JPH1189802A - Home medical system and medical information processing method - Google Patents

Abstract

(57) [Summary] [Problem] A medical system that enables a doctor to grasp the condition of a patient without visiting a patient at home and notify appropriate advice from the doctor to the patient and a caregiver. I will provide a. SOLUTION: A doctor-side device and a patient-side device can be connected to each other via a digital communication network (for example, an ISDN network), and measurement of biological information from a center device 100 to a desired home-side device 300 is started. Instruct. Upon receiving this instruction, the home-side apparatus 300 starts measuring electrocardiogram information, heart rate, body temperature, and SpO2, and starts measuring blood pressure by pressurizing the cuff. Then, the measurement result and the recording result of the trend recall / alarm of the measurement parameter
The data is transmitted to the center device 100 via the SDN line. In addition, the patient and the doctor's device are equipped with a TV camera and both images are taken and displayed on each other's device, so that the doctor can grasp the change of the medical condition while watching the patient's complexion, gesture, voice, and vital signs Thus, it is possible to directly give the patient advice on life.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an at-home medical system and a medical information processing method which are capable of directly communicating between a medical institution and a home patient via a communication network, and which are optimal for a patient and a caregiver performing home treatment. Things.

[0002]

2. Description of the Related Art A conventional home monitor system monitors a living patient's biometric information as if he / she is in a hospital bed as described in, for example, Japanese Patent Application Laid-Open No. 7-95963, or In this system, the biological information is recorded and transmitted to the hospital when requested by the hospital.

For this reason, for example, in the case of an electrocardiogram information measurement system, a bioelectrode for measuring an electrocardiogram is always attached to the surface of a living skin.

Further, the result of the measured electrocardiogram is displayed on a monitor or the like as it is, and when abnormal biometric information such as an abnormal electrocardiogram is detected, an alarm sounds and the effect is given to the patient or caregiver. It was a configuration to notify.

[0005]

However, it is a heavy burden on the patient to always wear the biological electrodes and various measuring elements on the body.

In addition, since at-home patients and home caregivers generally do not have sufficient knowledge of medical care, sounding an alarm sound is more anxious than necessary, and is hypersensitive to sounding the alarm. He responded in a terrible way, which also contributed to anxiety.

[0007] In addition, the medical institution can collect patient information, but the patient does not understand his / her own condition at all, and rather does not always consider the patient's situation, such as increasing anxiety. Therefore, it is good for collecting patient information for a short period of time, but is unsuitable for use over a long period of time.

[0008]

SUMMARY OF THE INVENTION The present invention has been made in view of the above-mentioned problems, and solves the above-mentioned problems. The present invention is directed to a home patient and a caregiver having a home patient. It is also an object of the present invention to provide a home medical system and a medical information transmission method that can notify a doctor of appropriate advice and that do not cause unnecessary anxiety to a patient. As one means for achieving the object, for example, the following configuration is provided.

That is, a home terminal device installed in a home patient's home and connectable to a medical institution via a communication network as necessary, and the communication network between the home terminal device installed in a medical institution is established. A home medical system comprising a center device capable of data communication through the home medical device capable of performing medical care for home patients, wherein the home terminal device collects and processes patient information, and a patient information processing device. An imaging device capable of imaging the periphery of the device, and a data communication device capable of communicating with the communication network, wherein the patient information processing device includes a biological information detecting unit configured to detect biological information of a patient; A biological information measuring means for starting measurement of biological information using the information detecting means, and a table capable of displaying information detected by the biological information detecting means and photographing information from the photographing device as necessary. Means, transmitting and receiving means for transmitting and receiving communication information to and from the communication device, analyzing means for analyzing communication information from the data communication device received by the transmitting and receiving means, and corresponding to the analysis result of the analyzing means. Control means for controlling the biological information measuring means and the display means, wherein the photographing device is at least a camera capable of photographing a patient, and the camera according to an instruction from the center device via the data communication device. And a camera control unit for controlling the patient information processing apparatus and transferring the photographing information of the camera to the data communication apparatus as needed, wherein the data communication apparatus is connected to the center via the communication line network. Terminal-side communication means for transmitting and receiving communication information to and from a device, and biological information transmitting and receiving means for transmitting and receiving patient information and the like to and from the patient information processing apparatus A photographing information transmitting / receiving means for transmitting / receiving photographing information and control information of the camera to / from the photographing apparatus, wherein the center device communicates with the communication line network; Receiving information notifying means for receiving and notifying the receiving information from the home terminal device from the side communication means, shooting means for shooting a center device peripheral image, shooting information in the shooting means and for the home terminal device And instruction information transfer means for transferring the instruction information to the home terminal device.

[0010] For example, the patient information processing apparatus comprises:
Further, a measurement failure notification unit that detects a measurement failure by the biological information detection unit and notifies the wearing patient, a patient information reception unit that receives patient information from the center device, and a reception information at the patient information reception unit. The patient information notifying means for notifying, and the voice information around the device is collected and transferred to the center device via the data communication device, and from the center device received via the data communication device from the center device. Voice information transmitting / receiving means for outputting voice information of the center device, wherein the center device collects voice information around the device, transfers the voice information to the home terminal device, and outputs voice information from the home terminal device. It is characterized by comprising a processing means, and a patient information output means for transmitting patient information held in the home terminal device to the home terminal device.

[0011] Alternatively, a home terminal device installed at a home patient's home and connectable to a medical institution via a communication network as needed, and a center installed at a medical institution and capable of data communication with the home terminal device A home medical system for performing medical care for a home patient, wherein the home terminal device includes: a biometric information detecting unit configured to detect biometric information of a patient; and the biometric information detection based on a command from the medical institution. Biological information measuring means for starting measurement of biological information using the means, transferring means for transferring the biological information measured by the biological information measuring means to the center device, and detecting a measurement failure by the detecting means to the patient. A measurement failure notifying means for notifying, a patient-side television camera for imaging the state of the patient, and image information from the patient-side television camera transferred to the center device. Patient-side imaging information transfer means, imaging information receiving means for receiving and displaying imaging information from the center device, and transmission information receiving means for receiving transmission items from the medical institution, the center device, Measurement information receiving means for receiving transfer information from the transfer means,
Display means for displaying the imaging information from the patient-side imaging information transfer means; a center-side television camera for imaging the state of the medical institution; and a center for transferring the imaging information from the center-side television camera to the home terminal device. And a transmission information transmitting unit for transmitting a transmission item from the medical institution to the home terminal device.

[0012] For example, the biological information detecting means includes:
Including blood pressure detecting means for detecting a patient's blood pressure using a cuff, body temperature detecting means for detecting a patient's body temperature, electrocardiogram detecting means for detecting a patient's electrocardiographic information using a biological electrode, and SpO2 detecting means for detecting SpO2 A blood pressure measuring means for measuring a patient's blood pressure using the blood pressure detecting means, a body temperature measuring means for measuring a patient's body temperature using the body temperature detecting means, and a patient using the electrocardiogram detecting means. Electrocardiogram measuring means for measuring electrocardiogram information of the SpO2
It is characterized by including SpO2 measuring means for measuring the patient SpO2 using the detecting means.

[0013] Or, for example, the measurement failure notifying means may include at least a disconnection of a living body electrode of the electrocardiogram detecting means, a failure of measurement of the patient's body temperature by the body temperature detecting means, a disconnection of the correspondence detecting means, and a disconnection of the SpO2 detecting means of the SpO2 detecting means. Is detected, a notification to that effect is given to the wearing patient.
Alternatively, the transmission information transmitting unit transmits a transmission item of the patient information from the doctor to the caregiver, and the transmission information receiving unit receives the notification item and notifies the caregiver of the received content, and transmits the received information from the center side. A message transmitted by voice is transmitted, and the message transmitted includes a message transmitted by voice.

Further, the apparatus comprises a patient information collecting device for collecting patient information, and a caregiver terminal device for receiving information transmitted from the medical institution. A home terminal device that can be connected to the home terminal device and a center device that is installed in a medical institution and that can perform data communication with the home terminal device. The device is configured to be able to measure necessary patient information based on an instruction from the center device, and when a measurement failure is detected due to detachment of the detection unit at the time of measuring the biological information of the patient, the device notifies the wearing patient of the mounting failure, and the center device The patient information collection device of the home terminal device is instructed to measure patient information, and the patient information collection device of the home terminal device responds to the instruction from the center device. Operates so as to transfer the measured biological information by measuring the biological information of the patient to the center apparatus Zui,
The center device receives the transfer information from the patient information collection device, reports the received information, enables remote confirmation of the doctor's patient information, and the caregiver terminal device receives the patient information from the medical institution. It is characterized by comprising a configuration that can receive and inform a caregiver.

[0015] Alternatively, a home terminal device installed in a home patient's home and connectable to a medical institution via a communication network as necessary, and a center installed in a medical institution and capable of data communication with the home terminal device In the home medical system that performs medical treatment for home patients, the home terminal device is configured to be able to measure necessary patient information based on an instruction from a center device, When the measurement failure is detected due to the disconnection, the wearing failure is notified to the wearing patient, the measurement of the living body information of the patient is started based on the instruction from the medical institution, and the measured living body information is transferred to the center device. The state is captured by a patient-side television camera and transferred to a medical institution so that the state of the patient can be visually checked, and the center side provided in the center device is provided. The doctor can be imaged with a Levi camera and transferred to the home terminal device, allowing medical information to be transmitted directly from the doctor at home, and further transmitting the information from the medical institution, such as the condition of the patient, to the caregiver separately. It is characterized by having the following configuration.

[0016]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, an embodiment of the present invention will be described in detail with reference to the drawings.

FIGS. 1 to 4 are views showing the configuration of a medical system according to an embodiment of the present invention. FIG.
FIG. 2 is a diagram showing the overall configuration of the medical system of this example, FIG. 2 is a diagram showing the detailed configuration of the home-side device (home terminal device) shown in FIG. 1 of this example, and FIG. 3 is a diagram of the patient information collection device shown in FIG. External view,
FIG. 4 is a diagram showing a detailed configuration of the center device shown in FIG.

The medical systems of this embodiment are connected to each other via an ISDN network 200 which is a digital communication network. First, the overall configuration of the medical system of the present embodiment will be described with reference to FIG.

In FIG. 1, reference numeral 100 denotes an ISDN network 2
00 is a center-side device installed in a medical institution connected to 00, and ISDN is a digital communication network.
The network, 300 and 400, are connected to the
It is a home terminal device which is a home terminal device installed near a home patient connectable via the SDN network 200.

The center-side device 100 receives biological information from each home-side device, performs various processes, and performs overall control of each component of the center-side device.
A communication device 170 for controlling digital communication with the ISDN network 200 and transmitting and receiving data to and from each component, a television camera device 180 for photographing an operator of the center device 100 such as a doctor, and a hands-free communication device 190 It is composed of

The home-side device 300 also collects the patient's biological information based on substantially the same instruction from the center-side device 100, and communicates with the communication device 370 and the ISDN network 200.
The processing unit 310 transmits the data to the center-side apparatus 100 via the network and controls the overall control of each component.
The communication device 370 includes a communication device 370 for performing digital communication control with the H.00 and exchanging data with each component, a television camera device 380 for photographing a patient or a caregiver, and a hands-free communication device 390.

Next, the detailed configuration of the home-side device 300 shown in FIG. 1 will be described below with reference to FIG. FIG. 2 is a block diagram showing a detailed configuration of the home-side devices 300 and 400 shown in FIG. Each home device has the same configuration in principle.

Referring to FIG. 2, the detailed configuration of the processing unit 310 will be described first. Reference numeral 311 denotes a monitor (CR
T display device), and the center is constituted by, for example, a personal computer device. Reference numeral 312 denotes a transmission / reception control unit that performs transmission / reception with the communication device 370 or the modem 371. Various sensors capable of collecting biometric information and the like from various patients can be connected to the processing device 311, and the biometric information collected from various patients is transmitted to the center device 100 via the modem 371 and the communication device 370. In addition to the transfer, the collection status, instructions from the center device 100, and the like can be displayed on the attached monitor.

As shown in FIG. 2, the processing device 311 includes a biological electrode 350, a cuff 351, a thermometer 352, and a pulse wave meter (S
A connector to which p.o. 353 and other biological information sensors can be connected is provided, and each detection element is connected to the connector. The thermometer is a thermistor-type thermometer capable of measuring the temperature of the body surface, and has an accuracy of ± 0.2 ° C.
(30 ° C. to 50 ° C.).

The modem 371 is connected to the processing unit 311.
Receives and modulates the biological information collected by the
0, the center device 100 via the ISDN network 200
And demodulates the transfer information from the center device 100 and outputs it to the processing device 311.

The communication device 370 is a terminal-side digital communication means for transmitting and receiving digital communication information to and from the center device 100 via the ISDN network 200, and is connected to the home-side processing device 311 for patient information and the like. And a photographing information transmitting / receiving means for transmitting / receiving photographing information and camera control information between the biological information transmitting / receiving means for transmitting / receiving the information and the TV camera device 386, and transmitting / receiving respective data to / from each component.

In the television camera device 380, 381
Is a television camera for photographing a patient or the like; 382, a television camera 381 is set; a camera platform for freely setting an imaging range of the television camera 381 based on an instruction from the remote control unit 383; For example, a remote control unit 384 that performs control in accordance with a control instruction from the center device 100, a video distribution unit 384 that distributes photographing data (photographing video signal) from the television camera 381 to the monitor-equipped processing device 311 and the television modulation unit 385 and outputs the resulting data. It is a vessel.

A TV 385 modulates imaging information (eg, patient imaging information) from the television camera 381 sent from the video distributor 384 and outputs the modulated information to the transmission / reception control unit 386.
The modulation unit 386 is the center device 1 from the communication device 370.
This is a transmission / reception control unit that converts various instruction commands sent from 00 and outputs it to the remote control unit 383, and outputs modulated imaging information from the TV modulation unit 385 to the communication device 310 and outputs it to the center device 100. .

Further, in the communication device 390, 391 collects the surrounding acoustic signal and enables it to be output as, for example, the communication voice information to the center device 100.
This is a hands-free telephone (speaker) that converts the call information sent from it into a corresponding audio signal and outputs it. For example, the center side can be used without the patient having to put the handset on the ear. You can talk with a doctor directly as if you were at the hospital bedside. Also, the center device 1 by the communication device 391 via the communication device 370
Calls between 00 and 00 are possible.

Next, the detailed configuration of the center device 100 shown in FIG. 1 will be described with reference to FIG. FIG. 4 is a diagram showing a configuration example of the center device 100 of the present example.

In the center device shown in FIG. 4, the communication device 170 of the television camera device 180 has basically the same configuration as that of the processing device on the home side shown in FIG. A configuration for managing the patient information collected from the terminal device is separately provided.

In the processing device 110, a processing device 115 processes various information transmitted from each home terminal 300 or 400 and transfers various instruction information to each of the above devices, and is constituted by a personal computer (personal computer). Have been. 116 converts various instruction commands sent from, for example, the home terminal device 300 through the ISDN network 200 and the communication device 170, and
15 is a converter section that outputs the signal to the converter 15.

Reference numeral 118 denotes a unit that modulates information from the processing unit 115 and outputs the modulated information to the communication unit 170.
This is a modem that demodulates information collected from each of the home-side terminal devices 300 and 400 received via the line network 200 and the communication device 170 and outputs the demodulated information to the processing device 115.

Further, a monitor device 120 is connected to the processing device 115 to perform various displays in accordance with display data output from the processing device 115 and to display imaging information from the television camera device 180.
The magnetic card device is connected to the magnetic card device 15 and writes data to a magnetic card recording patient information and the like, and reads data written to the magnetic card. 122
A monitor device is connected to the processing device 115 and performs various displays according to display data output from the processing device 115. The monitor device is configured to be connectable in addition to the monitor device 120. For example, it is possible to switch and display collected data from all home patients on the monitor device 122.

Reference numeral 123 denotes an external memory for recording biometric information and the like from each of the home terminals 300 and 400, which is capable of recording information on various recording media such as a magnetic disk device, a magneto-optical disk device, and an MD device. be able to. Reference numeral 124 denotes a printer that permanently and visually displays print information from the processing device 115.

The communication device 170 is the home terminal device 30.
0 and 400 receive the collected biological information and the like, and the modem 11
8 and a function of transmitting transfer data output from the processing device 115 and modulated by the modem to each terminal, and an ISDN network that receives imaging information from the TV camera device 180 The data is transmitted to the home terminal via 200. Further, the communication device 170 transmits the call information from the hands-free call devices 191 and 192 and the call information from the emergency telephone devices 193 and 194 to the home terminal and receives the call information from the home terminal. Distribute to each device.

In the television camera device, 181
2 is a television camera similar to the television camera 381 shown in FIG. 2, 182 is a video distributor similar to the video distributor 182 shown in FIG. 2, 183 is a television modulator similar to the television modulator 385 shown in FIG. T from the operation unit 185
Output to the home-side terminal 300 and the like via the V modulation unit 183 and control the camera platform 186 remotely according to the instruction from the operation unit 185 to control the shooting range of the television camera 181 set on the cloud 186. Remote control unit.

An operation unit 185 inputs various instruction data to the home terminal 300 or the like. The operation unit 185 inputs various instructions to the patient or the caregiver and sends the instruction from the monitor unit of the monitor-equipped processing device 311 of the home terminal. In addition to being displayed, the platform 382 of the home terminal 300 can be remotely controlled.
A head 186 is similar to the head 382 shown in FIG. Further, in the telephone device 190, reference numeral 192 denotes a hands-free telephone similar to the hands-free telephone 391 shown in FIG. In addition, the home terminal 30 via the emergency telephone 194.
Emergency contact with 0, 400, etc. is possible. 1
An emergency telephone 94 is used when an emergency call needs to be made to the doctor side, for example, when an emergency situation occurs at the home terminal 300 or 400 side. And a doctor at a medical institution The home terminal device 30 of the present embodiment having the above configuration
0 is shown in FIG. Home-side terminal device 300 of this example
Achieves the function shown in FIG. 5 by the configuration shown in FIG. 2, and enables the patient information to be collected and transferred to the center device 100 by the function shown in FIG.

As shown in FIG. 5, the home-side terminal device 300 of this embodiment is provided with a biological information measurement function 1000 by a monitor-equipped processing device 311, a communication device 370, and a center device 100 sent via a modem 371. A video / audio output function 1100 for outputting video and audio, an internal memory function 1200 provided in the processing unit with monitor 311 capable of storing measurement parameters for 24 hours, an operation input function 1300 of the processing unit with monitor 311, a monitor Processing equipment 3
Automatic transmission function 140 for transmitting the collected biometric information of the eleventh to the center device 100 in accordance with the instruction of the center device 100
0, a video / audio input function 1500 for photographing a patient via the television camera 381 and transferring it to the center device 100.

The biological information measurement function 1000 is mainly achieved by the monitor-equipped processing device 311. An electrocardiogram measurement function for measuring an electrocardiogram by attaching electrodes of the monitor-equipped processing device 311 to a patient's electrocardiogram measurement site. 1010. In addition, the SpO2 of the processor with monitor 311
A heart rate measurement function 1020 for calculating a heart rate using the measurement terminal as a pulse wave meter is provided. The heart rate measurement function may be configured to calculate from the characteristic points of the electrocardiogram waveform, for example, the appearance interval of the R wave of the electrocardiogram waveform.

Further, a blood pressure measurement function 1030 for measuring the blood pressure of the patient using the cuff of the monitor-equipped processing device 311 and an SpO2 (arterial blood oxygen saturation) measurement function 1040 for measurement using the SpO2 measurement terminal of the monitor-equipped processing device 311 A body temperature measurement function for measuring using the temperature sensor of the monitor-equipped processing device 311, a main complaint function 1050 for performing various operations in accordance with an instruction input via an operation unit (not shown) of the monitor-equipped processing device 311, and A function 1060 for displaying / recording a trend recall alarm is provided.

The video / audio output function 1100 outputs a doctor's video from the center device 100 to the monitor of the monitor-equipped processing device 311.
10. A doctor-side voice output function 1120 for outputting the voice of the doctor from the center device 100 to, for example, the built-in speaker of the processing unit with monitor 311 as sound.

Further, the video / audio input function 1500 includes a patient-side imaging / transfer function 1510 for modulating the patient's imaging data by the TV camera 381 with the TV modulator 385 and outputting the modulated data to the center device 100. It comprises a voice recording / transfer function 1520 on the patient side, which inputs a patient's voice from a built-in microphone, modulates it with a TV modulator 385, and outputs it to the center device 100.

Each of the above functions can be operated temporarily in accordance with the operation input from the operation input function 1300, but the actual transfer of data to the center
The instruction from 0 is analyzed by the transmission / reception control unit 312, and is performed according to the analyzed result. That is, the home-side terminal 300
In principle, it operates according to the instructions of the medical institution (center side).

Next, the functions realized by the center device 100 shown in FIG. 4 will be described with reference to FIG. Center device 10
0, as shown in FIG. 6, instructs the home terminal 300 or the like to send measurement information from the monitor-equipped processing device 311 or the like, and biometric information indicating the patient's biometric information sent in response thereto. A video / audio output function 21 for outputting a patient's video and audio from the home terminal 300 and the like transmitted via the display function 2000, the communication device 170, and the modem 118.
00, one-week filing function 2200 of the biological information provided in the external memory 123, the home terminal 3
A report output function 230 that prints out the collected biometric information or analysis results from 00 in a report format through a printer 124 in a report format at a predetermined cycle (for example, every week).
0, instruct the home terminal 300 etc. to transfer the measurement result,
Automatic reception function 2 for automatically receiving the transmitted biological information etc.
400, a video / audio input function 2500 for photographing a doctor or the like via the television camera 181 and transferring it to the monitor-equipped processing device 311 or the like of the home terminal 300 so that the doctor can directly transmit various instructions to the patient / caregiver. The medical information and the like for each patient are recorded and updated as an IC card, and the
And an insurance medical IC card information function 2600 which can be read and updated by the user.

The biological information display function 2000 is mainly achieved by the processing device 115, and the electrocardiogram display function 2010 for displaying the measurement result of the electrocardiogram from the home terminal 300 on the monitor 215, for example, and the home terminal 300 Heart rate display function 2020 for displaying the measurement result of the heart rate from the home terminal 300 or the like on the monitor device 215; blood pressure display function 2030 for displaying the blood pressure value measurement result from the home terminal 300 or the like on the monitor device 215; Sp from 300 etc.
S2 for displaying the measurement result of O2 on the monitor device 215, for example.
pO2 display function 2040, body temperature display / main complaint function 2050 for displaying the body temperature measurement result and chief complaint result from the home terminal 300 etc. on the monitor device 215, for example, and the trend of each measurement parameter sent from the home terminal 300 etc. -It has a function 2060 for displaying a recall alarm.

The video / audio output function 1100 also displays the patient's video from the home terminal 300 or the like on the monitor device 21.
5, a video output function 2110 on the patient side, which is displayed and output from the terminal 5;
The audio output function 21 on the patient side that outputs sound from the internal speaker 15 or the internal speaker of the monitor device 215
20.

Further, the video / audio input function 2500 includes a doctor's imaging / transfer function 2510 for modulating the doctor's photographing data from the television camera 181 with the TV modulator 183 and outputting it to the home terminal 300 or the like, and a television camera. 181 includes a doctor's voice recording / transfer function 2520 that inputs a doctor's voice from a built-in microphone, modulates the TV's voice with a TV modulator 183, and outputs the modulated voice to a home terminal 300 or the like.

The operation of the medical system of the present embodiment having the above-described configuration and functions will be described below. In the system of the present example, in order to prevent the patient from feeling uneasy, the home-side terminal 300 or 400 detects an analysis result for a measurement in which the patient has anxiety or abnormal biological information. In such a case, the alarm is not notified.

It is desirable that the caregiver carry a pager or a radio telephone separately, for example, so that when the user is out of the office, a contact can be made with the mobile telephone.

By controlling as described above, even a caregiver having a home patient on a remote island or a remote place can be notified in real time of appropriate advice from a doctor or the like if there is a digital ISDN network. This makes it possible to provide a medical system that does not cause unnecessary anxiety to the patient.

The operation method at home terminal 300 will be described below. The home-side terminal 300 is configured to be able to measure various biological information of the patient and perform various operations described below by operating the monitor-side processing device 311 according to the display screen of the monitor. .

As shown in FIG. 7, a display screen 71, a button 72, a television button 73, a sleep button 74, a blood pressure start / stop button 75, a menu button 76, and a monitor button 77 are provided on the front of the processing device 311 with monitor. A total of six input buttons are provided. The blood pressure start / stop button 75 is a button for instructing start / stop of manual blood pressure measurement when measuring blood pressure by wrapping an attached cuff around an arm, and automatically performs blood pressure measurement in accordance with an instruction from the center device 100. It is also used to give an emergency stop instruction when starting.

The other five buttons are used to switch the monitor screen. Pressing each button displays a corresponding screen. When the button 72 is input, a "screen" screen for confirming the mounting state of the detection unit for collecting various biological information is displayed.
FIG. 8 shows an example of this confirmation screen.

On the "Kakunin" screen, the patient's picture is
The connection positions of the blood pressure cuff, the thermometer, and the pulse wave meter are displayed, and if these are not properly attached and a measurement failure occurs, a connection error is displayed. This can be a flashing indication of where a connection error has occurred, or
What is necessary is just to display in a different mode, such as displaying in a different color from the others.

In addition, on this "confusion" screen, the heart rate, SpO2, RR or the measured values of the body temperature and the blood pressure are also displayed. However, it does not output heartbeat sounds or alarm sounds, nor does it display any part of alarm messages. The displayed message is of a range that does not cause unnecessary anxiety to the patient. The same applies to the other display screens in this example, and in principle, no alarm sound is output.

Note that the alarm value disappears 30 seconds after the screen is displayed. However, if the “OK” button is pressed while the “OK” screen is displayed, the alarm value display is turned off while the alarm value is being displayed. If no alarm value is displayed, the alarm value is displayed. Is displayed.

On the other hand, when the television button 73 is input, a "television" screen is displayed, and a photographing screen from the television camera 381 or a photographed image of a doctor or a nurse from the center device 100 is displayed. Then, the picture of the home side is displayed at the lower right of the screen by picture-in-picture. FIG. 8 shows an example of the “TV” screen.

[0059] Because of this display, communication can be performed in a face-to-face manner even if the user is far away. In addition, in addition to the above-mentioned display, the photographing screen from the television camera 381 or the photographed image from the center device 100 can be switched and displayed. In this case, “menu, preset, screen setting” Is performed with picture-in-picture ON / OFF. When communicating with the center device 100, the screen automatically shifts to this screen, and after the communication is completed, automatically returns to the "Kakunin" screen. When this screen is displayed, the heartbeat sound, alarm sound,
No message is displayed.

Further, when the user presses the sleep button 74, a screen with only a clock display is displayed in black at the center of the screen shown in FIG. In the case of this screen, the input of the blood pressure measurement button 75 is invalid.

When the menu button 76 is pressed, the "menu" screen shown in FIG. 10 is displayed.
Then, on this screen, setting of home terminal (home side terminal etc.),
Display saved data. Then, by touching the corresponding key display position on the display screen shown in FIG. 10, setting corresponding to the display can be performed, or ON / OFF of the setting can be performed. During this screen display, the output of the heartbeat sound and the message display are performed.

When the monitor button 77 is pressed, the "monitor" screen shown in FIG. 11 is displayed.
On this screen, a real-time electrocardiogram waveform and measured values of heart rate, SpO2, RR or body temperature and blood pressure are displayed as shown in FIG. At this time, a heartbeat sound is output and a message is displayed at the same time. Thus, the electrocardiogram waveform and Sp
O2 and non-invasive blood pressure values can be displayed on a single screen so that the caregiver can easily know the patient's condition.

Although each of the above display screens is prepared, usually, after the following operation is first performed, the display state of the “good night” screen shown in FIG. It is desirable not to apply. That is,
First, attach electrodes etc. to the required parts of the patient while checking on the "Kakunin" screen and check the wearing state, for example, confirm that each biological information can be collected reliably on the "Monitor" screen I do.

Then, it is confirmed whether or not the patient has been able to reliably take a picture with the television camera 381 once as the "television" screen. This makes it possible to respond to any request from the center device 100 at any time.
As a screen display state, an unnecessary feeling of anxiety and burden is not applied to the patient. In addition, various measurements are not performed in principle.

Note that this normal display state is not limited to the above-mentioned “good night” screen display state. For example, as a “monitor” display screen, an electrocardiogram, heart rate, SpO2,
The body temperature may be measured and displayed. In this case as well, since the blood pressure measurement needs to be performed by pressurizing the cuff, frequent measurement places a heavy burden on the patient. For this reason, it is desirable that the measurement be performed automatically at predetermined intervals (for example, every 10 minutes or every 30 minutes). Then, the measurement result is stored by the internal memory function 1200 as necessary.

In the following, the home-side terminal 300 is called “good night”.
Description will be made by taking a case where the screen is displayed as an example.

For example, when a doctor wants to check the state of a home patient in the center apparatus 100, the home terminal installed in the patient's home using the automatic reception function 2400 shown in FIG. 300 is called via the ISDN network 200 to establish a connection state. Then, the communication device 170, the ISDN network 200,
An instruction to start measurement of biological information is given to a desired home terminal 300 via the communication device 370. Upon receiving this instruction, the home-side terminal 300 activates the biological information measurement function 1000, starts measurement of electrocardiogram information, heart rate, body temperature, and SpO2, and starts blood pressure measurement by pressurizing the cuff.
Then, the measurement result, the recording result of the trend recall / alarm of the measurement parameter, and the like are transmitted to the center device 100 using the automatic transmission function 1400. Electrode off, cuff,
If SpO2 or the thermometer is out of position, a message is displayed to give a warning, and if the electrode is out of position, a recall waveform is not taken. When this warning is issued, it is possible to specify a misaligned item on the "KANNI" screen and re-attach it.

At the same time, the center apparatus 100 operates the remote control section 383 of the home terminal 300 from the operation section 185 as necessary, causes the television camera 381 to photograph the image of the patient, and transfers the image to the center apparatus 100. Then, for example, the transfer patient image is displayed from the monitor device 120, and the measurement biological information from the patient is checked while checking the patient's expression, skin color and gloss, etc. on the monitor screen.

FIG. 12 shows an example of a screen displayed on the monitor device 120 when the center device 100 is connected to the home terminal and when biological information is collected. The example of FIG. 12 is a display example when the recall screen is selected. In any case, the imaging information from the home-side device is configured to be constantly displayed on a part of the screen, and the state of the patient is constantly viewable.

The center-side apparatus 100 can display various kinds of total data, and can store various kinds of statistical information in the printer 1.
24 to print out.

FIG. 13 shows an example of a list output in which information regularly collected from the home terminal device 300 or the like is filed and displayed or printed out as list information.
FIG. 14 shows an example of a trend information report that outputs various changes over time as a trend graph. The example of FIG. 14 shows an example in which the time width is set to 24 hours.

Further, it is possible to output a patient attribute detailed report in which the patient data and the settings of the home terminal 300 are collectively printed out on, for example, A4 size paper, and an output example in this case is shown in FIG. FIG. 16 shows an example in which the recall information (for example, the collected biometric information according to the set alarm condition of the home terminal 300) is printed out. This recall information is stored in the external memory 12 on the center side for each collection.
3 so that it can be read out and output as needed.

As described above, according to the present embodiment, a doctor or the like can directly give advice on life to a patient. In addition, using a center device placed in a medical institution such as a clinic or hospital and a home terminal device placed in the home where the patient is located, the doctor looks at the patient's complexion, gesture, voice, and vital signs The change in the medical condition can be grasped, and an appropriate instruction can be given. Therefore, caregivers and patients can be relieved of anxiety and the burden can be reduced. Moreover, the alarm output from the home-side terminal is limited to the case where the biological information detecting element is improperly mounted, and by not outputting the alarm sound accompanying the change of the patient's condition based on the measurement result, the patient can be output to the patient. Inadvertently giving anxiety can be prevented.

Even in such a case, by notifying the caregiver of the coping method for the patient, appropriate coping can be performed without giving anxiety to the patient.

Further, when a caregiver is absent or the like, a method of contacting with a pager or the like is secured, so that it is possible to cope with an urgent need to contact. . Further, the measurable biological information is not limited to the above example, and the weight, urine, exercise amount, and the like may be transmitted.

In addition, the home-side device not only measures the above-mentioned biological information, but also includes a treatment machine for positively treating the patient, based on instructions from the center device (from a doctor). Treatment using these treatment machines may be performed. Alternatively, the medical treatment machine may be configured to be directly controllable from the center side so that the doctor can directly operate the treatment machine.

Further, the transmission from the doctor to the caregiver is not limited to the transmission via the telephone. For example, the terminal at home or separately provided with a facsimile receiving function, and the facsimile function is used. By transmitting the instruction, the display can be permanently and permanently displayed whenever necessary, and the possibility of erroneous countermeasures can be greatly reduced. In this case, the content received on the patient side by facsimile communication may be directly printed out on a recording sheet, or may be temporarily stored in a built-in memory and displayed so that it can be displayed and checked.

As described above, according to the present invention, a communication line network capable of performing two-way data communication between a medical institution such as a clinic or a hospital and a home patient performing home treatment, for example, ISDN By connecting via a line or the like, it is possible for the doctor to take images of both the patient and the doctor and display them on the other device without providing special complicated equipment, so that the doctor can use the patient's complexion, gesture, voice, In addition, it is possible to grasp a change in the medical condition while watching the vital signs, and to give an appropriate instruction. Furthermore, it is possible to receive appropriate advice directly from the doctor, and therefore, it is possible to remove the anxiety of the caregiver and the patient and reduce the burden. In addition, by controlling the alarm output from the home terminal device not to be inadvertently output, it is possible to prevent the patient from inadvertently feeling uneasy.

Further, when the mounting of the detecting means is defective, an alarm is output so that more appropriate and quick measurement can be performed.

Further, by notifying the caregiver of the coping method for the patient, appropriate coping can be performed without giving anxiety to the patient.

Further, a method is provided in which a contact can be made with a pager or the like when a caregiver is absent.

[0081]

[Brief description of the drawings]

FIG. 1 is a diagram showing an overall configuration of a medical system according to an example of an embodiment of the present invention;

FIG. 2 is a diagram showing a detailed configuration of a home terminal shown in FIG. 1 of the present embodiment.

FIG. 3 is an external view of the terminal device with a monitor shown in FIG. 2;

FIG. 4 is a diagram showing a detailed configuration of a center device shown in FIG. 1;

FIG. 5 is a diagram showing functions of a home terminal device of the present embodiment.

FIG. 6 is a diagram showing functions of the center device of the present example.

FIG. 7 is a diagram showing a display example of a “good night” screen of the home terminal device of the present example.

FIG. 8 is a diagram showing a display example of a “Kakunin” screen of the home terminal device of this example.

FIG. 9 is a diagram showing a display example of a “television” screen of the home terminal device of the present example.

FIG. 10 is a diagram showing a display example of a “menu” screen of the home terminal device of this example.

FIG. 11 is a diagram showing a display example of a “monitor” screen of the home terminal device of this example.

FIG. 12 is a diagram illustrating a display example of a “detailed display” screen of the center device of the present example.

FIG. 13 shows “list information” in the center device of the present example.
FIG. 6 is a diagram illustrating a print output example.

FIG. 14 is a diagram illustrating a printout example of a “trend information report” in the center device of the present example.

FIG. 15 is a diagram illustrating a printout example of a “patient attribute detail report” in the center device of the present example.

FIG. 16 is a diagram illustrating a printout example of “recall information” in the center device of the present example.

[Explanation of symbols]

 100 Center-side device 110, 310 Processing device 115 Processing device 116 Converter section 118, 371 Modem 120, 122 Monitor device 121 Magnetic card device 123 External memory 124 Printer 170, 370 Communication device 180, 380 Television camera device 181, 381 Television camera 182 , 384 Video distributor 183, 385 TV modulator 184, 383 Remote controller 185 Operation unit 186, 382 Pan head 190, 390 Hands-free communication device 192, 391 Hands-free telephone 194 Emergency telephone 200 ISDN network 300, 400 Home-side device 311 Terminal-side processing device with monitor 312 Transmission / reception control unit 350 Bioelectrode 351 Cuff 352 Thermometer 353 Pulse wave meter (SpO2) 386 Transmission / reception control unit

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Takeshi Ishikawa 2-35-8 Hongo, Bunkyo-ku, Tokyo Fukuda Electronics Co., Ltd. Hongo Office (72) Inventor Shigeo Kobayashi 2-35-8 Hongo, Bunkyo-ku, Tokyo Fukuda Electronics Co., Ltd. Hongo Office

Claims (10)

[Claims] 1. A home terminal device installed at a home patient's home and connectable to a medical institution via a communication network as needed;
A home medical system which is provided in a medical institution and is capable of performing data communication with the home terminal device through the communication line network and capable of performing medical care for home patients; The terminal device includes a patient information processing device that collects and processes patient information, a photographing device that can photograph the periphery of the device, and a data communication device that enables communication with the communication network. The apparatus includes: a biological information detecting unit configured to detect biological information of a patient; a biological information measuring unit configured to start measurement of biological information using the biological information detecting unit; Display means for displaying photographing information from the photographing device; transmitting and receiving means for transmitting and receiving communication information to and from the data communication device; Analysis means for analyzing communication information from the data communication device, and control means for controlling the biological information measurement means and the display means in accordance with the analysis result of the analysis means, wherein the imaging device comprises at least a patient A camera capable of photographing, and controlling the camera according to an instruction from the center device via the data communication device, and, if necessary, transmitting the photographing information with the camera to the patient information processing device and the data communication device. A camera control unit for transferring, the data communication device, a terminal-side digital communication means for transmitting and receiving communication information with the center device via the communication line network, and between the patient information processing device Biological information transmitting / receiving means for transmitting / receiving patient information, etc .; and a photographing information transmitter / receiver for transmitting / receiving photographing information and control information of the camera to / from the photographing device. A center communication unit for communicating with the communication line network; and a reception information notifying unit for receiving and notifying reception information from the home terminal device from the center communication unit. A photographing means for photographing a center device peripheral image, and instruction information transfer means for transferring photographing information in the photographing means and instruction information for the home terminal device to the home terminal device. Home health care system. 2. The patient information processing apparatus further includes: a measurement failure notification unit that detects a measurement failure by the biological information detection unit and notifies the wearing patient of the measurement failure; and a patient information reception unit that receives patient information from the center device. And a patient information notifying unit for notifying the reception information at the patient information receiving unit, and collecting voice information around the device and transferring the collected voice information to the center device via the data communication device. Voice information transmitting and receiving means for outputting voice information from the center device received via a data communication device, wherein the center device collects voice information around the device and transfers it to the home terminal device, Voice information processing means for outputting voice information from the home terminal device; and patient information for transmitting patient information held by the home terminal device to the home terminal device. Home care system according to claim 1, characterized in that it comprises an output means Toto. 3. A home terminal device installed at a home patient's home and connectable to a medical institution via a communication network as needed,
A home device that is installed in a medical institution and is capable of performing data communication with the home terminal device and performs medical care for home patients, wherein the home terminal device detects biometric information of a patient. A biological information detecting unit, a biological information measuring unit that starts measuring biological information using the biological information detecting unit based on a command from the medical institution, and a biological information measured by the biological information measuring unit is transferred to the center device. Transfer means for detecting, measurement failure notification means for detecting a measurement failure by the detection means and reporting to the patient, a patient-side television camera for capturing the state of the patient, and imaging information from the patient-side television camera. A patient-side imaging information transfer unit for transferring to the center device; an imaging information receiving unit for receiving and displaying imaging information from the center device; A transmission information receiving unit that receives a transmission item from a medical institution; the center device receives measurement information receiving unit that receives transfer information from the transfer unit; and captures imaging information from the patient-side imaging information transfer unit. Display means for displaying, a center-side television camera for imaging the state of the medical institution, a center-side imaging information transfer means for transferring imaging information from the center-side television camera to the home terminal device, A home medical system comprising: a transmission information transmitting unit that transmits a transmission item to the home terminal device. 4. The biological information detecting means includes: a blood pressure detecting means for detecting a patient's blood pressure using a cuff; a body temperature detecting means for detecting a patient's body temperature; and an electrocardiogram detecting means for detecting patient's electrocardiographic information using a biological electrode. Means and Sp for detecting SpO2
O2 detecting means, wherein the biological information measuring means is a blood pressure measuring means for measuring a patient's blood pressure using the blood pressure detecting means, a body temperature measuring means for measuring a patient's body temperature using the body temperature detecting means, and the electrocardiogram detecting means. 4. An electrocardiogram measuring means for measuring electrocardiogram information of a patient by using the means, and an SpO2 measuring means for measuring a patient SpO2 by using an SpO2 detecting means. Home health care system. 5. The measurement failure notifying means includes at least a living body electrode of the electrocardiogram detecting means, a measurement failure of the patient's body temperature of the body temperature detecting means, and a disabling of the corresponding detecting means.
4. The home medical system according to claim 2, wherein when the SpO2 detecting means of the two detecting means is detected to be detached, the fact is notified to the wearing patient. 6. The transmission information transmitting unit transmits a transmission item of patient information from a doctor to a caregiver, and the transmission information reception unit receives the notification item and notifies the caregiver of the received content, and further includes the center. 4. The home medical system according to claim 3, wherein a message transmitted by voice from the side is transmitted, and the message transmitted includes a message transmitted by voice. 7. A patient information collecting device for collecting patient information, and a caregiver terminal device for receiving a communication item from the medical institution, which is installed in a home patient's home and is connected to a medical institution and a communication network as needed. Medical information processing method in a home medical system that includes a home terminal device that can be connected through a home terminal and a center device that is installed in a medical institution and that can perform data communication with the home terminal device and that performs medical care for home patients. The patient information collecting device is configured to be able to measure necessary patient information based on an instruction from the center device, and to detect a measurement failure due to a detachment of the detection unit when measuring patient's biological information, the patient is incompletely mounted. The center device instructs the patient information collection device of the home terminal device to measure patient information, and the patient information collection device of the home terminal device sends -Operates to measure the patient's biological information based on an instruction from the device and transfer the measured biological information to the center device, wherein the center device receives and receives the transfer information from the patient information collecting device Medical care information processing method, wherein the caregiver terminal device receives the patient information from the medical institution and notifies the caregiver of the information. . 8. A home terminal device installed in a home patient's home and connectable to a medical institution via a communication network as needed,
A center device installed in a medical institution and capable of data communication with the home terminal device, a medical information processing method in a home medical system for performing medical care for home patients, wherein the home terminal device is Patient information is configured to be measurable based on an instruction from the center device, and when a measurement failure is detected due to detachment of the detection unit at the time of measuring the patient's biological information, the wearing patient is notified of the poor mounting, and based on a command from the medical institution, The measurement of the patient's biological information is started and the measured biological information is transferred to the center device, and the state of the patient is imaged by the patient's television camera and transferred to a medical institution so that the patient's state can be visually checked. At the same time, the doctor is imaged by the center side television camera provided in the center device and transferred to the home terminal device, and the medical information is directly transmitted from the doctor at home. A medical information processing method, further comprising the steps of: transmitting information such as a condition of a patient from the medical institution to a caregiver; 9. The home terminal device comprises: a blood pressure detecting means for detecting a patient's blood pressure using a cuff; a body temperature detecting means for detecting a patient's body temperature; and an electrocardiogram detecting means for detecting patient's electrocardiographic information using a bioelectrode. And SpO2 for detecting SpO2
Measuring means for measuring the patient's blood pressure using the blood pressure detecting means, measuring the patient's body temperature using the body temperature detecting means, measuring the patient's electrocardiographic information using the electrocardiographic detecting means;
9. The medical information processing method according to claim 7, wherein a patient SpO2 is measured using a detection unit, and each measurement result can be transferred to the center device. 10. The center device can collect voice instructions from an operator and transfer them to a patient information collecting device, and the patient information collecting device collects voice from a patient or a caregiver to collect the voice commands from the operator. The medical information processing method according to any one of claims 7 to 9, wherein the medical information processing method enables direct transfer between the patient and the medical institution.