WO2020129362A1

WO2020129362A1 - Medical care assistance device

Info

Publication number: WO2020129362A1
Application number: PCT/JP2019/039500
Authority: WO
Inventors: 圭司坪田; 岬川原; 毅平川; 浩平松
Original assignee: 富士フイルム株式会社
Priority date: 2018-12-21
Filing date: 2019-10-07
Publication date: 2020-06-25
Also published as: JP7181313B2; JPWO2020129362A1

Abstract

The present invention provides a medical care assistance device that can facilitate medical care. The medical care assistance device (12) comprises a display screen generation unit (62) that, with regard to a plurality of patients, generates for each patient a display screen displaying identification information for said patient in association with medical care processes, a detection unit (63) that detects the current position of the patient, and a calculation unit (64) that, with regard to the most immediate medical care process from among medical care processes scheduled for the patient, calculates the distance from the current position of the patient to the medical care facility, wherein the display screen generation unit (62) generates a display screen displaying the current position of the patient in association with the identification information of the patient and changes the display form of the current position of the patient using the distance calculated by the calculation unit (64).

Description

Medical support device

The present invention relates to a medical care support device.

In the medical field, in order for medical staff such as doctors and laboratory technicians to smoothly carry out medical care and examinations, there is an integrated medical care support device that shares the process and results of medical care among medical staff or departments. It is used. The medical care support device supports medical care by providing a medical staff with a list of a plurality of patients by associating the patient identification information such as the patient name with the medical care process of the patient and displaying the list. To do. In addition,

Patent Documents

1 and 2 below describe a configuration that supports medical treatment by displaying a medical treatment schedule and a position of a patient.

Japanese Patent No. 5158548 Japanese Patent No. 6298470

However, in the above-mentioned

Patent Documents

1 and 2, it is assumed that the patient is waiting at the medical treatment place and waiting for the medical treatment, and it is assumed that the patient does not exist at the medical treatment place due to forgetting the medical treatment. However, in such a case, there is a problem that the medical treatment cannot be performed as scheduled.

The present invention has been made in view of such a background, and an object of the present invention is to provide a medical treatment support device that can effectively utilize the current position of a patient to perform medical treatment smoothly.

The medical treatment support device of the present invention is

For a plurality of patients, for each patient, a generation unit that generates a display screen that displays the patient identification information and the medical process in association with each other,

A detection unit for detecting the current position of the patient,

A calculation unit that calculates the distance from the current position of the patient to the medical treatment place for the most recent medical treatment process that the patient is scheduled to undergo,

Equipped with

The generation unit generates a display screen that displays the current position of the patient in association with the identification information of the patient, and changes the display mode of the current position of the patient using the distance calculated by the calculation unit.

The generation unit may generate a display screen that highlights the current position of the patient when the distance calculated by the calculation unit is equal to or greater than the threshold value.

The detection unit detects the current time,

The calculation unit calculates the time from the current time to the start time of medical treatment for the latest medical treatment process,

The generation unit may change the display mode of the current position of the patient using the time calculated by the calculation unit.

The generation unit may generate a display screen that highlights the current position of the patient when the time calculated by the calculation unit is less than the threshold value.

The display of the current position of the patient may include a mode in which the name of the place to which the current position belongs in the medical facility is displayed in characters.

The display of the current position of the patient may include a form of displaying the current position on a map image showing the floor configuration of the medical facility.

The generation unit may generate a display screen that displays a plurality of patients arranged in order of medical treatment.

The generator is

Operates in an outpatient mode, which is selected when multiple patients visit the medical treatment site to receive medical treatment, and a round-trip mode in which medical staff visits multiple patients to perform medical treatment.

In the outpatient mode, a display screen that displays the patients who visit the medical treatment site in order of medical treatment is generated,

In the round-trip mode, a display screen may be generated to display the patients visited by the medical staff in order of medical treatment.

A change unit that changes the medical order may be provided.

The changing unit may change the medical treatment order when a patient having the next medical treatment order does not exist at the medical treatment place.

When the patient to be treated does not exist at the treatment place, the medical staff in charge of the patient may notify the terminal to that effect.

When the patient to be treated does not exist at the treatment place, the terminal viewed by this patient may be notified of that fact.

According to the medical treatment support device of the present invention, by changing the display mode of the current position of the patient by using the distance from the current position of the patient to the medical treatment place, it is easy to grasp the situation such that the patient does not exist at the medical treatment place. The medical treatment can be facilitated by taking measures such as changing the medical treatment order when grasping such a situation.

It is explanatory drawing which shows the structure of a medical treatment support system. It is explanatory drawing which shows the gate terminal which a medical treatment support system has. It is a block diagram which shows the structure of a client terminal. It is a block diagram which shows the function of a client terminal. It is a block diagram which shows the structure of a medical treatment support apparatus. It is a block diagram which shows the function of a medical treatment support apparatus. This is the initial screen. It is a clinical flow screen. It is a timeline screen. It is a layout screen. It is a flow chart which shows a change procedure of a display mode. It is a flow chart which shows a change procedure of a display mode. It is an example of a display mode of the current position. It is explanatory drawing of a skip button. It is explanatory drawing of a reordering button.

As shown in FIG. 1, the medical care support system 10 is a computer system that performs medical care support in a medical facility such as a hospital, and includes a client terminal 11, a medical care support device 12, a server group 13, and a gate terminal 14. Prepare The respective elements configuring the medical care support system 10 are communicably connected to each other using a network 15 such as a LAN (Local Area Network) installed in the medical facility. The server group 13 may be installed outside the medical facility and may be communicatively connected to the client terminal 11, the medical care support device 12, and the gate terminal 14 by using the network 15 that is connected to the outside of the medical facility.

The client terminal 11 is a terminal for receiving a service (providing the function of the medical care support device 12) from the medical care support device 12, and is a computer directly operated by a medical staff such as a doctor, a technician, or a nurse. (Including cases such as tablet terminals). The client terminal 11 is installed in a medical department such as internal medicine or surgery, various inspection departments such as a radiation inspection department or a clinical inspection department, a nurse center, or any other necessary place. Moreover, the client terminal 11 can be provided for each medical staff, and can be shared by a plurality of medical staff. As described above, a plurality of client terminals 11 can be provided, but only one is shown in FIG.

The gate terminal 14 is provided for the medical care support device 12 to detect the position of the patient, and as shown in FIG. 2, an area corresponding to each medical department such as an entrance/exit to a medical facility, a surgical ward, and an internal medicine ward. There are entrances and exits, entrances and exits for dining rooms, toilets, shops, etc., entrances and exits for examination rooms such as an X-ray room (waiting rooms A1 to A3 in the example of FIG. 2).

The gate terminal 14 communicates with the tag 16 using wireless communication such as Wi-Fi (Wireless Fidelity, registered trademark) or BLE (Bluetooth (registered trademark) Low Energy). Then, for example, the information stored in the tag 16 is read and the read information is transmitted to the medical care support device 12.

The tag 16 is an electronic tag such as an IoT (Internet of Things) tag and an RFID (radio frequency identifier) tag. For example, the tag 16 is lent to a patient and carried by the patient. When a patient enters or leaves a place where the gate terminal 14 is installed, the patient holds the tag 16 over the gate terminal 14 and causes the gate terminal 14 to read the information stored in the tag 16. As a result, the information stored in the tag 16 is transmitted to the medical care support device 12 via the gate terminal 14. Note that FIG. 2 illustrates an example in which the tag 16 carried by the patient C1 among the four patients C1 to C4 communicates with the gate terminal 14 of the waiting room A3.

The medical assistance device 12 (detection unit 63 (see FIG. 6)) detects the current position of the patient based on the communication result between the gate terminal 14 and the tag 16. In addition, the medical care support device 12 (calculation unit 64 (see FIG. 6)) executes the most recent medical care process execution position (medical care place) among the medical care processes that this patient will receive in the future from the patient whose current position is detected. Calculate the distance to.

In the present embodiment, an example in which the current position of the patient (the person carrying the tag 16) is detected using the gate terminal 14 and the tag 16 has been described, but the present invention is not limited to this. For example, instead of the tag 16, a terminal (portable terminal) carried by a patient, such as a smartphone or smart watch, is used, and communication with the gate terminal 14 is performed by using an NFC (near field communication) function or the like of the portable terminal of the patient. However, the current position of the patient may be detected.

Further, in the present embodiment, an example in which the current position of the patient is detected by holding the tag 16 on the gate terminal 14 or the like has been described, but the present invention is not limited to this. For example, even if the current position of the patient is detected by transmitting the current position of the patient detected using the position detection function such as GPS (Global Positioning System) of the mobile terminal of the patient to the medical care support device 12. Good.

Further, for example, a position information sensor is placed in place of the gate terminal 14 in each place of the medical facility (a reception room, a waiting room, a changing room, a consultation room, an examination room, etc., which the patient enters when he/she receives medical treatment. (Located on the ceiling or walls of designated areas, preferably at approximately equal distances), wireless communication is performed between these position information sensors and the patient's mobile terminal to detect the patient's current position. You may. As wireless communication performed between the mobile terminal and the position information sensor, communication standards of mobile phones such as 3G and 4G, wireless LAN (Local Area Network) such as Wi-Fi (registered trademark), and Bluetooth (registered trademark) Alternatively, BLE (Bluetooth (registered trademark) Low Energy) or the like can be used (as long as the technology enables communication between the mobile terminal and the position information sensor without requiring proximity such as overhanging).

Returning to FIG. 1, the medical care support device 12, for example, in response to a request from the client terminal 11, the medical care data (for example, the image itself) and/or information indicating the location of the medical care data (for example, a link to the image or the like) on the client terminal 11. ) Etc. are provided. Medical care data refers to images obtained or created during medical care, examinations, surgery, etc., reports, test results, other data obtained during the course of medical treatment, or data obtained as a result of medical treatment, or information indicating their location (so-called link (alias ) Etc.). The medical care support device 12 acquires the medical care data used on the display screen from the server group 13.

The display screen provided by the medical assistance device 12 to the client terminal 11 refers to data used by the client terminal 11 to form a screen of the display unit 36 (see FIG. 3) of the client terminal 11. In addition, the display screen provided by the medical assistance device 12 to the client terminal 11 includes not only data for full-screen display in which the client terminal 11 constitutes display of the entire screen but also data constituting display in part of the screen. including. For example, in the present embodiment, the medical assistance device 12 provides the client terminal 11 with a display screen that can be displayed in a general window format on a part of the screen of the display unit 36.

Specifically, the display screen provided by the medical care support device 12 to the client terminal 11 includes an initial screen 71 (see FIG. 7), a clinical flow screen 81 (see FIG. 8), a timeline screen 201 (see FIG. 9), and a layout. The screen 301 (see FIG. 10) and the like. The initial screen 71 is a display screen first displayed after login. The clinical flow screen 81 is a display screen that displays, for each of a plurality of patients, patient identification information and part or all of the medical care process in association with each other.

The patient identification information is, for example, an ID (Identification Data) such as the patient's name, date of birth, age, sex, or the like, or a unique number and/or symbol given to the patient (hereinafter, patient ID That). The medical treatment process is a process or result of medical treatment that has already been performed (medical treatment process) and medical treatment that is scheduled to be performed in the future (medical treatment process). Therefore, the medical care process may include not only medical care data that has already been acquired, but also medical care data that is scheduled to be acquired. The medical care data to be acquired or the like is, for example, a medical care schedule (scheduled medical care date and time), a medical care location, and/or information regarding the type of medical care data to be acquired. Here, in the medical treatment place, the name of the medical department to perform the medical treatment (such as the name of the room to perform the medical treatment when the specific medical treatment place such as the medical treatment room is known) and/or the medical treatment is performed. The position of the medical department within the medical facility in which the medical department (or specific medical treatment place) to be performed is provided is included. The medical care process includes a medical care process consisting of only one item (medical care such as examination) and a medical care process consisting of an aggregate of a plurality of items. Regarding the medical care process consisting of an aggregate of a plurality of items May also refer to each of the individual items constituting such a medical care process as a medical care process.

The timeline screen 201 is a display screen for displaying a part or all of the medical treatment process of a specific patient on one screen in time series. The layout screen 301 is a display screen for displaying a part or all of the medical treatment process of a specific one patient vertically and horizontally (for example, in a tile form).

The medical assistance device 12 provides the client terminal 11 with a display screen in a description format using a markup language such as XML (Extensible Markup Language) data. The client terminal 11 displays a display screen in XML format using a web browser. The medical support device 12 can provide the display screen to the client terminal 11 in another format such as JSON (JavaScript (registered trademark) Object Notation) instead of XML.

The server group 13 retrieves the medical care data corresponding to the request from the medical care support device 12 and provides the medical care data corresponding to the request to the medical care support device 12. The server group 13 includes an electronic medical record server 21, an image server 22, a report server 23, and the like.

The electronic medical record server 21 has a medical record database 21A that stores electronic medical records. An electronic medical record is an aggregate of one or more medical care data. Specifically, the electronic medical record includes, for example, a medical record, a result of a sample test, a vital sign of a patient, an order of a test, a medical record, or medical data such as accounting data. The electronic medical record can be input and viewed using the client terminal 11.

The medical record is a record of the content and result of the inquiry or palpation, the disease name, or the like. A sample is blood or tissue collected from a patient, and a sample test is a blood test, a biochemical test, or the like. A vital sign is data indicating a patient's condition such as a patient's pulse, blood pressure, or body temperature. The order of examination and the like is a request for examination such as specimen examination, imaging using various modalities, creation of reports, treatment or surgery, or medication. The medical record is a record of treatment, surgery, medication, prescription, or the like. The accounting data is data relating to the consultation fee, the drug fee, the hospital fee, and the like.

The image server 22 is a so-called PACS (Picture Archiving and Communication System) server and has an image database 22A in which inspection images are stored. The examination image is an image obtained by various image examinations such as CT (Computed tomography) examination, MRI (Magnetic Resonance Imaging) examination, X-ray examination, ultrasonic examination, or endoscopic examination. These inspection images are recorded, for example, in a format conforming to the DICOM (Digital Imaging and Communications in Medicine) standard. The inspection image can be browsed using the client terminal 11.

The report server 23 has a report database 23A that stores image interpretation reports. An image interpretation report (hereinafter, simply referred to as a report) is a report that summarizes image interpretation results of inspection images obtained by image inspection. Interpretation of the inspection image is performed by an interpreting doctor. The report can be created and/or viewed using the client terminal 11.

A patient ID is attached to each of the electronic medical record, the examination image, and the report. In addition to the patient ID, the electronic medical record is accompanied by information for identifying each medical care data, which identifies the medical staff who input the medical care data. In addition to the patient ID, the inspection image is accompanied by information for identifying the medical staff (specifically, the inspection technician) who performed the inspection. The report is accompanied by information that identifies the medical staff (specifically, the image interpreting doctor) who created it. The information for identifying the medical staff is an ID such as a name of the medical staff or a unique number and/or a symbol given to each medical staff (hereinafter referred to as medical staff ID).

The client terminal 11, the medical assistance device 12, and each of the servers 21 to 23 constituting the server group 13 are based on a computer such as a server computer, a personal computer, or a workstation, and an operating system program and a server program or a client program. Install and configure the application programs for. That is, the client terminal 11, the medical assistance device 12, and the servers 21 to 23 constituting the server group 13 have the same basic configuration, and include a CPU (Central Processing Unit), a memory, a storage, a communication unit, and the like. , And a connection circuit for connecting them. The communication unit is a communication interface (LAN board or the like) for connecting to the network 15. The connection circuit is, for example, a motherboard that provides a system bus and/or a data bus.

As shown in FIG. 3, the client terminal 11 includes a CPU 31, a memory 32, a storage 33, a communication unit 34, and a connection circuit 35, as well as a display unit 36 and an operation unit 37. The display unit 36 is, for example, a display using liquid crystal or the like, and has at least a screen for displaying a display screen provided by the medical care support device 12. The operation unit 37 is, for example, a pointing device such as a mouse and/or an input device such as a keyboard. The display unit 36 and the operation unit 37 can form a so-called touch panel.

The client terminal 11 stores, in the storage 33, an operating program 39 as well as an operating system program. The operation program 39 is an application program for receiving the function of the medical care support device 12 using the client terminal 11. In the present embodiment, the operation program 39 is a web browser program. However, the operation program 39 can be a dedicated application program for receiving the function of the medical care support device 12. The operation program 39 may include one or more gadget engines for controlling a part or all of the display screen provided by the medical care support device 12. The gadget engine is a subprogram that exerts various functions by operating in association with a web browser or the like. The operation program 39 may be recorded in an external recording medium, distributed, and installed in the client terminal 11 from the recording medium. Alternatively, it may be stored in a server or the like connected to the network so as to be accessible from the outside, and downloaded and installed in the client terminal 11 in response to a request.

When the operation program 39 is activated in the client terminal 11, the CPU 31 of the client terminal 11 functions as a GUI (Graphical User Interface) control unit 41 and a request issuing unit 42 in cooperation with the memory 32, as shown in FIG.

The GUI control unit 41 causes the display unit 36 to display the display screen provided by the medical care support device 12 on the web browser. The GUI control unit 41 controls the client terminal 11 according to an operation instruction input using the operation unit 37, such as a button click operation with a pointer.

The request issuing unit 42 issues a request for various processes (hereinafter referred to as a process request) to the medical care support device 12 in response to an operation instruction from the operation unit 37. The processing request issued by the request issuing unit 42 is, for example, a display screen distribution request or a display screen editing request. The request issuing unit 42 transmits the processing request to the medical care support device 12 via the communication unit 34 and the network 15.

The display screen delivery request requests the medical care support device 12 to deliver a display screen having a specific configuration. For example, in response to a display screen distribution request, any one of the initial screen 71, the clinical flow screen 81, the timeline screen 201, the layout screen 301, and the like can be designated and received.

The display screen edit request requests the medical care support device 12 to edit the contents of medical care data and the like displayed on the display screen after receiving a display screen having a specific configuration from the medical care support device 12. For example, when the clinical flow screen 81 is delivered, the list of patients to be displayed is specified or changed, the display target period of the medical process is specified or changed, the medical process to be displayed is specified or changed, or the display content is displayed. A request for rearranging (sorting) is a request for editing the display screen. With such an edit request, for example, when a plurality of patients visit one medical treatment site and receive medical treatment, these patients are rearranged in medical treatment order (medical treatment reservation order) (in the outpatient mode of the present invention). Corresponding to the operation). Further, for example, when one medical staff (doctor, etc.) visits a plurality of patients to perform medical examination (rounding), these patients are rearranged in order of medical treatment (order of rounding) (rounding of the present invention). It corresponds to the operation in the mode).

The display screen distribution request and/or the edit request and the like include information such as the medical staff ID and the address of the client terminal 11 on the network. The medical staff ID is input on a login screen (not shown) to the medical care support system 10 (or the medical care support device 12).

As shown in FIG. 5, the medical care support device 12 includes a CPU 51, a memory 52, a storage 53, a communication unit 54, and a connection circuit 55. The medical care support device 12 can be provided with a display unit and/or an operation unit similarly to the client terminal 11 if necessary, and can be attached with a display unit and/or an operation unit if necessary. In the embodiment, the medical care support device 12 does not have a display unit and an operation unit.

The medical care support apparatus 12 stores an operating program 59 in the storage 53 in addition to an operating system and the like. The operation program 59 is an application program for causing a computer constituting the medical care support device 12 to function as the medical care support device 12. When the operation program 59 is activated, as shown in FIG. 6, the CPU 51 of the medical care support device 12 cooperates with the memory 52 to cooperate with the request reception unit 61, the display screen generation unit 62 (generation unit), the detection unit 63, and the calculation. It functions as the unit 64 and the like. The operation program 59 may be recorded in an external recording medium, distributed, and installed in the medical care support device 12 from the recording medium. Alternatively, it may be stored in a server or the like connected to the network so as to be accessible from the outside, and may be downloaded and installed in the medical care support device 12 in response to a request.

The request receiving unit 61 receives various processing requests such as a display screen distribution request and an edit request from the client terminal 11. When the request receiving unit 61 receives various processing requests, the request receiving unit 61 inputs a processing instruction to each unit that executes the corresponding processing according to the content of the requested processing. For example, when there is a display screen distribution request from the client terminal 11, the request reception unit 61 inputs an instruction to generate the corresponding display screen to the display screen generation unit 62. Similarly, when there is a display screen edit request from the client terminal 11, the request reception unit 61 inputs an edit instruction of the corresponding display screen to the display screen generation unit 62. The request reception unit 61 also receives a request for login to the medical support device 12, and a login processing unit (not shown) executes login processing such as confirmation of the medical staff ID and password.

The display screen generation unit 62 generates or edits various display screens such as the clinical flow screen 81. In the present embodiment, the display control unit 66 generates XML data representing a new display screen when a new display screen distribution request is made, and when a display screen edit request is made, The previously created XML data is edited according to the request content. The display screen generation unit 62 accesses the server group 13 as necessary, and acquires information regarding a medical care process or the like used for generating or editing the display screen. Note that the display screen generation unit 62 can hold some or all of the information regarding the medical care process and the like acquired from the server group 13 in order to reduce the frequency of access to the server group 13. When the login processing unit normally completes the login process, the display screen generation unit 62 generates the initial screen 71 (see FIG. 7) that is displayed first after login. Further, when creating or editing the initial screen 71, the display screen creating unit 62 provides information necessary for creating or editing the initial screen 71 to the server group 13, the client terminal 11, or the other medical support system 10. Acquire from the device or system that cooperates with.

The detection unit 63 detects the current position of the patient. As described above, the gate terminal 14 is installed in each place of the medical facility, and when the patient enters and leaves the place where the gate terminal 14 is installed, the information of the tag 16 carried by the patient is read. The information read in this way is transmitted to the detection unit 63. The detection unit 63 detects the current position of the patient based on the transmitted information.

By detecting this current position, the current position of the patient is, for example, "surgery", "surgical waiting room", "surgical reception", "dining room", "2nd floor east toilet" It is possible to obtain information such as "is", "general reception", or "outside medical facility (not inside medical facility)".

The detection unit 63 transmits the current position of the patient thus detected to the calculation unit 64.

The calculation unit 64 compares the current position of the patient sent from the detection unit 63 with the execution location (medical location) of the most recent medical treatment (medical care process) of the medical treatment (medical care process) that this patient is scheduled to undergo in the future. Then, the distance from the current position to the medical treatment place is calculated. The calculation unit 64 accesses the server group 13 as necessary, acquires information regarding the medical care process of the patient, and detects the latest medical care process and the execution place (medical care place) of this medical care process. Further, the calculation unit 64 calculates the distance from the current position to the medical treatment place using the floor map (see FIG. 13) showing the floor configuration of the medical facility. The floor map is stored in advance in, for example, the memory 52 of the medical assistance device 12.

The calculation unit 64 transmits the distance from the current position calculated in this way to the medical treatment place to the display screen generation unit 62 together with the current position of the patient detected by the detection unit 63.

The display screen generation unit 62 uses the “current position of the patient” detected by the detection unit 63 and the “distance from the current position of the patient to the nearest medical treatment place” calculated by the calculation unit 64, and the clinical flow screen 81 and the like. Generate or edit. Specifically, the "current position of the patient" is displayed on a display screen such as the clinical flow screen 81, and the "current position of the patient" is displayed using the "distance from the current position of the patient to the nearest medical treatment location". Change (edit) the display mode.

The medical care support system 10 configured as described above operates as follows. First, when the medical staff logs in to the medical care support system 10 using the client terminal 11, the display screen generation unit 62 generates the initial screen 71 shown in FIG. 7 based on the settings made for each medical staff and the client. It is provided to the terminal 11. Accordingly, the client terminal 11 displays the initial screen 71 on the screen of the display unit 36.

The initial screen 71 has three display fields, for example, a schedule display field 72, a mail display field 73, and a list display field 74. The display contents of the schedule display field 72 and the mail display field 73 are generated by the gadget engine, which is a part of the operation program 39 of the client terminal 11, by obtaining information from the client terminal 11 and other devices or systems. Further, in the present embodiment, the list display field 74 displays at least a part of the clinical flow screen 81. Therefore, the display screen generation unit 62 generates the initial screen 71 that includes the schedule display field 72 and the mail display field 73 that do not include the content, and the list display field 74 that includes the content of the clinical flow screen 81. The client terminal 11 uses the gadget engine to display the initial screen 71 supplemented with the contents of the schedule display field 72 and the mail display field 73 on the screen of the display unit 36.

If all of the contents to be displayed are not contained in the list display column 74, scrolling to transition (so-called scroll) the display contents of the list display column 74 to or near the list display column 74. A bar 78 and a scroll bar 79 are displayed. The scroll bar 78 is a GUI that is operated when the display content of the list display field 74 is shifted in the left-right direction and a non-display portion is displayed. The scroll bar 79 is a GUI that is operated when displaying a non-display portion by vertically shifting the display content of the list display field 74. The GUI control unit 41 performs such GUI display and control.

When a predetermined menu or the like is operated using a GUI such as a pointer (not shown) on the initial screen 71, the request issuing unit 42 issues a display screen delivery request. The operation in which the request issuing unit 42 issues a display screen distribution request based on the operation of the GUI or the like constitutes a display screen distribution request step. In the present embodiment, the operation for displaying the clinical flow screen 81 is executed in order to display the entire clinical flow screen 81, a part of which is displayed in the list display field 74. As a result, the request issuing unit 42 issues a distribution request for the clinical flow screen 81.

When the request issuing unit 42 issues a display screen distribution request, in the medical support apparatus 12, the request receiving unit 61 receives the display screen distribution request, and the display screen generating unit 62 displays the display screen distribution request. Generate the screen. The operation in which the display screen generation unit 62 generates the display screen related to the display screen distribution request constitutes a display screen generation step. In the present embodiment, the display screen generation unit 62 generates the clinical flow screen 81 using the information related to the medical care process and the like that is appropriately acquired from the server group 13 and the like.

Further, the display screen generation unit 62 detects the generation of the display screen related to the distribution request at the same time as the generation of the display screen (in parallel with the generation of the display screen) or after the generation of the display screen as described above. The display screen is generated (or edited) by using the current position of the patient detected by the unit 63, the current position of the patient is displayed on the display screen, and the medical treatment nearest to the current position of the patient calculated by the calculation unit 64 is performed. The display screen is generated (or edited) using the distance to the place, and the display mode of the current position of the patient displayed on the display screen is changed (edited).

After that, the GUI control unit 41 of the client terminal 11 receives the display screen generated as described above and displays it on the screen of the display unit 36 instead of the initial screen 71 or leaves the initial screen 71. While overlapping, it is displayed in another window or the like.

As shown in FIG. 8, the clinical flow screen 81 generated in this embodiment includes, for example, a patient column C01, a current position column C02, a biopsy column C03, a radiation column C04, an endoscope column C05, a pathological column C06, And a clinical flow display field 82 having an echocardiographic sequence C07 and the like. The patient column C01 constitutes a list of a plurality of patients who satisfy a predetermined condition. The predetermined condition is, for example, that the person in charge is a medical staff member who is a login user, or that the group is a group (medical department etc.) to which the medical staff member who is a login user belongs.

The “current position of patient” detected by the detection unit 63 is displayed in the current position column C02. In the present embodiment, “current position of patient” is displayed as text (characters). Each row after the biopsy column C03 (third row) constitutes a so-called clinical flow in which the identification information of each patient is associated with the medical care process of that patient.

The clinical flow display column 82 has an item display line indicating the display item of each column in the top line. By clicking an item name or the like in each column of the item display row with a pointer or the like, the display contents can be rearranged line by line according to descending order, ascending order, or other specified conditions. The rearrangement on a row-by-row basis means changing the display order while maintaining the correspondence in the row direction. For example, when "Patient" is clicked in the patient column C01 and the item display row, the request issuing unit 42 issues a request to edit the display screen. Then, the display screen generation unit 62 edits the clinical flow screen 81 according to a predetermined condition such as the order of patient IDs and provides the clinical flow screen 81 to the client terminal 11. As a result, the display contents of the clinical flow display field 82 are rearranged in the order of patient ID and the like. In addition, a mark (for example, “▲” mark) indicating that the sorting has been performed is displayed on each item of the item display line that is the sorting reference.

Further, in the current position column C02, the "current position of the patient" is displayed as described above, and the display mode of the "current position of the patient" is "distance from the current position of the patient to the nearest medical treatment location". It changes according to. In the present embodiment, as shown in FIG. 11, when the “distance from the current position of the patient to the nearest medical treatment place” is the first threshold value (for example, 15 m) or more, as shown in FIGS. 7 and 8. A triangular (“Δ”) icon 85 including an exclamation mark (“!”) pattern is displayed on the screen, so that the display mode changes (the current position of the patient is highlighted). For example, the examples of FIGS. 7 and 8 indicate that the patient “Taro Goat” is present at a location that is more than the first threshold value away from the most recent treatment location.

As described above, the medical care support device 12 is convenient because it can grasp the current position of the patient by displaying the “current position of the patient”. In addition, by changing the display mode of the "current position of the patient" depending on the "distance from the current position of the patient to the nearest medical treatment place", for example, it is possible to grasp in advance the situation such as when the next medical treatment is unlikely to be in time. Can be dealt with.

In the above embodiment, an example in which the display mode is changed (emphasized display is performed) depending on whether or not the icon is displayed has been described, but the present invention is not limited to this. For example, the display mode may be changed by switching the type (design) and/or size of the icon. In addition, the display mode may be changed by switching the size, font, and/or color of the character (character indicating the current position of the patient). In addition, the display mode may be changed by switching the color and/or the pattern of the background (a portion other than the characters in the area where the characters are described). Furthermore, the display mode may be changed by switching the thickness of the characters. In addition, the display mode may be changed by switching the presence or absence and the type of the underline, the outline, and/or the shadow of the character and/or the icon. Furthermore, the display mode may be switched by switching the presence/absence of blinking of the icon, the character, and/or the background, and/or by switching the blinking cycle.

Further, in the above embodiment, an example in which the display mode is switched depending on whether or not the “distance from the current position of the patient to the nearest medical treatment place” is the first threshold value or more, that is, an example in which the display mode is switched to two stages has been described. The display mode may be switched to three or more levels. In this case, when the "distance from the current position of the patient to the nearest medical treatment location" is less than 30 m, it is black, when it is 30 m or more and less than 60 m, it is yellow, and when it is 60 m or more, it is red. "Is displayed.

Further, in the above embodiment, an example in which the display mode is changed based on "the distance from the current position of the patient to the nearest medical treatment place" has been described. However, "the positional relationship between the current position of the patient and the latest medical treatment place" The display mode may be changed based on ". In this case, if the current location of the patient is outside the medical facility, it is red; if it is outside the ward of the department that is within the medical facility but includes the most recent medical location, the most recent medical location is included. When it is in the ward of the medical department, it is possible to display the “current position of the patient” in green letters. If the current location of the patient is on the same floor (hierarchy) as the nearest medical treatment location, green is used if one floor is different, yellow if two floors are different, and red if two or more floors are different. It is also possible to display.

Further, in the above-described embodiment, an example in which the display mode is changed by using the “distance to the nearest medical treatment place” has been described, but in addition to this, the display mode is changed by using “the time until the latest medical care”. You may let me. In this case, the detection unit 63 detects the current time by referring to a clock or the like built in the medical care support device 12, and the calculation unit 64 accesses the server group 13 to acquire the latest medical treatment start time. , "Time until the latest medical treatment" is calculated from the acquired start time and the current time. Then, for example, as shown in FIG. 12, the “distance to the latest medical treatment place” is equal to or greater than a first threshold value (for example, 15 m), and the “time until the latest medical treatment time” is a second threshold value (for example, When it is less than 10 minutes, it is possible to change the display mode (for example, display (highlight) the icon 85 (see FIGS. 7 and 8)).

Further, in the above embodiment, an example in which the current position column C02 (see FIG. 8) is provided and the “current position of the patient” is displayed has been described, but the display position of the “current position of the patient” is not limited to this. For example, the “current position of the patient” may be displayed in a part of the display column that displays other information, such as the patient column C01 (see FIG. 8).

Furthermore, in the above embodiment, an example in which the “current position of the patient” is displayed in characters has been described. However, for example, as shown in the current position display screen 401 shown in FIG. You may display on the floor map (map image) shown. FIG. 13 shows that the current position of “Taro Yamago” is the general waiting room on the first floor (1st floor) and the current position of “Jiro Yamato” is the examination waiting room on the second floor (the second floor). The current position display screen 401 is displayed in a pop-up (displayed over the current screen (window)) by clicking the current position column C02 or the like in the clinical flow display field 82 with a pointer or the like. In the example of FIG. 13, an example in which the current positions of a plurality of patients are displayed has been described, but only the current positions of the patients designated by the pointer or the like may be displayed.

In addition, according to the present invention, it is possible to know in advance, for each patient, a situation such that it is unlikely to be in time for the next medical treatment, from the “distance to the latest medical treatment place” and/or the “time until the latest medical treatment”. , This may be used to change the order of treatment. In this case, for example, as shown in FIG. 14, even though the medical treatment start time (or, just before the medical treatment start time (several minutes (2 to 5 minutes) before), within a predetermined range from the medical treatment place (for example, If it does not exist within a radius of 15 m from the medical treatment place), the skip order 501 may be displayed in the clinical flow display field 82 or the like, and the skip order 501 may be clicked with a pointer or the like to change the medical order. The change of the medical treatment order includes canceling (cancelling) the medical treatment, sending the medical treatment to the end of the waiting list, and advancing the medical treatment order of other waiting patients. In this way, when the medical treatment order is changed, the CPU 51 or the like of the medical treatment support device 12 functions as a changing unit that accesses the server group 13 and changes the medical treatment order (medical care schedule).

In addition, when the medical treatment is canceled, in order to receive the medical treatment again, for example, as shown in FIG. 15, by displaying the re-order waiting button 502 in the clinical flow display field 82 and the like, and clicking the operation with the pointer or the like. It is preferable to be able to book medical treatment at the end of the waiting line.

Further, as described above, when the medical treatment order is changed, it is preferable to notify the mobile terminal of the patient of the change. This notification may be sent by e-mail using, for example, the e-mail address of the patient registered in advance in the medical care support device 12 or the electronic medical record, or may be a dedicated mobile terminal that can cooperate with the medical care support device 12. You may notify using an application. In this case, the CPU 51 of the medical care support device 12 functions as a notification unit that performs the above notification in cooperation with the communication unit 54 and the like.

Further, although the above embodiment has been described on the assumption that a plurality of patients visit one medical treatment site to receive medical treatment, one medical staff (doctor etc.) visits a plurality of patients in the present invention. It is also effective when performing medical examinations (round trips). In other words, according to the present invention, since the current position of the patient can be easily grasped, by displaying the patients scheduled to be rounded in the order of medical treatment (the order of rounds), it is possible to grasp the situation such that the patient does not exist at the roundabout destination. It is easy, and it is possible to perform efficient round visits by skipping patients who do not exist at the round trip destination.

In some cases, it is known in advance that there is a high risk that the patient will not be present at the medical treatment site or will not appear due to wandering due to dementia or the like. For such a patient, in addition to the display of the current position, for example, it is preferable to display information such as prone to loitering as a special note.

If the patient does not exist within a predetermined range (within a radius of 15 m) from the medical care place despite the medical care time approaching (for example, 10 minutes later), this fact is notified to the doctor in charge of the patient. It is preferable to notify the mobile terminal of the medical staff and/or the mobile terminal of the patient involved in the medical treatment of the patient. Similar to the notification of the change of the medical order, the notification may be sent by e-mail using the e-mail address of the medical staff or the patient registered in advance in the medical support apparatus 12, or the medical support may be provided. The notification may be performed using a dedicated application for a mobile terminal that can cooperate with the device 12. In this case, the CPU 51 of the medical assistance device 12 functions as a notification unit (first notification unit, second notification unit) that performs the above notification in cooperation with the communication unit 54 and the like.

Further, like the current position of the patient, the current position of the medical staff is detected, and, for example, due to a round trip (within less than a predetermined time (eg, 10 minutes before the start of medical care)), the medical staff can see the medical location such as a hospital room. When the doctor is approaching (the doctor is present within a predetermined range (for example, a radius of 15 m) of the medical treatment place), the fact may be notified to the mobile terminal of the patient. Of course, when it is detected that the medical staff is approaching the medical care location, the current position of the patient is also detected, and if the patient is within the predetermined range of the medical care location, the above-mentioned notification (approach by the doctor) If the patient is outside the predetermined range of the medical treatment place without performing the notification), the above-described notification may be performed. In this case, the CPU 51 of the medical care support device 12 functions as a notification unit that performs the above notification in cooperation with the communication unit 54 and the like.

In the above-described embodiment and the like, hardware of a processing unit (processing unit) that executes various processes such as the GUI control unit 41, the request issuing unit 42, the request receiving unit 61, the display screen generating unit 62, the detecting unit 63, the calculating unit 64, and the like. The ware-like structure is the following various processors. The circuit configuration of various processors is changed after manufacturing such as CPU (Central Processing Unit) and FPGA (Field Programmable Gate Array), which are general-purpose processors that execute software (programs) and function as various processing units. It includes a programmable logic device (PLD) that is a possible processor, a dedicated electric circuit that is a processor having a circuit configuration specifically designed to execute various processes, and the like.

One processing unit may be configured by one of these various processors, or may be configured by a combination of two or more processors of the same type or different types (for example, a plurality of FPGAs or a combination of CPU and FPGA). May be done. Also, the plurality of processing units may be configured by one processor. As an example of configuring a plurality of processing units by one processor, firstly, one processor is configured by a combination of one or more CPUs and software, as represented by a computer such as a client or a server. There is a form in which this processor functions as a plurality of processing units. Secondly, as represented by a system on chip (SoC) or the like, there is a form in which a processor that realizes the function of the entire system including a plurality of processing units by one IC (Integrated Circuit) chip is used. is there. As described above, the various processing units are configured by using one or more of the above various processors as a hardware structure.

Furthermore, the hardware-like structure of these various processors is, more specifically, an electrical circuit in the form of a combination of circuit elements such as semiconductor elements.

From the above description, it is possible to understand the medical treatment support device described in the additional item 1 below.

[Appendix 1]

Equipped with a processor,

The processor is

For multiple patients, generate a display screen that displays the patient identification information and the medical care process in association with each other,

Detect the current position of the patient,

Calculate the distance from the patient's current position to the medical treatment location for the most recent medical treatment process that the patient plans to receive,

A medical assistance device that generates a display screen for displaying the current position of a patient in association with the identification information of the patient and changes the display mode of the current position of the patient using the distance calculated by the calculation unit.

10 Medical support system

11 Client terminal

12 Medical support device

13 servers

14 gate terminals

15 network

21 Electronic medical record server

21A chart database

22 Image server

22A image database

23 Report Server

23A Report database

32 memory

33 storage

34 Communications Department

35 Connection circuit

36 Display

37 Operation part

39 Operating program

41 GUI controller

42 Request issuing department

52 memory

53 storage

54 Communications Department

55 Connection circuit

59 Operating program

61 Request reception section

62 Display screen generation unit (generation unit)

63 Detector

64 calculator

66 Display control unit

71 Initial screen

72 Schedule display column

73 Mail display column

74 List display column

78 scroll bar

79 scroll bar

81 Clinical flow screen

82 Clinical flow display column

85 icons

201 Timeline screen

301 Layout screen

401 Current position display screen

501 skip button

502 Reorder button

C01 patient row

C02 Current position row

C03 biopsy sequence

C04 radiation train

C04 Radiation column

C05 Endoscope line

C06 Pathological series

C07 echocardiography

Claims

For a plurality of patients, for each patient, a generation unit that generates a display screen that displays the patient identification information and the medical process in association with each other,

A detection unit for detecting the current position of the patient,

A calculating unit that calculates the distance from the current position of the patient to the medical care location for the most recent medical care process among the medical care processes that the patient is scheduled to receive,

Equipped with

The generation unit generates the display screen that displays the current position of the patient in association with the identification information of the patient, and uses the distance calculated by the calculation unit to display the current position of the patient. Medical care support device that changes
The medical assistance device according to claim 1, wherein the generation unit generates the display screen that highlights the current position of the patient when the distance calculated by the calculation unit is equal to or greater than a threshold value.
The detection unit detects the current time,

The calculation unit calculates the time from the current time to the start time of medical treatment for the latest medical treatment process,

The medical treatment support apparatus according to claim 1, wherein the generation unit changes the display mode of the current position of the patient using the time calculated by the calculation unit.
The medical treatment support apparatus according to claim 3, wherein the generation unit generates the display screen that highlights the current position of the patient when the time calculated by the calculation unit is less than a threshold value.
The medical assistance apparatus according to claim 1, wherein the display of the current position of the patient includes a mode in which the name of the place to which the current position belongs is displayed in characters in a medical facility.
The medical assistance apparatus according to claim 1, wherein the display of the current position of the patient includes a mode of displaying the current position on a map image showing a floor configuration of a medical facility.
The medical treatment support apparatus according to any one of claims 1 to 6, wherein the generation unit generates the display screen that displays the plurality of patients arranged in order of medical treatment.
The generator is

Operates in an outpatient mode selected when the plurality of patients visit a medical treatment site and receives medical treatment, and a round trip mode in which medical staff visits the plurality of patients to perform medical treatment,

In the outpatient mode, generating the display screen for displaying the patients visiting the medical treatment place side by side in the medical treatment order,

8. The medical care support device according to claim 7, wherein in the round-trip mode, the display screen is displayed to display the patients visited by the medical staff in order of medical care.
The medical treatment support apparatus according to claim 7, further comprising a changing unit that changes the medical treatment order.
The medical treatment support apparatus according to claim 9, wherein the changing unit changes the medical treatment order when a patient having the next medical treatment order does not exist at the medical treatment place.
11. When the patient to be treated is not present at the treatment place, the medical staff in charge of this patient is provided with a first notifying unit for notifying the terminal to that effect, according to any one of claims 1 to 10. The medical treatment support device described.
The medical treatment support apparatus according to any one of claims 1 to 11, further comprising a second notification unit that notifies the terminal viewed by the patient when the patient to be treated is not present at the medical care place. ..