JP2002056099A - Health management system - Google Patents

Abstract

(57) [Summary] [Problem] To establish a network with medical institutions, etc. for patients with lifestyle-related diseases and reserves who have many potential patients, support daily health management by themselves or doctors, etc., necessary for health management A health management system that provides a medical information service is provided. A health management center is connected to users U1 to Un and a medical institution H via an information communication line I. Users U1 to Un are patients with lifestyle-related diseases such as hypertension, hyperlipidemia, diabetes mellitus or asthma / COPD (chronic obstructive pulmonary disease) and their reserves (those who are not patients but are likely to develop) It is. In the homes of the users U1 to Un, there is a system in which vital sensors necessary for measurement of each user's disease are selected and connected, centering on a vital sensor control unit. The health management center B has a storage unit and a server, and stores the vital sensor data transmitted from each user in the storage unit, evaluates the data of the test results of the user, and supports the user's self-management. .

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

The present invention relates to a lifestyle-related disease that progresses without knowledge, that is, a lifestyle-related disease called a silent killer. It is related to a system that supports.

[0002]

2. Description of the Related Art Conventionally, in Japan, there are extremely many patients with a lifestyle-related disease called a silent killer, which have few subjective symptoms, progress slowly, and are too late when the patient notices. The onset of stroke is largely caused by smoking for a long time and lifestyle-related diseases such as hypertension and diabetes.

[0003] In Japan, stroke is a major cause of death, and it has sequelae after recovery from stroke and accounts for 40% of all bedridden causes. It is also a serious problem in nursing care. In response to the above-mentioned problems, the medical care standard for each disease should be improved, and the cause of the disease should be clearly communicated to those who wish to take care of it. It is energetically made to prevent.

[0004]

One of the causes of the above-mentioned situation is that correct medical knowledge of the lifestyle-related disease itself is not transmitted to the patient with the lifestyle-related disease. Here, the medical knowledge is the following five points for patients with lifestyle-related diseases and their reserves. a. Biological data control (blood pressure etc.) b. Knowledge of drugs (effects and side effects of drugs, etc.) and medication status c. Diet therapy (regulation of diet etc.) d. Improve lifestyle (how to live; regulation of smoking and drinking) e. Exercise amount (exercise method corresponding to the condition of each lifestyle-related disease) For example, the number of diabetic patients is said to be 6 million in Japan and 16 million including latent patients in Japan.

[0005] Diabetes does not develop if it is properly managed from an early stage, but if it is neglected, it will surely progress, leading to blindness, kidney failure, and artificial dialysis. Complications can lead to terminal death. However, even in diabetes, where so many people are latent patients, patients with lifestyle-related illnesses, as mentioned above, find their disease very scary to cause other illnesses. I know, but I don't understand what to manage and how to reduce the likelihood of complications associated with other lifestyle-related diseases.

The present invention has been made in view of such a background, and has been developed for asthmatic patients with many potential patients, chronic obstructive pulmonary disease, hypertension, diabetes, and hyperlipidemia-related lifestyle-related diseases, and the reserve army. On the other hand, it is an object of the present invention to provide a health management system that supports a daily health management by a doctor or the like by himself / herself and a medical information service necessary for the health management by constructing a network system including a medical institution and the like.

[0007]

The health management system of the present invention is installed in an Internet terminal owned by a lifestyle-related disease and a person who wants to take care of this reserve, a health management center or a medical institution equipped with security. Server connected to the information communication network, the health state of the care applicant, in the health management system for the purpose of self-management of this care applicant or health maintenance management by medical staff, A vital sensor system connected to a possessed Internet terminal and comprising a plurality of vital sensors for acquiring biometric data 1 of the care applicant corresponding to the medical guideline, and a vital sensor system via the internet terminal possessed by the care applicant. First transmission means for transmitting data 1 to the server, and a medical guide A second transmitting means for transmitting the biological data 2 periodically inspected by the medical institution to the server in the health management item in accordance with the inn, and a result of the inquiry / health diagnosis (including the detailed examination) at the medical institution of the care applicant. , Physical findings,
Third transmission means for transmitting biometric data 3 as personal information including a clinical history to the server, wherein the server associates the biometric data 1 and the biometric data with each management ID indicating the care applicant. And a database for storing the biometric data 2 and the biometric data 3, and an arithmetic unit for calculating an index representing the health level of the care applicant based on the biometric data 1, the biometric data 2 and the biometric data 3, and the medical guidelines. And a reply means for returning an index indicating the degree of health as a result of the calculation in association with the identification ID of the care applicant transmitted to the server.

[0008] The health management system of the present invention is characterized in that the lifestyle-related disease is at least one of hypertension, hyperlipidemia, diabetes and asthma / COPD. In the health management system of the present invention, the Internet terminal may include:
Mobile phone terminals, Internet terminals using TVs,
It is compatible with all Internet terminals including personal computer terminals.

[0009] In the health management system according to the present invention, the vital sensor system may include a management ID for each of the care applicants.
And a means for reading the ID card storing the information with a card reader, and a means for detecting the biometric data 1 and transmitting the measurement data to an Internet terminal, which can be shared by one or a plurality of the care applicants. I do.

In the health management system according to the present invention, the arithmetic unit determines whether or not the biological data 1 of the care applicant is within a numerical range of biological data indicating a possibility of being ill. And outputting one or more differential diagnosis names of diseases determined to be in the numerical range. The health management system according to the present invention is characterized in that the calculation unit generates a management target of measurement data of each health management item and a management schedule of treatment. In the health management system of the present invention, when the measurement data of the biometric data 1 deviates from the numerical value of the management target, the reply means notifies the terminal of the care applicant and the terminal of the medical institution that an abnormality has been detected. It is characterized by notification.

[0011] The health care system of the present invention performs the measurement of the biological data 2 of the management items according to the medical guidelines, which is not measured by the vital sensor system, at the medical institution.
An internet terminal of the medical institution or an internet terminal of the care applicant may be stored in the database in correspondence with the management ID of each care applicant.

[0012] In the health management system of the present invention, the server according to the request from the Internet terminal of the care applicant, at least the medication status and the test item of the biometric data 1 corresponding to the identification ID of the care applicant. Means for displaying any one or a plurality of time-series numerical data on a display screen of the Internet terminal during a required period.

[0013]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a block diagram showing a configuration of a health management system according to an embodiment of the present invention.
In this figure, a health management center B transmits a user U via an information communication line I such as the Internet and a public line.
1 to a user Un (n is a natural number) and a medical institution (a place where a doctor such as a hospital is available for examination) H. Here, the users U1 to Un are respectively hypertension, hyperlipidemia, diabetes or asthma / COPD (Chronic Obstructiv).
e Pulmonary Disease (chronic obstructive pulmonary disease) and other patients with lifestyle-related diseases and their reserves (those who are not patients but are likely to develop) or potential patients.

At the homes of the users U1 to Un, a system having the configuration shown in FIG. 2 is configured. The vital sensor control unit 1 includes a sphygmomanometer (a model capable of measuring a pulse) 2, a thermometer 3, a blood glucose meter 4, and a urine, depending on whether the user is blood pressure, hyperlipidemia, diabetes, or asthma / COPD. From among the sugar meter 5, the pedometer 6, the body weight / body fat meter 7, the oxygen saturation meter 8, and the PEF (peak flow) meter 9, each disease in the essential management item (data B) of daily management data Vital sensors required for measurement are selected and connected.

For example, when the user is a hypertensive patient and the reserve army, the essential management items (data B) in the daily management are specified for each management item by the data of the management item according to the medical condition, the state of taking the medicine, and the like. At the measurement time, the inspection items are obtained by removing the periodic inspection items (data C) from the items shown in FIG. That is, the data acquired from the vital sensor system includes data on test items such as blood pressure, pulse, body fat percentage, body weight, body temperature, and exercise amount. Also,
As the condition of taking the medicine, whether or not the medicine is taken, and when taking the medicine, the time period of taking the medicine is set at any of morning, noon, night and before sleep.

Furthermore, there is data on the presence or absence of a subjective symptom in the physical condition of the user, including the side effects of the medicine being taken in the subjective symptom. In addition, in lifestyle, alcohol consumption (type, amount / time, number of times / week, etc.), smoking amount (number
/ Day, years, etc.), amount of exercise (exercise method, pulse, subjective exercise intensity, etc.), diet (Kcal, cholesterol, dietary fiber,
Salinity, Ca, protein, lipid) etc. There is data such as.

[0017] In the case of hypertension, periodic examination items include:
Blood tests are performed at a frequency in accordance with the guidelines of the Japanese Society for Hyperlipidemia, and GOT / GPT / TC / HDL / LDL / ALP / γ-GTP / CPK / BUN
/ Obtain data of test items such as creatinine, and conduct electrocardiogram, cardiac ultrasound, and fundus every 6 or 12 months. If possible, a carotid ultrasound examination is performed periodically, for example, every 6 or 12 months. In addition, there is data on responses to other questionnaire results from users for items requested by doctors.

Thus, when the user is a hypertensive patient and the reserve arm, the vital sensor control unit 1 includes at least a sphygmomanometer 2 for measuring blood pressure as a vital sensor, and a weight for measuring body weight and body fat percentage.・ Body fat meter 7,
A pedometer 6 and the like for measuring the amount of exercise per day are connected.
The periodic inspection items are performed at a period determined by a contract.

For example, when the user is a hyperlipidemia patient and the reserve army, the essential management items (data B) in daily management are management items for each management item, depending on the medical condition, the state of taking medicine, and the like. The measurement time of the data is determined, and periodic inspection items (data C) are selected from the items shown in FIG.
Inspection items except. That is, the data acquired from the vital sensor system includes data of each test item such as blood pressure, pulse, body fat percentage, body weight, body temperature, and exercise amount. In addition, as the taking condition of the medicine, the presence / absence of taking the medicine, and when taking the medicine, the time period of taking the medicine is set at any of morning, noon, night and before sleep.

Further, there is data on the presence or absence of a subjective symptom in the physical condition of the user, including the side effects of the medicine being taken in the subjective symptom. In addition, in lifestyle, alcohol consumption (type, amount / time, number of times / week, etc.), smoking amount (number
/ Day, years, etc.), amount of exercise (exercise method, pulse, subjective exercise intensity, etc.), diet (Kcal, cholesterol, dietary fiber,
Salinity, Ca, protein, lipid) etc. There is data such as.

In the case of hyperlipidemia, periodic inspection items include
Guidelines for treatment by the Japanese Society of Hyperlipidemia (or guidelines published by the association corresponding to each disease based on the WHO guidelines), which are used in other treatments for hyperlipidemia, diabetes, asthma / COPD Blood test at the cycle (or frequency) indicated in TC / TG / HDL / GOT / GPT / HDL / LDL / ALP / γ-GTP / C
Obtain data of test items such as PK / BUN / creatinine and brain CT (MRI), and perform an electrocardiogram, cardiac ultrasound, and carotid ultrasound once a year. In addition, there is data on responses to other questionnaire results from users for items requested by doctors.

When the user is a hyperlipidemic patient and the reserve arm, the vital sensor control unit 1 includes at least a weight / body fat meter 7 for measuring weight and body fat percentage as a vital sensor. , Pedometer 6 for measuring exercise
Is connected. Further, the above-mentioned periodic inspection items are performed in the contracted medical institution H at a period determined by a management schedule described later.

Further, for example, when the user is a diabetic patient and the reserve army, the essential management items (data B) in the daily management are data of the management items for each management item according to the medical condition / medicine taking state and the like. For the specified measurement time,
The inspection items are obtained by removing the periodic inspection items (data C) from the items shown in FIG. The periodic inspection item is not an essential management item of the management data on a daily basis, but is a management item that is required to periodically determine a medical condition. The inspection of this periodic inspection item is
It is determined from the above-mentioned guidelines such as WHO depending on the state of taking the medicine.

That is, data obtained from the vital sensor system include urinary glucose, blood glucose (fasting and 2 hours after eating, before going to bed), blood pressure, pulse, body fat percentage, body weight, body temperature, and exercise amount. There is data for the item. Also,
As the condition of taking the medicine, whether or not the medicine is taken, and when taking the medicine, the time period of taking the medicine is set at any of morning, noon, night and before sleep.

Further, there is data on the presence / absence of the subjective symptoms in the physical condition of the user, including the side effects of the medicines taken in the subjective symptoms. In addition, in lifestyle, alcohol consumption (type, amount / time, number of times / week, etc.), smoking amount (number
/ Day, years, etc.), amount of exercise (exercise method, pulse, subjective exercise intensity, etc.), diet (Kcal, cholesterol, dietary fiber,
Salt, Ca, protein, lipid, etc.) etc. There is data such as.

[0026] In the case of diabetes, periodic inspection items include 1
A urinalysis (urine protein), blood test, HbAlc / fasting or 2 hours after meal blood glucose level every month (however, if fasting, always follow up on an empty stomach), and a fundus examination every 6 months or 12 months. In addition, there is data on responses to other questionnaire results from users for items requested by doctors.

Thus, when the user is a diabetic patient and the reserve arm, the vital sensor control unit 1 includes at least a blood glucose meter 4 for measuring a blood glucose level, a sphygmomanometer 2 for measuring a blood pressure, as vital sensors. A body weight / body fat percentage meter 7 for measuring body fat percentage and weight, and a pedometer 6 for measuring exercise amount are connected. Further, the above-mentioned periodic inspection items are performed at a predetermined cycle in a contracted medical institution.

For example, when the user is an asthma / COPD and a reserve patient, the essential management items in the daily management are, for each management item, the measurement time of the data of the management item according to the medical condition and the state of taking the medicine. Are determined, and are the inspection items obtained by removing the periodic inspection items (data C) from the items shown in FIG. That is, the data acquired from the vital sensor system includes data of test items such as peak flow value, oxygen saturation value, blood pressure, pulse, body temperature, weight, and exercise amount.

Further, asthma and COPD patients (or reserve army) are scored according to the asthma diary and COPD diary approved by the Japanese Society of Allergy and the Japanese Respiratory Society, respectively. It describes what condition it is in or whether it has subjective symptoms. Here, the state of taking the drug is indicated in the morning, afternoon, at night, or before sleep, and also includes the state of administration of bronchodilators and the state of administration of prophylactics (inhaled steroids and the like). Further, in the subjective symptoms, data on subjective symptoms including the side effects of the drug being taken, which are not included in the asthma diary / COPD diary, are described.

Further, in the lifestyle, alcohol consumption (type, amount / time, number of times / week, etc.), smoking amount (number / day,
Years, exercise amount (exercise method, pulse, subjective exercise intensity, etc.), eating habits (Kcal, cholesterol, dietary fiber, salt, Ca, protein, lipid, etc.) etc. Such data. In the case of asthma / COPD, 1
Bacteriological tests are performed every 3 months. In addition, for the contracted item, there is answer data of other questionnaire results from the user.

Thus, when the user is asthma / COPD and the reserve arm, the vital sensor control unit 1 includes at least a PEF (peak flow) meter 9 for measuring a peak flow value, an oxygen saturation level as a vital sensor. An oxygen saturation meter 8 for measuring the value and a body weight / body fat percentage meter 7 for measuring the body weight are connected. Further, the above-mentioned periodic inspection items are performed at a predetermined cycle in a contracted medical institution.

The vital sensor control unit 1 unifies the format of the measurement data of the connected vital sensor so that it can be easily organized, and transmits the data to the Internet terminal 11 by communication using a cable or wireless communication.
Communication between the Internet terminal 11 and the vital sensor control unit 1 may be either wired or wireless (including infrared communication). As the Internet terminal 11, all Internet terminals including a mobile phone terminal, an Internet terminal using a television, and a terminal using a personal computer are used, and temporarily store vital sensor data input from the vital sensor control unit 1. At the same time, data of vital sensors corresponding to daily management items are collectively displayed on a display screen.

Further, the card reader 10 inserts an IC card in which measurement data of each item of an initial personal information essential management item (data A) to be described later and data such as a result of an inquiry are stored to thereby insert the initial personal information. The measurement data of the information essential management item is read, and the read measurement data is transmitted to the Internet terminal 11. In addition, a management ID is stored in the IC card (ID card) for each user who owns the card. Reading the IC card with the card reader 10 allows not only a single user to use the card, but also a plurality of users. The vital sensor control unit 1 can be used jointly. This IC card is issued to each user by the contracted medical institution H or the health management center B that has measured the above-mentioned initial personal information essential management items.

Thus, not only the terminal of the medical institution H that has measured the above-mentioned initial personal information essential management item, but also the Internet terminal 11 can transmit each measurement data of the data A to the server 22. If the information communication line I is the Internet, the interface 12 is a modem or a DSU (Digital Service Unit) for connecting the Internet terminal 11 to the information communication line I.

Next, FIG. 3 shows the system configuration of the health management center B in FIG. The interface 21 is the same as the interface 12. If the information communication line I is the Internet, the interface 21 is a modem or a DSU for connecting the server 22 to the information communication line I. The server 22 is a high-performance computer such as a workstation, and stores the vital sensor data transmitted from each user's Internet terminal 11 in the storage unit 23 and transmits data to each Internet terminal 11. The server 22 is provided with (completely equipped with) security such as a firewall and an encrypted communication channel in order to prevent unauthorized access from the outside. Damage due to unauthorized access to data stored in the storage unit 23 is provided. To prevent

The storage unit 23 stores at least the personal data D
B (database) 24, health information DB 25 and EBM
(Evidenced Based Medicine). Here, EBM is a practice of medical practice based on proof, for example, WHO
(World Health Organization) based on the diagnosis and treatment guidelines (treatment guidelines) for each disease,
It evaluates the data of the test results of the patient (user) and makes a clinical evaluation of the patient's disease.

The personal data DB 24 stores the name, management ID, password, initial personal information essential management item data (data A), daily management essential item data (data B), and periodic inspection items (data) for each user. C) is stored in association with each user's management ID. The above-mentioned data items of the initial personal information essential management item, the daily management essential item, and the periodic inspection item are used for lifestyle-related diseases when the user has hypertension, hyperlipidemia, diabetes or asthma /
Depending on the type of COPD, each is different. As described above, the types of data items of daily essential management items are shown in FIGS.
Respectively.

The types of data of the initial personal information essential management items are shown in FIGS. 8 to 11 for each disease. The measurement of the initial personal information essential management items is obtained at the contracted medical institution H by medical inquiry and physical examination (including detailed examination). That is, FIG. 8 shows the data of the essential personal information management item (data A) corresponding to the hypertensive patient and the reserve army user, and FIG. 9 shows the initial personal information essential for the hyperlipidemic patient and the reserve army user. FIG. 10 shows data of management items (data A). FIG. 10 shows data of management items (data A) required for initial personal information corresponding to diabetics and reserve military users. FIG. 11 shows asthma / COPD.
This is the data of the initial personal information essential management item (data A) corresponding to the patient and the user of the reserve army.

For example, as shown in FIG. 8, the following data is stored in the personal data DB 24 in association with the management ID of the user as the initial personal information essential management item corresponding to the hypertensive user. There are data of each user's address, name, and phone number.
Data of the user's gender (male / female), date of birth, blood type, hometown (and parents) (country / prefecture / state) are shown.

The clinical history of the user includes the name of the current medical history (essential hypertension and secondary hypertension), age of onset, medical history (blood pressure level before onset and results and side effects of antihypertensive drug treatment), Notable items, history
Data on complications (angina pectoris, myocardial infarction, cerebrovascular disorders, peripheral vascular disorders, diabetes, ventilation, lipid metabolism abnormalities, bronchospasm, renal disease) are shown.

The medical history / age of onset of the above-mentioned medical history / complication, whether the medical institution of the medical history / complication is in the hospital (from when) or the end of the hospital (until), If the complication is reopened, the remedy for the above-mentioned medical history / complications, whether this medication is being taken (from) or taken (until), will be resumed from sometime if the complication is restarted. If you have been taking it, and if you have taken it, and if you have taken it, your history / control status of complications is excellent / good /
Data indicating whether it is acceptable or defective is shown.

As the medical history of the family of the user, the presence or absence of the medical history of the family, and if there is a medical history, data of any one of hypertension, diabetes, angina pectoris, myocardial infarction, and stroke, or a combination of a plurality of disease names are shown. . The risk (risk factor) is WHO / ISH (International Society of Hypertension)
There is data (described later) obtained by comparing with the guideline level. In addition, if the current medical history / past medical history and the risk factor overlap, all of them become mandatory inputs.

The user's life history includes alcohol intake history (type, amount / time, number of times / week, etc.), smoking history (number / day × years, etc.), exercise amount (presence, type, frequency of daily exercise habits) , Dietary habits (fruit, vegetable, meat, fat intake, regularity, etc.), sleep time, stress factors (workplace, human relations, home), work intensity versus daily energy consumption / standard weight ratio (by disease) Data is shown.

The user's physical findings include height, weight, and B
MI (body mass index), blood pressure (systolic blood pressure (mmH
g), diastolic blood pressure (mmHg)), heart size on imaging, presence of heart failure, presence of carotid, renal, and peripheral artery lesions, evaluation of aortic constriction, pulmonary rales and bronchus Data on the presence or absence of spasm and the presence or absence of abdominal noise are shown.
Blood tests (total cholesterol, HDL, LDL cholesterol, neutral fat, uric acid,
BUN, Cr, fasting blood glucose, HbAlc, fibrinogen, plasma renin activity, plasma aldosterone, urinary catecholamine, etc. ) Data is shown.

In a facility where LDL cannot be directly measured in a blood test, the following formula of Freidewald is used. LDL = TC- (HDL + TG / 5) (provided that TG <400) Furthermore, urinalysis (protein / trace albumin, occult blood / sugar / uropyrinogenum etc.), electrocardiogram (Holter electrocardiogram,
Exercise stress electrocardiogram), presence of left ventricular hypertrophy of the heart, presence or absence of abnormal Q wave, abdominal echo examination (size of kidney), echocardiography (size of heart (ventricle), movement of left ventricular wall), Cervical echo / MRI examination (judgment of carotid atherosclerosis), brain M
Data from RI examination (judgment of cerebrovascular disorders) and fundus examination (retinal artery findings, retinal hemorrhage / exudation, papilledema) are shown.

At this time, if the MRI examination cannot be performed, the above-mentioned cervical CT examination and brain CT examination are performed instead of CT. As the user's exercise prescription (by disease), the initial exercise amount and menu data are shown based on the risk (risk factor) and the past history, and the ratio to the age / maximum heart rate and the subjective awareness of the subjective exercise. . Further, as the user's genetic information, data on the nucleotide sequence of a locus having a high probability of developing hypertension due to genetic causes in the nucleotide sequence of DNA is shown.

Further, as shown in FIG. 9, the following data are stored in the personal data DB 24 in association with the user's management ID as initial personal information essential management items corresponding to the hyperlipidemic user. I have. There are data of each user's address, name, and phone number.
Data of the user's gender (male / female), date of birth, blood type, hometown (and parents) (country / prefecture / state) are shown.

The clinical history of the user includes the name of the current medical history (hyperlipidemia), age of onset, and medical history (TC, LDL, H before onset).
DL and TG levels, BMI), results of treatment (drug or diet) and side effects, points to note during the course of the above medical history, medical history / complications (angina pectoris, myocardial infarction, cerebrovascular disorder,
Data on peripheral vascular disorders, diabetes, ventilation, lipid metabolism abnormalities, bronchospasm, liver disease) are shown.

The age of onset of the above-mentioned medical condition / complication, the state of consultation with the medical institution for the medical history / complication, whether the patient is visiting the hospital (from when) or from the end of the hospital (until), whether the patient has the medical history / complication, If the patient is reopened at any time, if he / she has been taking the medication for the above-mentioned pre-existing symptoms / complications, or has been taking this medication (from when), or if he / she has resumed taking this medication When, and if taken, the history / control status of complications is excellent / good / comparable with guidelines such as WHO.
Data indicating whether it is acceptable or defective is shown.

As the history of the family of the user, if there is a history of the family, if there is a history, data of any of hyperlipidemia, diabetes, angina pectoris / myocardial infarction, stroke, or a combination of a plurality of disease names is shown. Have been. Further, as the risk (risk factor), there is data (described later) obtained by comparing with the level of guidelines for treatment of hyperlipidemia of the Japanese Society for Arteriosclerosis. Here, all the current medical histories and medical histories that overlap with the risk factors are mandatory inputs.

For example, coronary artery disease, asymptomatic myocardial ischemia (abnormal electrocardiogram) and significant stenosis by coronary angiography, aging (male 45 years or older, female after menopause), family history (coronary disease (angina pectoris) / Myocardial infarction) in the first degree), smoking habits, high blood pressure (systolic 140 mmHg and / or diastolic 90 mmHg),
Abnormal glucose tolerance (75g OGTT (glucose tolerance test), border type
/ Diabetes type), obesity (abnormal BMI 26.4 or more), hypertriglyceridemia, low HDL-cholesterolemia (less than 40), abnormal apoprotein level, remnant, small particle high density LD
Data indicating that L / Lp (a) testing is not possible in ordinary medical institutions are shown.

The user's life history includes alcohol consumption history (type, amount / time, number of times / week, etc.), smoking history (number / day × years, etc.), exercise amount (presence / absence of daily exercise habits, type,
Frequency), eating habits (fruit, vegetable, meat, fat intake, regularity, etc.), sleep time, stress factors (workplace, human relations, home), work intensity versus daily energy consumption / standard weight ratio (by disease) ) Is shown.

Further, as a user's scientific observation, height /
Body weight (BMI), blood pressure, findings excluding hereditary hypercholesterolemia, presence or absence of tendon xanthomatosis, presence or absence of cutaneous nodular occultus, presence of oculoidal tendon occupation, presence of juvenile (<50 years) corneal ring Data are shown for juvenile (<50 years old) ischemic heart disease and palmar line yellow occupation. Blood test (total cholesterol level, HDL, LDL)
Cholesterol level, neutral fat, uric acid, GOT, GPT, γ-GT
P, LDH, ALP, BUN, Cr) data are shown.

In a facility where LDL cannot be directly measured in a blood test of a user's detailed test result, the following F
Use reidewald's estimation formula. LDL = TC- (HDL + TG / 5) (however, TG <400) Further, as a result of the detailed examination of the user's 75g OGTT, in the case of the borderline type, 110 to 140 (fasting blood glucose), ≧ 160 (1 hour blood glucose) ), 140 to 200 (2 hour blood glucose), and in the case of the diabetic type, data indicating ≧ 140 (fasting blood glucose) and ≧ 200 (2 hour blood glucose) are stored. .

The user's detailed examination results include urinalysis (urine protein, urinary occult blood, urinary sugar, uropyrinogen et
c.), ECG (including Holter ECG, exercise ECG)
The data of presence / absence of myocardial ischemia, abdominal echo examination, and echocardiographic examination (size of heart (6 chambers)) on the electrocardiogram are shown. Exercise prescriptions (by disease) for the user are based on the risk (risk factor) and the medical history, and the initial exercise amount and menu data are shown based on the ratio to the age / maximal heart rate and the awareness of subjective exercise. I have. In addition, as user genetic information,
In the nucleotide sequence of DNA, data on the nucleotide sequence of a locus with a high probability of developing hypertension due to genetic causes is shown.

For example, as shown in FIG. 10, the following data is associated with the user's management ID as the initial personal information essential management item corresponding to the diabetic user.
It is stored in the personal data DB 24. There are data of each user's address, name, and telephone number, and as each user's physical findings, the user's gender, date of birth, blood type, height,
Weight (current and past), BMI (weight kg ÷ (height m) ² ), standard weight, home (and parents) hometown (country / prefecture / state), labor intensity versus daily energy consumption / standard weight ratio ( Data by disease).

As the clinical history of the user, the name of the current medical history,
Age of onset, treatment history (blood glucose, HbAlc, BMI before treatment)
Results of treatment (drug or diet therapy) and side effects, special items to be noted during the above course), history / complications (angina, myocardial infarction, cerebrovascular disorder, peripheral vascular disorder, diabetes, gout, lipid metabolism) Data on abnormalities, bronchospasm and liver disease) are shown.

The medical history / age of onset of the above-mentioned medical history / complications and the status of medical examination at the medical institution for the above-mentioned medical history / complications indicate whether the patient is visiting the hospital (from when) or ending the hospital (until), If the complication is reopened, the remedy will be resumed at any time, whether the treatment for the above-mentioned medical history / complication is taking (from) or taking this treatment (until). If it has been taken, if it has been taken, and if it has been taken, whether the above-mentioned history / complication control status is excellent / good / good / bad according to the WHO guidelines, Diabetes) is shown.

As the life history of the user, alcohol use history (type, amount / time, number of times / week, etc.), smoking history (number / day × years, etc.), exercise amount (presence, type, frequency of daily exercise habits) , Eating habits (fruits, vegetables, meat, fat intake status, regularity, etc.), Life timetable (wake up time, sleep time),
Exercise intensity data for stress factors (workplace, relationships, home), occupation or daily exertion are shown.

The user's physical findings include visual acuity loss, dry mouth, polydipsia, polyuria, weight loss, edema, numbness, decreased perception,
Neuralgia, Achilles tendon reflex, Vibration test, Orthostatic hypotension,
Symptoms of diarrhea, constipation, residual urine, impotence, angina pectoris, symptoms of cerebral infarction, palpation of the dorsal foot artery, intermittent claudication, cold limb limb, gangrene, cutaneous suppuration, urinary tract infection, alveolar pyorrhea The presence / absence data is shown.

As a result of the user's detailed test, blood tests (total cholesterol level, HDL, LDL cholesterol level, Hb
Alc, neutral fat, uric acid, GOT, 0PT, γ-0TP, LDH, ALP, B
UN, Cr, Amylase) data are shown. In a facility where LDL cannot be directly measured in a blood test, the following Flidewald estimation formula is used. LDL = TC- (HDL + TG / 5) (however, TG <400)

Further, as a result of the detailed inspection of the user's 75g OGTT, in the case of the boundary type, 110-140 (fasting blood glucose),
≧ 160 (1 hour blood glucose), 140-200 (2 hour blood glucose), and in the case of diabetic type, ≧ 140 (fasting blood glucose), ≧ 2
Data indicating the respective ranges of 00 (two-hour blood glucose) is stored.

The user's detailed examination results include urinalysis (protein, occult blood, sugar, uropyrinogen, quantified albumin), electrocardiogram (including Holter electrocardiogram, exercise electrocardiogram), fluctuation of R-R sensation of electrocardiogram, and myocardium. Ischemic findings and fundus examination (proliferative retinopathy, reproductive retinopathy ... Fukuda classification B
1, B2, B3, B4, B5), abdominal echo examination (presence or absence of calcification of pancreas, pancreatic duct normal / abnormal), abdominal CT (presence or absence of calcification of pancreas, pancreatic duct normal / abnormal), echocardiography (heart ( The data of the size of the ventricle) are shown.

As the user's exercise prescription (by disease), the initial exercise amount and menu data are indicated by the ratio to the age / maximal heart rate and the subjective awareness of the subjective exercise based on the risk (risk factor) and the medical history. . Further, as the user's genetic information, in the base sequence of DNA,
Base sequence data for loci with a high probability of developing diabetes due to genetic causes are shown.

Further, as shown in FIG. 11, the following data is stored in the personal data DB 24 in association with the management ID of the user as the initial personal information essential management items corresponding to the asthma patient / COPD user. I have.

There are data on the address, name, and telephone number of each user, and the user's gender (male / female), date of birth, blood type, height, weight (current, past), BMI (weight kg ÷ (height m) ² ), the person (and parents)
Data of hometown (country / prefecture / province) and labor intensity versus daily energy consumption / standard weight ratio (by disease) are shown.

As the clinical history of the user, the disease name of the current medical history,
Age of onset, history of treatment, important items to be noted during the above course, history / complications (allergic rhinitis, atopic dermatitis, chronic sinusitis), family history (asthma, allergic rhinitis, atopic skin) Inflammation, chronic sinusitis).

Factors for the risk of asthma / COPD (risk factors: standards conform to medical guidelines for each disease)
The user's hospitalization history (within the past year, two or more years ago), intubation history, number of infusions / intravenous injections / procedures in the emergency department (if any: past 1 month, 3 months, 6 months , For 12 months). In addition, data on the history of drug side effects indicating what side effects the various drugs that the user has taken in the past are shown.

The user's life history includes asthma / COPD
Exacerbation period, smoking history (number / day x years, etc.), amount of exercise (eg, amount of exercise per day (week)), dietary habits (fruits, vegetables, meat,
Fat intake status, regularity, etc.), sleep time, stress factors (workplace, human relations, home), pet breeding history, occupational history (dust, chemical substances, radiation exposure history, etc.), sputum volume and properties are shown. ing.

Further, as the physical findings of the user, data of auscultation findings (dry / wet rales: heart murmur), presence / absence of edema / jugular vein distension / hepatic palpation, and evaluation of shortness of breath (Hugh-Jones I-IV) It is shown. In addition, as a result of the user's detailed test, blood tests (total cholesterol level, HDL, LDL cholesterol level, neutral fat, uric acid, total protein, etc., and IgE (RI
ST, RAST), and hematology (including leukocyte fractionation) data. In addition, data of a user's sputum test (bacteriological and eosinophils in sputum) are shown.

Further, as a result of the user's detailed examination, urine protein, urinary occult blood, urinary sugar, uropyrinogen in urine examination are obtained.
etc. Are shown. In addition, as a result of the user's detailed examination, electrocardiograms (including Holter electrocardiograms and exercise load electrocardiograms) and data of right ventricular / right atrial load findings of the electrocardiogram are shown. In addition, as a result of the user's detailed examination, data of chest radiograph, echocardiography (heart (ventricular) size), and respiratory function test (spirometer, flow volume curve, airway hyperreactivity test / β2 stimulation test) are shown. ing. Further, as a result of the user's detailed inspection, data of a CT inspection, a 6-minute walking test → distance / Borgscale, and an arterial blood gas test are shown.

Further, as a user's exercise prescription (by disease), a menu of the initial exercise amount is indicated by the ratio to the age / maximum heart rate and the awareness of the subjective exercise based on the risk (risk factor) and the medical history. ing. Further, as a user's dietary prescription, data for instructing proper nutrition intake for COPD sickness and data for instructing asthma patients not to eat food presumed to be a food allergen are shown. In addition, as gene information of the user, DN
In the nucleotide sequence of A, asthma / COPD
The data of the nucleotide sequence of the locus with a high probability of the onset of is shown.

Next, returning to FIG. 3, the health information DB 25 stores video information, image information, and video information corresponding to each disease, which are input from the video / image / audio capturing unit 27 via the server 22.
Audio information attached to video information and image information is stored as digital data. The video information, the image information, and the audio information attached to the video information and the image information are stored in the health information DB 25 by the server 22 in association with each disease.

Disease Name / Health Level Judgment DB 26 Based on EBM
Is composed of a health level determination DB, a health level determination DB, and a goal / schedule determination DB. Health degree determination DB2
7 is W under the control of the server 22 in the health degree judgment DB.
Data of examinations and treatment results indicated in treatment guidelines for each disease in HO and the like, and data of examination items and treatment results of users input from medical institutions and users (that is, data A, data B, and data C) To determine the degree of health (disease rank or risk rank).

Here, the medical condition rank is a rank indicating how much the medical condition of each lifestyle-related disease has progressed. For example, in the case of hypertension, grade 1 (mild hypertension), grade 2 (moderate hypertension), Grade 3 (severe hypertension) 3
There are two grades. The risk indicates the probability of inducing other complications (disease) or the degree of risk of life-threatening medical conditions, such as low risk (less than 15%),
Medium risk (15-20%), high risk (20-30%)
And very high risk (more than 30%).

The treatment guidelines such as WHO include numerical ranges and risk factors corresponding to each data of each test and treatment result (corresponding to data A, data B, and data C), and the condition of lifestyle-related disease. Are shown for each rank and risk. Then, the server 22 calculates the data of each test item and risk factor in the data A, data B and data C of the user, the numerical range and the risk factor of each test item data in each medical condition rank in the treatment guideline such as WHO and the like. And outputs the disease state rank and the degree of risk determined that the data of the user is in the corresponding numerical range or that the risk factor corresponds. In the health degree judgment DB, the most recent WHO hypertension treatment guidelines, diabetes treatment guidelines, hyperlipidemia treatment guidelines, asthma treatment guidelines and COPD treatment guidelines (or WHO treatment guidelines,
Alternatively, a guideline issued by the society corresponding to each lifestyle-related disease is stored.

For example, when a user (a person who wants to care, a patient suffering from a lifestyle-related disease, or a reserve army) connects a line to the server 22 of the health management center B and performs a health degree analysis for hypertension,
As shown in FIG. 12, the health degree determination DB 27 stores
By the control of 2, the physical findings, clinical medical history, physical findings of data A, blood test results, urinalysis, electrocardiogram, chest image examination,
Echocardiography / cervical echo / MRI (Magnetic Resonan
ce Imaging) Compares each data of examination / fundus examination, blood pressure and medicine taking state of data B with corresponding reference data of hypertension treatment guideline of health degree judgment DB28,
The user's health level (disease rank, risk level) is estimated (or determined) based on the calculation result.

That is, as shown in FIG. 12, the server 22 stores the data B measured by the vital sensor corresponding to the essential management items of the daily management of the care applicant (user) of the high blood pressure (or the high blood pressure reserve). Is input, the user's health level analysis for hypertension is performed in the following procedure. At this time, the server 22 converts the data of each item of the data B input from the user's Internet terminal 11 into
The user data is stored in the personal data DB 24 in time series in association with the management ID of the user.

The data of the level of the item corresponding to the data B (hypertension) in the WHO treatment guideline is read from the health degree judgment DB 28. The data of each test item and risk factor in the data A, data B, and data C of the user are compared with the numerical range and risk factor of each test item data in each disease state rank in the WHO treatment guideline. The medical condition rank and the degree of risk determined that the data is in the corresponding numerical range or that the risk factor corresponds are output.

An item corresponding to the data A in the hypertension treatment guideline stored in the personal data DB 24 is read, and a risk factor (a factor for evaluating a risk of inducing a complication) is determined. That is, data A
The risk factors are extracted from the data of each item of the physical findings, risk factors, clinical history, life history, physical findings, and detailed examination results of the patients in light of the levels in the WHO treatment guidelines. For example, systolic and diastolic blood pressure values, gender, age, myocardial infarction and cholesterol values in the history of smoking history indicated by the WHO level are compared with similar items of the user, and if there are corresponding items, The item is extracted as a risk factor.

As described above, comprehensive judgment of the data obtained in and is performed. It is determined whether the measured value of each test item of the data B from the user falls within any of the medical condition ranks set in advance, and the medical condition rank is determined. The determined medical condition rank is determined as the medical condition rank of the user who has input the data B, and the risk factor of the user of the data A is determined based on the numerical value of the risk factor of each item of the WHO treatment guideline corresponding to the medical condition rank of the user. The risk corresponding to the numerical value of is calculated. The obtained disease state rank and risk are transmitted to the user. In addition, when the medical condition rank and the risk are abnormal values with respect to the predetermined numerical values, the notification of the abnormality is:
The terminal of the care applicant and the doctor in charge of the care applicant are notified together with the user information.

When the user (care applicant) connects a line to the server 22 of the health management center B to perform health management for hypertension, the health degree determination DB 27 controls the server 22 as shown in FIG. Data, physical findings, clinical history, physical findings, blood test results, urinalysis, electrocardiogram, chest echo examination, echocardiography, echo / MRI
A management target and a management schedule are determined from each data of examination and fundus examination.

Here, the health degree judgment DB 28 includes a disease name judgment DB, in which the user judges whether the disease is hypertension, hyperlipidemia or diabetes. The numerical range of the corresponding biometric data is stored. Then, the server 22 compares the numerical value range of the biometric data indicating the possibility of a disease with respect to the disease name criterion item used for estimating each disease name in the disease name judgment DB, and the biometric data of the criterion item in the data A of the user. By comparing the data of the corresponding items, it is determined which data of the user falls within the numerical value range of the biological data of the above-mentioned criterion item of any lifestyle-related disease. And the server 22
When it is determined that the data of the item corresponding to the above-mentioned criterion of the data A corresponds to the numerical range of the data of the criterion of any of the above-described criterion items, one or more items corresponding to this criterion item Outputs the name of the disease (or the name of the disease that is reserved). That is, server 2
2 compares the data of a predetermined item of the data A sent from the user with the numerical range of the above-mentioned criterion item stored in the disease name judgment database, and determines the disease name of the user (or the ) Is output.

For example, the server 22 provides the user
Blood pressure is used when estimating hypertension as a disease name, total cholesterol in blood is used when estimating hyperlipidemia as a disease name, and hemoglobin A1c value (HbA1c) when estimating diabetes as a disease name. Fasting or occasional blood glucose levels are used. However, only in the case of asthma / COPD, the determination cannot be made by the server 22. After the doctor's diagnosis, the diagnosed disease name is determined by the server 22 according to the user's management ID in the personal data DB 24 of the health management center B. It is memorized.

The server 22 has a health management target calculation display function as shown in FIG. here,
The disease name / health degree judgment DB 26 based on EBM
A schedule determination DB 29 is provided. In the processing illustrated in FIG. 13, detailed description of the same processing as the processing illustrated in FIG. 12 is omitted. Under the control of the server 22, the target / schedule determination DB 29 determines whether or not the user has high blood pressure based on the numerical value of the blood pressure of the data A, and determines the age, current medical history, family medical history, past medical history / complications, and physical findings of the data A. -Blood pressure test result-Urinalysis-Electrocardiogram-Chest imaging test-Echocardiography-Cervical echo / MRI test-Fundus test Compare each test result with the data of the corresponding item of the hypertension treatment guideline of the health degree judgment DB28 Determine management goals and management schedules.

That is, in the initial stage of use of the health management system (new registration of a user in the health management system), the server 22 as shown in FIG. ), Data A is analyzed for the hypertension and a health management target / management schedule is generated in the following procedure.

The management schedule includes an inspection cycle (eg, once a month) of a periodic inspection item (data C) which is a health management item based on the WHO treatment guidelines.
And the scheduled inspection date. Then, the user performs the inspection of the periodic inspection items at the medical institution H based on the management schedule. The physician who has performed the periodic examination transmits the data of each measurement of the data C obtained in the examination result to the server 22 using the terminal of the medical institution H.

Thus, the server 22 associates each measurement data of the data C transmitted from the terminal of the medical institution with the personal data DB 24 in time series in correspondence with the management ID of the user.
To store. The user can also acquire the measurement data of the data C from the terminal of the medical institution, and transmit the measurement data to the server 22 from the Internet terminal 11. WHO corresponding to data A from health degree judgment DB 28
Read the standard of hypertension treatment guidelines. The data A input by the user is read from the personal data DB 24 in association with the user ID.

The data of each item of the data A input by the user is compared with the data of the level of the guideline for hypertension treatment corresponding to the item of the data A. The disease name of the user is output by the disease name judgment DB provided in the health degree judgment DB 28. That is, disease name judgment D
B stores the disease name judgment criteria items, such as blood pressure for hypertension, total cholesterol level in blood for hyperlipidemia, and hemoglobin A1c level (Hb for diabetes).
A1c) and the like are used as criteria for estimating the disease name.

Then, the server 22 calculates a numerical value range of the biometric data indicating the possibility of a disease with respect to the disease name criterion item used for estimating each disease name in the disease name deciding DB and the above-mentioned criterion item in the data A of the user. By comparing the data of the item corresponding to the biometric data with the data of the user, it is determined which of the lifestyle-related diseases is within the numerical range of the biometric data of the judgment reference item. When the server 22 determines that the data of the item corresponding to the above criterion of the data A corresponds to the numerical range of the criterion data of any of the above criterion items, the server 22 corresponds to this criterion item. Outputs the name of one or more illnesses (or the names of those who are reserved).

The process of outputting the disease name is performed only for the user who has registered as a member from the Internet terminal 11. The user registered at the medical institution does not need to estimate the disease in the server 22 because the doctor has diagnosed and confirmed the disease name. However, only in the case of asthma / COPD, the determination cannot be made by the server 22. After the doctor's diagnosis, the diagnosed disease name is determined by the server 22 according to the user's management ID in the personal data DB 24 of the health management center B. It is memorized.

The server 22 has a personal data DB 24
The data of each item of the data A is compared with the data of the item of the hypertension treatment guideline corresponding to this item in the health degree determination DB 28, and the disease condition / risk is determined in the same manner as described with reference to FIG. Then, based on the medical condition rank and the risk level, the server 22 determines how much treatment period is required to approach the measurement data of the same item of the healthy person to improve the symptom, and a daily management item for managing the medical condition ( The numerical value of the management target of the measured data in the data B) and the periodic management item (data C) is determined. In addition, the doctor in charge of the user determines a management schedule including a plan for changing the dosage during the treatment period of the disease, in accordance with the numerical value of the management target. The management target is a numerical value set for each test item, which serves as a reference for detecting numerical values of data B and data C that change due to deterioration of the medical condition and notifying them as abnormal data.

The periodic management items correspond to the periodic inspection items in the daily management items shown in FIGS. The obtained disease name, disease state rank, risk rank,
The management target and the management schedule are stored in the personal data DB 24 for care applicants in association with the management ID of each user.

That is, in the continuous use stage of the use of the health management system (corresponding to the already registered users), the server 22 as shown in FIG. From data B
When the data C (either one or both) is input, the health analysis for the hypertension and the generation of the health management target / management schedule are performed by the following procedure.

The level of the WHO hypertension treatment guideline corresponding to the data A, data B and data C is read from the health degree judgment DB 28. Data A, data B and data C input by the user
Is read from the personal data DB 24 in association with the user ID. The data of each item of the data A input by the user is compared with the data of the level of the hypertension treatment guideline corresponding to each of the data A, the data B, and the data C.

The disease name of the user is output by the disease name judgment DB provided in the health degree judgment DB 28. That is, the disease name judgment DB stores disease name judgment reference items, such as blood pressure for hypertension, total cholesterol level in blood for hyperlipidemia, and hemoglobin A1c value (HbA1c for diabetes). ) Are used as criteria.

Then, the server 22 adds the data indicating the numerical range of the biometric data indicating the possibility of the disease of the disease name criterion item used for estimating each disease name in the disease name judgment DB, and the biometric data of this criterion item. Corresponding data A
Are compared with each other to determine which of the disease numerical ranges shown in the above-mentioned criteria are included. Then, the server 22 outputs one or more disease names (or reserve names) of the disease corresponding to the numerical range of the data of the criterion of the criterion item in the determination result.

The process of outputting the disease name is performed only for the user who has registered as a member from the Internet. The user registered at the medical institution does not need to estimate the disease in the server 22 because the doctor has diagnosed and confirmed the disease name. However, the blood sugar level and asthma / COPD cannot be determined by the server 22, and are managed after a doctor's diagnosis at a medical institution.

The server 22 has a personal data DB 24
Of the data A, data B, and data C of the above and the data of the hypertension treatment guideline item corresponding to this item in the health degree determination DB 28,
The determination of the medical condition / risk is performed in the same manner as described with reference to FIG.
Then, the server 22 stores the items (data B and data C)
Determine the goal of the project and use it for user self-management. Further, the doctor in charge of the user determines a management schedule including a plan for changing the dosage during the treatment period of the disease, in accordance with the numerical value of the management target.

The periodic management items correspond to the periodic inspection items in the daily management items of FIGS. 4 to 7 as described above. The obtained disease name, medical condition, degree of risk, management target, and management schedule are overwritten on the previous data stored in the personal data DB 24 for the care applicant (user),
Update the data.

Next, an example of the operation of the embodiment will be described with reference to FIGS. 1, 2, and 14 to 16. FIG. 14 to 1
FIG. 6 is a flowchart illustrating an operation example of the health management system according to the embodiment. For example, a hypertensive user tries to use the health management system and starts operating the Internet terminal 11 (step S1). Then, the user inputs the URL of the server 22 of the health care center B and connects the line between the Internet terminal 11 and the server 22 (step S2, step S3).

The server 22 extracts a health management system selection screen from an internal storage unit as an initial web page screen of service provision in the health management system.
The data is transmitted to the Internet terminal 11 (step S4, step S5). The Internet terminal 11 displays the selection screen transmitted from the server 22 shown in FIG. 16 on the display screen.

On this selection screen, when clicked, a care service button 31 for selecting a care service for activating a program for health management, and information such as the cause and treatment method of lifestyle-related diseases from the health information DB 25 are displayed. A lifestyle-related disease button 32 that activates a search program,
Life information button 33 for starting a program showing lifestyle such as meals and sleeping hours, health food information button 3 for starting a program for searching for a food suitable for each disease
4, a well-end conference button 35 for activating a program for users of the same disease to exchange treatment information with each other, health information D
A specialized information button 36 is provided for retrieving specialized information on lifestyle-related diseases from B25 and activating a program to be transmitted to the Internet terminal 11.

Then, the user moves the cursor K to the care service button 31 on which the character of the care service is written on the display screen, for example, and selects the care service button 31 by clicking the mouse with the mouse (step S7). This selection information is transmitted to the server 22,
The server 22 activates a program for performing health management based on the selection information, extracts a selection screen for selecting which disease health management is to be performed from the internal storage unit, and transmits the selection screen to the Internet terminal 11.

Then, the Internet terminal 11 is
The selection screen shown in FIG. 8 is displayed on the display screen. A on the display screen
The initial selection screen shown in FIG. 16 is displayed in the area, and a button for selecting the type of illness targeted for the care service is displayed in area B of the display screen. The selection screen for the B region includes a hypertension button 41 for starting a program for health management of hypertension and a hyperlipidemia button 4 for starting a program for health management of hyperlipidemia when clicked.
2, a diabetes button 43 for activating a program for health management of diabetes and an asthma button 44 for activating a program for health management of asthma / COPD are provided.

Clicking on the top button 40 on which the top character is written returns to the initial selection screen display of FIG. Thus, the user moves the cursor K to the hypertension button 41 on which the text of hypertension is written on the display screen, and clicks the hypertension button 41 with a mouse to select (Step S8).

This selection information is transmitted to the server 22. The server 22 starts a program for performing health management of hypertension based on the selection information, and confirms a user who receives a health management service of hypertension from an internal storage unit. An authentication screen for user authentication confirmation is extracted, and this authentication screen is transmitted to the Internet terminal 11.

This authentication screen has the configuration shown in FIG. 19, and the initial selection screen shown in FIG. 16 is displayed in the area A, and the user who is to receive the hypertension health management service is authenticated in the area C. The input section is displayed (Step S
9). The user clicks the cancel button 54 with the mouse when deleting all the input data and re-entering the authentication data from the beginning.

In the area B of the display screen of the Internet terminal 11, the user's management ID is input from the keyboard or the like to the input unit 51, and the user's password is input to the input unit 52 from the keyboard or the like (step S1).
0). After the user inputs the management ID to the input unit 51 and the password to the input unit 52, and clicks an OK button 53, the management ID and the password are transmitted to the server 22, and the server 22 authenticates the user. Start processing.

The server 22 checks whether or not the transmitted management ID and password correspond to each other. That is, the server 22 searches the input management ID from the management ID stored in the personal data DB 24, and checks whether the password corresponding to the searched management ID is equal to the input password. Authenticates the user (step S11).

In step 11, the server 22 inputs the management ID and the password if the input management ID is not found in the personal data DB 24 or if the password corresponding to the searched management ID is different from the entered password. Sends an error message to the Internet terminal 11 without authenticating the user who has performed the authentication (step S
12).

As a result, an error message is displayed on the display screen of the Internet terminal 11. And
The server 22 sends a request to the Internet terminal 11 as shown in FIG.
The control for returning to the initial selection screen of step 6 is performed. Thus, the initial selection screen of FIG. 16 is displayed on the display screen of the Internet terminal 11 (step S13).

On the other hand, in step 11, the server 22
Searches for the input management ID in the personal data DB 24, and connects the channel of the health management system if the password corresponding to the searched management ID is equal to the input password (step S14). Then, the server 22 extracts the care service selection screen shown in FIG.
Send to

Thus, the Internet terminal 11
The care service selection screen shown in FIG. 20 is displayed on the display screen (step S15). This care service selection screen
In the configuration shown in FIG. 20, the initial selection screen shown in FIG. 16 is displayed in the area A, and the management logbook selection screen for selecting the user's management service is displayed in the area D.

Here, on the D area selection screen, when clicked, a health check button 61 for activating a program for checking the user's health, and the contents of data A, data B, and data C of the user are browsed. A personal chart button 62 for starting a program for consultation, a consultation button 63 for a user to start a program for consulting a medical doctor or the like of a medical institution H, and the current management items of the examination items in the data B and data C of the user. A management target button 64 for starting a program for checking the management target is provided.

Then, the user moves the cursor K to the health check button 61 on which the text of the health check is written on the display screen of FIG. 20, and clicks the health check button 61 with the mouse to provide the health check service. Select (Step S16). Here, when the user clicks the health check button 61, a control signal for notifying that the health check is started is transmitted from the Internet terminal 11 to the server 22. Accordingly, the server 22 starts the program for performing the user's health check, that is, the health level analysis shown in FIG. 12 and the continuous determination processing of the health management target calculation display shown in FIG.

Thus, the server 22 starts the program for checking the user's health, that is, the health level analysis shown in FIG. 12 and the continuous judgment processing of the health management target calculation display shown in FIG. . And the server 22
Extracts the vital value etc. input screen shown in FIG. 21 from the internal storage unit and transmits it to the Internet terminal 11.

In the Internet terminal 11, this input screen for vital values etc. has the configuration shown in FIG.
The initial selection screen shown in FIG. 16 is displayed in the area A, and an input unit for inputting each measured value of the data B of the user is displayed in the area E (step S17). At this time, in the system on the user side shown in FIG.
However, the configuration may be such that the data of the vital sensor connected to the vital sensor control unit 1 is fetched from the vital sensor control unit 1 and input to the input unit of each measurement data.

In the input section of the E area, a display area 71 for displaying a numerical value of the blood pressure, which is a management target of the user who wants to manage the health of hypertension, and a date when the user inputs the vital value of the data B and the like are input. Input section 72, a selection button 73 for selecting whether the input time is morning, noon, night, or before going to bed, a time input section 74 for inputting the time when the vital value was input, whether or not there was a seizure A seizure input confirmation button 75 for inputting a seizure level when there is seizure;
A blood pressure data input unit 76 for inputting measurement data of the user's blood pressure, a medication confirmation button 77 for inputting whether or not the user is currently taking medication, a body temperature input unit 78 for inputting measurement data of the user's body temperature, subjective symptoms of physical condition, etc. Is provided.

When the user erroneously inputs the data of the measurement result of the vital sensor connected to the vital sensor control unit 1 to each input unit, the user clicks the cancel button 54 and deletes the inputted data of the measurement result. Erase and re-enter data. The user selects the display area 7 in the E area.
1, date input section 72, selection button 73, time input section 7
4, seizure input confirmation button 75, blood pressure data input section 76,
Necessary data is input to the medication confirmation button 77, the body temperature input unit 78, and the comment input unit 79, respectively.

Then, if there is no correction in the input data, the user moves the cursor K to the OK button 80, and
Clicking the OK button 80 ends the input of the measurement data and the like of the essential management items (step S18). At this time,
The vital sensor control unit 1 transmits measurement data of essential management items from each connected vital sensor to the Internet terminal 11, and the Internet terminal 11 displays the measurement data on a display screen. The user marks the measurement data of each vital sensor with a printer or the like,
By looking at the print result, the user inputs measurement data and the like of the essential management items.

Here, as essential management items of daily management data for hypertension, for example, data of blood pressure and body temperature are measured, and blood pressure is set as a management target (in addition to body fat percentage, body weight, and exercise amount). May be done). Also,
For example, the essential items of daily management data for hyperlipidemia include body fat percentage, body weight, and amount of exercise, and the essential items of daily management data for diabetes include blood pressure, body fat percentage, body weight, and amount of exercise. Used for asthmatics / COP
The essential items of the daily management data D include a peak flow value, an asthma / COPD diary, oxygen saturation, body weight, and the like. The vital sensor control unit connected to the Internet terminal 11 of each user is connected to vital sensors necessary for measuring the above-mentioned inspection items.

Thus, the Internet terminal 11
Along with the control signal for the health check request, the input measurement data of the essential management items and the like are transmitted to the server 22 (step S19). Then, the server 22 receives the measurement data and the like of the input essential management items and the control signal of the health check request from the Internet 11 (step S20), and associates the measurement data and the like with the management ID of the user. The measurement data is stored in the personal data DB 24 in chronological order from the past measurement data (step S21).

Next, the server 22 continuously determines the health degree analysis shown in FIG. 12 and the health management target calculation display shown in FIG. 13 (step S22). And server 2
2 converts the health degree (disease rank, risk degree) calculated in the data analysis of step S22 into a format to be transmitted to the user in the reply data creation processing (step S23), and converts the converted test result screen. The personal data DB is transmitted to the Internet terminal 11 (step S24) and associated with the management ID of the user.
24. At this time, the server 22 stores the measurement data of the measurement item of the data B measured by the vital sensor in the personal data DB 24 in advance, as shown in FIG.
If the numerical value of the management target of the data B obtained from the calculation of the health management target shown in the above is exceeded or below (or is out of the numerical range of the management target),
It notifies the terminal of the doctor of the contracted medical institution H and the Internet terminal 11 of the user that an abnormal value due to a large change in the medical condition of the user has been detected. The doctor performs appropriate treatment (including medication) in response to the user's symptoms based on the notification.

Thus, the Internet terminal 11
The inspection result screen transmitted from the server 22 is received, and the received inspection result screen is displayed (step S17).
This inspection result screen has the configuration shown in FIG.
The initial selection screen shown in FIG. 16 is displayed in the area, and the determination result of the degree of health based on the user data B is displayed in the F area.

On the display section 91 in the F area, a disease state rank indicating a health condition (health degree) and a risk level are displayed. In addition, the numerical value of the risk (risk), which is the probability of inducing another complication in the current state of hypertension, is displayed on the display unit 92 in the F region. Further, the display area 92 in the F region displays a medical worker (including a doctor) of the medical institution H based on the measurement result of the data B, the degree of health obtained in step 22, and the comment from the user. Is displayed. The user presses the cancel button 54
Clicking returns to the display screen shown in FIG.

When the user clicks personal chart button 62 on the selection screen shown in FIG. 20, Internet terminal 11 transmits a control signal requesting reference to the personal chart to server 22 (step S).
26). As a result, the server 22 starts a program for displaying the description of the user's personal chart, extracts the personal chart display screen shown in FIG. 23 from the internal storage unit, and transmits the screen to the Internet terminal 11. Internet terminal 1
In FIG. 1, the personal chart display screen has the configuration shown in FIG. 23, the initial selection screen shown in FIG. 16 is displayed in the area A, and the user's personal chart data (the personal data DB 24 The measurement data of the management items stored in the series are displayed.

The input section 94 of the G area includes a display section 95.
Enter the measurement period of the personal chart data to be displayed in.
Then, the user inputs the measurement data of the management item stored in the personal data DB 24, for example, the data of the period in which the measurement data of the blood pressure is desired to be confirmed. The term here refers to a date designation, a week designation, a month designation, a date range designation, and the like. As a result, the Internet terminal 11
By clicking the K button 96, the data for the period to be confirmed is transmitted to the server 24 (step S2).
7).

Then, the server 22 stores the personal data DB2
In the data B stored in time series in FIG.
The measurement data of the user's blood pressure searched in D is extracted only for the period for which the user wants to check the personal chart data (step S2).
8) Convert the extracted blood pressure measurement data into a graph display screen (step S29), and transmit this graph display screen (vertical axis: blood pressure value, horizontal axis: time axis) to the Internet terminal 11 (step S30). ).

As a result, the Internet terminal 11
The display unit 95 displays the time-series graph display screen of the blood pressure measurement value in the range to be confirmed transmitted from the server 22 (step S31). On the graph display screen, as shown in the display section 95 of FIG. 23, the measured value of the systolic blood pressure and the measured value of the diastolic blood pressure are displayed in chronological order, and the management target is displayed. As this management target, a management target value of a systolic blood pressure value and a diastolic blood pressure value calculated in the health management target calculation of the processing shown in FIG. 13 is displayed.

The user's systolic blood pressure value and diastolic blood pressure value are calculated based on this management target (the upper management target in the graph corresponds to the systolic blood pressure value, and the lower management target in the graph corresponds to the diastolic blood pressure value). ) Are managed. If any one of the minimum blood pressure value and the maximum blood pressure value of the blood pressure of the data B deviates from the management target corresponding to the minimum blood pressure value and the management target corresponding to the maximum blood pressure value, the server 22 deviates from the management target. The deviation of the user's blood pressure value is detected as abnormal. Here, when the user designates the display of the personal chart of the plurality of examination items, the Internet terminal 11 inputs the data of the graph of the plurality of personal charts from the server 22 and displays the plurality of graphs on the display screen.

When the measured value of the blood pressure of the data B exceeds the management target, the server 22 transmits the information indicating that the abnormality was detected in the measured value of the data B to the medical staff of the contract medical institution H as described above. Notify to This management target is changed as needed in the health management target calculation shown in FIG. For example, there is a delay time until the effect of taking the drug corresponding to the medication period shown in FIG. 23, but the management target value is closer to the systolic blood pressure value and the diastolic blood pressure value of a healthy person.

Further, the management schedule is displayed on the graph display screen as shown in the display section 95 of FIG.
This management schedule is to improve the blood pressure of a user who is performing health management corresponding to high blood pressure by taking medicine or improving a living attitude, etc., to a preferred blood pressure level recommended by academic societies by when, or It shows the probability of inducing other diseases, that is, the target period target (schedule) for setting the blood pressure level to keep the risk within the safe range. When the user clicks the cancel button, the Internet terminal 11 returns the display screen to the selection screen shown in FIG.

When the user clicks the consultation button 63 on the selection screen shown in FIG. 20, the Internet terminal 11 sends a control signal requesting the server 22 to start a program for consulting a doctor with a medical condition. It transmits (step S32). Thereby, the server 22
Starts a program in which a user consults a doctor about a medical condition, extracts a consultation content display screen shown in FIG. 24 from an internal storage unit, and transmits the screen to the Internet terminal 11.

The Internet terminal 11 has the configuration shown in FIG. 24 as the consultation content display screen, and the initial selection screen shown in FIG.
The content of the consultation and the response from the medical staff corresponding to the consultation are displayed in the J area. In the J area, the past consultation and the data of the answer to the consultation which are retrieved from the personal data DB 24 corresponding to the management ID by the server 22 and are displayed in the order from the newest, in an amount that can be displayed. . That is, in the J area of FIG. 24, the display area 1
04, a display area 105, and a display area 106 are displayed.
In the display area 103, a method of using the consultation content display screen by the user is described.

The user inputs the title of the consultation on the display screen of the Internet terminal 11 into the input section 101, inputs the content of the consultation into the input section 102, and moves the cursor K to the send button 10
7 and click the send button. Thereby, the Internet terminal 11 transmits the data of the title and the content of the consultation to the server 22 (step S3).
5).

The server 22 receives the data of the title and the content of the consultation transmitted from the Internet terminal 11 (step S36), and stores the data in the personal data DB 24 corresponding to the management ID of the user (step S37). Further, the server 22 transmits the transmitted data of the title and the content of the consultation as a new consultation message to the medical staff of the contracted medical institution H (step S38).

Then, the new message is input to the terminal of the medical worker of the medical institution H (step S39), and the medical worker (for example, a doctor) displays the consultation contents in the new message on the display unit of the terminal. Confirmed,
Create an answer to this consultation content (step S4
0). The medical worker sends a response to the created consultation content to the server 22 via the terminal (step S4).
1).

Then, the server 22 receives the answer to the consultation content transmitted by the terminal of the medical institution H (step S).
42), the received answer is stored in the personal data DB 24 in correspondence with the management ID of the user and in correspondence with the consultation (step S43). Further, the server 22 transmits the above-mentioned answer from the medical staff to the Internet terminal 11 of the user who has transmitted the consultation data (Step S44).
Then, the user receives the answer data transmitted from the server 22 and displays the contents of the answer on the display screen of the Internet terminal 11 (step S45).

When the user clicks the management target button 64 on the selection screen shown in FIG. 20, the Internet terminal 11 instructs the server 22 to start a program for checking the management target of daily essential management items. The requested control signal is transmitted (step S46). As a result, the server 22 starts the program for the user to confirm the management target, and searches the personal data DB 24 for the management target stored in association with the management ID of the user, that is, the data of the blood pressure management target ( Step S47),
The management target data is transmitted to the Internet terminal 11 (step S48).

The internet terminal 11 receives the blood pressure management target data transmitted from the server 22, and displays the blood pressure management target data on the display screen (step S49). At this time, the management target data is as shown in FIG.
Are calculated in advance and stored in the personal data DB 24 for each essential management item of management data on a daily basis in accordance with the management ID of each user.

When the user clicks the hyperlipidemia button 42 on the selection screen shown in FIG. 18, step S5
A program for health management of hyperlipidemia of 0 is started,
When the diabetes button 43 is clicked, a program for managing the health of diabetes in step S51 is started, and when the asthma button 44 is clicked, the asthma / COP in step S52 is clicked.
The programs for health management of D are started, and each performs the same operation as that of steps S8 to S49 of the program for health management of hypertension.

Further, when the user moves the cursor K to the registration button 45 on the selection screen of FIG. 18 and clicks the registration button 45, the Internet terminal 11
Transmits a control signal requesting the server 22 to start a program for newly registering a user in the health management system (step S53). Thereby, the server 22 starts a program for newly registering a user, extracts a new registration screen from the internal storage unit,
Send to Internet terminal 11.

The Internet terminal 11 receives the data of the new registration screen transmitted from the server 22, and displays this new registration screen on the display screen (step S54). Then, the user or the medical staff of the contracted medical institution H receives hypertension, hyperlipidemia, diabetes, asthma / COP from each terminal.
D or each data of data A is input to the new registration screen, or only data A is input to the new registration screen, and the input data is transmitted to the server 22 (step 22). S55).

Thus, the server 22 receives the data transmitted from the user's Internet terminal 11 or the terminal of the medical staff at the medical institution H (step S5).
6) The data A of the user who newly requests new registration is
An area for storing is created in the personal data DB 24 (step S57). Then, the server 22 stores each data of the data A of the user requesting the new registration in the area generated in Step S57 (Step S5).
8).

Next, the server 22 generates (acquires) a management ID and a user password for searching the area in which the newly generated data A is newly stored (step S59). Then, the server 22 stores the newly acquired management ID in the management table of the management ID in association with the password. At this time, the server 22 performs an initial process (at the time of registration) in the process of the health management target calculation shown in FIG.

The server 22 associates each data of the disease name, symptom, risk, management target, and management schedule obtained as the calculation result with the personal data D by associating it with the management ID.
Stored in B24. Next, the server 22 sends a completion message together with the management ID and password to the Internet terminal 1 to notify the health management center B that the new registration of the user to the health management system has been completed.
1 (step S60).

Then, Internet terminal 11 receives the end message transmitted by server 22 (step S).
61), the management ID transmitted with this end message
And the password on the display screen. As a result, the user acquires the management ID and password displayed on the display screen of the Internet terminal 11 as his / her own management ID and password (step S63).

As described above, in one embodiment of the present invention, the server 22 determines whether the measured values of the essential management items of the user data B and the personal data D which are constantly monitored at a predetermined time.
Based on the data of the degree of health obtained from the data of each item of data A and data C stored in B24, the management target of the measurement value of the essential management item and the measurement value of the essential management item as the health care reference are used as health conditions. Since a treatment schedule that is scheduled for a treatment period close to a person is calculated, it is possible to perform detailed treatment tailored to each user, and it is possible to perform effective treatment.

Further, in one embodiment of the present invention, the server 22
Adjusts the management goal of the measured values of the essential management items according to whether the user takes the medicine and the amount of the medicine. Management can be performed, and treatment is performed for each user by associating the measured value of the essential management item with the effect of taking the medicine, and the doctor in charge can administer the medicine in consideration of individual differences in the medicine.

As described above, one embodiment of the present invention has been described in detail with reference to the drawings. However, the specific configuration is not limited to this embodiment, and a design change or the like may be made without departing from the gist of the present invention. The present invention is also included in the present invention. For example, in one embodiment, the medical institution H and the health insurance center B are separated,
Although the server 22 and the storage unit 23 are provided in the health insurance center B, the server 22 and the storage unit 23 may be provided in the medical institution H. Here, the server 22 provided in the medical institution H is provided with the same security as in the embodiment. In addition, the health management system of the present invention includes allergic and atopic, psychiatric and neurological disorders as lifestyle-related diseases.
It can be applied to rheumatic diseases, hyperuricemia / gout.

[0152]

As described above, the present invention is directed to a medical institution for asthmatic patients with many potential patients, chronic obstructive pulmonary disease, hypertension, diabetes, and hyperlipidemia-related lifestyle-related diseases and the reserve army. Is a health management system that builds a network system with the like, supports daily health management by himself or a physician, and provides medical information services necessary for this health management, such as hypertension, hyperlipidemia, diabetes, asthma/
For lifestyle-related diseases, such as COPD disease, in which many people are latent patients, as described above, the user himself / herself recognizes that lifestyle-related diseases are very scary factors that cause other diseases. The self-management of the user's lifestyle and the maintenance of health by healthcare professionals are performed, and the daily inspection results of the essential management items of the management data are suppressed within the preset management goals. Can reduce the likelihood of causing complications.

Further, according to the present invention, the disease state rank calculated from the measurement results of data A (biological data 3), data B (biological data 1) and data C (biological data 2) and the level of the guideline for treatment. In order to set the management target of the measurement value of the daily essential management item of the disease based on the risk level, it is possible to perform health management according to the medical condition of each user, and to determine whether this management target is taking medicine. In addition, since the adjustment is performed according to the amount of the medicine, it is possible to obtain a management target value that can cope with a change in symptoms due to the influence of taking the medicine.

Further, according to the present invention, data on the influence of taking a drug in a chronological order can be used for evaluation of clinical trials conducted by a pharmaceutical company under the permission of a user. The results of the medical checkup conducted by medical institutions indicate that the doctor in charge recommends treatment in this health care system, and that users will improve their lifestyles, which will lead to a reserve army of lifestyle-related diseases. Can be reduced.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a configuration of a health management system according to an embodiment of the present invention.

FIG. 2 is a block diagram showing a configuration of a vital system in a home of users (U1 to Un) in FIG.

FIG. 3 is a block diagram showing a system configuration of a health management center B in FIG.

FIG. 4 is a diagram showing essential management items to be managed on a daily basis in the case of a hypertensive patient and its reserve army.

FIG. 5 is a diagram showing essential management items that are managed daily in the case of a hyperlipidemia patient and its reserve army.

FIG. 6 is a diagram showing essential management items to be managed daily in the case of a diabetic patient and its reserve army.

FIG. 7 is a diagram showing essential management items to be managed daily in the case of asthma / COPD patients and their reserves.

FIG. 8 is a diagram showing initial personal information essential management items in the case of a hypertensive patient and its reserve army.

FIG. 9 is a diagram showing initial personal information essential management items in the case of a hyperlipidemia patient and its reserve army.

FIG. 10 is a diagram showing initial personal information essential management items in the case of a diabetic patient and its reserve army.

FIG. 11 is a diagram showing initial personal information essential management items in the case of asthma / COPD patients and their reserves.

FIG. 12 is a conceptual diagram illustrating the operation of the health level analysis of the server 22.

FIG. 13 is a conceptual diagram illustrating the operation of a server 22 for calculating a health care target.

FIG. 14 is a flowchart illustrating an operation example of the health management system according to the embodiment.

FIG. 15 is a flowchart illustrating an operation example of the health management system according to the embodiment.

FIG. 16 is a flowchart illustrating an operation example of the health management system according to the embodiment.

FIG. 17 is a conceptual diagram of a display screen of the Internet terminal 11 showing an outline of a selection screen sent from the server 22.

FIG. 18 is a conceptual diagram of a display screen of the Internet terminal 11 showing an outline of a selection screen sent from the server 22.

19 is a conceptual diagram of a display screen of the Internet terminal 11 showing an outline of an authentication screen sent from the server 22. FIG.

20 is a conceptual diagram of a display screen of the Internet terminal 11 showing an outline of a care service selection screen sent from the server 22. FIG.

21 is an Internet terminal 11 showing an outline of a vital value etc. input (input) screen transmitted from the server 22. FIG.
It is a conceptual diagram of the display screen of FIG.

FIG. 22 is a conceptual diagram of a display screen of the Internet terminal 11 showing an outline of an inspection result screen sent from the server 22.

23 is a conceptual diagram of a display screen of the Internet terminal 11 showing an outline of a personal medical record display screen sent from the server 22. FIG.

24 is a conceptual diagram of a display screen of the Internet terminal 11 showing an outline of a consultation content display screen sent from the server 22. FIG.

[Explanation of symbols]

 Reference Signs List 1 vital sensor control unit 2 sphygmomanometer 3 thermometer 4 blood glucose meter 5 urinary glucose meter 6 pedometer 7 weight / body fat percentage meter 8 oxygen saturation meter 9 PEF meter 10 card reader 11 internet terminal 12, 21 interface 22 server 23 Storage unit 24 Personal data DB 25 Health information DB 26 Disease / health degree judgment DB based on EBM 27 Video / image / sound capture unit B Health management center H Medical institution I Information communication line U1, U2, U3, Un user

 ──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Ryo Tanaka 2-2-2, Otemachi, Chiyoda-ku, Tokyo Urbannet Otemachi Building Inside NTMI Corporation (72) Inventor Naoto Hashimoto Chiyoda, Tokyo 2-2-2 Otemachi Ward, Urbannet Otemachi Building NTT TMI Co., Ltd. (72) Inventor Katsuya Yamashita 2-2-2 Otemachi, Chiyoda-ku, Tokyo Urbannet Otemachi Building N Corporation・ T.T.M.I. (72) Inventor Tomio Kiuchi 2-2-2, Otemachi, Chiyoda-ku, Tokyo ARBANNET Otemachi Building N.T.T.M.I. Co., Ltd. (72) Inventor Shigeru Ikeda, Chiyoda-ku, Tokyo 2-2-2 Otemachi Urbannet Otemachi Building Co., Ltd. Inside NTMI (72) Inventor Kohei Kodoko 1-2-1, Otemachi, Chiyoda-ku, Tokyo Mitsui & Co., Ltd. (72) Inventor Susumu Takahashi 1-2-1, Otemachi, Chiyoda-ku, Tokyo No. Mitsui & Co., Ltd. (72) Inventor Hiromichi Kimura 1-11-11 Kanda Jimbocho, Chiyoda-ku, Tokyo Within Fennetsus Co., Ltd. 72) Inventor Matsunobu Suko 2-30-6, Ishikami-cho, Nerima-ku, Tokyo (72) Inventor Tamio Teramoto 4-9-13, Yushima, Bunkyo-ku, Tokyo (72) Inventor Kazuyuki Shimada 1704-, Tsuruta-cho, Utsunomiya-shi, Tochigi 61 (72) Inventor Shigehiro Katayama 5-2-8 Toyooka, Iruma-shi, Saitama F-term (reference) 5B049 BB41 CC00 CC02 DD00 GG00

Claims (9)

[Claims] 1. An information communication network connecting an Internet terminal owned by a lifestyle-related disease and a care applicant who is a reserve army to a health care center equipped with security or a server installed in a medical institution. In the health management system for the purpose of self-management of the care applicant or health maintenance management by medical staff, the health condition of the care applicant is connected to an Internet terminal owned by the care applicant, according to medical guidelines. A vital sensor system composed of a plurality of vital sensors for acquiring the biometric data 1 of the corresponding applicant for care, and a first transmission for transmitting the biometric data 1 to the server via an Internet terminal owned by the applicant for care. Means and health care items that comply with medical guidelines Second transmission means for transmitting the periodically inspected biometric data 2 to the server; and personal information including the results of medical interviews and health examinations (including detailed examinations), physical findings, and clinical histories at the medical institution of the care applicant. A third transmission unit that transmits the biometric data 3 to the server; and the server stores the biometric data 1, the biometric data 2, and the biometric data 3 in association with each management ID indicating the care applicant. A database, an index representing the degree of health of the care applicant, the biological data 1, the biological data 2, and the biological data 3,
An operation means for performing an operation based on the items based on the medical guideline, an index indicating the degree of health of the operation result, and customized information based on the biological data 3 necessary for promoting health are transmitted to the server. And a reply means for replying in correspondence with the identification ID of the care applicant. 2. The health management system according to claim 1, wherein the lifestyle-related disease is at least one of hypertension, hyperlipidemia, diabetes, and asthma / COPD. 3. The health management system according to claim 1, wherein the Internet terminal is compatible with all Internet terminals including a mobile phone terminal, an Internet terminal using a television, and a personal computer terminal. . 4. The vital sensor system includes means for reading an ID card storing a management ID for each care applicant with a card reader, and means for detecting the biological data 1 and transmitting measurement data to an Internet terminal. The health care system according to any one of claims 1 to 3, wherein the health care system comprises a single or a plurality of the care applicants. 5. The arithmetic unit determines whether or not the biological data 1 of the care applicant is within a numerical range of biological data indicating a possibility of being sick, and determines that the biological data 1 is within the numerical range. The health management system according to any one of claims 1 to 4, wherein one or more differential diagnosis names of the determined disease are output. 6. The health management system according to claim 1, wherein the calculation unit generates a management target of measurement data of each health management item and a management schedule of treatment. . 7. When the measurement data of the biometric data 1 deviates from the numerical value of the management target, the reply unit notifies the terminal of the care applicant and the terminal of a medical institution that an abnormality has been detected. The health management system according to any one of claims 1 to 6, wherein: 8. The medical institution measures the biological data 2 of a management item according to a medical guideline, which is not measured by the vital sensor system, and analyzes the result of the examination by a doctor on the Internet terminal of the medical institution. 2. The method according to claim 1, wherein the care requester's Internet terminal stores the data in the database in association with the management ID of each care requester.
The health management system according to any one of claims 1 to 7. 9. The server according to a request from the Internet terminal of the care applicant, at least one of a medication state of the care applicant and an examination item of the biometric data 1 corresponding to the identification ID of the care applicant. Or multiple time-series numerical data during the required period,
The health management system according to any one of claims 1 to 8, further comprising: means for displaying on a display screen of the Internet terminal.