DE4132951A1 - METHOD FOR CARING FOR PATIENTS IN A HOSPITAL - Google Patents

Abstract

A method of operating a treatment ventilation terminal according to the invention comprises the establishing of an electronic file relating to a specific patient and formed by data signals defining a group of personal patient-treatment events, each treatment event being defined by a predetermined set of attributes and each attribute defining a characteristic of the event, and the displaying, at the level of the treatment ventilation terminal, of the said treatment events with their selected attributes. A personal programme of specific treatment of the said patient is displayed for a provider of treatment. <IMAGE>

Description

The invention relates to a method for the care of patients in a hospital according to the preamble of claim 1.

When administering hospitals are used to simplify administration using computerized management systems, including accounting systems, material control systems, etc. However, such systems require one manual entry of data into computers, read from recording forms Need to become. This leads to numerous sources of error, be it that the record incorrectly or incompletely or that the transfer of the Data entered into the computer incorrectly.

One of the main tasks of a hospital, namely patient care, has so far effective introduction of facilitated data transmission and acquisition stood. The patient care system typically works with a doctor, who determines the tests and the course of treatment, and then the associated with it where work is carried out by sisters. Here, due to a Unreliability or an overload of the staff result in numerous errors. For example, the times of performing treatments or tests, the complete execution of all tests, the correct medication and the correct record of the results of the tests not adhered to, which is dangerous Can have consequences. Collecting and recording the amounts of used Medicines, the work performed and others when performing Treatment costs incurred are done manually by the sisters on paper, which can lead to errors.

A medical information system in which standardized treatment steps used are described in the article "Medical Data Dictionary for Decision Support Applications, "by S.M. Huff et al., published in AT Bell Laboratories, pages 310 to 317, 1987, SCAMC, Inc. In this system  precise names and functions performed by the doctor and nurse the, entered into a terminal. This article supports the definition of a standardized medical dictionary for use in a medical African support electronics information system. The system describes the ver Turning to individual pages that define measures taken by a crane care center can be entered. Each measure represents an "event" regarding of a patient, such as writing out a prescription, the Auf pain, childbirth, surgery, etc. Attributes are assigned to each measure, which are quantitative and qualitative Represent descriptions of the measure, along with the time of opening the measure and a time of recording the measure. Everyone Recorded measure is the name or definition of a special pati assigned to ducks. The work of the system requires the positive recording of the Measure in the course of treating a patient on a central crane care center by personnel who are in the use of the database system is trained. The nurses must follow the course of treatment of a patient know who is written in the traditional way. The sister gives only at the nursing station what is in the course of treatment has occurred according to a written procedure and others have been the patient relevant events as well as the test results as previously recorded on paper were.

This known system has a number of disadvantages. With this system the sources of error mentioned at the beginning are not eliminated. The from the Schwe The most performed functions are recorded by her on tape. The on drawing takes place at the sister station of the central station. Then the recorded data is transferred to paper and from there to the station computer transfer. Errors can occur here, for example, it is not ensured that all tests have been carried out.  

The second disadvantage is that a standardized dictionary of Expressions must be used when the information is entered into the calculator will give. Misspelled words and the use of non-standard words diced by the sister result in data that the system does not are accepted or, if they are accepted by the system, by the central computer then not collected because it only processes standardized expressions. Learning the sentences of standardized expressions burdened by the sister this in addition to giving her relief.

A third disadvantage is that all of the data from a group of patients can be entered in a central location. This leads to a source of error, in particular especially when entering data, since the sisters are usually in a hurry and often accessed during data entry due to emergencies. Often times hence the data recorded by the sister on paper for a long time the implementation of the care measures entered into the computer or the Often there is no input at all.

The task is to improve the system in such a way that on-site care The sister recognizes the measure to be carried out and the performed measure can register directly at this location.

This object is achieved with the characterizing features of claim 1. Advantageous refinements can be found in the subclaims.

According to the present invention, a small portable, on-site supervisor used as a measure, carried by the sister is and that serves that the sister the test results and other treatments steps, such as the amount and type of administered Medication. This terminal is used in the place and at the time of the tests or other care measures are carried out. The sister needs herself not the standard names of medicines or other medicines memorize expressions. Furthermore, it is not necessary for the sister  maintains written records of the course of treatment or tests. The exact list of treatment and an exact description of the ver Written tests is carried out by the portable terminal on its display device displayed. The sister then only has the test results and the amount of administered medicine at the appropriate points on the display device put. The data entered are automatically sent to a control center by the terminal transmitted, such as to a nursing station, where they are centrally stored be saved. The entered data are automatically marked with time stamps saved. The entire sequence of tests, treatment and results or special categories of these can be displayed through the terminal so that the Sister can see which tests have already been run and how their results and, if necessary, what trends can be expected.

The course of treatment for each patient is obtained after one patient code number has been entered. As a security measure, they will correspond The data is only transmitted when a code has been entered which is the Sister is assigned. The same portable terminal can be made by the sister of Patient to patient will be worn on the respective patient with the local Area network connected, with the appropriate connections near the bed of the patient are arranged. The number of terminals required is relative small and limited to the number of sisters on duty. There the exact treatment procedure can be called up and displayed by the nurse at any time can and because the test results and the medication administered di can be entered directly into the terminal at the point of care, the Intermediate step of taking written notes and doing this resulting errors.

Because all entered data is saved together with the time of entry including corrections made to the input data the entire course of treatment for a patient is permanently regi  strictly.

Since the entire course of treatment is prescribed by a computer, including the amount and type of medication to be administered it is possible to use a central computer to store the materials, medicines and the ar automatically register the effort required, separately for each pa served. With a hospital administration computer it is possible to get an exact Create a cost statement for each patient.

The station with which the terminal communicates has a central library, in which all tasks related to patient care are predefined are. The library is an electronic data storage in which all sorts Tasks related to patient care are defined. Each the This task is hereinafter referred to as a "measure", in agreement with the measures as described in the aforementioned article. Each Measure contains a set of "attributes". For this pool of measures will take special measures regarding the treatment of a particular patient selected, which form a group of measures and which all supervise Define measures for a specific patient in an electronic Cardex can be saved. This group of measures or one or more Groups of groups of measures are transmitted to the terminal. The Schwe ster only needs to go through the list of measures for a specific patient to call up the terminal, which is then shown there on the display. The Results of tests are sent to the terminal immediately after they are run entered, according to the list of measures displayed at the terminal.

It should be mentioned that the patient tasks described above can be easily modified are to take into account the result of the treatment procedure since then.

The saved measure definitions are common for several patients used. Attribute definitions that define the measures themselves shared by several measures.

An embodiment of the invention is described below with reference to the drawings explained in more detail. Show it:

Fig. 1 is a Blockdiagrarnm of the overall system;

Figure 2 is a more detailed block diagram of specific parts of the system of Figure 1;

Fig. 3 is a plan view of the Ter used at the location of the care measure and

FIG. 4 shows a block diagram of the terminal according to FIG. 3.

Figure 1 is a block diagram used to illustrate the invention. A central computer station 1 , which serves as a nursing station, has a printer 2 , which is connected to the computer station in a known manner, and a memory 3 , 3 A. The computer station is connected to a local area network 4 . The local area network is connected to local branch area networks 6 via bridges 5 , each branch area network ending at connections 7 , which are preferably each arranged near a patient bed. The branch area networks are preferably organized according to guard stations, so that the branch area network 6 shown on the left in the drawing serves as nurse guard station 1 and the branch area network on the right hand side serves as nurse guard station 2 .

Each sister carries a point care terminal 8 which is equipped with a plug 9 which can be inserted into any of the connections 7 .

A hospital management computer 10 which communicates with the station 1 can be connected to the local area network 4 .

If a nurse makes her rounds or otherwise looks after a patient, she plugs the connector 9 of her terminal into connector 7 , which is close to the patient. A list of care measures is displayed. She delivers medication, carries out tests and enters the amount of medication administered and the result of the tests into Terminal 8 . In the list of care measures, a list of the medication and the tests is displayed on the display device of the terminal 8 , which is called up by the nurse by pressing certain buttons on the terminal. The quantities of medication administered and the results of the tests are entered accordingly by pressing the pushbuttons of the terminal. This data is transmitted to Terminal 1 for storage in memory 3 .

A block diagram illustrating certain of the above elements is shown in FIG. 2. The nursing station 1 with its associated memory 3 , 3 A is connected to a terminal 8 in the manner described above. The nursing station is also connected to the printer 2 , which, under the control of the nursing station 1 , prints reports 10 , which can include a list of the entire course of treatment of the patient, including the times, when medications were administered and in what quantity, where, with these data 3 A are stored in the memory. This report data is still accessible to the hospital administration computer, which is connected to the nursing station 1 via the local area network 4 , so that for administration purposes an identification of the medication and its quantities, the workload of the nurses, further work and the devices used can be recorded.

An important aspect of the present invention is the organization of the memory 3 . The nurse can be effectively informed about the care measures to be taken via this memory. She can still enter the results mentioned above without having to use the medical nomenclature.

This organization enables the terminals 8 to be used effectively. The memory 3 is divided into memory elements 12 , each of which contains a data signal that identifies a patient care measure. The entirety of these elements defines a care element library 11 which contains data signals for identifying all possible care measures. These measures define the smallest unit of message content of care or work that can be performed on a patient. Each measure consists of a set of attributes that describe the individual properties of a measure, as well as standardized nursing notes, as will be described later.

Examples of care measures are pulse, blood pressure, oncological tests tion, physical and social definition, digestive system, use of heat and cold, cardiovascular system, hemotological system, neurological system, Sauer saturation etc.

The memory 3 also contains memory elements 12 A, which contain data signals that define the generic attributes that are represented by an attribute library 13 . The attribute library storage elements contain data which represent, for example, the location, the temperature, the degree of assistance, duration, frequency, name of the test, changed physical appearance, food volume, food frequency, method of provision, food recording frequency, patient position, volume taken, etc. Each care element is connected to several attribute elements which define the care element. By establishing a generic library of care element attributes, many of which are used together to define specific care elements, an extensive library for defining each care element and attribute, each of which is separately defined for a patient, is not required. Since each separate care element and each separate attribute does not have to be defined for each patient, the risk of errors in defining them is largely avoided.

An example of the connection of standardized care elements to standard for the supervision element "temperature"  the care attributes "location" and "value". For the care element "blood pressure" are the attributes "diastolic" (pressure), "systolic" (pressure) and "location" (the Measurement). The attribute definitions for the diastolic and systolic pressures indicate that these pressures require numerical values in a specific range. The attribute definition for the location includes a list of the possible, applicable ones Places.

If a patient is admitted to the hospital, the course of care is determined by a doctor. The nurse at the nursing station 1 reserves part of the memory 3 , hereinafter referred to as the patient's electronic cardex 14 . If, for example, a patient is admitted for a gallbladder operation, an electronic cardex 14 is reserved for him, which is set up specifically for this patient A by the nursing station 1 . The Fig. 2 further shows a Kardex for the patient B, and another for the patient C.

The ward nurse reads the care history from the doctor's notes and then gives due to their expertise and work flow in the hospital enter a data signal into a cardex memory cell for this patient, which identifies the first care element, for example a special diet before the operation, which uses the attribute definitions to define a near rungs diet includes. The second care element specifies the hourly physio logical determination, the third care element is blood pressure every four hours, the fifth care element can be the administration of special tranquilizers which are administered at six in the morning on the day of the operation, while the seventh element of care is transporting the patient to the Opera at seven in the morning. The next care element can observation of the patient every ten minutes after surgery Duration of three hours, while the next care element is one Blood pressure measurement every half hour for the first three hours after Operation includes.  

Of course, the invention is not limited to sister-oriented work, much it can extend to all clinical activities to be carried out.

A part of the memory 3 is thus assigned to the special treatment process of a patient, the treatment process being formed from care elements, each of which is formed from care attributes which are selected by the care element library 11 and the care attribute library 13 , which are shared by each of the care elements the patient cardex can be used. The result is that each patient is assigned their own electronic cardex. The storage elements in each of the Kardex 14 can easily contain control connections to storage elements 12 which define the special care elements. Each support member defined by a memory element 12 may be associated with different Betreuungs attributes which are defined by data in the elements 12 A of the attribute library. 13 In this way, a significant storage space can be saved, and at the same time the patient's own individual treatment process is clearly specified.

In operation, the sister connects her terminal 8 to the network, as described in connection with FIG. 1 and gives certain identification indices of the particular patient to be treated and her personal identification code. Then the nursing station 1 accesses the memory 14 and causes the display of a list of care measures of the patient concerned on the display of the terminal 8 . The nurse then sees which tests are to be carried out. The sister can continue to receive a display of the full history of the childcare elements.

The sister continues to select special categories of care elements, which are defined in the card 14 and are displayed in the terminal 8 , as will be described later.

Fig. 3 shows a special form of a terminal. 8 This terminal 8 has a liquid crystal display 15 and a plurality of pushbuttons, for example computer-like keys 16 and special function keys 17 and 18 .

When the nurse has plugged the terminal 8 into the port near the patient as described above and communicates with the nursing station 1 as described above, she then presses a key of the group of keys 18 which is labeled "VITALS". A specific data code, which is stored in a ROM of the terminal, is then transmitted to the care station 1 . The computer of the nursing station accesses certain storage elements in the card 14 , which are assigned to the "VITALS" care elements for the identified patient. Data for displaying the "VITALS" are transmitted from the nursing station 1 via the network 4 and 6 to the terminal 8 , which only displays the "VITALS" tests from the special patient card 14 on the display 15 .

For example, the display 15 shows the "VITALS" tests for blood pressure (BP), pulse (P), temperature (T) and respiration (R) combined with their corresponding attributes, such as <BP (L) Brachial Lying # ##. ### mmHG, <P Left Radial ### / min normal, <T Oral ##. # ° C, <R ### / min Regular Apnea. The nurse recognizes that she should measure the blood pressure on the left arm when the patient is lying down and that the blood pressure values are entered numerically in mm mercury column for both the diastolic and the systolic measurement.

The pulse is to be measured in the left radial position and numerically as pulse per Enter minute. The temperature should be measured orally and should be numerical can be entered as degrees Celsius. The breathing rate must also be checked and enter numerically as breaths per minute.

The above results are entered using the keypad 16 by means of a direction pointer into the corresponding locations on the display defined by the indexes #. The special positions on the screen, where the values are to be entered, are controlled by a four-way arrow key 17 . which controls the position of the DF pointer on the display screen.

Instead of a bearing pointer, it is also possible to shade the selected attribute symbol bols can be used.

The screen is preferably divided into three areas. The upper area identifies the patient by name, gender and identification code and is also used to identify the doctor in charge. These data are transmitted to the terminal 8 by the nursing station 1 after the nurse identification code (passcode) has been transmitted. However, another type of display can be used, such as a channel display.

The second, central area is preferably used to display the command information and the care elements from the nursing station storage. This area will continue to be used to enter and display the results of the tests This area will continue to be used to initially prompt the Enter the identification codes of the nurse and the patient in the terminal, after it is connected to the network.

The third, lower area is a dialog area and is preferably used for information the sister about previous test series, such as the data and the Time of a special, previous measure, the display of the name the previously treating sister, the scheduled frequency of tests and others Information entered at the nursing station. The third area is typically the information area for the sister.

If the nurse wishes to receive a list of the medications to be administered for the already identified patient, she presses the "MEDS" key, whereupon a corresponding code is transmitted from the station 1 terminal. The station 1 accesses the storage locations of the "medication" care measure in the cardex assigned to the patient and transmits these care elements with the associated attributes to the terminal 8 . The list of medications is displayed on the screen 15 , as described in connection with the "VITALS", so that the nurse then administers the corresponding medications.

Immediately afterwards, she enters the amounts of the individual drugs administered at the corresponding indices ##. In this way, various special groups of care elements can be selected by the electronic cardex of the special patient and made visible to the nurse, who in turn reports the result of the tests and the amount of the elements administered to station 1 . The data entered in the terminal is temporarily stored in a local memory of the terminal and is transmitted to the nursing station 1 when the nurse presses the "DONE" key.

The preferred groups of care elements, which are determined by the functional The most called up and displayed on the screen are labeled VI- TALS, I / O (input and output), MEDS, TX (treatments), ADL (activities and daily life), TESTS, ASSESS, ED / COM (education and communication tion), PT SUM (patient profile information), RESULTS and ORDERS (functions determined by care elements).

A "CALC" key is pressed to convert the numerically entered values into display values, which is done by the local ROM of the terminal 8 , so that the entered numerical values and the results of certain calculations are shown in the display field 15 , for example in the lower right Corner of the middle field.

If station 1 receives the various data from terminal 8 , it is stored in the terminal's memory with the corresponding patient cardex in association with a time mark generated in memory 1 . These dates and times can be formulated as a report and printed out via printer 2 .

The preferred structure of the terminal 8 is shown in FIG. 4. A microprocessor 20 is connected via address and data buses 21 to a read-only memory in the form of an EPROM 22 and a direct access memory 23 .

The keypad 24 , which includes the numeric input function keys 16 , the special function keys 18 and the arrow key 17 , is also connected to the microprocessor. Furthermore, the liquid crystal display controller 25 , which in turn is connected to the liquid crystal display 15 , is connected to the microprocessor.

Furthermore, a bar code reader 26 is provided, which is connected to the control circuit 27 , which in turn is connected to the bar code decoder 28 , whose output is applied to the buses 21 . A serial communication control circuit 29 is connected to the plug 9 .

The terminal 8 can be supplied with power in different ways. For example, a power supply 30 can be provided which has rechargeable batteries which are charged by connecting to a power source. Alterna tively, the power supply 30 may be connected to a supply connector 31 to the low voltage supply (24 to 26 volts DC) of the Hospi tals may be connected. The power supply 30 serves to supply the components of the terminal.

The terminal 8 works as follows: After inserting the plug 9 into a connection 7 near the patient's location and after switching on the power supply 30 , the microprocessor executes an initial program which is stored in the EPROM 22 . The microprocessor sends a signal to the LCD control circuit 25 which causes the liquid crystal display 15 to display the three fields of the display. The microprocessor continues to send a signal to the computer station 1 . The computer then prompts the nurse to enter the patient's code, for example 47836, and her own identification code along with a passcode in keypad 24 . This data is received by the microprocessor 20 , which causes this data to be displayed via the control circuit 25 in the display 15 . The entered data are still stored in RAM 23 . The patient code and the nurse code are preferably shown on the display, but not the nurse's passcode.

The nurse then actuates the "DONE" key on the keypad 24 , whereby the microprocessor 20 calls up a transmission program from the EPROM 22 , as a result of which the data entered by the sister and stored in the RAM 23 are transmitted to the station 1 , which is done via the serial communication control circuit 29 . The station 1 registers this data in its memory 3 A and executes a program in which the validity of the passcode is checked for correctness. If this is correct, then a validity signal is transmitted back to the terminal via the control circuit 29 and is displayed on the display 15 under the control of the microprocessor 20 via the control circuit 25 .

Each nurse code can be stored at station 1 in connection with one or more patient names, so that, for example, only certain nurses are authorized to receive a list of care elements that they are suitable and authorized to carry out for the particular patient. This represents a safety measure for the patient, since this ensures that nurses only carry out work on the respective patient for which they are qualified.

After receipt of the authorization signal by the terminal, the code of which can be stored in the RAM 23 , the microprocessor 20 gives the authorization to use the special function keys 18 to call up a special function list of the care elements from the station 1 , which is achieved by accessing the patient Tenkardexteil the memory 14 takes place. After pressing a function key, a code stored in the EPROM 22 is sent to the station 1 , which determines the memory elements in the memory 14 which are to be activated. The resulting care elements and attribute data are supplied via the local area network from the station 1 via the serial communication control circuit 29 to the microprocessor 20 , which causes this data to be displayed via the control circuit 25 in the central region of the display 15 . As already described, after looking at the list displayed in the middle area, the nurse can select any grouped type of care elements, such as VITALS, MEDS, ADL, ACCESS, PROFILE or TESTS, by selecting the function keys 18 . If groups of care elements are selected by pressing a function key, the microprocessor 20 retrieves a specific corresponding code from the EPROM 22 and effects its transmission to the station 1 via the control circuit 29 . The station 1 selects the special type of care elements together with the element attributes from the electronic card 14 and the libraries 11 and 13 , as defined by the memory 3 , and transmits the code via the control circuit 29 to the terminal 8 for display there on the Display device 15 .

As previously mentioned, the data entered via the keypad 24 are temporarily stored in the RAM 23 by the microprocessor 20 and then transmitted to the station 1 when the "DONE" key has been pressed. A microprogram stored in the EPROM 22 causes the microprocessor 20 to access the data stored in the RAM 23 in order to transmit them to the station 1 , where they are stored in the local memory 3 A in order to convert them into a report and via the printer to be able to print.

In order to speed up the data transmission and to avoid errors, it is possible to encode the patient code, the passport code of the nurse and the doctor's code as bar codes and to read them from the bar code reader 26 . The nurse reads the patient code and possibly the doctor's code from the bar code of a patient's plate, while she reads her code from her own identification plate. About the control circuit 27 and the decoder 28 , the bar codes detected by the reader 26 are converted into parallel bus signals and supplied to the microprocessor 20 .

The general operation of the microprocessor and its peripheral circuits are known and described, for example, in the publication "Microcompu  ter Primer "by Mitchell W. Waite and Michael Pardee, published by Ho W. Sams & Co. Inc., Indianapolis, Indiana. The special programs for Execution of the algorithms described above can be performed using the be published by an average specialist.

Instead of the display described above and shown with reference to FIG. 3, other displays can also be used. For example, lists can be made available by entering certain numerical codes or by providing other special function keys, which, for example, reproduce all the patient's blood pressure values during the entire treatment period, including all time data. This makes it possible to estimate the course of the treatment, for example whether the blood pressure values are subject to fluctuations or are essentially constant. The attributes that form the various care elements can contain upper and lower limit values, so that when the corresponding data have been transmitted to station 1 , they can compare them with the limit values and then generate an error or alarm signal to the terminal is returned. The nurse can then enter the correct data again or recognize that there is an emergency situation.

Station 1 can also transmit a list of standardized comments to the terminal, which can be called up by pressing the arrow pointer or by pressing certain keys. An example is shown in FIG. 3 with the indication "patient not cooperative".

The sister can also send auxiliary instructions to station 1 in conjunction with a special care element. This applies, for example, to the special execution of test procedures or if it is unsure about the indicated display of the amount of medication to be administered. In this case, she can call up the range of the acceptable dosage.

The above-described terminal and the operating method of the system facilitate this work to be done by the sisters. It becomes the specified treatment  the patient's history and the data determined by the nurse are also easily and safely recorded with regard to their times. The Sister will have a complete list of mandatory care items that are provided for the special patient, they can be spe Select specific care elements for display and thus on the use renounce own records. Recording the results of the tests and the type and amounts of medication administered are immediately recorded which, by avoiding intermediate recordings on paper, False records and incorrect readings as well as double medication ver be avoided. Warning signals can be sent to the sister if values can be entered that are outside an allowable range, making possible Errors in the implementation of the care measures are significantly reduced the.

The terminal can be used by a single nurse to care for many patients be used so that it is not necessary to provide one terminal per patient.

Since the standardized library of care elements and care attributes is used universally and this is recorded in the memory for all sisters across the entire hospital, there is no possibility of incorrectly entering names of tests or medications, since their determinations are generated automatically. The above advantages are obtained by the formation of the memory, in which electronic cardexes are created specifically for each patient after the course of treatment has been determined by the treatment team, and in which the cardexes are formed outside a library or a pool of standardized care elements. Since the different care elements are used in common for many patients and the different care elements share the different attributes, an economical memory structure is created using the standard of predefined and pre-defined care elements and attributes. Through the data input of the sister in a simple manner at the place of carrying out the tests, the administration of medication and other care functions and through the use of standardized care elements and attributes, it is not necessary for the sister to carry out the functions performed by her, for example on a tape speaks. The hospital computer system also benefits from the nursing station 1 , since the values determined by the station are available, such as lists of the materials currently used, the medication currently used, the work currently being carried out, the equipment used, etc. This makes the hospital information system more transparent by identifying standardized costs, simplifying the billing system, updating the calculation of laboratory, material and treatment costs for each patient and making it possible to compare the actual and the estimated costs. Material procurement and management also make medication and the workflow easier to control.

Claims (12)

1. Method for the care of patients in a hospital with a central computer, in which the standardized care measures carried out on a patient are entered and stored specifically for the patient, characterized in that the central computer ( 1 ) has a memory in which a library is stored , whose data define a large number of patient care measures, from which data those are selected that correspond to the care measures for a specific patient, a terminal is provided and can be connected to the central computer into which an identification code for identifying a group of care measures is entered for the special patient, after receiving the identification code the central computer transmits to the terminal a group of data that corresponds to the group of care measures, this group of data is displayed at the terminal, result data be entered into the terminal and transmitted to the central computer via at least part of the group of support measures carried out and these data are stored in the central computer for later access. 2. The method according to claim 1, characterized in that in the memory a library of data is stored that is caring for the patient The measure measures attributes correspond to and define the patient names predefined attributes are selected. 3. The method according to claim 1 or 2, characterized in that together the time of each with the result data in the central computer Data entry is saved. 4. The method according to claim 3, characterized in that at a Kor correction of the result data as well as the time of the original input  the result data as well as the time of entry of the corrected results nis data is saved. 5. The method according to any one of claims 1 to 4, characterized in that a request signal is generated at the terminal that a request the listed history defines at least one care measure, this request signal is fed to the central computer, this one time follow-up group of data from this care measure and the terminal feeds and this time sequence group of data in the sequence of their input time points are shown on the display of the terminal. 6. The method according to any one of claims 1 to 5, characterized in that that a group of data groups defining a main measure is selected, these data signals are fed to the terminal and there at the on show different measures are shown, different, each other associated tests to be performed on the patient. 7. The method according to any one of claims 1 to 6, characterized in that that the central computer can be connected to a hospital administration computer, which are stored by the central computer, which min Most of the drug consumption, materials and workload of Be care measures concern every single patient. 8. The method according to any one of claims 1 to 7, characterized in that in an index for each patient an electronic map of data signals, which is a group of individual patient names Define care measures, each care measure by means of a agreed collection of possible attributes is defined and each attribute one Represents property of the measure. 9. The method according to claim 8, characterized in that the electronic Map by selecting patient care measures from a library  thek created by the care measures stored in the central computer becomes. 10. The method according to claim 8 or 9, characterized in that each Measure consists of at least one predefined attribute consisting of egg a group of summarized attributes is selected. 11. The method according to any one of claims 8 to 10, characterized in that that response data is entered into the terminal based on its display corresponding to the results of tests performed on the patient the measure attributes in an individual care program to meet. 12. The method according to any one of claims 8 to 11, characterized in that that the selection of groups of individual patient care measures This is done by operating switches on the terminal that are for special Types of care are provided.