WO2015169989A1 - Method for assisting in selecting a medical speciality and in communicating with the medical specialist via a mobile device - Google Patents

Method for assisting in selecting a medical speciality and in communicating with the medical specialist via a mobile device Download PDF

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Publication number
WO2015169989A1
WO2015169989A1 PCT/ES2015/070323 ES2015070323W WO2015169989A1 WO 2015169989 A1 WO2015169989 A1 WO 2015169989A1 ES 2015070323 W ES2015070323 W ES 2015070323W WO 2015169989 A1 WO2015169989 A1 WO 2015169989A1
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medical
user
symptoms
mobile
mobile device
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PCT/ES2015/070323
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Spanish (es)
French (fr)
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Felipe Alburquerque Risk
Pedro Alejandro Gonzales Flores
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Felipe Alburquerque Risk
Pedro Alejandro Gonzales Flores
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Publication of WO2015169989A1 publication Critical patent/WO2015169989A1/en

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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q50/00Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G06Q50/10Services
    • G06Q50/22Social work or social welfare, e.g. community support activities or counselling services
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

Definitions

  • the present invention relates to a method for assisting the selection of the medical specialty and communication with the medical specialist through a mobile device (eg a mobile phone, a "smartphone", a tablet, a PDA, a laptop, etc.), of the type of methods that comprise the steps of:
  • a mobile device eg a mobile phone, a "smartphone", a tablet, a PDA, a laptop, etc.
  • WAN local area network
  • a remote server equipped with a database of symptoms, specialties and diseases and a program for managing symptoms, specialties and diseases.
  • the field of application of the present invention falls within the technical sector of medicine and health, and more particularly, of telemedicine, "eHealth'O” e-Health “(application of Information and Communication Technologies in the broad range of aspects that affect health care, from diagnosis to patient follow-up) and "m-Health” (practice of health activity through the use of smartphones and tablets).
  • the present invention finds particular application for the help of online medical decision-making related to medical diagnoses and prognoses, and decisions to go to primary or hospital care centers or not, in what is known in the art as " ClinicalDecisionSuppor ⁇ ". Background of the invention
  • CQm offers one of these procedures SaaS ("Software as a Service"), and the diseases are diagnosed by associating them with an estimated percentage of probability, going to databases on a server or in Cloud.
  • Document US2008052318A1 describes a system and method for providing medical diagnostic advice based on computerized knowledge, stored in lists of symptoms associated with diseases, which may be the basis for the program of the previous SaaS application.
  • the present invention aims to provide a solution to this problem. Explanation of the invention.
  • the object of the present invention is a novel method for the aid to the selection of the medical specialty and communication with the medical specialist through a mobile device, of the type indicated at the beginning, which in its essence is characterized because , after the step of sending the symptoms to the server, it also includes the steps of:
  • the display of the mobile user device shows all available medical specialties, the user choosing one of the specialties shown.
  • the symptoms entered by the user are selected from a plurality of symptoms shown in a drop-down menu that is displayed on the display of the mobile device.
  • the medical specialist can suggest the user make a call to a medical emergency number.
  • the medical specialist can suggest to the user that Go to a medical center for face-to-face assessment.
  • the mobile user device sends a signal about its GNSS geolocation coordinates (GPS, GLONASS, Galileo, Compasss), to a data server with a database that includes GNSS geo-mapping data from hospital centers, and the Data server sends information about the location of the hospital centers closest to the user's position to the mobile user device.
  • GNSS geolocation coordinates GPS, GLONASS, Galileo, Compasss
  • FIG. 1 is a flow chart illustrating the method according to the present invention
  • Figs. 2 to 8 show two views of a display of a smartphone device, of corresponding phases of the mobile application ("app") for the execution of the method.
  • a user wishes to obtain a medical diagnosis and an optional advice for the treatment of a disease, based on a set of signs and symptoms, for which he has a mobile device (smartphone, tablet or similar), equipped with an RF wireless communications system, and with internet browsing system 10 (eg GSM, 3G, 4G, 5G or similar) in which an application (or "app") is loaded, for the execution of the method for medical decision-making aid of the present invention.
  • the mobile user device has of its own means of geolocation of its coordinates (for example GPS), through satellite systems of GNSS geolocation of known type. Therefore, the GPS systems of the user's device will detect the coordinates that will be provided to the execution software of the present method.
  • the system has a server 21, 23, in which the counterpart of the application of the method of the invention is executed, communicated with internet 10, and with databases 22, 24 associated for this "app ".
  • the method for the aid in the selection of the medical specialty and communication with the medical specialist through a mobile device according to the present invention is explained below in accordance with the program steps or blocks of the flowchart of the algorithm of Fig. 1 associated with the method of the invention, and with reference to the "screenshots" shown in Figs. 2 to 7.
  • the method starts in step 1 after pressing the user in the touch field of the "app" associated with the method shown in the display 30 of the mobile device 3, for example a smartphone 3.
  • the program asks the user to enter data such as age (in the touch field 42), sex (in field 43), and the symptoms appreciated, as seen in Figs. 2 and 3.
  • data such as age (in the touch field 42), sex (in field 43), and the symptoms appreciated, as seen in Figs. 2 and 3.
  • at least two different symptoms are introduced.
  • the introduction of the symptoms can be manual, by writing the symptoms in fields 31 of the display 30 (Fig. 2), or by pressing with the finger by selecting from a drop-down menu 32 (Fig. 3) on the display 30 of the smartphone 3.
  • the symptoms can be many and varied, but as an illustrative and non-limiting example, the following are cited: Nasal Congestion, Abundance of Mucus, Diarrhea, Difficulty Breathing, Difficulty Swallowing, Abdominal Pain, Headache, Pain Hip, Neck Pain, Sore Throat, Shoulder Pain, Red Eye Or Eye Pain, Chest Pain, Knee Pain, Foot Or Ankle Pain, Pelvic And Genital Pain, Numbness In Hands, Constipation , Swelling In Feet Or Legs, Dizziness Or Fainting, Nausea Or Vomiting, Palpitations, vision problems, urinary problems, blood in stool, wheezing or gasping when breathing, cough.
  • step 5 the data is analyzed and in step 5 the system suggests at least one specialty shown in the display 30, in fields 33 and 34.
  • the specialties of General Medicine and Surgery are shown.
  • step 6 the user is interrogated if he wants any of the suggested options or if. If the answer in block 6 is "NO", then the user presses on the display 30 the "Go to Medical Specialties menu” field, and the program passes the execution to step 7, which is shown on display 30 from the smartphone a menu of specialties or - Medical Groups.
  • An example in which General Medicine (field 33 of display 30), Surgery (field 34), Traumatology (field 35), Pediatrics (field 36), and Gynecology (field 37) are illustrated are shown in Fig. 5. .
  • block 8 the user selects the specialty by clicking on the corresponding touch field.
  • step 6 If the answer to the question in step 6 is "YES", then the user selects the suggested specialty by pressing in field 33 or in field 34 of display 30 (Fig. 4).
  • the application program then goes to block 9 of the flow chart, in which the essentiality of the invention lies.
  • the mobile user device 3 is connected via the Internet 10 with a computer device 25 of an available medical specialist, also connected via the Internet 10 with the remote server 21 provided with the database of symptoms, specialties and diseases 22. In the case illustrated, it is a doctor who has a laptop 25.
  • a chat is then started in block 9 (see Fig. 6) between the mobile user device and the medical device of the medical specialist, in which the latter collects information from the user / patient.
  • Figs. 6 In addition to the one that already has regarding the symptoms previously collected in block 2 (Figs.
  • the specialist can collect more specific information or explanations, as well as recover previous messages, information and chats related to the same patient to Evaluate your condition.
  • One possibility is that the user enters photos of the affected body part, for example through a different subroutine or "app" that is accessed by pressing the touch field 45 (Figs. 6, 7 and 8).
  • the special information field 40 is shown, which in this case is "Surgery", and the text field 38 for the user.
  • the doctor can obtain a set of subjective symptoms, objective signs and specific impressions, which allow him to make the diagnosis of the disease, as well as the prognosis, ending block 9.
  • the system asks if you want to call a number of emergencies (for example in countries like Spain 061, or 1 12 or 91 1 in other countries) . If the answer is "YES”, then the user calls the emergency number, for example, by pressing on the display 30 of the smartphone 3 (Fig. 7), whereby the mobile device 3 itself makes a call to the number in question, and the program stops, going to the end step, in block 20. If the answer is "NO”, then in step 14 you ask if you are going to go to a hospital or not.
  • a number of emergencies for example in countries like Spain 061, or 1 12 or 91 1 in other countries.
  • the execution control is passed to block 19, in which the doctor indicates to the user the diagnosis, prescriptions or prescription of medications, the treatment, and eventually suggests a face-to-face visit to the user . This can be done on the screen, by means of an indication on the display 30 itself as shown in Fig. 6.
  • step 15 in which the user is interrogated if he wants the geolocation of the nearest hospital centers, according to their GNSS coordinates. If the answer is "NO”, then the program stops, going to the end step, in block 20.
  • the mobile user device 3 sends a signal on its GNSS geo-coordinate coordinates (GPS, GLONASS, Galileo, Compasss), to a data server 23 with a database 24 that includes GNSS geolocation data from hospital centers.
  • the data server 23 sends to the mobile user device 3 the information on the location of the hospital centers closest to the user's position, which can be presented, for example, as shown in the example of Fig. 8, indicating the locations of the hospital centers on a map 46 of the area.

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Abstract

The invention relates to a method for assisting in selecting a medical speciality and for communicating with the medical specialist via a mobile device. A user enters symptoms of an illness to be diagnosed into a terminal of a user mobile device, and sends same via the internet (10) to a remote server (21), provided with a database of symptoms, specialities and illnesses (22) and a program for managing symptoms, specialities and illnesses. The user mobile device is in communication with a computer device (25) of an available medical specialist, also connected via the WAN (10), with which the user mobile device engages in a chat, after which the medial specialist diagnoses the illness. The program can select at least one medical speciality depending on the symptoms entered and display the selected medical specialities on the screen of the user mobile device, so that the user can select a medical speciality.

Description

D E S C R I P C I Ó N  D E S C R I P C I Ó N
MÉTODO PARA LA AYUDA A LA SELECCIÓN DE LA ESPECIALIDAD MÉDICA Y COMUNICACIÓN CON EL MÉDICO ESPECIALISTA A TRAVÉS DE UN DISPOSITIVO MÓVIL METHOD FOR AID TO SELECT MEDICAL SPECIALTY AND COMMUNICATION WITH THE SPECIALIST PHYSICIAN THROUGH A MOBILE DEVICE
Objeto de la Invención Object of the Invention
La presente invención se refiere a un método para la ayuda a la selección de la especialidad médica y comunicación con el médico especialista a través de un dispositivo móvil (p.ej. un teléfono móvil, un "smartphone", una tableta, una PDA, un ordenador portátil, etc.), del tipo de métodos de los que comprenden los pasos de:  The present invention relates to a method for assisting the selection of the medical specialty and communication with the medical specialist through a mobile device (eg a mobile phone, a "smartphone", a tablet, a PDA, a laptop, etc.), of the type of methods that comprise the steps of:
- introducir un usuario síntomas de una enfermedad a diagnosticar en un terminal de dispositivo móvil de usuario; y - introduce a user symptoms of a disease to be diagnosed in a mobile user device terminal; Y
- enviar, a través de una red de área local (WAN), por ejemplo internet, los síntomas introducidos a un servidor remoto, dotado de una base de datos de síntomas, especialidades y enfermedades y de un programa de gestión de síntomas, especialidades y enfermedades. - send, through a local area network (WAN), for example internet, the symptoms introduced to a remote server, equipped with a database of symptoms, specialties and diseases and a program for managing symptoms, specialties and diseases.
Campo de Aplicación de la Invención - Sector Técnico Field of Application of the Invention - Technical Sector
El campo de aplicación de la presente invención se enmarca dentro del sector técnico de la medicina y la sanidad, y más particularmente, de la telemedicina, "eSalud'O "e-Health" (aplicación de las Tecnologías de Información y Comunicación en el amplio rango de aspectos que afectan el cuidado de la salud, desde el diagnóstico hasta el seguimiento de los pacientes) y de la "m-Health" (práctica de la actividad sanitaria mediante la utilización de teléfonos inteligentes y tabletas). The field of application of the present invention falls within the technical sector of medicine and health, and more particularly, of telemedicine, "eHealth'O" e-Health "(application of Information and Communication Technologies in the broad range of aspects that affect health care, from diagnosis to patient follow-up) and "m-Health" (practice of health activity through the use of smartphones and tablets).
La presente invención encuentra particular aplicación para la ayuda de toma de decisiones médicas on-line relativas a diagnósticos y pronósticos médicos, y a deci- siones de acudir o no a centros de asistencia primaria u hospitalaria, en lo que en la técnica se conoce como "ClinicalDecisionSupporí". Antecedentes de la invención The present invention finds particular application for the help of online medical decision-making related to medical diagnoses and prognoses, and decisions to go to primary or hospital care centers or not, in what is known in the art as " ClinicalDecisionSupporí ". Background of the invention
En el campo de la eSalud en Medicina, es actualmente frecuente el diagnóstico, pronóstico "on line" y la toma de decisiones clínicas (conocido en la técnica médica como "ClinicalDecisionSupport') con la ayuda procedimientos que emplean un soft- ware en el que, introduciendo el usuario síntomas y signos en un terminal de ordenador, el procedimiento entra en una base de datos de síntomas, signos y enfermedades y asocia síntomas, signos con una o varias enfermedades. In the field of eHealth in Medicine, diagnosis, online prognosis and clinical decision making (known in the medical technique as "ClinicalDecisionSupport ') are currently prevalent with the help of procedures that use software in which By entering the user symptoms and signs in a computer terminal, the procedure enters a database of symptoms, signs and diseases and associates symptoms, signs with one or several diseases.
En el sitio web www,diac¡nGStiCQdesintorna¾,CQm se ofrece uno de estos procedi- mientosSaaS ("Software como un Servicio"), y se diagnostican las enfermedades asociándoles un porcentaje de probabilidad estimativo, acudiendo a bases de datos en un servidor o en la nube. On the website www, diac¡nGStiCQdesintorna¾, CQm offers one of these procedures SaaS ("Software as a Service"), and the diseases are diagnosed by associating them with an estimated percentage of probability, going to databases on a server or in Cloud.
El documento US2008052318A1 describe un sistema y método para proporcionar asesoramiento de diagnóstico médico basado en conocimiento computarizado, almacenado en listas de síntomas asociados a enfermedades, que puede ser la base para el programa de la anterior aplicación SaaS. Document US2008052318A1 describes a system and method for providing medical diagnostic advice based on computerized knowledge, stored in lists of symptoms associated with diseases, which may be the basis for the program of the previous SaaS application.
En otro aspecto, encontramos la monitorización y el diagnóstico y pronóstico remoto de usuarios/pacientes a través de la toma de datos automatizada y su transmisión a un centro sanitario, hospitalario, o a un médico, el cual toma la decisión oportuna. Estos métodos no están exentos de controversia, pues carecen del contacto del facultativo con el usuario/paciente, de manera que, si bien son adecuados para objetivar diagnóstico y tratamiento a partir de los signos transmitidos, no lo son para el juicio objetivo de los síntomas, que son siempre subjetivos y que el/la médico debe considerar en el contexto del/de lausuario/paciente y en contacto con éste/a.Es decir que los métodos conocidos son válidos para análisis de signos, pero presentan el problema de no ser del todo eficaces para el análisis de síntomas. Si se automatiza la información al usuario/paciente, la ausencia de valoración facultativa puede presentar el inconveniente de ocasionarle alarmas innecesarias, debidas a diagnósticos poco ajustados y valorados a causa de la ausencia de signos objetivos. La presente invención tiene como finalidad proporcionar una solución a este problema. Explicación de la invención In another aspect, we find the monitoring and remote diagnosis and prognosis of users / patients through automated data collection and transmission to a health center, hospital, or a doctor, who makes the appropriate decision. These methods are not exempt from controversy, since they lack the doctor's contact with the user / patient, so that, although they are adequate to objectify diagnosis and treatment from the transmitted signs, they are not for the objective judgment of the symptoms , which are always subjective and that the doctor should consider in the context of the user / user and in contact with him / her. That is to say that the known methods are valid for sign analysis, but present the problem of not being Completely effective for symptom analysis. If the information is automated to the user / patient, the absence of optional assessment may present the inconvenience of causing unnecessary alarms, due to poorly adjusted diagnoses and assessed because of the absence of objective signs. The present invention aims to provide a solution to this problem. Explanation of the invention.
A tal finalidad, el objeto de la presente invención es un novedoso método para la ayuda a la selección de la especialidad médica y comunicación con el médico especialista a través de un dispositivo móvil, del tipo indicado al inicio, que en su esencia se caracteriza porque, tras el paso de enviar los síntomas al servidor, comprende además los pasos de: For this purpose, the object of the present invention is a novel method for the aid to the selection of the medical specialty and communication with the medical specialist through a mobile device, of the type indicated at the beginning, which in its essence is characterized because , after the step of sending the symptoms to the server, it also includes the steps of:
- conectar el dispositivo móvil de usuario con un dispositivo de computador de un especialista médico disponible, igualmente conectado a través de internet; - realizar un chat entre el dispositivo móvil de usuario y el dispositivo de computador del especialista médico; y - connect the mobile user device with a computer device from an available medical specialist, also connected via the internet; - chat between the mobile user device and the medical device of the medical specialist; Y
- diagnosticar el especialista médico la enfermedad.  - diagnose the medical specialist the disease.
Según otra característica del método de la presente invención, se realizan los pasos de: According to another characteristic of the method of the present invention, the steps of:
- seleccionar el programa de gestión al menos una especialidad médica a partir de los síntomas introducidos; - select the management program at least one medical specialty from the symptoms introduced;
- mostrar por el display del dispositivo móvil de usuario las especialidades médicas seleccionadas; y  - show the selected medical specialties on the display of the mobile user device; Y
- elegir el usuario una especialidad médica.  - choose the user a medical specialty.
Alternativa o concomitantemente, el display del dispositivo móvil de usuario muestra todas las especialidades médicas disponibles, eligiendo el usuario una de entre las especialidades mostradas. Alternatively or concomitantly, the display of the mobile user device shows all available medical specialties, the user choosing one of the specialties shown.
Los síntomas introducidos por el usuario son seleccionados de entre una pluralidad de síntomas mostrados en un menú desplegable que se muestra en el display del dispositivo móvil. The symptoms entered by the user are selected from a plurality of symptoms shown in a drop-down menu that is displayed on the display of the mobile device.
Durante el chat, el especialista médico puede sugerir al usuario realizar una llamada a un número de urgencias médicas. During the chat, the medical specialist can suggest the user make a call to a medical emergency number.
Igualmente durante el chat, el especialista médico puede sugerir al usuario que se dirija a un centro médico para valoración presencial. Also during the chat, the medical specialist can suggest to the user that Go to a medical center for face-to-face assessment.
En este caso, el dispositivo móvil de usuario envía una señal sobre sus coordenadas de geoposicionamiento GNSS (GPS, GLONASS, Galileo, Compasss), a un servidor de datos con una base de datos que incluye datos de geoposicionamiento GNSS de centros hospitalarios, y el servidor de datos envía al dispositivo móvil de usuario la información sobre la localización de los centros hospitalarios más cercanos a la posición del usuario. Breve descripción de los dibujos In this case, the mobile user device sends a signal about its GNSS geolocation coordinates (GPS, GLONASS, Galileo, Compasss), to a data server with a database that includes GNSS geo-mapping data from hospital centers, and the Data server sends information about the location of the hospital centers closest to the user's position to the mobile user device. Brief description of the drawings
A continuación se hace la descripción detallada de unmodo de realización preferido, aunque no exclusivo, método para la ayuda a la selección de la especialidad médica y comunicación con el médico especialista a través de un dispositivo móvil, objeto de la invención, para cuya mejor comprensión se acompañan unos dibujos, dados a modo de ejemplo ilustrativo y no limitativo. En dichos dibujos: laFig. 1 es un diagrama de flujo que ilustra el método según la presente invención; y las Figs. 2 a 8 muestran sendas vistas de un display de un dispositivo smartphone, de correspondientes fases de la aplicación móvil ("app") para la ejecución del método. The detailed description of a preferred, but not exclusive, embodiment method for the selection of the medical specialty and communication with the medical specialist through a mobile device, object of the invention, for which better understanding is made Drawings are given, given by way of illustrative and non-limiting example. In these drawings: laFig. 1 is a flow chart illustrating the method according to the present invention; and Figs. 2 to 8 show two views of a display of a smartphone device, of corresponding phases of the mobile application ("app") for the execution of the method.
Descripción detallada de los dibujos Detailed description of the drawings
En dichos dibujos puede apreciarse el modo operativo del método para la ayuda a la selección de la especialidad médica y comunicación con el médico especialistaa través de un dispositivo móvil 3, de acuerdo con los principios de la presente invención.  In said drawings the operative mode of the method for the aid in the selection of the medical specialty and communication with the medical specialist through a mobile device 3, in accordance with the principles of the present invention can be appreciated.
Un usuario (ó paciente) desea obtener un diagnóstico médico y un consejo facultativo para el tratamiento de una enfermedad, sobre la base de un conjunto de signos y síntomas, para lo cual dispone de un dispositivo móvil (smartphone, tableta o similar), equipado con un sistema de comunicaciones inalámbricas de RF, y con sistema de navegación por internet 10 (p. ej. GSM, 3G, 4G, 5G o similar) en el que hay cargada una aplicación (o "app"), para la ejecución del método para la ayuda de toma de decisiones médicas de la presente invención. El dispositivo móvil de usuario dispone de medios propios de geolocalizacion de sus coordenadas (por ejemplo GPS), a través de sistemas satelitales de geoposicionamiento GNSS de tipo conocido. Por tanto, el sistemas GPS del dispositivo del usuario detectará las coordenadasque se proporcionarán al software de ejecución del presente método. A user (or patient) wishes to obtain a medical diagnosis and an optional advice for the treatment of a disease, based on a set of signs and symptoms, for which he has a mobile device (smartphone, tablet or similar), equipped with an RF wireless communications system, and with internet browsing system 10 (eg GSM, 3G, 4G, 5G or similar) in which an application (or "app") is loaded, for the execution of the method for medical decision-making aid of the present invention. The mobile user device has of its own means of geolocation of its coordinates (for example GPS), through satellite systems of GNSS geolocation of known type. Therefore, the GPS systems of the user's device will detect the coordinates that will be provided to the execution software of the present method.
En conjunción con lo anterior, el sistema dispone de servidor 21 , 23, en el que se ejecuta la contraparte de la aplicación del método de la invención, comunicado con internet 10, y con bases de datos 22, 24 asociadas para la presente "app". El método para la ayuda a la selección de la especialidad médica y comunicación con el médico especialista a través de un dispositivo móvil según la presente invención se explica seguidamente con arreglo a los pasos de programa o bloques del diagrama de flujo del algoritmo de la Fig. 1 asociado al método de la invención, y con referencia a los "pantallazos" mostrados en las Figs. 2 a 7. In conjunction with the above, the system has a server 21, 23, in which the counterpart of the application of the method of the invention is executed, communicated with internet 10, and with databases 22, 24 associated for this "app ". The method for the aid in the selection of the medical specialty and communication with the medical specialist through a mobile device according to the present invention is explained below in accordance with the program steps or blocks of the flowchart of the algorithm of Fig. 1 associated with the method of the invention, and with reference to the "screenshots" shown in Figs. 2 to 7.
El método se inicia en el paso 1 tras pulsar el usuario en el campo táctil de la "app" asociada al método que se muestra en el display 30 del dispositivo móvil 3, por ejemplo un smartphone 3. En el paso o bloque 3 el programa pide al usuario la introducción de datos tales como edad (en el campo táctil 42), sexo (en el campo 43), y los síntomas apreciados, según se ve en las Figs. 2 y 3. Preferiblemente, se introducen almenos dos síntomas diferentes. La introducción de los síntomas puede ser manual, escribiendo el usuario los síntomas en los campos 31 del display 30 (Fig. 2), o bien elegirse mediante pulsación con el dedo seleccionando de un menú desplegable 32 (Fig. 3) en el display 30 del smartphone 3. The method starts in step 1 after pressing the user in the touch field of the "app" associated with the method shown in the display 30 of the mobile device 3, for example a smartphone 3. In step or block 3 the program asks the user to enter data such as age (in the touch field 42), sex (in field 43), and the symptoms appreciated, as seen in Figs. 2 and 3. Preferably, at least two different symptoms are introduced. The introduction of the symptoms can be manual, by writing the symptoms in fields 31 of the display 30 (Fig. 2), or by pressing with the finger by selecting from a drop-down menu 32 (Fig. 3) on the display 30 of the smartphone 3.
Los síntomas pueden ser muchos y variados, pero a modo de ejemplo ilustrativo y no limitativo, se citan los siguientes: Congestión Nasal, Abundancia De Mucosidad, Di- arrea, Dificultad Para Respirar, Dificultad Para Tragar, Dolor Abdominal, Dolor De Cabeza, Dolor De Cadera, Dolor De Cuello, Dolor De Garganta, Dolor De Hombro, Dolor De Ojos U Ojos Rojos, Dolor De Pecho, Dolor De Rodilla, Dolor En El Pié O En El Tobillo, Dolor Pélvico Y Genital, Entumecimiento En Las Manos, Estreñimiento, Inflamación En Pies O Piernas, Mareos O Desvanecimientos, Náuseas O Vómitos, Palpitaciones, Problemas En La Visión, Problemas Urinarios, Sangre En Las Heces, Sibilancias O Jadeos Al Respirar, Tos. Para el despliegue de otras opciones de síntomas, es posible utilizar un algoritmo y método según el sitio web www.dja.QnostjCodesjntomae.CQmo la patente US2008052318A1 , antes citados. Una vez seleccionados los síntomas, el usuario pulsa en "continuar" 44 y aquéllos son enviados en el bloque 4, a través de internet 10 (u otra red de área local,WAN, análoga) a un servidor remoto 21 , dotado de una base de datos de síntomas, especialidades y enfermedades 22 y de un programa de gestión de síntomas, especialidades y enfermedades. The symptoms can be many and varied, but as an illustrative and non-limiting example, the following are cited: Nasal Congestion, Abundance of Mucus, Diarrhea, Difficulty Breathing, Difficulty Swallowing, Abdominal Pain, Headache, Pain Hip, Neck Pain, Sore Throat, Shoulder Pain, Red Eye Or Eye Pain, Chest Pain, Knee Pain, Foot Or Ankle Pain, Pelvic And Genital Pain, Numbness In Hands, Constipation , Swelling In Feet Or Legs, Dizziness Or Fainting, Nausea Or Vomiting, Palpitations, vision problems, urinary problems, blood in stool, wheezing or gasping when breathing, cough. For the deployment of other symptom options, it is possible to use an algorithm and method according to the website www.dja.QnostjCodesjntomae.CQmo US2008052318A1, cited above. Once the symptoms are selected, the user presses "continue" 44 and they are sent in block 4, via internet 10 (or another local area network, WAN, analog) to a remote server 21, provided with a base of symptoms, specialties and diseases data 22 and of a management program for symptoms, specialties and diseases.
En 4 se analizan los datos y en el paso 5 el sistema sugiere al menos una especialidad mostrada en el display 30, en los campos 33 y 34. En este ejemplo se muestran las especialidades de Medicina General y Cirugía. En 6 se interroga al usuario si desea alguna de las opciones sugeridas o si. Si la respuesta en el bloque 6 es "NO", entonces el usuario pulsa en el display 30 el campo "Ir a menú de Especialidades Médicas", y el programa pasa la ejecución al paso 7, en el que se muestra por el display 30 del smartphone un menú de especialidades o -Grupos Médicos. En la Fig. 5 se ilustra un ejemplo en el que se ofrecen como opciones Medicina General (campo 33 del display 30), Cirugía (campo 34), Traumatología (campo 35), Pediatría (campo 36), y Ginecología (campo 37). En el bloque 8 el usuario selecciona la especialidad, pulsando en el campo táctil correspondiente. In 4 the data is analyzed and in step 5 the system suggests at least one specialty shown in the display 30, in fields 33 and 34. In this example, the specialties of General Medicine and Surgery are shown. In 6 the user is interrogated if he wants any of the suggested options or if. If the answer in block 6 is "NO", then the user presses on the display 30 the "Go to Medical Specialties menu" field, and the program passes the execution to step 7, which is shown on display 30 from the smartphone a menu of specialties or - Medical Groups. An example in which General Medicine (field 33 of display 30), Surgery (field 34), Traumatology (field 35), Pediatrics (field 36), and Gynecology (field 37) are illustrated are shown in Fig. 5. . In block 8, the user selects the specialty by clicking on the corresponding touch field.
Si la respuesta a la pregunta del paso 6 es "SI", entonces el usuario selecciona la especialidad sugerida pulsando en el campo 33 o en el campo 34 del display 30 (Fig. 4). If the answer to the question in step 6 is "YES", then the user selects the suggested specialty by pressing in field 33 or in field 34 of display 30 (Fig. 4).
En ambos casos, el programa de aplicación pasa entonces al bloque 9 del diagrama de flujo, en el que radica la esencialidad de la invención. En el bloque o paso 9, el dispositivo móvil de usuario 3 se conecta a través de internet 10 con un dispositivo de computador 25 de un especialista médico disponible, igualmente conectado a través de internet 10 con el servidor remoto 21 provisto de la base de datos de síntomas, especialidades y enfermedades 22. En el caso que se ilustra, se trata de un médico que tiene un ordenador portátil 25. Se inicia entonces en el bloque 9 un chat (ver Fig. 6) entre el dispositivo móvil de usuario y el dispositivo de computador del especialista médico, en el que éste recaba información de parte del usuario/paciente. Además de la que ya dispone en lo tocante a los síntomas previamente recogidos en el bloque 2 (Figs. 2 y 3), el especialista puede recoger informaciones o explicaciones más específicas, así como recuperar mensajes, información y chats anteriores relativos al mismo paciente para evaluar su condición. Una posibilidad es que el usuario introduzca fotos de la parte del cuerpo afectada, por ejemplo a través de una subrutina o "app" distinta a la que se accede pulsando el campo táctil 45 (Figs. 6, 7 y 8). En los displays de estas Figs., se muestra el campo informativo de especialidad 40, que en este caso es "Cirugía", y el campo de texto 38 para el usuario. De esta manera, el médico puede obtener un conjunto de síntomas subjetivos, signos objetivos e impresiones específicas, que le permiten realizar el diagnóstico de la enfermedad, así como el pronóstico, finalizando el bloque 9. In both cases, the application program then goes to block 9 of the flow chart, in which the essentiality of the invention lies. In the block or step 9, the mobile user device 3 is connected via the Internet 10 with a computer device 25 of an available medical specialist, also connected via the Internet 10 with the remote server 21 provided with the database of symptoms, specialties and diseases 22. In the case illustrated, it is a doctor who has a laptop 25. A chat is then started in block 9 (see Fig. 6) between the mobile user device and the medical device of the medical specialist, in which the latter collects information from the user / patient. In addition to the one that already has regarding the symptoms previously collected in block 2 (Figs. 2 and 3), the specialist can collect more specific information or explanations, as well as recover previous messages, information and chats related to the same patient to Evaluate your condition. One possibility is that the user enters photos of the affected body part, for example through a different subroutine or "app" that is accessed by pressing the touch field 45 (Figs. 6, 7 and 8). In the displays of these Figs., The special information field 40 is shown, which in this case is "Surgery", and the text field 38 for the user. In this way, the doctor can obtain a set of subjective symptoms, objective signs and specific impressions, which allow him to make the diagnosis of the disease, as well as the prognosis, ending block 9.
En el bloque 1 1 , y según sea la gravedad del diagnóstico y el pronóstico, el sistema interroga si se desea llamar a un número de urgencias (por ejemplo en países como España 061 , o el 1 12 o el 91 1 en otros países). Si la respuesta es "SI", entonces el usuario llama al número de emergencia, por ejemplo, pulsando sobre el display 30 del smartphone 3 (Fig. 7), con lo que el propio dispositivo móvil 3 efectúa una llamada al número en cuestión, y el programa se detiene, pasando al paso de fin, en el bloque 20. Si la respuesta es "NO", entonces en el paso 14 se pregunta si se va a acudir a un hospital o no. Si la respuesta o decisión es "NO", entonces se pasa el control de ejecución al bloque 19, en el que el médico indica al usuario el diagnóstico, las prescripciones o receta de medicamentos, el tratamiento, y sugiere eventualmente una visita presencial al usuario. Esto se puede hacer por pantalla, mediante indicación sobre el propio display 30 tal como se muestra en la Fig. 6. In block 1 1, and depending on the severity of the diagnosis and the prognosis, the system asks if you want to call a number of emergencies (for example in countries like Spain 061, or 1 12 or 91 1 in other countries) . If the answer is "YES", then the user calls the emergency number, for example, by pressing on the display 30 of the smartphone 3 (Fig. 7), whereby the mobile device 3 itself makes a call to the number in question, and the program stops, going to the end step, in block 20. If the answer is "NO", then in step 14 you ask if you are going to go to a hospital or not. If the answer or decision is "NO", then the execution control is passed to block 19, in which the doctor indicates to the user the diagnosis, prescriptions or prescription of medications, the treatment, and eventually suggests a face-to-face visit to the user . This can be done on the screen, by means of an indication on the display 30 itself as shown in Fig. 6.
Si la respuesta a la interrogación de 14 es "SI", entonces se pasa al paso 15, en que se interroga al usuario si desea la geolocalización de los centros hospitalarios más próximos, conforme a sus coordenadas GNSS. Si la respuesta es "NO", entonces el programa se detiene, pasando al paso de fin, en el bloque 20. If the answer to question 14 is "YES", then go to step 15, in which the user is interrogated if he wants the geolocation of the nearest hospital centers, according to their GNSS coordinates. If the answer is "NO", then the program stops, going to the end step, in block 20.
Si la respuesta a 15 es "SI", entonces el dispositivo móvil de usuario 3 envía una señal sobre sus coordenadas de geoposicionamiento GNSS (GPS, GLONASS, Galileo, Compasss), a un servidor de datos 23 con una base de datos 24 que incluye datos de geoposicionamiento GNSS de centros hospitalarios. El servidor de datos 23 envía al dispositivo móvil de usuario 3 la información sobre la localización de los centros hospitalarios más cercanos a la posición del usuario, que puede presentar, por ejemplo tal como se muestra en el ejemplo de la Fig. 8, indicando las ubicaciones de los centros hospitalarios sobre un mapa 46 de la zona. If the answer to 15 is "YES", then the mobile user device 3 sends a signal on its GNSS geo-coordinate coordinates (GPS, GLONASS, Galileo, Compasss), to a data server 23 with a database 24 that includes GNSS geolocation data from hospital centers. The data server 23 sends to the mobile user device 3 the information on the location of the hospital centers closest to the user's position, which can be presented, for example, as shown in the example of Fig. 8, indicating the locations of the hospital centers on a map 46 of the area.
Descrita suficientemente la naturaleza de la presente invención, así como la manera de ponerla en práctica, se hace constar que todo cuanto no altere, cambie o modifique su principio fundamental, queda sujeto a variaciones de detalle. Describing sufficiently the nature of the present invention, as well as the way of putting it into practice, it is stated that everything that does not alter, change or modify its fundamental principle is subject to variations in detail.

Claims

R E I V I N D I C A C I O N E S
1 .- Método para la ayuda a la selección de la especialidad médica y comunicación con el médico especialista través de un dispositivo móvil, del tipo de los que comprenden los pasos de: 1 .- Method for the aid to the selection of the medical specialty and communication with the medical specialist through a mobile device, of the type that includes the steps of:
- introducir un usuario síntomas de una enfermedad a diagnosticar en un terminal de dispositivo móvil de usuario; y  - introduce a user symptoms of a disease to be diagnosed in a mobile user device terminal; Y
- enviar, a través de una red de área local (WAN), por ejemplo internet (10), los síntomas introducidos a un servidor remoto (21 ), dotado de una base de datos de síntomas, especialidades y enfermedades (22) y de un programa de gestión de síntomas, especialidades y enfermedades,  - send, through a local area network (WAN), for example internet (10), the symptoms introduced to a remote server (21), equipped with a database of symptoms, specialties and diseases (22) and a management program for symptoms, specialties and diseases,
caracterizado porque comprende además los pasos de: characterized in that it also includes the steps of:
- seleccionar por el programa de gestión de síntomas al menos una especialidad médica a partir de los síntomas introducidos por el usuario;  - select by the symptom management program at least one medical specialty from the symptoms introduced by the user;
- mostrar como sugerencia por el display del dispositivo móvil del usuario las especialidades médicas seleccionadas por el programa de gestión de síntomas;  - show as a suggestion on the display of the user's mobile device the medical specialties selected by the symptom management program;
- elegir el usuario una especialidad médica;  - choose the user a medical specialty;
- conectar el dispositivo móvil de usuario con un dispositivo de computador (25) de un especialista médico disponible, igualmente conectado a través de la - connect the mobile user device with a computer device (25) of an available medical specialist, also connected through the
WAN (10); WAN (10);
- realizar un chat entre el dispositivo móvil de usuario y el dispositivo de computador del especialista médico.  - Chat between the mobile user device and the medical device of the medical specialist.
2.- Método según la reivindicación 1 , caracterizado porque por el display del dispositivo móvil de usuario se muestran todas las especialidades médicas disponibles, eligiendo el usuario una de entre las especialidades mostradas. 2. Method according to claim 1, characterized in that the display of the mobile user device shows all available medical specialties, the user choosing one of the specialties shown.
3. - Método según la reivindicación 1 , caracterizado porque los síntomas introducidos por el usuario son seleccionados de entre una pluralidad de síntomas mostrados en un menú desplegable que se muestra en el display del dispositivo móvil. 3. - Method according to claim 1, characterized in that the symptoms introduced by the user are selected from a plurality of symptoms shown in a drop-down menu shown on the display of the mobile device.
4. - Método según la reivindicación 1 , caracterizado porque durante el chat, el especialista médico sugiere al usuario realizar una llamada a un número de urgencias médicas. 4. - Method according to claim 1, characterized in that during the chat, the Medical specialist suggests the user make a call to a number of medical emergencies.
5.- Método según la reivindicación 1 , caracterizado porque durante el chat, el especialista médico sugiere al usuario que se dirija a un centro médico para valoración presencial. 5. Method according to claim 1, characterized in that during the chat, the medical specialist suggests the user to go to a medical center for face-to-face assessment.
6.- Método según la reivindicación 5, caracterizado porque el dispositivo móvil de usuario (3) envía una señal sobre sus coordenadas degeoposicionamientoGNSS (GPS, GLONASS, Galileo, Compasss), a un servidor de datos (23) con una base de datos (24) que incluye datos de geoposicionamientoGNSS de centros hospitalarios, y el servidor de datos (23) envía al dispositivo móvil de usuario (3) la información sobre la localización de los centroshospitalarios más cercanos a la posición del usuario. 6. Method according to claim 5, characterized in that the mobile user device (3) sends a signal on its GNSS positioning coordinates (GPS, GLONASS, Galileo, Compasss), to a data server (23) with a database ( 24) that includes GNSS data of hospital centers, and the data server (23) sends to the mobile user device (3) the information on the location of the hospital centers closest to the user's position.
PCT/ES2015/070323 2014-05-05 2015-04-21 Method for assisting in selecting a medical speciality and in communicating with the medical specialist via a mobile device WO2015169989A1 (en)

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