JP5884615B2 - Server device, emergency medical support system, and program - Google Patents

Description

  The present invention relates to a technical field for supporting emergency medical care.

  2. Description of the Related Art Conventionally, electronic pens that digitize written information have been developed, and “Anot pen” developed by Swedish company Anoto is known as a representative one. For example, Patent Document 1 describes that the anotopen reads a predetermined dot pattern printed on a sheet, generates entry information, and transmits the entry information to the terminal device. Patent Document 2 describes a rotation correction processing function that corrects the arrangement of dots on an image caused by the angle of an electronic pen facing the dot pattern.

  In recent years, a label tag indicating a treatment priority called a triage tag is used in a response system in case of a large-scale disaster such as an earthquake, a typhoon, or terrorism. A technique has been proposed in which a dot pattern is formed on such a triage tag, and the contents entered in the triage tag are converted into electronic data using an electronic pen (see, for example, Patent Documents 3 to 6).

  In addition, techniques related to the present invention are described in Patent Documents 7 to 11. Patent Document 7 describes a technique for automatically transferring an ambulance to the appropriate transfer destination when an inquiry such as confirmation of an ambulance dispatch status is received from the mobile phone of the 119 whistleblower. Patent Documents 8 to 11 describe techniques for supporting the determination of a medical institution that can accept an emergency patient.

Japanese Patent No. 3874498 Special table 2003-529853 gazette JP 2008-305301 A JP 2009-187170 A JP 2009-217449 A Japanese Patent No. 4736784 JP 2009-071669 A JP 2010-086357 A JP 2010-277383 A JP 2011-048775 A JP 2012-008778 A

  By the way, in the system using the triage tag and the electronic pen formed with the dot pattern as described above, the triage tag using different electronic pens is used by different users in the field such as disasters and accidents, in the transport organization and the medical institution. It is conceivable that the tag is filled in. Therefore, it is convenient if information corresponding to the situation from when the victim is accommodated to the medical institution can be generated based on the pen ID (pen identification information) included in the entry information from the electronic pen. Therefore, the present invention relates to a system that uses a triage tag and an electronic pen, and appropriately generates information according to the situation from the site to accommodation of the patient in the medical institution, based on the pen ID of the electronic pen. It is a main object to provide a server device, an emergency medical support system, and a program that can be used.

  In one aspect of the present invention, the server device is used in a transport engine with entry information regarding a coding pattern formed on a triage tag generated by a first electronic pen used in a disaster or accident scene. Based on a pen ID included in the entry information received by the receiving means, and receiving means for receiving entry information relating to the coding pattern formed on the triage tag generated by the second electronic pen, It is determined whether the entry information is information generated by either the first electronic pen or the second electronic pen, and based on the determination result, the situation from when the patient is accommodated to the medical institution from the field And information generation means for generating the corresponding victim transport information.

  In the above server device, the receiving means includes the entry information relating to the coding pattern formed on the triage tag generated by the first electronic pen used in the field such as a disaster or accident, and the first used in the carrier. The entry information regarding the coding pattern formed on the triage tag generated by the two electronic pens is received. The first electronic pen and the second electronic pen have different pen IDs (pen identification information). The information generating means determines whether the entry information is information generated by the first electronic pen or the second electronic pen based on the pen ID included in the entry information received by the receiving means, Based on the determination result, the patient transport information corresponding to the situation from when the patient is housed in the medical institution to the patient is generated. In this way, the victim transport information is generated based on the pen ID because the pen ID of the electronic pen used to fill in the triage tag indicates how the electronic pen is in the process from the site to the medical institution. This is because it can be seen at what stage it was used. In other words, it is possible to know what stage the patient is transported. According to said server apparatus, based on pen ID of an electronic pen, the sick person conveyance information according to the condition until a sick person is accommodated in a medical institution from the spot can be produced | generated appropriately.

  In one aspect of the server device, when the information generation unit determines that the entry information is information generated by the first electronic pen, the information on the transport status of the patient is indicated to the patient. The victim transport information set to the status indicating that the triage has been performed is generated. In this aspect, when the entry information including the pen ID of the first electronic pen is received, the status indicating that the triage is performed can be appropriately set.

  Preferably, in the above server device, the triage tag includes a primary triage execution area for performing primary triage and a secondary triage execution area for performing secondary triage, and the information generation When the entry information is information corresponding to the entry to the primary triage execution area, the means sets the transport status to a status indicating that the primary triage has been executed for the victim, and the entry information Is information corresponding to entry in the secondary triage execution area, the transport status is set to a status indicating that secondary triage has been executed for the victim. As a result, it is possible to appropriately distinguish between the status in which the primary triage is performed and the status in which the secondary triage is performed.

  In another aspect of the server device, the information generation unit may determine the transport status of the patient by the transport engine when determining that the entry information is information generated by the second electronic pen. The victim transport information set to the status indicating that the victim is being transported is generated. In this aspect, when the entry information including the pen ID of the second electronic pen is received, the status indicating that the patient is being transported can be appropriately set.

  In another aspect of the server device, when the information generation unit determines that the entry information is information generated by the second electronic pen, the information generation unit responds to the pen ID included in the entry information. Victim transport information including the name of the transport organization is generated. It is possible to indicate the status that the patient is being transported also by the name of the transport engine generated in this way.

  Preferably, in the above server device, when the information generation unit determines that the entry information is information generated by the first electronic pen, the information on the injury and illness is based on time information included in the entry information. It is possible to generate the victim transport information including the date and time when the triage for the person was performed.

  Further preferably, when the information generation unit determines that the entry information is information generated by the second electronic pen, the information generation unit conveys the victim based on time information included in the entry information. Victim transport information including the time can be generated.

  In another aspect of the server apparatus, the receiving unit further receives entry information regarding the coding pattern formed on the triage tag, which is read by a third electronic pen used in the medical institution. The information generating means generates the entry information by any one of the first electronic pen, the second electronic pen, and the third electronic pen based on the pen ID included in the entry information received by the receiving means. It is determined whether the received information is the information, and the victim transport information is generated based on the determination result. It is assumed that the first electronic pen, the second electronic pen, and the third electronic pen have different pen IDs.

  In another aspect of the server device, the information generation unit may notify the medical institution of the transportation status of the patient when the information generation unit determines that the entry information is information generated by the third electronic pen. The victim transport information set to a status indicating that the accommodation of the victim has been completed is generated. In this aspect, when the entry information including the pen ID of the third electronic pen is received, it is possible to appropriately set the status indicating that the accommodation of the patient has been completed.

  In another aspect of the server device, the triage tag is provided with a medical institution name entry field for entering a name of a medical institution that is a name of a medical institution that accommodates the victim. When the means determines that the entry information is information generated by the second electronic pen, the medical institution entered in the medical institution name entry field by the second electronic pen based on the entry information When the victim transport information including the name is generated and it is determined that the entry information is information generated by the third electronic pen, the medical institution name corresponding to the pen ID included in the entry information Victim delivery information is generated by changing the name of the medical institution entered in the medical institution name entry field. Accordingly, it is possible to appropriately cope with the case where the medical institution that accommodates the patient is changed after the entry with the second electronic pen.

  Preferably, in the server device, when the information generation unit determines that the entry information is information generated by the third electronic pen, the information processing unit is configured to perform the injury or illness based on the time information included in the entry information. The victim transport information including the time when the accommodation of the person is completed is generated.

  Preferably, the information processing device further includes display control means for displaying the victim transport information generated by the information generation means. Preferably, the display control means displays a list of the victim transport information of a plurality of victims. Thereby, it is possible to easily grasp the victim transport information of a plurality of victims.

  Preferably, the display control means can display the victim transport information in a display mode corresponding to a pen ID included in the entry information. Thereby, it becomes possible to easily grasp the status (conveyance status) of the victim.

  Preferably, the display control means can further display a handwritten stroke written in the triage tag for the selected victim.

  In another aspect of the present invention, a program functions as the server device. By executing the program, the above server device can be realized.

  In still another aspect of the present invention, an emergency medical support system includes the server device, a triage tag formed with a coding pattern, and the coding formed on the triage tag used in a disaster or accident scene. A first electronic pen for generating entry information relating to a pattern; a second electronic pen for use in a transport agency to generate entry information relating to the coded pattern formed on the triage tag; and a fire fighting institution and / or a medical institution And a computer device that receives the victim transport information generated by the server device and displays the victim transport information.

  According to the present invention, based on the pen ID of the electronic pen, it is possible to appropriately generate the victim transport information according to the situation from when the victim is accommodated in the medical institution to the medical institution.

It is a system configuration figure of an emergency medical assistance system concerning this embodiment. The triage tag which concerns on this embodiment is shown. It is explanatory drawing which shows the relationship between the arrangement | positioning of the dot in a dot pattern, and the value converted. (A) schematically shows a dot pattern, and (b) is a diagram showing an example of information corresponding thereto. It is the schematic which shows the structure of an electronic pen. It is a functional block diagram of a server apparatus. It is a figure which shows the specific example of a sick person conveyance information screen.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

[Configuration of emergency medical support system]
FIG. 1 is a system configuration diagram of an emergency medical support system 10 according to the present embodiment. As shown in FIG. 1, an emergency medical support system 10 includes an electronic pen 1a, 1b, 1c (1), a triage tag 2, mobile terminals 3a, 3b, 3c (3), a server device 4, and a computer device. 5 and 6.

  The electronic pen 1a (corresponding to the first electronic pen) and the portable terminal 3a are used in the field such as disasters and accidents, and the electronic pen 1b (corresponding to the second electronic pen) and the portable terminal 3b are transporting organizations (such as ambulances). The electronic pen 1c (corresponding to a third electronic pen) and the portable terminal 3c are used in a medical institution. Although only one electronic pen 1a to 1c is shown in FIG. 1, a plurality of electronic pens 1a to 1c are actually prepared. The computer device 5 is used in fire fighting related organizations (fire department headquarters, fire departments, etc.), and the computer device 6 is used in medical institutions. The computer devices 5 and 6 are connected to the server device 4 via a network (for example, the Internet).

  The triage tag 2 is used to determine the treatment priority of the victim in order to perform appropriate treatment and transportation according to the emergency and seriousness of the victim, and a dot pattern (code) that can be read by the electronic pen 1 Printed). The electronic pen 1 transmits entry information corresponding to entry to the triage tag 2 to the portable terminal 3 by a wireless communication method such as Bluetooth (registered trademark). The electronic pens 1a, 1b, and 1c have different pen IDs (pen identification information).

  The portable terminal 3 transmits the entry information received from the electronic pen 1 to the server device 4 via a network such as a cellular phone communication network (for example, IP packet communication) or an Internet communication network. For example, the mobile terminal 3 is a smartphone. The server device 4 generates information corresponding to the entry information received from the mobile terminal 3 and transmits the generated information to the computer devices 5 and 6. For example, the server device 4 is provided in a fire fighting related organization or a medical institution, or both.

  Here, when the triage tag 2 is attached to the patient, the triage tag 2 is moved together with the patient from the site to the medical institution via the transport mechanism, and the electronic pen 1 is used for entry in such a process. Basically, the triage tag 2 is first filled in with the electronic pen 1a at the site, and then the triage tag 2 is filled in with the electronic pen 1b during the transportation by the transportation engine. Then, the triage tag 2 is entered by the electronic pen 1c.

  The server device 4 receives the entry information corresponding to the entry by the electronic pen 1, and based on the pen ID included in the entry information, the entry information is generated by any of the electronic pens 1a to 1c. It is determined whether it is. And based on the determination result, the server apparatus 4 generates the victim transport information according to the situation until the patient is accommodated in the medical institution from the scene, and the generated patient transport information is the computer apparatus 5, 6. Send to.

[Triage tag]
With reference to FIG. 2, the triage tag 2 according to the present embodiment will be described. FIG. 2A shows the front side of the triage tag 2, and FIG. 2B shows the back side of the triage tag 2. “Triage” refers to the degree of urgency or seriousness of a patient so that the maximum number of patients can be saved under limited emergency medical conditions in the event of a large number of patients at the same time, such as during a major accident or disaster. This means setting the treatment priority (triage classification) of the victim to perform appropriate treatment and transportation according to the situation.

  As shown in FIG. 2 (a), on the front side of the triage tag 2, a name entry field 2a for entering the name of the victim, a gender selection field 2b for selecting the sex of the victim, and the victim Phone number entry field 2c for entering the telephone number of the patient, age entry field 2d for entering the age of the victim, address entry field 2e for entering the address of the victim, and triage for the victim Trial implementation date and time entry field 2f for entering the date and time of implementation, 2f entry field for entering the person performing the triage, 2g for entry of the name of the carrier Generated by the carrier name entry field 2h, the accommodation medical institution name entry field 2i for entering the name of the medical institution that accommodates the victim, the primary triage execution area 2j for performing the primary triage, and the electronic pen 1 The A transmission box 2k for transmitting entry information is provided and the labeled portion 2m. Note that a remarks column for entering a memo or the like on the front side of the triage tag 2 may be further provided.

  On the triage tag 2, an Anoto dot pattern (coding pattern) indicating the position coordinates is printed on substantially the entire surface. The dot pattern is printed with ink containing carbon that absorbs infrared rays, and characters and frame lines are printed with ink that does not absorb in the infrared region. In order to distinguish the triage tag 2, a dot pattern having a different coordinate range is printed for each triage tag 2.

  In the primary triage execution area 2j, a plurality of determination items for determining the symptom of the victim are described, and a triage category selection field 2j1 for selecting a triage category by determination using such a determination item is provided. It has been. The “0” triage category indicates the death group, the “I” triage category indicates the severe group, the “II” triage category indicates the moderate group, and the “III” triage category indicates The mild group is shown.

  The marker part 2m is color-coded by triage classification so that the state of injury or illness can be recognized at a glance. The marking part 2m has a death group printed with black label “0”, a severe group printed with red label “I”, a moderate group printed with yellow label “II”, and a green label “ It is composed of four groups of mild cases labeled “III”, and is processed so that it can be separated by a broken line (perforation) formed at the boundary of each label. The user of the triage tag 2 leaves a label corresponding to the triage classification of the victim and separates the label portion 2m to use it as an identification tag indicating the symptoms of the victim. For example, when it is determined that the patient's symptom is a severe group of “I”, the “II” and “III” portions of the marker portion 2m are separated.

  The transmission box 2k defines an instruction for executing processing for transmitting entry information corresponding to the content entered in the triage tag 2 by the electronic pen 1 from the electronic pen 1 to the server device 4 via the portable terminal 3. Area. Basically, the transmission box 2k is tapped by the electronic pen 1 after the primary triage is performed.

  Next, as shown in FIG. 2 (b), on the back side of the triage tag 2, there are a special item entry field 2n for entering special items, and a secondary triage execution area 2p for carrying out secondary triage. A transmission box 2q for transmitting the entry information generated by the electronic pen 1 is provided. The labeling part 2m is the same as the front side.

  In the secondary triage area 2p, there are judgment items (physiological and anatomical judgment items) for determining in detail whether or not the symptoms of the victim fall under the “I” triage category (severe group). Several are listed. Here, in the primary triage (so-called screening triage), from the viewpoint of rapid processing, it is carried out to identify the victims to be transported preferentially (patients corresponding to the triage categories of “I” and “II”). The Usually, the primary triage is carried out at the site of disaster. On the other hand, secondary triage (so-called rearrangement triage) evaluates the victims in detail and classifies them into higher-accuracy categories, while selecting the victims who should prioritize treatment and delivery within the same category. To be implemented. Usually, the secondary triage is performed multiple times after the primary triage. Secondary triage can be performed not only on site but also at transport and medical institutions.

  The transmission box 2q defines an instruction for executing processing for transmitting entry information corresponding to the content entered in the triage tag 2 by the electronic pen 1 from the electronic pen 1 to the server device 4 via the portable terminal 3. Area. Basically, the transmission box 2q is tapped by the electronic pen 1 after the secondary triage is performed.

  Here, even if the triage tag 2 is different, the dot pattern of the transmission box 2k may be the same, and the dot pattern of the transmission box 2q may be the same in common with the triage tag 2. The dot pattern of the transmission box 2k and the dot pattern of the transmission box 2q may be different or the same.

[Dot pattern]
Next, an Anoto dot pattern (coded pattern) printed on the triage tag 2 will be described with reference to FIGS. FIG. 3 is a diagram illustrating the relationship between the dots of the dot pattern printed on the triage tag 2 and the values to which the dots are converted. As shown in FIG. 3, each dot of the dot pattern is associated with a predetermined value depending on its position. In other words, each dot is associated with a value of 0 to 3 depending on which direction the top, bottom, left, or right is shifted from the reference position of the grid (intersection of the vertical line and horizontal line). The value of each dot can be further converted into a first bit value for the X coordinate and a second bit value for the Y coordinate. The position coordinates on the triage tag 2 are determined by the combination of the information thus associated.

  FIG. 4A shows an arrangement of a certain dot pattern. As shown in Fig. 4 (a), 6x6 dots are arranged within a range of about 2mm in length and width so that no matter where 6x6 dots are taken from the triage tag 2, a unique pattern is formed. Has been. A dot pattern formed by these 36 dots holds position coordinates (for example, where the dot pattern is located on the triage tag 2). FIG. 4B is a diagram in which each dot shown in FIG. 4A is converted into a corresponding value based on the regularity shown in FIG. 3 according to the shift direction from the reference position of the lattice. This conversion is performed by the electronic pen 1 that captures an image of a dot pattern.

[Electronic pen]
Next, the electronic pen 1 will be described with reference to FIG. FIG. 5 is a schematic view showing the structure of the electronic pen 1. As shown in FIG. 5, the electronic pen 1 includes an ink cartridge 104, an LED 105, a CMOS camera 106, a pressure sensor 107, a processor 108 including a CPU, a memory 109 such as a ROM and a RAM, A communication unit 111 including a real-time clock 110, an antenna, and the like, and a battery 112 are provided. The tip of the ink cartridge 104 is a pen tip portion 103, and the user makes the pen tip portion 103 of the electronic pen 1 abut on the triage tag 2 and enters a stroke (handwritten stroke) on the triage tag 2. Then, the pen tip portion 103 of the electronic pen 1 is brought into contact with the triage tag 2 and tapped (tap the triage tag 2 by the pen tip portion 103). The ink of the ink cartridge 104 does not include a material that absorbs infrared rays (for example, carbon). Here, contact of the pen tip portion 103 of the electronic pen 1 with the triage tag 2 is referred to as pen-down, and removal of the pen tip portion 103 from the contacted (contacted) state is referred to as pen-up. A trajectory written between the pen-down and pen-up of the electronic pen 1 is one stroke, and characters, figures, etc. are composed of one or a plurality of strokes. Since the ink of the ink cartridge 104 does not include a material that absorbs infrared rays, the reading of the dot pattern by the processor 103 is not hindered.

  The battery 112 is for supplying electric power to each component in the electronic pen 1. For example, the battery 112 is configured to turn on / off the electronic pen 1 itself by attaching and detaching a cap (not shown) of the electronic pen 1. May be. The real time clock 110 transmits time information indicating the current time (time stamp) and supplies the time information to the processor 108. The pressure sensor 107 detects the pressure applied through the ink cartridge 104 from the pen tip portion 103 when the user enters or taps a handwritten stroke on the triage tag 2 with the electronic pen 1, that is, the writing pressure. Is transmitted to the processor 108.

  The processor 108 switches on / off the switches of the LED 105 and the CMOS camera 106 based on the writing pressure data supplied from the pressure sensor 107. That is, when the user enters or taps a handwritten stroke on the triage tag 2 with the electronic pen 1, the pen pressure is applied to the pen tip 103, and when the pressure sensor 107 detects a writing pressure higher than a predetermined value. The processor 108 determines that the user has started to fill in and activates the LED 105 and the CMOS camera 106. Then, the communication unit 111 associates pen-down information PD detected by the pressure sensor 107 with a pen ID described later and stores it in the memory 109 as entry information. While the user is entering one stroke, as will be described later, the processor 108 sends the current time (time stamp: entered time information) transmitted from the real-time clock 110, writing pressure data, and X and Y coordinates. The data is associated and stored in the memory 109. When the user finishes entering one stroke and moves the electronic pen 1 away from the triage tag 2, the pressure sensor 107 detects pen-up because no writing pressure exceeding a predetermined value is detected. Then, the processor 108 associates the pen-up information detected by the pressure sensor 107 and the pen ID, and stores them in the memory 109 as entry information. The processor 108 recognizes the transmission instruction from the dot pattern of the transmission boxes 2f and 2q when the transmission boxes 2f and 2q of the triage tag 2 are tapped by the electronic pen 1, and the entry information stored in the memory 109. Is transmitted to the mobile terminal 3 by the communication unit 111. The processor 108 deletes the entry information transmitted to the mobile terminal 3 in a timely manner.

  The LED 105 and the CMOS camera 106 are attached near the pen tip portion 103 of the electronic pen 1, and an opening 102 is formed in a portion of the housing 101 that faces the LED 105 and the CMOS camera 106. The LED 105 illuminates infrared rays toward the vicinity of the pen tip portion 103 on the triage tag 2. The region is slightly shifted from the position where the pen tip portion 103 contacts the triage tag 2. The CMOS camera 106 is provided with an infrared transmission filter that transmits infrared rays and blocks non-infrared rays, captures a dot pattern in the area illuminated by the LED 105, and supplies image data of the dot pattern to the processor 108. Here, since carbon absorbs infrared rays, the infrared rays irradiated by the LED 105 are absorbed by the carbon contained in the dots. Therefore, the dot portion has a small amount of infrared reflection, and the portion other than the dot has a large amount of infrared reflection. By photographing with the CMOS camera 106, a threshold value is provided based on the difference in the amount of reflected infrared light, so that a dot region containing carbon can be distinguished from other regions. Therefore, even when characters, frame lines, and the like are printed on the triage tag 2, the printed ink does not absorb in the infrared region, so the processor 108 can recognize the dot pattern. Note that the shooting area by the CMOS camera 106 is a range including a size of about 2 mm × about 2 mm as shown in FIG. 4A, and the shooting by the CMOS camera 106 is performed at regular intervals of about 50 to 100 times per second. Is called. Further, the CMOS camera 106 has a sufficient depth of field in order to photograph dots clearly.

  The processor 108 uses the dot pattern of the image data supplied by the CMOS camera 106 to perform X and Y coordinates (hereinafter simply referred to as “X” and “Y” coordinates) on the triage tag 2 of the stroke (handwriting) to be entered by the user. (Also referred to as “positional coordinates” or “coordinate information”). That is, the processor 108 converts the image data of the dot pattern as shown in FIG. 4 (a) supplied by the CMOS camera 106 into the data array shown in FIG. 4 (b). The data is converted into a Y coordinate bit value, and X and Y coordinate data are calculated from the data array by a predetermined calculation method. Note that the processor 108 has a rotation correction processing function for correcting the arrangement of dots on the image due to the angle of the electronic pen 1 facing the dot pattern, and this function is exhibited during the coordinate calculation. Then, the processor 108 associates the current time (time stamp: entered time information) transmitted from the real-time clock 110, writing pressure data, and X and Y coordinate data. Hereinafter, these associated data are collectively referred to as “coordinate attribute information”. Further, when the calculated position coordinates indicate the dot pattern of the transmission boxes 2f and 2q of the triage tag 2, the processor 108 recognizes the transmission instruction and causes the communication unit 111 to transmit the entry information to the portable terminal 3. Since the 6 × 6 dot pattern in the triage tag 2 does not overlap in the triage tag 2, when the user enters characters or the like with the electronic pen 1, the entered position is any position in the triage tag 2. Can be specified by coordinate calculation by the processor 108.

  The memory 109 stores property information such as pen IDs “pen01” to “pen05”, pen manufacturer numbers, and pen software versions for identifying the electronic pens 1A to 1E. Then, the communication unit 111 associates the pen ID, time information (time stamp), writing pressure data, and X and Y coordinate data, and transmits them as entry information to the server device 4 via the portable terminal 3. . Transmission to the portable terminal 3 by the communication unit 111 is performed instantaneously and sequentially by wireless transmission such as Bluetooth (registered trademark). Here, one or more pieces of coordinate attribute information generated and transmitted from the pen down to the pen up of the electronic pen 1 are stored as stroke information by the mobile terminal 3 and the server device 4. In other words, one stroke is composed of one or a plurality of X and Y coordinates (coordinate points), and the mobile terminal 3 and the server device 4 constitute one stroke by pen-down information and pen-up information. Alternatively, a plurality of coordinate attribute information is recognized.

[Server device]
Next, the server device 4 will be described. The server device 4 includes hardware such as a processor such as a CPU and a memory such as a ROM and a RAM. FIG. 6 is a functional block diagram of the server device 4. The server apparatus 4 functionally includes a processing unit 44, a storage unit 45, a communication unit 47, and a communication interface 48.

  The communication means 47 communicates with the mobile terminal 3 via a network such as a mobile phone network (for example, IP packet communication) or the Internet. The communication unit 47 receives the entry information generated by the electronic pen 1 from the portable terminal 3. The communication unit 47 is an example of the “reception unit” in the present invention.

  The communication interface 48 is connected via a network (such as the Internet) to the computer device 5 used in fire fighting related organizations and the computer device 6 used in medical institutions. The communication interface 48 transmits information on the display screen generated by the processing unit 44 described later to the computer devices 5 and 6.

  The storage unit 45 is configured by a memory such as a ROM or a RAM, and stores various types of information generated by executing a program in accordance with instructions from the processing unit 44. The storage unit 45 stores coordinate definition information regarding the coordinate range of the dot pattern printed on the triage tag 2. In addition, the storage unit 45 stores the pen IDs of the electronic pens 1a, 1b, and 1c and the situation in which the electronic pen 1 is used (specifically, on-site, transport organization, and medical institution), in other words, transport status of the victim. Is stored in association with a status indicating the status (hereinafter referred to as “status information”). In the status information, the pen ID of the electronic pen 1a is associated with a status such as “primary triage completion” and “secondary triage completion”, and the pen ID of the electronic pen 1b is associated with a status such as “transporting”. The pen ID of the electronic pen 1c is associated with a status such as “accommodation complete”.

  As described above, since there are a plurality of electronic pens 1a to 1c, in one example, the patient is injured using the status information in which the status is associated with each of the plurality of electronic pens 1a to 1c used. The status indicating the transport status of the current is specified. In another example, information for determining which of the electronic pens 1a to 1c corresponds to the plurality of electronic pens 1 is further stored, and the electronic pen 1 is stored in the electronic pens 1a to 1c using such information. It is determined which one corresponds to 1c, and a status indicating the transport status of the patient is identified based on the determination result and status information.

  The storage unit 45 also associates the pen ID of the electronic pen 1b used in the transport engine with the name of the transport engine (for example, the name of the fire department) to which the user of the electronic pen 1b belongs (hereinafter, the name of the fire department). It is called “conveyance engine name information”). When each transport engine uses the electronic pen 1b, since the pen ID is different for each electronic pen, the storage unit 45 stores the pen ID of the electronic pen and the transport engine name in association with each other. In addition, the storage unit 45 associates the pen ID of the electronic pen 1c used in the medical institution with the name of the medical institution (for example, the name of the hospital) to which the user of the electronic pen 1c belongs (hereinafter referred to as the hospital name). Is called “medical institution name information”). Even when each medical institution uses the electronic pen 1c, since the pen ID is different for each electronic pen, the storage unit 45 stores the pen ID of the electronic pen and the name of the medical institution in association with each other.

  Further, the storage means 45 stores the entry information received from the electronic pen 1 via the portable terminal 3 according to the processing instruction of the processing means 44 for each pen ID, and further secures a storage area according to the instruction of the processing means 44. Then, the coordinate attribute information included in the entry information from pen down to pen up is stored for each pen ID as stroke information.

  The processing unit 44 is configured by a processor such as a CPU and controls the entire server device 4. The processing unit 44 functionally includes an information generation unit 441 and a display control unit 442. The information generation unit 441 determines, based on the pen ID included in the entry information received by the communication unit 47, which of the electronic pens 1a to 1c is the entry information, and the determination. Based on the result, the patient transport information corresponding to the situation until the patient is accommodated in the medical institution is generated.

  The information generation unit 441 refers to the status information stored in the storage unit 45, so that the victim transport information set to the status (transportation status) corresponding to the pen ID included in the entry information received by the communication unit 47. Is generated. Specifically, the information generating unit 441 is configured such that the entry information is information generated by the electronic pen 1a used in the field, that is, the pen ID included in the entry information corresponds to the electronic pen 1a. In this case, the victim transport information having the status set to “primary triage completion” or “secondary triage completion” indicating that the triage is performed on the victim is generated. In this case, the information generation unit 441 sets the status to “primary triage complete” indicating that the primary triage has been performed when the entry information is information corresponding to the entry in the primary triage execution area 2j of the triage tag 2. To do. When the transmission box 2k is tapped with the electronic pen 1a, the information generation unit 441 may set the status to “primary triage completion” indicating that the primary triage has been performed. On the other hand, if the entry information is information corresponding to entry in the secondary triage execution area 2p of the triage tag 2, the information generation unit 441 indicates that the secondary triage has been executed. Set the status to When the transmission box 2q is tapped with the electronic pen 1a, the information generation unit 441 may set the status to “secondary triage completion” indicating that the secondary triage has been performed. Basically, since the secondary triage is performed after the primary triage, the information generating unit 441 changes the status from “primary triage completion” to “secondary triage completion”. Note that secondary triage may not be performed, and in such a case, the status such as “secondary triage complete” is not set.

  In addition, when the entry information is information generated by the electronic pen 1b used in the carrier, that is, when the pen ID included in the entry information corresponds to the electronic pen 1b. Then, the patient transport information with the status set to “in transport” indicating that the patient is being transported is generated by the transport engine. In this case, the information generation unit 441 changes the status from “primary triage completion” or “secondary triage completion” to “during conveyance”. Further, the information generating unit 441 may provide information when the entry information is information generated by the electronic pen 1c used in the medical institution, that is, when the pen ID included in the entry information corresponds to the electronic pen 1c. Then, the victim transport information with the status set to “accommodation completed” indicating that the patient has been accommodated in the medical institution is generated. In this case, the information generating unit 441 changes the status from “conveying” to “accommodation complete”. It should be noted that secondary triage may be performed while the statuses “Transferring” and “Accommodation Complete” are set. In this case, the information generation unit 441 selects “Transporting” and “Accommodation”. Do not change the status to "Secondary triage complete".

  In addition to the status described above, the information generation unit 441 generates various victim transport information, which will be described in detail later.

  The display control unit 442 performs processing for causing the computer devices 5 and 6 to display the victim transport information generated by the information generation unit 441 as described above. Specifically, the display control unit 442 generates a display screen for displaying the victim transport information (hereinafter, referred to as “patient transport information screen” as appropriate). The display control means 442 displays a handwritten stroke written in the triage tag 2 for the selected victim when the victim is selected by the user on the victim transport information screen. Is generated. The communication interface 48 transmits the information on the display screen generated by the display control unit 442 in this way to the computer devices 5 and 6.

[Display screen example]
Next, a specific example of the victim transport information screen will be described with reference to FIG. As described above, the victim transport information screen is generated by the display control unit 442 based on the patient transport information generated by the information generation unit 441. It is displayed on the display means of the computer device 6 used in a medical institution.

  As shown in FIG. 7, on the victim transport information screen, the victim transport information for a plurality of victims is displayed in a list. Specifically, on the victim transport information screen, as the victim transport information, the triage classification 71, the victim's name 72, the victim's age 73, the victim's gender 74, the triage implementation date and time 75, a transport organization name 76, a medical institution name 77, and a status 78 are displayed.

  For the triage category 71, the information generating means 441 uses the entry information corresponding to the entry (tap) with the electronic pen 1 to the triage category selection field 2j1 of the triage tag 2 to obtain information about such triage category 71. Generate. In this case, the information generation unit 441 updates the information about the triage category 71 each time the electronic pen 1 enters (tap) the triage category selection field 2j1. The display control means 442 displays the latest triage classification updated by the information generation means 441 among “I”, “II”, and “III” indicating the triage classification, and colors (red, green) according to the triage classification. , Yellow).

  For the name 72 and the age 73 of the victim, the information generation means 441 performs character recognition processing on the handwritten strokes entered with the electronic pen 1 in the name entry field 2a and the age entry field 2d of the triage tag 2. , Generate these information. Then, the display control means 442 displays the characters obtained by the character recognition processing by the information generation means 441 as the name 72 and the age 73 of the victim. Instead of displaying the characters obtained by the character recognition process as the name 72 and the age 73 of the victim, the handwritten strokes entered with the electronic pen 1 are displayed as they are in the name entry column 2a and the age entry column 2d. Also good.

  Regarding the sex 74 of the victim, the information generation unit 441 generates the information of the sex 74 by specifying the sex selected by the electronic pen 1 in the sex selection field 2b of the triage tag 2. Then, the display control unit 442 displays the gender specified by the information generation unit 441 as the gender 74.

  For the triage implementation date / time 75, the information generating means 441 includes the time included in the entry information corresponding to the entry in the primary triage implementation area 2j, the secondary triage implementation area 2p or the triage category selection field 2j1 of the triage tag 2. Based on the information, the information is generated. For example, the information generation means 441 uses the first entry information (first entry information) corresponding to the entry in the primary triage execution area 2j, secondary triage execution area 2p or triage category selection field 2j1 of the triage tag 2 by the electronic pen 1a. The date and time 75 of the triage using the date and time according to the time information included in the triage tag 2 with the electronic pen 1a is acceptable. Generate information for. The display control unit 442 displays the date and time thus generated by the information generation unit 441 as the triage execution date / time 75.

  In addition, instead of generating information on the triage execution date / time 75 based on the time information included in the entry information, it corresponds to the entry with the electronic pen 1a in the triage execution date / time entry field 2f of the triage tag 2. Based on the entered information, information on the triage execution date / time 75 may be generated. In this case, the handwritten stroke entered with the electronic pen 1a in the triage implementation date / time entry field 2f may be displayed as it is as the triage implementation date / time 75, or character recognition processing is performed on the handwritten stroke. The characters obtained in this way may be displayed as the triage implementation date / time 75.

  For the transport engine name 76, the information generating unit 441 refers to the transport engine name information stored in the storage unit 45, and sets the pen ID included in the entry information generated by the electronic pen 1b used in the transport engine. By identifying the corresponding carrier name, information on the carrier name 76 is generated. Then, the display control unit 442 displays the transport engine name specified by the information generating unit 441 as the transport engine name 76. Instead of generating the information of the transport engine name 76 based on the pen ID of the electronic pen 1b, the transport is performed based on the entry information corresponding to the entry by the electronic pen 1 in the transport engine name entry field 2h of the triage tag 2. Information on the organization name 76 may be generated. In this case, the handwritten stroke entered with the electronic pen 1 in the carrier name entry field 2h may be displayed as it is as the carrier name 76, or a character obtained by performing character recognition processing on the handwritten stroke. May be displayed as the transport engine name 76.

  For the medical institution name 77, the information generation unit 441 generates information on the medical institution name 77 based on the entry information when the communication unit 47 receives the entry information from the electronic pen 1b used in the transport organization. To do. Specifically, the information generation unit 441 generates such information by performing character recognition processing on the handwritten stroke entered with the electronic pen 1 b in the accommodation medical institution name entry field 2 i of the triage tag 2. The display control unit 442 displays the character obtained by the character recognition process by the information generation unit 441 as the medical institution name 77. The handwritten stroke may be displayed as the medical institution name 77 as it is instead of the character obtained by performing the character recognition process on the handwritten stroke entered in the accommodation medical institution name entry field 2i.

  After the medical institution name 77 generated as described above is displayed, the information generating unit 441 displays the input information when the communication unit 47 receives the input information by the electronic pen 1c used in the medical institution. Based on this, information on the medical institution name 77 is generated. That is, the information of the medical institution name 77 generated based on the entry information by the electronic pen 1b is updated with the information of the medical institution name 77 generated based on the entry information by the electronic pen 1c. Specifically, the information generation unit 441 refers to the medical institution name information stored in the storage unit 45 and specifies the medical institution name corresponding to the pen ID included in the entry information generated by the electronic pen 1c. Thus, information on the medical institution name 77 is generated. Then, the display control unit 442 displays the medical institution name thus specified by the information generation unit 441 as the medical institution name 77. Basically, the medical institution to be accommodated is determined by contacting the medical institution from the ambulance crew of the transport system, and at this time, the emergency instructor uses the electronic pen 1b to enter the accommodation medical institution name entry field 2i. This is because the medical institution to be accommodated may be changed after the entry.

  Regarding the status 78, the information generation unit 441 refers to the status information stored in the storage unit 45 and generates status 78 information corresponding to the pen ID included in the entry information received by the communication unit 47. Specifically, the information generation unit 441 receives “complete primary triage” or “secondary triage completion” when the communication unit 47 receives entry information including a pen ID corresponding to the electronic pen 1a used in the field. Is set to status 78. In this case, when the entry information is information corresponding to entry in the primary triage execution area 2j of the triage tag 2 or when the transmission box 2k is tapped by the electronic pen 1a, the information generation unit 441 displays “primary”. Status 78 is set to “Triage complete”. On the other hand, when the entry information is information corresponding to entry in the secondary triage execution area 2p of the triage tag 2 or when the transmission box 2q is tapped by the electronic pen 1a, the information generation unit 441 , The status 78 is set to “secondary triage complete”.

  Further, the information generating unit 441 sets the status 78 as “in transit” when the communication unit 47 receives the entry information including the pen ID corresponding to the electronic pen 1b used in the transport organization. Furthermore, the information generation unit 441 sets the status 78 to “accommodation complete” when the communication unit 47 receives entry information including the pen ID corresponding to the electronic pen 1 c used in the medical institution. Then, the display control unit 442 displays the status 78 set by the information generation unit 441 in this way.

  Note that the victim transport information as described above may be displayed in a display mode corresponding to the pen ID included in the entry information. For example, the display control unit 442 sets different colors for each of the pen IDs corresponding to the electronic pens 1a to 1c, and draws the handwritten strokes written by the electronic pen 1 in a color corresponding to the pen ID. it can. Thereby, it becomes possible to easily grasp the status (conveyance status) of the victim. Here, in the electronic pen 1b used by a different transport engine, the pen ID varies depending on the electronic pen, but the display control unit 442 sets the same color as long as it is a handwritten stroke by the electronic pen 1b used by the transport engine. Alternatively, different colors may be set depending on the pen ID. Similarly, in the electronic pen 1c used by different medical institutions, the pen ID varies depending on the electronic pen, but the display control unit 442 sets the same color if the handwriting stroke is used by the electronic pen 1c used by the medical institution. Alternatively, different colors may be set depending on the pen ID.

  In addition, when one victim is selected by the user from a plurality of victims displayed on the victim transport information screen, the handwritten stroke written in the triage tag 2 is displayed for the victim. Also good. Specifically, the display control unit 442 can display a screen in which handwritten strokes are drawn on an image corresponding to the triage tag 2 (an image showing both or one of the front side and the back side). For example, the display control unit 442 sets different colors for each of the pen IDs corresponding to the electronic pens 1a to 1c, and draws the handwritten strokes written by the electronic pen 1 in a color corresponding to the pen ID. it can. Also in this case, in the electronic pen 1b used by a different transport engine, the pen ID is different depending on the electronic pen, but the display control unit 442 sets the same color as long as it is a handwritten stroke by the electronic pen 1b used by the transport engine. Alternatively, different colors may be set depending on the pen ID. Similarly, in the electronic pen 1c used by different medical institutions, the pen ID varies depending on the electronic pen, but the display control unit 442 sets the same color if the handwriting stroke is used by the electronic pen 1c used by the medical institution. Alternatively, different colors may be set depending on the pen ID.

  Note that the status 78 as shown in FIG. 7 may not be generated and displayed. This is because the transport status of the victim can also be determined by information obtained by removing the status 78 from the victim transport information. Specifically, if the triage classification 71, the name of the victim 72, the age 73 of the victim, the sex 74 of the victim, and the date / time 75 of the triage are displayed, at least the triage is implemented. I understand that. Further, if the transport organization name 76 is displayed and the medical institution name 77 is not displayed, it can be understood that the patient is being transported. In addition, if the medical institution name 77 is displayed, it can be seen that the accommodation of the victim in the medical institution has been completed.

[Effects of this embodiment]
According to the present embodiment described above, based on the pen ID of the electronic pen 1, it is possible to appropriately generate victim transport information according to the situation from when the victim is accommodated in the medical institution. Then, by displaying such victim transport information, it is possible to easily grasp the transport status of the victim.

[Modification]
Below, the modification of above-described embodiment is demonstrated. Note that the following modifications can be applied to the embodiment in any combination.

(Modification 1)
It is not limited to using the information as shown in FIG. 7 as the victim transport information. In another example, the time when the victim was transported (for example, the time when the transport was started) can be included in the victim transport information. In this case, the information generating means 441 is the first entry information (not limited to the first entry information, but the electronic pen 1b in the entry information corresponding to the entry to the triage tag 2 by the electronic pen 1b used in the transporting organization. Based on the time information included in the entry information in the vicinity of the entry start to the triage tag 2), it is possible to generate information on the time when the patient was transported. Alternatively, if an entry field (hereinafter referred to as “transportation time entry field”) for entering the time when the victim is transported is provided in the triage tag 2, the information generating means 441 can enter the delivery time entry field. Based on the entry information corresponding to the entry by the electronic pen 1b, the information on the time when the patient was transported can be generated. In this case, the handwritten stroke entered with the electronic pen 1b in the conveyance time entry field may be displayed as it is, or a character obtained by performing character recognition processing on the handwritten stroke may be displayed.

  In yet another example, the time when the accommodation of the victim is completed can be included in the victim transport information. In this case, the information generation means 441 is the first entry information (not limited to the first entry information, but the electronic pen 1c, in the entry information corresponding to the entry to the triage tag 2 by the electronic pen 1c used in the medical institution. Based on the time information included in the entry information in the vicinity of the entry start to the triage tag 2), the information on the time when the accommodation is completed can be generated. Alternatively, if the triage tag 2 is provided with an entry field (hereinafter referred to as “accommodation time entry field”) for entering the time when the accommodation of the victim has been completed, the information generating means 441 can provide the accommodation time entry field. Based on the entry information corresponding to the entry with the electronic pen 1c, information on the time when the accommodation is completed can be generated. In this case, the handwritten stroke entered with the electronic pen 1c in the accommodation time entry field may be displayed as it is, or a character obtained by performing character recognition processing on the handwritten stroke may be displayed.

(Modification 2)
In the above description, the embodiment in which the present invention is applied to a system including the electronic pen 1a used in the field, the electronic pen 1b used in the transport engine, and the electronic pen 1c used in the medical institution has been described. The present invention is not limited to application to such a system, and includes the electronic pen 1a used in the field and the electronic pen 1b used in the transport engine, which does not have the electronic pen 1c used in the medical institution. It can also be applied to the system. Also in this case, the information generation means 441 can generate the victim transport information as described above based on the pen IDs of the electronic pens 1a and 1b. Specifically, the information generation means 441 includes the triage classification 71, the victim's name 72, the victim's age 73, the victim's sex 74, the triage implementation date / time 75, and the carrier name 76. In addition, it is possible to generate victim transport information such as medical institution name 77 and status 78. However, in this case, the medical institution name 77 is information entered in the accommodation medical institution name entry field 2i of the triage tag 2, and the status 78 is “primary triage completion”, “exclusion of accommodation”, “ "Secondary triage complete" and "Transferring" only.

(Modification 3)
In the above description, the electronic pen 1a used in the field is distinguished from the electronic pen 1b used in the transport engine. However, it is not necessary to distinguish these. That is, it is not necessary to distinguish the pen ID of the electronic pen 1 between the site and the transport engine. This is because an ambulance crew member of the transport organization may fill in the triage tag 2 with the electronic pen 1 on site. Also in this case, the information generation unit 441 can generate the victim transport information as described above based on the entry information corresponding to the entry by the emergency personnel using the electronic pen 1 at the site. Specifically, the information generation means 441 includes the triage classification 71, the victim's name 72, the victim's age 73, the victim's sex 74, the triage implementation date / time 75, and the carrier name 76. In addition, it is possible to generate victim transport information such as medical institution name 77 and status 78. As for the status 78, statuses such as “primary triage completion”, “secondary triage completion”, and “transportation” are generated based on the entry information corresponding to the entry with the electronic pen 1 by the emergency personnel during the field and during the transportation. A status such as “accommodation complete” can be generated based on the entry information corresponding to the entry with the electronic pen 1 by the medical institution.

(Modification 4)
In the above description, the Anoto method is used for the electronic pen, the dot pattern (coded pattern), and the entry information, but the use of the Anoto method is not limited.

DESCRIPTION OF SYMBOLS 1 (1a, 1b, 1c) ... Electronic pen 2 ... Triage tag 3 (3a, 3b, 3c) ... Portable terminal 4 ... Server apparatus 5, 6 ... Computer apparatus 10 ... Emergency medical assistance system

Claims (17)

Information about the coding pattern formed on the triage tag generated by the first electronic pen used at the site of the disaster or accident, and the triage tag generated by the second electronic pen used in the carrier Receiving means for receiving entry information relating to the coding pattern formed in
Based on the pen ID included in the entry information received by the receiving means, it is determined whether the entry information is information generated by the first electronic pen or the second electronic pen. A server device, comprising: information generation means for generating victim transport information according to a situation from when the patient is accommodated in a medical institution based on the result.   When the information generation means determines that the entry information is information generated by the first electronic pen, the status indicating that the victim is transported and the status of the victim being triaged The server apparatus according to claim 1, wherein the victim transport information set to 1 is generated. The triage tag is provided with a primary triage execution area for carrying out a primary triage and a secondary triage execution area for carrying out a secondary triage,
The information generating means
If the entry information is information corresponding to the entry to the primary triage implementation area, the transport status is set to a status indicating that the primary triage has been implemented for the victim.
When the entry information is information corresponding to entry in the secondary triage execution area, the transport status is set to a status indicating that secondary triage has been executed for the victim. The server device according to claim 2.   When the information generation unit determines that the entry information is information generated by the second electronic pen, the information indicates that the patient is being transported by the transport engine when the patient is transported. The server device according to any one of claims 1 to 3, wherein the victim transport information set in the status is generated.   When it is determined that the entry information is information generated by the second electronic pen, the information generation unit generates victim transport information including the name of the transport organization corresponding to the pen ID included in the entry information. The server device according to any one of claims 1 to 4, wherein:   When the information generation means determines that the entry information is information generated by the first electronic pen, based on the time information included in the entry information, the date on which the triage for the patient was performed and The server device according to any one of claims 1 to 5, wherein the victim transport information including the time is generated.   The information generation means, when it is determined that the entry information is information generated by the second electronic pen, based on the time information included in the entry information, the victim includes the time when the victim was transported The server apparatus according to claim 1, wherein transport information is generated. The receiving means further receives entry information regarding the coding pattern formed on the triage tag, which is read by a third electronic pen used in a medical institution,
The information generation unit generates the entry information by any of the first electronic pen, the second electronic pen, and the third electronic pen based on the pen ID included in the entry information received by the receiving unit. The server device according to any one of claims 1 to 7, wherein the server device generates the victim transport information based on the determination result.   When the information generation means determines that the entry information is information generated by the third electronic pen, the information on the transportation status of the patient is determined to indicate that the patient has been accommodated in the medical institution. The server device according to claim 8, wherein the victim transport information set to the status shown is generated. The triage tag is provided with a medical institution name entry field for entering the name of the medical institution that is the name of the medical institution that accommodates the patient.
The information generating means
When it is determined that the entry information is information generated by the second electronic pen, the medical institution name written in the medical institution name entry field by the second electronic pen is included based on the entry information Generate victim transport information,
When it is determined that the entry information is information generated by the third electronic pen, the medical information entered in the medical institution name entry column by the medical institution name corresponding to the pen ID included in the entry information The server apparatus according to claim 8 or 9, wherein the victim transport information whose institution name is changed is generated.   When the information generation means determines that the entry information is information generated by the third electronic pen, the information generation means includes a time when the accommodation of the patient is completed based on the time information included in the entry information. The server device according to any one of claims 8 to 10, wherein the victim transport information is generated.   The server apparatus according to any one of claims 1 to 11, further comprising display control means for displaying the victim transport information generated by the information generation means.   The server apparatus according to claim 12, wherein the display control means displays a list of the victim transport information of a plurality of victims.   The server device according to claim 12 or 13, wherein the display control means displays the victim transport information in a display mode corresponding to a pen ID included in the entry information.   The server device according to any one of claims 12 to 14, wherein the display control unit further displays a handwritten stroke entered in the triage tag for the selected victim.   A program that functions as the server device according to any one of claims 1 to 15. The server device according to any one of claims 1 to 15,
A triage tag with an encoded pattern formed;
A first electronic pen that is used in a disaster or accident scene and generates entry information regarding the coding pattern formed on the triage tag;
A second electronic pen for use in a transport engine to generate entry information relating to the coding pattern formed on the triage tag;
An emergency medical support system comprising: a computer device that is used in a fire-fighting-related organization and / or a medical institution and that receives the victim transport information generated by the server device and displays the victim transport information.