FR2904719A1 - Personal portable data terminal e.g. personal digital assistant, for medical management system, has interface permitting associate to establish communication with server and to enter data/parameters to constitute/update records using link - Google Patents

Abstract

The terminal (T1) has a communication link (L) e.g. Bluetooth link, with a controlling module (MP) to control a remote medical management application (AGM) loaded in an application server (S). The module has a man machine dialog interface (I) permitting each associate e.g. physiotherapist, to establish communication with the server and to enter data or parameters to constitute and update patient`s electronic records in the application using the link. The interface displays information fields on a screen of the terminal according to a tree structure rolled in the form of menu.

Description

 POCKET TERMINAL AND MEDICAL MANAGEMENT SYSTEM USING THE SAME

SUCH POCKET TERMINALS

The invention relates to a pocket terminal and a medical management system for a hospital or clinical center using such terminals.

To ensure better monitoring of all information relating to hospitalized patients in a hospital or clinic, it is more common to use a computerized management system. The information managed by such a system may be in the form of parameters (i.e. variables) or data relating to medical events. The management system is thus able to provide a record of all the events that have been recorded and to improve the medical follow-up of the patients as well as a better management of the data of the hospital. In addition to managing patients' data, such a system can provide a global view of the hospital's administrative management and thus optimize it.

These systems are built around computer stations PC types located in each service, connected to a central station. The central station is an application server in which an implementation management application program is loaded.

To update the management application of the central server, that is to say to record data or to record parameter values relating to different events and in particular to medical events concerning patients treated, medical or paramedical personnel

Ref: 0224-MEDEC

Inventors. -Gilles Pezard & Stéphane Kozasey must go to a free position in his department and enter data for each patient examined.

However, the medical or paramedical staff does not have much free time to perform operations of updating the management application. The medical staff can already have difficulties at this level, since this supposes the availability of equipment at the appropriate time.

Thus, this solution has a disadvantage because it forces staff to ensure the availability of a station, which can create disruptions in the service and possibly errors since the data or parameters are not systematically introduced into the application during or just after a patient's visit. In addition, medical management applications existing to date are not easy to use and require, for good exploitation, knowledge of the computer tool that implements them.

In addition, the majority of the data or parameters to be entered must be entered on the keypad of the telephone: for example the dates of the patients' entries and exits, their identification, the medical reason for their entry, the doctor in charge of the patient, his daily medical follow-up

(data type medical procedures, nursing etc.). This work is long and tedious and transforms the medical staff into administrative agent or data entry operator.

Moreover, as these operations require a lot of time, and that the staff does not have most of the available time, the information is entered either at the end of the day or during time taken to the detriment of the patients. There are therefore risks of forgetting or error insofar as these operations of updating the application are not made under the best conditions.

Ref: 0224-MEDEC

Inventors. -Gilles Pezard & Stéphane Kozasey The present invention aims to overcome these disadvantages.

In order to facilitate the work of nursing and auxiliary personnel in particular by limiting the input of information, while giving them more freedom to know more flexibility in the management of their time, each member of the medical and paramedical staff has a personal pocket terminal equipped with wireless communication means, comprising a module for controlling a remote medical management application loaded into an application server, this control module comprising a human machine dialogue interface allowing each staff member establishing a communication with the application server and inputting data or parameters for building and updating electronic patient records in the server management application by means of said wireless communication.

The control module dialog interface includes information fields for entering data or parameters by means of inputting the terminal, or selecting pre - stored data or parameters on the server by means of wireless communication.

To facilitate and speed up the data entry or the selection of a prerecorded data or parameter on the server and to update a patient's electronic file, the control module dialog displays fields on the terminal screen organized according to a menu tree. A first type of data to be entered for the update of a patient's electronic file is prerecorded in the form of a bar code, the terminal comprises an optical reader which makes it possible to read them to transmit them to the application server by means of a communication. wireless.

Ref: 0224-MEDEC

Inventors. -Gilles Pezarά & Stéphane Kozasey Among these data or parameters to be entered, some or some are entered from the keyboard of the terminal in the corresponding field and are transmitted by the wireless link. A second type of data or parameters to be selected for updating the electronic file of a patient, is recorded on the application server in the form of a list, the dialog interface of the control module having access fields. to select them using wireless communication.

Thus, a doctor or a nurse or a medical assistant can, by means of his pocket terminal, during the visit of a patient, update the electronic file relating to this patient (medical monitoring information) in the application. medical management, by simple selection in the menu displayed on the screen of the terminal, prerecorded information or read by the optical reader of the terminal.

The medical management application can be updated in real time thanks to the wireless link of the terminals. To facilitate and simplify data selection operations or parameters for personnel, the man-machine interface of the control module has several levels with entry by level and category of personnel. For this purpose, the dialogue interface of the control module comprises a first subassembly corresponding to a first level of dialogue said AM doctor application allowing a doctor to view data of the first level (doctor level) relating to a patient and stored on the server and, to communicate new data to the server, a second subset corresponding to a second level of dialogue said APS personal care application allowing a member of the caregiver to view data of the second level (caregiver level) relating to to a patient and recorded on the

Ref: 0224-MEDEC

Inventors. -Gilles Pezarά & Stéphane Kozasey server and, to communicate new data to the server and a third subassembly corresponding to a level of dialogue said APP personal paramedical application allowing a member of the paramedical staff to view data of the third level (personal paramedical level) and recorded on the server and, to communicate new data to the server.

To simplify the management of the personal handheld devices and the work of the personnel, the control module of each terminal comprises all subsets of dialogue, each subset having a security of access.

To ensure access security, the control module of a terminal implements an operation to check access rights previously recorded for each level of dialogue on the terminal.

The physician application level access rights also allow access to the other two levels while the access rights to each of the other two levels are reserved for the corresponding applications.

Other features and advantages of the invention will become clear from reading the description which is given below and which is given by way of illustrative and nonlimiting example and with reference to the figures in which:

FIG. 1 shows the diagram of a management system comprising at least one server and a plurality of personal terminals according to the invention; FIG. 2 represents the diagram of the man-machine interface interface of the control module; , in the form of an organization chart,

Ref: 0224-MEDEC

Inventors. -Gilles Pezarά & Stéphane Kozasey FIG. 3 shows the display screens in correspondence with the user identification step 100,

FIG. 4 represents the display screens in correspondence with the patient identification step 200, FIG. 5 represents the display screens in correspondence with step 300 of the choice of the general functions, in the case of the first level dialogue interface (AM doctors level); - FIG. 6 represents the display screens corresponding to step 300 of the choice of the general functions, in the case of the second level dialogue interface ( nursing staff level APS).

The terminals Ti ... T _N , illustrated in the block diagram of FIG. 1, are pocket terminals equipped with a communication link L and a control module MP of a remote medical management application AGM. loaded in the application server S, to which they can connect through the communication link.

To allow easy installation and simplification of the operation of the entire management system, the handheld terminals Ti ... T _N are preferably personal digital assistant (PDA) type terminals equipped with wireless transmission means. for example WIFI or Bluetooth ™ or equivalent.

In order to simplify the entry of so-called first-type data, that is to say non-pre-recorded data on a database, for example, the name of the patients, each terminal comprises an optical reader LO that is say a laser reading reader of the coded data.

The control module MP of the medical management application of each terminal Ti ... T _N , is presented under the

Ref: 0224-MEDEC

Inventors. -Gilles Pezarά & Stéphane Kozasey form of an application program loaded into memory M of the terminal.

The MP module includes a three-level dialog I man-machine interface, an AM doctors application level, a APS personal care application level

(nurses, caregivers), a personal app paramedical APP level (physiotherapists, occupational therapists ...).

Each level of the dialog interface makes it possible to display on the screen information corresponding to information zones Z1, data fields C1 or C2 action fields. The data fields must be populated to perform data updates or settings of the patient's electronic record stored on the S server.

The dialogue interface I makes it possible to implement dialogue steps as illustrated in FIG. 2. These steps carry the marks 100, 200, 300, 301, 302, 303, 304 and are common to the three dialogue levels. At each step, the control module makes it possible to display successive screens illustrated by FIGS. 3, 4 and 5.

The dialogue step 100 makes it possible to identify the user of the terminal, the step 200 makes it possible to identify the treated patient, the dialogue step 300 makes it possible to have access to predefined general functions, the selection of a function among the predefined functions allows access to different types of data in correspondence with the function prerecorded on the server.

Step 301: The function Al corresponds to the access to the electronic file of the patient,

Step 302: The function A2 corresponds to access to the drug database and to any information concerning these drugs (dosages, contπndications ...),

Ref: 0224-MEDEC

Inventors. -Gilles Pezarά & Stéphane Kozasey Step 303: Function A3 corresponds to access to the database of medical acts. Medical procedures may for example be registered on the basis in a coded form corresponding to the regulations. Step 304: The A4 function corresponds to access to the database of medical examinations. Medical examinations can for example be registered on the basis in a coded form corresponding to the regulations in force.

Of course, the system may comprise a single database for all the different categories of data or separate databases.

The AM physician application level interface allows the physician to view the patient's electronic medical record, search databases via wireless link, drug information.

(medication), to enter in the electronic file of a patient coded data prerecorded on the server in correspondence with a prescription of medical acts, to enter prerecorded coded data on the server in correspondence with a prescription of examinations. All data entered into a patient's electronic record is selected using the IFI Transmission Control Dialog interface.

This data can be viewed by any other doctor taking care of the same patient. Medical, nursing or other personnel with a personal terminal equipped with the piloting software automatically accesses and retrieves the data in order to allow easy medical monitoring. The application level interface personal caregiver

APP, a nurse for example, allows to consult registered information such as the doctor's prescription (s), to carry out nursing acts and the treatments recorded in the form of codes, to search for acts and treatment coded on the basis of data of the doctor.

Ref: 0224-MEDEC

Inventors. -Gilles Pezarά & Stéphane Kozasey server to enter information indicating that the act has been performed. The server thus maintains a patient tracking record viewable by medical personnel at any time. Another paramedical application-level interface APP allows the paramedical staff to consult or enter information for a given patient, on the server database, it may be administrative information for example date of entry to clinic or hospital, attending physician, expected discharge date, all administrative data of the patient.

To enter the application whatever it is, the doctor or the nurse or the paramedical personnel, must enter in the identification field its identifier as illustrated in figure 3. When the identifier is recognized the person can enter at the application level that corresponds to it (doctor for the application doctor, nurse or physiotherapist for the application nurse / physiotherapist).

The patient is identified by entering his name as shown in Figure 4. This input can be performed by optical reading using the terminal, the name which is in the form of a barcode or search on a list stored on the server, called through the terminal's dialog interface. As has been described previously, among the general selectable functions A1, A2, A3, A4 for the AM interface (FIG. 5), and B1, B2, B3, B4 for the APS interface (FIG. and Bl provide access to the patient's electronic record. The A2 medication function makes it possible to search for a drug on a list stored on the server, to detect the possible presence of interaction with other drugs, this function relies on the official RCP and the AFSSAPS and the THERIAQUE dictionary. The search for a drug is carried out using five criteria:

Ref: 0224-MEDEC

Inventors. -Gilles Pezarά & Stéphane Kozasey drug, substance, group of indication, laboratory or therapeutic classification. The B2 function allows access to acts to be undertaken such as programming, that is to say entering a data item, deleting or consulting. Function A3 allows you to record medical records in the patient's electronic record. The medical acts are prerecorded on the server in a list in the form of predetermined codes. Function B3 allows health care providers to record treatments performed in accordance with the medication (treatments prescribed in the patient's electronic file).

The A4 function allows to record in the electronic file of the patient the examinations to practice. Exams are saved in a list as predetermined codes. The function B4 allows to register the examinations carried out by the nursing staff in accordance with the indications present on the electronic file of the patient.

In the same way, the dialogue interface of the APS personal care application or paramedical APP staff, includes fields to be filled in for updating the data or parameters of the patient's electronic file. The present invention enables medical personnel to perform real-time medical computer management of patients from personal laser terminals equipped with an IFI-type wireless link, this in an easy manner thanks to a very man-machine dialogue interface. easy to use, requiring no computer knowledge for users.

The terminals can be networked by the wireless link (WIFI) on which is connected a management server comprising a database. The pilot module of the medical application is implanted in the

Ref: 0224-MEDEC

Inventors. -Gilles Pezarά & Stéphane Kozasey terminals and can be interfaced with existing medical software.

The terminal further comprises a barcode reader so as to be able to enter this information by reading the bar code, when the information has not been prerecorded but is in the form of a barcode printed on a support.

Ref: 0224-MEDEC

Inventors. -Gilles Pezarά & Stéphane Kozasey

Claims (10)

1. Personal pocket terminal (Tl, T _N ) provided with wireless communication means (L) comprising a control module (MP) of a remote medical management application (AGM), loaded into an application server (S), this control module comprising a man-machine interface interface (I) allowing each staff member to establish a communication with the application server (S) and inputting data or parameters for constitution and updating of electronic patient records in the server management application by means of said wireless communication. 2. Personal pocket terminal according to claim 1, characterized in that the dialogue interface (I) of the control module (MP) comprises information fields for entering data or parameters by terminal input means, or by selecting prerecorded data or settings on the server using wireless and real-time communication. Personal pocket terminal according to claim 1 or 2, characterized in that the control module (MP) displays fields (C1, C2) on the screen of the terminal organized according to a tree structure that takes the form of a menu allowing entering data or selecting a prerecorded data item or parameter on the server and updating a patient's electronic record. Personal pocket terminal according to one of the preceding claims, characterized in that Ref: 0224-MEDEC Inventors. -Gilles Pezarά & Stéphane Kozasey includes an optical reader (LO) which makes it possible to read data of a first type, prerecorded in the form of a bar code, for transmitting them to the application server (S) by means of wireless communication and updating the electronic file of 'a patient. 5. Personal pocket terminal according to any one of the preceding claims, characterized in that data or parameters to be entered of a second type, are entered from the keyboard of the terminal CL) in the corresponding field and are transmitted by the wireless link. 6. Personal pocket terminal according to any one of the preceding claims, characterized in that the control module (MP) makes it possible to display on the terminal screen access fields making it possible to select by means of the communication without wire, data or settings stored on the application server as a list, to update the electronic record of a patient. Personal pocket terminal according to one of the preceding claims, characterized in that the control module comprises a multilevel man-machine interface (I) (AM, APS, APP) with a corresponding level entry. with the category of personnel. 8. Personal pocket terminal according to claim 7, characterized in that the control module comprises a corresponding first subset (AM) at a dialogue level called doctor application allowing a doctor to view first level data (doctors level). ) registered for a patient on the server and, Ref: 0224-MEDEC Inventors. -Gilles Pezarά & Stéphane Kozasey communicating new data to the server, a second subassembly (APS) corresponding to a dialogue level said personal care application allowing a member of the nursing staff to view second level data (personal care level) recorded for a patient on the server and , to communicate new data to the server and a third subassembly (APP) corresponding to a paramedical level called paramedical personal application allowing a member of the paramedical staff to view third-level data (paramedical personal level) registered for a patient on the server and, to communicate new data to the server. 9. Personal pocket terminal according to claim 8, characterized in that the control module (MP) of each terminal comprises all subsets, each subset having an entry whose access is secure and in that it comprises means for implementing an operation for verifying the access rights previously recorded for each level, on the terminal. 10. Medical management system characterized in that it comprises at least one application server (S) comprising in memory a medical management program, said server being connected to at least one database (BD), the system comprising furthermore, a plurality of personal pocket terminals (T1, T _N ) able to communicate with the server, according to any one of the preceding claims. Ref: 0224-MEDEC Inventors. -Gilles Pezarά & Stéphane Kozasey