a time registered in the implementation time field 2361, a content of the care registered in the item field 2362, and The memo field 2363 includes a sharing field 2364 for registering a sharing flag indicating whether or not the memo registered in the memo field 2363 is shared between the plurality of terminal devices SP and TA, and has a record for each care performed. The item field 2362 includes a sub-item field 2362-n corresponding to the plurality of items when the care content includes a plurality of items. For example, in the present embodiment, the care record of the excretion care includes the presence or absence of urination of the monitored person (care target person) Ob, the amount of defecation (defecation amount) defecationed by the monitored person Ob, and the quality of the stool. In order to record, the care record sub-table RST for registering the contents of excretion care includes an A item (urination) subfield 2362-1 for registering the presence or absence of urination and an B item (defecation amount) subfield 2362 for registering the defecation amount. -2 and a C item (feature quality) subfield 2362-3 for registering the quality of the feces. In the memo field 2363, the text data of the memo may be registered as it is, and the file name of the memo file may be registered. The sharing flag is a sharing flag “1” meaning sharing between the plurality of terminal devices SP and TA, and a sharing flag “0” meaning not sharing between the plurality of terminal devices SP and TA. By default, a sharing flag “0” indicating non-sharing is registered in the sharing field 2364.

Thus, in this embodiment, the care record information storage unit 236 includes a set RS of a plurality of tables RST for registering each content of care prepared for each type of care. Prepared and stored for each person (monitored person) Ob.

The next-time care information storage unit 237 stores the next-time care information in advance. The next-time care information is information related to the next execution of care, and is used to obtain the next scheduled execution time in the performed care. Depending on the type of care, for example, morning care or meal care (breakfast care, lunch care, dinner care), etc., care that is scheduled to be performed at a predetermined time within a day, or, for example, There is a care that is scheduled to be performed at predetermined time intervals, such as hydration care and excretion care. In such a case, the next scheduled execution time can be obtained from such a fixed time or time interval. For this reason, the next-time care information includes such a fixed time and time interval, and is appropriately set in advance for each type of care and for each care target (monitored person) Ob. In particular, the time interval is appropriately set according to the circumstances of the care subject Ob. Therefore, in this embodiment. The next-time care information storage unit 237 stores the next-time care information in association with the care target person name (monitored person name) of the care target person (monitored person) Ob and the type of care.

Such next-time care information is stored in the next-time care information storage unit 237 in a table format in this embodiment. More specifically, the next care information table NT for registering next care information includes, for example, a care target person name field 2371 for registering a care target person name (monitored person name), as shown in FIG. A next-care information field 2372 for registering next-care information for each care-type (care-subject) Ob of the care-subject name registered in the subject-name field 2371 according to the type of care. Each person) has a record. The next care information field 2372 includes a sub-field for each care type in order to register next care information for each care type. In the example shown in FIG. 7, the next care information field 2372 includes a morning care subfield 2372-1 for registering next care information for morning care, a breakfast care subfield 2372-2 for registering next care information for breakfast care, and hydration A hydration care subfield 2372-3 for registering next care information for care and an excretion care subfield 2372-4 for registering next care information for excretion care are provided. For example, in the example illustrated in FIG. 7, in the record in which “NAME1” is registered in the care target person name field 2371, the regular time “6:00” is registered in the morning care subfield 2372-1, and the breakfast care sub In the field 2372-2, “7:00” of the regular time is registered, in the hydration care subfield 2372-3, “3 hours” of the time interval is registered, and in the excretion care subfield 2372-4 Is registered with a time interval of “4 hours”. In the present embodiment, scheduled times for morning care and meal care are defined at the same time for a plurality of care subjects Ob.

The SV control processing unit 22 controls each unit of the management server device SV according to the function of each unit, and receives monitoring notification about the monitored person Ob when receiving the notification of the predetermined event from the sensor device SU. The predetermined event is notified (re-notification, re-notification, transmission) to the predetermined terminal devices SP and TA, the data corresponding to the request of the client is provided to the client, and the monitored person including the care plan output system This is a circuit for managing the entire monitoring system MS. In this embodiment, the SV control processing unit 22 manages a plurality of care plans for each of a plurality of monitored persons (care target persons) Ob, and each of the plurality of monitored persons (care target persons) Ob. The contents of the care performed for are managed as care records. The SV control processing unit 22 includes, for example, a CPU and its peripheral circuits. The SV control processing unit 22 executes a server control unit (SV control unit) 221, a server side monitoring processing unit (SV monitoring processing unit) 222, and a server side care plan processing unit (SV) by executing the control processing program. A care plan processing unit) 223, a server-side care recording processing unit (SV care recording processing unit) 224, and a clock unit 225.

The SV control unit 221 controls each unit of the management server device SV according to the function of each unit, and controls the entire management server device SV.

The SV monitoring processing unit 222 executes predetermined information processing related to monitoring of the monitored person Ob. More specifically, when receiving the notification of the predetermined event from the sensor device SU, the SV monitoring processing unit 222 manages monitoring information related to monitoring the monitored person Ob, and transmits the predetermined event to the predetermined terminal device SP. , Notify TA. More specifically, when the SV monitoring processing unit 222 receives the first event notification communication signal from the sensor device SU, the SV monitoring processing unit 222 displays monitoring information regarding monitoring of the monitored person Ob contained in the received first event notification communication signal. The information is stored (recorded) in the SV monitoring information storage unit 231. The SV monitoring processing unit 222 stores the notification destination (renotification destination, notification destination, transfer destination, transmission destination) corresponding to the sensor device SU that has transmitted the received first event notification communication signal in the inter-device information storage unit 232. The selected notification destination correspondence is selected (searched), and a second event notification communication signal is transmitted to the selected terminal devices SP and TA. This selection (search process) is performed based on the sensor ID corresponding to the sensor device SU that has transmitted the received first event notification communication signal. In the second event notification communication signal, if the event information accommodated in the first event notification communication signal is the predetermined action (one or more of getting up, getting out of bed, falling and falling), The communication address corresponding to the sensor device SU having the sensor ID accommodated in the first event notification communication signal is accommodated as the download destination of the sensor ID, the event information and the target image, and the moving image accommodated in the one event notification communication signal. Is done. This communication address is selected (searched) from the communication address correspondence relationship based on the sensor ID corresponding to the sensor device SU that has transmitted the received first event notification communication signal. When the event information accommodated in the first event notification communication signal is the nurse call, the second event notification communication signal includes a sensor ID and event information (nurse) accommodated in the first event notification communication signal. Call) is accommodated.

The SV care plan processing unit 223 executes predetermined information processing related to a care plan in the monitored person (care target person) Ob. For example, the care plan processing unit 223 sorts and outputs (sends) unimplemented care plan elements in a plurality of care target persons Ob, and when the unexecuted care plan elements are changed to implemented, the care plan elements 223 If the care that has been removed and has been changed is a care that will be carried out next time, the care plan is updated to obtain the next scheduled execution time.

More specifically, in this embodiment, the care plan processing unit 223 functionally includes a care plan sort processing unit 2231, a care plan output processing unit 2232, and a care plan update processing unit 2233.

The care plan sort processing unit 2231, based on a plurality of care plans stored in the care plan information storage unit 234, uses a plurality of care subjects (monitored persons) in a predetermined priority order with respect to a predetermined time. ) Sort the care plan elements not yet implemented in each Ob. The predetermined time is appropriately set in advance, for example, the time of sorting. Further, for example, the predetermined time point is a time point when an instruction (request) to output the care plan is received. Also, for example, when the care plan elements that are not yet implemented that are to be sorted are of the same type, the predetermined time point is the predetermined event type (eg, This is the oldest detection time (the detection time detected first) among the detection times when the sensor device SU detects wake-up or nurse call. The predetermined priority order is appropriately set in advance according to the situation and circumstances of the care target person Ob, and is, for example, the order of scheduled care implementation time (order of scheduled execution time). In this embodiment, since the next care information is set according to the situation of the care target person Ob, the situation of the care target person Ob is considered by sorting in order of the scheduled execution time. In addition, for example, when the care plan elements that are not yet implemented that are the sort target are of the same type, in the care plan elements that are not yet implemented, the type of event set in advance among the events (for example, wake-up, nurse call, etc.) Is the order of detection times (detection time order) when the sensor device SU has detected. The order may be descending or ascending. By sorting in the order of detection time in this way, the situation of the care subject Ob is considered.

The care plan output processing unit 2232 displays the plurality of care subjects (monitored) sorted by the care plan sort processing unit 2231 so that the care plans are displayed in the order sorted by the care plan sort processing unit 2231. Person) The care plan element not yet performed in each Ob is output. The care plan may be output (displayed) to the display device by the care plan output processing unit 2232 in the case where the management server device SV further includes a display device such as a liquid crystal display device. Output to SP and TA. Therefore, more specifically, the care plan output processing unit 2232 sends the care plan elements that have not been performed in each of the plurality of care subjects sorted by the care plan sort processing unit 2231 to the terminal devices SP and TA by the SV communication IF. To send as the output.

The care plan update processing unit 2233, when an unexecuted care plan element in a plurality of care plans stored in the care plan information storage unit 234 is changed to implemented, the next time the care plan element changed to the implemented By determining the scheduled execution time and storing the calculated planned schedule time and the type of care of the care plan element that has been changed to the implemented plan in the care plan information storage unit 234 as the care plan, The plurality of care plans stored in the care plan information storage unit 234 are updated.

In the present embodiment, the care plan processing unit 223 is accommodated in the received care record notification communication signal when the care plan update processing unit 2233 receives a later-described care record notification communication signal from the terminal devices SP and TA. Change the care plan element that corresponds to the care that has not been taken to implemented.

The SV care record processing unit 224 executes predetermined information processing related to the care record in the monitored person (care target person) Ob. More specifically, in the present embodiment, when the SV care recording processing unit 224 receives a first selection target notification communication signal to be described later from the terminal devices SP and TA, the SV care recording processing unit 224 responds to the received first selection target notification communication signal. A format notification communication signal containing the recorded format is returned to the terminal devices SP and TA. When the SV care recording processing unit 224 receives a second selection target notification communication signal to be described later from the terminal devices SP and TA, the SV care recording processing unit 224 receives a format notification communication signal containing a recording format corresponding to the received second selection target notification communication signal. A reply is sent to the terminal devices SP and TA. When receiving the care record notification communication signal described later from the terminal devices SP and TA, the SV care record processing unit 224 stores the care record accommodated in the received care record notification communication signal in the care record information storage unit 236.

The clock unit 225 measures time by date and time.

The management server device SV is connected to the SV control processing unit 22 as necessary, as shown by a broken line in FIG. 3, for example, a server side input unit (SV input unit) for inputting various commands, various data, and the like. 24) Server side output unit (SV output unit) 25 that outputs various commands and various data input by the SV input unit 24 and monitoring information related to monitoring of the monitored person Ob, and data between external devices A server-side interface unit (SVIF unit) 26 or the like for performing input / output may be provided.

Such a management server device SV can be configured by a computer with a communication function, for example.

As can be seen from the above, the management server device SV corresponds to an example of a care plan output device, corresponds to an example of a first central management device, and corresponds to an example of a second central management device.

The fixed terminal device SP includes a communication function for communicating with other devices SU, SV, TA via the network NW, a display function for displaying predetermined information, an input function for inputting predetermined instructions and data, and the like. Input predetermined instructions and data to be given to the management server device SV and the portable terminal device TA, display monitoring information obtained by the sensor device SU, display a care plan received from the management server device SV, etc. Thus, the device functions as a user interface (UI) of the monitored person monitoring system MS. Such a fixed terminal device SP can be configured by, for example, a computer with a communication function. The fixed terminal device SP as an example of the first and second terminal devices operates in the same manner as the portable terminal device TA. However, in this specification, the fixed terminal device SP is another example of the first and second terminal devices. The terminal device TA will be described in detail.

The mobile terminal device TA has a communication function for communicating with other devices SV, SP, SU via the network NW, a display function for displaying predetermined information, an input function for inputting predetermined instructions and data, and a voice call. A monitoring function (including moving images) obtained by the sensor device SU by inputting a predetermined instruction or data to be provided to the management server device SV or the sensor device SU, or by notification from the management server device SV. This is a device for displaying, displaying a care plan received from the management server device SV, or answering or calling a nurse call by voice call with the sensor device SU. In the present embodiment, for example, as shown in FIG. 8, such a portable terminal device TA includes a terminal-side communication interface unit (TA communication IF unit) 31, a terminal-side control processing unit (TA control processing unit) 32, and A terminal side storage unit (TA storage unit) 33, a terminal side sound input / output unit (TA sound input / output unit) 34, a terminal side input unit (TA input unit) 35, and a terminal side display unit (TA display unit). 36 and a terminal-side interface unit (TAIF unit) 37.

The TA sound input / output unit 34 is connected to the TA control processing unit 32 and is a circuit for acquiring an external sound and inputting it to the portable terminal device TA. It is a circuit for generating and outputting sound corresponding to a signal. Similar to the SU sound input / output unit 12, the TA sound input / output unit 34 includes, for example, a microphone that converts acoustic vibration into an electric signal, and a speaker that converts an electric signal of sound into an acoustic vibration of sound. Composed. The TA sound input / output unit 34 outputs an electric signal representing an external sound to the TA control processing unit 32, and converts the electric signal input from the TA control processing unit 32 into sound acoustic vibration and outputs the sound.

The TA input unit 35 is connected to the TA control processing unit 32 and is, for example, a circuit that accepts a predetermined operation and inputs it to the mobile terminal device TA, for example, a plurality of input switches assigned with a predetermined function. . The predetermined operation includes, for example, an ID input operation for logging in, a voice call request operation and its end operation, a live video request operation and its end operation, and the notified monitored person. TA display of care plans such as various operations necessary for monitoring, such as an input operation indicating that there is an intention to respond (correspond) to the detection result of the event for Ob (execution intention information), a display operation of a care plan, etc. Various operations necessary for displaying on the unit 36 and various operations necessary for recording the contents of care such as a recording format selection operation and a care record input operation using the recording format are included. The TA display unit 36 is connected to the TA control processing unit 32, and under the control of the TA control processing unit 32, the predetermined operation content input from the TA input unit 35 and the monitored target MS monitored by the monitored person monitoring system MS. The monitoring information related to the monitoring of the monitoring person Ob (for example, the type of predetermined action detected by the sensor device SU, the image (still image and moving image) of the monitored person Ob), the reception of the nurse call, the care plan, the recording format, etc. And a display device such as an LCD (Liquid Crystal Display) and an organic EL display. In the present embodiment, the TA input unit 35 and the TA display unit 36 constitute a touch panel. In this case, the TA input unit 35 is a position input device that detects and inputs an operation position such as a resistance film method or a capacitance method. In this touch panel, a position input device is provided on the display surface of the TA display unit 36, and one or more input content candidates that can be input are displayed on the TA display unit 36. For example, a user such as a nurse or a caregiver ( When the monitor) touches the display position (display area) that displays the input content to be input, the position (area) is detected by the position input device, and the display content displayed at the detected position is input by the user. The contents are input to the portable terminal device TA.

The TAIF unit 37 is a circuit that is connected to the TA control processing unit 32 and inputs / outputs data to / from an external device according to the control of the TA control processing unit 32. For example, the TAIF unit 37 uses the Bluetooth (registered trademark) standard. An interface circuit, an interface circuit that performs infrared communication such as the IrDA standard, and an interface circuit that uses the USB standard.

The TA communication IF unit 31 is a communication circuit that is connected to the TA control processing unit 32 and performs communication according to the control of the TA control processing unit 32, similarly to the SU communication IF unit 15. The TA communication IF unit 31 includes a communication interface circuit that complies with, for example, the IEEE 802.11 standard.

The TA storage unit 33 is a circuit that is connected to the TA control processing unit 32 and stores various predetermined programs and various predetermined data under the control of the TA control processing unit 32. Examples of the various predetermined programs include a TA control program for controlling each part of the mobile terminal device TA according to the function of each part, and a TA monitoring process for executing predetermined information processing related to monitoring of the monitored person Ob. A program, a call processing program for making a voice call with the sensor device SU by using the TA sound input / output unit 34, and the like. A care plan is acquired from the TA streaming processing program to be displayed on the TA display unit 36 or the management server device SV, and the acquired care plan is displayed on the TA display unit 36, or from the management server device SV. Record format, and record (input) and manage the contents of the care performed using the acquired record format It includes control program of the TA care recording processing program to be transmitted to over server apparatus SV. The TA monitoring processing program includes a log program for storing (recording) information related to monitoring (monitoring information) for the monitored person Ob in the TA storage unit 33 upon receipt of an event notification from the management server device SV, and the received event Various programs such as a display control program for displaying the monitoring information on the TA display unit 36 are included. With the various types of predetermined data, each program such as the terminal ID of the own device, the monitoring information related to the monitoring of the monitored person Ob, the sensor information related to the sensor device SU, and the screen information displayed on the TA display unit 36 is executed. Data necessary for doing this is included. In the present embodiment, the sensor information is, for example, data in which the sensor ID of the sensor device SU, the location of the sensor device SU, and the monitored person name monitored thereby are associated with each other. The TA storage unit 33 includes, for example, a ROM and an EEPROM. The TA storage unit 33 includes a RAM serving as a working memory for the so-called TA control processing unit 32 that stores data generated during execution of the predetermined program. In order to store each of the monitoring information and the screen information, the TA storage unit 33 functionally includes a terminal side monitoring information storage unit (TA monitoring information storage unit) 331 and a screen information storage unit 332.

The TA monitoring information storage unit 331 stores the monitoring information. In the present embodiment, the TA monitoring information storage unit 331 includes, as the monitoring information, the sensor ID and event information (event information, wake-up in the present embodiment) accommodated in the second event notification communication signal received from the management server device SV. The communication address of the sensor device SU to which images and moving images are downloaded, the reception time of the second event notification communication signal, the presence or absence of correspondence, and the like are stored in association with each other. More specifically, as shown in FIG. 4, the TA monitoring information storage unit 331 stores the monitoring information in a terminal side monitoring information table (TA monitoring information table) MT-TA similar to the SV monitoring information table MT-SV. Remember.

The screen information storage unit 332 stores in advance an electronic file such as a relatively frequently used screen, for example, a standby screen 51 described later, or a screen received from the management server device SV, for example, a care plan screen 62 (62a, 62b) described later. And an electronic file such as a recording format screen 64 (64a, 64b).

The TA control processing unit 32 controls each part of the mobile terminal device TA according to the function of each part, receives and displays the monitoring information for the monitored person Ob, receives and displays a care plan, and displays a nurse call. It is a circuit for responding and calling out. The TA control processing unit 32 includes, for example, a CPU and its peripheral circuits. The TA control processing unit 32 executes a terminal processing unit (TA control unit) 321, a terminal side monitoring processing unit (TA monitoring processing unit) 322, a call processing unit 323, and a terminal side streaming process by executing a control processing program. Unit (TA streaming processing unit) 324, terminal side care plan processing unit (TA care plan processing unit) 325, and terminal side care recording processing unit (TA care recording processing unit) 326 are functionally provided.

The TA control unit 321 controls each part of the mobile terminal apparatus TA according to the function of each part, and controls the entire mobile terminal apparatus TA.

The TA monitoring processing unit 322 executes predetermined information processing related to monitoring of the monitored person Ob. More specifically, when the TA monitoring processor 322 receives the second event notification communication signal transmitted by the management server device SV due to the first event notification communication signal transmitted by the sensor device SU. The monitoring information of the monitored person Ob is stored (recorded) in the TA monitoring information storage unit 331 based on each information (each data) accommodated in the received second event notification communication signal. The TA monitoring processing unit 322 displays a screen corresponding to each piece of information contained in the received second event notification communication signal on the TA display unit 36. Then, when receiving a predetermined input operation from the TA input unit 35, the TA monitoring processing unit 322 executes a predetermined process corresponding to the input operation.

The call processing unit 323 performs a voice call with the sensor device SU by using the TA sound input / output unit 34 or the like. More specifically, for example, the call processing unit 323 transmits the first event notification communication signal that causes the transmission of the second event notification communication signal to the management server device SV using the TA sound input / output unit 34 or the like. For example, VoIP is performed with the transmission source sensor device SU.

The TA streaming processing unit 324 receives the distribution of the moving image from the sensor device SU, and displays the distributed moving image on the TA display unit 36 by streaming reproduction.

The TA care plan processing unit 325 executes predetermined information processing related to a care plan in the monitored person (care target person) Ob. More specifically, when the TA care plan processing unit 325 receives, from the management server device SV, an unexecuted care plan element for each of a plurality of care target persons (monitored persons) Ob, the received plurality of the received plurality of care plan elements. The care plan elements that have not been performed for each care target Ob are displayed on the TA display unit 36 in the order sorted by the care plan sort processing unit 2231 of the management server device SV.

More specifically, the TA care plan processing unit 325, when the care plan elements that have not been performed in each of the plurality of care subjects Ob include different types, each of the plurality of care subjects Ob has not yet been performed. The elements are displayed in the order sorted by the care plan sort processing unit 2231 on the TA display unit 36 that constitutes the touch panel, with the combination of the name of the care subject Ob and the type of care type. Here, as will be described later, in the touch panel, an area for displaying a set of the name of the care subject Ob and the type of care is a first for inputting an instruction to display the recording format on the touch panel. It is a button.

On the other hand, the TA care plan processing unit 325 determines an unexecuted care plan element for each of the plurality of care target persons Ob when the unexecuted care plan elements for each of the plurality of care object persons Ob are the same type. In the name sorted by the care plan sort processing unit 2231, the care target person Ob is displayed on the TA display unit 36 constituting the touch panel. Here, the area for displaying the name of the care subject Ob on the touch panel is a second button for inputting an instruction to display the recording format on the touch panel.

The TA care record processing unit 326 executes predetermined information processing related to care records in the monitored person (care target person) Ob. More specifically, the TA care record processing unit 326 acquires (receives) a predetermined recording format from the management server device SV, displays it on the TA display unit 36, and receives the contents of care using the recording format. It transmits to the management server device SV.

More specifically, when the TA care record processing unit 326 receives an input operation of the first button, the TA care record processing unit 326 uses the name of the care target Ob displayed on the first button that has received the input operation and the name of the type of care. A communication signal for requesting a corresponding recording format (first communication signal, first selection target notification communication signal) is transmitted to the management server device SV by the TA communication IF unit 31, and a communication signal containing the recording format (second When the TA communication IF unit 31 receives the communication signal and the format notification communication signal) from the management server device SV, the recording format accommodated in the format notification communication signal is displayed on the TA display unit 36 constituting the touch panel. .

On the other hand, when receiving the input operation of the second button, the TA care recording processing unit 326 corresponds to the name of the care target Ob displayed on the second button that has received the input operation and the same type. A communication signal for requesting a recording format (third communication signal, first selection target notification communication signal) is transmitted to the management server device SV by the TA communication IF unit 31, and a communication signal containing the recording format (fourth communication signal) , The format notification communication signal) is received from the management server device SV by the TA communication IF unit 31, the recording format accommodated in the format notification communication signal is displayed on the TA display unit 36 constituting the touch panel.

The TA care record processing unit 326 receives the content of care from the TA input unit 35 using the recording format displayed on the TA display unit 36, and receives a communication signal (fifth). The communication signal and the care record notification communication signal) are transmitted to the management server device SV by the TA communication IF unit 31.

In the embodiment, the TA care plan processing unit 325 corresponds to an example of a display processing unit that performs display on the touch panel, and the TA care recording processing unit 326 processes a communication with the first central management device. It corresponds to an example.

Such a portable terminal device TA can be configured by a portable communication terminal device such as a so-called tablet computer, a smartphone, or a mobile phone.

Next, the operation of the monitored person monitoring system in this embodiment will be described. FIG. 9 is a diagram illustrating an example of a standby screen displayed on the mobile terminal device. FIG. 10 is a diagram illustrating an example of a monitoring information screen displayed on the mobile terminal device. FIG. 11 is a diagram illustrating an example of a nurse call reception screen displayed on the mobile terminal device. FIG. 12 is a flowchart showing the operation of the management server device. FIG. 13 is a flowchart showing the processing of the first care plan shown in FIG. FIG. 14 is a flowchart showing the processing of the second care plan shown in FIG. FIG. 15 is a flowchart showing the care record processing shown in FIG. FIG. 16 is a sequence diagram showing the operation of the care plan display (first care plan display mode) of the first mode in the monitored person monitoring system. FIG. 17 is a diagram illustrating an example of a submenu screen displayed on the mobile terminal device. FIG. 18 is a diagram illustrating an example of a first care plan screen displayed on the mobile terminal device. FIG. 19 is a sequence diagram showing the operation of the care plan display (second care plan display mode) of the second mode in the monitored person monitoring system. FIG. 20 is a diagram illustrating an example of a format selection screen displayed on the mobile terminal device. FIG. 21 is a diagram illustrating an example of a second care plan screen displayed on the mobile terminal device. FIG. 22 is a diagram illustrating an example of a recording format screen for excretion care displayed on the mobile terminal device. FIG. 23 is a diagram showing an example of a morning care recording format screen displayed on the portable terminal device.

In the following, first, an operation for monitoring a person to be monitored will be described first with reference to FIGS. 9 to 11, and then, a schematic operation of the management server device SV will be described with reference to FIG. 12. Third, with reference to FIG. 12, FIG. 13, FIG. 15 to FIG. 18, FIG. 22, and FIG. 23, each operation of the display of the first care plan screen and the care record will be described, and 3 will be described with reference to FIG. 12, FIG. 14, FIG. 15, and FIG. 19 to FIG.

In the monitored person monitoring system MS having the above-described configuration, each device SU, SV, SP, TA performs initialization of each required unit and starts its operation when the power is turned on. In the sensor device SU, by executing the control processing program, the SU control processing unit 14 is functionally configured with a SU control unit 141, a behavior detection processing unit 142, a nurse call processing unit 143, and a SU streaming processing unit 144. . In the management server device SV, by executing the control processing program, the SV control processing unit 22 includes the SV control unit 221, the SV monitoring processing unit 222, the SV care plan processing unit 223, the SV care recording processing unit 224, and the clock unit 225. Is configured functionally, and in the SV care plan processing unit 223, a care plan sort processing unit 2231, a care plan output processing unit 2232, and a care plan update processing unit 2233 are functionally configured. In the portable terminal device TA, by executing the control processing program, the TA control processing unit 32 includes a TA control unit 321, a TA monitoring processing unit 322, a call processing unit 323, a TA streaming processing unit 324, and a TA care plan processing unit 325. The TA care record processing unit 326 is functionally configured.

(Monitoring operation)
In the monitoring operation, the sensor device SU detects a predetermined operation in the monitored person Ob by performing the following operation every frame or every several frames, and whether or not a nurse call is accepted. Is judged. First, the sensor device SU acquires an image (image data) for one frame from the image sensor as a target image, detects a predetermined action in the monitored person Ob based on the acquired target image, and performs the predetermined operation. When an action is detected, in order to notify the detection result to a predetermined terminal device SP or TA, a first event notification communication signal for detecting the predetermined action that contains the predetermined action detected as the event information is stored. Is transmitted to the management server device SV. While operating in this manner, the sensor device SU determines whether or not a nurse call is accepted, and when accepting the nurse call, notifies the predetermined terminal devices SP and TA of the acceptance of the nurse call. In addition, the sensor device SU transmits a first event notification communication signal for receiving the nurse call, which accommodates the received nurse call as the event information, to the management server device SV.

When the management server device SV receives the first event notification communication signal from the sensor device SU via the network NW, the management server device SV performs monitoring information processing by the SV monitoring processing unit 222. More specifically, the SV monitoring processing unit 222 first monitors each information such as sensor ID and event information accommodated in the received first event notification communication signal by the sensor device SU having this sensor ID. Stored (recorded) as monitoring information of the monitored person Ob. Then, the management server device SV uses the SV monitoring processing unit 222 to notify the notification destination terminal device corresponding to the transmission source (notification source) sensor device SU in the received first event notification communication signal from the notification destination correspondence relationship. SP and TA are specified, and a second event notification communication signal is transmitted to the terminal device SP or TA that is the notification destination.

When receiving the second event notification communication signal from the management server device SV via the network NW, the fixed terminal device SP and the mobile terminal device TA are accommodated in the second event notification communication signal by the TA monitoring processing unit 322. Each information such as the sensor ID and the event information is stored (recorded) as monitoring information of the monitored person Ob monitored by the sensor device SU having the sensor ID, and the monitoring information is displayed.

More specifically, the operation of the portable terminal device TA will be described. As described above, when the power is turned on and the operation is started, the portable terminal device TA can be operated by, for example, a nurse or a caregiver. A login operation by the monitor (user) is accepted, and the TA monitor processing unit 322 displays a standby screen waiting for a communication signal addressed to the own device on the TA display unit 36. For example, as shown in FIG. 9, the standby screen 51 includes a menu bar area 511 for displaying a menu bar, and a standby main area for displaying a message indicating standby (for example, “no notification”) and an icon. 512, a time area 513 for displaying the current time, a year / month / sunday area 514 for displaying the current year / month / sunday, and a user name area 515 for displaying the name of the user who is currently logged in to the portable terminal device TA. Is provided.

When the second event notification communication signal is received while waiting for the communication signal addressed to itself, the portable terminal device TA uses the TA monitoring processing unit 322 of the TA control processing unit 32 to change the received second event notification communication signal. The stored monitoring information related to the monitoring of the monitored person Ob is stored (recorded) in the TA monitoring information storage unit 331, and a screen corresponding to each information stored in the received second event notification communication signal is displayed on the TA display unit. 36.

More specifically, when the event information contained in the received second event notification communication signal is the predetermined action, the TA monitoring processing unit 322 displays the monitoring information screen 52 shown in FIG. 11, on the other hand, if the event information contained in the received second event notification communication signal is the nurse call, for example, a nurse call acceptance screen 53 shown in FIG. indicate.

The monitoring information screen 52 is a screen for displaying the monitoring information related to the monitoring of the monitored person Ob. For example, as shown in FIG. 10, the monitoring information screen 52 includes a menu bar area 511, the location of the sensor device SU having the sensor ID accommodated in the received second event notification communication signal, and the sensor ID. From the monitored person name area 521 for displaying the name of the monitored person Ob monitored by the sensor device SU having the above and the reception time of the received second event notification communication signal (or the detection time of the predetermined action) , The detection information display area 522 for displaying the event information (the detection result of the predetermined action) accommodated in the received second event notification communication signal, and the received second event notification communication signal Images (ie, target images taken by the sensor device SU having the sensor ID) (here, still images) are displayed. That includes an image area 523, a "corresponding" button 524, a "talk" button 525, a "See LIVE" button 526.

In the detection information display area 522, the detection results (in this embodiment, names of getting up, getting out of bed, falling down, and falling down) contained in the received second event notification communication signal may be displayed as they are. In the present embodiment, the detection result is displayed as an icon that symbolically represents the detection result. In order to display with this icon, the TA storage unit 33 stores each action and an icon representative of the action in association with each other in advance. In the example illustrated in FIG. 10, the detection information display area 522 displays a wake-up icon that symbolizes wake-up. In the monitoring information screen 52, the “corresponding” button 524 performs a predetermined response (handling, treatment, measures) such as lifesaving, nursing, care, and assistance to the detection result displayed on the monitoring information screen 52. It is a button for inputting to the mobile terminal device TA that the intention is for the user of the mobile terminal device TA. The “speak” button 525 is a button for requesting a voice call, and is used to input an instruction to connect the sensor device SU of the sensor ID and the mobile terminal device TA via the network NW. It is a button. The “LIVE” button 526 is a button for requesting a live video, and is a button for inputting an instruction to display a video captured by the sensor device SU of the sensor ID.

The nurse call reception screen 53 is a screen for displaying reception of a nurse call. For example, as shown in FIG. 11, the nurse call reception screen 53 includes a menu bar area 511, a monitored person name area 521, a detection information display area 522, and a message indicating that a nurse call has been received (for example, “ A nurse call reception notification display area 531 for displaying “It is a nurse call”), a “corresponding” button 524, and a “speak” button 525. In the nurse call reception screen 53, the detection information display area 522 displays only the elapsed time from the reception time of the received second event notification communication signal (or the reception time of reception of the nurse call). The nurse call reception screen 53 may further include a “view LIVE” button 526.

When the mobile terminal device TA receives an input operation while the monitoring information screen 52 or the nurse call reception screen 53 is displayed, the TA control processing unit 32 converts the mobile terminal device TA into the contents of the input operation. Appropriate processing is executed, this processing is terminated, and the next communication signal addressed to the own device is awaited.

For example, when the TA control processing unit 32 accepts an input operation of the “corresponding” button 524, the mobile terminal device TA first registers the monitoring information of the monitored person Ob currently displayed on the TA display unit 36. The corresponding flag “1” indicating the corresponding reception is registered in the corresponding field 3316 of the record being recorded (here, the record in which the monitoring information contained in the received second event notification communication signal is registered). Then, the TA control processing unit 32 receives sensor ID, event information and “corresponding” corresponding to the monitoring information of the monitored person Ob displayed on the TA display unit 36 (corresponding intention information). Is transmitted to the management server device SV. The management server device SV that has received the corresponding communication intention notification communication signal first receives the received first response in the SV monitoring information table MT-SV stored in the SV monitoring information storage unit 231 by the SV control processing unit 22. The correspondence field 2316 of the record in which the sensor ID and the event information accommodated in the intentional notification communication signal are registered in the sensor ID field 2311 and the event field 2312, respectively, and the correspondence flag “0” is registered in the correspondence field 2316. Is registered with the corresponding flag “1” indicating the reception of the correspondence, and then the communication signal containing the sensor ID, the event information, and the corresponding intention information contained in the received corresponding intention notification communication signal (corresponding intention communication) Signal) to the terminal devices SP and TA by broadcast communication. As a result, regarding the sensor ID corresponding to the monitoring information of the monitored person Ob displayed on the TA display unit 36, the fact that “corresponding” has been received is synchronized between the terminal devices SP and TA.

Further, for example, when the mobile terminal device TA receives an input operation of the “speak” button 525 by the TA control processing unit 32, the call processing unit 323 displays the monitored subject Ob currently displayed on the TA display unit 36. A communication signal (call request communication signal) containing information such as requesting a voice call is transmitted to the monitoring sensor device SU, and the corresponding sensor device SU is connected to the sensor device SU via the network NW so as to be able to make a voice call. . As a result, a voice call can be made between the mobile terminal device TA and the sensor device SU. When the TA control processing unit 32 receives an input operation of an “end” button (not shown) that is a button for inputting an instruction to end a voice call, the portable terminal device TA causes the TA processing unit 323 to A communication signal (call end communication signal) containing information such as a request to end the voice call is transmitted to the sensor device SU that monitors the monitored person Ob displayed on the display unit 36. Thereby, the voice call between the mobile terminal device TA and the sensor device SU is terminated.

Further, for example, when the mobile terminal device TA receives an input operation of the “watch live” button 526 by the TA control processing unit 32, the TA streaming processing unit 324 displays the monitored object currently displayed on the TA display unit 36. A communication signal (video distribution request communication signal) containing information such as requesting live video distribution is transmitted to the sensor device SU that monitors the person Ob, and the sensor device SU and the network NW corresponding thereto are transmitted. The video is connected to be downloadable via the sensor device SU, receives live video distribution from the sensor device SU, and displays the distributed video on the TA display unit 36 by streaming playback. On the monitoring information screen 52 that displays the live video, the video is displayed in the image area 523, and a “live end” button (not shown) is displayed instead of the “view live” button 526. As a result, live video is displayed on the mobile terminal device TA. The “live end” button (not shown) is a button for requesting the end of the moving image, and ends (stops) the distribution of the moving image picked up by the sensor device SU of the sensor ID and ends (stops) the display. This is a button for inputting an instruction to be performed. When the TA control processing unit 32 receives an input operation of the “live end” button, the portable terminal device TA monitors the monitored person Ob currently displayed on the TA display unit 36 by the TA streaming processing unit 324. A communication signal (moving image distribution end communication signal) containing information such as requesting the end of moving image distribution is transmitted to the sensor device SU, and a still image is displayed on the TA display unit 36. Accordingly, the mobile terminal device TA ends the live video display.

Through such an operation, the monitored person monitoring system MS roughly detects a predetermined action in each monitored person Ob by each sensor device SU, management server device SV, fixed terminal device SP, and portable terminal device TA, The nurse call is accepted and each monitored person Ob is monitored.

(Schematic operation of the management server device SV)
The management server device SV is generally operated as follows with respect to the above-described monitoring operation, care plan display operation, and care record recording operation.

In FIG. 12, the management server apparatus SV determines whether or not the SV control unit 221 has received a communication signal at the SV communication IF unit 21 (S11). If the communication signal is not received as a result of this determination (No), the management server device SV returns the process to S11. If the communication signal is received as a result of the determination (Yes), The management server device SV executes the following process S12.

In this process S12, when the communication signal is received, the management server apparatus SV determines the type of the received communication signal by the SV control processing unit 22. As a result of this determination, when the received communication signal is the first event notification communication signal (first event notification), the management server apparatus SV performs the process S13 by the SV monitoring processing unit 222 of the SV control processing unit 21. After executing the process S19 is executed. As a result of the determination, when the received communication signal is a care plan request communication signal (care plan request), the management server device SV performs the process S14 by the SV care plan processing unit 223 of the SV control processing unit 21. After the execution, the process S19 is executed. As a result of the determination, when the received communication signal is a selection type notification communication signal (selection type notification), the management server device SV performs the process S15 by the SV care plan processing unit 223 of the SV control processing unit 21. After the execution, the process S19 is executed. As a result of the determination, when the received communication signal is the first selection target notification communication signal or the second selection target notification communication signal (first selection target notification, second selection target notification), the management server device SV Then, the SV care recording processing unit 224 of the SV control processing unit 21 executes the processing S19 after executing the processing S16. As a result of the determination, when the received communication signal is a care record notification communication signal (care record notification), the management server device SV performs the process S17 by the SV care record processing unit 224 of the SV control processing unit 21. After the execution, the process S19 is executed. As a result of the determination, the received communication signal is a first event notification communication signal, a care plan request communication signal, a selection type notification communication signal, a first selection target notification communication signal, a second selection target notification communication signal, and a care. When it is not one of the recording notification communication signals (others), the management server apparatus SV executes the process S19 after executing the process S18 by the SV control processing unit 21.

In process S13, the SV monitoring processing unit 222 executes monitoring information processing. That is, the SV monitoring processing unit 222 stores (records) monitoring information and transmits the second event notification communication signal as described above in the “monitoring operation”.

In the process S14, the SV care plan processing unit 223 sorts unexecuted care plan elements in different types of care in a plurality of care plans associated with each of a plurality of care target persons (monitored persons) Ob. The first care plan process is executed to output (transmit) the unexecuted care plan elements to the terminal devices SP and TA so as to be displayed on the devices SP and TA. The processing of the first care plan will be described in detail in “Care plan display operation and care recording operation by first care plan screen”.

In the process S15, the SV care plan processing unit 223 sorts unimplemented care plan elements in the same care type in a plurality of care plans associated with each of a plurality of care target persons (monitored persons) Ob. A process of a second care plan for outputting (transmitting) the unexecuted care plan element to the terminal devices SP and TA so as to be displayed on the terminal devices SP and TA is executed. The processing of the second care plan will be described in detail in “Care plan display operation and care recording operation by second care plan screen”.

In the process S16, the SV care recording processing unit 224 records the recording format corresponding to the care target (monitored person) Ob and the type of care notified by the first or second selection target notification communication signal received in the process S11. A format reply process for replying to the terminal devices SP and TA is executed. This form reply processing will be described in detail in “Care plan display operation and care recording operation by first care plan screen” and “Care plan display operation and care recording operation by second care plan screen”.

In the process S17, the SV care record processing unit 224 stores the contents of the care accommodated in the care record notification communication signal received in the process S11 as the care record in the care record information storage unit 236, and the SV care plan processing unit 223 The care plan element corresponding to the care accommodated in the received care record notification communication signal is changed to executed, and the care record processing for updating the care plan is executed. The care record processing will be described in detail in “Care Plan Display Operation and Care Record Operation Using First Care Plan Screen” and “Care Plan Display Operation and Care Record Operation Using Second Care Plan Screen”.

In the process S18, the SV control processing unit 21 executes an appropriate process according to the communication signal received in the process S11. For example, in the case of the above-mentioned corresponding intention notification communication signal, the SV control processing unit 21 updates the corresponding flag and transmits a corresponding intention known communication signal.

And in process S19, management server apparatus SV determines whether the operation is complete | finished (stop) by SV control process part 22. FIG. As a result of this determination, when the operation is finished (stopped) (Yes), the management server device SV finishes this process. On the other hand, when the operation is not finished (stopped) (No), the management server device SV The server apparatus SV returns the process to the process S11.

When receiving each communication signal, the management server device SV is generally operated as described above.

(Care plan display operation and care record operation on the first care plan screen)
The monitored person monitoring system MS including the care plan output system operates as follows regarding the display of the care plan and the care record on the first care plan screen.

When a caregiver (monitorer or user) displays a care plan on the mobile terminal device TA, first, the caregiver (monitorer or user) performs an input operation on the submenu button 5111 in the menu bar area 511. The menu bar area 511 is displayed on the screen such as the standby screen 51, the monitoring information screen 52, and the nurse call reception screen 53 described above. The submenu button 5111 is a button for inputting an instruction to display a submenu screen to the mobile terminal device TA. The submenu screen is a screen for displaying a selectable submenu and selecting a submenu.

In FIG. 16, when the portable terminal device TA receives an input operation of the submenu button 5111 from the TA input unit 35 constituting the touch panel, the TA control processing unit 32 makes a communication signal (sub signal) requesting the submenu screen. A menu request communication signal) is transmitted to the management server device SV (C11). The submenu request communication signal contains a command (instruction, command, submenu request command) for requesting the submenu screen, a terminal ID of the own device, and the like.

When the management server device SV receives the submenu request communication signal from the portable terminal device TA, the communication signal (submenu) containing the data (electronic file) of the submenu screen is obtained by the above-described processing S11, processing S12, and processing S18. (Notification communication signal) is returned to the portable terminal device TA (C12).

When the mobile terminal device TA receives the submenu notification communication signal from the management server device SV, the TA control processing unit 32 displays the submenu screen on the TA display unit 36.

For example, as shown in FIG. 17, this submenu screen 61 includes, as submenus, an “information” button 611, a “staff message board” button 612, a “care plan display” button 613, and “care execution input”. A button 614 and a “logout” button 615 are provided. The “information” button 611 is a button for inputting, for example, an instruction to display predetermined information such as a login name (care person name (monitorer name)) and a terminal ID to the mobile terminal device TA. The “staff message board” button 612 is used to input an instruction to display a message registered (stored) in the management server device SV by the caregiver (monitor, user) from the terminal devices SP and TA to the portable terminal device TA. It is a button. The “care plan display” button 613 is a button for inputting, to the mobile terminal device TA, an instruction to display the care plan on the terminal devices SP and TA. The “care implementation input” button 614 is a button for inputting an instruction to record a care record in the management server device SV from the terminal devices SP and TA to the mobile terminal device TA. The “logout” button 615 is a button for inputting an instruction to logout to the mobile terminal device TA.

The submenu screen 61 is stored in advance in the screen information storage unit 332, and when the TA control processing unit 32 receives an input operation of the submenu button 5111, the submenu screen 61 stored in advance in the screen information storage unit 332. May be taken out and displayed on the TA display unit 36.

When the submenu screen 61 is displayed on the mobile terminal device TA, the caregiver (monitoring person) performs an input operation of the “care plan display” button 613 to display the care plan.

When the mobile terminal device TA receives an input operation of the “care plan display” button 613 from the TA input unit 35 configuring the touch panel, the TA control processing unit 32 requests a communication signal (care plan) to display the care plan. Request communication signal) is transmitted to the management server device SV (C13). The care plan request communication signal contains a command (instruction, command, care plan request command) for requesting the care plan screen, a terminal ID of the own device, and the like.

When the management server device SV receives the care plan request communication signal from the portable terminal device TA, the communication signal (first file) containing the data (electronic file) of the first care plan screen is obtained by the above-described processing S11, processing S12, and processing S14. 1 care plan notification communication signal) is returned to the portable terminal device TA (C14).

More specifically, in the process S14, the management server apparatus SV executes the first care plan process in the SV care plan processing unit 223 as follows, thereby transmitting the first care plan notification communication signal to the mobile terminal apparatus. Send (reply) to TA.

13, the SV care plan processing unit 223 uses the care plan sort processing unit 2231 to acquire unimplemented care plan elements from the care plan information storage unit 234 for all the care subjects Ob (S141). More specifically, first, the care plan sort processing unit 2231 has a plurality of care plan information tables PT (PT-SU1, PT) corresponding to the plurality of care target users Ob stored in the care plan information storage unit 234, respectively. From (SU2, PT-SU3,...), All records for which the execution flag “0” is registered are selected (searched) in the execution field 2345. Next, the care plan sort processing unit 2231 associates the scheduled care execution time and the care type with each other from the scheduled execution time field 2341 and the care type field 2343 in each of all the selected records. Take out as a care planning element. Since the care plan is based on one day (for example, from 0:00 to 0:00 on the next day, from 5:00 to 5:00 on the next day, etc.), the unimplemented care plan element is the one day on the current day. Acquired in units (thus, the unimplemented care plan elements before yesterday and after the following day are not acquired). As a result, an unimplemented care plan element is acquired. The care plan elements that have not been performed in each of the plurality of care target users Ob acquired in the process S141 do not specify the type of care, and therefore usually include different types.

Next, the SV care plan processing unit 223 uses the care plan sort processing unit 2231 to acquire the acquired care plan elements that have not been executed at a predetermined time (for example, the time of this sort or the reception of the care plan request notification communication signal). Are sorted in a predetermined priority order with respect to time (S142). In this process S142, the predetermined priority order is the scheduled execution time order. For this reason, here, the care plan elements that have not yet been acquired in step S141 are sorted in order of their scheduled execution times. By setting and sorting in this way, the situation and circumstances of the care target Ob are taken into consideration. If a plurality of unimplemented care plan elements having the same priority order are acquired in step S141, a plurality of unimplemented care plan elements having the same priority order are set in advance. Sorted in default order. The default order may be arbitrarily set, and is, for example, the alphabetical order of the name of the care target person or the room number order of the room RM.

Next, the SV care plan processing unit 223 causes the care plan output processing unit 2232 to display the care plans in the order sorted by the care plan sort processing unit 2231 when displaying the care plans. A communication signal (first care plan notification communication signal) for transmitting an unexecuted care plan element in each of the sorted plurality of care subjects to the terminal devices SP and TA is generated (S143).

More specifically, the care plan output processing unit 2232 displays the care plans in the order sorted by the care plan sort processing unit 2231 when different types of care are included in the care plans to be displayed. A first care plan screen to be displayed on the TA is generated, and a first care plan notification communication signal that accommodates the generated first care plan screen is generated for the source of the care plan request communication signal received in step S11. To do.

For example, as shown in FIG. 18, the first care plan screen 62 a includes a menu bar area 511, a screen title area 621 that displays a “care plan list” that is a title of the screen, and a plurality of care target users Ob. A care plan display area 622a that displays a list of unimplemented care plan elements according to the order sorted by the care plan sort processing unit 2231 in step S142 is provided. FIG. 18 shows a first care plan screen 62a when displayed on the mobile terminal device TA. In the care plan display area 622a, a set of the scheduled execution time of care, the name of a care target person, and the type of care name in the care plan element that has not been executed is displayed. That is, the care plan display area 622a includes a scheduled execution time display area 6221a-a for displaying the scheduled execution time of the care, a care target name display area 6221a-b for displaying the care subject name, and the type of care. Care type name display areas 6221a-c for displaying names. And when this care plan display area 622a is displayed on the touch panel in the portable terminal device TA, a button (first button) for inputting an instruction to the portable terminal device TA to display the recording format on the touch panel; It has become. The care plan output processing unit 2232 creates such a first care plan screen 62a in a predetermined markup language, stores the electronic file, and stores the electronic file and sends it to the sender of the care plan request communication signal received in step S11. A 1 care plan notification communication signal is generated.

In one example, in the process S141, from the care plan information storage unit 234, “10:00, NAME1, hydration care”, “10:20, NAME2, “Excretion Care”, “12:00, NAME3, Meal Care”, “10:10, NAME4, Hydration Care”, “12:00, NAME5, Meal Care”, “12:00, NAME6, Meal Care” and “ When “10:50, NAME7, hydration care” is acquired, in process S142, “10:00, NAME1, hydration care”, “10:10, NAME4, hydration care”, “10:20, NAME2, excretion care”, “10:50, NAME7, hydration care”, “12:00, NAME3, meal care”, “12:00, NAME5, Meal Care” and “12:00, NAME6, Meal Care”, and the care plan display area 622a of the first care plan screen 62a displays “10:00, NAME1, moisture”. Care plan display area 622a-1, care plan display area 622a-2 displaying "10:10, NAME4, moisture", care plan display area 622a-3 displaying "10:20, NAME2, excretion", "10 : 50, NAME7, moisture "care plan display area 622a-4," 12:00, NAME3, meal "care plan display area 622a-5," 12:00, NAME5, meal "are displayed A care plan display area 622a-6 and a care plan display area 622a-7 for displaying "12:00, NAME6, meal"; The display region 622a, are arranged in this order. In the present embodiment, when the mobile terminal device TA is viewed from the front, an unimplemented care plan element having a relatively high priority order is displayed on the upper side of the display area of the TA display unit 36, and the priority order is A relatively low unimplemented care plan element is displayed below it. Note that in this example, care plan elements that are not yet executed with the same priority order, that is, the scheduled execution time, are sorted in alphabetical order.

Then, the SV care plan processing unit 223 uses the care plan output processing unit 2232 to transmit the first care plan notification communication signal generated in step S143 using the SV communication IF unit 21, and receives the care plan request communication signal received in step S11. Is sent back to the portable terminal device TA which is the transmission source (S144).

The management server device SV thus executes the first care plan processing S14.

Returning to FIG. 16, when the portable terminal device TA receives the first care plan notification communication signal from the management server device SV, the TA care plan processing unit 325 of the TA control processing unit 32 displays the first care plan screen 62a. The information is displayed on the TA display unit 36. In the first care plan screen 62a, the care plan display area 622a is wider than the display area of the TA display unit 36, and all the care plan display areas 622a cannot be displayed in the display area of the TA display unit 36 (for example, When the care plan display area 622a includes ten care plan display areas 622a-1 to 622a-10), for example, the care plan display area 622a displayed in the display area of the TA display unit 36 by flick input. The area portion of the care plan display area 622a that is not displayed in the display area of the TA display unit 36 can be displayed.

The caregiver refers to the first care plan screen 62a displayed on the TA display unit 36 of the portable terminal device TA, and determines the care target person and the type of care to be performed. On the first care plan screen 62a, care plan elements that have not been performed are displayed in order of priority from the upper side to the lower side, so that the caregiver will perform the care to be performed with reference to the arrangement order of the care plan elements that have not been performed. Determine the target and type of care.

In the first care plan screen 62a, an unexecuted care plan element whose scheduled execution time has passed may be displayed in a display mode different from an unexecuted care plan element whose scheduled execution time is coming. For example, a care plan display area 622a that displays an unexecuted care plan element that has passed the scheduled execution time and a care plan display area 622a that displays an unexecuted care plan element whose scheduled execution time will come will be displayed, for example. The colors (background color is blue, red, etc.) and lighting states (always on, flashing, etc.) are displayed differently. This makes it easier for the caregiver to recognize the care plan elements that should not be prioritized. In this case, the care plan output processing unit 2232 acquires the current year / month / date / time from the clock unit 225, and when displaying the care plan, the current scheduled date / time acquired from the clock unit 225 is displayed. In order to display an unimplemented care plan element that is earlier than the minute and an unimplemented care plan element whose implementation scheduled time is after the current year, month, day, hour and minute acquired from the clock unit 225 in different display modes, An unimplemented care plan element for each of the plurality of care subjects is output. More specifically, in the above-described process S143, the care plan output processing unit 2232 acquires the current year / month / day / hour / minute from the clock unit 225, and the current year / month / day / hour / minute for the scheduled execution time is acquired from the clock unit 225. A care plan display area 622a for displaying an unexecuted care plan element that is earlier, and a care plan for displaying an unimplemented care plan element whose scheduled execution time is after the current year, month, day, and time acquired from the clock unit 225 The first care plan screen 62a is created in a predetermined markup language so that the display areas 622a have different display modes.

After performing the determined care, the caregiver inputs a care plan display area (first button) 622a that displays an unimplemented care plan element corresponding to the performed care on the first care plan screen 62a. Manipulate.

When the portable terminal device TA receives an input operation of the care plan display area (first button) 622a from the TA input unit 35 constituting the touch panel, the TA care recording processing unit 326 of the TA control processing unit 32 performs the first operation. One selection object notification communication signal is transmitted to the management server device SV (C15). The first selection target notification communication signal includes the name of the care target Ob displayed in the care plan display area (first button) 622a that has received the input operation, the name of the type of care, and the names of these care target Ob. And a command (instruction, command, recording format request command) for requesting a recording format corresponding to the care type name, a terminal ID of the own device, and the like.

When the management server device SV receives the first selection target notification communication signal from the portable terminal device TA, the management server device SV notifies the recording format containing the recording format data (electronic file) by the above-described processing S11, processing S12, and processing S16. Communication signal (format notification communication signal) is sent back to the portable terminal device TA (C16). More specifically, in the process S16, the management server device SV is first processed by the SV care record processing unit 224 of the SV control processing unit 22 into the name of the type of care accommodated in the received first selection target notification communication signal. The electronic file having a recording format corresponding to the format information is extracted from the format information storage unit 235. Next, the SV care recording processing unit 224 generates an electronic file having a recording format corresponding to the care target person name contained in the received first selection target notification communication signal based on the extracted electronic file having the recording format. Generate. Then, the SV care recording processing unit 224 generates a format notification communication signal containing the generated electronic file of the recording format and returns it to the portable terminal device TA.

When receiving the format notification communication signal from the management server device SV, the portable terminal device TA displays the recording format screen 64 on the TA display unit 36 by the TA care recording processing unit 326.

For example, when the care plan display area (first button) 622a-3 that displays “10:20, NAME2, excretion” is input in process C15, the portable terminal device TA is operated by the TA care record processing unit 326. The first selection target notification communication signal containing “NAME2” as the name of the care target Ob and “excretion care” as the name of the care is transmitted to the management server device SV. A format notification communication signal containing an electronic file of the corresponding excretion care recording format is received, and for example, the excretion care recording format screen 64a shown in FIG.

The excretion care recording format screen 64a is a screen for displaying the excretion recording format, and is a screen for inputting the contents of the excretion care performed as a care record. For example, as shown in FIG. 22, the excretion care recording format screen 64a displays a menu bar area 511, a subject name display area 640 for displaying a subject name, and input items to be input as the contents of care. Then, a care record input area 641a for inputting the care content corresponding to the input item as a care record, a sharing check box (□) 642, and a “Send” button 643 are provided. In this example, “target room 102, NAME2” is displayed in the subject name display area 640.

In the recording format for excretion care, for example, in this embodiment, the input items are urination, stool volume, stool quality, memo, and care implementation time. In order to input these items, the care record input area 641a includes urination. Urination input area 641a-1 for inputting presence / absence of stool, stool volume input area 641a-2 for inputting stool volume, stool quality input area 641a-3 for inputting stool quality, and memo input A free description input area 641a-4 and a care execution time input area 641a-5 for inputting a time when care is performed. In the care record input area 641a (641a-1 to 641a-5), the content of care (content of excretion care in the example shown in FIG. 22) is input by an input operation of the TA input unit 35 constituting the touch panel. . In the sharing check box 642, when a check input operation is accepted from the TA input unit 35 constituting the touch panel, “Re” is displayed in the sharing check box 642, and the recording format screen 64 (example shown in FIG. 22). Then, the instruction | indication which sets so that the content input into the said excretion care recording format screen 64a) can be referred from other terminal device SP and TA is input. On the other hand, if the input operation of the check is not accepted, the shared check box 642 is displayed as a blank, and the content entered in the recording format screen 64 (in the example shown in FIG. 22, the excretion care recording format screen 64a). Is input so as not to be referred to by other terminal devices SP and TA. The “Send” button 643 displays the contents (contents of excretion care in the example shown in FIG. 22) input to the recording format screen 64 (in the example shown in FIG. 22 the excretion care recording format screen 64a). This is a button for inputting an instruction to be transmitted to.

Although not shown, a meal care recording format screen, a hydration care recording format screen, a vital care recording format screen, and the like are prepared in advance and stored in the format information storage unit 235. The morning care recording format screen prepared in advance and stored in the format information storage unit 235 will be described later with reference to FIG.

More specifically, the caregiver first refers to the recording format displayed on the TA display unit 36 and inputs the contents of care corresponding to the input item of this recording format. The content of the input care is temporarily stored in the TA storage unit 33 by the TA care recording processing unit 326 in association with the care subject person name displayed in the subject name display area 640 as a care record. The For example, in the care record of excretion care, the caregiver refers to the excretion care record format screen 64a displayed on the TA display unit 36, and each area 641a in the care record input area 641a of the excretion care record format screen 64a. Enter the contents of excretion care in -1 to 641a-5 (for example, the presence or absence of urination in the case of urination, and the amount and quality of stool in the case of defecation), and share as necessary The check box (□) 642 is input. Then, the caregiver performs an input operation on the “Send” button 643.

Returning to FIG. 16, when the input operation of the “send” button 643 is accepted, the portable terminal device TA uses the TA care recording processing unit 326 to recognize the terminal ID of the own device, the name of the person to be careed (name of the person to be monitored), In addition, the contents of the care record input using the recording format screen 64 and stored in the TA storage unit 33 (in the above example, the presence or absence of urination input using the excretion care recording format screen 64a (or the amount of defecation and the amount thereof) (Care quality), memo, care execution time and sharing permission / inhibition are transmitted to the management server device SV (C17). When transmitted, the TA care record processing unit 326 deletes (deletes) the contents of the care record stored in the TA storage unit 33.

When the management server device SV receives the care record notification communication signal from the portable terminal device TA, the management server device SV processes the received care record notification communication signal through the above-described processing S11, processing S12, and processing S17.

More specifically, in the process S17, the management server device SV processes the care record notification communication signal by executing the care record process in the SV care plan processing unit 223 and the care record processing unit 224 as follows. To do.

In FIG. 15, the SV care plan processing unit 223 includes the name of the care target person who performed the care and the content of the care record (the example described above) contained in the care record notification communication signal received from the portable terminal device TA in the process S11. Then, the presence / absence of urination (or the amount of defecation and the quality of the stool), the memo, the care implementation time, and the sharing permission / inhibition are associated with each other and stored in the care record information storage unit 236 (S171).

Next, the care plan processing unit 223 uses the care plan update processing unit 2233 to update the implementation status information (the implementation flag in the present embodiment) (S172). More specifically, the care plan update processing unit 2233 corresponds to the care subject name contained in the care record notification communication signal received in the process S11 from the care plan information stored in the care plan information storage unit 234. Care plan information to be selected is selected (searched), and the care plan information corresponding to the type of care accommodated in the care record notification communication signal received in the processing S11 is selected from the selected care plan information and is not yet implemented. Is selected (searched), and the implementation status information in the selected care plan information is set to “executed” and stored in the care plan information storage unit 234. More specifically, the care plan update processing unit 2233 corresponds to the care target person name accommodated in the care record notification communication signal received in the process S11 from the care plan information table PT stored in the care plan information storage unit 234. The care plan information table PT to be selected is selected (searched), and the care type name accommodated in the care record notification communication signal received in the processing S11 is registered in the care type field 2343 from the selected care plan information table PT. In the execution field 2345, the record for registering the execution flag “0” meaning not executed is selected (retrieved), and the execution flag means executed in the execution field 2345 of the selected record. Register “1”. As a result, the progress status of the care plan is updated and registered in the care plan information table PT. The care type information stored in the care record notification communication signal received in the processing S11 is registered in the care type field 2343 in the selected care plan information table PT. When there are a plurality of records for registering the execution flag “0” meaning “not performed”, the care execution time accommodated in the care record notification communication signal received in the process S11 is the closest of the plurality of records. A record in which the scheduled execution time is registered in the scheduled execution time field 2341 is selected, and an execution flag “1” indicating that the execution has been performed is registered in the execution field of the selected record. Of these plural records, a record in which the oldest scheduled execution time is registered in the scheduled execution time field 2341 may be selected.

Next, the care plan processing unit 223 determines whether or not the care plan update processing unit 2233 is a care for automatically creating a next care plan (S173). More specifically, the care plan update processing unit 2233 determines whether or not the type of care stored in the care record notification communication signal received in the processing S11 is stored in the next care information storage unit 237. To do. If it is stored as a result of this determination, the care plan update processing unit 2233 determines that the care is to automatically create the next care plan (Yes), and performs the next processing S174 and processing S175. Execute sequentially and end this process. On the other hand, if it is not stored as a result of the determination, the care plan update processing unit 2233 determines that it is not the care for automatically creating the next care execution schedule (No), and ends this processing.

In process S174, the care plan processing unit 223 obtains the current time from the clock unit 225 by the care plan update processing unit 2233.

After the process S174, the care plan processing unit 223 updates and stores the care plan information stored in the care plan information storage unit 234 in the next execution schedule by the care plan update processing unit 2233 (S175). More specifically, the care plan update processing unit 2233 extracts from the SV storage unit 23 next-time care information corresponding to the care subject and the type of care accommodated in the care record notification communication signal received in step S11. Next, the next care plan element is generated by determining the next scheduled execution time based on the extracted next care information and the current time acquired in the process S174 as necessary, and the generated next care plan The care plan information stored in the care plan information storage unit 234 with the element is updated and stored. More specifically, the care plan update processing unit 2233, from the next-time care information table NT stored in the next-time care information storage unit 237, the care target person name accommodated in the care record notification communication signal received in the processing S11, A record to be registered in the care subject name field 2371 is selected (searched), and the next care information field 2372 corresponding to the type of care accommodated in the care record notification communication signal received in the processing S11 in the selected record. Next time care information registered in the sub-field is taken out. If the retrieved next care information is a fixed time, the care plan update processing unit 2233 sets (determines) the fixed time as the next scheduled execution time, while the retrieved next care information is set to a time interval. If it is, the care plan update processing unit 2233 adds the extracted time interval to the current time acquired in the processing S174, and sets (determines) the time of the addition result as the next scheduled execution time. Instead of the current time, the care execution time accommodated in the care record notification communication signal received in the process S11 may be used (in this case, the process S174 can be omitted). Then, the care plan update processing unit 2233 adds a new record to the care plan information table PT selected in the process S172, and each of the scheduled execution time field 2341, the care type field 2343, and the execution field 2345 in the added record. The next scheduled execution time set (determined), the care type name accommodated in the care record notification communication signal received in the process S11, and the implementation flag “0” meaning not implemented are registered. As a result, the care plan information storage unit 234 is automatically updated. The care plan update processing unit 2233 may further sort the care plan information table PT by the scheduled execution time in the scheduled execution time field 2341 and store it in the care plan information storage unit 234.

As an example, in FIG. 5, when a care record for performing hydration care on NAME 1 is received at 10:00 by a care record notification communication signal, in the execution field 2345 of the fifth record that registered this care plan element. The execution flag “0” is changed to the execution flag “1” (the execution flag “0” before the change is shown in FIG. 5), and as shown in italics in FIG. A 13:00 hydration care record is newly added to the care plan information table PT-SU1 as a care plan element and stored in the care plan information storage unit 234.

The management server device SV thus executes the care record processing S17.

Then, the portable terminal device TA that has transmitted the care record notification communication signal causes the TA control processing unit 32 to display on the TA display unit 36 a screen in which the submenu button 5111 is input in step C11. For example, when the submenu button 5111 of the standby screen 51 is input in process C11, the standby screen 51 is displayed.

In addition, it replaces with the screen which input-operated the submenu button 5111 by process C11, and portable terminal device TA which transmitted the care record notification communication signal may display the 1st care plan screen 62a on the TA display part 36. In this case, in the care record process S17, the management server apparatus SV further executes a process of updating the first care plan screen 62a and transmitting it to the mobile terminal apparatus TA. More specifically, the management server device SV executes the above-described first care plan process S14, that is, the processes S141 to S144 shown in FIG. Here, in this process S142, the care plan sort processing unit 2231, when an unexecuted care plan element in a plurality of care plans stored in the care plan information storage unit 234 is changed to already executed, Based on multiple care plans, it will be sorted again. In the present embodiment, as described above, since the care plan is updated at the next scheduled execution time for the care that has already been performed, the care plan sort processing unit 2231 includes the plurality of cares after the change and after the update. Based on the plan, it will be sorted again. According to this, the already-executed care plan element is deleted from the display of the first care plan screen 62a, and the management server device SV (care plan output device) responds to the progress of care for a plurality of care subjects Ob. The care plan can be output (transmitted) to display the care plan. Then, according to this, the management server device SV (care plan output device) can output (send) the care plan so as to display the care plan element in which the next schedule is incorporated with respect to the performed care plan element. .

The monitored person monitoring system MS including the care plan output system operates as described above with respect to the display of the care plan and the care record on the first care plan screen.

(Care plan display operation and care record operation on the second care plan screen)
The monitored person monitoring system MS including the care plan output system operates as follows regarding the display of the care plan and the care record on the second care plan screen.

The caregiver (monitorer or user) performs an input operation on the submenu button 5111 in the menu bar area 511 as in the case of the display of the first care plan screen 62a.

In FIG. 19, when the portable terminal device TA receives an input operation of the submenu button 5111 from the TA input unit 35 constituting the touch panel, the mobile terminal device TA sends a submenu request communication signal to the management server device SV as in the above-described process C11. In response to this, the management server device SV returns a submenu notification communication signal to the portable terminal device TA (C22) in the same manner as in the above-described processing C12, and the mobile server device receives the response. For example, the terminal device TA displays the above-described submenu screen 61 illustrated in FIG. 17 on the TA display unit 36.

When the submenu screen 61 is displayed on the portable terminal device TA, the caregiver (monitoring person) inputs the “care plan display” button 613 in the display of the first care plan screen 62a, but the second care plan screen is displayed. In the display of 62 a, first, an input operation is performed on the “care implementation input” button 614.

When the portable terminal device TA receives an input operation of the “care implementation input” button 614 from the TA input unit 35 constituting the touch panel, the TA control processing unit 32 causes the type of care (the type of care record, the recording format) A communication signal (type selection request communication signal) for requesting selection of the type is transmitted to the management server device SV (C23). The type selection request communication signal contains a command (instruction, command, type selection request command) requesting selection of a care type (care record type, type of recording format) and a terminal ID of the own device.

When the management server device SV receives the type selection request communication signal from the portable terminal device TA, the SV care recording processing unit 224 of the SV control processing unit 22 performs the above-described processing S11, processing S12, and processing S18 on the type selection screen. Data (electronic file) is created, and a communication signal (selectable type notification communication signal) containing the created electronic file of the type selection screen is returned to the portable terminal device TA (C24).

The type selection screen is a screen for displaying the types of care that can be selected and selecting the type of care. For example, as shown in FIG. 20, the type selection screen 63 has a menu bar area 511, a screen title area 621 for displaying “care type selection” that is a title of the screen, and one or more selectable ones or more. A type display area 631 (631-1 to 631-4) for displaying a list of types of care by their names is provided.

In the present embodiment, the individual areas 631-1 to 631-4 displaying the type of care are displayed when the type selection screen 63 is displayed on the TA display unit 36 of the portable terminal device TA. It is also a button (type selection button) for inputting the type of care (the type of care recording, the type of recording format) selected by the (monitorer, user) to the mobile terminal device TA. In the example shown in FIG. 20, the type display area 631 includes a “meal care” area 631-1 that displays “meal care” as the type name of care and a “moisture care” that displays “moisture care” as the type name of care. ”Area 631-2,“ excretion care ”area 631-3 displaying“ excretion care ”as a care type name, and“ morning care ”area 631-4 displaying“ morning care ”as a care type name Is provided. Then, when the type selection screen 63 is displayed on the TA display unit 36 of the mobile terminal device TA, the “meal care” area 631-1 is used to input a meal care selection to the mobile terminal device TA. The “moisture care” area 631-2 is a button for inputting hydration care to the portable terminal device TA, and the “excretion care” area 631-3 is for selecting the excretion care. The button for inputting to the portable terminal device TA, and the “morning care” area 631-4 is a button for inputting selection of morning care to the portable terminal device TA.

Referring back to FIG. 19, when the portable terminal device TA receives the selectable type notification communication signal from the management server device SV, the portable terminal device TA causes the TA plan processing unit 325 of the TA control processing unit 32 to perform the type selection screen 63. Is displayed on the TA display unit 36. When the type display area 631 is wider than the display area of the TA display unit 36 and all the type display areas 631 cannot be displayed in the display area of the TA display unit 36, for example, the TA display unit 36 is flicked. The area portion of the type display area 631 displayed in the display area is changed (for example, scrolled), so that other area portions of the type display area 631 not displayed in the display area of the TA display unit 36 can be displayed. ing.

From the TA input unit 35 constituting the touch panel, an input operation of a type display area (type selection button) 631 (631-1 to 631-4) for displaying a type of care is received, and selection of a type of care is received Then, the portable terminal device TA transmits a communication signal (selection type notification communication signal) for notifying the care type name selected and input by the care plan processing unit 325 to the management server device SV (C25). . The selected type notification communication signal contains the type name of the care selected and input and the terminal ID of the own device.

When the management server device SV receives the selection type notification communication signal from the portable terminal device TA, the communication signal (first file) containing the data (electronic file) of the second care plan screen is obtained by the above-described processing S11, processing S12, and processing S15. 2 care plan notification communication signal) is returned to the portable terminal device TA (C26).

More specifically, in the process S15, the management server apparatus SV executes the process of the second care plan as follows in the SV care plan processing unit 223, thereby transmitting the second care plan notification communication signal to the mobile terminal apparatus. Send (reply) to TA.

In FIG. 14, the SV care plan processing unit 223 acquires, from the care plan information storage unit 234, care plan elements that have not been performed for all the care subjects Ob in the type of care selected by the care plan sort processing unit 2231. (S151). More specifically, the care plan sort processing unit 2231 first stores the care type name and the terminal ID accommodated in the selection type notification communication signal received in the process S11 in the SV storage unit 23 in association with each other. . Next, the care plan sort processing unit 2231 has a plurality of care plan information tables PT (PT-SU1, PT-SU2, PT-) corresponding to the plurality of care target users Ob stored in the care plan information storage unit 234, respectively. From the SU3,...), The care type name accommodated in the selection type notification communication signal received in the process S11 is registered in the care type field 2343, and the execution flag “0” is set in the execution field 2345. Select (search) all records to be registered. As described above, since the care plan is based on one day, the unexecuted care plan element is acquired by the one-day unit on the current day (therefore, the unexecuted before yesterday or after the next day). No care plan elements are acquired). As a result, an unimplemented care plan element corresponding to the selected type of care is acquired. Since the care plan element that has not been performed in each of the plurality of care target subjects Ob acquired in the process S151 specifies the type of care, of course, it is the same type.

Next, the SV care plan processing unit 223 uses the care plan sort processing unit 2231 to acquire the acquired care plan elements that have not been executed at a predetermined time (for example, the time of this sort or the reception of the care plan request notification communication signal). Are sorted in a predetermined priority order with respect to time (S152). For example, when the type of care is hydration care or the like, the scheduled execution time is usually different. Therefore, the scheduled execution time is also acquired from the care plan information table PT in the process S151, and the predetermined priority order is the scheduled execution time order. It may be. Here, for example, when the type of care is morning care or predetermined care performed during night patrol (for example, excretion care), the scheduled execution time is usually the same, so the predetermined priority order is This is the order of detection times (detection time order) when the sensor device SU detects a preset event type (for example, wake-up or nurse call) among the events. For example, when the type of care is predetermined care (for example, excretion care) performed during morning care or night patrol, the priority order is the order in which the care target person wakes up. When the sensor device SU detects awakening, the predetermined priority order may be the order of awakening time of the care target person, or the predetermined priority order may be awakening time of the care target person. Further, the time order may be a combination of the wake-up times. In such a case, at the predetermined time point, the sensor device SU detects a preset event type (for example, wake-up or nurse call) among the events in the care plan element that has not been performed. It may be the oldest detection time (detection time detected first) among the detection times. For this reason, here, the care plan elements that have not been executed acquired in step S151 are sorted in the order of their detection times. By setting and sorting in this way, the situation and circumstances of the care target Ob are taken into consideration. If a plurality of unimplemented care plan elements having the same priority order are acquired in step S151, a plurality of unimplemented care plan elements having the same priority order are set in advance. Sorted in default order. In this way, in order to sort in the order of detection time, the care plan sort processing unit 2231 sorts the predetermined priority for all the care subjects Ob from the monitoring information stored in the SV monitoring information storage unit 231 before sorting. The detection time of the preset event is acquired as an event for determining the order. More specifically, in the present embodiment, the care plan sort processing unit 2231 includes a first event that accommodates the preset event from the SV monitoring information table MT-SV stored in the SV monitoring information storage unit 231. The reception time of the notification communication signal is acquired as the detection time. Of course, when the detection time is accommodated in the first event notification communication signal and the detection time itself is registered in the reception time field 2313 of the SV monitoring information table MT-SV, the detection time is acquired.

Next, the SV care plan processing unit 223 causes the care plan output processing unit 2232 to display the care plans in the order sorted by the care plan sort processing unit 2231 when displaying the care plans. A communication signal (second care plan notification communication signal) for transmitting an unexecuted care plan element in each of the sorted plurality of care subjects to the terminal devices SP and TA is generated (S153).

More specifically, the care plan output processing unit 2232 displays the care plans in the order sorted by the care plan sort processing unit 2231 when the types of care in the care plans to be displayed are the same. The second care plan screen to be displayed is generated, and the second care plan notification communication signal that accommodates the generated second care plan screen is generated for the transmission source of the selection type notification communication signal received in step S11. .

In the second care plan screen 62b, as shown in FIG. 21, for example, the menu bar area 511, the screen title area 621, and care plan elements that have not been performed in each of a plurality of care subjects Ob are processed in step S152. A care plan display area 622b that displays a list according to the order sorted by the care plan sort processing unit 2231 is provided. FIG. 21 shows a first care plan screen 62b when displayed on the mobile terminal device TA. In the second care plan screen 62b, the screen tile area 621 includes a main title area 621-1 for displaying a “care plan list” that is a main title (main title) of the screen and a subtitle (subtitle) of the screen. And a subtitle area 621-2 for displaying “morning care”. In the subtitle area 621-2, a care type name is displayed. In the care plan display area 622b, the names of the care target persons in the care plan elements that have not been performed are displayed. And when this care plan display area 622b is displayed on the touch panel in the portable terminal device TA, a button (second button) for inputting an instruction to the portable terminal device TA to display the recording format on the touch panel; It has become. The care plan output processing unit 2232 creates such a second care plan screen 62b in a predetermined markup language, and stores the electronic file, and stores the electronic file, which is addressed to the transmission source of the selection type notification communication signal received in step S11. A two-care plan notification communication signal is generated.

For example, in the process S151, in the type of care selected, for example, morning care, “NAME1” and “NAME2” as care plan elements that are not implemented from the care plan information storage unit 234 in each of the plurality of care target subjects Ob. , “NAME3”, “NAME4”, “NAME5”, “NAME6”, and “NAME7” are acquired in step S152, these “NAME1,” “NAME2,” “NAME3,” “NAME4,” “NAME5” ”,“ NAME6 ”, and“ NAME7 ”from the SV monitoring information storage unit 231, the detection time of the preset event, for example, the detection time of the wake-up (in this embodiment, the first event notification communication signal that accommodates the wake-up) Reception time) of “NAME1, 6:00”, “NAME2 5:40 "," NAME3, 5:45 "," NAME4, 6:00 "," NAME5, 5:55 "," NAME6, 6:05 "and" NAME7, 6:00 " In the order of detection time (in order of reception time), “NAME2”, “NAME3”, “NAME5”, “NAME1”, “NAME4”, “NAME7” and “NAME6” are sorted, and the care plan on the second care plan screen 62b The display area 622b includes a care plan display area 622b-1 that displays “NAME2”, a care plan display area 622b-2 that displays “NAME3”, a care plan display area 622b-3 that displays “NAME5”, and “NAME1”. Care plan display area 622b-4 for displaying "NAME4", care plan display area 622b-5 for displaying "NAME4", and "NAME7" Comprising a care plan display area 622b-7 to display "NAME6" not shown in A planning display region 622b-6 and 21, the care plan display area 622b, are arranged in this order. In the present embodiment, when the mobile terminal device TA is viewed from the front, an unimplemented care plan element having a relatively high priority order is displayed on the upper side of the display area of the TA display unit 36, and the priority order is A relatively low unimplemented care plan element is displayed below it. In this example, the care plan elements that have not been executed and whose priority order is the same, that is, the detection time is the same time, are sorted in alphabetical order.

Then, the SV care plan processing unit 223 uses the care plan output processing unit 2232 to transmit the second care plan notification communication signal generated in step S153 using the SV communication IF unit 21, and the selection type notification communication signal received in step S11. Is sent back to the portable terminal device TA which is the transmission source (S154).

The management server device SV executes the process S15 of the second care plan in this way.

Returning to FIG. 19, when the mobile terminal device TA receives the second care plan notification communication signal from the management server device SV, the TA care plan processing unit 325 of the TA control processing unit 32 displays the second care plan screen 62b. The information is displayed on the TA display unit 36. In the second care plan screen 62b, when the care plan display area 622b is wider than the display area of the TA display unit 36 and all the care plan display areas 622b cannot be displayed in the display area of the TA display unit 36, For example, a care plan display that is not displayed in the display area of the TA display unit 36 because the area part of the care plan display area 622b displayed in the display area of the TA display unit 36 is changed (for example, scrolled) by a flick input. Other area portions of the area 622b can be displayed.

The caregiver refers to the second care plan screen 62b displayed on the TA display unit 36 of the mobile terminal device TA, and determines a care target person to be implemented. In the second care plan screen 62b, the care plan elements that have not been performed are displayed in the priority order from the upper side to the lower side. Determine the target audience.

After performing the determined care, the caregiver inputs a care plan display area (second button) 622b that displays an unexecuted care plan element corresponding to the performed care on the second care plan screen 62b. Manipulate.

When the portable terminal device TA receives an input operation of the care plan display area (second button) 622b from the TA input unit 35 configuring the touch panel, the TA care recording processing unit 326 of the TA control processing unit 32 performs the first operation. 2 A selection target notification communication signal is transmitted to the management server device SV (C27). In the second selection target notification communication signal, the name of the care target person Ob displayed in the care plan display area (second button) 622b that has received the input operation, the name of the care target person Ob, and the selection type notification A recording format request command for requesting a recording format corresponding to the care type name notified by the communication signal, a terminal ID of the own device, and the like are accommodated. In the second selection target notification communication signal, the name of the care target Ob displayed in the care plan display area (second button) 622b that has accepted the input operation and the subtitle area 621-2 are displayed. A care type name, a record format request command for requesting a record format corresponding to the name of the care subject Ob and the care type name, a terminal ID of the own device, and the like may be accommodated. In this case, the process of storing in the SV storage unit 23 the care type name and the terminal ID accommodated in the selection type notification communication signal received in the process S11 executed in the process S151 in association with each other can be omitted.

When the management server device SV receives the second selection target notification communication signal from the portable terminal device TA, the management server device SV notifies the recording format containing the recording format data (electronic file) through the above-described processing S11, processing S12, and processing S16. A format notification communication signal is sent back to the portable terminal device TA (C28). When the second selection target notification communication signal is received, an electronic file having a recording format corresponding to the care type name accommodated in the received first selection target notification communication signal is obtained in the above-described process S16. Instead of processing to be taken out from the format information storage unit 235, an electronic file having a recording format corresponding to the care type name stored in the SV storage unit 23 in association with the terminal ID is taken out from the format information storage unit 235 in step S151. As described above, when the care type name displayed in the subtitle area 621-2 is contained in the second selection target notification communication signal, the first selection target notification communication signal is received. Can be processed in the same way.

For example, when the care plan display area area (second button) 622b-3 that displays “NAME2” is input in process C27, the mobile terminal device TA uses the TA care record processing unit 326 to select the care subject Ob. A second selection target notification communication signal containing “NAME2” as a name is transmitted to the management server device SV (as described above, the second selection target notification communication signal is displayed in the “morning care” field displayed in the subtitle area 621-2. ”May be further accommodated as the type name of care), and in process C28, as a response, a format notification communication signal containing an electronic file of a recording format for morning care corresponding to NAME2 is received. The morning care recording format screen 64 b shown in FIG. 23 is displayed on the TA display unit 36.

This morning care recording format screen 64b is a screen for displaying a recording format for morning care, and is a screen for inputting the contents of the morning care performed as a care record. As shown in FIG. 23, for example, the morning care recording format screen 64b displays a menu bar area 511, a subject name display area 640, and input items to be input as care contents. A care record input area 641b for inputting the content of the corresponding care as a care record, a sharing check box (□) 642, and a “Send” button 643 are provided.

In the record format for morning care, for example, in this embodiment, the input items are dressing, conditioning, hair styling, oral care, face wash, getting out of bed, wiping and other items, memos, and care implementation time. In order to input, the care record input area 641b is used to input a changing input check box (□) for inputting the presence / absence of changing clothes, a conditioning input check box (□) for inputting the presence / absence of adjusting hair, and the presence / absence of hair setting. Hairdressing input check box (□) for input, oral care input check box (□) for inputting presence / absence of oral care, toilet input check box (□) for inputting presence / absence of toilet, input of presence / absence of getting out of bed Enter the checkout input check box (□) for wiping, the wiping input check box (□) for entering the presence / absence of wiping, and other information An item area 641b-1 having other input check boxes (□), a free description input area 641b-2 for inputting a memo, and a care execution time input area 641b- for inputting a time when care is performed 3. When a check input operation is accepted from the TA input unit 35 constituting the touch panel, “Le” is displayed in the check box, and the execution of care for the input item corresponding to the check box is input.

The morning care recording format screen 64b is a screen for displaying a recording format for evening care, and can also be used as a screen for inputting the contents of the performed evening care as a care record.

More specifically, the caregiver first refers to the recording format displayed on the TA display unit 36 and inputs the contents of care corresponding to the input item of this recording format. The content of the input care is temporarily stored in the TA storage unit 33 by the TA care recording processing unit 326 in association with the care subject person name displayed in the subject name display area 640 as a care record. The For example, in the care record of morning care, the caregiver refers to the morning care record format screen 64b displayed on the TA display unit 36, and each area 641b in the care record input area 641b of the morning care record format screen 64b. Enter the contents of morning care (for example, check input operation for each check box for changing clothes, oral care, and getting out of bed) in -1 to 641b-3, and if necessary, set the shared check box (□) 642 Perform input operations. Then, the caregiver performs an input operation on the “Send” button 643.

Returning to FIG. 19, upon accepting an input operation of the “Send” button 643, the portable terminal device TA uses the TA care recording processing unit 326 to determine the terminal ID of the own device, the name of the person to be careed (name of the person to be monitored), In addition, the contents of the care record input using the recording format screen 64 and stored in the TA storage unit 33 (in the above example, whether or not each item of morning care input using the morning care recording format screen 64b is performed) , Memo, care execution time and sharing permission / inhibition) is transmitted to the management server device SV (C29). When transmitted, the TA care record processing unit 326 deletes (deletes) the contents of the care record stored in the TA storage unit 33.

When the management server device SV receives the care record notification communication signal from the portable terminal device TA, the management server device SV processes the received care record notification communication signal through the above-described processing S11, processing S12, and processing S17. In the process S17, the processes S171 to S175 described with reference to FIG. 15 are executed.

Then, the portable terminal device TA that has transmitted the care record notification communication signal causes the TA control processing unit 32 to display on the TA display unit 36 a screen in which the submenu button 5111 is input in step C21. For example, when the submenu button 5111 of the standby screen 51 is input in process C21, the standby screen 51 is displayed.

Here again, as described above, the mobile terminal device TA that has transmitted the care record notification communication signal instead of the screen in which the submenu button 5111 is input in step C21 displays the second care plan screen 62b in the TA display unit 36. May be displayed. In this case, in the care record process S17, the management server apparatus SV further executes a process of updating the second care plan screen 62b and transmitting it to the mobile terminal apparatus TA. More specifically, the management server device SV executes the above-described second care plan process S15, that is, each of the processes S151 to S154 shown in FIG. Here, in this process S152, the care plan sort processing unit 2231, when an unexecuted care plan element in a plurality of care plans stored in the care plan information storage unit 234 is changed to already executed, Based on multiple care plans, it will be sorted again. In the present embodiment, as described above, since the care plan is updated at the next scheduled execution time for the care that has already been performed, the care plan sort processing unit 2231 includes the plurality of cares after the change and after the update. Based on the plan, it will be sorted again. According to this, the already-executed care plan element is deleted from the display of the first care plan screen 62b, and the management server device SV (care plan output device) responds to the progress of care for a plurality of care subjects Ob. The care plan can be output (transmitted) to display the care plan.

The monitored person monitoring system MS including the care plan output system operates as described above with respect to the display of the care plan and the care record on the second care plan screen.

As described above, the monitored person monitoring system MS including the care plan output system according to the present embodiment, the management server device SV including the care plan output device, and the care plan output method implemented therein include the predetermined time points. The care plan elements that are not yet implemented in each of the plurality of care subjects are sorted in the predetermined priority order on the basis of the criteria, and the care plans are displayed in the sorted order when the care plans are displayed. An unimplemented care plan element for each target person (monitored person) Ob is output. When the care plan is displayed by setting the predetermined priority order according to the situation and circumstances of the care target person Ob, care plan elements not yet performed in each of the plurality of care target objects Ob are: Sorted according to the situation and circumstances of the care subject Ob. For this reason, the caregiver (monitorer, user) refers to the sorted care plan elements, and thus gives priority to the care target Ob according to the situation and circumstances of the care target Ob. Recognize unplanned care plan elements that should be implemented Therefore, the monitored person monitoring system MS including the care plan output system, the management server device SV including the care plan output device, and the care plan output method implemented therein depend on the situation and circumstances of the care target Ob. Appropriate care can be implemented. The care plan is individually created for each care target person Ob and individually displayed for each care target person Ob. The monitored person monitoring system MS including the care plan output system, the care plan output device The management server device SV including the care plan output method implemented therein sorts and displays the care plan elements that have not been performed in each of the plurality of care target subjects Ob, and thus is not performed between the plurality of care target subjects Ob. Care plan elements can be compared, and a care target Ob of a care plan to be executed first can be appropriately determined.

According to the present embodiment, a care plan output device, a care plan output method, a care plan output system, and a monitored person monitoring system MS that can output a care plan including care performed at predetermined time intervals in a suitable manner. Can be provided.

According to the present embodiment, when the type of care in the displayed care plan is morning care, a care plan output device, a care plan output method, and a care plan output method capable of outputting the care plan of morning care appropriately. A care plan output system and a monitored person monitoring system MS can be provided. Morning care is care performed by caregivers in order for all monitored persons (care subjects) Ob at a predetermined time. By sorting in order of detection time of waking up or detection time of awakening, etc. Morning care can be performed in the order the caregiver woke up. For this reason, the care recipient can receive morning care with a clean consciousness, can receive morning care comfortably, and the care worker can save time and effort to wake up the care subject during sleep. Can be implemented.

According to the present embodiment, when the type of care in the displayed care plan is a predetermined care that is performed when the caregiver travels at night, the care plan for the predetermined care is suitably displayed. A care plan output device, a care plan output method and a care plan output system, and a monitored person monitoring system MS can be provided. The predetermined care carried out during the night patrol may need to wake up the care target, in such a case, by sorting in the order of detection time of waking up, order of detection time of waking, etc. As described above, the predetermined care can be received comfortably for the care recipient, and the predetermined care can be efficiently performed for the caregiver.

The caregiver who refers to the care plan usually determines the care target Ob and performs care. When the care is performed, the care person attaches care records such as nursing records and care records to the contents of the care. In the monitored person monitoring system MS including the care plan output system, a care plan display area 622a for displaying a set of the name of the care subject Ob and the type of care is the first button. Therefore, in the monitored person monitoring system MS including the care plan output system, the care person refers to the care plan and sets the name of the care target Ob and the type of care determined as the care target. By performing an input operation on the care plan display area 622a to be displayed, the recording format can be displayed on the TA display unit 36 constituting the touch panel, and care records can be attached with fewer input operations.

Further, in the monitored person monitoring system MS including the care plan output system, the care plan display area 622b for displaying the name of the care subject Ob is the second button. Therefore, in the monitored person monitoring system MS including the care plan output system, the caregiver inputs the care plan display area 622b that displays the name of the care subject Ob determined as a care target with reference to the care plan. By operating, the recording format can be displayed on the TA display unit 36 constituting the touch panel, and care records can be attached with fewer input operations.

In the monitored person monitoring system MS including the care plan output system, the terminal devices SP and TA receive the care content using the recording format, and transmit the care content to the management server device SV. The management server device SV received from the terminal devices SP and TA changes (updates) an unimplemented care plan element corresponding to this care to performed. Therefore, a caregiver who has performed care can change (update) an unimplemented care plan element to an already-executed care plan element by simply attaching a care record of the care, and separately change an unimplemented care plan element to already implemented. No operation is required.

In the second care plan screen 62b of the above-described embodiment, information (sort order basis information) that is the basis (cause) for determining the sorting order is further added to the care plan display area (second button) 622b, for example, The detection time of waking up, the detection time of awakening, and the like may be displayed. In particular, when the detection time of waking up or the detection time of awakening is displayed, the caregiver can determine the care target person who is sleeping based on the presence or absence of the display, by visually checking the second care plan screen 62b.

In the above-described embodiment, the type of care may include care for which a recording format is not prepared in advance. As care without such a recording format, for example, periodic state-viewing, voice call, etc. can be mentioned, and if it is confirmed that there is no abnormality in the subject of care, no care record is attached. When the care plan display area (first button) 622a or the care plan display area (second button) 622b for displaying care without such a recording format is input, the management server device SV receives the format notification communication. It is assumed that the care record notification communication signal has been received from the terminal devices SP and TA without transmitting the signal to the terminal devices SP and TA, and the processing S17 (processing S172 to processing S175 shown in FIG. Each processing) is carried out.

This specification discloses various modes of technology as described above, and the main technologies are summarized below.

A care plan output device according to one aspect is a care plan output device that outputs a care plan that includes one or a plurality of sets of a care execution scheduled time and a type of care associated with each other as a care plan element. A care plan information storage unit that stores a plurality of care plans associated with each of the care target persons, and a plurality of care plans stored in the care plan information storage unit, based on a predetermined point in time, In a predetermined priority order, a care plan sort processing unit that sorts care plan elements that have not been performed in each of the plurality of care subjects, and an order sorted by the care plan sort processing unit when displaying the care plan A care plan output processing unit for outputting an unimplemented care plan element in each of the plurality of care subjects sorted by the care plan sort processing unit to display Provided. Preferably, in the care plan output device described above, the predetermined time point is a time point of the sorting. Preferably, in the care plan output device described above, the predetermined time is a time when an instruction (request) to output the care plan is received. Preferably, in the care plan output device described above, the priority order is the scheduled execution time order. Preferably, in the care plan output device described above, the care plan output device further includes a clock unit that counts the date and time, and the care plan output processing unit acquires the current year, month, date, and time from the clock unit, and When displaying, an unimplemented care plan element whose scheduled execution time is earlier than the current year / month / day / hour / minute acquired from the clock part and the current scheduled date / time after the current year / month / day / date acquired from the clock part The unexecuted care plan elements for each of the plurality of care subjects are output so that the unimplemented care plan elements are displayed in different display modes.

Such a care plan output device sorts the care plan elements that have not been performed in each of the plurality of care subjects in the predetermined priority order with reference to the predetermined time point, and displays the care plan. An unimplemented care plan element for each of the plurality of care subjects is output so as to be displayed in the order in which they are performed. When the care plan is displayed by setting the predetermined priority order according to the situation and circumstances of the care target person, an unimplemented care plan element in each of the plurality of care target persons is the care Sorted according to the situation and circumstances of the target person. For this reason, the care person refers to the sorted unexecuted care plan elements, so that the plurality of care subjects are not yet to be implemented preferentially according to the situation and circumstances of the care subject. Recognize care planning elements. Therefore, the care plan output device can perform more appropriate care according to the situation and circumstances of the care target person. In addition, care plans are individually created for each care target and individually displayed for each care target, but the above care plan output device sorts unimplemented care plan elements for each of the plurality of care targets. Therefore, the care plan elements that have not been performed can be compared among a plurality of care target persons, and the care target person of the care plan to be executed first can be appropriately determined.

In another aspect, in the above-described care plan output device, when the care plan sort processing unit changes an unexecuted care plan element in a plurality of care plans stored in the care plan information storage unit to implemented And sorting again based on the plurality of care plans after the change.

Such a care plan output device sorts again based on the plurality of changed care plans. For this reason, the executed care plan element is deleted from the display, and the care plan output device can output the care plan so as to display a care plan according to the progress of care for a plurality of care subjects.

In another aspect, in the above-described care plan output device, when an unexecuted care plan element in a plurality of care plans stored in the care plan information storage unit is changed to executed, the care plan output device is changed to the executed. The next scheduled execution time of the care plan element is obtained, and the obtained scheduled execution time and the care type of the care plan element that has been changed to the implemented condition are associated with each other and stored in the care plan information storage unit. Further comprising a care plan update processing unit for updating a plurality of care plans stored in the care plan information storage unit, wherein the care plan sort processing unit is configured to add the updated care plans after the change. Sort again based on.

Such a care plan output device sorts again based on a plurality of updated care plans after the change. For this reason, the care plan output device can output the care plan so as to display the care plan element in which the next schedule is incorporated with respect to the executed care plan element.

In another aspect, in the above-described care plan output device, the care plan includes care performed at predetermined time intervals, and the priority order is the scheduled execution time order. Preferably, in the above-described care plan output device, the care performed at the predetermined time interval is hydration care that is care related to hydration in the care subject. Preferably, in the care plan output device described above, the care performed at the predetermined time interval is excretion care that is care related to excretion in the care target person. Preferably, in the above-described care plan output device, the excretion care includes at least one of excretion assistance for assisting the excretion of the care target person and diaper exchange for exchanging the diaper of the care target person. Preferably, in the care plan output device described above, the care plan includes care performed at a fixed time in one day, and the priority order is the scheduled execution time order.

According to this, it is possible to provide a care plan output device that can output so as to suitably display a care plan including care performed at a predetermined time interval.

In another aspect, in the above-described care plan output device, the type of care in the displayed care plan is a morning care including at least a change of clothes performed when the care target person gets up, or a caregiver Is a predetermined care that is performed when patrols the plurality of care target persons at night, and the priority order is the order of awakening time of the care target person, the order of wake-up time of the care target person, and the care It is one of the time order which put together the awakening time and the wake-up time in the subject. Preferably, in the above-described care plan output device, the predetermined care that is performed when the care person patrols the plurality of care subjects at night is excretion care that is excretion care related to excretion in the care subject. .

According to this, when the type of care in the displayed care plan is morning care, it is possible to provide a care plan output device that can output the care plan of morning care appropriately. Further, according to this, in the case where the type of care in the displayed care plan is a predetermined care that is performed when a care person patrols the plurality of care target persons at night, the predetermined care is performed. A care plan output device that can output the care plan so as to be displayed favorably can be provided.

A care plan output method according to another aspect is a care plan output method for outputting a care plan including one or a plurality of sets of a care execution scheduled time and a care type associated with each other as care plan elements. A care plan information storage step for storing a plurality of care plans associated with each of a plurality of care subjects in a care plan information storage unit, and a plurality of care plans stored in the care plan information storage unit. The care plan sorting process for sorting the care plan elements that have not been performed in each of the plurality of care subjects in a predetermined priority order with respect to the time point, and the care plan sort when displaying the care plan An unimplemented care plan for each of the plurality of care recipients sorted in the care plan sort process so as to be displayed in the order sorted in the process Outputs a and a care plan output processing steps.

Such a care plan output method sorts the care plan elements that have not been performed in each of the plurality of care subjects in the predetermined priority order based on the predetermined time point, and displays the care plan. An unimplemented care plan element for each of the plurality of care subjects is output so as to be displayed in the order in which they are performed. When the care plan is displayed by setting the predetermined priority order according to the situation and circumstances of the care target person, an unimplemented care plan element in each of the plurality of care target persons is the care Sorted according to the situation and circumstances of the target person. For this reason, the care person refers to the sorted unexecuted care plan elements, so that the plurality of care subjects are not yet to be implemented preferentially according to the situation and circumstances of the care subject. Recognize care planning elements. Therefore, the care plan output method can perform more appropriate care according to the situation and circumstances of the care target person. In addition, since the care plan output method sorts and displays the care plan elements that have not yet been performed for each of the plurality of care subjects, the care plan elements that have not been performed can be compared among the plurality of care subjects, and is implemented first. Appropriately determine who should be in the care plan to be taken.

A care plan output system according to another aspect is a care plan output system including a first central management device that manages a care plan and a first terminal device that is communicably connected to the first central management device. The first central management device includes any one of the above-described care plan output devices, and the care plan output processing unit is not implemented in each of the plurality of care target persons sorted by the care plan sort processing unit. The care plan element is transmitted to the first terminal device as the output, and the first terminal device outputs the care plan elements that have not been performed in each of the plurality of care subjects sorted by the care plan sort processing unit to When not received from one central management device, the received care plan elements for each of the plurality of care subjects sorted by the care plan sort processing unit are received. , Displayed in sorted order by the care plan sorting portion.

Such a care plan output system includes any of the above-described care plan output devices. Therefore, the above care plan output system can perform more appropriate care according to the situation and circumstances of the care target person, can compare the care plan elements that have not been executed among a plurality of care target persons, and the care plan to be executed first. Can be appropriately determined.

In another aspect, in the care plan output system described above, the first terminal device includes a touch panel, a display processing unit that performs display on the touch panel, and a communication processing unit that performs communication with the central management device. The display processing unit, when the care plan elements that are not yet performed in each of the plurality of care subjects include different types, the care plan elements that are not yet performed in the plurality of care subjects, The name of the care and the name of the type of care are displayed on the touch panel in the order sorted by the care plan sort processing unit, and the name of the care target and the name of the type of care are displayed on the touch panel. The area to be input is an instruction to display on the touch panel a recording format for inputting the care content created corresponding to the type of care as a care record. And the communication processing unit, when receiving the input operation of the first button, the name of the care target and the type of care displayed on the first button that has received the input operation When a first communication signal for requesting a recording format corresponding to is transmitted to the first central management apparatus and a second communication signal containing the recording format is received from the first central management apparatus, the second communication signal The recording format accommodated in the communication signal is displayed on the touch panel by the display processing unit. Preferably, in the above-described care plan output system, the set of the name of the care subject and the type of care further includes a scheduled time for performing the care.

ケア Caregivers who have referred to the care plan usually determine the care recipient and perform care. When the care is performed, the care person attaches care records such as nursing records and care records to the contents of the care. In the care plan output system, the area for displaying the combination of the name of the care subject and the type of care is a first button for inputting an instruction to display the recording format on the touch panel. Therefore, in the care plan output system, the caregiver performs an input operation on an area for displaying a set of the name of the care target and the type of care determined as a target of care with reference to the care plan. The recording format can be displayed on the touch panel, and care records can be attached with fewer input operations.

In another aspect, in the care plan output system described above, the first terminal device includes a touch panel, a display processing unit that performs display on the touch panel, and a communication processing unit that performs communication with the central management device. The display processing unit, when the care plan elements that are not yet performed in each of the plurality of care subjects are of the same type, The area where the name of the care subject is displayed on the touch panel is displayed in the order sorted by the care plan sort processing unit on the touch panel, and the care created according to the type of care. Is a second button for inputting an instruction to display a recording format for inputting the contents of the care record on the touch panel, and the communication processing unit When a two-button input operation is received, the third communication signal for requesting the name of the care subject displayed on the second button that has received the input operation and the recording format corresponding to the same type is received. When the fourth communication signal transmitted to the first central management device and containing the recording format is received from the first central management device, the display processing unit displays the recording format accommodated in the fourth communication signal by the display processing unit. To display.

In such a care plan output system, the area for displaying the name of the care target person is a second button for inputting an instruction to display the recording format on the touch panel. Therefore, in the care plan output system described above, the caregiver can display the recording format on the touch panel by performing an input operation on the area for displaying the name of the care target person who is determined as a care target with reference to the care plan. Care records can be attached with fewer input operations.

In another aspect, in the care plan output system described above, when the first terminal device receives the content of care using the recording format, the first communication device receives a fifth communication signal containing the received content of care. A care record processing unit for transmitting to the first central management device, wherein the care plan information storage unit displays implementation status information indicating whether the care plan element is not implemented or has been implemented; In the plurality of care plans stored in the care plan information storage unit when the first central management device receives the fifth communication signal from the first terminal device, It is further characterized by further comprising a care plan processing unit that changes an unexecuted care plan element corresponding to the care accommodated in the received fifth communication signal to implemented.

In such a care plan output system, the first terminal device accepts the content of care using the recording format, transmits the content of care to the first central management device, and receives the content of care from the first terminal device. The first central management apparatus changes (updates) an unimplemented care plan element corresponding to this care to an implemented state. Therefore, a caregiver who has performed care can change (update) an unimplemented care plan element to an already-executed care plan element by simply attaching a care record of the care, and separately change an unimplemented care plan element to already implemented. No operation is required.

A monitored person monitoring system according to another aspect is provided corresponding to a monitored person who is a monitoring target, and a sensor device that detects a predetermined event related to the monitored person, and is connected to be able to communicate with the sensor device A second central management device that manages an event detected by the sensor device and received from the sensor device, and is connected to the second central management device so as to be communicable with the sensor via the second central management device A second monitoring device for monitoring the monitored person, the second terminal device receiving a notification of an event detected by the device, wherein the second central management device is one of the above-mentioned A care plan output device, wherein the care plan output processing unit includes an unimplemented care plan element in each of the plurality of care subjects sorted by the care plan sort processing unit. The second terminal device receives from the second central management device unimplemented care plan elements for each of the plurality of care subjects sorted by the care plan sort processing unit. In this case, the received care plan elements in each of the plurality of care subjects sorted by the care plan sort processing unit are displayed in the order sorted by the care plan sort processing unit, and the care target The person is the monitored person.

According to this, it is possible to provide a monitored person monitoring system including any one of the above-described care plan output devices. Therefore, such a monitored person monitoring system can perform more appropriate care according to the situation and circumstances of the care target person.

This application is based on Japanese Patent Application No. 2016-241601 filed on Dec. 13, 2016, including the description, claims, drawings and abstract, and the entire disclosure thereof is Incorporated herein by reference.

Although embodiments of the present invention have been illustrated and described in detail, it is merely exemplary and illustrative and not limiting. The scope of the invention should be construed by the language of the appended claims.

In order to express the present invention, the present invention has been properly and fully described through the embodiments with reference to the drawings. However, those skilled in the art can easily change and / or improve the above-described embodiments. It should be recognized that this is possible. Therefore, unless the modifications or improvements implemented by those skilled in the art are at a level that departs from the scope of the claims recited in the claims, the modifications or improvements are not covered by the claims. To be construed as inclusive.

ADVANTAGE OF THE INVENTION According to this invention, the care plan output apparatus which outputs care plans, such as a nursing plan and a care plan, the care plan output method, a care plan output system, and the to-be-monitored person monitoring system containing the said care plan output apparatus can be provided. .

Claims

A care plan output device that outputs a care plan including one or a plurality of care plan elements and a set of care types associated with each other as care plan elements,
A care plan information storage unit for storing a plurality of care plans associated with each of a plurality of care subjects;
Care that sorts unimplemented care plan elements in each of the plurality of care subjects in a predetermined priority order with respect to time based on a plurality of care plans stored in the care plan information storage unit A planned sort processing unit;
When the care plan is displayed, the care plan elements that are not yet implemented in each of the plurality of care subjects sorted by the care plan sort processing unit are output so as to be displayed in the order sorted by the care plan sort processing unit. A care plan output processing unit
Care plan output device.
The care plan sort processing unit, when an unimplemented care plan element in a plurality of care plans stored in the care plan information storage unit is changed to implemented, based on the plurality of care plans after the change, Sort again,
The care plan output device according to claim 1.
When an unimplemented care plan element in a plurality of care plans stored in the care plan information storage unit is changed to implemented, the next scheduled execution time of the care plan element changed to the implemented is determined, A plurality of cares stored in the care plan information storage unit are stored in the care plan information storage unit by associating the determined scheduled execution time and the type of care of the care plan element that has been changed to the completed one in the care plan information storage unit A care plan update processing unit for updating the plan;
The care plan sort processing unit sorts again based on the updated care plans after the change.
The care plan output device according to claim 2.
The care plan includes care performed at predetermined time intervals;
The priority order is the scheduled execution time order,
The care plan output device according to claim 3.
The type of care in the displayed care plan is a morning care including at least a change of clothes performed when the care target person gets up, or when the care person visits the plurality of care target objects at night. Predetermined care to be performed,
The priority order is any one of the order of the awakening time of the care target person, the order of the wake up time of the care target person, and the time order of the awakening time and the wake up time of the care target person.
The care plan output device according to any one of claims 1 to 4.
A care plan output method for outputting a care plan comprising one or a plurality of care plan elements and a set of care scheduled times and types of care associated with each other,
A care plan information storage step of storing a plurality of care plans associated with each of a plurality of care subjects in a care plan information storage unit;
Care that sorts unimplemented care plan elements in each of the plurality of care subjects in a predetermined priority order with respect to time based on a plurality of care plans stored in the care plan information storage unit Planned sorting process,
When the care plan is displayed, the care plan elements that are not yet implemented in each of the plurality of care subjects sorted in the care plan sort processing step are output so that the care plans are displayed in the order sorted in the care plan sort processing step. A care plan output processing step to
Care plan output method.
A care plan output system comprising a first central management device for managing a care plan and a first terminal device communicably connected to the first central management device,
The first central management device includes the care plan output device according to any one of claims 1 to 5, wherein the care plan output processing unit is sorted by the care plan sort processing unit. An unimplemented care plan element for each of the care recipients as the output to the first terminal device,
The first terminal device receives the care plan received from the first central management device when an unexecuted care plan element in each of the plurality of care target persons sorted by the care plan sort processing unit is received. The care plan elements that have not been performed in each of the plurality of care subjects sorted by the sort processing unit are displayed in the order sorted by the care plan sort processing unit.
Care plan output system.
The first terminal device includes a touch panel, a display processing unit that displays on the touch panel, and a communication processing unit that processes communication with the first central management device,
In the case where the unexecuted care plan element in each of the plurality of care subjects includes different types, the display processing unit displays the unimplemented care plan element in each of the plurality of care subjects as the name of the care subject. And the type of care type name on the touch panel, in the order sorted by the care plan sort processing unit,
In the touch panel, an area for displaying a set of the name of the care subject and the type of care is a recording format for inputting the content of the care created corresponding to the type of care as the care record. A first button for inputting an instruction to be displayed on the touch panel;
When receiving the input operation of the first button, the communication processing unit requests a recording format corresponding to the name of the care target and the type of care displayed on the first button that has received the input operation. When the first communication signal for transmitting to the first central management device is received and the second communication signal containing the recording format is received from the first central management device, the recording format contained in the second communication signal Is displayed on the touch panel by the display processing unit,
The care plan output system according to claim 7.
The first terminal device includes a touch panel, a display processing unit that displays on the touch panel, and a communication processing unit that processes communication with the first central management device,
In the case where the care plan elements not yet performed in each of the plurality of care subjects are of the same type, the display processing unit displays the care plan elements not performed in each of the plurality of care subjects as the names of the care subjects. And display on the touch panel in the order sorted by the care plan sort processing unit,
The area for displaying the name of the care subject on the touch panel is used to input an instruction to display on the touch panel a recording format for inputting the care content created corresponding to the type of care as a care record. A second button for
When the communication processing unit receives an input operation of the second button, the communication processing unit requests a name of the care subject displayed on the second button that has received the input operation and a recording format corresponding to the same type. When the third communication signal is transmitted to the first central management device and the fourth communication signal containing the recording format is received from the first central management device, the recording format contained in the fourth communication signal Is displayed on the touch panel by the display processing unit,
The care plan output system according to claim 7.
The first terminal device, when receiving the content of care using the recording format, a care recording processing unit that transmits a fifth communication signal containing the received care content to the first central management device. In addition,
The care plan information storage unit further stores, in association with the care plan element, implementation state information indicating whether the care plan element has not been implemented or has been implemented,
When the first central management device receives the fifth communication signal from the first terminal device, the first central management device is accommodated in the received fifth communication signal in a plurality of care plans stored in the care plan information storage unit. Further comprising a care plan processing unit that changes an unexecuted care plan element corresponding to the care that has been implemented to implemented,
The care plan output system according to claim 8 or 9.
A sensor device that is provided corresponding to a monitored person who is a monitoring target, detects a predetermined event related to the monitored person, is connected to be able to communicate with the sensor device, is detected by the sensor device, and is detected from the sensor device. A second central management device for managing the received event, and a second terminal connected to the second central management device so as to be communicable and receiving notification of the event detected by the sensor device via the second central management device A monitored person monitoring system for monitoring the monitored person, comprising a device,
The second central management device includes the care plan output device according to any one of claims 1 to 5, wherein the care plan output processing unit is sorted by the care plan sort processing unit. The care plan elements not yet implemented in each care target person are transmitted to the second terminal device as the output, and the second terminal device transmits unprocessed care plan elements in each of the plurality of care target people sorted by the care plan sort processing unit. When the care plan element to be implemented is received from the second central management device, the received care plan element in each of the plurality of care subjects sorted by the care plan sort processing unit is received as the care plan. Display in the order sorted by the sort processing part,
The care subject is the monitored person.
Monitored person monitoring system.