JP5342136B2 - Medical examination recipient support apparatus and method supported by medical examination recipient assistance apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical checkup examinee support device for enabling a medical checkup examinee to sufficiently recognize the necessity of a healthcare guidance by clarifying common recognition between the medical checkup examinee and a doctor or the like in healthcare guidance. <P>SOLUTION: This medical checkup examinee support device is provided with a check result storage part for prestoring the check results of a plurality of check items of a medical checkup examinee; a question item storage part for storing question items for check items and evaluation conditions for evaluating the check results of the check items in association with each other for each check item; a question item acquisition part for, when the evaluation conditions are satisfied by the check result of each check item of the medical check examinee, acquiring the question items of the check items from the question item storage part; and an output part for outputting the acquired question items. <P>COPYRIGHT: (C)2009,JPO&amp;INPIT

Description

  The present invention relates to a medical checkup support apparatus and a support for a medical checkup for obtaining a matter that the medical checkup asks a doctor before the medical checkup interviews with the doctor after the checkup. It relates to a method supported by the device.

  The medical system reform that began in the spring of 2008 requires medical insurers to conduct medical examinations. The subjects who undergo medical examinations are insured persons and dependents aged 40 to under 75, and the number is about 56 million.

  In the medical system reform, the examination items in the medical examination are reviewed based on scientific grounds, and as a result, the presence or absence of the risk of developing lifestyle-related diseases is determined based on the examination results of the examination items. The main purpose of the medical system reform is to provide health guidance to the lifestyle-related disease reserve group that has a risk of causing lifestyle-related disease to improve the lifestyle and to reduce the lifestyle-related disease reserve group. . Since the number of subjects who undergo medical examinations is enormous, effective and efficient medical examinations and health guidance must be implemented.

  In order to implement effective and efficient medical examination / health guidance, first, it is necessary for the health guidance to have a clear common understanding between the examinee and the doctor. Second, it is necessary to ensure continuity between the medical examination and health guidance.

  Currently, for example, medical examinations and health guidance are carried out as follows. When the medical checkup recipient receives a medical checkup, the inspection result of the inspection item is stored in the database of the medical checkup organization. After the medical checkup, the medical checkup visits the medical checkup and interviews the doctor, public health nurse, and registered dietitian. The doctor or the like displays the test result of the test item and the reference range on the monitor. And whether the test result of the test item exceeds the reference range, and whether the test result is close to the boundary value of the reference range, based on the determination, Provide health guidance to improve lifestyle habits. In addition, according to the test results, explanations on early detection and early treatment of diseases will be given to the examinees.

  Currently, it is not clear that there is a clear common understanding between health check-up recipients and doctors during health guidance. In general, health check-up recipients lack knowledge about the test items or test results in the health check-up. Therefore, the health check-up examiner does not know what matters to ask the doctor or the like based on his / her test results. In addition, doctors and the like provide health guidance to health checkup recipients based on the result of comparing the test result of the test item with the reference range. During this health guidance, I don't specifically ask what I want to know about the health check-up recipients.

  In health guidance, doctors and the like are required to give clear health guidance to health check-up recipients. For example, the health check-up examinee asks the doctor, etc. what he / she wants to know and is interested in, and the doctor explains the question to the health check-up recipient. A common understanding between the medical examinee and doctors becomes clear, and effective and efficient health guidance is provided.

  Currently, in order to ensure continuity between the health checkup and health guidance, medical institutions and medical insurers are calling on health checkup participants to interview health guidance after the health checkup. . However, despite the need for health guidance, there are many health check-up recipients who do not respond to the call. One of the reasons why the continuity between the medical examination and the health guidance cannot be ensured is that the medical examination recipient cannot fully recognize the necessity of the health guidance.

  Conventionally, there is an automatic diagnosis system that compares the inspection result of the inspection item with its reference range and diagnoses “need guidance”, “need further examination”, and “need treatment”. Thereby, it is possible to reliably and efficiently perform the repetitive work on the examination results of many medical checkup recipients without overlooking important findings.

  In addition, there is a health guidance support device for efficiently performing health guidance after a medical examination. This health guidance support apparatus stores a scenario describing the contents of health guidance corresponding to each of a plurality of consciousness levels, and outputs a health guidance schedule from the scenario and the consciousness level of the health guidance target person ( For example, Patent Document 1).

JP 2002-358372 A

  However, in the automatic diagnosis system described above, there are certain effects when doctors and the like give health guidance to health check-up examinees. It is not a system for asking doctors about unclear points. Therefore, this automatic diagnosis system has a problem in that it is not possible to clarify the common recognition between the medical examinee and the doctor or the like during health guidance.

  Moreover, in the health guidance support apparatus described in the above-mentioned patent document, health check-up after health check-up can be performed for health check-up examinees who have visited for interviews. Health check-ups cannot be given to health check-up recipients, and their effects cannot be achieved. Therefore, the health guidance support device described in the same document has a problem that the health checkup recipient cannot fully recognize the necessity of health guidance.

  The present invention solves the above-mentioned problems. In health guidance, the common recognition between health check-up examinees and doctors is clarified, and health check-up examinees fully recognize the necessity of health guidance. It is an object of the present invention to provide a health checkup recipient support apparatus and a method supported by the health checkup recipient support apparatus.

In order to achieve the above-mentioned object, the invention according to claim 1 is a test result storage unit that stores in advance test results of a plurality of test items of a health check-up examinee, and a question for the test item for each test item. , A question storage unit that pre-stores an evaluation condition for evaluating the test result of the test item, and a test result of each test item of the medical examination recipient satisfies the evaluation condition In addition, a question acquisition unit for acquiring the question of the inspection item from the question item storage unit , and a selectable output of the question of the acquired inspection item, and a time required for the selected question And an output unit that outputs the explanation information about the selected question item .

The invention according to claim 3 is a display unit, an operation unit, a test result storage unit that stores in advance test results of a plurality of test items of a medical examinee, and a question for the test item for each test item. And a questionnaire storage unit that pre-stores the evaluation condition for evaluating the test result of the test item in association with each other, and receives an instruction from the operation unit, and the medical examination examinee is displayed on the display unit. A display control unit that displays a list of the inspection items and displays the inspection items so that they can be specified by the operation unit, and the inspection result of the inspection items of the designated medical examination recipient satisfies the evaluation condition A question item acquisition unit that acquires the question item of the inspection item from the question item storage unit, and the display control unit displays the acquired question item of the inspection item in a selectable manner. Along with the selected question It displays the total duration of the section, and a physical examination assistance apparatus and displaying the description information about the selected questions to the display unit.

The invention according to claim 4 is a display unit, an operation unit, a test result storage unit that stores in advance test results of a plurality of test items of a health check-up examinee, and a question for the test item for each test item And a question matter storage unit that stores in advance the corresponding evaluation conditions for evaluating the inspection result of the inspection item, and an explanation information storage unit that preliminarily stores explanation information about the question item of the inspection item A test item acquisition unit that acquires a question item of the test item from the question item storage unit when a test result of each test item of the medical checkup recipient satisfies the evaluation condition, and the acquisition to the display unit A display control unit that displays one or more of the questions of the selected inspection item so as to be selectable by the operation unit, and explanation information about the question of the selected examination item is acquired from the explanation information storage unit Description Has a distribution obtaining unit, wherein the display control unit is configured to selectably displaying the acquired the questions of the test item, to display the total duration of the selected questionnaire, and, The medical checkup recipient support apparatus is characterized in that explanatory information about the selected question item is displayed on the display unit.

The invention according to claim 6 stores in advance a test result of a plurality of test items of a medical examinee in a database, and questions for the test item for each test item, and a test result of the test item A step of pre-storing the evaluation conditions for the evaluation in association with each other, a terminal device issuing an instruction, and a plurality of examination items of the medical examination examinee stored in the database from the management computer The step of receiving and storing the inspection result and the evaluation condition for evaluating the inspection result of the inspection item corresponding to the inspection item and the question for the inspection item for each inspection item Receiving a command from the operation unit, displaying a list of examination items of the medical examinee on the display unit, and displaying the examination items so that they can be designated by the operation unit; When the test result of the specified test item of the health check-up examinee satisfies the evaluation condition, the question item acquisition unit of the terminal device acquires the question item of the test item from the question item storage unit; The display control unit displays the questionnaire items of the acquired inspection items in a selectable manner, displays the total time required for the selected questionnaire items, and explains the selected questionnaire items And a step of displaying information on a display unit.

  According to the first aspect of the present invention, since the questions are automatically output from the examination results of the examination items of the medical examination examinee, what kind of questions the medical examination examinee should ask the doctor, etc. I understand. In addition, doctors and the like can understand what items the medical checkup person wants to know. Thereby, it is possible to clarify the common recognition between the health check-up recipient and the doctor or the like in health guidance.

  In addition, for example, since the question items can be output to the terminal device of the medical checkup recipient, the medical checkup recipient can fully understand the necessity of health guidance based on the output question items. As a result, health checkup recipients who need health guidance are expected to receive health guidance and to ensure continuity between the health checkup and health guidance.

  According to the invention described in claim 3, when the inspection result of the designated inspection item satisfies the evaluation condition, the question of the inspection item is displayed on the display unit for the designated inspection item. Therefore, the correspondence between the inspection item and the question can be easily visually confirmed.

  Furthermore, according to the invention described in claim 4, since the explanatory information about the question item of the selected examination item is displayed on the display unit, it is possible to predict the content of the doctor responding to the question item. Can fully understand the necessity of receiving health guidance from doctors.

  Furthermore, according to the invention described in claim 6, for example, since the question items for the doctor etc. are displayed on the display unit of the terminal device of the medical examination examinee, what kind of questions the medical examination examinee asks the doctor etc. You can see what to do. In addition, the medical checkup examiner can understand the necessity of receiving health guidance from a doctor or the like after the medical checkup by looking at the displayed questions.

[First Embodiment]
(Constitution)
The configuration of the medical examination recipient support apparatus according to the first embodiment of the present invention will be described with reference to FIG. FIG. 1 is a block diagram illustrating a configuration of a medical examination recipient support apparatus.

  In the first embodiment, a database 10 and a management computer 20 for managing the database 10 are provided in a medical examination institution. FIG. 2 is an explanatory diagram of a table relating to the medical checkup recipient provided in the database 10.

  As shown in FIG. 2, the database 10 includes a medical checkup recipient table, an examination table, and a finding table. The name, name number, affiliation, sex (0; male M, 1; female W), age, date of birth, etc. of the medical checkup recipient are registered in the medical checkup recipient table. The table and information provided are not limited to this, and data necessary for medical examination is stored.

  In the inspection table, inspection items such as GOT, GPT, or AL-P values and the inspection results are registered. Furthermore, data such as an electrocardiogram, a chest X-ray examination, and an ultrasonic examination are registered in the finding table.

  These tables are provided for each medical examination reception number. The medical examination number is issued by the medical examination organization to the medical examination recipient who has received the medical examination. In the first embodiment, “examination result of examination item” includes “attribute information of medical examinee” and “finding information of medical examinee”. Further, the database 10 is provided with a table (not shown) in which male reference ranges, female reference ranges, and unit information are registered for each inspection item.

  FIG. 3 is an explanatory diagram of a question item table in which a question item and an evaluation condition are registered in association with each other. The question item table is provided in the database 10. As shown in FIG. 3, the question item table has attributes of question classification, question item, and evaluation condition with respect to the identification number. The question classification is information for classifying the question items, and character strings are used as they are. Similarly, the question item is information to be displayed as the question item, and the character string is used as it is. For the convenience of explanation, the evaluation condition is shown in a simple expression, but the information holding method is not limited to this as long as the condition can be interpreted semantically in the database. For example, a character string that can be parsed may be used, or a threshold value of a condition value may be registered.

  Note that the question classification and the question items are not limited to character strings, and each identification symbol may be used, or a language that the program can easily process may be used. The questionnaire table may have an average required time attribute. The average required time is the time required for a question and answer by a medical examinee and a doctor at the time of an interview regarding a question.

  Next, a procedure in which the terminal device 30 acquires the medical checkup patient table, the examination table, the finding table, and the question item table provided in the database 10 will be described below.

  As shown in FIG. 1, the management computer 20 has a data operation unit 21. The data operation unit 21 performs data extraction, registration, deletion, and update in response to data extraction, registration, deletion, and update instructions.

  The management computer 20 predefines and registers and stores a series of processes related to the database 10. The management computer 20 is connected to the terminal device 30 of the medical examinee via the Internet. When the management computer 20 receives a program call instruction from the terminal device 30, a series of processes are executed in the management computer 20.

  The medical examination recipient support apparatus according to the first embodiment is a client server system in which the management computer 20 is a database server and the terminal device 30 is a client machine. The management computer 20 transmits the result in response to a request for data retrieval or the like from the terminal device 30.

  In the authentication process by the management computer 20, when the management computer 20 receives the proof of the person to be authenticated who is the medical checkup recipient, the medical checkup recipient calls the management computer 20 from the terminal device 30 of his / her own. It is possible to refer to the examination table and the like of the medical examinee in the database. The authentication process by the management computer 20 will be described later.

  After the authentication process by the management computer 20, the application program is transmitted from the management computer 20 to the terminal device 30. When the terminal device 30 executes the application program and transmits the medical examination reception number from the terminal device 30 to the management computer 20, the data operation unit 21 displays the medical examination examinee table, examination table, and finding table shown in FIG. 3 is acquired in, for example, a comma-delimited format (CSV format). The management computer 20 transmits these tables to the terminal device 30. The medical checkup recipient table and the like shown in FIG.

  The question item table shown in FIG. 3 is stored in the question item storage unit 43 of the terminal device 30. Further, the management computer 20 also transmits to the terminal device 30 a table (not shown) in which information on male reference ranges, female reference ranges, and units for each examination item is registered. This table is stored in the storage unit 41 of the terminal device 30.

  Next, a configuration for outputting question items and the like will be described. The application program transmitted from the management computer 20 to the terminal device 30 is stored in the storage unit 41 of the terminal device 30. In response to the start of the execution of the output process of the question items, the application program is expanded from the storage unit 41 to the memory of the terminal device 30, and the output process of the question items is executed.

  For example, the question acquisition unit 34 determines whether or not the test result “10” of the test item (GOT) of the health check-up recipient satisfies the evaluation condition (GOT <15). Since the evaluation condition is satisfied, the question item acquisition unit 34 determines the values of the question items “What is GOT?”, “What is the relationship between alcohol and GOT?”, And “Disease that can be considered when GOT is low. ? "Is acquired from the question item storage unit 43.

  FIG. 4 is an explanatory diagram illustrating an example in which the inspection items and the inspection results of the inspection items are displayed on the monitor 50 which is a display unit. In FIG. 4, the evaluation, the male reference range, the female reference range, and the unit are displayed corresponding to the inspection items. The display control unit 32 displays the evaluation “▲” on the inspection item whose inspection result satisfies the evaluation condition.

  Next, the relationship between the reference range and the evaluation condition will be described. For example, the reference range of GOT is (8 to 40) as shown in FIG. The evaluation condition is (GOT <15) as shown in FIG. The inspection result “10” of the inspection item (GOT) is within the reference range, but satisfies the evaluation condition. This is because the test result “10” has a risk of causing lifestyle-related diseases.

  Note that the evaluation condition corresponds to the question, but depending on the question, it may be composed of a plurality of conditions. The evaluation conditions may be stored in the question item storage unit 43 before the question item acquisition unit 34 acquires the question items from the question item storage unit 43. For example, an evaluation condition may be set by an input unit such as a keyboard of the terminal device 30 and stored in the question item storage unit 43.

  Next, a configuration in which the display control unit 32 displays the inspection item questions on the monitor 50 will be described with reference to FIG. FIG. 5 shows a display example of the question items, in which both the health check result and the menu are displayed. In FIG. 5, the display control unit 32 displays the newly acquired question item and the already acquired question item with different display modes.

  The acquired question items are stored in the acquired item storage unit 44. The determination unit 35 constituting the calculation unit 33 determines whether or not the question item is already stored in the acquired item storage unit 44 when the question item is acquired.

  The display control unit 32 displays the question item on the monitor 50 in a special display mode when the question item is already stored in the acquired item storage unit 44, and the question item when the question item is not stored. Are displayed on the monitor 50 in a normal display mode. For example, when questions are stored, the background color of the questions is displayed in a color different from the overall background color of the monitor 50 screen. When the question item is not stored in the acquired item storage unit 44, the background color of the question item is displayed in the same color as the overall background color of the screen of the monitor 50.

  Not only this but the display control part 32, when the question matter is memorize | stored in the acquisition matter memory | storage part 44, the comment that the question matter is already memorize | stored in the acquisition matter memory | storage part 44, for example It may be displayed following the item.

  In addition, a determination condition as to whether or not to recommend a question is registered in the question table. The display control unit 32 displays the question item that satisfies the condition in a display mode different from the question item that does not satisfy the condition. For example, as illustrated in FIG. 5, the display control unit 32 displays the background color of the recommended question item in a color different from the overall background color of the screen of the monitor 50. In addition, a “recommended” comment is displayed at the top of the recommended questionnaire.

  If there are many questions to be displayed on the monitor 50 and the entire question cannot be displayed on the monitor 50, the display control unit 32 moves the display area, for example, upward or downward using the scroll bar 37. Just do it. Further, the display control unit 32 may display the inspection result of the inspection item shown in FIG. 4 and the question item of the inspection result shown in FIG.

  In the configuration for displaying the above question items, the display control unit 32 displays the question items of all the inspection items that satisfy the evaluation conditions on the monitor 50. However, the present invention is not limited to this. For example, when the inspection result of the designated inspection item satisfies the evaluation condition, the display control unit 32 may display the question item of the inspection item on the monitor 50.

  Next, a configuration for displaying the questionnaire for the designated inspection item will be described with reference to FIG. FIG. 6 is an explanatory diagram illustrating a display example of a question item.

  The display control unit 32 of the terminal device 30 stores the coordinate position of the display screen of the monitor 50 and the examination items of the medical examinee in association with each other. Upon receiving an instruction from the operation unit 60, the display control unit 32 displays a list of examination items of the medical examinee and displays the examination items via the operation unit 60 so as to be instructed. The display control unit 32 receives the instruction of the coordinate position from the operation unit 60, and outputs the examination items of the medical examinee corresponding to the coordinate position.

  In FIG. 6, the display control unit 32 displays a pointer mark 38 on the monitor 50. In response to a click event of the mouse which is the operation unit 60, the coordinate position (pointer position) where the pointer mark 38 is displayed is designated. The display control unit 32 outputs the inspection item displayed at the position closest to the pointer position. Note that the display control unit 32 may output an inspection item whose pointer position is within the section range.

  The display control unit 32 determines whether an inspection item is designated by the operation unit 60. Further, the display control unit 32 determines whether or not the designation of the inspection item has been completed by the operation unit 60. Note that the control unit 31 may determine whether or not the inspection item has been specified based on the output result from the display control unit 32, and determine whether or not the specification of the inspection item has ended. Also good.

  The question item acquisition unit 34 determines, for example, whether the inspection result “10” of the designated inspection item (GOT) satisfies the evaluation condition (GOT <15) of the inspection item. When the evaluation condition is satisfied, the question acquisition unit 34 determines the question value of the inspection item from the question storage unit 43 such as “What is GOT?”, “What is the relationship between alcohol and GOT?” And “What is a possible disease when GOT is low?”.

  The display control unit 32 displays these questions at predetermined coordinate positions on the display screen of the monitor 50. The display control unit 32 displays the first question item “What is GOT?” On the same line as the question item. Thereby, the medical checkup recipient can easily visually check the correspondence between the inspection item or the inspection result and the question. The display control unit 32 displays a second question item “What is the relationship between alcohol and GOT?” Below the first question item, and further below the second question item, 3 The second question “What is the possible illness when GOT is low?” Is displayed.

(Function)
Next, with reference to FIG. 7, the procedure of the output process for questions and the like will be described. FIG. 7 is a flowchart showing a procedure of output processing of questions and the like.

  In the process of outputting the questions and the like, first, an authentication process by the management computer 20 is started (step S101). In the authentication process, when the management computer 20 receives the proof of the person to be authenticated who is the medical checkup recipient (step S102), the management computer 20 performs an output process on the terminal device 30 such as questions. Send application program.

  The storage unit 41 of the terminal device 30 stores application programs. The terminal device 30 executes the application program, and transmits a medical examination reception number from the terminal device 30 to the management computer 20 (step S103).

  As a result, a series of processing is executed in the management computer 20, and the data operation unit 21 extracts the medical examination recipient table, examination table, and finding table related to the medical examination reception number from the database 10. The management computer 20 transmits these tables to the terminal device 30. These tables are stored in the inspection result storage unit 42 of the terminal device 30.

  In addition, the management computer 20 transmits the question item table to the terminal device 30. The question item storage unit 43 of the terminal device 30 stores this question item table. Further, the management computer 20 also transmits to the terminal device 30 a table (not shown) in which information on male reference ranges, female reference ranges, and units is registered for each examination item. The storage unit 41 of the terminal device 30 stores this table.

  Subsequently, an output process of questions and the like by the terminal device 30 is performed (step S105). The process for outputting the questions will be described later.

  Next, with reference to FIG. 8, the procedure of the authentication process in the management computer 20 will be described. FIG. 8 is a flowchart showing the procedure of the authentication process.

  First, the medical checkup recipient transmits his / her identification number from the terminal device 30 to the management computer 20 (step S201). The identification number is issued by the medical insurer to the medical examinee when the medical examination is accepted. The medical insurer issues a password along with an identification number. The identification number may be a medical examination reception number issued when a medical examination is accepted.

  Next, the management computer 20 transmits a trial code to the terminal device 30 and creates a numerical value for confirmation based on the trial code and the password of the medical examinee (step S202).

  On the other hand, the terminal device 30 creates a numerical value for comparison based on the transmitted trial code and password (step S203). Next, the terminal device 30 transmits a numerical value for comparison to the management computer 20 (step S204).

  Next, the management computer 20 determines whether or not the transmitted comparison numerical value matches the created confirmation numerical value (step S205). When the numerical value for comparison and the numerical value for confirmation match (step S205; Yes), the proof of the person to be authenticated who is the medical examinee is accepted (step S206).

  On the other hand, when the numerical value for comparison and the numerical value for confirmation do not match (step S205; No), the certification of the person to be authenticated who is the health check-up recipient is not accepted (step S207).

  According to the authentication process by the management computer 20 described above, the password of the medical checkup recipient is not transmitted from the terminal device 30 to the management computer 20, and the management computer 20 proves the person to be authenticated who is the medical checkup recipient. Acceptance / non-acceptance can be determined, so it is not necessary to pass the password of the health check-up examinee on the network, preventing the leakage of the test items of the health check-up examinee, and supporting the health check-up recipient The security of the device can be increased.

  Next, a procedure for outputting a question item of the inspection result when the inspection result of the inspection item satisfies the evaluation condition will be described with reference to FIG. FIG. 9 is a flowchart showing a procedure for outputting the question items.

  First, the question item acquisition unit 34 determines whether or not the inspection result of the examination item of the medical examination examinee stored in the examination result storage unit 42 satisfies the evaluation condition of the inspection item stored in the question item storage unit 43. Is determined (step S301). The determination of the question item acquisition unit 34 is performed for all the inspection items from the first inspection item to the last inspection item. For an inspection item that does not have an evaluation condition, the next inspection item is judged.

  Next, when the question acquisition unit 34 determines that the inspection result satisfies the evaluation condition (step S301; Yes), the question acquisition unit 34 acquires the question of the inspection item from the question storage unit 43. (Step S302).

  Next, the determination unit 35 determines whether or not the acquired question item is already stored in the acquired item storage unit 44 (step S303). When the determination unit 35 determines that the acquired question item is not stored in the acquired item storage unit 44 (step S303; No), the display control unit 32 monitors the inspection item question item in a normal display mode. 50. For example, the background color of the question is displayed on the monitor 50 in the same color as the overall background color of the screen of the monitor 50 (step S304).

  When the determination unit 35 determines that the acquired question item is already stored in the acquisition item storage unit 44 (step S303; Yes), the display control unit 32 displays the question item of the inspection item as a special display. It displays on the monitor 50 in a mode. For example, the background color of the question is displayed on the monitor 50 in a color (blue) different from the overall background color (white) of the screen of the monitor 50 (step S306).

  When the acquired question item is already stored in the acquired item storage unit 44, the question item is displayed on the monitor 50 in a special display mode, so that the inspection result of the inspection item satisfies the evaluation condition again. I can understand the necessity of health guidance.

  After displaying the question item of the inspection item on the monitor 50 (steps S304 and S306), or when the question item acquisition unit 34 determines that the inspection result of the inspection item does not satisfy the evaluation condition (step S301; No). The question acquisition unit 34 determines whether there is a next inspection item (step S305).

  When the question acquisition unit 34 determines that there is the next inspection item (step S305; Yes), the question acquisition unit 34 determines whether the inspection result of the inspection item satisfies the evaluation condition (step S301). Return. When the question item acquisition unit 34 determines that there is no next inspection item (step S305; No), the question item output process ends.

  Thus, since the question items of the examination items are displayed on the monitor 50 of the terminal device 30, the medical checkup recipient can fully understand the necessity of health guidance based on the outputted question items. In addition, the health check-up examinee knows what questions to ask the doctor or the like. Furthermore, through the question items, doctors and the like can understand what items the medical checkup person wants to know.

  In the case where it is not possible to display all of the question items on the monitor 50, the display control unit 32 may move the display area, for example, upward or downward using the scroll bar 37 as described above.

  In the procedure of outputting the question items described above, when the inspection result of the inspection item satisfies the evaluation condition, the display control unit 32 displays the question items of all the inspection items that satisfy the evaluation condition on the monitor 50.

  Next, a procedure in which the display control unit 32 displays the question item of the designated inspection item on the monitor 50 when the inspection result of the designated inspection item satisfies the evaluation condition will be described with reference to FIG. FIG. 10 is a flowchart showing a procedure for outputting a question about a specified inspection item.

  The computing unit 33 of the terminal device 30 acquires the examination items, examination results, and the like related to the medical examination reception number of the medical examination examinee from the data stored in the examination result storage unit 42, the question item storage unit 43, and the storage unit 41. To do. As shown in FIG. 4, the display control unit 32 displays the inspection items, inspection results, and the like on the monitor 50.

  The display control unit 32 displays the pointer mark 38 on the monitor 50 as shown in FIG. The display control unit 32 outputs a test item (GOT) corresponding to the coordinate position (pointer position) of the display screen designated by the pointer mark 38 in accordance with the designation by the operation unit 60 (mouse click event).

  When the examination item is designated by the operation unit 60 (step S401; Yes), the question item acquisition unit 34 stores the examination result of the examination item of the medical examination examinee stored in the examination result storage unit 42 as the question item. It is determined whether or not the evaluation condition for the inspection item stored in the unit 43 is satisfied (step S402).

  Next, when the question acquisition unit 34 determines that the inspection result satisfies the evaluation condition (step S402; Yes), the question acquisition unit 34 acquires the inspection result of the inspection item from the question storage unit 43. (Step S403).

  Next, the display control unit 32 displays the inspection item question items on the monitor 50 (step S404). After the question item of the inspection item is displayed on the monitor 50 (step S404), and when the question item acquisition unit 34 determines that the inspection result does not satisfy the evaluation condition (step S402; No), a new inspection item is displayed. The process proceeds to determination (step S405) of the display control unit 32 as to whether or not it has been designated.

  When a new inspection item is designated by the operation unit 60 (step S405; Yes), the process returns to the determination of the question acquisition unit 34 (step S402) as to whether or not the inspection result satisfies the evaluation condition.

  When a new inspection item is not specified by the operation unit 60 (step S405; No), the display control unit 32 determines whether or not the specification of the inspection item is finished (step S406). When the display control unit 32 determines that the designation of the inspection item is not completed (step S406; No), the process returns to the determination of whether a new inspection item has been designated by the operation unit 60 (step S405). When the display control unit 32 determines that the specification of the inspection item has been completed (step S406; Yes), the question matter output process ends.

  According to the above procedure, when a list of inspection items is displayed on the monitor 50 and an inspection item is designated by the operation unit 60, the question items of the inspection item are displayed on the monitor 50 for the designated inspection item. Therefore, the correspondence between the inspection item and the question can be easily visually confirmed.

[Second Embodiment]
(Constitution)
Next, a second embodiment of the present invention will be described with reference to FIGS. FIG. 11 is a block diagram illustrating a configuration of the medical examination recipient support apparatus.

  The medical examination examiner support apparatus according to the second embodiment differs from the medical examination examinee support apparatus according to the first embodiment in the following points. The first point is that an explanation information storage unit 45 is added to the storage unit 41. Secondly, an explanation information acquisition unit 36 is added to the calculation unit 33.

  The database 10 is provided with an explanation information table. As shown in FIG. 12, in the explanation information table, inspection item, explanation position, and explanation information data are registered in correspondence with the identification number. The management computer 20 receives a call instruction from the terminal device 30, and a series of processing is executed in the management computer 20, the data operation unit 21 acquires the description information table, and the management computer 20 receives the description information table. Is transmitted to the terminal device 30. The explanation information storage unit 45, which is a configuration added in the second embodiment, stores the sent explanation information table.

  When the examination result of the examination item of the medical examinee satisfies the evaluation condition, the question item acquisition unit 34 acquires the question item of the examination item from the question item storage unit 43. The display control unit 32 displays one or more items from among the questions of the acquired inspection items so as to be selectable by the operation unit 60. The explanation information acquisition unit 36 having the configuration added in the second embodiment acquires the explanation information about the selected question item from the explanation information storage unit 45.

  FIG. 13 is an explanatory diagram illustrating a display example of the acquired question items. As shown in FIG. 13, the display control unit 32 displays one or a plurality of question items by the operation unit 60 so as to be selectable. The display control unit 32 outputs the question item selected by the operation unit 60. The display control unit 32 displays the check item and the recommended question item of the inspection item (GOT) selected by the operation unit 60 with check marks.

  Note that the display control unit 32 determines whether the question item is selected by the operation unit 60. Further, the display control unit 32 determines whether or not the selection of the question item has been completed by the operation unit 60. The control unit 31 may determine whether or not the question item has been selected based on the output result from the display control unit 32, and determine whether or not the selection of the question item has ended. Also good.

  The display control unit 32 displays the average required time on the monitor 50 in association with the questions. The question item storage unit 43 stores data of average required time corresponding to the question item. The average time required data is acquired from the database 10. The calculation unit 33 calculates the total of the average required time of the question items selected by the operation unit 60. The display control unit 32 displays the calculated average required time on the monitor 50.

  FIG. 14 is an explanatory diagram illustrating a display example of the explanation information about the selected question item. As shown in FIG. 14, the display control unit 32 displays the examination results and the like of the plurality of examination items of the medical examinee on the monitor 50, and the explanation information about the questions is displayed in the explanation information table shown in FIG. 12. A balloon 39 is displayed at a predetermined coordinate position on the monitor 50 based on the data of the explanation position.

  The display control unit 32 displays the explanatory information about the question items on the monitor 50 in different display modes (display colors, display sizes, display positions, display times, etc.) depending on the priority level. May be. In this case, these display modes are registered in the explanation information table shown in FIG.

(Function)
Next, a procedure for outputting the description information will be described with reference to FIG. FIG. 15 is a flowchart showing a procedure for making it possible to select one or more items from the acquired question items by the operation unit 60 and outputting the explanation information about the selected question items.

  First, the question item acquisition unit 34 determines whether or not the inspection result of the examination item of the medical examination examinee stored in the examination result storage unit 42 satisfies the evaluation condition of the inspection item stored in the question item storage unit 43. Is determined (step S501).

  Next, when the question acquisition unit 34 determines that the inspection result satisfies the evaluation condition (step S501; Yes), the question acquisition unit 34 acquires the question of the inspection item from the question storage unit 43. (Step S502).

  Next, the display control unit 32 displays the inspection item question items on the monitor 50 (step S503). At this time, the display control unit 32 displays the question items so as to be selectable by the operation unit 60. Next, the question acquisition unit 34 determines whether there is a next inspection item (step S504).

  When the question acquisition unit 34 determines that there is the next inspection item (step S504; Yes), the question acquisition unit 34 determines whether the inspection result of the inspection item satisfies the evaluation condition (step S501). Return. When the question item acquisition unit 34 determines that there is no next inspection item (step S504; No), the display control unit 32 determines whether the selectable state of the question item ends (step S505).

  When the display control unit 32 determines that the selectable state of the question items is not complete (step S505; No), the display control unit 32 determines whether there is a question item selected by the operation unit 60 ( Step S506).

  When the display control unit 32 determines that there is no selected question item (step S506; No), the display control unit 32 returns to the determination (step S505) as to whether or not the selectable state of the question item is complete. .

  When the display control unit 32 determines that there is a selected question item (step S506; Yes), the explanation information acquisition unit 36 acquires explanation information about the question item from the explanation information storage unit 45 (step S507). .

  In step S505, when the display control unit 32 determines that the selectable state of the question items is finished (step S505; Yes), the display control unit 32 determines whether there is the acquired explanation information (step S505). S508). When the display control unit 32 determines that there is no acquired description information (step S508; No), the output process of the description information ends.

  When the display control unit 32 determines that there is the acquired explanation information (step S508; Yes), the display control unit 32 switches the selectable state of the question items shown in FIG. 13 to the display state shown in FIG. The acquired explanation information is displayed at a predetermined coordinate position of the monitor 50 based on the explanation position of the explanation information table shown in FIG. 12 (step S509). Thereafter, the output process of the explanation information is ended.

  According to the above procedure, the display control unit 32 displays the question items of the inspection items on the monitor 50 so as to be selectable, and the explanatory information about the question items selected by the operation unit 60 is displayed on the monitor 50. The contents of the doctor's response to the matter can be understood, and the need to receive health guidance can be understood.

  In the second embodiment, the display control unit 32 enables the operation unit 60 to select one or more questions, and when the questions are selected, the explanation information of the selected questions is displayed. Although the configuration is shown, it is not limited to this.

  Next, a procedure for simply displaying the explanation information on all the questions acquired by the question acquisition unit 34 on the monitor 50 will be described with reference to FIG. As shown in FIG. 16, first, the question item acquisition unit 34 determines whether or not the inspection result of the inspection item of the medical examinee satisfies the evaluation condition (step S601).

  When the question acquisition unit 34 determines that the inspection result of the inspection item satisfies the evaluation condition (step S601; Yes), the question acquisition unit 34 acquires the question item of the inspection item from the question storage unit 43. The explanation information acquisition unit 36 acquires the explanation information of the question items (step S602).

  When the question acquisition unit 34 determines that the inspection result of the inspection item does not satisfy the evaluation condition (step S601; No), or after the explanation information acquisition unit 36 acquires the explanation information of the question (step S602). ), The process proceeds to the determination (step S603) of the question acquisition unit 34 whether there is a next inspection item.

  When the question acquisition unit 34 determines that there is the next inspection item (step S603; Yes), the question acquisition unit 34 determines whether the inspection result of the inspection item satisfies the evaluation condition (step S601). Return.

  When the question acquisition unit 34 determines that there is no next inspection item (step S603; No), the display control unit 32 determines whether there is acquired explanation information (step S604). When the display control unit 32 determines that there is the acquired description information (step S604; Yes), the display control unit 32 displays the description information on the monitor 50 (step S605). Thereafter, the output process of the explanation information ends.

  When the display control unit 32 determines that there is no acquired description information (step S604; No), the output process of the description information ends. When the entire description information cannot be displayed on the monitor 50, as described above, the display control unit 32 may move the display area upward or downward with the scroll bar 37, for example.

  According to the above procedure, since the explanation information of the question items for all the examination items satisfying the evaluation conditions is displayed on the monitor 50, the medical checkup examiner looks at the monitor 50 and shortens the summary over the entire explanation information. It becomes possible to grasp in time.

  In addition, the display control part 32 may display the description information about the question item of an inspection item on the monitor 50 as follows.

  The display control unit 32 stores the coordinate position of the display screen of the monitor 50 and the question item in association with each other. The display control unit 32 displays the question items so as to be designated by the operation unit 60. In response to designation of the coordinate position of the question item by the operation unit 60, the display control unit 32 outputs the question item corresponding to the position. The explanation information acquisition unit 36 acquires the explanation information of the specified question item from the explanation information storage unit 45. Next, the display control unit 32 displays the explanation information of the question item on the monitor 50 following the designated question item.

  This will be described with reference to FIG. 6, for example, on the right side of the question item “What is a GOT?”, Explanation information “What is GOT ... XXX ...” is displayed on the monitor 50.

  Further, the display control unit 32 may display a mark for associating the designated question item with the explanation information of the question item. The display position and mark of the description information are registered in the description information table shown in FIG.

  In the present invention, it is only necessary to have an output unit for outputting the question items of the inspection items. In the above-described embodiment, the display control unit 32 of the output unit has been shown to display the inspection item question or the explanation information on the monitor 50. However, the output control unit of the output unit displays the inspection item question. Alternatively, the information may be output to a printer (not shown) that outputs the description information to a paper medium, and the output unit stores a question or the like magnetically or optically (not shown). It may be output to.

  Moreover, although the said embodiment showed what connected the management computer 20 by the medical examination organization side and the terminal device 30 by the medical examination recipient side via the internet, it is not restricted to this. For example, the management computer 20 and the terminal device 30 are connected via a local area network (LAN) provided in the medical examination institution, and the question items of the examination items are displayed on the monitor 50 of the terminal device 30. You may make it do. Further, the data in the database 10 may be operated from the management computer 20 to display the inspection item questions on the monitor 50 of the management computer 20.

It is a block diagram which shows the structure of the medical examination recipient assistance apparatus which concerns on the 1st Embodiment of this invention. (A) is a medical checkup recipient table, (b) is an inspection table, and (c) is an explanatory table. It is explanatory drawing of a question matter table. It is explanatory drawing which shows the example by which the test item, the test result of the test item, etc. were displayed on the monitor. It is explanatory drawing which shows the example of a display of a question matter. It is explanatory drawing which shows the example of a display of the questionnaire about the designated test | inspection item. It is a flowchart which shows the procedure which outputs a question matter etc. It is a flowchart which shows the procedure of an authentication process. It is a flowchart which shows the procedure which outputs a question matter. It is a flowchart which shows the procedure which outputs the questionnaire about the designated test | inspection item. It is a block diagram which shows the structure of the medical examination recipient assistance apparatus which concerns on the 2nd Embodiment of this invention. It is explanatory drawing of a description information table. It is explanatory drawing which shows the example of a display of the acquired questionnaire. It is explanatory drawing which shows the example of a display of the explanatory information about the selected question matter. It is a flowchart which shows the procedure which makes the selectable state one or more from the acquired questionnaire, and outputs the explanatory information about the selected questionnaire. It is a flowchart which shows the procedure which outputs the explanatory information about the acquired questionnaire.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Database 20 Management computer 30 Terminal device 32 Display control part 34 Question item acquisition part 35 Determination part 36 Description information acquisition part 42 Test result storage part 43 Question item storage part 44 Acquisition item storage part 45 Description information storage part 50 Monitor (display) Part)
60 Operation unit

Claims (6)

A test result storage unit that stores in advance test results of a plurality of test items of the medical checkup recipient;
A question storage unit that stores in advance a corresponding item for each inspection item with respect to the inspection item and an evaluation condition for evaluating the inspection result of the inspection item,
When a test result of each test item of the medical checkup recipient satisfies the evaluation condition, a question acquisition unit that acquires a question of the test item from the question storage unit;
An output unit that outputs the question items of the acquired inspection item in a selectable manner, outputs the total time required for the selected question items, and outputs explanatory information about the selected question items The medical examination recipient support apparatus, characterized by comprising:   The said output part has a display part and the display control part which displays the question matter acquired in the said question matter acquisition part on the said display part, The medical examination examinee support of Claim 1 characterized by the above-mentioned. apparatus. A display unit;
An operation unit;
A test result storage unit that stores in advance test results of a plurality of test items of the medical checkup recipient;
A question storage unit that stores in advance a corresponding item for each inspection item with respect to the inspection item and an evaluation condition for evaluating the inspection result of the inspection item,
In response to an instruction from the operation unit, the display control unit displays a list of the examination items of the medical examinee on the display unit, and displays the examination items so that they can be specified by the operation unit;
A test item acquisition unit that acquires a question item of the test item from the question item storage unit when a test result of the specified test item of the health check-up examinee satisfies the evaluation condition;
The display control unit displays the question items of the acquired inspection items in a selectable manner, displays the total time required for the selected question items, and explains the selected question items. Information is displayed on the display unit. A display unit;
An operation unit;
A test result storage unit that stores in advance test results of a plurality of test items of the medical checkup recipient;
A question storage unit that stores in advance a corresponding item for each inspection item with respect to the inspection item and an evaluation condition for evaluating the inspection result of the inspection item,
An explanation information storage unit for preliminarily storing explanation information about the question items of the inspection items;
When a test result of each test item of the medical checkup recipient satisfies the evaluation condition, a question acquisition unit that acquires a question of the test item from the question storage unit;
A display control unit that displays one or more items from among the questions of the acquired inspection item on the display unit so as to be selectable by the operation unit;
An explanation information acquisition unit that acquires explanation information about the question of the selected inspection item from the explanation information storage unit;
The display control unit displays the question items of the acquired inspection items in a selectable manner, displays the total time required for the selected question items, and explains the selected question items. Information is displayed on the display unit. An acquired matter storage unit that stores the acquired question items, and a determination unit that determines whether the acquired question items are already stored in the acquired item storage unit,
The display control unit displays the question item displayed when the determination unit determines that the acquired question item is already stored in the acquired item storage unit, and the acquired question item of the inspection item. 5. The question item that is displayed when the determination unit determines that is not already stored in the acquired item storage unit, is displayed on the display unit in a different display mode. The medical examination recipient support device according to any one of the above. In the database, the test results of a plurality of test items of the health check-up examinee are stored in advance, and for each test item, a question for the test item and an evaluation for evaluating the test result of the test item Pre-storing the conditions in association with each other;
The terminal device issues an instruction, the examination results of the plurality of examination items of the medical examination recipient stored in the database from the management computer, the questions for the examination item for each of the examination items, and the question Receiving and storing an evaluation condition for evaluating the inspection result of the inspection item corresponding to the item;
Receiving instructions from the operation unit, displaying a list of examination items of the medical examinee on the display unit, and displaying the examination items so as to be designated by the operation unit;
The test item acquisition unit of the terminal device acquires the question item of the test item from the question item storage unit when the test result of the specified test item of the medical checkup recipient satisfies the evaluation condition; ,
The display control unit displays the questionnaire items of the acquired inspection items in a selectable manner, displays the total time required for the selected questionnaire items, and explains the selected questionnaire items And a step of displaying information on a display unit. A method for assisting a medical examination supporter, characterized by comprising: