JP6223810B2 - Blood glucose management support device, system, method and program - Google Patents

Description

  The present invention relates to a blood glucose management support apparatus, system, method, and program for supporting blood glucose management by outputting visible information related to blood glucose management of a patient.

  In recent years, various systems have been proposed for digitizing a medical record book in cooperation with an electronic medical record system. For example, in Patent Document 1, after reading an electronic medical record (specifically, order information / execution data) or patient information stored in a database, information required by a client terminal is extracted and processed and provided. A system has been proposed.

Japanese Patent Laying-Open No. 2006-155070 (Summary, FIG. 8)

  By the way, various methods have been proposed for blood glucose management for diabetic patients, but there is a situation where a decisive method has not been established. Therefore, in the medical field, insulin therapy is often performed in accordance with operation rules established for each facility. In addition, the insulin administration conditions may be changed stepwise while constantly observing the patient's condition.

  However, in the system described in Patent Document 1, there is a problem that the dosage amount is merely presented, and the validity and convincingness of the administration condition cannot be sufficiently grasped only by the final determined value.

  The present invention has been made to solve the above-described problems, and is a blood glucose management support device, system, method, and method capable of presenting extremely useful information to an operator when insulin therapy is performed on a patient. The purpose is to provide a program.

  A blood glucose management support device according to the present invention is a device that supports blood glucose management by outputting visible information related to blood glucose management of a patient, and obtains calculation information used for calculation of a dose of insulin. An acquisition unit; a dose calculation unit that calculates the dose based on the calculation information acquired by the calculation information acquisition unit; dose information relating to the dose calculated by the dose calculation unit; and Created by a record book image creation unit for creating a record book image showing a record book arranged side by side for each time interval, using the basis information indicating the basis for calculating the dosage as an information unit, and the record book image creation unit A display unit for displaying the recorded image.

  In this way, a record book image showing a record book arranged side by side for each time segment, with the dose information regarding the calculated dose of insulin and the basis information indicating the basis for calculating the dose as an information unit, Since the record book image creation unit to be created is provided, the operator can grasp the grounds for calculating the dose of insulin at a glance for each time segment. Thereby, when insulin therapy is performed on a patient, extremely useful information can be presented to the worker, and as a result, evidence-based medicine (EBM) can be practiced.

  Moreover, it is preferable that the said record book image preparation part produces the 1st image which has the form which has arrange | positioned each said patient and each said time division in a predetermined jurisdiction in a matrix form as said record book image.

  Moreover, it is preferable that the said record book image preparation part produces the 2nd image which has the form which has arrange | positioned each said time division and each date in matrix form as said record book image.

  Further, the display unit displays the second image according to a predetermined input operation via the first image and / or the first image according to a predetermined input operation via the second image. It is preferable to display an image.

  Moreover, it is preferable that the said record book image preparation part produces the said record book image which further contains the blood glucose level information of the said patient as the said information unit.

  A blood glucose management support system according to the present invention corresponds to any of the above-described blood glucose management support devices, a blood glucose meter that measures a blood glucose level of the patient, and the blood glucose level measured using the blood glucose meter, corresponding to the patient A database for accumulating data is provided.

  A blood glucose management support method according to the present invention is a method for supporting blood glucose management by outputting visible information related to blood glucose management of a patient, and acquiring acquisition information used for calculating a dose of insulin And a calculation step for calculating the dose based on the acquired calculation information, dose information regarding the calculated dose, and basis information indicating a basis for calculating the dose as information units. A computer is caused to execute a creation step for creating a record book image indicating a record book arranged and arranged for each time division of the day, and a display step for displaying the created record book image on a display device.

  The blood glucose management support program according to the present invention is a program for supporting blood glucose management by outputting visible information related to blood glucose management of a patient, and obtaining the calculation information used for calculating the dose of insulin And a calculation step for calculating the dose based on the acquired calculation information, dose information regarding the calculated dose, and basis information indicating a basis for calculating the dose as information units. A computer is caused to execute a creation step for creating a record book image indicating a record book arranged and arranged for each time division of the day, and a display step for displaying the created record book image on a display device.

  According to the blood sugar management support device, system, method, and program according to the present invention, the time of the day with the dosage information regarding the calculated dosage of insulin and the basis information indicating the basis for calculating the dosage as information units Since the record book image indicating the record book arranged side by side is created, the operator can grasp the grounds for calculating the dose of insulin at a glance for each time category. Thereby, when insulin therapy is performed on a patient, extremely useful information can be presented to the worker, and as a result, evidence-based medicine (EBM) can be practiced.

1 is an overall configuration diagram of a blood sugar management support system according to this embodiment. It is an electrical block diagram of the client apparatus shown in FIG. FIG. 3 is a flowchart for explaining operations of the client device shown in FIGS. 1 and 2. FIG. It is a schematic explanatory drawing which shows the data structure defined in the blood glucose information DB of FIG. It is a figure which shows the table data which is one form of the 1st calculation information of FIG. It is an image figure which shows a 1st form screen. It is an image figure which shows a 1st form screen. It is an image figure which shows a 2nd form screen. FIG. 9A is a diagram showing another form of the first calculation information in FIG. FIG. 9B is a diagram showing table data which is a form of the second calculation information in FIG. 4. FIG. 10A and FIG. 10B are schematic views showing a work form of a nurse related to the round mode. FIG. 11A and FIG. 11B are schematic diagrams showing a work form of a nurse related to the round mode. 12A to 12D are image transition diagrams in a case where both measurement work and administration work are executed. 13A and 13B are image transition diagrams when only the measurement operation is executed. 13C and 13D are image transition diagrams in the case where only the administration work is executed.

  DESCRIPTION OF EMBODIMENTS Hereinafter, a blood sugar management support method according to the present invention will be described in detail with reference to the accompanying drawings by giving preferred embodiments in relation to a blood sugar management support device, a system, and a program for implementing the blood sugar management support method.

[Overall configuration diagram of blood glucose management support system 10]
FIG. 1 is an overall configuration diagram of a blood sugar management support system 10 according to this embodiment. The blood glucose management support system 10 includes a basic local area network (hereinafter referred to as a basic LAN 12), a ward LAN 14 constructed in the ward, and a consultation ward LAN 16 constructed in the examination ward. The backbone LAN 12 is mutually connected to the ward LAN 14 via layer 2 switches (hereinafter, simply “switches” 18 and 20). The backbone LAN 12 is connected to the examination building LAN 16 via switches 18 and 22.

  Connected to the backbone LAN 12 are a first server device 24 that stores data used for blood glucose management and a second server device 26 that stores data used to create an electronic medical record.

  In the first server device 24, a database (hereinafter referred to as blood glucose information DB 28) in which information relating to blood glucose level measurement (measurement data 60; see FIGS. 2 and 4) is accumulated is constructed. Further, in the second server device 26, there are a database (hereinafter referred to as patient DB 30) storing information related to the patient (patient data 62; see FIG. 2) and a database (hereinafter referred to as order information DB 32) storing the order information. Each is built.

  The database architecture (for example, the data structure / type and the number of server devices used) is not limited to this example, and various designs can be adopted. For example, in the 2nd server apparatus 26, the database (meal information DB) which accumulate | stored the information regarding a meal other than patient DB30 and order information DB32 may be constructed | assembled.

  A client device 34 that can be used by a user (eg, a nurse) in the ward is connected to the ward LAN 14. The client device 34 can perform all or part of the measurement data 60 (FIG. 4) via wired or wireless data communication with the portable blood glucose meter 36, barcode reading operation, or manual operation. Get the data.

  Connected to the examination building LAN 16 are a client device 38 that can be used by a user (for example, a doctor) in the examination building and a printer 40 that prints examination information in response to an instruction from the client device 38.

  The client devices 34 and 38 function as a blood glucose management support device that supports the blood glucose management by outputting visible information related to the blood glucose management of the patient. Specifically, the client devices 34 and 38 process the data from the external device, and the “measurement record book” relating to blood glucose level measurement or the “instruction record book” relating to insulin administration (hereinafter collectively referred to as “record”). Book)) and display it visually. Hereinafter, in the present specification, this paperless record book is referred to as an “electronic record book”.

[Electrical Block Diagram of Client Device 38]
FIG. 2 is an electrical block diagram of the client device 38 shown in FIG. The client device 38 is a computer including a control unit 50, a communication I / F 52, an input unit 54, a display unit 56 (display device), and a memory 58 (storage medium). Note that another client device 34 may adopt the same or different configuration as the device configuration shown in FIG.

  The communication I / F 52 is an interface (I / F) that transmits and receives electrical signals from an external device. As a result, the client device 38 can acquire various data from the first server device 24 (FIG. 1) and can supply various data to the second server device 26 (FIG. 1).

  The input unit 54 includes various input devices such as a mouse, a trackball, a keyboard, and a touch sensor. The display unit 56 includes output devices that employ various methods including liquid crystal, organic EL (electroluminescence), and cathode ray tubes (CRT). Here, the user interface is realized by combining the input function by the input unit 54 and the display function by the display unit 56.

  The memory 58 stores programs and data necessary for the control unit 50 to control each component. In this example, measurement data 60 and patient data 62 (refer to FIG. 4 for details) are stored.

  The memory 58 may be configured of a non-transitory and computer-readable storage medium. Here, the computer-readable storage medium is a portable medium such as a magneto-optical disk, ROM, CD-ROM, or flash memory, or a storage device such as a hard disk built in the computer system. In addition, this storage medium may hold a program dynamically in a short time or may hold a program for a certain period of time.

  The control unit 50 is configured by a processor such as a CPU (Central Processing Unit). The control unit 50 can implement the functions of the mode determination unit 64, the administration condition determination unit 66, and the output data creation unit 68 by reading and executing the program stored in the memory 58.

  The mode discriminating unit 64 discriminates the type of mode for displaying the electronic record book. As a mode type, a “round mode” used for browsing nurses involved in measurement and the like and a “medical chart mode” used for browsing doctors involved in diagnosis and the like are assumed. Here, “round” means a unit of work consisting of blood glucose measurement and / or insulin administration (prescription).

  The administration condition determination unit 66 determines the insulin administration conditions based on the measurement data 60 and the patient data 62. Specifically, the administration condition determination unit 66 includes a calculation information acquisition unit 70 that acquires information (hereinafter referred to as calculation information) used for calculation of a dose of insulin (sometimes referred to as “actual dose”), and And a dose calculator 72 for calculating a dose for each patient and each time segment based on the calculation information.

  The output data creation unit 68 creates output data for use in the output process of the electronic record book. Specifically, the output data creation unit 68 includes a record book image creation unit 74 that creates an image for visualizing an electronic record book (hereinafter referred to as a record book image), and a form screen 100 (FIG. 6, FIG. 7) and a screen creation unit 76 for creating various screens including 120 (FIG. 8).

[Operation of blood glucose management support system 10]
The blood sugar management support system 10 according to this embodiment is configured as described above. Next, operations of the client devices 34 and 38 related to creation / display of the electronic record book will be described in detail with reference to the flowchart of FIG.

<Basic operation: Round mode example>
First, taking the “round mode” as an example, the operation of the client device 34 connected to the ward LAN 14 (FIG. 1) will be mainly described.

  In step S1, the control unit 50 determines whether an instruction to display the electronic record book has been received. If it is determined that there is no instruction yet (step S1: NO), the process stays at step S1 until the instruction is accepted. On the other hand, if there is an instruction (step S1: YES), the process proceeds to the next step (S2).

  In step S2, the mode determination unit 64 determines the type of display mode currently selected. Specifically, the mode determination unit 64 determines the display mode based on the activation state of application software installed in the client device 34. When it is determined that the display mode is “round mode” (step S2: round mode), the process proceeds to step S3a.

  In step S3a, the client device 34 acquires data related to the patient in the specific area. Prior to this acquisition, the client device 34 transmits a data request signal to the first server device 24 and the second server device 26. Then, the first server device 24 identifies the jurisdiction area and the patients belonging to the area based on the identification information (for example, IP address) of the client device 34, and links the location information (for example, “West Ward 4th floor room 409”). Under the attached state, the measurement data 60 for each patient is transmitted to the client device 34. Similarly, the second server device 26 specifies a jurisdiction area and patients belonging to the area based on the identification information of the client device 34, and transmits patient data 62 for each patient to the client device 34.

  FIG. 4 is a schematic explanatory diagram showing a data structure defined in the blood glucose information DB 28 shown in FIG.

  The patient data 62 includes a patient ID 80 for identifying the patient, a patient name 81 written in reading kana, an insulin therapy section 82, a blood sugar level measurement scheduled time 83 which is a scheduled measurement time, sliding scale information 84, and the patient's data. Patient measurement history data 85 indicating the measurement history and patient meal information (not shown) are included.

  Here, the insulin therapy section 82 is a parameter indicating a combination attribute of the blood glucose level measurement work and the insulin administration work. Accordingly, any one of [1] executing both measurement work and administration work, [2] executing only measurement work, and [3] executing only administration work can be selected.

  The sliding scale information 84 is information related to a sliding scale method (hereinafter may be abbreviated as “SS”), which is a technique of blood glucose management. Details of this information will be described later.

  The measurement data 60 includes a patient ID 86 for identifying a patient, a user ID 87 for identifying a user (operator) of the blood glucose meter 36, a blood glucose measurement date and time 88, blood glucose level data 89 obtained by the measurement, In addition, a chip manufacturing lot number 90 for specifying a manufacturing lot of chips (not shown) is included.

  As can be understood from the figure, the measurement data 60 is associated with patient data 62 including a patient ID 80 that matches the patient ID 86. After the client device 34 acquires the measurement data 60 and the patient data 62, the process proceeds to the next step (S4).

  In step S4, the calculation information acquisition unit 70 acquires calculation information used for calculation of the dose of insulin among the measurement data 60 and patient data 62 acquired in step S3a. The calculation information acquisition unit 70 acquires, for example, sliding scale information 84 that is a part of the patient data 62 as calculation information.

  As shown in FIG. 4, the sliding scale information 84 includes an instruction dosage 91, first calculation information 92 considering blood glucose level, and second calculation information 93 considering meal amount. Here, the first calculation information 92 includes a method name 94 which is the name of the blood glucose level-based sliding scale method and a table value indicating a correspondence relationship between the blood glucose level (hereinafter, blood glucose level SS table 95). The second calculation information 93 includes a meal amount SS flag 96 indicating whether or not a meal amount-based sliding scale is necessary, and a table value indicating a correspondence relationship between the meal amounts (hereinafter, the meal amount SS table 97).

  In step S5, the dose calculation unit 72 calculates the dose of insulin for each patient and each time segment based on the calculation information acquired in step S4. Hereinafter, a specific calculation method will be described with reference to FIG.

  FIG. 5 is a diagram showing table data which is one form of the first calculation information 92 of FIG. The three types of tables shown in the figure are used in the “A1 method”, “A2 method”, and “A3 method” (all belong to the “A method”) from the top. Here, the “method A” is an arithmetic expression that combines the commanded dose and the blood glucose level SS, specifically, according to “(actual dose) = (command dose) + (blood glucose level SS)”. This is a method for determining the amount (insulin injection amount).

  The above-described arithmetic expression is information indicating the basis for calculating the actual dose (hereinafter referred to as evidence information), and is useful for medical personnel who perform evidence-based medicine (EBM). Keep in mind.

  In step S6, the record book image creating unit 74 creates a record book image 102 (first image) indicating a record book including information related to the dose calculated in step S5 (hereinafter referred to as dose information). Note that images with different forms are created according to the type of display mode currently selected.

  The created record book image 102 (and the record book image 122 shown in FIG. 8 described later) shows a record book arranged side by side for each time segment using the dose information and the basis information of the dose as information units. It is an image. In this embodiment, the record book image 102 is an image that further includes the blood glucose level of the patient as an information unit.

  In step S7, the control unit 50 executes a display process for displaying the record book image 102 created in step S6. Prior to this display, the screen creation unit 76 creates display data for the form screen 100 (including the record book image 102), and then outputs the display data to the display unit 56. Thereby, the window 56 including the form screen 100 is displayed on the display unit 56.

  As shown in FIG. 6, a record book image 102 written in a table format is arranged on the form screen 100. The record book image 102 includes a column 104 indicating the room number of the ward, a column 105 indicating the patient name 81 (FIG. 4), a column 106 indicating the items of the upper row (insulin) and the lower row (blood glucose level), and administration conditions for one day. And a column 107 indicating the measurement result.

  The column 107 is a sub-column 108a to 108g for each time segment, more specifically, a sub-column 108a for “morning / before meal”, a sub-column 108b for “morning / after-meal”, a sub-column 108c for “noon / before meal”, “ It is composed of a small column 108d for "day / after meal", a small column 108e for "night / before meal", a small column 108f for "night / after meal", and a small column 108g for "before bedtime".

  In step S8, the control unit 50 determines whether an instruction to end the display process executed in step S7 has been received. When it is determined that there is no instruction yet (step S8: NO), the process proceeds to the next step (S9).

  In step S <b> 9, the control unit 50 determines whether to update the measurement data 60 and the patient data 62. The data update condition may be, for example, even when a predetermined time has elapsed since the last data update or when a notification that data has been updated has been received from the first server device 24 (or the second server device 26). Good.

  If it is determined not to update yet (step S9: NO), the process returns to step S7 and steps S7 to S9 are sequentially repeated. On the other hand, when updating (step S9: YES), the process returns to step S2, and steps S2 to S9 are sequentially repeated. Here, it is assumed that the measurement work and administration work of “morning / before meal” for the patient “XX Taro” has been completed and the blood glucose information DB 28 and the patient DB 30 (both see FIG. 1) have been updated.

  In this case, the calculation information acquisition unit 70 acquires the updated calculation information (step S4), the dose calculation unit 72 calculates a new dose (step S5), and then the record book image creation unit 74 records. A new book image 102 is created (step S6). Thereby, the displayed form screen 100 (FIG. 6) is changed to the form screen 100 of FIG.

  As shown in FIG. 7, in the upper row of the two-tier cell 110 of the record book image 102, character information 111 indicating the type of medicine (“medicine D” in this example), the actual dose of insulin (in this example) Dose information 112 indicating “8”) and ground information 113 (“8 = 6 + 2” in this example) are newly written. Further, in the lower part of the two-stage cell 110, measurement information 114 indicating the blood glucose level actually measured (“180” in this example) is written.

  As described above, the record book image 102 has a form in which each patient under a predetermined jurisdiction and each time segment of a day are arranged in a matrix. Thereby, an operator (for example, a nurse) can grasp the work progress of each patient in charge at a glance by visually recognizing the contents of the record book image 102.

  Note that the record book image creating unit 74 has different display forms of various information in the upper and / or lower stages of the two-tier cell 110 according to the blood glucose level measurement result and / or the actual dose of insulin. 102 may be created / updated. For example, when displaying an actual dose that has a statistically significant difference with respect to past average data or a blood glucose level that deviates from a preset management range, it is relatively emphasized compared to other display forms. The administered dose information 112 or the like may be displayed.

  This display form may include changes in geometric features including line widths, fonts, color changes, and visual effects (eg, blinking display, rocking display, etc.). Any means can be used as long as a visual difference can be provided.

  Returning to step S8 in FIG. 3, when it is determined that the control unit 50 has received an instruction to end the display process (step S8: YES), the operation of the blood glucose management support system 10 in the round mode ends.

<Example of medical record mode>
Next, the operation of the client device 38 connected to the examination building LAN 16 (FIG. 1) will be mainly described by taking the “medical chart mode” as an example.

  Since step S1 in FIG. 3 is similar to the above-described operation, description thereof is omitted. In step S2, the mode determination unit 64 determines that the currently selected display mode is the “chart mode” (step S2: chart mode), and proceeds to step S3b.

  In step S3b, the client device 38 acquires data regarding the specific patient. Prior to this acquisition, the client device 38 transmits a data request signal to the first server device 24 and the second server device 26. Then, the first server device 24 transmits the measurement data 60 of the specific patient instructed via the client device 38 toward the client device 38. Similarly, the second server device 26 transmits patient data 62 and order information of a specific patient instructed via the client device 38 to the client device 38.

  The calculation information acquisition part 70 acquires the calculation information used for calculation of the dosage of insulin among the measurement data 60 and the patient data 62 (step S4). The dose calculation unit 72 calculates the dose of insulin for each time segment based on the acquired calculation information (step S5). The record book image creation unit 74 creates a record book image 122 (second image) including the calculated dose (step S6).

  In step S7, the control unit 50 performs a display process for displaying the record book image 122 created in step S6. Prior to this display, the screen creation unit 76 creates display data for the form screen 120 (including the record book image 122), and then outputs the display data to the display unit 56. Thereby, the window 56 including the form screen 120 is displayed on the display unit 56.

  As shown in FIG. 8, a record book image 122 in which a plurality of types of formats are combined is arranged on the form screen 120. The record book image 122 includes a field 124 indicating the patient name 81 (FIG. 4), a field 125 indicating the calculation formula of the actual dose, a field 126 indicating the insulin instruction record book, a check field 127 regarding the presence / absence of administration before meals, The column 128 indicates a blood sugar level measurement instruction book.

  As described above, the record book image 122 has a form (specifically, a column 126) in which each time segment and each date are arranged in a matrix. Thereby, an operator (for example, a doctor) can grasp the prescription schedule of a specific patient at a glance by visually recognizing the contents of the record book image 122.

  Note that the record book image creation unit 74 may create and update the record book image 122 in which the display forms of various information in the column 126 are changed according to the progress of each work. For example, when the measurement has not yet been completed after a predetermined time has elapsed from the blood sugar level measurement scheduled time 83 (FIG. 4), a warning display that is relatively emphasized as compared with other display forms may be performed.

  By the way, on the upper right side of the record book image 122, a button 130 labeled [PRINT] is arranged. The record book image 122 is configured to be printable in response to a click operation via the input unit 54 (FIG. 2). More specifically, the output data creation unit 68 creates print data for the record book image 122 and then outputs the print data to the printer 40 (FIG. 1). Accordingly, the printer 40 outputs a hard copy on which the record book image 122 is printed based on the print data received via the examination building LAN 16.

  In each of the columns 125 to 127 of the record book image 122, user controls (not shown) (pull-down menu, combo box, etc.) for changing the contents are arranged. For example, the sliding scale information 84 (FIG. 4) in the patient data 62 is changed according to a predetermined operation in the column 125.

  FIG. 9A is a diagram showing another form of the first calculation information 92 in FIG. The three types of tables shown in this figure are used in the “B1 method”, “B2 method”, and “B3 method” (all belong to the “B method”) in order from the top. Here, “Method B” is a method of determining the actual dose (insulin injection amount) according to an arithmetic expression that does not use the indicated dose, specifically, “(actual dose) = (blood glucose level SS)”. It is. In addition, the method name 94 (FIG. 4) is not restricted to these, Various methods including "X method" (2 times administration) are employable.

  FIG. 9B is a diagram showing table data which is one form of the second calculation information 93 of FIG. “0%” when the amount of food is zero (multiplier is 0.0), “50%” when the amount of food is half (multiplier is 0.5), “100%” when the amount of food is full ( A multiplier of 1.0) is assigned. When the meal amount-based sliding scale is applied to the “Method A”, the arithmetic expression combining the indicated dose, blood glucose level SS, and meal amount SS is “(actual dose) = (indicated dose) + (blood glucose level) SS) × (meal amount SS) ”.

  Returning to step S8 in FIG. 3, when it is determined that the control unit 50 has received an instruction to end the display process (step S8: YES), the operation of the blood sugar management support system 10 in the medical record mode is ended.

[Specific operation example of blood glucose management support system 10]
Next, a specific operation example of the blood sugar management support system 10 will be described in detail with reference to FIGS. 10A to 13D. Here, it is assumed that the hospital room and the nurse station are geographically separated.

<Example of work mode in round mode>
An example of the working mode of the nurse 150 related to the round mode will be described with reference to FIGS. 10A to 11B. Insulin administration is often done before the patient has a meal. Therefore, the nurse 150 as a user makes preparations at a place (for example, a nurse station) where the client device 34 is installed prior to work.

  As shown in FIG. 10A, the nurse 150 brings the blood glucose meter 36 close to or in contact with the non-contact reader / writer 152 that is electrically connected to the client device 34. Then, the client device 34 and the blood glucose meter 36 automatically perform a data transmission / reception operation via the cable 154.

  The nurse 150 carries various instruments including the client device 34 and the blood glucose meter 36 to a waiting place (for example, a hospital room) of the patient 156.

  As illustrated in FIG. 10B, the nurse 150 sequentially reads the barcode 158 attached to the patient 156 and the barcode 160 attached to the nurse 150 using the reading function of the blood glucose meter 36. Thereafter, the nurse 150 brings the blood glucose meter 36 close to or in contact with the non-contact reader / writer 152.

  By the way, the chip case 162 accommodates chips 164 equal to or more than the number of patients in the hospital room. The nurse 150 reads the barcode 166 formed on the outside of the chip case 162 using the blood glucose meter 36. Thereafter, the nurse 150 brings the blood glucose meter 36 close to or in contact with the non-contact reader / writer 152.

  Then, the nurse 150 measures the blood glucose level of the patient 156 before eating using the blood glucose meter 36 to which one chip 164 is attached, and brings the blood glucose meter 36 close to or in contact with the non-contact reader / writer 152.

  As shown in FIG. 11A, the nurse 150 sequentially administers insulin into the body of the patient 156 using an insulin syringe 168. The nurse 150 can confirm the administration condition of the patient 156 by looking at the sliding scale information 84 displayed on the display screen of the client device 34.

  When a plurality of patients 156 and 157 are in the hospital room, the nurse 150 sequentially performs a reading operation of the bar code 158, a replacement operation of the chip 164, a blood glucose measurement operation, and an insulin administration operation.

  As shown in FIG. 11B, the client device 34 and the blood glucose meter 36 automatically perform data transmission / reception operations via the cable 154. Specifically, after obtaining the measurement data 60 from the blood glucose meter 36, the client device 34 supplies the measurement data 60 to the first server device 24 side. Thereby, blood glucose information of the patient 156 and the like is accumulated in the blood glucose information DB 28.

  After the patient 156 or the like has ingested a meal, the nurse 150 sequentially measures the blood glucose level of the patient 156 or the like as before the meal (see FIG. 10B), thereby completing one round. Similarly to the case of FIG. 11B, the client device 34 supplies the measurement data 60 from the blood glucose meter 36 to the first server device 24 side.

<Transition example of record book image 102>
By the way, when the nurse 150 performs the above-described operation, the nurse 150 activates an application installed in the client device 34 and selects “round mode”. In this embodiment, the display form of the record book image 102 is changed according to the insulin therapy section 82.

  12A to 12D are image transition diagrams in a case where both measurement work and administration work are executed. These drawings correspond to partial enlarged views of the two-stage cell 110 in the record book image 102, and the same applies to FIGS. 13A to 13D described later.

  As shown in FIG. 12A, in the initial state, character information 111 and reference dose information 112 are written in the upper part of the two-stage cell 110. Thereafter, it is assumed that the nurse 150 measures the blood glucose level of the patient 156 before a meal and reads the barcode 158 attached to the patient 156 prior to the insulin administration operation.

  The dose calculator 72 compares the measurement time point (measurement date and time 88 in FIG. 4) with the read time point (current time point) according to the reading operation, and the blood glucose level measured within a predetermined time range from the reading time point Data 89 (FIG. 4) is acquired, and the insulin dose is calculated using this blood glucose level.

  As shown in FIG. 12B, the upper dose information 112 of the two-stage cell 110 is changed to information that further considers the sliding scale information 84, blood glucose level, and the like. In addition, measurement information 114 indicating the blood glucose level (180) measured before the meal is newly written in the lower part of the two-stage cell 110. Thereafter, it is assumed that the nurse 150 administers insulin into the body of the patient 156.

  As shown in FIG. 12C, an administration confirmation mark 115 indicating a confirmation mark that the nurse 150 has administered insulin is newly written on the upper stage of the two-stage cell 110. The administration confirmation mark 115 is a check mark in this example, but is not limited to this form, and may be identification information of the nurse 150 (name, surname, nickname, user ID 87). Further, instead of displaying the mark, a visual difference may be provided depending on the presence or absence of administration.

  As shown in FIG. 12D, when there is a measurement after a meal, measurement information 116 indicating a blood glucose level (210) measured after the meal is newly written in the lower part of the two-tier cell 110.

  13A and 13B are image transition diagrams when only the measurement operation is executed. As shown in FIG. 13A, in the initial state, the upper stage of the two-stage cell 110 is hatched, and no character information is displayed at this part. Thereafter, as shown in FIG. 13B, measurement information 114 and 116 are sequentially written in accordance with the progress of the measurement work.

  13C and 13D are image transition diagrams in the case where only the administration work is executed. As shown in FIG. 13C, in the initial state, character information 111, dose information 112, and evidence information 113 are written in the upper part of the two-stage cell 110. Note that the lower part of the two-stage cell 110 is hatched, and no character information is displayed at this part. Thereafter, as shown in FIG. 13D, the administration confirmation mark 115 is written in accordance with the progress of the administration operation.

[Effects of this embodiment]
As described above, the client devices 34 and 38 are blood glucose management support devices that support blood glucose management by outputting visible information related to blood glucose management of the patients 156 and 157. Further, a calculation information acquisition unit 70 that acquires calculation information (sliding scale information 84) used for calculation of the dose of insulin, a dose calculation unit 72 that calculates a dose based on the calculation information, and a dose Record book image creation for creating record book images 102 and 122 showing the record book arranged side by side for each time segment, with the dose information 112 and the basis information 113 indicating the basis for calculating the dose as information units And a display unit 56 for displaying the record book images 102 and 122.

  In addition to the client devices 34 and 38 described above, the blood glucose management support system 10 includes a blood glucose meter 36 that measures blood glucose levels of the patients 156 and 157, and blood glucose levels measured using the blood glucose meter 36. Is stored in association with the blood glucose information DB 28.

  Since it comprised in this way, the operator can grasp | ascertain the basis for calculating the dosage of insulin at a glance for every time division. Thereby, when performing insulin therapy for a patient, extremely useful information can be presented to the worker, and as a result, medical treatment based on evidence can be practiced.

[Supplement]
In addition, this invention is not limited to embodiment mentioned above, Of course, it can change freely in the range which does not deviate from the main point of this invention.

  In this embodiment, the “round mode” and the “medical chart mode” are handled independently, but they may be linked (linked) to each other. For example, the display unit 56 responds to a predetermined input operation via the record book image 102 (FIG. 7), for example, a click operation with the cursor 118 pointing to the field 105, as shown in FIG. May be displayed. In addition to or separately from this, the display unit 56 may display the record book image 102 (FIG. 7) in response to a predetermined input operation via the record book image 122 (FIG. 8).

  In this embodiment, the basis information 113 is expressed by an arithmetic expression, but the expression form is not limited to this, and various charts, graphs, and other expression methods can be employed, for example.

  In this embodiment, the sliding scale method has been described. However, the calculation method is not limited to this, and can be applied to, for example, an algorithm method (responsible insulin method).

  In this embodiment, the client device 34 and the blood glucose meter 36 are separate devices, but may be a compact device in which they are integrated. Thereby, the workability | operativity in a hospital can be improved more.

DESCRIPTION OF SYMBOLS 10 ... Blood glucose management support system 24 ... 1st server apparatus 26 ... 2nd server apparatus 28 ... Blood glucose information DB
30 ... Patient DB 32 ... Order Information DB
34, 38 ... Client device 36 ... Blood glucose meter 40 ... Printer 50 ... Control unit 54 ... Input unit 56 ... Display unit 58 ... Memory 60 ... Measurement data 62 ... Patient data 66 ... Administration condition determination unit 68 ... Output data creation unit 70 ... calculation information acquisition unit 72 ... dose calculation unit 74 ... record book image creation unit 84 ... sliding scale information 91 ... indicated dose 92 ... first calculation information 93 ... second calculation information 94 ... method name 95 ... blood glucose level SS table 96 ... Meal amount SS flag 97 ... Meal amount SS table 100, 120 ... Form screen 102, 122 ... Record book image 111 ... Character information 112 ... Dose information 113 ... Basis information 114, 116 ... Measurement information 115 ... Administration confirmation mark W1 , W2 ... Window

Claims (8)

A blood glucose management support device that supports the blood glucose management by outputting visible information on blood glucose management of a patient,
A calculation information acquisition unit for acquiring calculation information used for calculation of the dose of insulin;
A dose calculation unit that calculates the dose based on the calculation information acquired by the calculation information acquisition unit;
A record book showing a record book arranged side by side for each time segment with information unit of dose information related to the dose calculated by the dose calculation unit and basis information indicating the basis for calculating the dose A record book image creation section for creating images;
A blood glucose management support device comprising: a display unit that displays the record book image created by the record book image creation unit. The blood sugar management support device according to claim 1,
The record book image creating unit creates, as the record book image, a first image having a form in which each of the patients under a predetermined jurisdiction and each of the time segments are arranged in a matrix. Support device. The blood sugar management support device according to claim 2,
The blood glucose management support device, wherein the record book image creation unit creates a second image having a form in which the time sections and dates are arranged in a matrix as the record book image. The blood sugar management support device according to claim 3,
The display unit displays the second image according to a predetermined input operation via the first image and / or displays the first image according to a predetermined input operation via the second image. A blood glucose management support device characterized by displaying. In the blood sugar management support device according to any one of claims 1 to 4,
The blood glucose management support apparatus, wherein the record book image creating unit creates the record book image further including blood glucose level information of the patient as the information unit. The blood sugar management support device according to any one of claims 1 to 5,
A blood glucose meter for measuring the blood glucose level of the patient;
A blood glucose management support system comprising: a database that stores the blood glucose level measured using the blood glucose meter in association with the patient. A blood glucose management support method for supporting blood glucose management by outputting visible information on blood glucose management of a patient,
An acquisition step of acquiring calculation information used for calculation of a dose of insulin;
A calculation step of calculating the dose based on the acquired calculation information;
A creation step of creating a record book image showing a record book arranged side by side for each time segment, with the information on the calculated dose information and the basis information indicating the basis for calculating the dose as information units When,
A blood glucose management support method, comprising: causing a computer to execute a display step of causing the display device to display the created record book image. A blood glucose management support program that supports the blood glucose management by outputting visible information on blood glucose management of the patient,
An acquisition step of acquiring calculation information used for calculation of a dose of insulin;
A calculation step of calculating the dose based on the acquired calculation information;
A creation step of creating a record book image showing a record book arranged side by side for each time segment, with the information on the calculated dose information and the basis information indicating the basis for calculating the dose as information units When,
A blood glucose management support program that causes a computer to execute a display step of displaying the created record book image on a display device.

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