JP3525672B2 - Body temperature chart creation support device - Google Patents

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a body temperature table preparation support device for supporting preparation of a body temperature table used in nursing work in a medical field.

[0002]

2. Description of the Related Art In nursing work in a medical field, in order to grasp the health condition of an inpatient and use it for diagnosis and treatment, a nurse needs to check the temperature, heart rate, respiratory rate, blood pressure, etc. of the inpatient several times a day. Collecting measurement results. In addition, the record of injections, infusions, tests, procedures, etc. performed on patients, and the findings of nurses obtained by observing and listening to patients,
It is collected as valuable nursing information that cannot be obtained from the measurement results alone. Conventionally, the above-mentioned measurement results, implementation records, and nurse findings are such that the nurse takes notes on memo paper etc. at the patient's bedside, and the collected nursing information is stored in forms stored in the office such as the nurse station. I was posting. The body temperature table, which is one of the main forms, records the temperature measurement results in a line graph, etc., and it is possible to check at a glance the patient's health condition and its trends for one week to several weeks per sheet. By adding nursing record and nurse findings, it is possible to grasp the progress of diagnosis and treatment performed on the patient and subtle changes in the patient's condition that cannot be obtained only from the measurement results, which is extremely effective. It is used for.

However, in the above method, the collected nursing information needs to be transcribed from the memo paper or the like onto the forms, so that the transcribing work is time-consuming and a transcribing error occurs, resulting in a serious result in nursing the patient. There are problems such as being afraid. To solve these problems, a host machine for managing nursing information, a terminal machine for inputting nursing information at the patient bedside, and a transmission means for transmitting the inputted nursing information from the terminal machine to the host machine A device for supporting preparation of a body temperature table including the above has been devised. Using this device, the transcription work of the nurse is greatly reduced. For example, Japanese Patent Laid-Open No. 1-
As in "Nursing support system using IC card" described in Japanese Patent No. 116760, nursing information collected by a portable terminal device is transmitted to the host device side using an IC card to create a body temperature table and the like. A system has been proposed.

[0004]

In the prior art, it is relatively easy to print out the measurement result and the execution record in the input nursing information in the form of forms such as a body temperature table. However, because the nurse's findings may include free text, symbols, diagrams, etc., it was difficult to organize the information, and it was difficult to print it out on forms. Therefore, a method was devised to fill in the nurse's findings with a writing instrument on the printed body temperature table.However, since the information on the body temperature table should be updated every day, when newly printing every day, the nurse who wrote the last time was written. It was necessary to transcribe the findings. Further, in the case of the write-once type printing, problems such as paper jam, printing misalignment, and load of paper loading work occur, and thus smooth operation is difficult in all cases. There is also a device that outputs the nurse's findings input and saved as handwritten memo image data at the same time as the body temperature table, but with the conventional technology, the area in which the nurse's findings are output is limited. It was not enough for practical use, for example, only one finding was recorded on the body temperature table that records nursing information for several weeks.

The present invention has been made in view of the above circumstances, and adds the nurse's findings collected by the nurse together with the measurement results, the execution records, etc. to the body temperature table and edits the printout. An object of the present invention is to provide a body temperature table preparation support device.

[0006]

A body temperature table preparation support device of the present invention is a body temperature table preparation support device for preparing a body temperature table from nursing information obtained during nursing work, nursing information such as measurement results and execution records. In, the input means for operating the body temperature table creation support device or for inputting the nursing information, the storage means for storing the nursing information, the output means for outputting the nursing information on the display screen or the printing paper, and the data processing means. The data processing means automatically arranges the findings of the nurse in an area that matches the time series, as a part of the body temperature table that records the measurement results, implementation records, etc. in a time series graph or numerical value. The present invention is characterized in that it has a body temperature table creating means for displaying or printing with the output means. The body temperature table creating means displays the body temperature table on which the nurse findings are automatically arranged on the screen of the output means, and arranges the nurse findings. And size It can be arbitrarily modified through the force means.

FIG. 1 shows the configuration of a body temperature table preparation support device of the present invention.
Will be explained. The body temperature table creation support device 1 displays an input means 13 for inputting nursing information such as a finding of a nurse, a measurement result and an implementation record obtained during nursing work, a storage means 12 for storing the nursing information, and the nursing information. A body temperature table creating unit 111 included in the data processing unit 11 is provided with an output unit 14 for outputting to a screen or a printing sheet, and a data processing unit 11.
However, as a part of a body temperature table that records measurement results, performance records, etc. in time series in a graph or numerical values, nurse findings are automatically arranged in an area that matches the time series and displayed or printed on the output means 14. By doing so, it became possible to add and print the findings of the nurse on the body temperature table. Also, the body temperature table creating means 111
Outputs the body temperature table in which the nurse findings are automatically arranged 14
A screen or the like can be displayed on the screen, and the nurse or the like can correct the layout and size of the nurse's findings via the input means 13, and can arbitrarily modify the layout and size of the nurse's findings on the body temperature table and print. With the body temperature table creation support device of the present invention, even if a new body temperature table is printed every day, a series of past findings of the nurse can be confirmed,
The progress of the patient can be easily grasped.

[0008]

BEST MODE FOR CARRYING OUT THE INVENTION An embodiment of the present invention will be described with reference to FIGS. FIG. 2 shows a first configuration example of the body temperature table creation support device of the present invention. In the first configuration example, the body temperature table creation support device 1 includes a CPU 11 that performs various processes.
And a memory 121 connected to the CPU 11 for storing an operation program, a screen format, nursing information and the like,
Magnetic disk 122, keyboard 13 as input means
1 and mouse 132, and CRT 141 as output means
And a printer device 142. FIG. 3 shows, as a second configuration example of the body temperature table preparation support device of the present invention, one or more portable terminals 2 as an extension of the input means for inputting nursing information at the patient bedside in the hospital room. The configuration used is shown. The body temperature table creation support device 1 has a CPU as in FIG.
11, a memory 121 and a magnetic disk 122 connected to the CPU 11, a keyboard 131 and a mouse 132
And a CRT 141 and a printer device 142. In the second configuration example, the communication interface 15 for transmitting / receiving data to / from the portable terminal 2 further includes the CPU 11
Connected to. The portable terminal 2 is provided with a CPU 21 that performs various types of processing, and a memory 22 that stores various types of data is connected to the CPU 21. Also, CP
The U21 is connected with an LCD 24 as a screen output means, and a touch panel 23 which is arranged above the LCD 24 as an input means and which is capable of specifying a position on the screen by touching with a pen or a finger. Play a role of. Further, the CPU 21 is connected to a communication interface 25 that transmits and receives information to and from the body temperature table creation support device 1. By performing wired or wireless data communication between the body temperature table creation support device 1 and the portable terminal device 2 via the communication interfaces 15 and 25, the nursing information collected by the portable terminal device 2 in each hospital room can be obtained. A body temperature table can be edited and printed by the body temperature table support device 1.

That is, the portable terminal 2 of the second configuration example is
It is a development of the input means 13 in the configuration shown in FIG.
The configuration examples shown in FIG. 2 and FIG. 3 can be basically treated in the same way when the body temperature table creation support device 1 is mainly considered. It should be noted that, instead of the portable terminal 2, a form of inputting nursing information to a terminal installed in a hospital room or a measurement result from a measuring device such as a sphygmomanometer or a thermometer used by a patient can be used to support the creation of a body temperature table 1.
Any other form is also applicable, such as the form of direct or indirect transfer to. When voice data, moving image data, etc. are handled as nursing information, a microphone or CCD camera, etc. may be added as the input means 13, and a speaker, etc. may be added as the output means. Next, the operation of the device of the present invention will be described with reference to FIGS. 4 to 13 and FIG. It is assumed that the latest nursing information such as measurement results, implementation records, and nurse findings has already been entered. An outline of the operation of the device of the present invention is, as shown in the flow chart of FIG. 4, after the process is started in the body temperature table creation support device, the body temperature table is passed through the user authentication procedure 100 based on the staff ID and personal identification character string. Preview display procedure 10
1. The body temperature table printing procedure 102 is executed.

FIG. 5 shows an example of a general print format of a body temperature table. That is, a basic information area 31 for recording a title, patient ID, patient name, date of birth, sex, etc. is provided on the upper side of the body temperature table 3 and a time series information area 32 for recording nursing information in time series is provided on the lower side of the sheet. Are placed. The time-series information area 32 is further subdivided, and when listed from the upper side of the paper, a time axis area 321 for recording information such as date, body temperature, pulse rate, respiration rate, blood pressure, etc. among measured values are recorded in a line graph or the like. There are a graph area 322, a table area 323 for recording measured values, implementation records, etc. in a table format, and a free area 324 for recording other information in a user's free format. The nurse's finding in the handwritten body temperature table is often described in the margin of the normal graph area 322 or the margin of the free area 324. FIG. 6 shows an example of a format in which the findings of a nurse input from an input device or a portable terminal are stored. That is, the nurse finding data 4 includes a nurse finding ID 41, a target patient ID 42, an input date and time 43, an input nurse ID 44,
It consists of nurse finding data 45. Nursing findings data 45
May be divided into a nurse finding data address 451 and a nurse finding data entity 452 for storage as shown in FIG. The nurse finding data 45 may be in the still image data format as shown in FIGS. 6 and 7, but may be in other character code format, voice data format, moving picture data format, or the like. Further, in order to prevent falsification after the input is confirmed, a confirmation flag may be added to the nurse finding data 4 and the data of the confirmation flag may be prohibited from being corrected or deleted.

In the body temperature table preview display procedure 101, when an output patient is designated through the input means, the data processing means exchanges data with the storage means and draws a body temperature table preview in the following procedure. First, basic information such as patient ID, name, date of birth, and gender in the nursing information is stored in the basic information area 31, and measurement results and implementation records in the nursing information are recorded in the time-series information area 3 according to a predetermined format.
In Fig. 2, each character or graph is drawn, and then the nurse's findings are arranged and drawn in the body temperature table. The following is an example of the procedure for placing nurse findings. First, the findings from the first day of the recording period of the body temperature table to the time of the previous output are drawn in the same arrangement as the time of the previous output. Next, regarding the nurse finding data newly input after the previous output, the placement is determined and drawn according to the following procedure. The nurse finding data are arranged in chronological order with respect to the input date and time, and the placement procedure is executed collectively for a certain period. FIG. 8 is an excerpt of the time axis region 321 and the graph region 322 in the body temperature table, and the shaded area is the arrangement area for arranging the nurse finding data input during the period corresponding to the shaded area. 33. Further, in the graph area 322 of FIG. 8, a small area separated by a scale line of the graph serves as a unit for determining the layout. In this example, first, a small area is searched from the top to the bottom of the paper, and the nurse finding data is sequentially arranged in the drawable area. "Drawable" here means a state in which no graphs, numerical values, other nurse finding data, etc. are drawn in the small area. For example, in FIG. 8, since the small area 331 can be drawn, the first nurse finding data is arranged. Small area 3
The graphs 32, 333, and 334 are not drawn because the graphs of the measured values have already been drawn, and the next small region 335 is drawn, so the second nurse finding data is arranged. The arranged nurse finding data is drawn together with the input date and time and the input nurse name, for example, as in the drawing example 341 shown in FIG. When the nurse finding data is placed in all the drawable areas in the small area in the placement determining area 33 and there is undisposed nurse finding data, drawing is possible on the time axis before the placement determining area 33. Small areas in order,
Deploy.

That is, in the example of FIG. 8, when the drawable small area in the placement determining area 33 is exhausted, the placement determining area of the previous day is further searched. If the nurse finding data up to the previous output is drawn in the small area 338, the area cannot be drawn, and if the small area 339 is not drawn, it is assigned to the next nurse finding data. At that time, since the input date and time and the date and time on the arranged time axis are not confused, preferably, the original position on the time axis with respect to the input date and time is clearly indicated, as in the drawing example 342 shown in FIG. In the arrangement procedure of FIG. 8, the arrangement determining area 33 is set in a unit of one day, but it may be set in a unit of a plurality of days as in the example of FIG. 11, and the optimum arrangement may be determined in that. In addition, in the arrangement procedure of FIGS. 8 and 11, the arrangement position is limited to the small area divided by the scale line of the graph, but as shown in FIG. 12, the optimum arrangement is determined without constraining the scale line. Good.

A body temperature table preview screen is displayed on the CRT 141 based on the arrangement of the findings of the nurse determined by the above procedure. Next, the correction and editing of the layout and size of the findings of the nurse using the CRT will be described with reference to FIGS. 1 and 13. FIG. 1 shows an example of the body temperature table preview screen. The body temperature table preview screen 5 includes a control area 51 and a body temperature table area 52. The control area 51 includes, for example, a patient selection list box 511 for switching patients who display a body temperature table, a magnification selection list box 512 for switching display magnifications, a previous page display button 513 for switching display pages, and a next page. It has a display button 514, a print button 515 for executing the body temperature table printing procedure 102, and an end button 516 for ending the display. Body temperature table area 52
Includes a drawing area 521 for displaying the body temperature table, and a vertical scroll bar 522 and a horizontal scroll bar 523 for selecting the display area when the drawing area 521 cannot display the entire area of the body temperature table. The operation of the body temperature table preview screen 5 is usually performed while moving the mouse cursor 6 with the mouse 132.

In the drawing area 521 of the body temperature table preview screen 5, the findings of the nurse arranged according to the arrangement procedure described above are also displayed. At this time, by operating the input means 13,
Correct and edit the position and size of the findings of the nurse on the display screen. Various operations can be applied to the operation of the input means 13 here, such as using the mouse 132 and dragging and dropping the mouse cursor 6 to the internal area or the peripheral area of the target nurse finding. Also, CRT14
In case the nurse's finding in the drawing area 521 cannot be read on the display screen because the resolution of 1 is insufficient, FIG.
As described above, an enlarged display screen 7 for enlarging and displaying the nurse's finding designated by the mouse cursor 6 may be provided. When the enlarged display screen 7 is provided, the nurse finding in the drawing area 521 of the body temperature table preview screen 5 may be a simple display showing the position and size. Furthermore, if voice data or moving image data is included in the findings of the nurse,
Place icons etc. that clearly indicate the type of data,
It is also possible to adopt a method of selecting and reproducing it by the input means 13 such as the mouse 132.

Further, in case the nurse's findings are too large to print all on the body temperature table, FIG.
As shown above, a nurse findings display screen 8 is separately provided, and after selecting the nurse findings to be added to the body temperature table from the nurse findings display screen 8, the placement and size are corrected on the body temperature table preview screen 5. You may edit. After the correction and editing of the layout, size, etc. of the findings of the nurse determined in the above procedure are completed, when the print button 515 on the body temperature table preview screen 5 is selected by the input means 13, the body temperature table printing procedure 102 is executed and the body temperature table is displayed. The body temperature table is printed out from the printer 142 as set on the preview screen 5. At this time, when voice data, moving image data, etc. are included in the findings of the nurse, a pictogram or the like that clearly indicates the type of data may be printed to clearly indicate the existence and reference location of the data. In addition, the above explanation was all about the application of adding the nurse's findings to the body temperature table and outputting it, but other applications such as adding the doctor's findings to the diagnostic record and outputting, memorandum etc. added to the business log The present invention can be applied to all other uses, such as output for output.

[0016]

INDUSTRIAL APPLICABILITY According to the present invention, the nurse's finding, which is important nursing information, is added to the body temperature table together with the graphs and tables of measurement results and practice records to be displayed or printed at all times. You can check the findings of nurses up to now and easily grasp the progress of the overall patient status. In addition, before printing the body temperature table, you can check the print result on the display screen and then modify the layout and size of the nurse's findings as desired to improve the visibility of the body temperature table and There is a remarkable effect that it is easy to grasp the degree.

[Brief description of drawings]

FIG. 1 is a diagram showing an example of a basic configuration and a body temperature table preview screen of a body temperature table creation support device of the present invention.

FIG. 2 is a block diagram showing a first configuration example in the embodiment of the present invention.

FIG. 3 is a block diagram showing a second configuration example in the embodiment of the present invention.

FIG. 4 is a flowchart showing an outline of the operation of the body temperature table creation support device according to the embodiment of the present invention.

FIG. 5 is a diagram showing an example of a general body temperature table print format.

FIG. 6 is a diagram showing a first example of storing a finding of a nurse according to the embodiment of the present invention.

FIG. 7 is a diagram showing a second example of storing a finding of a nurse according to the embodiment of the present invention.

FIG. 8 is a diagram showing a first arrangement example of the findings of a nurse according to the embodiment of the present invention.

FIG. 9 is a diagram showing a first drawing example of a finding of a nurse according to the embodiment of the present invention.

FIG. 10 is a diagram showing a second drawing example of the findings of a nurse according to the embodiment of the present invention.

FIG. 11 is a diagram showing a second arrangement example of the findings of a nurse according to the embodiment of the present invention.

FIG. 12 is a diagram showing a third arrangement example of the findings of a nurse in the embodiment of the present invention.

FIG. 13 is a diagram showing an example of a nurse finding display screen according to the embodiment of the present invention.

[Explanation of symbols]

1 ... Body temperature table creation support device, 11 ... Data processing means / CP
U, 111 ... Body temperature table creating means, 12 ... Storage means, 121
... memory, 122 ... magnetic disk, 13 ... input means, 1
31 ... Keyboard, 132 ... Mouse, 14 ... Output means,
141 ... CRT, 142 ... Printer device, 15 ... Communication interface, 2 ... Portable terminal, 21 ... CPU, 22
... memory, 23 ... touch panel, 24 ... LCD, 25 ...
Communication interface, 100 ... User authentication procedure, 101
... body temperature table preview display procedure, 102 ... body temperature table printing procedure, 3 ... body temperature table, 31 ... basic information area, 32 ... time series information area, 321 ... time axis area, 322 ... graph area, 3
23 ... table area, 324 ... free area, 33 ... placement determining area, 331 to 338 ... placement determining small area, 341 ... nurse finding data drawing example (1), 342 ... nurse finding data drawing example (2), 4 ... Nurse finding data, 41 ... Nurse finding ID, 42 ... Target patient ID, 43 ... Input date and time, 44 ... Input nurse ID, 45 ... Nurse finding data, 451 ... Nurse finding data address, 452 ... Nurse Finding data entity, 5 ... Body temperature table preview screen, 51 ... Control area, 511 ... Patient selection list box, 512 ... Magnification selection list box, 513 ... Previous page display button, 514 ...
Next page display button, 515 ... Print button, 516 ... End button, 52 ... Body temperature table area, 521 ... Drawing area, 522 ...
Vertical scroll bar, 523 ... Horizontal scroll bar, 6 ... Mouse cursor, 7 ... Enlarged display screen, 8 ... Nursing findings display screen.

─────────────────────────────────────────────────── ─── Continuation of the front page (58) Fields surveyed (Int.Cl. ⁷ , DB name) A61B 5/00 G06F 17/60

Claims (2)

(57) [Claims] 1. A body temperature table preparation support device for preparing a body temperature table from nursing information including nursing findings, measurement results, and implementation records obtained during nursing work, or operating the body temperature table preparation support device, or The data processing means comprises an input means for inputting nursing information, a storage means for storing the nursing information, an output means for outputting the nursing information on a display screen or a print sheet, and a data processing means. The measurement result,
A body temperature table creation support device characterized by performing a process of automatically arranging the above-mentioned nurse findings in an area matching the time series as a part of the body temperature table for recording implementation records in a time series graph or numerical value. . 2. The body temperature table creation support device according to claim 1,
The body temperature table on which the findings of the nurse are automatically arranged is displayed on the output means, and the arrangement and size of the findings of the nurse can be arbitrarily corrected through the input means. A body temperature chart creation support device.