JP2005245828A - Portable medical terminal unit, and medical support system using portable medical terminal unit - Google Patents

Portable medical terminal unit, and medical support system using portable medical terminal unit Download PDF

Info

Publication number
JP2005245828A
JP2005245828A JP2004062137A JP2004062137A JP2005245828A JP 2005245828 A JP2005245828 A JP 2005245828A JP 2004062137 A JP2004062137 A JP 2004062137A JP 2004062137 A JP2004062137 A JP 2004062137A JP 2005245828 A JP2005245828 A JP 2005245828A
Authority
JP
Japan
Prior art keywords
patient
medical
information
unit
portable
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2004062137A
Other languages
Japanese (ja)
Inventor
Isao Nakajima
功 中島
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Tokai University
Original Assignee
Tokai University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tokai University filed Critical Tokai University
Priority to JP2004062137A priority Critical patent/JP2005245828A/en
Publication of JP2005245828A publication Critical patent/JP2005245828A/en
Pending legal-status Critical Current

Links

Images

Abstract

<P>PROBLEM TO BE SOLVED: To provide a portable medical terminal unit which can be used even at emergency sites of high urgency, and loads a patient identification function, a biological information (vital data, a patient image and so forth) acquiring function and the displaying function, and to provide a medical support system by the portable medical terminal unit. <P>SOLUTION: This medical support system by a radio portable medical terminal unit is constituted of the portable medical terminal unit 20 which reads the information of an identification tag 10 which is formed at a part of a patient's body, medical equipment 30 which is loaded on a patient-conveying vehicle such as an ambulance or an emergency helicopter, and a medical facility computer 40 which is provided at a medical facility to which the patient is conveyed, and is used for referring data at the time of a medical treatment by acquiring the patient information. While the patient is conveyed, the patient information and the patient image are acquired by the portable medical terminal unit, and when arriving the medical facility, the acquired patient information can directly be transmitted from the portable medical terminal unit to the medical facility computer 40. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

本発明は、患者識別機能と患者生体情報（バイタルデータ、患者画像等）取得機能を有する携帯医療端末及び携帯医療端末を用いた医療支援システムに関する。   The present invention relates to a portable medical terminal having a patient identification function and a patient biometric information (vital data, patient image, etc.) acquisition function and a medical support system using the portable medical terminal.

従来から、医師が患者の診断等を行う場合に検査データや患者の過去の様態などその患者に対する種々の情報を参照する方法として、例えば医療施設で一括管理されているカルテを参考にしてきた
。 Conventionally, when a doctor makes a diagnosis or the like of a patient, as a method of referring to various information about the patient such as examination data and a past state of the patient, for example, a medical record collectively managed in a medical facility has been referred to.

近年、医療関連機器や診断技術の発展及び高度化に伴い、医療施設で医療行為を受ける患者数や患者一人当たりに蓄積される医療情報が膨大となっており、これらの医療情報の管理が複雑化している。   In recent years, with the development and sophistication of medical equipment and diagnostic technology, the number of patients receiving medical practice at medical facilities and the medical information accumulated per patient have become enormous, and the management of these medical information is complicated. It has become.

また、医師や看護師、介護士などの医療従事者一人あたりの対応患者数は年々増大してきていると共に、医師から患者に対する治療方法はますます複雑化しており、患者の取り違い防止や適正な治療方法の実施・薬剤の適正使用の重要性がますます高まってきている。   In addition, the number of patients supported by medical personnel such as doctors, nurses, and caregivers has been increasing year by year, and the treatment methods from doctors to patients have become more and more complicated. The importance of the implementation of treatment methods and proper use of drugs is increasing.

これらの問題点を解決するために、例えば特許文献１の医療支援システムでは、医療従事者が医療用携帯端末を医療従事者用ＩＤタグと患者用ＩＤタグに接近させることで、携帯用端末にＩＤを読みとらせてホストコンピュータから患者情報を携帯用端末に転送する方法が提案されている。   In order to solve these problems, for example, in the medical support system of Patent Document 1, the medical worker brings the medical portable terminal close to the medical worker ID tag and the patient ID tag so that the portable terminal A method for transferring patient information from a host computer to a portable terminal by reading the ID has been proposed.

また、特許文献２の患者識別方法には、患者の爪に患者の登録番号に対応するバーコードを印刷し、そのバーコードをバーコード読み込み装置で読み込むことで患者の識別や薬剤等の誤使用防止を図ることが提案されている。   Further, in the patient identification method of Patent Document 2, a barcode corresponding to a patient registration number is printed on a patient's nail, and the barcode is read by a barcode reading device so that patient identification or misuse of a medicine or the like is performed. It has been proposed to prevent it.

特開平１０−４９６０４号公報Japanese Patent Laid-Open No. 10-49604 特開２００１−１７５７９１公報JP 2001-175791 A

しかしながら、これらの患者識別は、医療施設で継続的に医療行為を受けている患者が対象であり、最も適正な患者情報を必要としているのは救急医療現場であり、救急医療現場では迅速な患者情報の検索が必要であるにもかかわらずほとんど考慮されていない状況であった。   However, these patient identifications are for patients who are continuously receiving medical treatments at medical facilities, and the most appropriate patient information is needed in emergency medical settings. Despite the need for information retrieval, the situation was hardly considered.

特に救急現場においては、患者の氏名・年齢・既応歴等が不明である場合も多いため、救急現場での患者の現病歴やけがの状況と患者自身とを関連付けた患者識別は非常に重要である。   In particular, at the emergency site, the patient's name, age, medical history, etc. are often unknown, so it is very important to identify the patient in relation to the patient's current medical history and injury situation at the emergency site. It is.

また、患者を救急車等で搬送する際に救急車などに搭載された医療機器で取得した患者のバイタルデータ（血圧、脈拍、体温、呼吸、心電図、皮膚色・顔色等の生体情報）や救急車内での応急処置情報は、救急隊員による搬送先医療施設の医療従事者への口頭及び紙媒体を利用した申し送りで行われている状況である。   In addition, patient vital data (blood pressure, pulse, body temperature, breathing, electrocardiogram, biometric information such as skin color / facial color) obtained from medical equipment installed in an ambulance when transporting the patient by an ambulance, etc. The first-aid information is a situation in which emergency personnel are sent verbally to a health care worker of a transport destination medical facility and using a paper medium.

さらには、事故救急現場での患者の患部画像や現場画像等の患者画像は、搬送先医療施設での初期治療に非常に有効であるにも関わらず、従来は全く使用されていなかった。   Furthermore, patient images such as an affected area image and an on-site image of a patient at an accident emergency site have not been used at all even though they are very effective for initial treatment at a transport destination medical facility.

本発明は以上の課題に鑑みてなされたもので、緊急性の高い救急現場において有効な携帯医療端末及び携帯医療端末を用いた医療支援システムを提供することを目的とする。本発明は、かかる目的を達成する一手段として例えば以下の構成を備える。   The present invention has been made in view of the above problems, and an object thereof is to provide a portable medical terminal that is effective in an emergency site with high urgency and a medical support system using the portable medical terminal. The present invention includes, for example, the following configuration as a means for achieving such an object.

即ち、患者の有する識別タグを患者識別情報として当該識別タグに非接触で読み取り可能な識別信号読取部と、患者を撮影可能な撮像部と、前記識別信号読取部で読み取った患者識別情報と前記撮像部で撮影した患者画像とを関連付けて記憶する記憶部とを具備する携帯医療端末を救急医療現場で用いることを特徴とする。   That is, an identification signal reading unit that can be read without contact with the identification tag as patient identification information, an imaging unit that can photograph a patient, patient identification information read by the identification signal reading unit, A portable medical terminal including a storage unit that stores a patient image captured by an imaging unit in an associated manner is used in an emergency medical field.

そして例えば、患者のバイタルデータを医療機器から取得する医療機器通信部を備え、前記記憶部は医療機器通信部より取得したバイタルデータを前記患者識別情報と関連付けて記憶することを特徴とする。   For example, a medical device communication unit that acquires patient vital data from a medical device is provided, and the storage unit stores vital data acquired from the medical device communication unit in association with the patient identification information.

又例えば、患者のバイタルデータを入力する入力部を具備することを特徴とする。   Further, for example, an input unit for inputting patient vital data is provided.

更に例えば、前記識別信号読取部で読み取った患者識別情報と前記撮像部で撮影した患者画像とを表示する表示部とを備えることを特徴とする。   Further, for example, the apparatus includes a display unit that displays patient identification information read by the identification signal reading unit and a patient image captured by the imaging unit.

又例えば、前記記憶部に記憶された患者情報を医療施設のコンピュータに出力する医療施設コンピュータ通信部を備えることを特徴とする。   For example, the medical facility computer communication part which outputs the patient information memorize | stored in the said memory | storage part to the computer of a medical facility is characterized by the above-mentioned.

あるいはまた、患者のバイタルデータを取得可能な医療機器の備えられた患者搬送移動体により患者を患者情報を管理する医療施設コンピュータの備えられた医療施設に搬送して治療するための医療支援システムであって、患者の有する識別タグを患者識別情報として非接触で読み取る識別信号送受信部と、患者画像を撮影する撮像部と、前記患者搬送移動体に備えられた医療機器で取得したバイタルデータを取得する医療機器通信部と、前記識別信号送受信部で読み取った患者識別情報と前記撮像部で撮影した患者画像および前記医療機器で取得したバイタルデータとを関連付けして記憶する記憶手段と、前記記憶手段に記憶された記憶情報を患者搬送先医療施設に備えられた前記医療施設コンピュータに送信する医療施設コンピュータ通信部とを備える携帯医療端末を備え、前記患者を前記搬送先医療施設に搬送するまでに前記携帯医療端末に記憶した情報を搬送先医療施設到着後すぐに前記医療施設コンピュータに送信して前記医療施設の患者治療に供与可能とする医療支援システムとすることを特徴とする。   Alternatively, a medical support system for transporting and treating a patient to a medical facility equipped with a medical facility computer for managing patient information by a patient transport mobile body equipped with a medical device capable of acquiring vital data of the patient. An identification signal transmission / reception unit that reads a patient's identification tag as patient identification information in a non-contact manner, an imaging unit that captures a patient image, and vital data acquired by a medical device provided in the patient transport moving body A medical device communication unit that stores the patient identification information read by the identification signal transmission / reception unit, a patient image captured by the imaging unit, and vital data acquired by the medical device in association with each other, and the storage unit The medical facility computer that transmits the stored information stored in the medical facility computer to the medical facility computer provided in the patient transport destination medical facility. The information stored in the portable medical terminal until the patient is transported to the transport destination medical facility is transmitted to the medical facility computer immediately after arrival at the transport destination medical facility. It is a medical support system that can be provided for patient treatment at a facility.

そして例えば、前記携帯医療端末は、前記患者情報あるいは前記医療機器の取得した患者情報を入力する入力部をさらに備えることを特徴とする。   For example, the portable medical terminal further includes an input unit for inputting the patient information or patient information acquired by the medical device.

本発明によれば、緊急性を有する救急医療現場であっても、確実に緊急医療に役立つ患者情報を提供することができる携帯医療端末及び携帯医療端末を用いた医療支援システムが提供できる。   ADVANTAGE OF THE INVENTION According to this invention, even if it is an emergency medical field which has urgency, the medical assistance system using the portable medical terminal and portable medical terminal which can provide the patient information useful for emergency medical treatment reliably can be provided.

また、本発明によれば、患者のバイタルデータ、患者搬送移動体内での応急処置情報や患者画像等の生体情報を搬送先医療施設での治療情報として利用することができる携帯医療端末及び携帯医療端末による医療支援システムを提供することができる。   Further, according to the present invention, the portable medical terminal and the portable medical device that can use the vital data of the patient, the biomedical information such as the emergency treatment information and the patient image in the patient transporting mobile body as the treatment information in the transport destination medical facility. A medical support system using a terminal can be provided.

以下、図面を参照して本発明にかかる一発明の実施の形態例を詳細に説明する。まず図１を参照して本発明にかかる一発明の実施の形態例の医療支援システムの概略を説明する。図１は、本発明にかかる一発明の実施の形態例の無線携帯医療端末を利用した医療支援システムを示す構成図である。   Embodiments of the present invention will be described in detail below with reference to the drawings. First, an outline of a medical support system according to an embodiment of the present invention will be described with reference to FIG. FIG. 1 is a configuration diagram showing a medical support system using a wireless portable medical terminal according to an embodiment of the present invention.

本実施の形態例の医療支援システムは、患者の体の一部に貼着した、あるいは描画あるいは係止させた識別タグ１０の情報を識別タグ１０に非接触で読み取り可能であると共に、救急車や救急ヘリ等の患者搬送移動体に搭載された医療機器３０の収集情報を収集可能な携帯医療端末２０と、救急車や救急ヘリ等の患者搬送移動体と、患者情報を取得して治療時にデータを参照可能な医療施設コンピュータ４０を備える患者搬送先の医療施設とから概略構成されている。   The medical support system of the present embodiment can read the information of the identification tag 10 attached to a part of the patient's body, drawn or locked without contact with the identification tag 10, an ambulance, A portable medical terminal 20 that can collect information collected by medical equipment 30 mounted on a patient transport mobile body such as an ambulance helicopter, a patient transport mobile body such as an ambulance or an ambulance helicopter, etc. A medical facility of a patient transport destination including a medical facility computer 40 that can be referred to is schematically configured.

また、患者搬送移動体に搭載された医療機器３０は、当該医療機器３０で取得された患者のバイタルデータを携帯医療端末２０に無線送信するバイタルデータ送信部３２と接続されている。さらに、医療施設コンピュータ４０は、携帯医療端末２０に保存されている搬送されてきた患者の患者情報を受信する患者情報受信部４２を備えている。   Further, the medical device 30 mounted on the patient transport moving body is connected to a vital data transmission unit 32 that wirelessly transmits the patient vital data acquired by the medical device 30 to the portable medical terminal 20. Furthermore, the medical facility computer 40 includes a patient information receiving unit 42 that receives patient information of a patient that has been stored in the portable medical terminal 20 and has been transported.

そして本実施の形態例の携帯医療端末２０は、バイタルデータ送信部３２あるいは患者情報受信部４２との間で無線通信が可能であり、それぞれとの間で患者情報の授受が可能に構成されている。   The portable medical terminal 20 according to the present embodiment is configured to be able to wirelessly communicate with the vital data transmitting unit 32 or the patient information receiving unit 42 and to exchange patient information with each other. Yes.

図２は、携帯医療端末２０の詳細構成を説明するためのブロック図である。本実施の形態例の携帯医療端末２０は、少なくとも、携帯医療端末２０の全体制御を司る制御部２１と、患者識別情報や生体情報等を表示可能な表示部２２と、バイタルデータ等を操作入力可能な入力部２３と、識別タグ１０の情報を識別タグ１０に非接触で読み取り可能な識別信号受信部２４と、患者の患者画像を撮影可能な撮像部２５と、患者を搬送先医療施設などに搬送する救急車等に搭載された医療機器３０等から患者のバイタルデータ等を取得する医療機器通信部２６と、患者搬送先医療施設に備えられた医療施設コンピュータ４０との間の情報通信を行い収集した患者情報等を送信可能な医療施設通信部２７を含む各構成から概略構成されている。   FIG. 2 is a block diagram for explaining a detailed configuration of the portable medical terminal 20. The portable medical terminal 20 according to the present embodiment operates at least a control unit 21 that controls the entire portable medical terminal 20, a display unit 22 that can display patient identification information, biological information, and the like, and vital data. Possible input unit 23, identification signal receiving unit 24 capable of reading information of identification tag 10 in a non-contact manner with identification tag 10, imaging unit 25 capable of capturing a patient image of a patient, transport destination medical facility, etc. Information communication is performed between the medical device communication unit 26 that acquires patient vital data and the like from the medical device 30 mounted on an ambulance or the like that is transported to the medical facility, and the medical facility computer 40 that is provided in the patient transport destination medical facility. It is schematically configured from each component including a medical facility communication unit 27 capable of transmitting collected patient information and the like.

制御部２１は、携帯医療端末２０全体を制御するＣＰＵ２１ａと、ＣＰＵ２１ａで実行されるプログラム等を記憶するＲＯＭ２１ｂと、患者の有する識別タグ１０の情報や、生体情報としての患者画像やバイタルデータ等を記憶するＲＡＭ２１ｃとを概略備えている。   The control unit 21 includes a CPU 21a that controls the entire portable medical terminal 20, a ROM 21b that stores programs executed by the CPU 21a, information on the identification tag 10 of the patient, patient images and vital data as biological information, and the like. A RAM 21c for storing is roughly provided.

尚、本実施の形態例の識別タグ１０の情報は、非接触状態で識別信号送受信部２４を介して携帯医療端末２０に取得され、読み取られる。なお、上記の患者に関する各種の情報はＲＡＭ２１ｃに記憶される場合に限るものではなく、携帯医療端末２０に着脱自在の不揮発性メモリを備え、当該不揮発性メモリに記憶しても、あるいは、最近小型化が著しいハードディスクやＤＶＤ−ＲＡＭ等を備え、これらに記憶するものであっても良い。   In addition, the information of the identification tag 10 of the present embodiment is acquired and read by the portable medical terminal 20 via the identification signal transmission / reception unit 24 in a non-contact state. The various types of information regarding the patient are not limited to being stored in the RAM 21c, and the portable medical terminal 20 includes a detachable non-volatile memory, which may be stored in the non-volatile memory or recently compact. A hard disk, a DVD-RAM, or the like, which is remarkable, may be provided and stored in these.

例えば、着脱自在の記録媒体に患者に関する情報を記録させru
場合には、医療施設通信部２７を介して医療施設のコンピュータに送信する場合に限定されず、患者情報の記憶された記録媒体を医療施設のコンピュータから読み込ませてもよい。 For example, record information about a patient on a removable recording medium.
In this case, the present invention is not limited to the case of transmitting to the medical facility computer via the medical facility communication unit 27, and a recording medium storing patient information may be read from the medical facility computer.

図３は、本実施の形態例の携帯医療端末２０の外観の一態様例を示す図である。図３に示すように、本実施の形態例の携帯医療端末２０は、表示部２２の表示画面２２ａと、下部に列状に配設された５つの入力ボタン２３ａ〜２３ｅを備えている。   FIG. 3 is a diagram illustrating an example of an appearance of the portable medical terminal 20 according to the present embodiment. As shown in FIG. 3, the portable medical terminal 20 of the present embodiment includes a display screen 22 a of the display unit 22 and five input buttons 23 a to 23 e arranged in a row at the bottom.

また、表示部２２の表示画面２２ａは、タッチパネル構造となっており、表示画面を例えば入力ペンで描画することにより、文字の手書き入力が可能に構成されているほか、表示データと入力指示とを関連つけたシフトウェアキーボードとしても機能させることが可能である。   In addition, the display screen 22a of the display unit 22 has a touch panel structure, and is configured to be capable of handwriting input of characters by drawing the display screen with, for example, an input pen, as well as display data and input instructions. It can also function as an associated shiftware keyboard.

以上の構成を備える携帯医療端末２０を利用した医療支援システムについて図４を参照してさらに説明する。図４は本実施の形態例の医療支援システムの動作を説明するためのフローチャートである。以下の説明は救急隊員が救急車で救急現場から医療施設に患者を搬送して救急治療を行う場合を例として説明する。   The medical support system using the portable medical terminal 20 having the above configuration will be further described with reference to FIG. FIG. 4 is a flowchart for explaining the operation of the medical support system according to this embodiment. The following explanation will be given by taking as an example a case where an ambulance member carries an emergency treatment by transporting a patient from an emergency site to a medical facility by an ambulance.

救急現場において、現場に到着した救急隊員は、先ずステップＳ１に示すように最初に患者に識別タグ１０を取り付ける。そしてステップＳ２に示すように患者に取り付けた識別タグ１０の情報を携帯医療端末２０の識別信号送受信部２４で読み取り、記憶部（例えばＲＡＭ２１ｃ）に記憶させる。これは、例えば入力部２３から識別情報入力を指示入力して識別信号送受信部２４を識別タグに接近させるなどして識別タグ１０の識別情報を読み込み、読み込み情報を表示画面２２ａに表示して確認すればよい。   At the emergency site, the emergency personnel arriving at the site first attach the identification tag 10 to the patient first as shown in step S1. And as shown to step S2, the information of the identification tag 10 attached to the patient is read by the identification signal transmission / reception part 24 of the portable medical terminal 20, and memorize | stored in a memory | storage part (for example, RAM21c). This is done by, for example, inputting the identification information from the input unit 23 and causing the identification signal transmitting / receiving unit 24 to approach the identification tag to read the identification information of the identification tag 10 and display the read information on the display screen 22a for confirmation. do it.

識別タグ１０は、例えば手の爪などの治療対象者の体の一部に貼着したり、手首や足首に巻き付けて固着したり、手や足に塗布あるいは接着しても良い。   The identification tag 10 may be affixed to a part of the body of a treatment subject such as a nail of a hand, wound around and fixed to a wrist or an ankle, or applied or adhered to a hand or a foot.

この識別タグ１０は、携帯医療端末２０において非接触で読み取り可能であり、例えばシール状のバーコードや、小型のＲＦＩＤ（Ｒａｄｉｏ Ｆｒｅｑｕｅｎｃｙ Ｉｄｅｎｔｉｆｉｃａｔｉｏｎ）等を利用することができる。   The identification tag 10 can be read by the portable medical terminal 20 in a non-contact manner. For example, a seal-like barcode, a small RFID (Radio Frequency Identification), or the like can be used.

シール状のバーコードを使用する場合には、例えばバーコードシールを患者の右手首に取り付けて使用する。尚、バーコードの読み取りは識別信号送受信部としてバーコードリーダを備え付けるか、撮像部のカメラをバーコードリーダとして使用する方法で患者の識別情報を読み取り携帯医療端末２０に記憶させてもよい。   When using a bar code in the form of a seal, for example, a bar code seal is attached to the patient's right wrist. In order to read the barcode, a barcode reader may be provided as an identification signal transmission / reception unit, or patient identification information may be read and stored in the portable medical terminal 20 by using a camera of the imaging unit as a barcode reader.

また、識別タグ１０としてＲＦＩＤを使用する場合には、例えばＲＦＩＤを接着剤等で爪に貼り付けて使用する。尚、ＲＦＩＤの読み取りは、ＲＦＩＤが識別信号送受信部から送信された電波（チャージ波）により電磁誘導の原理で応答動作に必要な電力を得るので、このＲＦＩＤの応答動作により送信されるＲＦＩＤの識別情報を識別信号送受信部が受信することにより読み取り、携帯医療端末２０に記憶する。   Further, when an RFID is used as the identification tag 10, for example, the RFID is attached to a nail with an adhesive or the like. In reading RFID, since the power necessary for response operation is obtained by the principle of electromagnetic induction from the radio wave (charge wave) transmitted from the identification signal transmission / reception unit, identification of the RFID transmitted by this RFID response operation is performed. The information is read by the identification signal transmission / reception unit and stored in the portable medical terminal 20.

救急隊員は続くステップＳ３に示すように必要に応じて、携帯医療端末２０に備えられた撮像部２５を利用して、患者の患部や現場画像等の画像を救急車中や現場で撮影する。そして例えばＲＡＭ２１ｃ等に保存する。この患者情報の撮影は患者搬送中においても必要に応じて適宜行うことが望ましく、撮影の都度携帯医療端末２０に保存される。   As shown in the subsequent step S3, the ambulance crew uses the imaging unit 25 provided in the portable medical terminal 20 to capture images of the patient's affected area, on-site images, etc. in an ambulance or on-site. Then, for example, it is stored in the RAM 21c or the like. Imaging of this patient information is desirably performed as needed even during patient transportation, and is stored in the portable medical terminal 20 each time imaging is performed.

また、救急隊員は、通常、現場や患者搬送中に患者の性別と患者のけがの状況・現病歴を確認すると共に、患者の氏名・年齢・既応歴等を可能であれば患者本人や家族等から確認する。また、患者搬送中には応急処置を行うこともある。よってステップＳ４に示すようにできる限りこれらの性別・けがの状況・現病歴・氏名・年齢・既応歴・応急処置の内容等を携帯医療端末２０に備えられた入力部２３から入力する。そして入力結果をＲＡＭ２１ｃ等に記憶する。   In addition, ambulance crew members usually check the patient's gender and the patient's injuries and current medical history on site and during patient transport, and if the patient's name, age, medical history, etc. are possible, the patient and family Confirm from etc. In addition, emergency treatment may be performed during patient transportation. Therefore, as shown in step S4, the gender, injury situation, current medical history, name, age, past medical history, first-aid treatment contents, etc. are input from the input unit 23 provided in the portable medical terminal 20 as much as possible. Then, the input result is stored in the RAM 21c or the like.

患者の搬送中に救急車などの患者搬送移動体に備えられている、あるいは搬入されている医療機器３０で測定される患者の心電図や血圧・脈拍・体温・呼吸等の変化のデータは、医療機器３０に有線接続されたバイタルデータ送信部３２から携帯医療機器２０の医療機器通信部２６に無線送信され、医療機器通信部２６で受信されたバイタルデータは携帯医療端末２０の例えばＲＡＭ２１cなどに記憶される。また、救急隊員が測定した血圧・脈拍等を入力部２３から携帯医療端末２０に入力する方法も可能であるが、誤入力の可能性が排除できないので、本実施の形態例においては医療機器３０による自動測定結果を直接取得して記憶することが望ましい。   Data on changes in the patient's electrocardiogram and blood pressure, pulse, body temperature, respiration, etc. measured by the medical device 30 provided or carried in the ambulance or other patient-transporting body during patient transportation Vital data transmitted from the vital data transmitter 32 wired to the medical device 30 to the medical device communication unit 26 of the portable medical device 20 and received by the medical device communication unit 26 is stored in the RAM 21c of the portable medical terminal 20, for example. The In addition, although a method of inputting blood pressure, pulse, etc. measured by the ambulance crew from the input unit 23 to the portable medical terminal 20 is possible, the possibility of erroneous input cannot be excluded, so in the present embodiment, the medical device 30 It is desirable to directly acquire and store the automatic measurement result by

上記のように携帯医療端末２０で取得された患者識別情報と患者のバイタルデータや患者画像等の生体情報とは関連付けされて、患者情報としてＲＡＭに記憶されつつ患者の医療施設への搬送を行うことが可能となる。   As described above, patient identification information acquired by the portable medical terminal 20 is associated with biological information such as patient vital data and patient images, and the patient information is stored in the RAM and transferred to the patient's medical facility. It becomes possible.

ＲＡＭ２１ｃ等に記憶された患者情報は、救急車が搬送先医療施設に到着後、ステップＳ６に示すように医療施設通信部２７から医療施設の患者情報受信部４２に無線送信され、医療施設コンピュータ４０に取り込まれて患者特定情報と共に記憶される。   The patient information stored in the RAM 21c and the like is wirelessly transmitted from the medical facility communication unit 27 to the patient information receiving unit 42 of the medical facility as shown in step S6 after the ambulance arrives at the transport destination medical facility, and is transmitted to the medical facility computer 40. Captured and stored with patient specific information.

搬送先医療施設の医師や看護師はステップＳ７に示すように、この医療施設コンピュータ４０に記憶された患者情報を治療現場に設置されたモニタ画面に表示する等して患者の今までの状態を正確に把握しながら必要な医療行為を行う。   As shown in step S7, the doctor or nurse at the destination medical facility displays the patient information stored in the medical facility computer 40 on a monitor screen installed at the treatment site, etc. Carry out necessary medical activities while grasping accurately.

以上のように、緊急性を有する救急現場であっても、救急隊員は最低限識別タグ１０を患者の体の一部に取り付けて、救急車内で携帯医療端末２０に医療機器３０からのデータを取り込むだけで良く、救急隊員の負担が重くならない状況で確実に搬送先医療施設に患者と患者情報を引き継ぐことができる。   As described above, even if it is an emergency site with urgency, an emergency member attaches at least the identification tag 10 to a part of the patient's body, and transfers data from the medical device 30 to the portable medical terminal 20 in the ambulance. It is only necessary to capture the information, and the patient and patient information can be reliably transferred to the transport destination medical facility in a situation where the burden on the ambulance crew does not become heavy.

また、患者情報としての患者識別情報と患者のバイタルデータ・患者画像等の生体情報の関連付けは、携帯医療端末２０において自動的に行われるので、従来不可能であった患者の患部画像・現場画像やバイタルデータを取り違いがなく、搬送先医療施設での治療情報として利用することができる。   In addition, since patient identification information as patient information is associated with biological information such as patient vital data / patient image automatically in the portable medical terminal 20, the affected part image / field image of the patient, which has been impossible in the past. And vital data can be used interchangeably, and can be used as treatment information at the destination medical facility.

また、図３に示す様に、撮像部２５で取得された患者画像は、患者の識別情報としての識別番号と共に、直接表示部２２に表示することにより、搬送先医療施設で医師や看護師が直接治療情報として確認することも可能である。   In addition, as shown in FIG. 3, the patient image acquired by the imaging unit 25 is displayed directly on the display unit 22 together with an identification number as patient identification information, so that a doctor or a nurse at the transport destination medical facility can It is also possible to confirm directly as treatment information.

＜変形例＞
尚、上記の発明の説明において、医療機器３０で測定されたバイタルデータはバイタルデータ送信部３２から無線送信されると説明したが、本発明の無線携帯医療端末及び無線携帯医療端末による医療支援システムはこの構成に限られるものではなく、バイタルデータ送信部３２と医療機器通信部２６とが有線接続されていても良いことは言うまでもない。特に医療現場においては、輸血ポンプや人工呼吸器のように電波で異常をきたす可能性の高い機器も多いことや、各種医療機器のノイズの影響を排除するために有線接続することは有効である。 <Modification>
In the above description of the invention, it has been described that the vital data measured by the medical device 30 is wirelessly transmitted from the vital data transmission unit 32. However, the wireless portable medical terminal and the medical support system using the wireless portable medical terminal of the present invention are described. The present invention is not limited to this configuration, and it goes without saying that the vital data transmission unit 32 and the medical device communication unit 26 may be connected by wire. Especially in the medical field, there are many devices that are likely to cause abnormalities due to radio waves, such as blood transfusion pumps and ventilators, and it is effective to make a wired connection to eliminate the effects of noise from various medical devices. .

また、携帯医療端末２０のＲＡＭ２１ｃに記憶された患者情報は、患者搬送先医療施設で医療施設通信部２７から患者情報受信部４２に無線送信されると説明したが、本発明の無線携帯医療端末及び無線携帯医療端末による医療支援システムはこの構成に限られるものではなく、医療施設通信部２７と患者情報受信部４２とが有線接続されていても良いことは言うまでもない。   In addition, the patient information stored in the RAM 21c of the portable medical terminal 20 has been described as being wirelessly transmitted from the medical facility communication unit 27 to the patient information receiving unit 42 at the patient transport destination medical facility. In addition, the medical support system using the wireless portable medical terminal is not limited to this configuration, and it goes without saying that the medical facility communication unit 27 and the patient information receiving unit 42 may be connected by wire.

更に、携帯医療端末の記憶部を着脱自在の不揮発性メモリに記憶した場合には、直接医療施設のコンピュータにセットして読み込ませても良い。また、患者情報のモニタ画面に表示するに際して患者を取り違えるおそれを無くすために医療施設コンピュータから患者の識別タグを読み込ませ、患者を確認してから患者情報を表示するようにすることが望ましい。   Furthermore, when the storage unit of the portable medical terminal is stored in a removable nonvolatile memory, it may be set directly on the computer of the medical facility and read. It is desirable to read the patient identification tag from the medical facility computer and display the patient information after confirming the patient in order to eliminate the possibility of mistaking the patient when displaying the patient information on the monitor screen.

また、以上の説明は救急車での搬送を例としたが、あらゆる患者搬送手段に適用できることは勿論であり、航空機であっても船舶であっても、自動車であってもよく、種別に限定されない。   In addition, although the above explanation has been made with an ambulance transport as an example, it can of course be applied to any patient transport means, and may be an aircraft, a ship, a car, and is not limited to a type. .

本発明に係る一発明の実施の形態例の携帯医療端末による医療支援システムの概略構成例を示す図である。It is a figure which shows the example of schematic structure of the medical assistance system by the portable medical terminal of the embodiment of one invention concerning this invention. 本実施の形態例の携帯医療端末の詳細構成を示すブロック図である。It is a block diagram which shows the detailed structure of the portable medical terminal of this embodiment.

本実施の形態例の携帯医療端末の外観を示す図である。It is a figure which shows the external appearance of the portable medical terminal of this embodiment. 本実施の形態例の医療支援システムの動作を説明するためのフローチャートである。It is a flowchart for demonstrating operation | movement of the medical assistance system of this example of an embodiment.

符号の説明Explanation of symbols

１０ 識別タグ
２０ 携帯医療端末
２１ 制御部
２２ 表示部
２３ 入力部
２４ 識別信号送受信部
２５ 撮像部
２６ 医療機器通信部
２７ 医療施設通信部
３０ 医療機器
３２ バイタルデータ送信部
４０ 医療施設コンピュータ
４２ 患者情報受信部

DESCRIPTION OF SYMBOLS 10 Identification tag 20 Portable medical terminal 21 Control part 22 Display part 23 Input part 24 Identification signal transmission / reception part 25 Imaging part 26 Medical equipment communication part 27 Medical facility communication part 30 Medical equipment 32 Vital data transmission part 40 Medical facility computer 42 Patient information reception Part

Claims (7)

患者の有する識別タグを患者識別情報として当該識別タグに非接触で読み取り可能な識別信号読取部と、
患者を撮影可能な撮像部と、
前記識別信号読取部で読み取った患者識別情報と前記撮像部で撮影した患者画像とを関連付けて記憶する記憶部とを具備することを特徴とする携帯医療端末。 An identification signal reader that can read the identification tag of the patient as patient identification information in a non-contact manner; and
An imaging unit capable of imaging a patient;
A portable medical terminal comprising: a storage unit that stores patient identification information read by the identification signal reading unit and a patient image captured by the imaging unit in association with each other. 患者のバイタルデータを医療機器から取得する医療機器通信部を備え、
前記記憶部は医療機器通信部より取得したバイタルデータを前記患者識別情報と関連付けて記憶することを特徴とする請求項１に記載の携帯医療端末。 A medical device communication unit that acquires patient vital data from medical devices,
The portable medical terminal according to claim 1, wherein the storage unit stores vital data acquired from a medical device communication unit in association with the patient identification information. 患者のバイタルデータを入力する入力部を具備することを特徴とする請求項１又は請求項２に記載の携帯医療端末。 The portable medical terminal according to claim 1 or 2, further comprising an input unit for inputting vital data of a patient. 前記識別信号読取部で読み取った患者識別情報と前記撮像部で撮影した患者画像とを表示する表示部とを備えることを特徴とする請求項１乃至請求項３のいずれかに記載の携帯医療端末。 The portable medical terminal according to any one of claims 1 to 3, further comprising a display unit that displays patient identification information read by the identification signal reading unit and a patient image captured by the imaging unit. . 前記記憶部に記憶された患者情報を医療施設のコンピュータに出力する医療施設コンピュータ通信部を備えることを特徴とする請求項１乃至請求項４のいずれかに記載の携帯医療端末。 The portable medical terminal according to any one of claims 1 to 4, further comprising a medical facility computer communication unit that outputs patient information stored in the storage unit to a computer of a medical facility. 患者のバイタルデータを取得可能な医療機器の備えられた患者搬送移動体により患者を患者情報を管理する医療施設コンピュータの備えられた医療施設に搬送して治療するための医療支援システムであって、
患者の有する識別タグを患者識別情報として非接触で読み取る識別信号送受信部と、患者画像を撮影する撮像部と、前記患者搬送移動体に備えられた医療機器で取得したバイタルデータを取得する医療機器通信部と、前記識別信号送受信部で読み取った患者識別情報と前記撮像部で撮影した患者画像および前記医療機器で取得したバイタルデータとを関連付けして記憶する記憶手段と、前記記憶手段に記憶された記憶情報を患者搬送先医療施設に備えられた前記医療施設コンピュータに送信する医療施設コンピュータ通信部とを備える携帯医療端末を備え、
前記患者を前記搬送先医療施設に搬送するまでに前記携帯医療端末に記憶した情報を搬送先医療施設到着後すぐに前記医療施設コンピュータに送信して前記医療施設の患者治療に供与可能とすることを特徴とする医療支援システム。 A medical support system for transporting and treating a patient to a medical facility equipped with a medical facility computer for managing patient information by a patient transport mobile body equipped with a medical device capable of acquiring vital data of the patient,
An identification signal transmitting / receiving unit that reads an identification tag of a patient as patient identification information in a non-contact manner, an imaging unit that captures a patient image, and a medical device that acquires vital data acquired by the medical device provided in the patient transport moving body A communication unit, a storage unit that stores patient identification information read by the identification signal transmission / reception unit, a patient image captured by the imaging unit, and vital data acquired by the medical device in association with each other, and is stored in the storage unit A portable medical terminal provided with a medical facility computer communication unit that transmits the stored information to the medical facility computer provided in the patient transport destination medical facility,
Information stored in the portable medical terminal before the patient is transported to the transport destination medical facility can be sent to the medical facility computer immediately after arrival at the transport destination medical facility to be provided for patient treatment at the medical facility. A medical support system characterized by 前記携帯医療端末は、前記患者情報あるいは前記医療機器の取得した患者情報を入力する入力部をさらに備えることを特徴とする請求項６に記載の医療支援システム。
The medical support system according to claim 6, wherein the portable medical terminal further includes an input unit that inputs the patient information or patient information acquired by the medical device.
JP2004062137A 2004-03-05 2004-03-05 Portable medical terminal unit, and medical support system using portable medical terminal unit Pending JP2005245828A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2004062137A JP2005245828A (en) 2004-03-05 2004-03-05 Portable medical terminal unit, and medical support system using portable medical terminal unit

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2004062137A JP2005245828A (en) 2004-03-05 2004-03-05 Portable medical terminal unit, and medical support system using portable medical terminal unit

Publications (1)

Publication Number Publication Date
JP2005245828A true JP2005245828A (en) 2005-09-15

Family

ID=35026874

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2004062137A Pending JP2005245828A (en) 2004-03-05 2004-03-05 Portable medical terminal unit, and medical support system using portable medical terminal unit

Country Status (1)

Country Link
JP (1) JP2005245828A (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR100821627B1 (en) 2006-07-04 2008-04-18 경원대학교 산학협력단 A real-time emergency medical information system using the rfid
KR100821628B1 (en) 2006-07-04 2008-04-18 경원대학교 산학협력단 A emergency rescue system using personal portable device
US7834322B2 (en) 2007-07-27 2010-11-16 Fujifilm Corporation Radiation image capturing system
JP2016013689A (en) * 2014-06-13 2016-01-28 株式会社エフ・ウェイ Writing device, reading device, writing information read-write system, control method of writing device, and control method of reading device
US10699664B2 (en) 2017-10-25 2020-06-30 Ebm Technologies Incorporated Image display system and method of transforming display panels of mobile devices into being compatible with medical images display standard
JP7412927B2 (en) 2018-09-04 2024-01-15 キヤノンメディカルシステムズ株式会社 Medical information management system, medical information management device, and medical information management method

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1133000A (en) * 1997-07-18 1999-02-09 Fujitsu General Ltd Medical terminal for ambulance
JPH1133001A (en) * 1997-07-18 1999-02-09 Fujitsu General Ltd Emergency medical system
JP2001175791A (en) * 1999-12-21 2001-06-29 Sliontec Corp Patient identification method and patient identification device

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1133000A (en) * 1997-07-18 1999-02-09 Fujitsu General Ltd Medical terminal for ambulance
JPH1133001A (en) * 1997-07-18 1999-02-09 Fujitsu General Ltd Emergency medical system
JP2001175791A (en) * 1999-12-21 2001-06-29 Sliontec Corp Patient identification method and patient identification device

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR100821627B1 (en) 2006-07-04 2008-04-18 경원대학교 산학협력단 A real-time emergency medical information system using the rfid
KR100821628B1 (en) 2006-07-04 2008-04-18 경원대학교 산학협력단 A emergency rescue system using personal portable device
US7834322B2 (en) 2007-07-27 2010-11-16 Fujifilm Corporation Radiation image capturing system
JP2016013689A (en) * 2014-06-13 2016-01-28 株式会社エフ・ウェイ Writing device, reading device, writing information read-write system, control method of writing device, and control method of reading device
US10699664B2 (en) 2017-10-25 2020-06-30 Ebm Technologies Incorporated Image display system and method of transforming display panels of mobile devices into being compatible with medical images display standard
JP7412927B2 (en) 2018-09-04 2024-01-15 キヤノンメディカルシステムズ株式会社 Medical information management system, medical information management device, and medical information management method

Similar Documents

Publication Publication Date Title
CN101040286B (en) System for automatic continuous and reliable patient identification for association of wireless medical devices to patients
JP5053256B2 (en) Medical imaging system
US11056245B2 (en) Systems and methods for transitions of care
US20110125535A1 (en) Method and system for providing a patient identification beacon for patient worn sensors
US20050101844A1 (en) System and method for linking patient monitoring data to patient identification
US20160162641A1 (en) Medical support server and medical support system
US20200105403A1 (en) Hospital support apparatus and operation method and operation program of hospital support apparatus
JP2010015443A (en) Emergency medical care support system
JP2009075871A (en) Nursing service management system
JP6865629B2 (en) Biometric information transmission system, biometric information detection sensor, information processing device, and biometric information transmission method
JP2005245828A (en) Portable medical terminal unit, and medical support system using portable medical terminal unit
US11089957B2 (en) Sensor
WO2018005828A1 (en) System and method for transitions of care
KR101534592B1 (en) Business management system in hospital
JP4388400B2 (en) Medical malpractice prevention system and portable terminal device used therefor
KR100821627B1 (en) A real-time emergency medical information system using the rfid
JP2003067488A (en) Medical information management system and portable terminal for patient identification
US20170250973A1 (en) Medical information management server and medical information management method
JP4299710B2 (en) Medical management system and method
US20190287671A1 (en) System, method and apparatus for managing surgical procedures
WO2023162372A1 (en) Emergency sick-and-wounded care system
JPH05324680A (en) Emergency medical service system
JP7014537B2 (en) Bedside monitor and display method
CN108351976A (en) The system and method that the proof of identification and medical information of object are provided
JP2005148921A (en) Medical information system

Legal Events

Date Code Title Description
A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20070228

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20100108

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20100202

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20100405

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20100420