Nursing and care diary recording system

Abstract

This invention provides a nursing and care record system that allows nursing and care records to be created efficiently with simple operations. [Solution] The nursing and care record system of this invention comprises a smart speaker (23) installed in the room of the person being cared for, an internet communication means (4) connecting the smart speaker (23) to a cloud server (7), and the cloud server (7) stores AI assistant software (9) that responds to the smart speaker (23) and performs voice recognition and natural language processing, and a care table (11) of items necessary for recording the care services, and in response to calls related to the care service items from the caregiver, the AI assistant software (9) and the care table (11) work together to record the contents of the items in the care table (11) as a care diary.

Description

[Technical Field]

[0001] This invention relates to a nursing and care record system, specifically to a nursing and care record device and system that allows for easy and efficient creation of nursing and care records. [Background technology]

[0002] With the aging of society and the increasing number of elderly, sick, and disabled people, there is an increasing need to monitor and watch over the daily lives and health of those requiring care or those receiving care, not only in hospitals or nursing facilities but also at home. In particular, even when there is a need for monitoring, support, or care, nursing, care, and monitoring services are becoming increasingly difficult to obtain due to a shortage of nurses, caregivers, and facilities, as well as rising costs. Furthermore, as the number of care recipients increases, the burden on caregivers increases, resulting in problems such as overwork and a shortage of personnel. Therefore, it is necessary to make monitoring, nursing, and care services for care recipients as efficient as possible and to reduce the care burden on caregivers and save labor. Note that in the following description of this specification, nursing and care are assumed, but only care is shown as an example. Nursing and care services are collectively referred to as care services, the person providing nursing and care is referred to as the caregiver, and the person requiring care or the person receiving care is referred to as the care recipient.

[0003] Nursing care services include meals, bathing, toileting, vital signs, medication, and other services, as well as ancillary tasks such as writing and reporting a care diary, handovers, and calculating care fees. A wide range of tasks are assigned to each care recipient. These care diaries record information about the care services provided by caregivers for each care recipient, including the time and location of the service, the caregiver providing the service, the recipient, and the specific service content. Furthermore, caregivers must record and report vital signs, medication status, doctor's diagnoses, observations of the care recipient, events that occurred that day, and important points to note when providing care services. Caregivers often spend a lot of time completing these diaries, and being so busy providing care can lead to inaccurate handovers and alerts, often neglecting to accurately record the diary or properly observe and assess the care recipient's condition.

[0004] To reduce the burden and labor required by caregivers, attempts have been made to reduce the burden on caregivers as much as possible by automatically measuring and recording data using various sensors, such as temperature and humidity sensors and vital signs sensors, or by electronically recording data using tablets, smartphones, PCs, etc. For example, Patent Document 1 discloses a technology in which the care schedule and the health condition of the care recipient are recorded in a management data file on a dedicated local server from the user's (caregiver's) terminal, and the room environment of the care recipient is acquired using various sensors and remotely controlled. Furthermore, Patent Document 2 discloses a method in which the nursing care and care content provided are recorded in a central processing unit corresponding to the person being monitored, and the time required for care services and the recorded content are used by accumulating the records and duration.

[0005] Although the disclosed technologies as described above partially improve efficiency by digitizing care data and automating the process using various sensors, the caregiver still needs to bring and operate a dedicated terminal to record the care diary, and the time for each care service needs to be entered when the care service is completed, so the efficiency has not been satisfactory. Therefore, there is a need for a care diary, a care status recording device, and a system that will make care services more efficient, accurate, and comprehensive. [Prior art documents] [Patent documents]

[0006] [Patent Document 1] Japanese Patent Application Laid-Open No. 2016-162053 [Patent Document 2] WO2018-003517 publication Summary of the Invention [Problem to be solved by the invention]

[0007] This invention has been proposed in light of the above-mentioned circumstances, and aims to solve the following problems. (1) To provide a care record device and system that can efficiently record and report care while minimizing the burden on caregivers in providing care services. (2) To provide a care record device and system that enables caregivers to create accurate care diaries. (3) Provision of a care record device and system that supports care services while automatically accumulating and recording the time and results required for care services, and accumulating and analyzing data. [Means for solving the problem]

[0008] In order to solve the above-mentioned problems, the care record system of this invention is a care record system that records the care services provided by a caregiver to a care recipient in a care diary, and is characterized in that it includes a smart speaker installed in the care recipient's room, an internet communication means that connects the smart speaker to a cloud server, and the cloud server stores AI assistant software that performs voice recognition and natural language processing in response to the smart speaker, and a care table of items necessary for recording the care services, and in response to calls related to the care service items from the caregiver, the AI assistant software and the care table work together to record the contents of the items in the care table as a care diary.

[0009] In addition, the care record system of this invention may be a system in which the care table includes physical care items for the care recipient as care service information, and each physical care item has alert judgment criteria for the care recipient, and if the judgment criteria are not met, an alert signal is recorded in the care table.

[0010] In addition, in the nursing care record system of this invention, the cloud server is equipped with a memory and learning means, which can memorize and learn the recorded contents of the nursing care table and can be used to correct errors in the input contents of the nursing care table items or to correct the alert judgment criteria.

[0011] In addition, the care record system of this invention can measure work time for each item recorded in the care table, and the work time for each item can be compiled and recorded in the care table for each care service provided by the caregiver.

[0012] In addition, the nursing care record system of this invention allows alerts and special notes to be entered for each item recorded in the nursing care table, and the alerts and special notes can be recorded together in the nursing care table as handover items each time the caregiver provides nursing care services.

[0013] In addition, the nursing care record system of this invention may be configured so that the smart speaker is installed in a ceiling rosette.

[0014] In addition, in the care record system according to the present invention, the Internet communication means may be connected via a telephone line, a wireless LAN, or a power line communication network located in the room.

[0015] Furthermore, the care record system according to the present invention may be configured so that the care diary is selectively disclosed to the care center manager and related persons of the care recipient selected by the manager. [Effects of the Invention]

[0016] The nursing care diary recording device and system of the present invention can utilize a monitoring system that normally has a function for monitoring the care recipient, thereby significantly reducing the effort required by caregivers to create nursing care diaries, reducing caregiver errors, omissions, and memory errors, and automatically creating nursing care diaries without interrupting nursing care services. Furthermore, the accumulation and analysis of nursing care records recorded and learned through nursing care services can contribute to the efficiency of nursing care services, service improvement, and reduction of nursing care risks. [Brief explanation of the drawings]

[0017] [Figure 1] 1 is a schematic diagram showing an example of the overall configuration of a care record system to which the present invention is applied. [Figure 2] FIG. 1 is an explanatory diagram showing the configuration of a monitoring block applied to the present invention. [Figure 3] 1A to 1D are explanatory diagrams showing examples of the installation configuration of the monitoring block applied to the present invention. [Figure 4] FIG. 1 is an explanatory diagram showing an example of a care diary (basic information) input using the present invention. [Figure 5] FIG. 1 is an explanatory diagram showing an example of a nursing diary (vital sheet) input using the present invention. [Figure 6]1 is an explanatory diagram showing an example of a care diary (eating and excretion sheet) input using the present invention. FIG. [Figure 7] 1 is an explanatory diagram showing an example of a care diary (life support sheet) input using the present invention. FIG. [Figure 8] FIG. 1 is an explanatory diagram showing an example of a care diary (care time tally sheet) input using the present invention. [Figure 9] FIG. 1 is an explanatory diagram showing an example of a care diary (special notes / handover sheet) entered using the present invention. [Figure 10] FIG. 1 is a diagram illustrating an example of a smart speaker processing process applied to the present invention. DETAILED DESCRIPTION OF THE INVENTION

[0018] Hereinafter, embodiments of the care record device and system according to the present invention will be described in detail with reference to the drawings. Note that any explanatory diagrams and drawings described in the following examples are drawn as schematic or illustrative examples for the purpose of explaining the present invention and do not particularly limit the actual system configuration or shape. Furthermore, although examples of services, system configurations, tables, their relative arrangements, and uses of components are assumed to be home and nursing / care records, unless otherwise specified, the technical scope of the invention is not intended to be limited to these.

[0019] Nursing care services include various services such as medical treatment, nursing care, and caregiving in hospitals and nursing facilities, as well as home visits and caregiving services such as helper services.These services cover a wide range, including physical care, vital signs checks, lifestyle support, diagnosis, and treatment, and individual services are required depending on the symptoms and condition of the person receiving care.In addition, these nursing care services are not provided by a single caregiver, but by multiple caregivers who take over the work and provide it continuously.

[0020] These care services require that the details of each service provided be recorded in a care diary, the caregiver's condition be monitored, and reports made to relevant parties, as well as thorough handovers and handovers between multiple caregivers. Furthermore, in the case of home care services in particular, accurate records of the time spent on physical care, daily living assistance, and mobility support are required for purposes of long-term care insurance and disability support benefits. Recording such care diaries as quickly as possible at the time of treatment or service is desirable for accurate records. It is also important to minimize the caregiver's workload and allow them to focus on providing care services.

[0021] FIG. 1 is an explanatory diagram showing an example of a care recording device and system configuration to which the present invention is applied. A caregiver 1 is providing care to a care recipient 2 in a room. A care monitoring block (monitoring block) 3 is installed in the room to monitor the health and living conditions of the care recipient 2. FIG. 2 shows an example of the monitoring block 3. This monitoring block 3 is composed of devices including at least a power supply unit 21, a communication unit 22, and a smart speaker (also referred to as an AI speaker) 23. The power supply unit 31 is powered by an AC power source or a battery in the room. The communication unit 22 is connected to a network (Internet line) 4 via a telephone line, a wireless local area network (LAN), or a power line communication network, enabling the smart speaker 23 of the monitoring block 3 to be network-connected to a care center 5, family members, a family doctor, and other parties 6 required for care monitoring via an external network. The care center 5 is equipped with a monitor means 12, which allows the caregiver 1 to check the status of their care diary entries on the monitor, and also reports the entries to relevant departments and uses them for various insurance calculations. The people 6 involved in the care monitoring also have a similar monitor means 13, which allows them to share and check in real time the care information of the care recipient 1 to the extent necessary under the authority of the administrator of the care center 5, etc. The monitor means 12 and 13 can be any display, such as a PC, tablet, or smartphone.

[0022] Here, in the case of a telephone line used as communication means 22, an IC card called a SIM (Subscriber Identify Module) card is incorporated into the device to connect to external network 4. In the case of a wireless LAN, a transceiver conforming to a standard such as WiFi is incorporated, and data is transmitted to a communication terminal (not shown) for the external network installed in the room, and connection is made to external network 4 via that communication terminal. In addition, since communication across rooms is difficult with this wireless LAN, in cases where it is installed in multiple rooms or in a centralized installation such as in a care facility, communication means 22 can be configured using a power line communication network.

[0023] Furthermore, in addition to the smart speaker 23, the monitoring block 3 can be equipped with sensor blocks suitable for care monitoring, such as a surveillance camera 24, a climate sensor 25 for temperature, humidity, etc., and a vital sensor 26. The connections between these blocks are mainly made by a USB (Universal Serial Bus) cable 27, and each block has a USB input / output terminal 28. Therefore, each monitoring block can be selectively installed depending on the needs and condition of the care recipient 2, allowing care monitoring suitable for the care recipient 2 to be performed.

[0024] This monitoring block 3 can be attached to a power outlet or placed nearby, but it can also be attached to a ceiling rosette attached to the ceiling so that the care recipient 2 can use it on a daily basis without feeling uncomfortable. Figures 3(A) and 3(B) show an example of this, in which a communication block 35, which integrates a power supply means 21 and a communication means 22, and a smart speaker block 36, which has a built-in smart speaker 23, are sandwiched and installed between the body part 30 and lighting part 33 of a ceiling rosette attached to the ceiling. Each block has a hook hole 32 and a hook blade 34 that engage with each other to ensure AC power and to allow for easy installation and removal.

[0025] 3(C) and 3(D) are a cross-sectional view and a plan view of the lighting unit 33, showing the interior. The lighting unit 33 is equipped with multiple LEDs (Light Emitting Diodes) 39 as light emitters, and the LED drivers and color adjustment unit are housed in the cap 31. A surveillance camera 37 (corresponding to the surveillance camera 24 in FIG. 2) is located in the lower center of the lighting unit 33. By incorporating the surveillance camera 37 in the center of the lighting unit 10, it can be configured so as not to affect the light-emitting effect of the LEDs 26 arranged in a ring. Furthermore, by embedding this surveillance camera 37 in the lighting unit 33, it is possible to monitor the daily activities and health condition of the care recipient 2 without the care recipient 2 feeling uncomfortable as if they are being monitored.

[0026] Typically, surveillance camera 37 is configured with a wide-angle lens and a color image sensor (sensor) that can monitor the inside of a room, but if you want to monitor the person being monitored at night or if you want to monitor the body temperature of a sick person, you can use an infrared light sensor or an image sensor with a wavelength band ranging from visible light to infrared light. An infrared light camera with a near-infrared band can function as a night vision camera to monitor body movements and behavior at night, and images in the short-wavelength infrared and long-wavelength infrared bands can function as a thermal camera as thermal images, so such an image sensor can be used to monitor the body temperature and other aspects of the care recipient 2.

[0027] The monitoring block 3 may be used with each block, such as the smart speaker 23, surveillance camera 24, climate (temperature and humidity) sensor 25, and vital sign sensor 26, being detachable as separate units, or the necessary blocks may be attached as an integrated unit. Also, by incorporating a short-range communication device such as Bluetooth into the communication means 22, it is possible to send voice input / output signals to a terminal device installed at the care recipient 2's hand or bedside.

[0028] This smart speaker 23 is an interactive search system that recognizes human voice input via a microphone, and processes such as intent estimation and named entity extraction using a care platform 8 and an AI assistant (or virtual assistant) 9 stored in a cloud server (or cloud) 7 connected to an internet line 4, and can provide an optimal solution using deep learning and AI (artificial intelligence) techniques. The AI assistant (or virtual assistant) here is a search engine that recognizes voice input from the smart speaker 23 and derives an optimal solution response for the voice input using the deep learning and AI techniques. A commercially available AI assistant can be used. The care platform 8 is software specialized primarily for caregiving, and performs these processes in collaboration with a care table and an AI assistant. Depending on the purpose of use, it is desirable to form a nursing platform for nursing services, a training platform for training services, etc.

[0029] This allows the care recipient 2 to simply speak to the smart speaker 23 in the monitoring block 3, giving commands, instructions, and asking questions, and the necessary tasks and operations are carried out as deemed optimal. For example, if the care recipient 2 runs out of regular medication, needs caregiver 1's assistance, wants to communicate with family, or wants to listen to their favorite music, the care recipient can simply speak to the smart speaker 23. Using pre-set contacts and optimal solution programs, instructions to replenish regular medications are sent to relevant parties, caregivers, or family members via the internet or telephone line, and they can automatically respond to the instructions and commands and provide assistance. Furthermore, if this system detects abnormal or emergency situations involving the care recipient 1, such as "Help!", "Fire!", "Thief!", or "I'm in pain!", it will notify the monitoring and care center and relevant parties, enabling faster monitoring and emergency response.

[0030] This monitoring block 3 functions as a monitoring device for the care recipient 2 on a daily basis, but is also used by the caregiver 1 to record a care diary. The monitoring block 3 is connected to the care platform 8 using the configuration described above, and is capable of two-way interactive search and response with speakers (caregivers, care recipients, etc.). Stored within the cloud 7 are an AI assistant 9 that works in cooperation with a smart speaker 23 to process voice input, infer intent, extract named entities, and perform other processes, a memory and learning means 10, and a care table 11 for creating a care diary, and they work together to perform processing.

[0031] 4 to 9 are explanatory diagrams showing examples of each sheet in the care table 11 of the care diary entered by the present invention. This care table 11 shows some of the items to be entered in the care diary for home care, for the purpose of explaining the present invention. The care or nursing items set, the contents to be entered, the criteria for judgment, manuals, formats, etc., differ between group care in a nursing facility and nursing diaries in a hospital. The input items for home care are broadly divided into (1) basic items, (2) physical care items, (3) life support items, (4) service time summary, and (5) special notes and communication items.

[0032] The care table 11 serves as a support tool and guide for the caregiver 1 to create a care diary. In the interactive interactive search system using the smart speaker 23 of the present invention, voice input is converted into text and functions as a guide for intention estimation, behavioral planning, and judgment / instruction processing, as well as risk assessment criteria, and for handover and input error correction. For example, for items entered in the care diary in the care table 11, measurement items such as vital signs, measurement methods, standard values, acceptable ranges, alert criteria, precautions, side effects, cases of onset, and related nursing or care matters are stored as a database according to the age, gender, physical strength, and characteristics (chronic illnesses, past medical history, allergies, etc.) of the care recipient 2. Furthermore, care manuals for each item are provided, which can be used as a help function during caregiving. Importantly, the items recorded in the care diary are commands (recording instructions) sent via the smart speaker 23, so they must be standardized (unified) as keywords.

[0033] The nursing care platform 8 of the present invention also includes a memory and learning means 10, which stores and learns data measured and input for each care recipient and item. This memory and learning means 10 stores data in the nursing care table, allowing for error correction and adjustment of alert criteria, such as determining whether the input values for each item are correct, whether there is a trend toward issuing an alert, and whether nursing care services are tailored to the characteristics of the care recipient 2. In particular, for elderly care recipients 2, it is necessary to provide nursing care services carefully, taking into account not only the physical care item values (such as vital signs) at the time of measurement but also the changes, trends, and past treatments and responses of the care recipient 2. Furthermore, by accumulating such alerts, incidents (near misses), and accidents (mishaps) as data for each individual or for many care recipients, this data can be reflected in improvements and modifications to nursing care services, contributing to their enhancement.

[0034] To record a care diary using the care record device and system of the present invention, basic items for the care recipient 2 are registered in advance in the care table 11 at the time of user registration. These basic items include user (care recipient) information, planned service dates and time schedules, nursing care insurance level of care required, level of support required, disability level and classification, rehabilitation handbook, family and contact information, chronic illness and regular medication information, family doctor information, level and necessary items of physical care, necessary items for daily life assistance, rehabilitation content, allergies and special dietary needs, need for mobility assistance, and requests from the care recipient and family and other related parties. This pre-registered basic information is entered as pre-registered in the corresponding section of each care item in the care table 11. Care diary entry items deemed unnecessary among the basic items are prohibited from being entered in the care diary, and only items required for home care can be entered.

[0035] Figure 4 shows a basic information sheet 40 for home care for a care recipient 2. It is created for each care recipient 2 and entered by the caregiver 1. The information is pre-registered based on the information entered at the time of pre-registration, and includes the known service provision date (scheduled date) 41, service provision time (scheduled time) 42, name of caregiver 43, type and grade of long-term care insurance, and service category 44, which defines disability level and support category. If the information has changed at the time of service provision, it is corrected and entered. Furthermore, the time required for physical care, daily life support, and boarding and disembarking assistance based on long-term care insurance, categorized by service type 45, the time required for each assistance based on the Comprehensive Support Benefit for Persons with Disabilities, and the time required for self-paid (self-pay) portions not covered by insurance or benefits (collectively referred to as service time 46) are automatically tallied and entered within the system after the completion of care services based on the care services provided on the physical care sheet and daily life support sheet described below.

[0036] FIG. 5 shows a portion of a physical care and vital signs sheet 50 for the care recipient 2. The vital signs 51 for the care recipient 2 include body temperature, heart rate (or pulse rate), blood pressure, respiratory rate, and SpO2 (oxygen saturation), and the recorded vital signs are acquired. The vital values of the care recipient 2 measured by the caregiver 1 are entered in the measurement value column 52 using the smart speaker 23. Note that if a vital sensor 26 or an infrared monitoring camera 24 is attached to the monitoring block 3 and can measure heart rate, respiration, body temperature, etc., the measured values can also be used for these vital signs.

[0037] The procedure for entering the care diary using the smart speaker 23 is as follows: When the caregiver 1 calls out a wake word (e.g., "Let's start caring for Mr. / Ms. XX!") that has been registered in advance in the caregiver's voice to the smart speaker 23 in the user's monitoring block 3 at the time of home care, the speaker 23 emits a response word (e.g., "Start caring for Mr. / Ms. XX!"), the speaker 23 goes into standby mode for recording in the care diary, and at the same time, measurement of the care time begins. The responsible caregiver 1 proceeds with the care work according to the normal care procedure. Meanwhile, the caregiver 1 is free to proceed with the care work as he / she wishes.

[0038] When entering a specific item in the care diary, a pre-registered command word is called out followed by a predetermined keyword. Most voice command controls start tasks in response to the voice of the caregiver 1, so if the caregiver 1's command word is registered in advance, the device will respond to the command word for starting care diary entry and recognize the keyword that follows as an entry item. Each of the vital sign items 51 in Figure 5 is used as a keyword. For example, if care recipient 2 registers "Mr. / Ms. XX's" as a command word and wants to enter care recipient 2's vital signs and body temperature (cell 1·B in Figure 5) into the care diary, caregiver 1 can say "Mr. / Ms. XX's body temperature!" If smart speaker 23 recognizes this, smart speaker 23 will respond with "Got it!" or "This is recording Mr. / Ms. XX's body temperature," or emit a beep (e.g., "Pop!" or "Ding!"). If caregiver 1 measures the body temperature and says "XX°C," the body temperature "XX°C" is recorded in the body temperature column (cell 1·B) of the vital signs column 51 of the care diary and physical care sheet 50, and is also simultaneously recorded in the measurement time column (cell 1·D) at that time. In this case, smart speaker 23 may issue a confirmation message such as "Mr. / Ms. XX's body temperature is XX°C, right?" upon completion of recording.

[0039] In addition to the body temperature, the heart rate, blood pressure, respiration, oxygen saturation (SpO2), and other measurements listed in the vital item column 51 in Figure 5 can also be measured. Simply speak to the smart speaker 23 by saying, "Mr. / Ms. XX's heart rate!", "Mr. / Ms. XX's blood pressure!", "Mr. / Ms. XX's respiration!", or "Mr. / Ms. XX's oxygen saturation!" After a recognition response, communicate the measurement values, and the measurement values will be recorded in the heart rate (cell 2·B), blood pressure (cell 3·B), respiration (cell 4·B), and SpO2 (cell 5·B) of the vital measurement values 52. At the same time, the measurement time 53 is also recorded.

[0040] On the vital sign sheet 50, the previous values for each item are recorded in the previous measurement value column 54 for comparison. The measurement manual column 55 lists the measuring equipment, measurement method, and other important points. Furthermore, the reference value column 56 stores the abnormality judgment reference value, measurement range, and average values according to age and gender, etc. Deviations from the measured value or values outside the reference value are recorded in the alert / special notes column 57. For example, when measuring body temperature, the normal temperature and fluctuation range are recorded in the reference value column 56. If the difference from the normal temperature exceeds a predetermined standard or if a high fever persists for several days, an alert signal is recorded in the alert / special notes column 57, and a handover signal is recorded in the special notes (handover matters) column.

[0041] The alert signal in the alert field 57 is indicated on the vital sign sheet 50 using a color (e.g., red, yellow, etc.) or an alert symbol (e.g., an icon), but when a body temperature measurement is entered, an alert is generated by the smart speaker 23 via a beep or audible alert. An alert signal or handover signal is recorded without caregiver 1's intervention if the measurement is outside the reference value, if the unit is incorrect, or if the measurement is trending upward (or downward) relative to the previous measurement or average. Furthermore, if the measured vital value was not taken at rest but, for example, after exercise or during illness, caregiver 1 calls out to the smart speaker 23, "Mr. / Ms. XX's body temperature, special notes!" After confirmation via a beep or other sound from the speaker 23, caregiver 1 communicates the measurement conditions and any special notes, such as "Mr. / Ms. XX's body temperature, measured immediately after radio calisthenics!" These special notes can also be entered simultaneously with and immediately following the measurement value. For example, if you say to a smart speaker, "Mr. / Ms. XX's temperature is XX degrees Celsius, special notes, measured immediately after radio calisthenics!", that will be recorded as a special note in the caregiver's alert / special notes column 57. If there are no such conditions, there will be no note or it will be recorded as a time of rest, since there are no special conditions or environments.

[0042] Measurement values and special notes for measurement items 51 on the vital signs sheet 50 other than body temperature are also entered using the smart speaker 23 using the same input procedure. Of course, the listed measurement items 51 can be selected or omitted, such as weight and waist circumference, depending on the care situation of the care recipient 2. In addition to inputting measured values such as vital values, depending on the situation, it is also possible to enter values as a three-level or five-level option rather than inputting measured values. For example, unlike the vital signs sheet, the health status of the care recipient 2, such as complexion, physical condition, and mental state, is based on observation by the caregiver 1. Therefore, these health status items can be configured to select one of [good, normal, poor] or can be designed as a level specification on a three-level [1, 2, 3] or five-level [1, 2, 3, 4, 5]. In either configuration, voice input into the nursing diary is similar to the input of vital signs mentioned above. For example, if you say to the smart speaker, "Look at Mr. / Ms. XX's complexion!", "Mr. / Ms. XX" will be recognized as the command word, and if you respond with "You look good!" after the recognition tone from the smart speaker, it will recognize "good" as the complexion item and enter it into the nursing diary.

[0043] When using voice input via the smart speaker 23, vital signs and other information are input in a format that matches keywords, so no command is required when the input ends. The end of the numeric input can be detected almost without error using a standard timeout period (set at 1.5 seconds). However, special notes and other information are entered by the caregiver 1 while assessing the situation, so the timeout period may be longer or shorter depending on the situation. Therefore, the timeout period for end detection may need to be adjusted. For example, if the timeout period is normally set to 1.5 seconds, it can be set to a longer period. For more accurate operation, commands such as "That's it!" or "The end!" may be used to detect the end of the conversation.

[0044] FIG. 6 shows an example of a meal and excretion sheet 60. The meal and excretion care items 61 list the necessary care items. The meal care column 62 is configured to allow the user to input the eating status as a choice between [eaten everything, eat a medium amount, eat a little]. The care manual column 64 lists the restrictions and points of caution for the care recipient 2 related to meals (thickened food, chopped food, special diet, allergens, meal amount, likes and dislikes, swallowing, skipping lunch), etc., and the caregiver 1's speech to the smart speaker 23 related to these keywords is entered and recorded in special notes 65.

[0045] The method of inputting care information using the smart speaker 23 is basically the same as inputting information into the vital sheet 50 described above. When you say to the smart speaker 23, "Lunch for Mr. / Ms. XX!" and after a recognition response such as a beep, you input "Eaten everything, but has swallowing tendencies!", "Eaten everything" is selected from the options in the eating and excretion status field 63 of the meal care field 62, and "Swallowing tendencies" is noted in the alert and special notes field 65. Also, if you set an alert using a keyword to indicate if the care recipient 2 has swallowing tendencies, an allergic reaction, vomiting or diarrhea due to eating, etc., an alert signal is entered in the alert and special notes field 65.

[0046] The excretion care field 66 is configured to allow the user to input the number of times a day the user defecates, urinates, etc. In addition to the number of times, more detailed information about excretion, such as the hardness, looseness, and color of the stool, can be recorded as necessary conditions for recording by observation or audio recording, and special notes or alerts can be entered in the alert / special notes field 65. Voice input into the excretion care field 66 using the smart speaker 23 can also be initiated in the same manner as above by starting the care diary input command word (e.g., "Mr. / Ms. XX") + item (e.g., "defecation"), and after a recognition response from the speaker 23 (e.g., a beep), a numerical value (e.g., "one defecation") is input by voice, and the number of defecations is recorded in the defecation cell (13·B) in the excretion care field 66. Furthermore, if a special note about the defecation status (e.g., "slightly constipated") is subsequently spoken, it is recorded as a special note in cell (13·E).

[0047] Other care items besides the vital signs sheet 50 and the feeding and toileting sheet 60 include grooming (shaving, perming, teeth brushing, nail clipping, etc.), bathing (face, full body, etc.), bathing assistance, positioning (supine, lateral, prone), medication assistance (regular medications, supplements, eye drops, compresses, etc.), sheet changes, functional training (exercises, rehabilitation, etc.), and recreation (walks, recreational assistance, etc.). Many of these are recorded as "yes" or "no" indicating whether or not a care activity was performed. Therefore, other care items 67 are recorded by inputting the item and whether or not it was performed. The input to the smart speaker 23 is "input command + item + whether or not physical care was performed," as in the example above. If there are any matters to be recorded related to a specific item (e.g., required time, handover notes), they can be recorded in the special notes.

[0048] Figure 7 is an example of a daily life assistance sheet 70. Daily life assistance must be recorded separately from the above-mentioned physical care, as it is subject to different applications, such as nursing care insurance and disability support benefits. Recording the hours of service is important for most of the records on this daily life assistance sheet 70. Daily life assistance can be broadly divided into housekeeping assistance 71, accompanying assistance 72, and substitute assistance 73. Housekeeping assistance 71 includes cleaning (bedroom, kitchen, toilet, bathroom, etc.), cooking (breakfast, lunch, dinner, etc.), shopping (daily necessities, food, regular medications, etc.), and supervision (checking fire prevention, gas, locking doors, taking out the trash). Accompanying assistance 72 includes accompanying the care recipient 2 on walks (accompanying on walks, accompanying to the government office, accompanying to the hospital, etc.) and substitute assistance 73 (filing government office notifications, shopping, handling procedures, etc.) on behalf of the care recipient 2.

[0049] Each daily life assistance sheet 70 includes a care content column 75, a time entry column 76, a details column 77, a cost column 78, and a special notes column for each item 74. The input fields are service hours 76, cost 78, and special notes 79. However, when entering data, the housework assistance 71 activities, such as cleaning, cooking, shopping, supervision, and laundry, are not necessarily performed separately; rather, several tasks are performed simultaneously. For these housework assistance activities, the time and special notes must be entered together. Furthermore, since accompanying activities 72 and proxy activities 73 may involve payments, these must be recorded with clearly separated amounts, such as deposits and advance payments. Therefore, in cases such as home care, voice input is performed in the care diary using a smart speaker 23 at the end of care. The input method and procedure are the same as those for physical care described above.

[0050] Figure 8 shows an example of a total nursing care time sheet 80. For long-term care insurance items 81, service hours are calculated for each item listed in the aforementioned physical care-related sheet and daily life support-related sheet according to the insurance classification and category, including physical care, preventive care, daily life support, and medical assistance. The total is entered in the service hours column 82 of the long-term care insurance sheet 81. If there are advance payments or deposits, the amount is entered in the remarks column 83, but this can be omitted if no monetary payment is received. Similarly, for disability support benefits 84, service hours are calculated for each item listed in the aforementioned physical care-related sheet and daily life support-related sheet, including physical care, intensive home care, accompanying assistance, and housework assistance, and the total is entered in the service hours column 82 of the disability support benefits sheet 84. Furthermore, if services equivalent to a self-paid service are provided, the time provided for general housework and physical care in the self-paid service 85 is entered in the hours column 82. The service hours calculated here are collectively calculated as total service provision hours 86.

[0051] FIG. 9 shows an example of a special notes / handover sheet 90. The special notes entered in the aforementioned vital signs sheet 50, feeding and excretion sheet 60, and daily life support sheet 70 are compiled and entered in the special notes column 94 of the special notes / handover sheet 91. If necessary, the name of the person taking over (the name of the doctor in charge) 95 may be entered depending on the content of the handover. Similarly, the alert items 92 are entered by collating the alert items from each of the aforementioned sheets. These special notes / handover items 94 are entered automatically by aggregating the data from each input sheet, but if there are any additions or corrections, or if the care recipient 2 has requests or matters to communicate to the person taking over, they can be entered using the smart speaker 23 in the same manner as described above, and these will be entered in the message from the user column 93.

[0052] As mentioned above, the monitoring block 3 equipped with the smart speaker 23 functions as a monitoring system for the care recipient 2 on a daily basis, but using this system, the caregiver 1 can record the care diary in real time by speaking to the care recipient 2 verbally while providing care services to the care recipient 2. In addition, the work of entering data into the care diary can be done all at once after the service has been provided, but once the caregiver has become proficient in inputting and responding to voice messages into the smart speaker 23, they can also enter data into individual input fields while continuing to provide care services.

[0053] The care diary entered in this way can be monitored by monitoring means 12 and 13, such as PCs, tablets, and smartphones, owned by the care center 5 and the relevant parties 6, allowing the care center manager 5 and the relevant parties 6 to share care information and check the care status while the home care is being provided. However, since this care information is also personal information and must be strictly managed, the person in charge of management at the care center 5 selects what information to disclose, and only necessary items or items requested by the relevant parties are disclosed to the relevant parties 6.

[0054] Next, the processing process from inputting the nursing care diary to outputting the nursing care diary will be described. Figure 10 shows an example of the processing process of the smart speaker 23 used in the present invention. In Figure 10, voice input is performed using the microphone 150 in the smart speaker 23. The microphone input activation processing means 62 activates the system by speaking a predetermined activation word (wake word). This wake word can be the name of the platform being used or a pre-registered "call word." In the aforementioned home care example, for example, the nursing care diary entry system is activated by speaking, "Let's start caring for Mr. / Ms. XX!"

[0055] The care diary input system (software) is activated by the wake word, and when caregiver 1 enters information into each input item, he or she calls out "command + item name." In the above example, "Mr. / Ms. XX" is used as the command, followed by the "item name" to be entered (for example, when entering body temperature, "Mr. / Ms. XX's body temperature!"). The input voice is filtered out of ambient noise and unnecessary noise by the voice input processing means 163, and the voice is extracted and recognized based on the voice characteristics of the pre-registered speaker's wake word. The smart speaker 23 responds by saying "Got it!" or emitting a beep (for example, "Pop!" or "Ding!"), followed by caregiver 1 entering "Body temperature 35.6°C" by voice.

[0056] The extracted voice is converted into text language by a text conversion process 164. The converted text information is processed by the AI assistant software 9 using deep learning and language search tools to perform an intention estimation processing means 165 and an action design processing 166, which search for and select response candidates that are thought to be optimal solutions to requests, inquiries, etc. based on the input voice information, as well as corresponding actions. In the care diary input system, since the wake word identifies the care diary input, actions to be entered into each sheet item of the care diary are selected.

[0057] The selected response candidates are subjected to a matching and verification process 167 based on the search tool, the nursing diary table, and the AI learning history. The matching and verification process 167 narrows down or identifies the response candidates, and the response information is sent by the action judgment and instruction process 168. That is, the relevant item from the nursing diary table, in the above example, "body temperature," the vital sign sheet, and the body temperature cell (1·B) are selected, and an instruction is given to input "body temperature 35.6°C." Furthermore, the conditions and values written in the measurement manual and the reference value column are matched and verified, and if the values deviate from the reference values or conditions or if a caution condition is met, a processing judgment or instruction is given to input an alert symbol in the alert cell.

[0058] The output response information is converted into text language by text conversion synthesis processing 169, and is then instructed to be input into a predetermined column (body temperature cell, alert cell, etc.) of the care diary 171 by text output processing 170. Furthermore, in voice conversion synthesis processing 172, the text language information is converted into voice information, and voice output processing 173 converts it into a voice signal, which is then read out from speaker 174 in smart speaker 23, and a confirmation response such as "Mr. / Ms. XX's body temperature is 35.6°C, which is normal!" is spoken by speaker 23.

[0059] As described above, the nursing care diary recording device and system of the present invention allows for easy and efficient creation of nursing care records, significantly reducing the caregiver's labor costs and enabling highly accurate records to be created. While the present invention has been described as an example of using a smart speaker 23 as a monitoring block 3 to input nursing care records for home care, the present invention can also be applied to inputting nursing care records in nursing facilities and nursing diaries in hospitals, etc. Furthermore, the present invention is not limited to recording nursing care and nursing services, and can be modified and applied to various records, diaries, reports, etc., without departing from the spirit of the present invention. [Explanation of symbols]

[0060] 1. Caregivers 2 Recipient (required) caregiver 3. Watch Block 4 Network (Internet line) 5. Nursing care center 6. Stakeholders 7 Cloud Server (Cloud) 8. Nursing care platform 9 AI Assistant (Virtual Assistant) 10 Memory and learning tools 11. Care Table (Care Diary) 12 Monitoring methods 21 Power means 22 Means of communication 23 Smart speaker (AI speaker) 24 Surveillance Cameras 25 Climate (temperature and humidity) sensor 26 Vital Sensor

Claims

1. A care record system for recording care services provided by a caregiver to a care recipient in a care diary, A smart speaker installed in the room of the care recipient; An internet communication means for connecting the smart speaker and a cloud server; The cloud server stores AI assistant software that performs voice recognition and natural language processing in response to the smart speaker, and a care table containing items necessary for recording the care service, the care table includes physical care items for the care recipient as care service information; In response to a call related to a care service item from the caregiver, the AI assistant software identifies the physical care item using a pre-registered command keyword, and records the content of the physical care item as a care diary in cooperation with the care table; A care record system characterized by having alert judgment criteria for the care recipient, including measurement conditions for each physical care item, and if the judgment criteria are not met, an alert signal is written on the care table and spoken by the smart speaker.

2. The cloud server is equipped with a storage and learning means, The nursing care record system according to claim 1, characterized in that the recorded contents of the nursing care table are memorized and learned, and are used to correct errors in the input contents of the items in the nursing care table and to correct the alert judgment criteria.

3. The care record system of claim 1, characterized in that work time is measured for each item recorded in the care table, and the work time for each item is totaled and recorded in the care table for each care service provided by the caregiver.

4. The nursing care record system described in claim 1, characterized in that alerts and special notes are entered for each item recorded in the nursing care table, and the alerts and special notes are recorded together in the nursing care table as handover items each time the caregiver provides nursing care services.

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