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WO2018061170A1 - Système de relevé d'historique interactif, procédé de relevé d'historique interactif et programme - Google Patents

Système de relevé d'historique interactif, procédé de relevé d'historique interactif et programme Download PDF

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Publication number
WO2018061170A1
WO2018061170A1 PCT/JP2016/078989 JP2016078989W WO2018061170A1 WO 2018061170 A1 WO2018061170 A1 WO 2018061170A1 JP 2016078989 W JP2016078989 W JP 2016078989W WO 2018061170 A1 WO2018061170 A1 WO 2018061170A1
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WIPO (PCT)
Prior art keywords
patient
disease name
question
answer
vital data
Prior art date
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Ceased
Application number
PCT/JP2016/078989
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English (en)
Japanese (ja)
Inventor
俊二 菅谷
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Optim Corp
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Optim Corp
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Publication date
Application filed by Optim Corp filed Critical Optim Corp
Priority to PCT/JP2016/078989 priority Critical patent/WO2018061170A1/fr
Publication of WO2018061170A1 publication Critical patent/WO2018061170A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons

Definitions

  • the present invention relates to an interactive inquiry system, an interactive inquiry method, and a program for interrogating a patient in the form of an answer to a question.
  • a patient has entered necessary information on a paper questionnaire, or displayed on a terminal device the questionnaire data corresponding to the questionnaire, and entered the necessary information. It was.
  • Patent Document 1 Although the reliability based on the change in vital data can be calculated, it is difficult to deal with the case where the patient himself / herself accidentally inputs the question unintentionally and is limited. Since it is difficult to obtain a large number of answers to detailed questions in time, it was difficult to identify suspicious disease names and symptoms.
  • the present invention obtains patient vital data from an external device, uses it for an inquiry, and asks the patient in the form of a question, so that it is possible to roughly identify even a suspicious disease name, an interactive inquiry system, and an interactive inquiry method And to provide a program.
  • the present invention provides the following solutions.
  • the invention according to the first feature is an interactive inquiry system for interrogating a patient in the form of an answer to a question, Vital data acquisition means for acquiring vital data of the patient from an external device; Question selection means for selecting the question according to the acquired vital data; Answer accepting means for accepting an answer to the question; Based on the answer and the vital data, disease name determination means for determining a disease name of the patient, Disease name display means for displaying the determined disease name; Question changing means for changing the next question based on the patient's past answers and the vital data;
  • An interactive inquiry system characterized by comprising:
  • an interactive inquiry system for interrogating a patient in the form of an answer to a question acquires the patient's vital data from an external device, and according to the acquired vital data, Select a question, accept an answer to the question, determine the patient's disease name based on the answer and the vital data, display the determined disease name, the patient's past answer and the vital data And change the following question based on:
  • the invention according to the first feature is a category of the interactive inquiry system, but in other categories such as methods and programs, the same actions and effects according to the category are exhibited.
  • the invention according to the second feature includes a captured image acquisition means for acquiring a captured image of the affected area of the patient, Further comprising The disease name determination means determines the disease name of the patient based on the answer, the vital data, and the captured image.
  • an interactive inquiry system which is an invention according to a first feature.
  • the interactive inquiry system acquires a captured image of the affected area of the patient, and based on the answer, the vital data, and the captured image The disease name of the patient is determined.
  • the invention according to the third feature is a Web information acquisition means for acquiring a disease name that is currently prevalent from Web information via a network; Further comprising The disease name determination means determines the patient's disease name based on the answer, the vital data, and the Web information; There is provided an interactive inquiry system which is an invention according to a first feature.
  • the interactive inquiry system acquires a disease name that is currently prevalent from Web information via a network, and the answer, the vital data, and Based on the Web information, the patient's disease name is determined.
  • the invention according to the fourth feature includes statistical information acquisition means for acquiring statistical information of disease names of other patients, Further comprising The disease name determination means determines the disease name of the patient based on the answer, the vital data, and the statistical information.
  • the interactive inquiry system which is an invention according to a first feature.
  • the interactive inquiry system acquires the statistical information of the disease names of other patients, and based on the answer, the vital data, and the statistical information The disease name of the patient is determined.
  • the invention according to the fifth feature is a doctor terminal connection means for connecting the patient terminal used by the patient and the doctor terminal used by the doctor in a communicable manner based on the disease name;
  • the interactive inquiry system which is invention which concerns on the 1st characteristic characterized by further providing is provided.
  • the interactive inquiry system can communicate between the patient terminal used by the patient and the doctor terminal used by the doctor based on the disease name. Connect to.
  • the invention according to a sixth aspect is the doctor terminal display means for displaying the disease name, the answer, and the vital data on the doctor terminal, Is provided,
  • the interactive inquiry system which is invention which concerns on the 5th characteristic characterized by the above-mentioned is provided.
  • the interactive inquiry system displays the disease name, the answer, and the vital data on the doctor terminal.
  • the invention according to a seventh aspect includes an emergency level determination unit that determines an emergency level based on the disease name;
  • the interactive inquiry system which is invention which concerns on the 1st characteristic characterized by further providing is provided.
  • the interactive inquiry system that is the first aspect of the invention determines the degree of urgency based on the disease name.
  • the invention according to the eighth feature is an interactive inquiry method for interrogating a patient in the form of an answer to a question, Obtaining vital data of the patient from an external device; Selecting the question according to the acquired vital data; Receiving an answer to the question; Determining a disease name of the patient based on the answer and the vital data; Displaying the determined disease name; Changing the next question based on the patient's past answers and the vital data;
  • An interactive interview method characterized by comprising:
  • the invention according to the ninth feature provides a computer system for interrogating a patient in the form of an answer to a question. Obtaining vital data of the patient from an external device; Selecting the question according to the acquired vital data; Receiving an answer to the question; Determining a disease name of the patient based on the answer and the vital data; Displaying the determined disease name; Changing the next question based on the patient's past answers and the vital data; Provide a program to execute.
  • the vital data of a patient is obtained from an external device, used for an inquiry, and the patient is asked in the form of a question. It is possible to provide an inquiry method and program.
  • FIG. 1 is a diagram showing an outline of the interactive inquiry system 1.
  • FIG. 2 is an overall configuration diagram of the interactive inquiry system 1.
  • FIG. 3 is a functional block diagram of the computer 10, the patient terminal 100, and the doctor terminal 200.
  • FIG. 4 is a flowchart showing an interactive inquiry process executed by the computer 10, the patient terminal 100, and the doctor terminal 200.
  • FIG. 5 is a flowchart showing an interactive inquiry process executed by the computer 10, the patient terminal 100, and the doctor terminal 200.
  • FIG. 6 is a flowchart showing an interactive inquiry process executed by the computer 10, the patient terminal 100, and the doctor terminal 200.
  • FIG. 7 is a flowchart showing an interactive inquiry process executed by the computer 10, the patient terminal 100, and the doctor terminal 200.
  • FIG. 1 is a diagram showing an outline of the interactive inquiry system 1.
  • FIG. 2 is an overall configuration diagram of the interactive inquiry system 1.
  • FIG. 3 is a functional block diagram of the computer 10, the patient terminal 100, and the doctor terminal 200.
  • FIG. 4 is a
  • FIG. 8 is a flowchart showing an interactive inquiry process executed by the computer 10, the patient terminal 100, and the doctor terminal 200.
  • FIG. 9 is a diagram illustrating an example of scenario data stored in the computer 10.
  • FIG. 10 is a diagram illustrating an example of a question screen displayed by the patient terminal 100.
  • FIG. 11 illustrates an instruction screen displayed on the patient terminal 100.
  • FIG. 12 is a diagram illustrating an example of a diagnosis result screen displayed on the patient terminal 100.
  • FIG. 1 is a diagram for explaining an outline of an interactive inquiry system 1 which is a preferred embodiment of the present invention.
  • the interactive inquiry system 1 includes a computer 10, a patient terminal 100, and a doctor terminal 200, and makes an inquiry to the patient in the form of an answer to the question.
  • the interactive inquiry system 1 includes various external devices such as a sensor for obtaining vital data of a patient, a weight scale, a height meter, a thermometer, and a sphygmomanometer.
  • the number of patient terminals 100 and doctor terminals 200 is not limited to one and may be plural.
  • the computer 10, the patient terminal 100, or the doctor terminal 200 is not limited to a real device, and may be a virtual device.
  • each process mentioned later may be implement
  • the computer 10 is a computer capable of data communication with the patient terminal 100 and the doctor terminal 200.
  • the patient terminal 100 is a terminal device operated by a patient, capable of data communication with the computer 10.
  • the patient terminal 100 is, for example, a cellular phone, a portable information terminal, a tablet terminal, a personal computer, an electric appliance such as a netbook terminal, a slate terminal, an electronic book terminal, a portable music player, a smart glass, a head-mounted display, etc. Wearable terminals and other items.
  • the doctor terminal 200 is a terminal device that can be communicated with the computer 10 and operated by a doctor such as a specialist belonging to each medical institution.
  • the doctor terminal 200 is an electrical appliance similar to the patient terminal 100 described above, a wearable terminal, or other articles.
  • the computer 10 acquires patient vital data from an external device (not shown) (step S01).
  • the vital data is information about the patient's living body such as age, weight, blood pressure, body temperature, pulse rate, respiratory rate, and the like.
  • the computer 10 selects a question according to the acquired vital data (step S02).
  • the computer 10 selects a question according to vital data based on scenario data that defines a series of preset questions.
  • the computer 10 transmits question data indicating the selected question to the patient terminal 100 (step S03).
  • the patient terminal 100 receives the question data.
  • the patient terminal 100 displays a question on its own display unit based on the received question data, and accepts an input of an answer (step S04).
  • the patient terminal 100 receives, as an answer, input of characters, symbols, etc., input by voice, input by gestures, etc., or externally connected imaging such as an imaging device such as a camera of the patient terminal 100 or a network camera.
  • the apparatus captures an image of the affected area, and receives an input as the captured image.
  • the patient terminal 100 transmits answer data indicating the accepted answer to the computer 10 (step S05).
  • the answer data includes the above-described characters, symbols, voices, gestures, captured images, and the like.
  • the computer 10 receives the answer data.
  • the computer 10 changes the next question based on the received answer data and vital data (step S06).
  • the computer 10 changes the next question by selecting an optimal question from the questions defined in the scenario data described above based on the answer data and the vital data.
  • the computer 10 repeatedly executes the above-described steps S01 to S05 to determine whether or not the patient's disease name has been determined (step S07).
  • the computer 10 determines the patient's disease name based on the answer data and the vital data.
  • the computer 10 may determine the patient's disease name based on the contents input as the answer, the vital data, and the captured image.
  • the computer 10 acquires a disease name that is currently prevalent through a network from an external database, an external computer, or the like as Web information, and based on the content, vital data, and Web information input as an answer, the patient's disease name May be judged.
  • the computer 10 obtains statistical information on the disease names of other patients from an external database, an external computer, a database stored by itself, and the like, and based on the contents, vital data, and statistical information input as answers, May be judged. Moreover, you may determine the urgency degree which shows that an immediate treatment is required based on the determined disease name.
  • the computer 10 transmits disease name data indicating the determined disease name to the patient terminal 100 (step S08).
  • the patient terminal 100 receives the disease name data.
  • the patient terminal 100 displays the disease name on its display unit based on the received disease name data (step S09).
  • the computer 10 connects the doctor terminal 200 possessed by the specialist corresponding to the disease name and the patient terminal 100 in a communicable manner (step S10).
  • “Communication is possible” means a state in which voice communication, text message transmission / reception, and the like are possible.
  • the computer 10 transmits medical condition data indicating a disease name, an answer, and vital data to the doctor terminal 200 (step S11).
  • the doctor terminal 200 receives the medical condition data.
  • the doctor terminal 200 displays the patient's disease name, answer, and vital data on its own display unit based on the received medical condition data (step S12).
  • the doctor terminal 200 may also display the determined degree of urgency.
  • FIG. 2 is a diagram showing a system configuration of the interactive inquiry system 1 which is a preferred embodiment of the present invention.
  • the interactive inquiry system 1 is composed of a computer 10, a patient terminal 100, a doctor terminal 200, and a public network (Internet network, third- and fourth-generation communication network, etc.) 5, and asks patients in the form of answers to questions. I do.
  • the interactive inquiry system 1 includes various external devices such as a sensor for obtaining vital data of a patient (not shown), a weight scale, a height meter, a thermometer, and a sphygmomanometer.
  • the number of patient terminals 100 and doctor terminals 200 is not limited to one and may be plural.
  • the computer 10, the patient terminal 100, and the doctor terminal 200 are not limited to actual devices, and may be virtual devices. Each process described below may be realized by any one or a combination of the computer 10, the patient terminal 100, and the doctor terminal 200.
  • the computer 10 is the above-described computer having the functions described later.
  • the patient terminal 100 is the above-described terminal device having the functions described below.
  • the doctor terminal 200 is the above-described terminal device having the functions described later.
  • FIG. 3 is a functional block diagram of the computer 10, the patient terminal 100, and the doctor terminal 200.
  • the computer 10 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), a ROM (Read Only Memory), etc. as the control unit 11, and a device for enabling communication with other devices as the communication unit 12.
  • a WiFi (Wireless Fidelity) compatible device compliant with IEEE 802.11 is provided.
  • the computer 10 also includes a data storage unit such as a hard disk, a semiconductor memory, a recording medium, or a memory card as the storage unit 13.
  • the control unit 11 when the control unit 11 reads a predetermined program, in cooperation with the communication unit 12, the diagnosis start request receiving module 20, the question transmitting module 21, the answer receiving module 22, the instruction transmitting module 23, vital data acquisition A module 24, a Web information acquisition module 25, a statistical information acquisition module 26, a disease name transmission module 27, a connection request reception module 28, and a connection module 29 are realized. Further, in the computer 10, the control unit 11 reads a predetermined program, thereby cooperating with the storage unit 13, and the question selection module 30, the storage module 31, the execution module 32, the disease name determination module 33, and the urgency level determination module 34. The terminal selection module 35 is realized.
  • the patient terminal 100 includes a CPU, RAM, ROM, and the like as the control unit 110, and a device for enabling communication with other devices as the communication unit 120.
  • the patient terminal 100 includes, as the input / output unit 140, a display unit that outputs and displays data and images controlled by the control unit 110, an input unit such as a touch panel, a keyboard, and a mouse that receives input from the patient, and an affected part of the patient.
  • An image pickup device for picking up images an image pickup unit such as an image pickup device such as a lens, and the like.
  • the control unit 110 when the control unit 110 reads a predetermined program, in cooperation with the communication unit 120, a diagnosis start request transmission module 150, a question reception module 151, an answer transmission module 152, an instruction reception module 153, a disease name reception A module 154 and a connection request transmission module 155 are realized.
  • the control unit 110 reads a predetermined program, thereby realizing the display module 160, the input reception module 161, and the imaging module 162 in cooperation with the input / output unit 140.
  • the doctor terminal 200 includes a CPU, a RAM, a ROM, and the like as the control unit 210, a device for enabling communication with other devices as the communication unit 220, and the input / output unit 240. And a display unit and an input unit.
  • the control unit 210 when the control unit 210 reads a predetermined program, the medical condition reception module 250 is realized in cooperation with the communication unit 220. Further, in the doctor terminal 200, the control unit 210 reads a predetermined program, thereby realizing the display module 260 in cooperation with the input / output unit 240.
  • FIG. 4 to FIG. 8 are flowcharts showing an interactive inquiry process executed by the computer 10, the patient terminal 100, and the doctor terminal 200. The processing executed by the modules of each device described above will be described together with this processing.
  • the diagnosis start request transmission module 150 transmits a diagnosis start request to the computer 10 (step S20).
  • the examination start request is a request to perform an inquiry such as illness or trauma.
  • the diagnosis start request transmission module 150 transmits a diagnosis start request triggered by, for example, activation of a predetermined application, transmission of a predetermined message, access to a predetermined Web site, and the like.
  • the diagnosis start request transmission module 150 may transmit a diagnosis start request by a method other than the example described above.
  • the medical examination start request receiving module 20 receives a medical examination start request.
  • the question selection module 30 selects a question based on the diagnosis start request (step S21).
  • the question selection module 30 selects a question based on scenario data that defines a plurality of preset questions as a series of flows.
  • This scenario data includes questions (money to ask the patient, instructions to the patient, etc.) to understand the motivation to receive the medical examination, the current medical history (position, nature, degree, time, situation, factors, symptoms), etc. Such as acquisition of various data and various data) is defined as a series of flows.
  • the question and scenario data are stored in the storage module 31.
  • the question selection module 30 selects the question located at the top in the scenario data. Specifically, the question selection module 30 selects a question related to the motive of the patient's examination such as “How was it done today” for the patient.
  • FIG. 9 is a diagram illustrating an example of scenario data stored in the storage module 31.
  • the storage module 31 defines and stores a plurality of questions and answers to the questions as a series of flows.
  • the question is a question to the patient (question), a question that the computer 10 acquires vital data (data acquisition), a question that the patient needs some action (instruction), a computer 10 that performs some determination (determination).
  • the answer is an answer input by the patient terminal 100.
  • Scenario data is defined as a combination of questions, answers, and acquisition of vital data.
  • the acquisition of answers and vital data is defined below the question.
  • Judgment is defined at the bottom of vital data acquisition and responses.
  • the acquisition of questions and vital data is defined at the bottom of the judgment.
  • the vital data is information about the patient's living body such as age, weight, blood pressure, body temperature, pulse rate, respiratory rate, and the like.
  • the question 300 is defined at the top of the scenario data, and is content related to the motivation for medical treatment.
  • answers 310 to 313 are defined in the lower order.
  • the answers 310 to 313 are contents relating to the answers input by the patient terminal 100.
  • instructions 320 to 323 are defined in the lower order.
  • the instructions 320 to 323 are contents relating to acquisition of vital data and instructions to the patient.
  • imaging of the affected area is set as an instruction, which is a content for instructing the patient to capture an image of the affected area.
  • the instruction 321 is set to acquire body temperature data as an instruction, and is an instruction to acquire patient temperature data as vital data.
  • the instruction 323 is set to acquire the latest meal data as an instruction, and is an instruction to acquire data related to the patient's latest meal. For example, the meal data is acquired by the patient.
  • judgments 330 and 331 are defined in the lower order. Although not shown, it goes without saying that questions, answers, instructions, and judgments may also exist in the lower directions of the instructions 322 and 323, respectively.
  • the determination 330 is a determination regarding whether or not there is an injury, and the computer 10 determines whether or not there is an injury by recognizing a captured image of the affected area.
  • the determination 331 is set to determine whether or not the temperature is normal, and the computer 10 determines whether or not the acquired body temperature data is normal. For example, the computer 10 makes a determination based on whether the body temperature data obtained from the determination as to whether or not the temperature is normal is higher or lower than a general body temperature.
  • questions 340, 342, and 343 and an instruction 341 are defined in the lower order.
  • the question 340 is set with contents related to an injured situation when there is an injury.
  • the instruction 341 is content in which body temperature data acquisition is set as an instruction when there is no trauma, and the computer 10 instructs to acquire patient temperature data as vital data.
  • the question 342 is above normal temperature, the content regarding the pain state is set.
  • the question 343 is normal temperature, the contents regarding the nature, the situation, and the symptom are set.
  • the questions, answers, judgments, and instructions included in the scenario data are not limited to those described above, but may include other contents.
  • the number and types of questions, answers, judgments, and instructions can be changed as appropriate.
  • the flow of questions, answers, judgments, and instructions is not limited to the flow described above, and can be changed as appropriate.
  • the scenario data includes not only judgments made by the computer 10, acquisition of vital data, judgments made by the patient terminal 100, instructions to the patient, etc., but the position, nature, degree, time, situation.
  • Contents related to the current medical history such as factors and symptoms, and other contents such as acquisition of various data and information may be included.
  • the question transmission module 21 transmits the question data indicating the selected question to the patient terminal 100 (step S22).
  • the question transmission module 21 transmits, as question data, to the patient terminal 100, a question about the medical motivation that is the highest level question.
  • the question receiving module 151 receives question data.
  • the display module 160 displays a question based on the received question data (step S23).
  • FIG. 10 is a diagram illustrating an example of a question screen displayed by the display module 160.
  • the display module 160 displays a question content display area 400 and an answer input area 410.
  • the question content display area 400 displays the content of the question.
  • the answer input area 410 is an area for receiving input from a patient.
  • the answer input area 410 is an area where the patient directly inputs characters, symbols, captured images, and the like.
  • the answer input area 410 displays a virtual keyboard or the like by receiving an input from a patient, receives an input of an answer by receiving an input to the virtual keyboard, and displays the received answer.
  • the answer input area 410 receives an input to which a captured image or the like is attached, and displays the received captured image or the like.
  • the answer input area 410 receives voice input from the patient, converts the received voice into text, and displays the text.
  • the display module 160 may display a plurality of preset answer candidates as a question screen, and the patient may select one or more of the displayed answer candidates.
  • the input reception module 161 determines whether or not an input of an answer has been received (step S24). In step S24, the input reception module 161 determines whether an input related to the current medical history or an input to the answer input area 410 described above has been received.
  • step S24 if the input receiving module 161 determines that the input of the answer is not received (NO in step S24), the process is repeated. In step S24, the input receiving module 161 ends the process when receiving an input operation related to the end of the examination.
  • step S24 when the input receiving module 161 determines in step S24 that the input of the answer has been received (YES in step S24), the answer transmission module 152 transmits the answer data indicating the received answer to the computer 10 (step S25). ).
  • the response receiving module 22 receives the response data.
  • the question selection module 30 extracts keywords included in the answer data by analyzing character data, symbol data, captured image data, and the like included in the received answer data (step S26).
  • the question selection module 30 uses, as keywords, character data relating to the body such as the head, arms, stomach, eyes, and symptoms such as nausea, dizziness, paralysis, trembling, swelling, itching, painful, difficult to see, and painful. Is extracted as a keyword. Further, based on the feature amount included in the captured image data, the above-described image data related to the body and image data related to symptoms are acquired as keywords.
  • the question selection module 30 selects a question (question, answer, judgment, or instruction) corresponding to a question (question, answer, determination, or instruction) located at a lower level of the question corresponding to the current answer. , Judgment or instruction) is selected (step S27).
  • step S27 for example, when the extracted keyword is “abdomen” or “pain”, the question selection module 30 selects the answer 310 “stomach hurt” in the scenario data described above. Since the answer 310 is not a question for the patient, the question selection module 30 selects a question (question, determination, or instruction) that exists below the answer 310. The question selection module 30 selects an instruction 320 “imaging affected area” that exists below the answer 310. That is, the question selection module 30 selects a question, an answer, a determination, or an instruction in the scenario data according to the answer to the question.
  • the question selection module 30 selects the answer 311 “head hurts” in the scenario data described above. Since the answer 311 is not a question for the patient, the question selection module 30 selects a question (question, judgment, or instruction) that exists below the answer 311. The question selection module 30 selects the instruction 321 “acquisition of body temperature data” that exists below the answer 311.
  • the question selection module 30 determines whether or not an instruction for the patient has been selected (step S28). In step S28, the question selection module 30 determines, for example, whether or not an instruction to capture a captured image of the affected area or an instruction that some other patient needs to perform is selected. In the scenario data described above, the question selection module 30 determines whether or not the instruction 320 or 322 “affected part imaging” has been selected.
  • step S28 when the question selection module 30 determines that an instruction has been selected (YES in step S28), the instruction transmission module 23 transmits instruction data indicating the selected instruction to the patient terminal 100 (step S29).
  • the instruction receiving module 153 receives instruction data.
  • the display module 160 displays an instruction based on the received instruction data (step S30).
  • FIG. 11 is a diagram illustrating an example of an instruction screen displayed by the display module 160.
  • the display module 160 displays an instruction content display area 500 and an answer input area 510.
  • the answer input area 510 is an area for displaying a result of the instruction executed by the patient, and an area for displaying data acquired by the patient directly by application or corresponding to the instruction.
  • the answer display area 510 accepts input of characters, symbols, etc. directly from the patient, displays the received input content, acquires the captured image of the affected area captured by the imaging module 162, and displays the acquired captured image To do.
  • the answer input area 510 displays a virtual keyboard or the like by accepting input from the patient, accepts input of an answer by accepting input to the virtual keyboard, and displays the accepted answer.
  • the answer input area 510 receives an input to which a captured image or the like is attached, and displays the received image or the like. In the present embodiment, it is assumed that a captured image of an affected part is acquired and displayed as an answer.
  • the reply transmission module 152 transmits reply data indicating the reply that has been accepted to the computer 10 (step S31).
  • the answer receiving module 22 receives answer data.
  • step S28 determines whether or not the instruction has not been selected (NO in step S28)
  • step S32 determines whether or not an instruction to acquire vital data such as acquisition of body temperature data, acquisition of latest meal data, or acquisition of blood pressure data has been selected.
  • the question selection module 30 determines whether the instruction 321 “acquire body temperature data” or the instruction 323 “acquire latest meal data” has been selected.
  • step S32 when the question selection module 30 determines that the acquisition of vital data has been selected (YES in step S32), the vital data acquisition module 24 acquires patient vital data from an external device (not shown) (step S32). S33). In step S33, the vital data acquisition module 24 acquires this vital data from the external device corresponding to the selected vital data.
  • step S34 the question selection module 30 determines whether or not the determination is selected (step S34).
  • step S34 the question selection module 30 causes the computer 10 to respond to the contents of the answer data acquired before, for example, whether there is a trauma in the captured image, whether the body temperature data is normal, etc. Determine whether you have selected a question that requires some judgment.
  • the question selection module 30 determines whether “Damage?” Of the decision 330 or “Normal heat?” Of the decision 331 is selected.
  • step S34 when the question selection module 30 determines that the determination is selected (YES in step S34), the execution module 32 executes the selected determination (step S35).
  • step S35 for example, the execution module 32 performs image analysis on the captured image to identify the presence or absence of trauma such as a wound or a wrinkle, and whether the numerical value of the body temperature data matches a general numerical value. to decide.
  • step S34 determines in step S34 that the determination is not selected (NO in step S34)
  • the question selection module 30 determines that the question has been selected, and the question transmission module 21 selects it.
  • Question data indicating the question is transmitted to the patient terminal 100 (step S36).
  • the question receiving module 151 receives question data.
  • the display module 160 displays a question based on the received question data (step S37).
  • the process of step S37 is a process of displaying a question based on the question data, similar to the process of step S23 described above.
  • the input reception module 161 determines whether or not an input of an answer has been received (step S38).
  • the process of step S38 is the same as the process of step S24 described above.
  • step S38 if the input receiving module 161 determines that the input of the answer has not been received (NO in step S38), the process is repeated.
  • step S38 when the input receiving module 161 determines in step S38 that the input of the answer has been received (YES in step S38), the answer transmitting module 152 transmits the answer data indicating the received answer to the computer 10 (step S39). ).
  • the response receiving module 22 receives the response data.
  • the question selection module 30 extracts keywords included in the answer data by analyzing character data, symbol data, captured image data, and the like included in the received answer data (step S40).
  • the process of step S40 is the same as the process of step S26 described above.
  • the question selection module 30 determines whether or not there is a question (question, answer, determination, or instruction) located below the question corresponding to the current answer based on the extracted keyword and scenario data (Ste S41). In step S41, the question selection module 30 may determine whether or not a sufficient answer has been obtained for determining the disease name. In this case, when it is determined that the question selection module 30 has been obtained, the question selection module 30 only needs to execute processing subsequent to the processing in step S42 described later. do it.
  • step S41 when it is determined that the question selection module 30 exists (step S41 YES), the process of step S27 described above is executed.
  • step S41 the Web information acquisition module 25 is currently popular from an external database or an external computer via the public network 5.
  • the current disease name and the current medical history based on this disease name are acquired as Web information (step S42).
  • step S42 the Web information acquisition module 25 acquires, as Web information, information related to infectious diseases caused by various viruses such as influenza and chickenpox.
  • the statistical information acquisition module 26 acquires the disease name of the other patient and the current medical history based on the disease name as statistical information from an external database, an external computer, or a database stored in the storage module 31 (step S43). In step S43, the statistical information acquisition module 26 acquires, as statistical information, the disease name determined as the diagnosis result and the current medical history based on the disease name in a format that does not specify the individual of another patient.
  • the disease name determination module 33 determines the patient's disease name based on the answer data, vital data, Web information, and statistical information (step S44).
  • step S44 for example, the disease name determination module 33 determines a disease name corresponding to the patient's current medical history based on the response and vital data input by the patient included in the response data.
  • the disease name determination module 33 determines a disease name corresponding to the patient's current medical history based on the answers input by the patient included in the response data, vital data, and the captured image of the affected area captured by the patient.
  • the disease name determination module 33 determines a disease name corresponding to the patient's current medical history based on the answers, vital data, and Web information input by the patient included in the response data.
  • the disease name determination module 33 determines a disease name corresponding to the patient's current medical history based on the answers, vital data, and statistical information input by the patient included in the response data.
  • the disease name determination module 33 determines that, for example, if the answer input by the patient is “head hurts” and the body temperature is higher than normal temperature, the possibility of a cold is high. In addition, if the answer input by the patient is “abdominal pain”, the captured image of the affected area captured by the patient is not traumatic and the body temperature data is higher than the normal temperature, it is determined that the possibility of cecum is high. In addition, the disease name determination module 33 may acquire the possibility of influenza if the answer input by the patient is “headache”, the body temperature is higher than normal, and information indicating that influenza is prevalent as Web information is acquired. It is judged that is high. Also, if the answer entered by the patient is "I have a stomachache", the body temperature data is higher than normal fever, and the disease name corresponding to this current medical history is statistical information, it is determined that there is a high possibility of being cecal .
  • the disease name determination module 33 may determine the patient's disease name based on all of the answer data, vital data, Web information, and statistical information, or may determine the patient's disease name based only on any of them. Alternatively, the patient's disease name may be determined based on a plurality of data and information.
  • the disease name determined by the disease name determination module 33 is not limited to the above-described example, and may be another disease name.
  • the urgency determination module 34 determines the urgency based on the determined disease name (step S45).
  • the urgency level is a numerical evaluation that immediate treatment is necessary.
  • the urgency level determination module 34 determines the urgency level of the disease name determined this time based on an external database in which the disease name and the urgency level are associated or a database stored in the storage module 31. For example, the urgency level determination module 34 sets an urgency level flag when the urgency level associated with the determined disease name is equal to or greater than a predetermined numerical value.
  • the urgency level determination module 34 does not set the urgency level flag when the urgency level associated with the determined disease name is less than a predetermined numerical value.
  • a disease name with a high degree of urgency for example, a disease name or a symptom that worsens if some kind of treatment is not performed immediately.
  • the name of a disease with low urgency includes, for example, a disease or symptom that does not worsen without any immediate treatment, or a disease or symptom that recovers naturally over time.
  • the disease name transmission module 27 transmits disease name data indicating the determined disease name to the patient terminal 100 (step S46).
  • the disease name transmission module 27 may transmit one disease name as disease name data, or may transmit a plurality of disease names and the probability of each disease name as disease name data. In this disease name data, the presence / absence of a flag of the determined urgency level is also set.
  • the disease name receiving module 154 receives disease name data.
  • the display module 160 displays the disease name based on the received disease name data (step S47).
  • FIG. 12 is a diagram illustrating an example of a diagnosis result screen displayed by the display module 160.
  • the display module 160 displays a disease name display area 600, a finding display area 610, a nearby medical institution display area 620, and a connection icon 630.
  • the disease name display area 600 is an area for displaying an urgency notification icon 640 for notifying that a disease name and an urgency flag based on disease name data are set.
  • the observation display area 610 is an area for displaying observations and precautions regarding the disease name.
  • the neighboring medical institution display area 620 is an area for displaying a neighboring medical institution related to the disease name.
  • the connection icon 630 is an icon for starting connection with the doctor terminal 200 of a specialist related to a disease name.
  • the display module 160 displays the cecum as a disease name in the disease name display area 600.
  • a disease name as a diagnosis result, a text for encouraging a doctor to see a doctor for accurate diagnosis, a simple response method, and an urgency flag are set. If so, display a notice to that effect and other precautions.
  • the display module 160 is a medical institution that exists in a predetermined range in the neighboring medical institution display area 620 based on the disease name, its own position information, and the medical department and position information of the medical institution acquired from an external database or the like. Name, specialized department, link to official website, address, phone number, etc.
  • the input reception module 161 starts communication with a specialist by receiving an input operation to the connection icon 630 displayed by the display module 160.
  • the display module 160 may display a plurality of disease names in the disease name display area 600. At this time, the display module 160 may display all disease names, or may display only some disease names with high possibility. The display module 160 may display a plurality of disease names and the probabilities of the disease names in the finding display area 610. Further, the contents displayed on the disease name display area 600, the finding display area 610, the nearby medical institution display area 620, and the connection icon 630 by the display module 160 are not limited to the above-described example, and can be changed as appropriate. The display module 160 may display only the disease name and may not display the others.
  • the urgency notification icon 640 may be displayed in an area other than the area described above, and the shape, notification content, display location, display mode, and the like can be changed as appropriate.
  • the input reception module 161 determines whether or not an input of a connection request to the doctor terminal 200 has been received (step S48). In step S48, the input reception module 161 determines, for example, whether an input operation of the connection icon 630 illustrated in FIG. 12 has been received. In step S48, the input reception module 161 determines that the urgency flag is set as an input of a connection request. Note that the input receiving module 161 may receive an input of a connection request by receiving other input operations.
  • step S48 when the input reception module 161 determines that the input is not received (step S48: NO), the process is repeated. Note that if an end input operation is accepted in step S48, this process ends.
  • connection request transmission module 155 transmits a connection request to the doctor terminal 200 to the computer 10 (step S49).
  • the connection request receiving module 28 receives a connection request. Based on the connection request, the terminal selection module 35 selects the doctor terminal 200 possessed by the specialist corresponding to the determined disease name (step S50). In step S50, the terminal selection module 35 determines the doctor terminal corresponding to the disease name based on the database in which the doctor terminal 200 stored in the storage module 31 is associated with the medical subject specialized in the doctor having the doctor terminal 200. Select 200.
  • the connection module 29 connects the patient terminal 100 and the selected doctor terminal 200 in a communicable manner (step S51).
  • step S51 the connection module 29 connects the patient terminal 100 and the doctor terminal 200 to a state in which, for example, voice communication, text message transmission / reception, and the like are possible.
  • the connection module 29 connects the patient terminal 100 and the doctor terminal 200 so as to communicate with each other by, for example, P2P technology.
  • the computer 10 may function as a relay device between the patient terminal 100 and the doctor terminal 200.
  • the connection module 29 transmits to the selected doctor terminal 200 medical condition data including the determined disease name, the answer input by the patient, and vital data acquired from the patient (step S52).
  • the medical condition data may include the urgency flag described above.
  • the medical condition reception module 250 receives medical condition data.
  • the display module 260 displays a medical condition based on the received medical condition data (step S53).
  • the display module 260 displays the patient's disease name, answer, and vital data as the medical condition.
  • the display module 260 may display personal information such as the patient's name and address, and information necessary for treatment such as past medical history and medication history. Further, when the urgency flag is set, the display module 260 may display a notification to that effect.
  • the patient terminal 100 and the doctor terminal 200 perform calls, message transmission / reception, screen sharing, etc., so that a specialist performs treatment for the patient.
  • the means and functions described above are realized by a computer (including a CPU, an information processing apparatus, and various terminals) reading and executing a predetermined program.
  • the program may be, for example, in a form (SaaS: Software as a Service) provided from a computer via a network, or a flexible disk, CD (CD-ROM, etc.), DVD (DVD-ROM, DVD).
  • -It is provided in a form recorded on a computer-readable recording medium such as RAM.
  • the computer reads the program from the recording medium, transfers it to the internal storage device or the external storage device, stores it, and executes it.
  • the program may be recorded in advance in a storage device (recording medium) such as a magnetic disk, an optical disk, or a magneto-optical disk, and provided from the storage device to a computer via a communication line.

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Abstract

La présente invention a pour objet de fournir un système de relevé d'historique interactif, un procédé de relevé d'historique interactif et un programme, moyennant quoi même un nom de maladie douteux peut être spécifié de façon approximative en acquérant des données vitales d'un patient à partir d'un dispositif externe et en utilisant les données vitales pour un relevé d'historique ainsi qu'en posant des questions au patient selon un format de questionnement. Un système de relevé d'historique interactif (1) destiné à relever un historique d'un patient sous le format d'une réponse à une question acquiert des données vitales du patient à partir d'un dispositif externe, sélectionne la question en fonction des données vitales acquises, reçoit une réponse à la question, détermine un nom de maladie pour le patient sur la base de la réponse et des données vitales, affiche le nom déterminé de la maladie et passe à une question suivante sur la base des données vitales et des réponses passées du patient.
PCT/JP2016/078989 2016-09-30 2016-09-30 Système de relevé d'historique interactif, procédé de relevé d'historique interactif et programme Ceased WO2018061170A1 (fr)

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JP2020057087A (ja) * 2018-09-28 2020-04-09 メトロネット株式会社 問診システム
CN113287175A (zh) * 2018-11-30 2021-08-20 蒋荣先 互动式健康状态评估方法及其系统
CN114267446A (zh) * 2021-12-29 2022-04-01 厦门尖团科技有限公司 疾病自查管理系统
WO2023038152A1 (fr) * 2021-09-13 2023-03-16 株式会社オプティム Programme, procédé, dispositif de traitement d'informations et système
WO2025161299A1 (fr) * 2024-01-31 2025-08-07 抖音视界有限公司 Procédé et appareil d'affichage d'informations d'interaction, dispositif et support de stockage

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JP2002015071A (ja) * 2000-06-30 2002-01-18 Matsushita Electric Ind Co Ltd 健康管理システム
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JP2020057087A (ja) * 2018-09-28 2020-04-09 メトロネット株式会社 問診システム
JP2023080373A (ja) * 2018-09-28 2023-06-08 株式会社エイプリル・データ・デザインズ 問診システム
JP7602754B2 (ja) 2018-09-28 2024-12-19 株式会社エイプリル・データ・デザインズ 問診システム
CN113287175A (zh) * 2018-11-30 2021-08-20 蒋荣先 互动式健康状态评估方法及其系统
JP2022510350A (ja) * 2018-11-30 2022-01-26 國立成功大學 対話型健康状態評価方法およびそのシステム
JP7285589B2 (ja) 2018-11-30 2023-06-02 國立成功大學 対話型健康状態評価方法およびそのシステム
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JP7351594B2 (ja) 2021-09-13 2023-09-27 株式会社オプティム プログラム、方法、情報処理装置、システム
CN114267446A (zh) * 2021-12-29 2022-04-01 厦门尖团科技有限公司 疾病自查管理系统
WO2025161299A1 (fr) * 2024-01-31 2025-08-07 抖音视界有限公司 Procédé et appareil d'affichage d'informations d'interaction, dispositif et support de stockage

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