WO2019208629A1

WO2019208629A1 - Hospital food management system, hospital food management method, information processing device, information processing method, information processing program, communication terminal, and application program

Info

Publication number: WO2019208629A1
Application number: PCT/JP2019/017420
Authority: WO
Inventors: 裕介白水
Original assignee: 株式会社レイズ
Priority date: 2018-04-27
Filing date: 2019-04-24
Publication date: 2019-10-31

Abstract

The present invention provides an information processing device with which each person with responsibility for a patient's meals shares information relating to changes in meals, to prevent the patient being provided with an incorrect meal. This information processing device is provided with: a meal database for storing meal menus associated with a patient; a meal menu acquiring unit for acquiring a plurality of meal menus from a dietitian terminal operated by a certified dietitian; a meal selection screen providing unit which provides a meal selection screen including the plurality of meal menus to a patient terminal operated by the patient; a selected menu acquiring unit for acquiring from the patient terminal the meal menu selected from the meal selection screen by the patient; a change detecting unit for detecting a change in the condition of the patient, or a change in an examination plan or a treatment plan for the patient, on the basis of an electronic medical record of the patient; and a meal menu control unit for controlling the meal menus associated with the patient and stored in the meal database, on the basis of the meal menu selected by the patient, and a change in the condition of the patient or a change in the examination plan or the treatment plan.

Description

Hospital food management system, hospital food management method, information processing apparatus, information processing method, information processing program, communication terminal, and application program

The present invention relates to a technique for managing meals in a hospital.

In the above technical field, Patent Documents 1 and 2 disclose a technique for inputting a selected meal by a patient in a hospital. Also, cited document 3 discloses a technique for generating a meal menu corresponding to a patient's medical condition and commissioned manufacturing thereof.

Japanese Patent Laid-Open No. 2002-041671 JP 2012-118782 A JP 2003-141259 A

However, in the technique described in the above document, when the patient's meal needs to be changed, each person in charge involved in the patient's meal, for example, the patient himself, a doctor, a nurse, a registered dietitian, etc. Failure to share information could lead to wrong meals for the patient.

An object of the present invention is to provide a technique for solving the above-described problems.

In order to achieve the above object, an information processing apparatus according to the present invention provides:
A meal database that stores meal menus in association with patients;
Meal menu acquisition means for acquiring a plurality of meal menus from a dietitian terminal operated by a registered dietitian;
A meal selection screen providing means for providing a meal selection screen including the plurality of meal menus on a patient terminal operated by the patient;
Selection menu acquisition means for acquiring a meal menu selected by the patient from the meal selection screen from the patient terminal;
A change detecting means for detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
A meal menu associated with the patient stored in the meal database based on a meal menu selected by the patient and a change in the condition of the patient, or a change in the examination plan or the treatment plan. Meal menu control means to control;
Is provided.
In order to achieve the above object, an information processing apparatus according to the present invention provides:
A meal database that stores meal menus in association with patients;
A selection menu acquisition means for acquiring a meal menu selected by the patient from the meal selection screen displayed on the patient terminal from the patient terminal and storing it in the meal database;
A meal menu control means for controlling a meal menu selected and stored by the patient based on the judgment of the medical staff;
Is provided.

In order to achieve the above object, an information processing method according to the present invention includes:
A meal menu acquisition step of acquiring a plurality of meal menus from a dietitian terminal operated by a registered dietitian;
A meal selection screen providing step for providing a meal selection screen including the plurality of meal menus on a patient terminal operated by the patient;
A selection menu obtaining step for obtaining a meal menu selected by the patient from the meal selection screen from the patient terminal;
A change detecting step of detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
The meal menu associated with the patient stored in the meal database is controlled based on the meal menu selected by the patient and the change in the condition of the patient, or the change in the examination plan or the treatment plan. A meal menu control step,
including.
In order to achieve the above object, an information processing method according to the present invention includes:
A selection menu acquisition step of acquiring a meal menu selected by the patient from the meal selection screen displayed on the patient terminal from the patient terminal and storing it in a meal database storing the meal menu in association with the patient;
A meal menu control step for controlling a meal menu selected and stored by the patient based on the judgment of the medical staff;
including.

In order to achieve the above object, an information processing program according to the present invention provides:
A meal menu acquisition step of acquiring a plurality of meal menus from a dietitian terminal operated by a registered dietitian;
A meal selection screen providing step for providing a meal selection screen including the plurality of meal menus on a patient terminal operated by the patient;
A selection menu obtaining step for obtaining a meal menu selected by the patient from the meal selection screen from the patient terminal;
A change detecting step of detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
The meal menu associated with the patient stored in the meal database is controlled based on the meal menu selected by the patient and the change in the condition of the patient, or the change in the examination plan or the treatment plan. A meal menu control step,
Is executed on the computer.
In order to achieve the above object, an information processing program according to the present invention includes:
A selection menu acquisition step of acquiring a meal menu selected by the patient from the meal selection screen displayed on the patient terminal from the patient terminal and storing it in a meal database storing the meal menu in association with the patient;
A meal menu control step for controlling a meal menu selected and stored by the patient based on the judgment of the medical staff;
Is executed on the computer.

In order to achieve the above object, a communication terminal according to the present invention provides:
From the information processing device, a plurality of meal menus created by a registered dietitian are acquired, and a meal menu acquisition means for displaying on the display means;
A meal menu transmission means for transmitting the meal menu selected by the patient from the displayed meal menus together with the patient identifier to the information processing apparatus;
Change determination means for determining whether or not to change the selected meal menu including the cancellation of the meal due to a change in the condition of the patient detected by the measurement device;
If the determination means determines to change the meal menu, the meal menu change means to change the selected meal menu;
Is provided.

In order to achieve the above object, an application program according to the present invention provides:
A login step of logging into the information processing apparatus and notifying the patient's identifier;
From the information processing device, a plurality of meal menus created by a registered dietitian are acquired, and a meal menu acquisition step for displaying on the display means;
A meal menu transmission step of transmitting a meal menu selected by the patient from the displayed meal menus together with the patient identifier to the information processing apparatus;
The change of the selected meal menu including the cancellation of the meal due to a change in the condition of the patient or a change in the examination plan or the treatment plan for the patient detected based on the electronic medical record corresponding to the identifier of the patient A meal change display step for displaying notification information for notifying the change of the selected meal menu and an updated meal menu on the display means when notified from the information processing apparatus;
Is executed on the computer.

In order to achieve the above object, a hospital food management system according to the present invention includes:
A bedside terminal located on the patient's bedside;
A registered dietitian terminal operated by a registered dietitian;
The clerk officer terminal operated by the clerk in charge,
A doctor terminal or nurse terminal operated by a doctor or nurse;
Information processing apparatus as a bedside terminal management server that connects to at least the bedside terminal and manages the patient's meal;
An electronic medical record management server for connecting to at least the doctor terminal or the nurse terminal and managing medical information of the patient;
With
The information processing apparatus includes:
A meal database for storing a meal menu in association with the patient;
A meal menu obtaining means for obtaining a plurality of meal menus from the registered dietitian terminal;
A meal selection screen providing means for providing a meal selection screen including the plurality of meal menus on the bedside terminal;
Selection menu acquisition means for acquiring a meal menu selected by the patient from the meal selection screen from the bedside terminal;
A change detecting means for detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
A meal menu associated with the patient stored in the meal database based on a meal menu selected by the patient and a change in the condition of the patient, or a change in the examination plan or the treatment plan. Meal menu control means to control;
Is provided.
In addition, in order to achieve the above object, the hospital food management system according to the present invention includes:
A patient terminal,
An information processing device for controlling the patient terminal;
A meal provision management device that manages the provision of meals to patients via the information processing device;
With
The information processing apparatus includes:
A meal database that stores meal menus in association with patients;
Selection menu acquisition means for acquiring a meal menu selected by the patient from the meal selection screen displayed on the patient terminal from the patient terminal and storing it in the meal database;
Have
The meal provision management device comprises:
Meal provision control means for controlling the provision of the meal selected by the patient based on the judgment of the medical staff received from the patient terminal;
Have

In order to achieve the above object, a hospital food management method according to the present invention includes:
A meal menu selection step for providing a meal selection screen based on a plurality of meal menus to the patient and causing the patient to select a meal menu;
A change detecting step of detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
The meal menu associated with the patient stored in the meal database is controlled based on the meal menu selected by the patient and the change in the condition of the patient, or the change in the examination plan or the treatment plan. A meal menu control step,
including.

According to the present invention, since each person in charge who is involved in the patient's meal can share information on the change in meal, it is possible to prevent the wrong meal from being provided to the patient.

It is a block diagram which shows the structure of the information processing apparatus which concerns on 1st Embodiment of this invention. It is a figure which shows the display screen of the communication terminal connected with the information processing apparatus which concerns on 2nd Embodiment of this invention. It is a figure which shows the display screen of the communication terminal connected with the information processing apparatus which concerns on 2nd Embodiment of this invention. It is a figure which shows the display screen of the communication terminal connected with the information processing apparatus which concerns on 2nd Embodiment of this invention. It is a figure which shows the display screen of the communication terminal connected with the information processing apparatus which concerns on 2nd Embodiment of this invention. It is a block diagram which shows the structure of the hospital food management system containing the information processing apparatus and communication terminal which concern on 2nd Embodiment of this invention. It is a sequence diagram which shows the operation | movement procedure of the hospital food management system containing the information processing apparatus and communication terminal which concern on 2nd Embodiment of this invention. It is a sequence diagram which shows the operation | movement procedure of the hospital food management system containing the information processing apparatus and communication terminal which concern on 2nd Embodiment of this invention. It is a block diagram which shows the function structure of the information processing apparatus as a bedside terminal management server which concerns on 2nd Embodiment of this invention. It is a figure which shows the structure of the patient information storage part in the meal database which concerns on 2nd Embodiment of this invention. It is a figure which shows the structure of the meal menu memory | storage part in the meal database which concerns on 2nd Embodiment of this invention. It is a figure which shows the structure of the meal menu memory | storage part for every patient in the meal database which concerns on 2nd Embodiment of this invention. It is a figure which shows the structure of the meal restriction table which concerns on 2nd Embodiment of this invention. It is a figure which shows the structure of the meal selection screen format which concerns on 2nd Embodiment of this invention. It is a block diagram which shows the function structure of the communication terminal as a bedside terminal which concerns on 2nd Embodiment of this invention. It is a figure which shows the structure of the meal menu selection screen format which concerns on 2nd Embodiment of this invention. It is a flowchart which shows the process sequence of the communication terminal as a bedside terminal which concerns on 2nd Embodiment of this invention. It is a block diagram which shows the function structure of each terminal which concerns on 2nd Embodiment of this invention. It is a figure which shows the display screen of the registered dietitian terminal which concerns on 2nd Embodiment of this invention. It is a figure which shows the display screen of the layout person in charge terminal which concerns on 2nd Embodiment of this invention. It is a figure which shows the input screen from the doctor terminal which concerns on 2nd Embodiment of this invention. It is a figure which shows the input screen from the nurse terminal which concerns on 2nd Embodiment of this invention. It is a block diagram which shows the hardware constitutions of the information processing apparatus as a bedside terminal management server which concerns on 2nd Embodiment of this invention. It is a flowchart which shows the process sequence of the information processing apparatus as a bedside terminal management server which concerns on 2nd Embodiment of this invention. It is a flowchart which shows the procedure of the access process from the communication terminal (bedside terminal) which concerns on 2nd Embodiment of this invention. It is a flowchart which shows the procedure of the access process from the registered dietitian terminal which concerns on 2nd Embodiment of this invention. It is a flowchart which shows the procedure of the access process from the layout person in charge terminal which concerns on 2nd Embodiment of this invention. It is a flowchart which shows the procedure of the access process from the electronic medical record management server which concerns on 2nd Embodiment of this invention. It is a block diagram which shows the structure of the hospital food management system containing the information processing apparatus and communication terminal which concern on 3rd Embodiment of this invention. It is a block diagram which shows the function structure of the information processing apparatus as a bedside terminal management server which concerns on 3rd Embodiment of this invention. It is a figure which shows the structure of the meal menu memory | storage part in the meal database which concerns on 3rd Embodiment of this invention. It is a figure which shows the structure of the meal menu memory | storage part for every patient in the meal database which concerns on 3rd Embodiment of this invention. It is a block diagram which shows the structure of the hospital food management system containing the information processing apparatus, meal management server, and communication terminal which concern on 4th Embodiment of this invention. It is a figure which shows the structure of the meal information sharing algorithm which concerns on 5th Embodiment of this invention. It is a figure which shows the status transition of the meal information sharing which concerns on 5th Embodiment of this invention. It is a block diagram which shows the structure of the hospital food management system containing the information processing apparatus, meal management server, and communication terminal which concern on 6th Embodiment of this invention. It is a sequence diagram which shows the operation | movement procedure of the hospital food management system containing the information processing apparatus which concerns on 6th Embodiment of this invention, a meal management server, and a communication terminal.

Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the drawings. However, the constituent elements described in the following embodiments are merely examples, and are not intended to limit the technical scope of the present invention only to them.

[First Embodiment]
An information processing apparatus 100 as a first embodiment of the present invention will be described with reference to FIG. The information processing apparatus 100 is an apparatus that manages a patient's meal.

As illustrated in FIG. 1, the information processing apparatus 100 includes a meal database 101, a meal menu acquisition unit 102, a meal selection screen providing unit 103, a selection menu acquisition unit 104, a change detection unit 105, and a meal menu control unit. 106. The meal database 101 stores a meal menu 112 in association with the patient 111. The meal menu acquisition unit 102 acquires a plurality of meal menus from the dietitian terminal 120 operated by the registered dietitian. The meal selection screen providing unit 103 provides a meal selection screen including a plurality of meal menus to the patient terminal 110 operated by the patient. The selection menu acquisition unit 104 acquires the meal menu selected by the patient from the meal selection screen from the patient terminal 110. The change detection unit 105 detects a change in the condition of the patient or a change in the examination plan or the treatment plan for the patient based on the electronic medical record 130 of the patient. The meal menu control unit 106 is associated with the patient 111 stored in the meal database 101 based on the meal menu selected by the patient and the change in the condition of the patient, or the change in the examination plan or the treatment plan. The meal menu 112 is controlled.

According to this embodiment, each person in charge involved in the patient's meal, that is, the patient, the doctor or nurse, the person in charge of the meal, and the registered dietitian can share information on the change in meal. You can prevent the wrong meal from being served.

[Second Embodiment]
Next, a hospital food management system including an information processing apparatus and a communication terminal according to a second embodiment of the present invention will be described. A hospital food management system including an information processing apparatus and a communication terminal according to the present embodiment includes a meal menu from a registered dietitian, a meal menu selected by a patient, an examination plan or a treatment plan from a doctor or a nurse, Get condition changes. When the meal menu in the meal database needs to be updated, the meal database is updated. This controls the meal menu associated with the patient stored in the meal database, so the patient, doctor or nurse, caterer, and dietitian can share information about meal changes. Can prevent the patient from serving the wrong meal.

In this case, the meal menu is controlled by judging the change of the meal menu based on the examination plan or treatment plan from the doctor or nurse. In addition, the condition of the patient is acquired, the change of the meal menu based on the condition of the patient is determined, and the meal menu is controlled. In addition, the control of the meal menu includes changing or stopping the meal for the patient based on a change in the patient's condition or a change in the examination plan or the treatment plan. In addition, the meal selection screen provides a screen that makes it impossible to select meals that the patient cannot ingest based on the electronic medical record. Here, a change in the condition of the patient, or a change in the examination plan or treatment plan for the patient may be detected based on the electronic medical record. Further, the change determination unit determines whether the meal menu has been changed by the patient, and controls the meal menu associated with the patient stored in the meal database based on the change in the meal menu by the patient. Moreover, the change determination part determines the change of the meal menu from a management dietitian, and controls the meal menu matched with the patient memorize | stored in the meal database based on the change of the meal menu by a management dietitian. And based on the meal menu matched with the patient memorize | stored in the meal database, the list of the meal menu of each patient is produced | generated, and the meal menu list provision is performed to the person in charge of serving. In addition, meal order information is generated based on a meal menu associated with the patient stored in the meal database, and order information is provided to the registered dietitian terminal. In addition, meal order information is generated by collecting meal menus associated with patients stored in the meal database, and order information is provided to a meal consignor who entrusts the manufacture and provision of meals.

《Communication terminal display screen》
Hereinafter, transition of the display screen of the communication terminal connected to the information processing apparatus as the meal management server according to the present embodiment will be described with reference to FIGS. 2A to 2D.

FIG. 2A is a pictogram screen 211 as a menu displayed after logging in the communication terminal 210 to the information processing apparatus according to the present embodiment and inputting a patient identifier (patient ID). In FIG. 2A, descriptions that are less relevant to the present embodiment are omitted.

The “meal selection” button 221 in FIG. 2A is a button for instructing the information processing apparatus to display a meal menu selection screen from the communication terminal 210.

FIG. 2B is a one-week meal menu selection screen 212 that is displayed when the “meal selection” button 221 in FIG. 2A is touched.

The meal menu 231 to be selected is displayed on the meal menu selection screen 212 in FIG. 2B. In the present embodiment, the meal menu 231 includes breakfast for one week, a normal meal and a selection meal for lunch, and a normal meal and a selection meal for dinner.

In the meal menu 231, a menu 232 indicated by a diagonal line rising to the right is a menu that a patient cannot select in advance due to contraindications, allergies, or other meal restriction conditions. Moreover, the display 233 of cancellation (surgery) indicates that there is no meal for the surgery. Each menu candidate 234 can open its detailed screen by clicking.

The “decision” button 235 is a decision instruction button after the meal menu selection is completed. The “end” button 236 is a button for ending the meal menu selection display and returning to the pictogram screen 211 of FIG. 2A.

FIG. 2C is a detail screen 213 of each meal menu that is displayed when the menu candidate 234 in FIG. 2B is clicked.

The detailed information 241 of the menu candidate 234 is displayed on the detail screen 213 in FIG. 2C. The detailed information 241 displays a meal menu image 242, details of ingredients, and details of ingredients.

“Determination” button 243 is a button for instructing determination of menu candidate 234. The “end” button 244 is a button for ending the detailed display and returning to the selection screen 212 of FIG. 2B.

FIG. 2D is a display screen 214 with a notification that the meal will be stopped due to a new examination, and an updated meal menu.

In the display screen 214 of FIG. 2D, a notification 252 that a meal is stopped and an updated meal menu 251 are displayed. In the updated meal menu 251, it is indicated by a slanting line on the lower right in FIG. 2B that the 2/7 (Wed) normal meal and the 2/8 (Thu) normal meal 253 are not selected. ing. In addition, a new meal stop (inspection) 254 due to the entry of an inspection is added.

The “decision” button 255 is a decision instruction button for accepting the updated meal menu. The “end” button 256 is a button for ending the notification screen that the meal is stopped and returning to the pictogram screen 211 of FIG. 2A or the like.

《Hospital food management system》
The configuration and operation of the hospital food management system including the information processing apparatus and the communication terminal (bedside terminal) according to this embodiment will be described with reference to FIGS. 3 to 4B.

(Constitution)
FIG. 3 is a block diagram illustrating a configuration of a hospital food management system 300 including an information processing apparatus (bedside terminal management server) 310 and a communication terminal (bedside terminal) 210 according to the present embodiment.

The hospital food management system 300 includes an information processing device 310 serving as a bedside terminal management server, an electronic medical record management server 320 serving as a hospital management server, and a communication terminal 210 serving as a bedside terminal connected via a network 380. , And other terminals 330 to 370. As other terminals 330 to 370, a doctor terminal 330, a registered dietitian terminal 340, a nurse terminal 350, an external meal contractor terminal 360, and a caterer terminal 370 And including. Note that the information processing apparatus 310 may be included as part of the electronic medical record management server 320.

The information processing apparatus 310 has a meal database 311 and operates to share patient meal information among the communication terminal 210, the registered dietitian terminal 340, and the serving person terminal 370. The electronic medical record management server 320 has an electronic medical record database 321 and manages medical information including patient information and treatment information based on the patient medical record. A doctor terminal 330 and a nurse terminal 350 are connected to the electronic medical record management server 320 to notify the patient state stored in the electronic medical record database 321 and to set up an examination plan, a treatment plan, or patient state information. The input is reflected in the electronic medical record database 321. Then, the electronic medical record management server 320 notifies the information processing apparatus 310 of changes in the patient's condition and changes in the examination plan and treatment plan for the patient. The information processing apparatus 310 receives notification of changes in the patient's condition from the electronic medical record management server 320 and changes in the examination plan and treatment plan for the patient, and changes the corresponding patient's meal menu in the meal database 311 if necessary. . The electronic medical record management server 320 may be realized by a single cloud server, or may be realized as a distributed system of servers that perform individual processing.

The communication terminal 210 as a bedside terminal is arranged on a shelf 302 attached to the side of the patient's bed 301. That is, in the example of FIG. 3, the communication terminal 210 is provided in each bed. The communication terminal 210 receives the pictogram including the patient information acquired from the electronic medical record management server 320 by the patient identifier (patient ID) from the information processing apparatus 310 and displays it. In addition, the communication terminal 210 communicates with the measurement device by, for example, short-range communication, acquires the measured patient status information, and transmits the information to the electronic medical record management server 320. Short-range communication includes Wi-Fi, infrared communication, RFID, and the like. Note that the communication terminal 210 is not limited to be placed on the shelf, but may be buried in a wall beside the bed or placed on an arm attached to the bed, and the placement method is not limited.

The doctor terminal 330 is used by the doctor to input the patient's examination schedule and treatment schedule to the electronic medical record management server 320 and to view the patient's examination results from the electronic medical record management server 320. The The nurse terminal 350 is preferably a portable terminal that can be carried, and can be carried in a roundabout in a hospital room to view the patient's status from the electronic medical record management server 320 or to the electronic medical record management server 320. It is used to input processing results. The terminal 340 for a registered dietitian creates and inputs a general meal menu or a personal meal menu referring to a patient's medical condition or condition and stores it in the meal database 311, or the meal menu selected by each patient. Used to view and monitor meal status. A terminal 360 for an external meal contractor is a terminal to which a meal is ordered when a meal menu for a predetermined period, for example, 1-2 weeks, is confirmed. In addition, although ordering of the meal to an outside meal contractor may be performed from the terminal 340 for a registered dietitian, it is not limited. The terminal 370 for the person in charge of serving is used to acquire and display a list of menus for each patient, and to serve meals brought from an external meal contractor so as to match the menu for each patient.

(Operation sequence)
4A and 4B are sequence diagrams showing an operation procedure of the hospital food management system 300 including the information processing apparatus 310 and the communication terminal 210 according to the present embodiment.

(Meal menu generation process)
FIG. 4A is a sequence diagram showing an operation procedure for generating a meal menu for a patient. The first half sequence (S401 to S419) in FIG. 4A is an example in which a common meal menu is provided to a predetermined group of patients such as a department. Further, the second half sequence (S421 to S439) of FIG. 4A is an example in which a meal menu for a specific patient is provided.

In step S400, a meal management application is started in each server and each terminal, and a login process is executed in each terminal that requests support for meal management.

In step S401, the information processing apparatus 310 as the bedside terminal management server receives patient information from the electronic medical record management server 320 based on the patient ID. The reception of the patient information may be a response to an inquiry from the information processing apparatus 310 to the electronic medical record management server 320, or may be a reflection of information by a notification from the electronic medical record management server 320 to the information processing apparatus 310. Good. In step S <b> 403, the meal menu generated by the registered dietitian is transmitted to the information processing apparatus 310. In step S405, the information processing apparatus 310 receives a meal menu from the dietitian terminal 340, adds a meal restriction for a meal that the patient cannot ingest based on the patient information, and transmits the meal restriction to the communication terminal 210. In step S407, the information processing apparatus 310 stores the meal menu received from the dietitian terminal 340 in the meal database 311.

In step S409, the communication terminal 210 displays a meal menu selection screen to which meal restrictions are added corresponding to the patient. In step S411, the communication terminal 210 transmits the meal menu selected by the patient to the information processing apparatus 310. In step S413, the information processing apparatus 310 stores the meal menu for each patient received from the communication terminal 210 in the meal database 311 and transmits a list of meal menus for each patient to the dietitian terminal 340 and the caterer terminal 370. . In step S415, the person-in-charge person terminal 370 receives a list of meal menus for each patient. In step S417, the dietitian terminal 340 collectively decides the meal menu for each patient and places an order with the meal contractor. In step S419, the meal consignment contractor terminal 360 receives a meal consignment order.

In step S421, the electronic medical record management server 320 transmits the patient history information corresponding to the patient ID to the information processing apparatus 310 and the nutritionist terminal 340 as the bedside terminal management server. In step S423, the doctor terminal 330 or the nurse terminal 350 notifies the electronic medical record management server 320 of the examination plan and treatment plan corresponding to the patient ID, or the patient status information. The patient status information includes various measurement information, comments on the patient of the doctor or nurse, patient-related data, and the like. The electronic medical record management server 320 transmits a diagnosis plan and a treatment plan corresponding to the patient ID to the nutritionist terminal 340 and the information processing apparatus 310. Furthermore, in step S425, the communication terminal 210 transmits the patient condition information acquired from the measurement device including the sensor to the information processing apparatus 310. The information processing apparatus 310 transmits the patient condition information to the electronic medical record management server 320 and the nutritionist terminal 340.

The registered dietitian refers to the patient history information, the examination plan, the treatment plan, and the condition information of the patient to create a meal menu for the specific patient. In step S427, the dietitian terminal 340 processes the meal menu for the specific patient. The data is transmitted to the communication terminal 210 via the device 310. In step S429, the communication terminal 210 displays the received meal menu for the patient. If the patient can be selected, it is displayed as a meal selection screen, and the selection result is transmitted to the information processing apparatus 310 in step S431. In step S433, the information processing apparatus 310 stores a meal menu corresponding to the patient in the meal database 311 and transmits a list of meal menus for each patient to the nutritionist terminal 340 and the serving person terminal 370. If there is no room for the patient to select, the meal menu even transmitted from the dietitian terminal 340 is stored as it is in the meal database 311, and a list of meal menus is transmitted to the dietitian terminal 340 and the serving staff terminal 370. In step S437, the nutritionist terminal 340 orders the patient's meal menu from the meal consignment company. In step S439, the meal consignment contractor terminal 360 receives a meal consignment order.

(Meal menu update process)
FIG. 4B is a sequence diagram illustrating an operation procedure for updating a meal menu of a patient. The upper part of FIG. 4B (S441 to 453) is a sequence of a meal menu update process according to a change in the condition of the patient. The middle part (S461 to 473) of FIG. 4B is a sequence of meal menu update processing by changing a medical treatment plan or a treatment plan. The lower part of FIG. 4B (S481-493) is a sequence of a meal menu update process in response to a change request from a meal consignment company.

In step S441, the communication terminal 210 transmits the patient condition change acquired from the measuring device including the sensor to the information processing apparatus 310 and the electronic medical record management server 320. The electronic medical record management server 320 notifies the doctor terminal 330 or the nurse terminal 350 of a change in the condition of the patient. In addition, when patient status information is input from the doctor terminal 330 or the nurse terminal 350 in step S442, it is registered in the electronic medical record management server 320 and transmitted to the information processing apparatus 310. The patient status information includes various measurement information, comments on the patient of the doctor or nurse, patient-related data, and the like. In step S443, the information processing apparatus 310 adds a dietary restriction based on the patient condition change acquired from the measurement device or the patient condition information input from the doctor terminal 330 or the nurse terminal 350, and transmits the diet restriction to the communication terminal 210. . In step S445, the information processing apparatus 310 stores the new meal restriction and the updated meal menu in the meal database 311 and transmits the updated meal menu list to the dietitian terminal 340 and the serving person terminal 370. Provide meal menu list. In step S447, the person-in-charge person terminal 370 receives the changed meal menu list. In step S449, the communication terminal 210 notifies the patient that a meal restriction has been added. In addition, if it is in time, the dietitian terminal 340 notifies the meal contractor of the change of the meal menu in step S451. In step S453, meal contractor terminal 360 receives a change in the meal menu.

In step S461, when a change in the examination plan or treatment plan is input from the doctor or nurse, the doctor terminal 330 or the nurse terminal 350 notifies the electronic medical record management server 320 of the plan change. The electronic medical record management server 320 transmits a change in the examination plan and the treatment plan to the information processing apparatus 310. In step S463, the information processing apparatus 310 adds a meal restriction due to the plan change and transmits the meal restriction to the communication terminal 210. In step S465, the information processing apparatus 310 stores the new meal restriction and the updated meal menu in the meal database 311 and transmits the updated meal menu list to the dietitian terminal 340 and the serving person terminal 370. . In step S467, the person-in-charge person terminal 370 receives the changed meal menu list. In step S469, the communication terminal 210 notifies the patient that a meal restriction has been added. In addition, if it is in time, the dietitian terminal 340 notifies the meal contractor of the change of the meal menu in step S471. In step S473, meal consignor terminal 360 receives a change in the meal menu.

In step S481, when a meal menu change is requested by the meal contractor, the meal contractor terminal 360 transmits a request to change the meal menu to the information processing apparatus 310 via the dietitian terminal 340. In step S483, the information processing apparatus 310 transmits a meal menu change instruction to the dietitian terminal 340. When the dietitian changes the meal menu with reference to the instruction to change the meal menu, the dietitian terminal 340 transmits the changed meal menu to the information processing apparatus 310 in step S485. In step S487, the information processing apparatus 310 adds a meal restriction based on the patient information, transmits the meal restriction to the communication terminal 210, stores the received changed meal menu in the meal database 311, and updates the meal menu list. Is sent to the person-in-charge person terminal 370. In step S491, the person-in-charge person terminal 370 receives the changed meal menu list. In step S493, the communication terminal 210 notifies the patient of the change of the meal menu.

Although FIG. 4B does not illustrate the change of the meal menu that is started by the registered dietitian, the same procedure can be performed by the managed dietitian changing the meal menu without the processing of steps S481 and S483. Meal menu changes are shared.

<< Functional configuration of information processing device >>
FIG. 5 is a block diagram illustrating a functional configuration of the information processing apparatus 310 as the bedside terminal management server according to the present embodiment.

The information processing apparatus 310 as a bedside terminal management server includes a communication control unit 501, a meal menu receiving unit 502, a patient selection menu receiving unit 503, a patient information receiving unit 504, a diagnosis treatment plan receiving unit 505, a meal A restriction unit 506 and a meal database 311 are provided. In addition, the information processing apparatus 310 includes a meal selection screen generation unit 507, a meal selection screen transmission unit 508, a meal restriction notification generation unit 509, a meal restriction notification transmission unit 510, a meal menu list generation unit, and a meal menu list. A transmission unit 512. The meal database 311 may be inside the information processing apparatus 310 or outside the information processing apparatus 310. Note that the information processing apparatus 310 as a bedside terminal management server also includes a login / logout processing unit, an application providing unit, an application database, and the like, which are not illustrated in FIG.

The communication control unit 501 controls communication with the communication terminal 210, the dietitian terminal 340, the caterer terminal 370, or the electronic medical record management server 320. The meal menu receiving unit 502 receives a plurality of meal menus generated by the registered dietitian from the registered dietitian terminal 340. The patient selection menu receiving unit 503 receives a meal menu selected by each patient from a plurality of meal menus. The patient information receiving unit 504 receives information from the electronic medical record management server 320 such as a change in a patient's condition, particularly a condition related to dietary restrictions. The diagnosis treatment plan receiving unit 505 receives a diagnosis plan and a treatment plan for each patient from the electronic medical record management server 320. The meal restriction unit 506 has a meal restriction table 561, and changes in each patient's condition, examination plan, and treatment plan for a meal menu generated by a registered dietitian or for a meal menu selected by each patient. As appropriate, restrict diets, including discontinuing meals and eliminating food. For meal restrictions, if the restriction is prior to the patient's selection, the meal menu cannot be selected by the patient. If the restriction is after the patient has been selected, the meal restriction is notified and the updated meal menu is resent. Such a method is taken. Note that the meal restriction unit 506 may perform meal restriction based on an instruction from a nutritional viewpoint from a registered dietitian, a request from a person in charge of serving, a meal contractor, or a request from a patient.

The meal database 311 includes a patient information storage unit 531, a meal menu storage unit 532, and a meal menu storage unit 533 for each patient. The meal database 311 controls the storage and update of meal information in order for the communication terminal 210, the terminals 330 to 370, and the electronic medical record management server 320 to share meal information of each patient in real time. The patient information storage unit 531 sequentially stores information specifying each patient and information indicating the current situation of each patient. The meal menu storage unit 532 stores a plurality of meal menus received from the dietitian terminal 340 by the meal menu receiving unit 502. The meal menu storage unit 533 for each patient stores a meal menu for each patient that is selected by each patient and that is changed based on the condition, examination, treatment plan, and the like of each patient.

The meal selection screen generation unit 507 has a meal selection screen format 571, and for each of the plurality of meal menus received from the registered dietitian terminal 340, meals to be transmitted to each patient's communication terminal 210 in consideration of each patient's meal restrictions Generate a selection screen. The meal selection screen transmission unit 508 transmits the meal selection screen generated by the meal selection screen generation unit 507 to the communication terminal 210 of each patient. The meal restriction notification generation unit 509 reflects the meal restriction by the meal restriction unit 506 on the meal selection screen and generates notification information on the meal restriction of each patient. The meal restriction notification transmission unit 510 sends the meal restriction notification information of each patient to each terminal that should share the meal restriction information, for example, the communication terminal 210, the registered dietitian terminal 340, the serving person terminal 370, and electronic if necessary. The data is transmitted to the doctor terminal 330 and the nurse terminal 350 via the chart management server 320. The meal menu list generation unit 511 collects meal menus for each patient and generates a meal menu list associated with each patient. The meal menu list transmission unit 512 transmits a meal menu list associated with each patient to the dietitian terminal 340 and the serving person terminal 370. The meal menu list generation unit 511 may calculate the total order number of meals and place an order from the meal menu list transmission unit 512 to the meal contractor terminal 360.

(Patient information storage unit)
FIG. 6A is a diagram showing a configuration of the patient information storage unit 531 in the meal database 311 according to the present embodiment. The patient information storage unit 531 is used to sequentially store and update information specifying each patient and information representing the current situation of each patient, and selecting a meal menu to be transmitted to each patient.

The patient information storage unit 531 is associated with the patient ID 611, the patient attribute 612, the medical department 613, the medical condition 614 including the current condition, the medical chart ID 615 that can search the medical record recorded by the electronic medical record management server 320, Remember. The patient attribute 612, the medical department 613, the medical condition 614, and the medical record contents are considered in order to select a meal menu to be transmitted to each patient.

(Meal menu storage)
FIG. 6B is a diagram showing a configuration of the meal menu storage unit 532 in the meal database 311 according to the present embodiment. The meal menu storage unit 532 is used for sequentially storing and updating a plurality of meal menus received from the dietitian terminal 340 by the meal menu receiving unit 502 and receiving reservations for meal menus from patients. In this embodiment, the meal menu for one week is used, but the period is not limited to one week.

The meal menu storage unit 532 correlates to the target patient type 621 and selects one or more selectable meal menu IDs 624 and menu contents 625 for each meal 622 (breakfast, lunch, dinner) for each day of the week 622. And numerical values such as calorie content 626 are stored. The types of target patients 621 are classified according to differences in clinical departments, differences between adults and children, and the like.

(Meal menu storage for each patient)
FIG. 6C is a diagram showing a configuration of the meal menu storage unit 533 for each patient in the meal database 311 according to the present embodiment. The meal menu storage unit 533 for each patient sequentially stores and updates the meal menu for each patient which is selected by each patient and further restricted based on the condition of each patient, examination, treatment plan, etc. It is used for sharing meal information in ordering to a contractor, serving each patient, and notifying each patient.

The meal menu storage unit 533 correlates with the patient ID 631 for each meal 632 (breakfast, lunch, dinner) 633 for each day of the week 633, a menu 634 selected by the patient, restriction information 635 including contraindicated foods and allergic foods, Patient condition information 636 and examination plan or treatment plan information 637 are stored. Then, with respect to the menu 634 selected by the patient, the determined meal content 638 and the notification comment 639 are stored in consideration of the restriction information 635, the patient condition information 636, the examination plan or the treatment plan information 637. The meal content 638 includes a change from the menu 634 selected by the patient and cancellation of the meal itself.

(Meal restriction table)
FIG. 6D is a diagram showing a configuration of the meal restriction table 561 according to the present embodiment. The meal restriction table 561 is used by the meal restriction unit 506 to set the contents of restriction based on the situation changes that cause various meal restrictions.

The meal restriction table 561 stores meal restriction information 645 in association with various conditions such as contraindications 641, allergies 642, patient condition information 643, and a medical examination or treatment plan 644. The meal restriction information 645 includes restriction time and restriction contents. For example, if the examination or treatment plan 644 is a gastric camera examination, only the water is stored as the restriction content after the evening of the previous day as the restriction time. Further, when the blood pressure abnormally increases as the patient condition information 643, for the time being as the restriction time, the exclusion of the predetermined food from the meal contents is stored as the restriction contents.

(Meal selection screen format)
FIG. 6E is a diagram showing a configuration of the meal selection screen format 571 according to the present embodiment. The meal selection screen format 571 is used by the meal selection screen generation unit 507 to generate a meal selection screen to be transmitted to the communication terminal 210 of each patient.

The meal selection screen format 571 stores a doctor name 652, a registered dietitian name 653, and another person in charge name 654 in association with the patient ID / patient name 651. The meal selection screen format 571 includes a meal menu month 655 and date (day of the week) 656, a meal type (breakfast, lunch, dinner) 657, and one or more selectable menu contents 658 as meal menus. , A comment 659 corresponding to each menu content 658 is stored.

Note that the second menu for breakfast on February 5 (Monday) shows an example where the target patient has a meal content that cannot be selected. This is not set in the meal selection screen format 571, but is set based on the restriction information when generating the meal selection screen for each patient.

<Functional configuration of communication terminal>
FIG. 7A is a block diagram illustrating a functional configuration of the communication terminal 210 as a bedside terminal according to the present embodiment.

The communication terminal 210 includes a communication control unit 701, an input / output interface 702, a wireless communication interface 703, and an application 704. The communication control unit 701 controls communication with the information processing apparatus 310 serving as a bedside terminal management server. The input / output interface 702 is connected to a display unit 721, an operation unit 722, and a device connection connector 723 including a USB connector. The wireless communication interface 703 includes short-range wireless communication such as a Wi-Fi control unit 731, a beacon control unit 732, and an infrared communication control unit 733.

The application 704 is an application program for using the general-purpose communication terminal 210 as a bedside terminal of this embodiment or a portable terminal for medical workers, and has at least the following functions. The application 704 includes a login / logout processing unit 741 and an application activation unit 742. The application 704 includes a patient ID acquisition unit 743, a patient ID transmission unit 744, a medical worker ID acquisition unit 745, a medical worker ID transmission unit 746, a pictogram screen reception unit 747, and a pictogram screen display instruction unit. 748. In addition, the application 704 includes a meal selection screen reception unit 749, a meal menu selection screen display instruction unit 750, a meal selection information acquisition unit 751, a meal selection information transmission unit 752, a menu change notification reception unit 753, and a menu change. A notification display instruction unit 754.

The login / logout processing unit 741 processes login and logout to applications of the electronic medical record management server 320 and the information processing apparatus 310. The application activation unit 742 activates the application 704 downloaded from the electronic medical record management server 320 or the information processing apparatus 310 in accordance with an instruction from the operation unit 722.

The patient ID acquisition unit 743 acquires the patient ID from the inpatient identification band attached by the patient via the barcode reader connected to the device connection connector 723 or the wireless communication interface 703. The patient ID transmission unit 744 transmits the acquired patient ID to the electronic medical record management server 320 or the information processing apparatus 310 for patient confirmation. The medical worker ID acquisition unit 745 acquires a medical worker ID from an authentication card carried by the medical worker via a barcode reader connected to the device connection connector 723 or the wireless communication interface 703. The medical worker ID transmission unit 746 transmits the acquired medical worker ID to the electronic medical record management server 320 for confirmation of the medical worker.

The pictogram screen receiving unit 747 receives the pictogram screen transmitted from the information processing apparatus 310. Then, the pictogram screen display instruction unit 748 causes the display unit 721 to display the received pictogram screen. When logging in, a login screen is displayed. When a patient ID is confirmed, a patient information pictogram screen is displayed. When a medical worker ID is confirmed, a medical worker pictogram screen and a patient information input screen are displayed. In addition, when the meal menu screen is included in the pictogram screen, the meal menu screen may be displayed by the pictogram screen display instruction unit 748. In the present embodiment, it is assumed that the meal menu screen display instruction unit 750 displays the meal menu screen display.

The meal selection screen receiving unit 749 receives a meal selection screen including a plurality of meal menus generated by a dietitian and transmitted from the meal management server when a meal selection is instructed from a pictogram screen or the like. The meal menu selection screen display instruction unit 750 has a meal menu selection screen format 755, and displays the meal menu selection screen received by the meal selection screen reception unit 749 on the display unit 721 corresponding to the communication terminal 210. Instruct. If the meal selection screen transmitted from the meal management server can be displayed as it is, the meal menu selection screen format 755 does not have to be used. The meal selection information acquisition unit 751 acquires meal selection information selected and input by the patient from the meal menu selection screen. The meal selection information transmission unit 752 performs a meal menu transmission function of transmitting the meal selection information acquired by the meal selection information acquisition unit 751 to the meal management server. The menu change notification receiving unit 753 receives a menu change notification as notification information from the meal management server when the meal menu selected by the patient is changed based on the meal restriction information. The menu change notification display instruction unit 754 causes the display unit 721 to display the menu change notification received by the menu change notification receiving unit 753. As a meal change display, a menu change notification may be superimposed and displayed on the meal menu screen updated at the same time.

(Meal menu selection screen format)
FIG. 7B is a diagram showing a configuration of a meal menu selection screen format 755 according to the present embodiment. The meal menu selection screen format 755 is used for the meal menu selection screen display instruction unit 750 to display the meal menu selection screen on the display unit 721.

The meal menu selection screen format 755 is a format in which the patient name and the meal menu are blank in FIG. 2B or 2D, and the contents of the meal selection screen transmitted from the meal management server are filled in the blank, 721 is displayed.

<< Processing procedure of communication terminal >>
FIG. 8 is a flowchart showing a processing procedure of the communication terminal 210 as a bedside terminal according to the present embodiment. This flowchart is executed by the CPU of the communication terminal 210 using a RAM or the like, and implements the functional configuration unit of FIG. 7A.

In step S811, the communication terminal 210 determines whether or not a patient ID has been input. If it is determined that the patient ID has been input, the communication terminal 210 transmits the patient ID to the information processing apparatus 310 in order to acquire the medical information of the patient in step S813. In step S815, the communication terminal 210 acquires a pictogram generated by the information processing apparatus 310 based on the patient medical information acquired from the electronic medical record management server 320 by the patient ID from the information processing apparatus 310 and displays the pictogram.

If it is determined that no patient ID has been input, the communication terminal 210 determines in step S821 whether or not a medical worker ID including a nurse ID and a doctor ID has been input. If it is determined that the medical worker ID has been input, the communication terminal 210 determines in step S823 whether the patient ID has already been input and patient authentication has been completed. Note that step S823 may be determined by the information processing apparatus 310 and receive the determination result. When it is determined that the patient authentication has been completed, the communication terminal 210 acquires the medical worker pictogram generated based on the medical information of the patient from the information processing apparatus 310 and displays it in step S825. If it is determined that the patient authentication has not been completed, the process is terminated without doing anything.

If neither the patient ID nor the medical worker ID is input, the communication terminal 210 determines whether or not the meal menu generated by the registered dietitian from the information processing apparatus 310 is received in step S831. If it is determined that the meal menu is received, the communication terminal 210 displays the received meal menu selection screen in step S833. The meal menu selection screen displays a meal menu that has already been restricted based on the patient's condition. Alternatively, the restricted meal is displayed in a non-selectable state. In step S835, communication terminal 210 waits for the patient to complete a meal menu selection instruction. When the meal menu selection instruction is completed, the communication terminal 210 transmits the selected meal menu to the information processing apparatus 310 in step S837.

If neither the patient ID nor the medical worker ID is input or the meal menu is received, the communication terminal 210 changes the patient's condition from a measuring device or the like connected to the communication terminal 210 in a wired or wireless manner in step S841. It is determined whether or not there was. The determination as to whether or not the patient's condition has changed may be performed by the information processing apparatus 310 and the determination result notified to the communication terminal 210. If it is determined that there has been a change in the condition of the patient, the communication terminal 210 acquires the patient's status information from the necessary measurement device or the like in step S843. In step S844, the communication terminal 210 determines whether or not the meal menu can be adjusted by the communication terminal 210. If it is not possible to adjust the meal menu, the communication terminal 210 transmits the acquired patient status information to the electronic medical record management server 320 via the information processing device 310 in step S845. The electronic medical record management server 320 notifies the doctor terminal 330 of the acquired patient status information. If it is possible to adjust the meal menu, the communication terminal 210 performs adjustment including restriction on the meal menu corresponding to the state information including the condition of the patient in step S847. Communication terminal 210 transmits the adjusted meal menu to information processing device 310 in step S847. The adjusted meal menu is notified from the information processing apparatus 310 to the dietitian terminal 340, the serving person terminal 370, and the like.

<Functional configuration of each terminal>
FIG. 9 is a block diagram showing a functional configuration of each terminal 330 to 370 according to the present embodiment.

The terminals 330 to 370 include a communication control unit 901, an input / output interface 902, a wireless communication interface 903, and an application 904. The communication control unit 901 controls communication with the information processing apparatus 310 in the case of the dietitian terminal 340 and the distribution staff terminal 370, and controls communication with the electronic medical record management server 320 in the case of the doctor terminal 330 and the nurse terminal 350. To do. The input / output interface 902 is connected to a display unit 921, an operation unit 922, and a device connection connector 923 including a USB connector. The wireless communication interface 903 includes short-range wireless communication such as a Wi-Fi control unit 931, a beacon control unit 932, and an infrared communication control unit 933.

The application 904 is an application program for using the terminals 330 to 370 as terminals for each medical worker, and has at least the following functions. The application 904 includes a login / logout processing unit 941 and an application activation unit 942. The application 904 includes a pictogram screen receiving unit 944, a pictogram screen display instruction unit 943, an input information acquisition unit 945, and an input information transmission unit 946. The application 904 includes a meal-related screen receiving unit 947, a meal-related screen display instruction unit 948, an instruction information acquisition unit 951, and an instruction information transmission unit 952.

The login / logout processing unit 941 processes login and logout to applications of the electronic medical record management server 320 and the information processing apparatus 310. The application activation unit 942 activates the application 904 downloaded from the electronic medical record management server 320 or the information processing apparatus 310 in accordance with an instruction from the operation unit 922.

The pictogram screen receiving unit 944 receives a pictogram screen that can be browsed by the operator in correspondence with the operator. The pictogram screen display instruction unit 943 instructs the display unit 921 to display the pictogram screen received by the pictogram screen reception unit 944. The input information acquisition unit 945 acquires input information input from the operation unit 922 for the displayed pictogram screen. The input information transmission unit 946 transmits the input information acquired by the input information acquisition unit 945 to the electronic medical record management server 320 or the information processing device 310.

The meal related screen receiving unit 947 receives a meal related screen including a meal menu from the information processing apparatus 310. The meal related screen display instruction unit 948 causes the display unit 921 to display the meal related screen received by the meal related screen receiving unit 947. The instruction information acquisition unit 951 acquires instruction information from an operator. The instruction information transmission unit 952 transmits the instruction information acquired by the instruction information acquisition unit 951 to the electronic medical record management server 320 or the information processing device 310. For example, in the case of the doctor terminal 330 and the nurse terminal 350, the examination plan and the treatment plan are acquired and transmitted to the electronic medical record management server 320. In the case of the registered dietitian terminal 340, a meal menu is acquired and transmitted to the information processing apparatus 310. In addition, in the case of the responsible person terminal 370, the examination information already assigned to each patient is acquired and transmitted to the information processing apparatus 310. In the case of the meal contractor terminal 360, the meal menu list manufactured and shipped is acquired and transmitted to the information processing apparatus 310 and the registered dietitian terminal 340.

(Display screen of the registered dietitian terminal)
FIG. 10A is a diagram showing a display screen 1041 of the registered dietitian terminal 340 according to the present embodiment. FIG. 10A shows a state where the dietitian has created a meal menu for one week.

The display screen 1041 includes target medical department / department information 1042 of the meal menu, target patient information 1043 in the case of a specific meal menu of the target patient, and a registered dietitian name 1044 who created the meal menu. The display screen 1041 includes a created meal menu 1045, a determination button 1046 for confirming the meal menu, a detail setting button 1047 for displaying or setting details of each meal, as shown in FIG. 2C, And an end button 1048 for ending the meal menu creation process. Note that the display screen 1041 in FIG. 10A is an example, and the present invention is not limited to this.

(Display screen of the responsible person terminal)
FIG. 10B is a diagram showing a display screen 1071 of the layout staff terminal 370 according to the present embodiment. FIG. 10B shows a state where the person in charge of the arrangement is confirming that the arrangement is in progress.

The display screen 1071 includes target department / department information 1072 of the serving process, target patient information 1073 in the case of a specific meal menu of the target patient, and the name of the serving person in charge of the serving person 1074. Display screen 1071 includes a displayed layout list 1075, a next page button 1076 for instructing display of the subsequent next page, and an end button 1077 for completing the layout and ending the layout list. The distribution list 1075 includes the contents of the distribution having a check frame, information on dietary restrictions, and each distribution completion flag in association with each patient name (ID). In addition, the display screen 1071 of FIG. 10B is an example, and is not limited to this.

(Doctor terminal input screen)
FIG. 10C is a diagram showing an input screen 1031 from the doctor terminal 330 according to the present embodiment. FIG. 10C shows a state in which a doctor displays a patient's medical treatment schedule and the like, and changes if there is a change.

The input screen 1031 includes target medical department / department information 1032 of the examination schedule, target patient information 1033 of the examination schedule, and a doctor name or nurse name 1034 in charge. Then, the doctor inputs a diagnosis plan for the target patient (Taro Yamada), a processing plan for the target patient, and details of medication from the input screen 1031. In addition, the input screen 1031 includes a change / setting button 1036 for instructing a change or a new setting of the examination schedule, and an end button 1037 for ending the setting of the examination schedule. The changed or set contents are sent to the electronic medical record management server 320 and stored in the electronic medical record database 321. Note that the input screen 1031 in FIG. 10C is an example, and the present invention is not limited to this.

(Nurse terminal input screen)
FIG. 10D is a diagram showing an input screen 1051 from the nurse terminal 350 according to the present embodiment. FIG. 10D shows a state where the nurse is inputting data including patient state information.

The input screen 1051 includes target medical department / department information 1052 related to this input, target patient information 1053 of input information, and a doctor name or nurse name 1054 in charge. Then, the nurse inputs, from the input screen 1051, a test result, a comment related to the patient's condition and meal, etc., on a predetermined date and time for the target patient (Taro Yamada). Further, the input screen 1051 includes a change / setting button 1056 for instructing input data to be changed or a new setting, and an end button 1057 for ending the input of patient information. The input content is sent to the electronic medical record management server 320 and stored in the electronic medical record database 321. In addition, the input screen 1051 of FIG. 10D is an example, Comprising: It is not limited to this.

<< Hardware configuration of information processing equipment >>
FIG. 11 is a block diagram illustrating a hardware configuration of the information processing apparatus 310 as the bedside terminal management server according to the present embodiment.

In FIG. 11, a CPU (Central Processing Unit) 1110 is a processor for arithmetic control, and implements the functional configuration unit of FIG. 5 by executing a program. There may be one or more CPUs 1110. A ROM (Read Only Memory) 1120 stores fixed data and programs such as initial data and programs. The network interface 1130 controls communication with the communication terminal 210, other terminals 330 to 370 or the electronic medical record management server 320 via the network.

A RAM (Random Access Memory) 1140 is a random access memory that the CPU 1110 uses as a work area for temporary storage. The RAM 1140 has an area for storing data necessary for realizing the present embodiment. Patient ID (terminal ID) 1141 is data of patient ID or communication terminal ID received from the communication terminal. The meal selection screen 1142 is data of a meal selection screen transmitted from the information processing apparatus 310 to the communication terminal 210. The meal selection information 1143 is meal selection data of each patient received from the communication terminal 210. The patient condition information 1144 is current patient condition data acquired from the electronic medical record management server 320. The examination plan information / treatment plan information 1145 is information on the examination plan and the treatment plan by the doctor terminal and the nurse terminal acquired from the electronic medical record management server 320. The meal restriction information 1146 is meal restriction data created based on the meal restriction table 561, and includes restriction time and restriction contents. The transmission / reception data 1147 is data transmitted / received to / from the electronic medical record management server 320 and the terminals 330 to 370 via the network interface 1130.

The storage 1150 stores a database and various parameters used by the CPU 1110, or the following data or programs necessary for realizing the present embodiment. The meal database 311 includes a patient information storage unit 531, a meal menu storage unit 532, and a meal menu storage unit 533 for each patient shown in FIGS. 6A to 6C. The meal restriction table 561 is a table for generating meal restriction information shown in FIG. 6D. The meal selection screen format 571 is format data for generating a meal selection screen shown in FIG. 6E. The meal information sharing algorithm 1151 shares the data stored in the meal database 311 and sequentially updated as described above in the fifth embodiment with the electronic medical record management server, the information processing apparatus, the communication terminal, and the servers and terminals of each medical staff. It is an algorithm to do.

The storage 1150 stores the following programs. The information processing device control program 1152 is a program that controls the entire information processing device 310. The meal menu acquisition module 1153 is a module for acquiring a meal menu generated by a registered dietitian. The meal selection information acquisition module 1154 is a module for transmitting a meal selection screen to the communication terminal 210 and acquiring information of a patient's meal menu selection result. The meal restriction control module 1155 is a module that controls the meal menu by making selection impossible due to meal restriction before the patient is selected, or by adding meal restrictions due to a change in the condition after the patient is selected or addition of medical treatment. It is.

Note that the RAM 1140 and the storage 1150 in FIG. 11 do not show programs and data related to general-purpose functions and other realizable functions of the information processing apparatus 310 as the bedside terminal management server.

<< Processing procedure of information processing device >>
FIG. 12 is a flowchart showing a processing procedure of the information processing apparatus 310 as the meal management server according to the present embodiment. This flowchart is executed by the CPU 1110 of FIG. 11 using the RAM 1140, and implements the functional configuration unit of FIG.

In step S1211, the information processing apparatus 310 determines whether the access is from the communication terminal (bedside terminal) 210. If the access is from the communication terminal 210, the information processing apparatus 310 stores the access source in step S1213. In step S1215, the information processing apparatus 310 executes access processing from the bedside terminal.

In step S1221, the information processing apparatus 310 determines whether access is from the registered dietitian terminal 340. If the access is from the registered dietitian terminal 340, the information processing apparatus 310 stores the access source in step S1233. In step S1235, the information processing apparatus 310 executes access processing from the registered dietitian terminal.

In step S1231, the information processing apparatus 310 determines whether the access is from the layout staff terminal 370. If the access is from the staff-in-charge person terminal 370, the information processing apparatus 310 stores the access source in step S1233. Then, in step S1235, the information processing apparatus 310 executes an access process from the layout staff terminal.

In step S1241, the information processing apparatus 310 determines whether the access is from the electronic medical record management server 320. If the access is from the electronic medical record management server 320, the information processing apparatus 310 stores the access source in step S1243. In step S1245, the information processing apparatus 310 executes access processing from the electronic medical record management server.

(Access processing from communication terminal)
FIG. 13A is a flowchart illustrating a procedure of access processing (S1215) from the communication terminal (bedside terminal) 210 according to the present embodiment. In FIG. 13A, processing related to meals is shown, and processing related to display of patient medical information from the communication terminal 210 shown in FIG. 8 is omitted.

In step S1301, the information processing apparatus 310 determines whether it is patient registration. If it is patient registration, the information processing apparatus 310 acquires patient information corresponding to the patient ID from the electronic medical record management server 320 in step S1303. In step S1305, the information processing apparatus 310 associates the acquired patient information with the patient ID and registers the patient information in the patient information storage unit 531 of the meal database 311.

If it is not patient registration, the information processing apparatus 310 determines in step S1311 whether it is meal selection. If it is a meal selection, the information processing apparatus 310 will acquire and display the corresponding meal selection screen from the meal menu memory | storage part 532 of the meal database 311 in step S1313. Next, in step S1315, the information processing apparatus 310 determines whether there is a meal selection input from the meal selection screen. If there is no meal selection input, the process ends. If there is a meal selection input, the information processing apparatus 310 stores the selected meal in the meal menu storage unit 533 for each patient in the meal database 311 in step S1317. In step S1319, the information processing apparatus 310 waits for the completion of the selection input, and repeats steps S1315 and S1317. When the selection input is completed and the decision button is touched, the meal selection is terminated.

If it is not patient registration and not meal selection, the information processing apparatus 310 determines in step S1321 whether or not it is browsing of its meal menu. If it is browsing of a meal menu, information processor 310 will acquire a meal menu table corresponding to patient ID from meal menu storage part 533 for every patient of meal database 311 in Step S1323. Then, in step S1325, the information processing apparatus 310 displays a meal menu table for the operating patient. In step S1327, the information processing apparatus 310 determines whether or not the patient changes the meal menu. When the patient changes the meal menu, the information processing apparatus 310 changes the meal database 311 in step S1329 and notifies the dietitian terminal 340 and the serving person terminal 370 of the change of the meal menu.

If it is not patient registration, not meal selection, and browsing, the information processing apparatus 310 determines in step S1331 whether there is a change in patient condition. If there is a change in the patient condition, the information processing apparatus 310 acquires the patient status information in step S1333. In step S1334, the information processing apparatus 310 determines whether the information processing apparatus 310 can change the meal menu. If the meal menu cannot be changed, the information processing apparatus 310 notifies the electronic medical record management server 320 and the nutritionist terminal 340 of the change in the patient condition in step S1335. If the change in the condition of the patient is serious, an alarm may be instructed including the communication terminal 210 as a bedside terminal. If the meal menu can be changed, the information processing apparatus 310 changes (restricts) the meal menu corresponding to the change in the patient condition in step S1337. Then, in step S1339, the information processing apparatus 310 notifies the dietitian terminal or the serving person terminal of the change of the meal menu.

(Access processing from a registered dietitian terminal)
FIG. 13B is a flowchart showing a procedure of access processing (S1225) from the registered dietitian terminal 340 according to the present embodiment.

In step S1341, the information processing apparatus 310 determines whether a meal menu for the medical department is generated. If the meal menu is generated for the medical department, the information processing apparatus 310 transmits necessary information in the meal database 311 to the dietitian terminal 340 in step S1343. Next, in step S1345, the information processing apparatus 310 waits for reception of a meal menu for the medical department generated by the registered dietitian. When the meal menu is received, the information processing apparatus 310 stores the received meal menu in the meal menu storage unit 532 of the meal database 311 in step S1347.

If the meal menu is not generated for the medical department, the information processing apparatus 310 determines whether or not a special meal menu is generated for each patient in step S1351. If it is the production | generation of the special meal menu which makes each patient object, the information processing apparatus 310 will transmit the information corresponding to patient ID of the meal database 311 to the management dietitian terminal 340 in step S1353. Next, in step S1355, the information processing apparatus 310 waits for reception of a special meal menu for each patient generated by the registered dietitian. Upon receiving the meal menu, the information processing apparatus 310 stores the received meal menu in the meal menu storage unit 532 of the meal database 311 or the meal menu storage unit 533 for each patient in step S1357.

If it is not the generation of the meal menu for the medical department and the generation of the special meal menu for each patient, the information processing apparatus 310 determines whether or not the meal menu is changed in step S1361. If the meal menu is changed, the information processing apparatus 310 transmits information that causes the meal menu change to the dietitian terminal 340 in step S 1363. Next, in step S1365, the information processing apparatus 310 waits for reception of a meal menu changed by the registered dietitian. When the meal menu is received, the information processing apparatus 310 stores the received meal menu in the meal menu storage unit 532 of the meal database 311 or the meal menu storage unit 533 for each patient in step S1367. Note that the processing in steps S 1361 to S 1367 is optional.

(Access processing from the person in charge serving terminal)
FIG. 13C is a flowchart illustrating a procedure of access processing (S1245) from the layout staff terminal 370 according to the present embodiment.

In step S1371, the information processing apparatus 310 acquires the meal menu determined for each patient from the meal menu storage unit 533 for each patient. In step S1373, the information processing apparatus 310 generates a list of meal menus associated with each patient ID for serving based on the acquired meal menu determined for each patient. Then, in step S1375, the information processing apparatus 310 causes the meal manager terminal 370 to display a meal menu list so that it can be determined that the meal has been served.

(Access processing from the electronic medical record management server)
FIG. 13D is a flowchart illustrating a procedure of access processing (S1255) from the electronic medical record management server 320 according to the present embodiment.

In step S1381, the information processing apparatus 310 refers to the electronic medical record management server 320 and determines whether or not there has been a change in medical examination by a doctor or the like after the meal menu has been determined. If there is a change in medical examination, the information processing apparatus 310 acquires the patient ID and the changed contents of the medical examination in step S1383. In step S1385, the information processing apparatus 310 predicts a meal change corresponding to the examination change using the meal restriction table 561 or the like. As a result, in step S1387, the information processing apparatus 310 changes the meal menu storage unit 533 for each patient in the meal database 311 so that the communication terminal 210 as a bedside terminal, the nutritionist terminal 340, the serving person terminal 370, etc. Notice.

If it is not a change in medical examination, the information processing apparatus 310 refers to the electronic medical record management server 320 in step S1391 to determine whether there has been a change in treatment by a nurse or the like after the meal menu is confirmed. If there is a change in treatment, the information processing apparatus 310 acquires the patient ID and the change content of the treatment in step S1393. In step S1395, the information processing apparatus 310 predicts a meal change corresponding to the treatment change using the meal restriction table 561 or the like. As a result, in step S1397, the information processing apparatus 310 changes the meal menu storage unit 533 for each patient in the meal database 311 to the communication terminal 210 as a bedside terminal, the nutritionist terminal 340, the serving person terminal 370, and the like. Notice.

If it is not a change in examination and not a change in treatment, the information processing apparatus 310 determines whether or not the patient's condition has changed from information from the electronic medical record management server 320 in step S1401. If it is determined that the condition of the patient has changed, the information processing apparatus 310 acquires a patient ID whose condition has changed in step S1403. In step S1405, the information processing apparatus 310 predicts a meal change based on the condition change using the meal restriction table 561 or the like. In step S1407, the information processing apparatus 310 changes the meal menu storage unit 533 for each patient in the meal database 311 and notifies the communication terminal 210 as a bedside terminal, the nutritionist terminal 340, the serving person terminal 370, and the like. To do.

According to the present embodiment, the meal menu associated with the patient stored in the meal database is controlled by updating the meal database in response to an access from an external device that needs to update the meal menu of the meal database. Execute. Therefore, since the patient, the doctor or nurse, the person in charge of serving, and the registered dietitian can share information on the meal change, it is possible to prevent the patient from being provided with an incorrect meal.

[Third Embodiment]
Next, a hospital food management system including an information processing apparatus and a communication terminal according to a third embodiment of the present invention will be described. The hospital food management system including the information processing apparatus and the communication terminal according to the present embodiment is different from the second embodiment in that meal information is shared based on an image obtained by capturing a meal menu. That is, the meal menu is transferred between each device and the terminal by image information. Since other configurations and operations are the same as those of the second embodiment, the same configurations and operations are denoted by the same reference numerals, and detailed description thereof is omitted.

《Configuration of hospital food management system》
FIG. 14 is a block diagram showing a configuration of a hospital food management system 1400 including an information processing apparatus 1410 as a bedside terminal management server and a communication terminal 210 according to the present embodiment. In FIG. 14, the same components as those in FIG. 3 are denoted by the same reference numerals, and redundant description is omitted.

In the hospital food management system 1400, the meal 1422 served by the patient is imaged by an imaging unit (camera) 1421 as a meal image acquisition unit, and image information of the meal menu is transmitted to the information processing device 1410 as a meal management server. . The meal menu stored in the meal database 1411 of the information processing apparatus 1410 is also image information, and by sharing the meal menu based on the image information, it becomes possible to more reliably reduce mistakes in providing meals to patients. .

In FIG. 14, only the imaging unit (camera) 1421 that images the meal 1422 served by the patient is illustrated, but an imaging unit (camera) is also connected to the registered dietitian terminal 340 and the responsible staff terminal 370. It is desirable to transfer meal information between devices using image information. In this case, it is more desirable that the image information is represented by a feature amount that allows the food and the amount extracted from the image information to be distinguished.

<< Functional configuration of information processing device >>
FIG. 15 is a block diagram showing a functional configuration of an information processing apparatus 1410 as a meal management server according to the present embodiment. In FIG. 15, the same components as those in FIG.

The information processing apparatus 1410 includes a meal database 1411 and a meal image matching unit 1513 that are different from the information processing apparatus 310. The meal database 1411 includes a meal menu storage unit 1532 and a meal menu storage unit 1533 for each patient. The meal menu storage unit 1532 and the meal menu storage unit 1533 for each patient store meal image information obtained by imaging a meal.

The meal image collation unit 1513 collates the meal menu image stored in the meal menu storage unit 1533 for each patient with the image obtained by the imaging unit (camera) 1421 of the meal 1422 served by the patient. If not, a meal determination unit is configured by notifying a serving error. Furthermore, the meal menu image stored in the meal menu storage unit 1533 for each patient is collated with the image taken by the imaging unit (camera) connected to the person in charge of the meal served by the person in charge of the meal, If they do not match, a distribution error is notified.

(Meal menu storage)
FIG. 16A is a diagram showing a configuration of the meal menu storage unit 1532 in the meal database according to the present embodiment. In FIG. 16A, the same components as those in FIG. 6B are denoted by the same reference numerals, and redundant description is omitted.

FIG. 16A stores meal image information 1625 generated from previously registered images. The meal image information 1625 includes a meal menu image and a menu extracted from the image. The meal image information 1625 may store an image captured by the person in charge of the meal after serving.

(Meal menu storage for each patient)
FIG. 16B is a diagram showing a configuration of the meal menu storage unit 1533 for each patient in the meal database according to the present embodiment. In FIG. 16, the same reference numerals are given to the same components as those in FIG. 6C, and duplicate descriptions are omitted.

FIG. 16B stores meal image information 1638 obtained by imaging a meal menu of each meal of each patient or generated from an image registered in advance. The meal image information 1638 includes a meal menu image and a menu extracted from the image.

The meal image information 1638 may store an image captured by the person in charge of the meal after the meal is arranged. According to such a configuration, it can be confirmed that the meal served by the person in charge of each patient is provided to the patient without any mistake.

Furthermore, in the second embodiment, the meal menu is transferred as menu data. However, the meal menu may be transferred using image data or feature amounts extracted from the image data.

According to the present embodiment, since meal information is shared based on an image obtained by imaging a meal menu, provision of an incorrect meal to a patient can be more reliably prevented.

[Fourth Embodiment]
Next, a hospital food management system including an information processing apparatus and a communication terminal according to a fourth embodiment of the present invention will be described. Compared with the second embodiment and the third embodiment, the hospital food management system including the information processing apparatus and the communication terminal according to the present embodiment is different from the information processing apparatus in which the meal management server is a bedside terminal management server. It differs in the point provided in. That is, the meal menu is managed by a meal management server provided separately. Since other configurations and operations are the same as those of the second embodiment, the same configurations and operations are denoted by the same reference numerals, and detailed description thereof is omitted.

《Configuration of hospital food management system》
FIG. 17 is a block diagram illustrating a configuration of a hospital food management system including the information processing apparatus 1710, the meal management server 1790, and the communication terminal 210 according to the present embodiment. In FIG. 17, the same components as those in FIG. 3 are denoted by the same reference numerals, and redundant description is omitted.

The meal management server 1790 has the meal database 311 that the information processing apparatus 310 of FIG. 3 has, and manages meals. on the other hand. The information processing apparatus 1710 serving as a bedside terminal management server mainly performs management of bedside terminals by leaving the processing relating to meals to the meal management server 1790. Note that the processing according to the present embodiment may be realized by a single cloud server by integrating all functions in the electronic medical record management server 320, or may be realized as a distributed system by further distributing servers that perform individual processing. May be.

According to the present embodiment, it is possible to perform a quick process by concentrating on the control of a field in which each server is good.

[Fifth Embodiment]
Next, a hospital food management system including an information processing apparatus and a communication terminal according to a fifth embodiment of the present invention will be described. Compared with the second embodiment to the fourth embodiment, the hospital food management system including the information processing apparatus and the communication terminal according to the present embodiment includes data among a plurality of servers included in the entire hospital system, particularly meal data. It differs in realizing real-time sharing. That is, the synchronization between the servers is managed by the mechanism of this embodiment. Since other configurations and operations are the same as those of the second embodiment, the same configurations and operations are denoted by the same reference numerals, and detailed description thereof is omitted.

(Meal information sharing algorithm)
FIG. 18A is a diagram showing a configuration of the meal information sharing algorithm 1151 according to the present embodiment, which is indicated by a broken line in FIG.

The meal information sharing algorithm 1151 executes processing to the electronic medical record management server, the doctor terminal / nurse terminal, the registered dietitian terminal, the communication terminal (bedside terminal), the serving person terminal, and the meal contractor terminal according to the status transition. It is a configuration. Therefore, meal information can be shared among persons in charge who operate each terminal or device. Note that the information sharing algorithm in FIG. 18A is an example, and the present invention is not limited to this.

In the meal information sharing algorithm 1151, for the current status 1801, the access source terminal 1802 and the access content 1803 are stored as status transition destination conditions. Then, a transition destination next status 1804 according to the status transition destination condition and an execution process 1805 executed with the current status 1801 are stored.

The access content 1803 includes an instruction command from each access source terminal 1802 and additional data (parameter). The execution process 1805 includes an electronic medical record management server, a doctor terminal / nurse terminal, a registered dietitian terminal, a communication terminal (bedside terminal), a serving person terminal, a meal contractor terminal, Execution content is included. As shown in FIG. 18A, processing is performed on a hospital management server, a doctor terminal / nurse terminal, a registered dietitian terminal, a communication terminal (bedside terminal), a laying person in charge terminal, and a meal contractor terminal that should be executed in a certain status. Is executed at the same time, information sharing is realized.

(Meal information sharing status transition)
FIG. 18B is a diagram showing a status transition 1800 for sharing meal information according to this embodiment. The status transition 1800 is an example, and is realized according to the information sharing algorithm shown in FIG. 18A. In FIG. 18B, “x” in the status Sxy represents the type of processing, and “y” represents a transition state to a different status such as an access source or a further child status (for example, detailed status).

Start with status S00. Status S10 is a registration process, and a transition is made in response to a registration instruction from each terminal. In the registration process, the process goes to the electronic medical record management server access S15 to acquire registration information from the electronic medical record management server. Status S20 is a meal menu acquisition process, and transits via status S12 by access from a registered dietitian terminal.

Status S30 is a browsing process for meal-related information including a meal menu, and is a central process in sharing meal information. The browsing process for meal-related information including a meal menu transitions via status S11 by access from a communication terminal (bedside terminal). Alternatively, the meal menu list is displayed in the status S35 by access from the serving person terminal. Moreover, it changes to status S40 of meal menu memory | storage via status S31 by meal selection from a communication terminal, and memorize | stores in the meal menu memory | storage part 533 for every patient. In addition, a transition is made to a meal menu change status S50 via a status change status S32, a plan change status S33, and another change instruction status S34.

Status S 40 is a meal menu storage process. One is a meal menu storage unit 532 that stores a meal menu acquired from a registered dietitian terminal after transition from status S 20. Moreover, it changes to status S40 via status S31 by the meal selection from a communication terminal. When the change of the meal menu is completed in the status S50 of the meal menu change, the process transits to the status S40 and the meal menu storage unit 533 for each patient is updated.

Note that FIG. 18B only illustrates a part of the status transition. FIG. 18B shows processing in the hospital, and access from the meal consignment company terminal requires separate confidential processing and is not shown. Moreover, when the meal management server 1790 is separately provided as in the fourth embodiment, the meal management server 1790 is also incorporated as an access source and a notification destination of the present embodiment.

According to this embodiment, no matter how the servers that perform individual processes are distributed to construct a distributed system, the data handled by those processes can always be shared.

[Sixth Embodiment]
Next, a hospital food management system including an information processing apparatus and a communication terminal according to a sixth embodiment of the present invention will be described. Compared with the second embodiment and the third embodiment, the hospital food management system including the information processing apparatus and the communication terminal according to the present embodiment is different from the information processing apparatus in which the meal management server is a bedside terminal management server. It differs in the point provided in. That is, the meal menu is managed by a meal management server provided separately. Since other configurations and operations are the same as those of the second embodiment, the same configurations and operations are denoted by the same reference numerals, and detailed description thereof is omitted.

《Configuration of hospital food management system》
FIG. 19 is a block diagram illustrating a configuration of a hospital food management system 1900 including an information processing apparatus 1910, a meal management server 1990, and a communication terminal 1920 according to the present embodiment. In FIG. 19, the same components as those in FIGS. 3 and 17 are denoted by the same reference numerals, and redundant description is omitted.

In the hospital food management system 1900 of FIG. 19, a communication terminal 1920 as a bedside terminal is connected to a server, particularly a meal management server 1990 as a meal provision management device, via a hospital network 380.

The meal management server 1990 has the meal database 311 that the information processing apparatus 310 of FIG. 3 has, and manages meals. In addition, when the meal management server 1990 receives a decision instruction input regarding hospital food of a medical worker (doctor, nurse, etc.) from the communication terminal 1920, the meal management server 1990 updates the meal database 311 based on the decision instruction input and provides a meal. Control. Then, the meal management server 1990 notifies the information processing apparatus 1910 as the bedside terminal management server that the provision of meals is controlled.

The information processing apparatus 1910 leaves the processing related to meals to the meal management server 1990, mainly managing the communication terminal 1920 as a bedside terminal, and based on the notification that the provision of meals from the meal management server 1990 has been controlled. The display of the meal menu on the communication terminal 1920 is controlled.

In FIG. 19, each communication terminal 1920 is illustrated as being directly connected to the communication network 380. However, a plurality of communication terminals 1920 are collectively connected to each communication department, ward, or floor, for example. A gateway connected to 380 may be used. In addition, the processing of this embodiment may be realized by a single cloud server by integrating all functions in the electronic medical record management server 320, or the server for performing individual processing is further distributed and realized as a distributed system. May be.

(Operation sequence)
FIG. 20 is a sequence diagram illustrating an operation procedure of the hospital food management system 1900 including the information processing apparatus 1910, the meal management server 1990, and the communication terminal 1920 according to the present embodiment. In FIG. 20, the same steps as those in FIGS. 4A and 4B are denoted by the same step numbers, and redundant description is omitted.

In the communication terminal 1920, in step S2021, a medical worker inputs information about meals from an input screen or the like. The information about meals includes, for example, information for stopping meals, information for excluding specific types from meal menus, or information such as blood pressure values that require diet therapy. And the communication terminal 1920 transmits the information regarding the meal which the medical worker input in step S2023 directly to the meal management server 1990 as a meal provision management apparatus.

In step S2025, the meal management server 1990 refers to the received meal information and updates the meal menu including cancellation. And the meal management server 1990 memorize | stores the updated meal menu in the meal database 311 in step S2027. In step S2029, the meal management server 1990 notifies the updated meal menu to the bedside terminal management server 1910 as the information processing apparatus, and the bedside terminal management server 1910 notifies the communication terminal 1920. In step S2031, the communication terminal 1920 displays the notified meal menu update on the screen and notifies the patient. The meal menu update screen may be generated by the meal management server 1990 or by the bedside terminal management server 1910.

According to this embodiment, an accident caused by a meal can be prevented in advance by more quickly executing the control of the provision of the meal by a medical staff (doctor, nurse, etc.).

[Other Embodiments]
In this embodiment, the meal menu and the sharing of the restriction information have been mainly described, but the change of the meal menu of each patient in consideration of the mid- to long-term doctor's treatment plan and nutrition balance from the dietitian, Furthermore, sharing of meal information is realized by applying the present invention also in addition of a meal menu.

In this embodiment, adjustment of a meal menu by a nutrition support team (NST: Nutrition Support Team) is not described, but the present invention can also be applied to a hospital food management system incorporating these, and similar effects Play. In addition, the hospital food management system is not limited to the range up to the meal contractor, but is also applied to the sharing of the meal menu information of the hospital food management system including the food ordering of the meal contractor.

Further, although the present invention has been described with reference to the embodiments, the present invention is not limited to the above embodiments. Various changes that can be understood by those skilled in the art can be made to the configuration and details of the present invention within the scope of the present invention. In addition, a system or an apparatus in which different features included in each embodiment are combined in any way is also included in the scope of the present invention.

Further, the present invention may be applied to a system composed of a plurality of devices, or may be applied to a single device. Furthermore, the present invention can also be applied to a case where an information processing program that implements the functions of the embodiments is supplied directly or remotely to a system or apparatus. Therefore, in order to realize the functions of the present invention on a computer, a program installed on the computer, a medium storing the program, and a WWW (World Wide Web) server that downloads the program are also included in the scope of the present invention. . In particular, at least a non-transitory computer readable medium storing a program for causing a computer to execute the processing steps included in the above-described embodiments is included in the scope of the present invention.

This application is based on Japanese Patent Application No. 2018-086799 filed on April 27, 2018 and Japanese Patent Application No. 2018-219372 filed on November 22, 2018. All the disclosures of which are hereby incorporated by reference.

Claims

A meal database that stores meal menus in association with patients;
Meal menu acquisition means for acquiring a plurality of meal menus from a dietitian terminal operated by a registered dietitian;
A meal selection screen providing means for providing a meal selection screen including the plurality of meal menus on a patient terminal operated by the patient;
Selection menu acquisition means for acquiring from the patient terminal a meal menu selected by the patient from the meal selection screen;
A change detection means for detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
A meal menu associated with the patient stored in the meal database based on a meal menu selected by the patient and a change in the condition of the patient, or a change in the examination plan or the treatment plan. Meal menu control means to control;
An information processing apparatus comprising:
The information according to claim 1, wherein the control of the meal menu by the meal menu control means includes a change or cancellation of the meal for the patient based on a change in the condition of the patient or a change in the examination plan or the treatment plan. Processing equipment.
The information processing apparatus according to claim 1 or 2, wherein the meal selection screen providing means provides a meal selection screen that makes it impossible to select meals that the patient cannot ingest based on the electronic medical record.
The meal menu list provision means which provides the list of the meal menu of each patient produced | generated based on the meal menu controlled by the said meal menu control means to the distribution person in charge person terminal which a distribution person in charge has further. 4. The information processing apparatus according to any one of 3.
5. The apparatus according to claim 1, further comprising first order information providing means for providing meal order information generated based on the meal menu controlled by the meal menu control means to a registered dietitian terminal. Information processing device.
5. The apparatus further comprises second order information providing means for providing meal order information generated based on the meal menu controlled by the meal menu control means to a terminal of a meal consignor entrusted with meal production. The information processing apparatus according to any one of the above.
A first change determining means for determining a change in the meal menu by the patient;
The said meal menu control means controls the meal menu matched with the said patient memorize | stored in the said meal database based on the change of the meal menu by the said patient. Information processing device.
A second change determining means for determining a change in the meal menu from the dietitian;
The said meal menu control means controls the meal menu matched with the said patient memorize | stored in the said meal database based on the change of the meal menu by the said administrative dietitian. Information processing device.
The information processing apparatus according to any one of claims 1 to 8, wherein the meal menu is transferred by image information obtained by imaging a meal.
The meal database stores the meal menu with meal image information or feature quantities extracted from the image information,
A meal image acquisition means for acquiring image information obtained by imaging the patient's meal;
By comparing the image information acquired by the meal image acquisition means or the feature amount extracted from the image information with the image information stored in the meal database or the feature amount extracted from the image information, the meal of the patient A meal determination means for determining whether or not there is a mistake,
The information processing apparatus according to claim 9, further comprising:
A meal menu acquisition step of acquiring a plurality of meal menus from a dietitian terminal operated by a registered dietitian;
A meal selection screen providing step for providing a meal selection screen including the plurality of meal menus on a patient terminal operated by the patient;
A selection menu obtaining step for obtaining a meal menu selected by the patient from the meal selection screen from the patient terminal;
A change detecting step of detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
The meal menu associated with the patient stored in the meal database is controlled based on the meal menu selected by the patient and the change in the condition of the patient, or the change in the examination plan or the treatment plan. A meal menu control step,
An information processing method including:
A meal menu acquisition step of acquiring a plurality of meal menus from a dietitian terminal operated by a registered dietitian;
A meal selection screen providing step for providing a meal selection screen including the plurality of meal menus on a patient terminal operated by the patient;
A selection menu obtaining step for obtaining a meal menu selected by the patient from the meal selection screen from the patient terminal;
A change detecting step of detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
The meal menu associated with the patient stored in the meal database is controlled based on the meal menu selected by the patient and the change in the condition of the patient, or the change in the examination plan or the treatment plan. A meal menu control step,
An information processing program that causes a computer to execute.
From the information processing device, a plurality of meal menus created by a registered dietitian are acquired, and a meal menu acquisition means for displaying on the display means;
A meal menu transmission means for transmitting the meal menu selected by the patient from the displayed meal menus together with the patient identifier to the information processing apparatus;
Change determination means for determining whether or not to change the selected meal menu including the cancellation of the meal due to a change in the condition of the patient detected by the measurement device;
If the determination means determines to change the meal menu, the meal menu change means to change the selected meal menu;
A communication terminal comprising:
A login step of logging into the information processing apparatus and notifying the patient's identifier;
From the information processing device, a plurality of meal menus created by a registered dietitian are acquired, and a meal menu acquisition step for displaying on the display means;
A meal menu transmission step of transmitting a meal menu selected by the patient from the displayed meal menus together with the patient identifier to the information processing apparatus;
The change of the selected meal menu including the cancellation of the meal due to a change in the condition of the patient or a change in the examination plan or the treatment plan for the patient detected based on the electronic medical record corresponding to the identifier of the patient A meal change display step for displaying notification information for notifying the change of the selected meal menu and an updated meal menu on the display means when notified from the information processing apparatus;
An application program that causes a computer to execute.
A bedside terminal located on the patient's bedside;
A registered dietitian terminal operated by a registered dietitian;
The clerk officer terminal operated by the clerk in charge,
A doctor terminal or nurse terminal operated by a doctor or nurse;
Information processing apparatus as a bedside terminal management server that connects to at least the bedside terminal and manages the patient's meal;
An electronic medical record management server for connecting to at least the doctor terminal or the nurse terminal and managing medical information of the patient;
With
The information processing apparatus includes:
A meal database for storing a meal menu in association with the patient;
A meal menu obtaining means for obtaining a plurality of meal menus from the registered dietitian terminal;
A meal selection screen providing means for providing a meal selection screen including the plurality of meal menus on the bedside terminal;
Selection menu acquisition means for acquiring a meal menu selected by the patient from the meal selection screen from the bedside terminal;
A change detecting means for detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
A meal menu associated with the patient stored in the meal database based on a meal menu selected by the patient and a change in the condition of the patient, or a change in the examination plan or the treatment plan. Meal menu control means to control;
Hospital food management system with
A meal menu selection step for providing a meal selection screen based on a plurality of meal menus to the patient and causing the patient to select a meal menu;
A change detecting step of detecting a change in the condition of the patient based on the electronic medical record of the patient, or a change in a diagnosis plan or a treatment plan for the patient;
The meal menu associated with the patient stored in the meal database is controlled based on the meal menu selected by the patient and the change in the condition of the patient, or the change in the examination plan or the treatment plan. A meal menu control step,
Hospital food management methods including.
A meal database that stores meal menus in association with patients;
A selection menu acquisition means for acquiring a meal menu selected by the patient from the meal selection screen displayed on the patient terminal from the patient terminal and storing it in the meal database;
A meal menu control means for controlling a meal menu selected and stored by the patient based on the judgment of the medical staff;
An information processing apparatus comprising:
Patient information acquisition means for acquiring patient information about the patient from the patient terminal;
A meal menu restriction means for restricting a meal menu selected by the patient based on the acquired patient information;
The information processing apparatus according to claim 17, further comprising:
The information processing apparatus according to claim 18, wherein the patient information includes patient status information acquired from the patient.
It further comprises meal information acquisition means for acquiring meal information related to the patient's meal from the patient terminal,
The information processing apparatus according to any one of claims 17 to 19, wherein the meal menu control means controls a meal menu selected and stored by the patient based on the meal information.
A selection menu acquisition step of acquiring a meal menu selected by the patient from the meal selection screen displayed on the patient terminal from the patient terminal and storing it in a meal database storing the meal menu in association with the patient;
A meal menu control step for controlling a meal menu selected and stored by the patient based on the judgment of the medical staff;
An information processing method including:
A selection menu acquisition step of acquiring a meal menu selected by the patient from the meal selection screen displayed on the patient terminal from the patient terminal and storing it in a meal database storing the meal menu in association with the patient;
A meal menu control step for controlling a meal menu selected and stored by the patient based on the judgment of the medical staff;
An information processing program that causes a computer to execute.
A patient terminal,
An information processing device for controlling the patient terminal;
A meal provision management device that manages the provision of meals to patients via the information processing device;
With
The information processing apparatus includes:
A meal database that stores meal menus in association with patients;
Selection menu acquisition means for acquiring a meal menu selected by the patient from the meal selection screen displayed on the patient terminal from the patient terminal and storing it in the meal database;
Have
The meal provision management device comprises:
Meal provision control means for controlling the provision of the meal selected by the patient based on the judgment of the medical staff received from the patient terminal;
Hospital food management system.
The meal provision management apparatus further includes a notification means for notifying the information processing apparatus that the provision of meals has been controlled,
The hospital information management system according to claim 23, wherein the information processing apparatus further includes a meal menu control unit that controls a meal menu selected and stored by the patient based on a notification that the provision of meals is controlled.