WO2018235652A1 - Health management device, health management method, and health management program - Google Patents

Health management device, health management method, and health management program Download PDF

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Publication number
WO2018235652A1
WO2018235652A1 PCT/JP2018/022221 JP2018022221W WO2018235652A1 WO 2018235652 A1 WO2018235652 A1 WO 2018235652A1 JP 2018022221 W JP2018022221 W JP 2018022221W WO 2018235652 A1 WO2018235652 A1 WO 2018235652A1
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WO
WIPO (PCT)
Prior art keywords
user
instruction
health management
information
medication
Prior art date
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PCT/JP2018/022221
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French (fr)
Japanese (ja)
Inventor
出野　徹
直樹 土屋
善之 森田
皓介 井上
和 松岡
Original Assignee
オムロンヘルスケア株式会社
オムロン株式会社
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Application filed by オムロンヘルスケア株式会社, オムロン株式会社 filed Critical オムロンヘルスケア株式会社
Publication of WO2018235652A1 publication Critical patent/WO2018235652A1/en

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT 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
    • G16H40/60—ICT 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
    • G16H40/63—ICT 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 local operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT 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
    • G16H40/60—ICT 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
    • G16H40/67—ICT 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 health management device, a health management method, and a health management program.
  • Japanese Patent Laid-Open Publication No. 2017-012604 proposes a health data management system (portable information terminal).
  • the health data management system in JP-A-2017-012604 has a database inside, and manages index data in this database.
  • the index data is based on biological information and activity information of a subject (user) measured by the measuring device. According to the health data management system, the subject can easily use index data indicating the health status of the individual measured by the measurement device by the health data management system.
  • the user himself / herself can store itself in the database of the portable information terminal by storing index data based on biological information and activity information measured by the measuring device. You can easily grasp the health condition of
  • a person having specialized knowledge about medical care and health such as a doctor (hereinafter, referred to as a medical person) to always grasp the health condition of the user (patient).
  • the present invention has been made in view of such circumstances in one aspect, and an object of the present invention is to allow a medical professional to grasp the user's behavior in response to an instruction and to manage the user's health condition. It is to provide the technology that can be done.
  • the present invention adopts the following configuration in order to solve the problems described above.
  • the health management apparatus includes: an acquisition unit that acquires information indicating an action state of the user in a predetermined period after the user is given an instruction for health management; And a determination unit that determines whether the user has performed an action associated with the instruction based on the information indicating the action state.
  • the medical staff when an instruction for health management is given from the medical staff to the user, information representing the action state of the user in response to the instruction is acquired in a predetermined period thereafter. Then, it is determined whether the user has performed the action associated with the instruction based on the acquired information indicating the action state.
  • the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition.
  • the medical staff can also give further instructions such as a treatment policy and life improvement suitable for the user.
  • the acquisition unit acquires, as the information representing the behavior state, information representing a consultation history of the user in a predetermined period after the consultation instruction is given to the user.
  • the determination unit determines whether or not the user has performed an action associated with the consultation instruction with respect to the consultation instruction, based on the information indicating the acquired consultation history.
  • the acquisition unit acquires, as information representing the action state, information representing an exercise history of the user in a predetermined period after the exercise instruction is given to the user.
  • the determination unit determines whether the user has performed an action associated with the exercise instruction based on the acquired information indicating the exercise history. According to the above configuration, when the medical person gives an exercise instruction, it is possible to grasp the action of the user in response to the exercise instruction, and to manage the health condition.
  • the acquisition unit acquires, as information representing the exercise history, an activity amount of the user in a predetermined period after the exercise instruction is given, and the determination unit It is determined whether or not the user has performed an action associated with the exercise instruction based on whether the acquired user activity amount is in the range of the first threshold set in advance. Do. According to the above configuration, it is possible to grasp the action of the user in response to the instruction by using the amount of activity of the user as the information representing the exercise history.
  • the acquisition unit may set, as the information indicating the exercise history, at least one of the number of steps of the user, a walking distance, and a walking time in a predetermined period after the exercise instruction is given. Is acquired, and the determination unit determines whether the user exercises the exercise based on whether or not at least one of the acquired user's number of steps, walking distance, and walking time is in a range of a second preset threshold. It is determined whether or not an action associated with the instruction has been performed in response to the instruction. According to the above configuration, the action of the user in response to the instruction can be grasped using at least one of the number of steps of the user, the walking distance, and the walking time as the information representing the exercise history.
  • the acquisition unit acquires, as information representing the behavior state, information representing a medication history of the user in a predetermined period after the user is given a medication instruction.
  • the determination unit determines, based on the acquired information on the medication history, whether or not the user has taken the medication instruction associated with the medication instruction. According to the above configuration, when the medical doctor gives a medication instruction, it is possible to grasp the behavior of the user with respect to the medication instruction and to manage the health condition.
  • the acquisition unit may input, as information representing the medication history, the operation unit during a predetermined period after the medication instruction has been given, of the medicine the medication was taken.
  • the medication confirmation information including the type and the medication time is acquired, and the determination unit determines the medication instruction based on the comparison result between the acquired medication confirmation information and the prescription information corresponding to the medication instruction. In response, it is determined whether or not the action associated with the instruction has been performed.
  • the acquisition unit may input, as information representing the medication history, the operation unit during a predetermined period after the medication instruction has been given, of the medicine the medication was taken.
  • the medication confirmation information including the type and the medication time is acquired, and the determination unit determines the medication instruction based on the comparison result between the acquired medication confirmation information and the prescription information corresponding to the medication instruction. In response, it is determined whether or not the action associated with the instruction has been performed.
  • the user input data the medication confirmation information
  • the acquisition unit may, as information representing the medication history, change history of biological information of the user affected by medication during a predetermined time after the medication confirmation information is input.
  • the determination unit further determines whether the user responds to the medication instruction based on whether or not the acquired change history of the biological information is within the range of a third preset threshold. It is determined whether or not the associated action has been taken. According to the above configuration, it is possible to grasp the action of the user in response to the instruction by further using the fluctuation history of the biological information of the user as the medication information. This can improve the reliability of the determination as to whether or not the user has taken the drug.
  • an evaluation value determination unit that determines an evaluation value of the user based on a determination result by the determination unit, and provision of points to the user based on the determined evaluation value.
  • an evaluation value processing unit that performs at least one of issuing of a coupon. According to the above configuration, the evaluation value of the user is determined based on the determination result. Then, points are given or coupons are issued to the user based on the determined evaluation value. This can motivate the user to follow the health related instructions.
  • the health management device further includes a storage unit that stores information indicating a correspondence between the type of the instruction and the action information of the user, and the acquiring unit further includes the type of the instruction and the user's Information representing the action information of the user generated with reference to information representing the correspondence with the action information is acquired. According to the above configuration, it is possible to automatically obtain appropriate user action information by referring to the information representing the correspondence between the stored type of instruction and the action information of the user.
  • the medical staff can grasp the user's action to directions, and can provide the art which can manage a user's health condition.
  • FIG. 1 schematically exemplifies an application scene of the health management system according to the embodiment.
  • FIG. 2 schematically illustrates an example of the hardware configuration of the measurement terminal according to the embodiment.
  • FIG. 3 schematically illustrates an example of the hardware configuration of the user terminal according to the embodiment.
  • FIG. 4 schematically illustrates an example of the hardware configuration of the medical staff terminal according to the embodiment.
  • FIG. 5 schematically illustrates an example of the hardware configuration of the health management device according to the embodiment.
  • FIG. 6 schematically illustrates an example of the hardware configuration of the service server according to the embodiment.
  • FIG. 7 schematically illustrates an example of the hardware configuration of the service server according to the embodiment.
  • FIG. 8 schematically illustrates an example of a functional configuration of a control unit in the health management device according to the embodiment.
  • FIG. 9 illustrates an example of a relationship between blood pressure data and user input data according to an embodiment and a determination method for a medication instruction.
  • FIG. 10 illustrates another example of the relationship between blood pressure data and user input data according to an embodiment and a determination method for a medication instruction.
  • FIG. 11 schematically illustrates an example of a functional configuration of a control unit in the service server according to the embodiment.
  • FIG. 12 is a flowchart illustrating an example of the processing procedure of the health management device according to the embodiment.
  • FIG. 13 is a flowchart illustrating an example of the processing procedure of the service server according to the embodiment.
  • the present embodiment an embodiment according to one aspect of the present invention (hereinafter, also referred to as “the present embodiment”) will be described based on the drawings.
  • the embodiment described below is merely an illustration of the present invention in all respects. It goes without saying that various improvements and modifications can be made without departing from the scope of the present invention. That is, in the implementation of the present invention, a specific configuration according to the embodiment may be appropriately adopted.
  • data appearing in the present embodiment is described in natural language, more specifically, it is specified by a pseudo language, a command, a parameter, a machine language or the like that can be recognized by a computer.
  • the health management system includes a measurement terminal 100, a user terminal 200, a medical staff terminal 300, a health management device 400, and external service servers 500 and 600.
  • the measurement terminal 100 is wirelessly connected to the user terminal 200, for example.
  • the user terminal 200, the health management device 400, and the external service servers 500 and 600 are connected to each other via the wide area network 700.
  • the health management device 400 is connected to the medical staff terminal 300 via a local network (not shown).
  • the configuration of the health management system is not limited to the configuration shown in FIG.
  • the measurement terminal 100 may be connected to the health management device 400 without passing through the user terminal 200.
  • the service server 500 or the service server 600 may implement some or all of the functions (processes) realized by the health management device 400.
  • the measurement terminal 100 is, for example, a watch-type wearable device.
  • the measurement terminal 100 measures biological information such as a blood pressure value of the user by being attached to the user.
  • the measurement terminal 100 also includes a medication confirmation button (operation unit) for receiving user input at the time of medication.
  • the measurement terminal 100 measures the exercise state of the user by being worn by the user.
  • the user terminal 200 is, for example, an information communication terminal used by an individual user, and includes, for example, a portable information communication terminal such as a smartphone, a mobile phone, a tablet PC, or a notebook PC.
  • the user terminal 200 transfers the biological information measured by the measurement terminal 100 to the health management device 400. Further, the user terminal 200 may display an instruction from the health management device 400.
  • the user terminal 200 may transmit an instruction from the health management device 400 to the measurement terminal 100, and the measurement terminal 100 may display the instruction from the health management device 400.
  • the medical staff terminal 300 is an information communication apparatus used by a medical staff, and includes, for example, a desktop PC, a notebook PC, or a tablet PC.
  • the medical staff terminal 300 displays a function of transmitting an instruction for health management of the user to the health management device 400 according to the operation of the medical staff, and information on the health condition of the user transmitted from the health management device 400. It has a function.
  • the health management device 400 is configured by, for example, a server used by a hospital.
  • the health management device 400 includes an acquisition unit 415 and a determination unit 416.
  • the health management device 400 may include the instruction transmission unit 414.
  • the instruction transmission unit 414 transmits an instruction from the medical staff terminal 300 to the user terminal 200 or the measurement terminal 100.
  • the acquisition unit 415 acquires information representing the action state of the user in response to the instruction during a predetermined period after the transmission of the instruction.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction, based on the information indicating the acquired action state. Then, the health management device 400 transmits the determination result to the service server 500.
  • the service server 500 is, for example, a server used by a service provider, and is, for example, a reward program server.
  • the service server 500 receives the determination result transmitted from the health management device 400, and determines the evaluation value of the user according to the determination result. Then, the service server 500 performs processing for giving points or issuing coupons to the user according to the determined evaluation value.
  • the service server 600 is, for example, a server used by an insurance company.
  • the service server 600 performs premium discount processing and the like according to the points for the user to whom the points are given.
  • the health management device 400 transmits an instruction from the medical staff for health management to the user (patient). Then, the health management device 400 acquires information indicating the action state of the user in response to the instruction, and determines based on the information indicating the action state whether or not the user has performed the action associated with the instruction. Thereby, for example, the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition. In addition, by grasping the action of the user in response to the instruction, the medical staff can give further instructions such as a treatment policy and life improvement suitable for the user.
  • the measurement terminal 100 includes a control unit 110, a communication unit 120, a storage unit 130, an operation unit 140, a display unit 150, a living body sensor 160, and an acceleration sensor 170.
  • the control unit 110 includes a central processing unit (CPU) 111 and a memory 112.
  • the memory 112 includes a random access memory (RAM), a read only memory (ROM), and the like.
  • the memory 112 stores a program executed by the CPU 111 or functions as a work memory.
  • the control unit 110 performs various kinds of operation control, data processing, and the like by the CPU 111 executing a program using the memory 112.
  • the communication unit 120 is a communication interface for communicating with the user terminal 200.
  • the communication unit 120 transmits data to the user terminal 200 and receives data from the user terminal 200.
  • Communication by the communication unit 120 may be either wireless communication or wired communication.
  • the communication unit 120 will be described on the assumption that the communication unit 120 communicates with the user terminal 200 by short distance wireless communication.
  • the communication unit 120 is not limited to this, and communication may be performed using a communication cable, or communication may be performed via a network such as a LAN (Local Area Network).
  • the storage unit 130 stores a program for controlling the measurement terminal 100, setting data for setting various functions of the measurement terminal 100, measurement data measured by the biological sensor 160 and the acceleration sensor 170, and the like.
  • the storage unit 130 may be used as a work memory when the program is executed.
  • the operation unit 140 includes, for example, operation devices such as a touch panel and operation buttons (operation keys).
  • the operation unit 140 detects an operation by the user, and outputs an operation signal indicating the content of the operation to the control unit 110.
  • the operation unit 140 includes a medication confirmation button as a touch panel and operation buttons.
  • the medication confirmation button is a button indicating that the user has taken medication by receiving user input.
  • the user input corresponding to the drug administration is preferably performed immediately after drug administration, but may be performed immediately before or at the time of drug administration.
  • the medication time is calculated by user input corresponding to the medication.
  • the medication time is calculated based on time information from a clock unit (not shown).
  • the type of medicine taken may be input by the user input of the operation unit 140.
  • the type of medicine may be input in advance.
  • the control unit 110 links user medication time obtained from the user input and the type of medicine taken, and generates user input data (completion confirmation information).
  • the display unit 150 includes a display screen (for example, an LCD (Liquid Crystal Display) or an EL (Electroluminescence) display), an indicator, and the like.
  • the display unit 150 displays information in accordance with the control signal from the control unit 110.
  • the display unit 150 displays, for example, an instruction from the health management device 400.
  • the biometric sensor 160 measures biometric information of the user.
  • the control unit 110 links the measurement time to the measured biological information to generate biological data.
  • the biometric sensor 160 includes a blood pressure sensor 161.
  • the blood pressure sensor 161 continuously measures blood pressure values as biological information of the user.
  • the control unit 110 links the measurement time to the measured blood pressure value to generate blood pressure data.
  • the blood pressure sensor 161 is a continuous measurement type blood pressure sensor.
  • the blood pressure sensor 161 continuously measures the values of blood pressure (for example, systolic blood pressure and diastolic blood pressure).
  • the blood pressure sensor 161 continuously measures blood pressure for each pulse, but is not limited thereto.
  • a blood pressure sensor of a continuous measurement type using a PTT method, a tonometry method, an optical method, a radio wave method, an ultrasonic method or the like can be applied.
  • the PTT method is a method of measuring pulse wave transmission time (PTT) and estimating a blood pressure value from the measured pulse wave transmission time.
  • the tonometry method is a method in which a pressure sensor is brought into direct contact with a living body site through which an artery such as a radial artery of the wrist passes and blood pressure values are measured using information detected by the pressure sensor.
  • the optical method, the radio wave method, and the ultrasonic method are methods in which light, radio waves or ultrasonic waves are applied to blood vessels and blood pressure values are measured from the reflected waves.
  • the blood pressure sensor 161 may also include a blood pressure sensor that can not be measured continuously (hereinafter, referred to as a non-continuous blood pressure sensor).
  • the non-continuous type blood pressure sensor measures the user's blood pressure using, for example, a cuff as a pressure sensor (oscillometric method).
  • Discontinuous blood pressure sensors (especially oscillometric blood pressure sensors) tend to have higher measurement accuracy than continuous blood pressure sensors. Therefore, the blood pressure sensor 101 may measure the blood pressure with higher accuracy by operating the non-continuous blood pressure sensor instead of the continuous blood pressure sensor, triggered by the satisfaction of a certain condition.
  • the user's blood pressure value may be measured by using a user input corresponding to medication as a trigger. Furthermore, the blood pressure value of the user may be measured again after a predetermined time from the user input corresponding to the medication. Thereby, blood pressure values can be measured immediately after and after a predetermined period of time from taking the drug.
  • the biological sensor 160 may measure pulse wave information, pulse information, electrocardiogram information, heart rate information, and body temperature information as biological information by including a sensor other than the blood pressure sensor 161. it can.
  • the acceleration sensor 170 measures the acceleration that the main body of the measurement terminal 100 receives. For example, the acceleration sensor 170 measures acceleration in three or six axes.
  • the control unit 110 calculates the amount of activity (for example, consumed calories) of the user from the measured acceleration. Further, the control unit 110 calculates the number of steps of the user, the walking distance, and the walking time from the measured acceleration. Then, the control unit 110 links activity time to the calculated activity amount to generate activity amount data. Further, the control unit 110 links the measurement time to each of the calculated number of steps, the walking distance, and the walking time to generate walking data.
  • the physical quantity related to the activity amount, the number of steps, the walking distance, and the activity other than the walking time may be calculated by a sensor other than the acceleration 170, and physical quantity data in which the measurement time is linked to the physical quantity may be generated.
  • the user terminal 200 includes a control unit 210, a storage unit 220, an operation unit 230, a communication unit 240, and a display unit 250.
  • Control unit 210 includes a CPU 211 and a memory 212.
  • the memory 212 includes a RAM, a ROM, and the like.
  • the memory 212 stores a program executed by the CPU 211 or functions as a work memory.
  • the control unit 210 performs various operation control, data processing, and the like by the CPU 211 executing a program using the memory 212.
  • the storage unit 220 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a program executed by the control unit 210. In addition, the storage unit 220 may store data and the like generated by the measurement terminal 100. In addition, the storage unit 220 may store display data and the like displayed on the display unit 250.
  • the operation unit 230 includes, for example, a touch panel provided on the display screen of the display unit 250.
  • the operation unit 230 is not limited to this, and may include operation buttons, a keyboard, a mouse, and the like.
  • the operation unit 230 detects an operation by the user, and outputs an operation signal indicating the content of the operation to the control unit 210.
  • the operation unit 230 may include a medication confirmation button instead of the operation unit 140 of the measurement terminal 100.
  • the type of medicine taken may be input by the user input of the operation unit 230.
  • the communication unit 240 is a communication interface for communicating with the measurement terminal 100, the health management device 400, the service server 500, and the service server 600.
  • the communication unit 240 transmits data to the measurement terminal 100 and receives data from the measurement terminal 100.
  • the communication unit 240 transmits data to the health management device 400, the service server 500, and the service server 600 via the network 700, or transmits data from the health management device 400, the service server 500, and the service server 600.
  • Receive Communication by the communication unit 240 may be either wireless communication or wired communication.
  • the network will be described assuming, for example, the Internet, but is not limited to this, and may be another type of network such as a LAN, and one pair using a communication cable such as a USB cable It may be one communication.
  • the display unit 250 includes a display screen (for example, an LCD or an EL display).
  • the display unit 250 displays information in accordance with the control signal from the control unit 210.
  • the display unit 250 may display an instruction from the health management device 400 instead of the display unit 150 of the measurement terminal 100.
  • the medical staff terminal 300 includes a control unit 310, a storage unit 320, an operation unit 330, a communication unit 340, and a display unit 350.
  • Control unit 310 includes a CPU 311 and a memory 312.
  • the memory 312 includes a RAM, a ROM, and the like.
  • the memory 312 stores a program executed by the CPU 311 or functions as a work memory.
  • the control unit 310 performs various types of operation control, data processing, and the like by the CPU 311 executing a program using the memory 312.
  • the storage unit 320 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a program executed by the control unit 310.
  • the storage unit 320 stores the user's consultation information generated by the control unit 310.
  • the examination information is, for example, information representing a user's examination history (date of examination, diagnosis result, etc.).
  • the visit history of the user is input by the medical staff when the user visits.
  • the storage unit 320 may store an instruction from the medical staff to the user.
  • Operation unit 330 includes, for example, a touch panel provided on the display screen of display unit 350.
  • the operation unit 330 is not limited to this, and may include operation buttons, a keyboard, a mouse, and the like.
  • the operation unit 330 detects an operation by a medical person and outputs an operation signal indicating the content of the operation to the control unit 310.
  • the communication unit 340 is a communication interface for communicating with the health management device 400.
  • the communication unit 340 transmits data to the health management device 400 and receives data from the health management device 400.
  • Communication by the communication unit 340 may be either wireless communication or wired communication.
  • the communication unit 340 will be described on the assumption that the communication unit 340 communicates with the health management device 400 via another type of network such as a LAN, but the present invention is not limited to this. Communication may be included.
  • the display unit 350 includes a display screen (for example, an LCD or an EL display).
  • the display unit 350 displays information in accordance with the control signal from the control unit 310.
  • the health management device 400 includes a control unit 410, a storage unit 420, and a communication unit 430.
  • Control unit 410 includes a CPU 411 and a memory 412.
  • the memory 412 includes a RAM, a ROM, and the like.
  • the memory 412 stores a program executed by the CPU 411 or functions as a work memory.
  • the control unit 410 performs various types of operation control, data processing, and the like by the CPU 411 executing a program using the memory 412.
  • the storage unit 420 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a health management program 421 executed by the control unit 410.
  • the communication unit 430 is a communication interface for communicating with the user terminal 200, the medical staff terminal 300, the service server 500, and the service server 600.
  • the communication unit 430 transmits data to the medical staff terminal 300 via the local network, and receives data from the medical staff terminal 300.
  • Communication unit 430 transmits data to user terminal 200, service server 500, and service server 600 via network 700, and receives data from user terminal 200, service server 500, and service server 600.
  • To Communication by the communication unit 430 may be either wireless communication or wired communication.
  • the service server 500 includes a control unit 510, a storage unit 520, and a communication unit 530.
  • Control unit 510 includes a CPU 511 and a memory 512.
  • the control unit 510, the storage unit 520, the communication unit 530, the CPU 511, and the memory 512 are the same as the control unit 410, the storage unit 420, the communication unit 430, the CPU 411, and the memory 412 of the health management device 400, respectively.
  • the storage unit 520 of the service server 500 includes a reward program 521 executed by the control unit 510.
  • the service server 600 includes a control unit 610, a storage unit 620, and a communication unit 630.
  • Control unit 610 includes a CPU 611 and a memory 612.
  • control unit 610, the storage unit 620, the communication unit 630, the CPU 611, and the memory 612 are the same as the control unit 410, the storage unit 420, the communication unit 430, the CPU 411, and the memory 412 of the health management device 400, respectively.
  • the storage unit 620 of the service server 600 includes a program executed by the control unit 610. For example, by executing the program stored in storage unit 620, control unit 610 performs, for example, discounting of premium according to the point to the user to whom the point is given.
  • the control unit 410 of the health management device 400 deploys the health management program 421 stored in the storage unit 420 in the memory 412. Then, the control unit 410 causes the CPU 411 to interpret and execute the health management program 421 developed in the memory 412 to control each component.
  • the control unit 410 of the health management device 400 includes the instruction receiving unit 413, the instruction transmitting unit 414, the acquiring unit 415, the determining unit 416, and the determination result transmitting unit 417. Function.
  • the instruction receiving unit 413 receives an instruction for health management of the user from the medical staff terminal 300.
  • the instruction for the health management of the user is input to the medical staff terminal 300 based on the diagnosis result of the user by the medical staff.
  • the instruction for health management is, for example, a consultation instruction, an exercise instruction, a medication instruction, and the like.
  • the consultation instruction is an instruction to instruct the user to have a medical institution receive a medical examination.
  • the medical doctor instructs the user to receive a medical examination, for example, on a predetermined day or a predetermined period, according to the medical examination instruction.
  • the exercise instruction is an instruction to command the user to exercise.
  • the medical instruction instructs the user to exercise having an activity amount equal to or more than a predetermined value, for example, in a predetermined period (for example, one day), according to the exercise instruction.
  • the medical practitioner instructs the user to walk by a exercise instruction, for example, at least a predetermined value (predetermined number of steps, a predetermined distance, or a predetermined time) in a predetermined period (for example, one day).
  • the medication instruction is an instruction to instruct the user to take a prescribed medicine at a prescribed time.
  • the medical practitioner instructs the user to take a prescribed medicine at a prescribed time of day (for example, morning and night) according to the medication instruction.
  • a predetermined medicine is an antihypertensive agent
  • the present invention is not limited thereto.
  • the instruction transmission unit 414 transmits the instruction for health management received by the instruction reception unit 413 to the user terminal 200 or the measurement terminal 100.
  • the instruction transmission unit 414 may transmit the instruction each time the instruction is received by the instruction reception unit 413, or may transmit the instruction periodically once the instruction is received by the instruction reception unit 413. Good.
  • the acquisition unit 415 acquires information (hereinafter referred to as action information) representing the action state of the user in response to the given instruction. For example, the acquisition unit 415 acquires user's action information in a predetermined period after the instruction is given. The acquiring unit 415 acquires appropriate user behavior information in accordance with the type of the transmitted instruction. Information indicating what kind of action information of the user corresponding to the type of instruction is is stored in the storage unit 420. The said information is table information showing the correspondence of the kind of instruction
  • action information representing the action state of the user in response to the given instruction. For example, the acquisition unit 415 acquires user's action information in a predetermined period after the instruction is given. The acquiring unit 415 acquires appropriate user behavior information in accordance with the type of the transmitted instruction. Information indicating what kind
  • the acquisition unit 415 acquires examination information from the medical staff terminal 300 as action information.
  • the examination information is information generated by the medical staff terminal 300 and representing a user's examination history (date of examination, diagnosis result, etc.).
  • the visit history of the user is input by the medical staff when the user visits.
  • the acquisition unit 415 acquires the user's visit information in a predetermined period (for example, a visit date or visit period corresponding to the instruction) after the instruction is given.
  • the acquisition unit 415 acquires information representing exercise history (hereinafter referred to as exercise information) from the measurement terminal 100 as action information.
  • the exercise information is activity amount data or walking data generated by the measurement terminal 100.
  • the activity amount data is data including the user's activity amount (calories consumed) and the measurement time thereof.
  • the walking data is data including each of the number of steps of the user, the walking distance, and the walking time and their measurement times.
  • the acquisition unit 415 acquires exercise information of the user in a predetermined period (for example, one day) after the instruction is given.
  • the acquisition unit 415 may acquire data including an activity amount, the number of steps, a walking distance, and physical quantities regarding activities other than walking time and their measurement times.
  • the acquisition unit 415 acquires information (hereinafter referred to as medication information) representing medication history from the measurement terminal 100 via the user terminal 200 as activity information.
  • the medication information is blood pressure data and user input data generated by the measurement terminal 100.
  • the blood pressure data is data in which the measurement time is linked to the blood pressure value of the user.
  • the user input data is data including the type of medicine taken by the user and the time of taking the medicine.
  • the acquisition unit 415 acquires user medication information in a predetermined period (for example, one day) after the instruction is given.
  • the acquisition unit 415 may acquire only blood pressure data. That is, the acquisition process is performed automatically.
  • the acquiring unit 415 may acquire not only blood pressure data but also biological data including biological information affected by medication.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction based on the acquired action information. That is, the determination unit 416 determines whether the user has followed an instruction from the medical staff.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction based on the examination information as the action information. More specifically, the determination unit 416, for example, confirms the consultation date of the visit information. Then, the determination unit 416 determines whether or not the user has followed the consultation instruction based on, for example, whether the consultation date is a consultation date or a consultation period corresponding to the instruction. Note that the consultation date or the consultation period corresponding to the instruction is stored, for example, in the storage unit 420. Then, the stored visit date or visit period is read out and compared with the actual visit date to determine.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction based on the exercise information (activity amount data or walking data) as the action information. . More specifically, the determination unit 416 confirms, for example, the activity amount and measurement time of the activity amount data. Thus, the determination unit 416 can calculate the amount of activity (for example, consumed calories) for a predetermined period (for example, one day). Then, the determination unit 416 determines whether or not the user has followed the exercise instruction based on, for example, whether or not the activity amount in a predetermined period is equal to or greater than a predetermined value (a range of the first threshold) set in advance. . The first threshold is stored in, for example, the storage unit 420.
  • the determination unit 416 confirms at least one of the number of steps of walking data, the walking distance, and the walking time and the measurement time. Thereby, the determination unit 416 can calculate at least one of the number of steps in a predetermined period (for example, one day), the walking distance, and the walking time. Then, the determination unit 416 determines whether the user follows the exercise instruction based on, for example, whether at least one of the number of steps in a predetermined period, the walking distance, and the walking time is equal to or greater than a predetermined value (a range of the second threshold). It is determined whether or not.
  • the second threshold is stored in, for example, the storage unit 420.
  • the determination unit 416 determines whether the user has performed an action associated with the instruction based on the medication information (blood pressure data and user input data) as the action information. .
  • the determination unit 416 first confirms the type of medicine taken and the time of administration of the user input data. Then, the determination unit 416 compares the type and time of medication taken with the prescription information with the prescription information, and determines whether the type and time of medication taken are the same as the prescription information.
  • the prescription information corresponds to, for example, a medication instruction from a medical practitioner, and is stored in the storage unit 420. Furthermore, check the blood pressure value and measurement time of the blood pressure data. Thereby, the determination unit 416 can confirm the fluctuation history of the blood pressure value within a predetermined time (for example, several hours) from the time of medication. Then, the determination unit 416 determines whether or not the user follows the medication instruction based on whether or not the fluctuation history of the blood pressure value within a predetermined time from the medication time is equal to or more than the predetermined value (the third threshold range). Do.
  • the user input data is self-reported by the user. For this reason, the user can declare medication even if he is not actually taking medication. That is, user input alone is not reliable enough to determine whether the user has actually taken a drug.
  • the blood pressure data is confirmed together with the user input (reporting of medication). This makes it possible to confirm the declaration of medication and the actual blood pressure value fluctuation associated therewith, and it is possible to determine whether the user has actually taken a medication.
  • FIG. 9 illustrates an example of a relationship between blood pressure data and user input data according to the present embodiment and a determination method for a medication instruction.
  • the determination unit 416 confirms the type of medicine (hypertension reducing agent A) and the dosing time (time t1) of the user input data. Furthermore, the determination unit 416 checks the change history of the blood pressure value in a predetermined time (time from time t1 to time t2) from the medication time (time t1).
  • the predetermined time may be set based on the time when the effect of the drug sufficiently appears, and may be set appropriately according to the user. For example, the predetermined time may be automatically set based on accumulation of historical data of the user in the past. Moreover, this predetermined time may be automatically set based on accumulation of past history data of the measurement subject group other than the user.
  • the determination unit 416 determines that the user has taken the medication (in accordance with the medication instruction). On the other hand, when the blood pressure value does not decrease to the threshold BPth1 within the predetermined time, the determination unit 416 determines that the user is not taking medication (not following the medication instruction).
  • the threshold value BPth1 may be set according to the lowest value of the step-down effect obtained by taking the drug, and may be set appropriately according to the user. For example, the threshold BPth1 may be automatically calculated based on accumulation of historical data of the user in the past. The user's past history data is accumulated and stored in the storage unit 420. In addition, the threshold BPth1 may be automatically calculated based on accumulation of historical data of the subject group other than the user. For example, the threshold BPth1 may be an average of the blood pressure value before change and the blood pressure value after change.
  • FIG. 10 illustrates another example of the relationship between blood pressure data and user input data according to the present embodiment and a determination method for a medication instruction.
  • the determination unit 416 confirms the type of medicine (hypertension reducing agent A) and the medication time (time t1) of the user input data, the blood pressure value for medication time (time t1) and the medication The blood pressure value after a predetermined time (time t2) from the time is confirmed. Further, the determination unit 416 calculates the difference BP1 of these blood pressure values. Then, when the blood pressure value difference BP1 is equal to or greater than the threshold BPth2, the determination unit 416 determines that the user has taken the medication (in accordance with the medication instruction).
  • the determination unit 416 determines that the user is not taking medication (in accordance with the medication instruction).
  • the threshold value BPth2 may be set according to the lowest value of the step-down effect obtained by taking the drug, and may be set appropriately according to the user. For example, the threshold BPth2 may be automatically calculated based on accumulation of historical data of the user in the past. In addition, the threshold BPth2 may be automatically calculated based on accumulation of past history data of the measurement subject group other than the user.
  • Pulse wave data, pulse data, electrocardiogram data, heart rate data, and body temperature data may be generated by linking measurement time to pulse wave information, pulse information, electrocardiogram information, heart rate information, and body temperature information. Then, based on the relationship between the biological data and the medication, it may be determined whether the user has actually taken the medication. In addition, it is also possible to determine the medication instruction for a drug other than the antihypertensive agent from the relationship between the drug other than the antihypertensive drug and the biological data.
  • the determination result transmission unit 417 transmits the determination result determined by the determination unit 416 (that is, the determination result of whether the user has followed the instruction) to the service server 500.
  • the control unit 510 of the service server 500 loads the reward program 521 stored in the storage unit 520 in the memory 512. Then, the control unit 510 causes the CPU 511 to interpret and execute the reward program 521 developed in the memory 512 to control each component.
  • the control unit 510 of the service server 500 functions as a computer including the determination result receiving unit 513, the evaluation value determining unit 514, and the evaluation value processing unit 515.
  • the determination result receiving unit 513 receives, from the health management device 400, a determination result as to whether or not the user has followed instructions (a consultation instruction, an exercise instruction, and a medication instruction).
  • the evaluation value determination unit 514 determines the evaluation value of the user based on the determination result received by the determination result reception unit 513. For example, the evaluation value determination unit 514 increases the evaluation value when the user follows the instruction, and lowers the evaluation value when the user does not follow the instruction. In addition, the evaluation value determination unit 514 may determine each evaluation value according to the determination result of each instruction, or may determine a comprehensive evaluation value according to the determination results of all the instructions. Alternatively, the evaluation value determination unit 514 may determine any of each evaluation value and the comprehensive evaluation value.
  • the evaluation value processing unit 515 gives points to the user or issues a coupon based on the evaluation value determined by the evaluation value determination unit 514.
  • the points are given to a user with a high evaluation value (a user according to the instruction), and used, for example, for discounting premiums on the service server 600 (insurance company).
  • a coupon for example, a gourmet coupon or a travel coupon, is issued to a user with a high evaluation value (a user who follows the instruction).
  • Such point grant and coupon issuance can motivate the user to follow the health related instructions.
  • a gym gym coupon may be issued to a user having a low evaluation value for an exercise instruction (a user who did not follow the exercise instruction). This can prompt the user who does not follow the exercise instruction to exercise.
  • the service server 500 may implement some or all of the functions (processes) realized by the health management device 400 described above. In this case, the determination result transmission unit 417 and the determination result reception unit 513 may not be provided, and the determination result obtained by the determination unit 416 is directly used by the evaluation value determination unit 514.
  • the service server 600 may perform some or all of the functions (processes) realized by the health management device 400 and the service server 500.
  • FIG. 12 is a flowchart illustrating an example of the processing procedure of the health management device 400.
  • the process sequence demonstrated below is only an example, and each process may be changed as much as possible.
  • steps may be omitted, replaced, and added as appropriate according to the embodiment.
  • Step S11 the control unit 410 functions as the instruction reception unit 413, and receives an instruction (medical instruction, exercise instruction, and medication instruction) for health management of the user from the medical staff terminal 300.
  • an instruction medical instruction, exercise instruction, and medication instruction
  • control unit 410 functions as instruction transmission unit 414, and transmits the instruction for health management received in step S11 to user terminal 200 or measurement terminal 100.
  • control unit 410 functions as acquisition unit 415, and acquires the user's action information in response to the instruction given in step S12.
  • control part 410 acquires medical examination information from the medical staff terminal 300 as action information in step S131.
  • control unit 410 acquires exercise information (activity amount data or walking data) from the measurement terminal 100 via the user terminal 200 as activity information in step S132.
  • the control unit 410 acquires medication information (blood pressure data and user input data) from the measurement terminal 100 via the user terminal 200 as activity information in step S133. (Step S14 (steps S141, S142, S143)) In the next step S14, the control unit 410 functions as the determination unit 416, and based on the action information acquired in step S13, whether the user has performed an action associated with the instruction (instruction Determine whether or not).
  • control unit 410 performs an action associated with the instruction in response to the instruction based on the examination information as the action information in step S141 (a consultation instruction Determine whether or not
  • control unit 410 When exercise information is acquired, the control unit 410 performs an action associated with the instruction in response to the instruction based on the exercise information (activity data or walking data) as action information in step S142. It is determined whether or not (following the exercise instruction) or not.
  • control unit 410 performs an action associated with the instruction in response to the instruction based on the medication information (blood pressure data and user input data) as the action information in step S143. It is determined whether or not (in accordance with the medication instruction).
  • Step S15 In the next step S15, the control unit 410 functions as the determination result transmission unit 417, and transmits the determination result determined in step S14 to the service server 500.
  • FIG. 13 is a flowchart illustrating an example of the processing procedure of the service server 500.
  • the process sequence demonstrated below is only an example, and each process may be changed as much as possible.
  • steps may be omitted, replaced, and added as appropriate according to the embodiment.
  • control unit 510 functions as determination result receiving unit 513, and receives a determination result as to whether or not the user follows instructions (a consultation instruction, an exercise instruction, and a medication instruction) from health management device 400.
  • control unit 510 functions as evaluation value determination unit 514, and determines the user's evaluation value based on the determination result received in step S21.
  • control unit 510 functions as evaluation value processing unit 515, and grants a point or issues a coupon to the user based on the evaluation value determined in step S22.
  • the health management device 400 transmits the health care instruction (medical instruction, exercise instruction, and medication instruction) from the medical staff to the user (patient). . Then, the health management device 400 acquires the user's action information (the consultation information, the exercise information, and the medication information) in response to the instruction, and based on the action information, the user performs the action associated with the instruction. It is determined whether or not the user has done the instruction. Thereby, the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition. In addition, by grasping the action of the user in response to the instruction, the medical staff can give further instructions such as a treatment policy and life improvement suitable for the user.
  • the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition.
  • the medical staff can give further instructions such as a treatment policy and life improvement suitable for the user.
  • the threshold for the determination is set based on the accumulated history data (biometric data) of the user. That is, the threshold corresponds to the fluctuation of the user's own biometric data due to the yearly change. This makes it possible to more accurately determine whether the user has followed the medication instruction.
  • the service server 500 determines the evaluation value of the user based on the determination result obtained by the health management device 400. Then, the service server 500 gives points to the user or issues a coupon based on the determined evaluation value. This can motivate the user to follow the health related instructions.
  • the present invention is not limited to the above embodiment as it is, and at the implementation stage, the constituent elements can be modified and embodied without departing from the scope of the invention.
  • various inventions can be formed by appropriate combinations of a plurality of components disclosed in the above embodiments. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, components in different embodiments may be combined as appropriate.

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Abstract

The objective of the present invention is to provide a technique which enables a medical practitioner to understand the behavior of a user in response to an instruction, and to manage the state of health of the user. A health management device according to one aspect of the present invention is provided with: an acquiring unit which acquires information indicating a state of action of a user in a prescribed period after instructions for health management have been given to the user; and a determining unit which, on the basis of the acquired information indicating the state of action, determines whether, in response to the instructions, the user has performed actions corresponding to the instructions.

Description

健康管理装置、健康管理方法、および健康管理プログラムHEALTH MANAGEMENT DEVICE, HEALTH MANAGEMENT METHOD, AND HEALTH MANAGEMENT PROGRAM
　この発明は、健康管理装置、健康管理方法、および健康管理プログラムに関する。 The present invention relates to a health management device, a health management method, and a health management program.
　日本国特開２０１７－０１２６０４号公報では、健康データ管理システム（携帯情報端末）が提案されている。日本国特開２０１７－０１２６０４号公報における健康データ管理システムは、内部にデータベースを備え、このデータベースにおいて指標データを管理する。指標データは、測定機器によって測定された被測定者（ユーザ）の生体情報や活動情報に基づいている。上記健康データ管理システムによれば、被測定者は測定機器で計測した個人の健康状態を示す指標データを健康データ管理システムにより手軽に利用することができる。 Japanese Patent Laid-Open Publication No. 2017-012604 proposes a health data management system (portable information terminal). The health data management system in JP-A-2017-012604 has a database inside, and manages index data in this database. The index data is based on biological information and activity information of a subject (user) measured by the measuring device. According to the health data management system, the subject can easily use index data indicating the health status of the individual measured by the measurement device by the health data management system.
　日本国特開２０１７－０１２６０４号公報に記載されたシステムのように、携帯情報端末のデータベースに、測定機器によって測定された生体情報や活動情報に基づく指標データを記憶することで、ユーザ自身が自分の健康状態を容易に把握することができる。 As in the system described in JP-A-2017-012604, the user himself / herself can store itself in the database of the portable information terminal by storing index data based on biological information and activity information measured by the measuring device. You can easily grasp the health condition of
　しかしながら、医師等の医療や健康についての専門的な知識を有する者（以下、医療者と称す）がユーザ（患者）の健康状態を常に把握することは容易ではない。 However, it is not easy for a person having specialized knowledge about medical care and health such as a doctor (hereinafter, referred to as a medical person) to always grasp the health condition of the user (patient).
　本発明は、一側面では、このような実情を鑑みてなされたものであり、その目的は、医療者が、指示に対するユーザの行動を把握することができ、ユーザの健康状態を管理することができる技術を提供することである。 The present invention has been made in view of such circumstances in one aspect, and an object of the present invention is to allow a medical professional to grasp the user's behavior in response to an instruction and to manage the user's health condition. It is to provide the technology that can be done.
　本発明は、上述した課題を解決するために、以下の構成を採用する。 The present invention adopts the following configuration in order to solve the problems described above.
　すなわち、本発明の一側面に係る健康管理装置は、ユーザに対し健康管理のための指示が与えられた後の所定期間における前記ユーザの行動状態を表す情報を取得する取得部と、前記取得された行動状態を表す情報に基づいて、前記ユーザが前記指示に対して当該指示に対応付けられた行動を行ったか否かを判定する判定部と、を具備する。 That is, the health management apparatus according to an aspect of the present invention includes: an acquisition unit that acquires information indicating an action state of the user in a predetermined period after the user is given an instruction for health management; And a determination unit that determines whether the user has performed an action associated with the instruction based on the information indicating the action state.
　上記構成によれば、例えば医療者から健康管理のための指示がユーザに与えられると、その後の所定期間において上記指示に対するユーザの行動状態を表す情報が取得される。そして、取得された行動状態を表す情報に基づいてユーザが指示に対応付けられた行動を行ったか否かが判定される。これにより、例えば、医療者は、指示に対するユーザの行動を把握することができ、健康状態を管理することが可能となる。また、医療者は、指示に対するユーザの行動を把握することで、ユーザに合った治療方針および生活改善等のさらなる指示をすることも可能となる。 According to the above configuration, for example, when an instruction for health management is given from the medical staff to the user, information representing the action state of the user in response to the instruction is acquired in a predetermined period thereafter. Then, it is determined whether the user has performed the action associated with the instruction based on the acquired information indicating the action state. Thereby, for example, the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition. In addition, by grasping the behavior of the user in response to the instruction, the medical staff can also give further instructions such as a treatment policy and life improvement suitable for the user.
　上記一側面に係る健康管理装置において、前記取得部は、前記ユーザに対し受診指示が与えられた後の所定期間における前記ユーザの受診履歴を表す情報を、前記行動状態を表す情報として取得し、前記判定部は、前記取得された受診履歴を表す情報に基づいて、前記ユーザが前記受診指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。上記構成によれば、医療者が受診指示をした場合において、受診指示に対するユーザの行動を把握することができ、健康状態を管理することができる。 In the health management device according to the above aspect, the acquisition unit acquires, as the information representing the behavior state, information representing a consultation history of the user in a predetermined period after the consultation instruction is given to the user. The determination unit determines whether or not the user has performed an action associated with the consultation instruction with respect to the consultation instruction, based on the information indicating the acquired consultation history. According to the above configuration, when the medical staff gives a medical examination instruction, it is possible to grasp the behavior of the user in response to the medical examination instruction and to manage the health condition.
　上記一側面に係る健康管理装置において、前記取得部は、前記ユーザに対し運動指示が与えられた後の所定期間における前記ユーザの運動履歴を表す情報を、前記行動状態を表す情報として取得し、前記判定部は、前記取得された運動履歴を表す情報に基づいて、前記ユーザが前記運動指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。上記構成によれば、医療者が運動指示をした場合において、運動指示に対するユーザの行動を把握することができ、健康状態を管理することができる。 In the health management device according to the above aspect, the acquisition unit acquires, as information representing the action state, information representing an exercise history of the user in a predetermined period after the exercise instruction is given to the user. The determination unit determines whether the user has performed an action associated with the exercise instruction based on the acquired information indicating the exercise history. According to the above configuration, when the medical person gives an exercise instruction, it is possible to grasp the action of the user in response to the exercise instruction, and to manage the health condition.
　上記一側面に係る健康管理装置において、前記取得部は、前記運動履歴を表す情報として、前記運動指示が与えられた後の所定期間における前記ユーザの活動量を取得し、前記判定部は、前記取得されたユーザの活動量が予め設定された第１閾値の範囲であるか否かに基づいて、前記ユーザが前記運動指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。上記構成によれば、運動履歴を表す情報としてユーザの活動量を用いて、指示に対するユーザの行動を把握することができる。 In the health management device according to the one aspect, the acquisition unit acquires, as information representing the exercise history, an activity amount of the user in a predetermined period after the exercise instruction is given, and the determination unit It is determined whether or not the user has performed an action associated with the exercise instruction based on whether the acquired user activity amount is in the range of the first threshold set in advance. Do. According to the above configuration, it is possible to grasp the action of the user in response to the instruction by using the amount of activity of the user as the information representing the exercise history.
　上記一側面に係る健康管理装置において、前記取得部は、前記運動履歴を表す情報として、前記運動指示が与えられた後の所定期間における前記ユーザの歩数、歩行距離、および歩行時間の少なくとも１つを取得し、前記判定部は、前記取得されたユーザの歩数、歩行距離、および歩行時間の少なくとも１つが予め設定された第２閾値の範囲であるか否かに基づいて、前記ユーザが前記運動指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。上記構成によれば、運動履歴を表す情報としてユーザの歩数、歩行距離、および歩行時間の少なくとも１つを用いて、指示に対するユーザの行動を把握することができる。 In the health management device according to the above aspect, the acquisition unit may set, as the information indicating the exercise history, at least one of the number of steps of the user, a walking distance, and a walking time in a predetermined period after the exercise instruction is given. Is acquired, and the determination unit determines whether the user exercises the exercise based on whether or not at least one of the acquired user's number of steps, walking distance, and walking time is in a range of a second preset threshold. It is determined whether or not an action associated with the instruction has been performed in response to the instruction. According to the above configuration, the action of the user in response to the instruction can be grasped using at least one of the number of steps of the user, the walking distance, and the walking time as the information representing the exercise history.
　上記一側面に係る健康管理装置において、前記取得部は、前記ユーザに対し服薬指示が与えられた後の所定期間における前記ユーザの服薬履歴を表す情報を、前記行動状態を表す情報として取得し、前記判定部は、前記取得された服薬履歴を表す情報に基づいて、前記ユーザが前記服薬指示に対して当該指示に対応付けられた服薬を行ったか否かを判定する。上記構成によれば、医療者が服薬指示をした場合において、服薬指示に対するユーザの行動を把握することができ、健康状態を管理することができる。 In the health management device according to the above aspect, the acquisition unit acquires, as information representing the behavior state, information representing a medication history of the user in a predetermined period after the user is given a medication instruction. The determination unit determines, based on the acquired information on the medication history, whether or not the user has taken the medication instruction associated with the medication instruction. According to the above configuration, when the medical doctor gives a medication instruction, it is possible to grasp the behavior of the user with respect to the medication instruction and to manage the health condition.
　上記一側面に係る健康管理装置において、前記取得部は、前記服薬履歴を表す情報として、前記服薬指示が与えられた後の所定期間において、操作部により入力された、前記ユーザが服薬した薬剤の種類および服薬時刻を含む服薬確認情報を取得し、前記判定部は、前記取得された服薬確認情報と、前記服薬指示に対応する処方箋情報との比較結果に基づいて、前記ユーザが前記服薬指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。上記構成によれば、服薬情報としてユーザ入力データ（服薬確認情報）を用いて、指示に対するユーザの行動を把握することができる。 In the health management device according to the above aspect, the acquisition unit may input, as information representing the medication history, the operation unit during a predetermined period after the medication instruction has been given, of the medicine the medication was taken. The medication confirmation information including the type and the medication time is acquired, and the determination unit determines the medication instruction based on the comparison result between the acquired medication confirmation information and the prescription information corresponding to the medication instruction. In response, it is determined whether or not the action associated with the instruction has been performed. According to the above configuration, it is possible to grasp the action of the user in response to the instruction by using the user input data (the medication confirmation information) as the medication information.
　上記一側面に係る健康管理装置において、前記取得部は、前記服薬履歴を表す情報として、前記服薬確認情報が入力された後の所定時間における、服薬によって影響を受ける前記ユーザの生体情報の変動履歴をさらに取得し、前記判定部は、前記取得された生体情報の変動履歴が予め設定された第３閾値の範囲であるか否かに基づいて、前記ユーザが前記服薬指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。上記構成によれば、服薬情報としてさらにユーザの生体情報の変動履歴を用いて、指示に対するユーザの行動を把握することができる。これにより、ユーザが服薬したか否かの判定の信頼性を向上させることができる。 In the health management device according to the above aspect, the acquisition unit may, as information representing the medication history, change history of biological information of the user affected by medication during a predetermined time after the medication confirmation information is input. The determination unit further determines whether the user responds to the medication instruction based on whether or not the acquired change history of the biological information is within the range of a third preset threshold. It is determined whether or not the associated action has been taken. According to the above configuration, it is possible to grasp the action of the user in response to the instruction by further using the fluctuation history of the biological information of the user as the medication information. This can improve the reliability of the determination as to whether or not the user has taken the drug.
　上記一側面に係る健康管理装置において、前記判定部による判定結果に基づいて、前記ユーザの評価値を決定する評価値決定部と、前記決定された評価値に基づいて、前記ユーザに対するポイントの付与およびクーポンの発行の少なくとも一方を行う評価値処理部と、をさらに具備する。上記構成によれば、判定結果に基づいてユーザの評価値が決定される。そして、決定された評価値に基づいてユーザに対してポイントが付与、またはクーポンが発行される。これにより、ユーザが健康に関する指示に従うモチベーションを上げることができる。 In the health management device according to the above aspect, an evaluation value determination unit that determines an evaluation value of the user based on a determination result by the determination unit, and provision of points to the user based on the determined evaluation value. And an evaluation value processing unit that performs at least one of issuing of a coupon. According to the above configuration, the evaluation value of the user is determined based on the determination result. Then, points are given or coupons are issued to the user based on the determined evaluation value. This can motivate the user to follow the health related instructions.
　上記一側面に係る健康管理装置において、前記指示の種類と前記ユーザの行動情報との対応関係を表す情報を記憶する記憶部をさらに具備し、前記取得部は、前記指示の種類と前記ユーザの行動情報との対応関係を表す情報を参照して生成された前記ユーザの行動情報を表す情報を取得する。上記構成によれば、記憶された指示の種類とユーザの行動情報との対応関係を表す情報を参照することで、適切なユーザの行動情報を自動的に得ることができる。 The health management device according to the above aspect further includes a storage unit that stores information indicating a correspondence between the type of the instruction and the action information of the user, and the acquiring unit further includes the type of the instruction and the user's Information representing the action information of the user generated with reference to information representing the correspondence with the action information is acquired. According to the above configuration, it is possible to automatically obtain appropriate user action information by referring to the information representing the correspondence between the stored type of instruction and the action information of the user.
　本発明によれば、医療者が、指示に対するユーザの行動を把握することができ、ユーザの健康状態を管理することができる技術を提供することができる。 According to the present invention, the medical staff can grasp the user's action to directions, and can provide the art which can manage a user's health condition.
図１は、実施の形態に係る健康管理システムの適用場面の一例を模式的に例示する。FIG. 1 schematically exemplifies an application scene of the health management system according to the embodiment. 図２は、実施の形態に係る測定端末のハードウェア構成の一例を模式的に例示する。FIG. 2 schematically illustrates an example of the hardware configuration of the measurement terminal according to the embodiment. 図３は、実施の形態に係るユーザ端末のハードウェア構成の一例を模式的に例示する。FIG. 3 schematically illustrates an example of the hardware configuration of the user terminal according to the embodiment. 図４は、実施の形態に係る医療者端末のハードウェア構成の一例を模式的に例示する。FIG. 4 schematically illustrates an example of the hardware configuration of the medical staff terminal according to the embodiment. 図５は、実施の形態に係る健康管理装置のハードウェア構成の一例を模式的に例示する。FIG. 5 schematically illustrates an example of the hardware configuration of the health management device according to the embodiment. 図６は、実施の形態に係るサービスサーバのハードウェア構成の一例を模式的に例示する。FIG. 6 schematically illustrates an example of the hardware configuration of the service server according to the embodiment. 図７は、実施の形態に係るサービスサーバのハードウェア構成の一例を模式的に例示する。FIG. 7 schematically illustrates an example of the hardware configuration of the service server according to the embodiment. 図８は、実施の形態に係る健康管理装置における制御部の機能構成の一例を模式的に例示する。FIG. 8 schematically illustrates an example of a functional configuration of a control unit in the health management device according to the embodiment. 図９は、実施の形態に係る血圧データとユーザ入力データとの関係および服薬指示に対する判定方法の一例を例示する。FIG. 9 illustrates an example of a relationship between blood pressure data and user input data according to an embodiment and a determination method for a medication instruction. 図１０は、実施の形態に係る血圧データとユーザ入力データとの関係および服薬指示に対する判定方法の他の例を例示する。FIG. 10 illustrates another example of the relationship between blood pressure data and user input data according to an embodiment and a determination method for a medication instruction. 図１１は、実施の形態に係るサービスサーバにおける制御部の機能構成の一例を模式的に例示する。FIG. 11 schematically illustrates an example of a functional configuration of a control unit in the service server according to the embodiment. 図１２は、実施の形態に係る健康管理装置の処理手順の一例を例示するフローチャートである。FIG. 12 is a flowchart illustrating an example of the processing procedure of the health management device according to the embodiment. 図１３は、実施の形態に係るサービスサーバの処理手順の一例を例示するフローチャートである。FIG. 13 is a flowchart illustrating an example of the processing procedure of the service server according to the embodiment.
　以下、本発明の一側面に係る実施の形態（以下、「本実施形態」とも表記する）を、図面に基づいて説明する。ただし、以下で説明する本実施形態は、あらゆる点において本発明の例示に過ぎない。本発明の範囲を逸脱することなく種々の改良や変形を行うことができることは言うまでもない。つまり、本発明の実施にあたって、実施形態に応じた具体的構成が適宜採用されてもよい。なお、本実施形態において登場するデータを自然言語により説明しているが、より具体的には、コンピュータが認識可能な疑似言語、コマンド、パラメータ、マシン語等で指定される。 Hereinafter, an embodiment according to one aspect of the present invention (hereinafter, also referred to as “the present embodiment”) will be described based on the drawings. However, the embodiment described below is merely an illustration of the present invention in all respects. It goes without saying that various improvements and modifications can be made without departing from the scope of the present invention. That is, in the implementation of the present invention, a specific configuration according to the embodiment may be appropriately adopted. Although data appearing in the present embodiment is described in natural language, more specifically, it is specified by a pseudo language, a command, a parameter, a machine language or the like that can be recognized by a computer.
　§１　適用例
　まず、図１を用いて、本発明が適用される場面の一例について説明する。 First, an example of a scene to which the present invention is applied will be described with reference to FIG.
　図１に示されるとおり、健康管理システムは、測定端末１００、ユーザ端末２００、医療者端末３００、健康管理装置４００、外部のサービスサーバ５００，６００を含む。 As shown in FIG. 1, the health management system includes a measurement terminal 100, a user terminal 200, a medical staff terminal 300, a health management device 400, and external service servers 500 and 600.
　図１に示す健康管理システムにおいて、測定端末１００はユーザ端末２００に例えば無線接続される。ユーザ端末２００、健康管理装置４００、外部のサービスサーバ５００，６００は、互いに広域のネットワーク７００を介して接続される。また、健康管理装置４００は、図示しないローカルネットワークを介して医療者端末３００に接続される。なお、健康管理システムの構成は、図１に示す構成に限定されるものではない。 In the health management system shown in FIG. 1, the measurement terminal 100 is wirelessly connected to the user terminal 200, for example. The user terminal 200, the health management device 400, and the external service servers 500 and 600 are connected to each other via the wide area network 700. In addition, the health management device 400 is connected to the medical staff terminal 300 via a local network (not shown). The configuration of the health management system is not limited to the configuration shown in FIG.
　例えば、測定端末１００は、ユーザ端末２００を介さずに健康管理装置４００に接続されてもよい。また、健康管理装置４００が実現する機能（処理）の一部または全部は、サービスサーバ５００またはサービスサーバ６００が実施してもよい。 For example, the measurement terminal 100 may be connected to the health management device 400 without passing through the user terminal 200. In addition, the service server 500 or the service server 600 may implement some or all of the functions (processes) realized by the health management device 400.
　測定端末１００は、例えば、腕時計型のウェアラブルデバイスである。測定端末１００は、ユーザに装着されることで、ユーザの血圧値等の生体情報を測定する。また、測定端末１００は、服薬時にユーザ入力を受け付ける服薬確認ボタン（操作部）を含む。また、測定端末１００は、ユーザに装着されることで、ユーザの運動状態を測定する。 The measurement terminal 100 is, for example, a watch-type wearable device. The measurement terminal 100 measures biological information such as a blood pressure value of the user by being attached to the user. The measurement terminal 100 also includes a medication confirmation button (operation unit) for receiving user input at the time of medication. In addition, the measurement terminal 100 measures the exercise state of the user by being worn by the user.
　ユーザ端末２００は、例えば、個々のユーザが利用する情報通信端末であり、例えば、スマートフォン、携帯電話、タブレットＰＣ、またはノートＰＣ等の携帯可能な情報通信端末からなる。ユーザ端末２００は、測定端末１００により測定された生体情報を健康管理装置４００に転送する。また、ユーザ端末２００は、健康管理装置４００からの指示を表示してもよい。なお、ユーザ端末２００は健康管理装置４００からの指示を測定端末１００に送信し、測定端末１００が健康管理装置４００からの指示を表示してもよい。 The user terminal 200 is, for example, an information communication terminal used by an individual user, and includes, for example, a portable information communication terminal such as a smartphone, a mobile phone, a tablet PC, or a notebook PC. The user terminal 200 transfers the biological information measured by the measurement terminal 100 to the health management device 400. Further, the user terminal 200 may display an instruction from the health management device 400. The user terminal 200 may transmit an instruction from the health management device 400 to the measurement terminal 100, and the measurement terminal 100 may display the instruction from the health management device 400.
　医療者端末３００は、医療者が使用する情報通信装置であり、例えば、デスクトップＰＣ、ノートＰＣ、またはタブレットＰＣからなる。医療者端末３００は、医療者の操作に応じて、健康管理装置４００にユーザの健康管理のための指示を送信する機能と、健康管理装置４００から送信されるユーザの健康状態に関する情報を表示する機能とを有する。 The medical staff terminal 300 is an information communication apparatus used by a medical staff, and includes, for example, a desktop PC, a notebook PC, or a tablet PC. The medical staff terminal 300 displays a function of transmitting an instruction for health management of the user to the health management device 400 according to the operation of the medical staff, and information on the health condition of the user transmitted from the health management device 400. It has a function.
　健康管理装置４００は、例えば、病院が使用するサーバにより構成される。健康管理装置４００は、取得部４１５および判定部４１６を備える。また、健康管理装置４００は、指示送信部４１４を備えていてもよい。指示送信部４１４は、医療者端末３００からの指示をユーザ端末２００または測定端末１００に送信する。取得部４１５は、上記指示の送信後の所定期間において、上記指示に対するユーザの行動状態を表す情報を取得する。判定部４１６は、上記取得された行動状態を表す情報に基づいて、ユーザが上記指示に対応付けられた行動を行ったか否かを判定する。そして、健康管理装置４００は、上記判定結果をサービスサーバ５００に送信する。 The health management device 400 is configured by, for example, a server used by a hospital. The health management device 400 includes an acquisition unit 415 and a determination unit 416. In addition, the health management device 400 may include the instruction transmission unit 414. The instruction transmission unit 414 transmits an instruction from the medical staff terminal 300 to the user terminal 200 or the measurement terminal 100. The acquisition unit 415 acquires information representing the action state of the user in response to the instruction during a predetermined period after the transmission of the instruction. The determination unit 416 determines whether the user has performed an action associated with the instruction, based on the information indicating the acquired action state. Then, the health management device 400 transmits the determination result to the service server 500.
　サービスサーバ５００は、例えばサービス事業者が使用するサーバであり、例えばリワードプログラムサーバである。サービスサーバ５００は、健康管理装置４００から送信された判定結果を受信し、その判定結果に応じてユーザの評価値を決定する。そして、サービスサーバ５００は、上記決定された評価値に応じて、ユーザにポイントを付与またはクーポンを発行するための処理を行う。 The service server 500 is, for example, a server used by a service provider, and is, for example, a reward program server. The service server 500 receives the determination result transmitted from the health management device 400, and determines the evaluation value of the user according to the determination result. Then, the service server 500 performs processing for giving points or issuing coupons to the user according to the determined evaluation value.
　サービスサーバ６００は、例えば、保険会社が使用するサーバである。サービスサーバ６００は、ポイントが付与されたユーザに対して、ポイントに応じた保険料のディスカウント処理等を行う。 The service server 600 is, for example, a server used by an insurance company. The service server 600 performs premium discount processing and the like according to the points for the user to whom the points are given.
　以上のとおり、健康管理装置４００は、医療者からの健康管理のための指示をユーザ（患者）に送信する。そして、健康管理装置４００は、上記指示に対するユーザの行動状態を表す情報を取得し、この行動状態を表す情報に基づいてユーザが上記指示に対応付けられた行動を行ったか否かを判定する。これにより、例えば医療者は、指示に対するユーザの行動を把握することができ、健康状態を管理することができる。また、医療者は、指示に対するユーザの行動を把握することで、例えばユーザに合った治療方針および生活改善等のさらなる指示をすることができる。 As described above, the health management device 400 transmits an instruction from the medical staff for health management to the user (patient). Then, the health management device 400 acquires information indicating the action state of the user in response to the instruction, and determines based on the information indicating the action state whether or not the user has performed the action associated with the instruction. Thereby, for example, the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition. In addition, by grasping the action of the user in response to the instruction, the medical staff can give further instructions such as a treatment policy and life improvement suitable for the user.
　§２　構成例
　［ハードウェア構成］
　＜測定端末１００＞
　次に、図２を用いて、本実施形態に係る測定端末１００のハードウェア構成の一例について説明する。 22 Configuration example [Hardware configuration]
<Measurement terminal 100>
Next, an example of the hardware configuration of the measurement terminal 100 according to the present embodiment will be described using FIG. 2.
　図２に示されるとおり、本実施形態に係る測定端末１００は、制御部１１０、通信部１２０、記憶部１３０、操作部１４０、表示部１５０、生体センサ１６０、および加速度センサ１７０を含む。 As shown in FIG. 2, the measurement terminal 100 according to the present embodiment includes a control unit 110, a communication unit 120, a storage unit 130, an operation unit 140, a display unit 150, a living body sensor 160, and an acceleration sensor 170.
　制御部１１０は、ＣＰＵ（Central Processing Unit）１１１およびメモリ１１２を含む。メモリ１１２は、ＲＡＭ（Random Access Memory）およびＲＯＭ（Read Only Memory）等を含む。メモリ１１２は、ＣＰＵ１１１が実行するプログラムを記憶したり、ワークメモリとして機能したりする。制御部１１０は、ＣＰＵ１１１がメモリ１１２を用いてプログラムを実行することにより、各種の動作制御およびデータ処理等を行う。 The control unit 110 includes a central processing unit (CPU) 111 and a memory 112. The memory 112 includes a random access memory (RAM), a read only memory (ROM), and the like. The memory 112 stores a program executed by the CPU 111 or functions as a work memory. The control unit 110 performs various kinds of operation control, data processing, and the like by the CPU 111 executing a program using the memory 112.
　通信部１２０は、ユーザ端末２００と通信するための通信インターフェースである。通信部１２０は、ユーザ端末２００へのデータを送信したり、ユーザ端末２００からのデータを受信したりする。通信部１２０による通信は、無線通信あるいは有線通信のいずれであってもよい。本実施形態において、通信部１２０は、近距離無線通信によりユーザ端末２００と通信するものを想定して説明する。しかし、通信部１２０は、これに限定されず、通信ケーブルを用いて通信するものであってもよいし、ＬＡＮ（Local Area Network）のようなネットワークを介して通信するものであってもよい。 The communication unit 120 is a communication interface for communicating with the user terminal 200. The communication unit 120 transmits data to the user terminal 200 and receives data from the user terminal 200. Communication by the communication unit 120 may be either wireless communication or wired communication. In the present embodiment, the communication unit 120 will be described on the assumption that the communication unit 120 communicates with the user terminal 200 by short distance wireless communication. However, the communication unit 120 is not limited to this, and communication may be performed using a communication cable, or communication may be performed via a network such as a LAN (Local Area Network).
　記憶部１３０は、測定端末１００を制御するためのプログラム、測定端末１００の各種機能を設定するための設定データ、生体センサ１６０および加速度センサ１７０が測定した測定データ等を記憶する。また、記憶部１３０は、プログラムが実行されるときのワークメモリとして用いられてもよい。 The storage unit 130 stores a program for controlling the measurement terminal 100, setting data for setting various functions of the measurement terminal 100, measurement data measured by the biological sensor 160 and the acceleration sensor 170, and the like. In addition, the storage unit 130 may be used as a work memory when the program is executed.
　操作部１４０は、例えばタッチパネルおよび操作ボタン（操作キー）等の操作デバイスを含む。操作部１４０は、ユーザによる操作を検出し、操作内容を示す操作信号を制御部１１０へ出力する。また、操作部１４０は、タッチパネルおよび操作ボタンとして服薬確認ボタンを含む。服薬確認ボタンは、ユーザ入力を受け付けることによってユーザが服薬したことを示すボタンである。服薬に対応するユーザ入力は、服薬直後に行われることが望ましいが、服薬直前または服薬時に行われてもよい。服薬に対応するユーザ入力によって、服薬時刻が算出される。服薬時刻は、図示しない時計部による時刻情報に基づいて算出される。また、操作部１４０のユーザ入力によって、服薬した薬剤の種類が入力されてもよい。薬剤の種類は、予め入力されていてもよい。制御部１１０は、ユーザ入力から得られる服薬時刻と服薬した薬剤の種類とを紐づけて、ユーザ入力データ（服薬確認情報）を生成する。 The operation unit 140 includes, for example, operation devices such as a touch panel and operation buttons (operation keys). The operation unit 140 detects an operation by the user, and outputs an operation signal indicating the content of the operation to the control unit 110. In addition, the operation unit 140 includes a medication confirmation button as a touch panel and operation buttons. The medication confirmation button is a button indicating that the user has taken medication by receiving user input. The user input corresponding to the drug administration is preferably performed immediately after drug administration, but may be performed immediately before or at the time of drug administration. The medication time is calculated by user input corresponding to the medication. The medication time is calculated based on time information from a clock unit (not shown). Also, the type of medicine taken may be input by the user input of the operation unit 140. The type of medicine may be input in advance. The control unit 110 links user medication time obtained from the user input and the type of medicine taken, and generates user input data (completion confirmation information).
　表示部１５０は、表示画面（例えば、ＬＣＤ（Liquid Crystal Display）またはＥＬ（Electroluminescence）ディスプレイ等）およびインジケータ等を含む。表示部１５０は、制御部１１０からの制御信号に従って情報を表示する。表示部１５０は、例えば、健康管理装置４００からの指示を表示する。 The display unit 150 includes a display screen (for example, an LCD (Liquid Crystal Display) or an EL (Electroluminescence) display), an indicator, and the like. The display unit 150 displays information in accordance with the control signal from the control unit 110. The display unit 150 displays, for example, an instruction from the health management device 400.
　生体センサ１６０は、ユーザの生体情報を測定する。制御部１１０は、測定された生体情報に測定時刻を紐づけて、生体データを生成する。例えば、生体センサ１６０は、血圧センサ１６１を含む。血圧センサ１６１は、ユーザの生体情報として血圧値を連続測定する。制御部１１０は、測定された血圧値に測定時刻を紐づけて、血圧データを生成する。 The biometric sensor 160 measures biometric information of the user. The control unit 110 links the measurement time to the measured biological information to generate biological data. For example, the biometric sensor 160 includes a blood pressure sensor 161. The blood pressure sensor 161 continuously measures blood pressure values as biological information of the user. The control unit 110 links the measurement time to the measured blood pressure value to generate blood pressure data.
　血圧センサ１６１は、連続測定型の血圧センサである。血圧センサ１６１は、血圧（例えば、収縮期血圧および拡張期血圧）の値を連続測定する。血圧センサ１６１は、１拍ごとの血圧を連続測定するが、これに限定されるものではない。 The blood pressure sensor 161 is a continuous measurement type blood pressure sensor. The blood pressure sensor 161 continuously measures the values of blood pressure (for example, systolic blood pressure and diastolic blood pressure). The blood pressure sensor 161 continuously measures blood pressure for each pulse, but is not limited thereto.
　例えば、血圧センサ１６１として、ＰＴＴ方式、トノメトリ方式、光学方式、電波方式、または超音波方式等を用いた連続測定型の血圧センサが適用できる。ＰＴＴ方式は、脈波伝播時間（ＰＴＴ；Pulse Transmit Time）を測定し、測定した脈波伝播時間から血圧値を推定する方式である。トノメトリ方式は、手首の橈骨動脈等の動脈が通る生体部位に圧力センサを直接接触させて、圧力センサが検出する情報を用いて血圧値を測定する方式である。光学方式、電波方式、および、超音波方式は、光、電波または超音波を血管にあててその反射波から血圧値を測定する方式である。 For example, as the blood pressure sensor 161, a blood pressure sensor of a continuous measurement type using a PTT method, a tonometry method, an optical method, a radio wave method, an ultrasonic method or the like can be applied. The PTT method is a method of measuring pulse wave transmission time (PTT) and estimating a blood pressure value from the measured pulse wave transmission time. The tonometry method is a method in which a pressure sensor is brought into direct contact with a living body site through which an artery such as a radial artery of the wrist passes and blood pressure values are measured using information detected by the pressure sensor. The optical method, the radio wave method, and the ultrasonic method are methods in which light, radio waves or ultrasonic waves are applied to blood vessels and blood pressure values are measured from the reflected waves.
　また、血圧センサ１６１は、連続測定不可能な血圧センサ（以下、非連続型の血圧センサと称す）を含んでもよい。非連続型の血圧センサは、例えば、カフを圧力センサとして用いてユーザの血圧を測定する（オシロメトリック法）。非連続型の血圧センサ（特に、オシロメトリック法の血圧センサ）は、連続型の血圧センサに比べて、測定精度が高い傾向にある。このため、血圧センサ１０１は、何らかの条件が満足したことをトリガとして、連続型の血圧センサに代えて非連続型の血圧センサを作動させることにより、血圧をより高い精度で測定してもよい。 The blood pressure sensor 161 may also include a blood pressure sensor that can not be measured continuously (hereinafter, referred to as a non-continuous blood pressure sensor). The non-continuous type blood pressure sensor measures the user's blood pressure using, for example, a cuff as a pressure sensor (oscillometric method). Discontinuous blood pressure sensors (especially oscillometric blood pressure sensors) tend to have higher measurement accuracy than continuous blood pressure sensors. Therefore, the blood pressure sensor 101 may measure the blood pressure with higher accuracy by operating the non-continuous blood pressure sensor instead of the continuous blood pressure sensor, triggered by the satisfaction of a certain condition.
　血圧センサ１６１として非連続型の血圧センサを用いる場合、例えば、服薬に対応するユーザ入力をトリガにしてユーザの血圧値が測定されてもよい。さらに、服薬に対応するユーザ入力から所定時間後に再度ユーザの血圧値が測定されてもよい。これにより、服薬直後と服薬から所定時間後との血圧値を測定することができる。 When a non-continuous type blood pressure sensor is used as the blood pressure sensor 161, for example, the user's blood pressure value may be measured by using a user input corresponding to medication as a trigger. Furthermore, the blood pressure value of the user may be measured again after a predetermined time from the user input corresponding to the medication. Thereby, blood pressure values can be measured immediately after and after a predetermined period of time from taking the drug.
　なお、生体センサ１６０は、血圧センサ１６１以外のセンサを含むことで、生体情報として、血圧値の他に、脈波情報、脈拍情報、心電情報、心拍情報、および体温情報を測定することができる。 In addition to the blood pressure value, the biological sensor 160 may measure pulse wave information, pulse information, electrocardiogram information, heart rate information, and body temperature information as biological information by including a sensor other than the blood pressure sensor 161. it can.
　加速度センサ１７０は、測定端末１００の本体が受ける加速度を測定する。例えば、加速度センサ１７０は、３軸または６軸の加速度を測定する。制御部１１０は、測定された加速度からユーザの活動量（例えば、消費カロリー）を算出する。また、制御部１１０は、測定された加速度からユーザの歩数、歩行距離、および歩行時間を算出する。そして、制御部１１０は、算出された活動量に測定時刻を紐づけて、活動量データを生成する。また、制御部１１０は、算出された歩数、歩行距離、および歩行時間のそれぞれに測定時刻を紐づけて、歩行データを生成する。 The acceleration sensor 170 measures the acceleration that the main body of the measurement terminal 100 receives. For example, the acceleration sensor 170 measures acceleration in three or six axes. The control unit 110 calculates the amount of activity (for example, consumed calories) of the user from the measured acceleration. Further, the control unit 110 calculates the number of steps of the user, the walking distance, and the walking time from the measured acceleration. Then, the control unit 110 links activity time to the calculated activity amount to generate activity amount data. Further, the control unit 110 links the measurement time to each of the calculated number of steps, the walking distance, and the walking time to generate walking data.
　なお、加速度１７０以外のセンサによって、活動量、歩数、歩行距離、および歩行時間以外の活動に関する物理量が算出されてもよく、その物理量に測定時刻を紐づけた物理量データが生成されてもよい。 Note that the physical quantity related to the activity amount, the number of steps, the walking distance, and the activity other than the walking time may be calculated by a sensor other than the acceleration 170, and physical quantity data in which the measurement time is linked to the physical quantity may be generated.
　＜ユーザ端末２００＞
　次に、図３を用いて、本実施形態に係るユーザ端末２００のハードウェア構成の一例について説明する。 <User terminal 200>
Next, an example of the hardware configuration of the user terminal 200 according to the present embodiment will be described using FIG. 3.
　図３に示されるとおり、本実施形態に係るユーザ端末２００は、制御部２１０、記憶部２２０、操作部２３０、通信部２４０、および表示部２５０を含む。 As shown in FIG. 3, the user terminal 200 according to the present embodiment includes a control unit 210, a storage unit 220, an operation unit 230, a communication unit 240, and a display unit 250.
　制御部２１０は、ＣＰＵ２１１およびメモリ２１２を含む。メモリ２１２は、ＲＡＭおよびＲＯＭ等を含む。メモリ２１２は、ＣＰＵ２１１が実行するプログラムを記憶したり、ワークメモリとして機能したりする。制御部２１０は、ＣＰＵ２１１がメモリ２１２を用いてプログラムを実行することにより、各種の動作制御およびデータ処理等を行う。 Control unit 210 includes a CPU 211 and a memory 212. The memory 212 includes a RAM, a ROM, and the like. The memory 212 stores a program executed by the CPU 211 or functions as a work memory. The control unit 210 performs various operation control, data processing, and the like by the CPU 211 executing a program using the memory 212.
　記憶部２２０は、例えばハードディスクドライブ、ソリッドステートドライブ等の補助記憶装置であり、制御部２１０で実行されるプログラムを記憶する。また、記憶部２２０は、測定端末１００で生成されたデータ等を記憶してもよい。また、記憶部２２０は、表示部２５０に表示する表示データ等を記憶してもよい。 The storage unit 220 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a program executed by the control unit 210. In addition, the storage unit 220 may store data and the like generated by the measurement terminal 100. In addition, the storage unit 220 may store display data and the like displayed on the display unit 250.
　操作部２３０は、例えば、表示部２５０の表示画面上に設けたタッチパネルを含む。操作部２３０は、これに限らず、操作ボタン、キーボードおよびマウス等を含んでもよい。操作部２３０は、ユーザによる操作を検出し、操作内容を示す操作信号を制御部２１０へ出力する。操作部２３０は、測定端末１００の操作部１４０の代わりに、服薬確認ボタンを含んでもよい。また、操作部２３０のユーザ入力によって、服薬した薬剤の種類が入力されてもよい。 The operation unit 230 includes, for example, a touch panel provided on the display screen of the display unit 250. The operation unit 230 is not limited to this, and may include operation buttons, a keyboard, a mouse, and the like. The operation unit 230 detects an operation by the user, and outputs an operation signal indicating the content of the operation to the control unit 210. The operation unit 230 may include a medication confirmation button instead of the operation unit 140 of the measurement terminal 100. In addition, the type of medicine taken may be input by the user input of the operation unit 230.
　通信部２４０は、測定端末１００、健康管理装置４００、サービスサーバ５００、およびサービスサーバ６００と通信するための通信インターフェースである。通信部２４０は、測定端末１００へのデータを送信したり、測定端末１００からのデータを受信したりする。また、通信部２４０は、ネットワーク７００を介して健康管理装置４００、サービスサーバ５００、およびサービスサーバ６００へのデータを送信したり、健康管理装置４００、サービスサーバ５００、およびサービスサーバ６００からのデータを受信したりする。通信部２４０による通信は、無線通信あるいは有線通信のいずれであってもよい。本実施形態において、ネットワークは例えばインターネット等を想定して説明するが、これに限定されず、ＬＡＮのような他の種類のネットワークであってもよく、ＵＳＢケーブル等の通信ケーブルを用いた１対１の通信であってもよい。 The communication unit 240 is a communication interface for communicating with the measurement terminal 100, the health management device 400, the service server 500, and the service server 600. The communication unit 240 transmits data to the measurement terminal 100 and receives data from the measurement terminal 100. In addition, the communication unit 240 transmits data to the health management device 400, the service server 500, and the service server 600 via the network 700, or transmits data from the health management device 400, the service server 500, and the service server 600. Receive Communication by the communication unit 240 may be either wireless communication or wired communication. In the present embodiment, the network will be described assuming, for example, the Internet, but is not limited to this, and may be another type of network such as a LAN, and one pair using a communication cable such as a USB cable It may be one communication.
　表示部２５０は、表示画面（例えば、ＬＣＤまたはＥＬディスプレイ等）を含む。表示部２５０は、制御部２１０からの制御信号に従って情報を表示する。表示部２５０は、測定端末１００の表示部１５０の代わりに、健康管理装置４００からの指示を表示してもよい。 The display unit 250 includes a display screen (for example, an LCD or an EL display). The display unit 250 displays information in accordance with the control signal from the control unit 210. The display unit 250 may display an instruction from the health management device 400 instead of the display unit 150 of the measurement terminal 100.
　＜医療者端末３００＞
　次に、図４を用いて、本実施形態に係る医療者端末３００のハードウェア構成の一例について説明する。 <Medical terminal 300>
Next, an example of the hardware configuration of the medical staff terminal 300 according to the present embodiment will be described using FIG. 4.
　図４に示されるとおり、本実施形態に係る医療者端末３００は、制御部３１０、記憶部３２０、操作部３３０、通信部３４０、および表示部３５０を含む。 As shown in FIG. 4, the medical staff terminal 300 according to the present embodiment includes a control unit 310, a storage unit 320, an operation unit 330, a communication unit 340, and a display unit 350.
　制御部３１０は、ＣＰＵ３１１およびメモリ３１２を含む。メモリ３１２は、ＲＡＭおよびＲＯＭ等を含む。メモリ３１２は、ＣＰＵ３１１が実行するプログラムを記憶したり、ワークメモリとして機能したりする。制御部３１０は、ＣＰＵ３１１がメモリ３１２を用いてプログラムを実行することにより、各種の動作制御およびデータ処理等を行う。 Control unit 310 includes a CPU 311 and a memory 312. The memory 312 includes a RAM, a ROM, and the like. The memory 312 stores a program executed by the CPU 311 or functions as a work memory. The control unit 310 performs various types of operation control, data processing, and the like by the CPU 311 executing a program using the memory 312.
　記憶部３２０は、例えばハードディスクドライブ、ソリッドステートドライブ等の補助記憶装置であり、制御部３１０で実行されるプログラムを記憶する。記憶部３２０は、制御部３１０によって生成されるユーザの受診情報を記憶する。受診情報は、例えば、ユーザの受診履歴（受診日、診断結果等）を表す情報である。ユーザの受診履歴は、ユーザが受診した際に医療者によって入力される。また、記憶部３２０は、医療者からユーザへの指示を記憶してもよい。 The storage unit 320 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a program executed by the control unit 310. The storage unit 320 stores the user's consultation information generated by the control unit 310. The examination information is, for example, information representing a user's examination history (date of examination, diagnosis result, etc.). The visit history of the user is input by the medical staff when the user visits. In addition, the storage unit 320 may store an instruction from the medical staff to the user.
　操作部３３０は、例えば、表示部３５０の表示画面上に設けたタッチパネルを含む。操作部３３０は、これに限らず、操作ボタン、キーボードおよびマウス等を含んでもよい。操作部３３０は、医療者による操作を検出し、操作内容を示す操作信号を制御部３１０へ出力する。 Operation unit 330 includes, for example, a touch panel provided on the display screen of display unit 350. The operation unit 330 is not limited to this, and may include operation buttons, a keyboard, a mouse, and the like. The operation unit 330 detects an operation by a medical person and outputs an operation signal indicating the content of the operation to the control unit 310.
　通信部３４０は、健康管理装置４００と通信するための通信インターフェースである。通信部３４０は、健康管理装置４００へのデータを送信したり、健康管理装置４００からのデータを受信したりする。通信部３４０による通信は、無線通信あるいは有線通信のいずれであってもよい。本実施形態において、通信部３４０は、ＬＡＮのような他の種類のネットワークを介して健康管理装置４００と通信するものを想定して説明するが、これに限定されず、通信ケーブルを用いてシリアルに通信を行うものを含むでもよい。 The communication unit 340 is a communication interface for communicating with the health management device 400. The communication unit 340 transmits data to the health management device 400 and receives data from the health management device 400. Communication by the communication unit 340 may be either wireless communication or wired communication. In the present embodiment, the communication unit 340 will be described on the assumption that the communication unit 340 communicates with the health management device 400 via another type of network such as a LAN, but the present invention is not limited to this. Communication may be included.
　表示部３５０は、表示画面（例えば、ＬＣＤまたはＥＬディスプレイ等）を含む。表示部３５０は、制御部３１０からの制御信号に従って情報を表示する。 The display unit 350 includes a display screen (for example, an LCD or an EL display). The display unit 350 displays information in accordance with the control signal from the control unit 310.
　＜健康管理装置４００＞
　次に、図５を用いて、本実施形態に係る健康管理装置４００のハードウェア構成の一例について説明する。 <Health management device 400>
Next, an example of the hardware configuration of the health management device 400 according to the present embodiment will be described using FIG.
　図５に示されるとおり、本実施形態に係る健康管理装置４００は、制御部４１０、記憶部４２０、および通信部４３０を含む。 As shown in FIG. 5, the health management device 400 according to the present embodiment includes a control unit 410, a storage unit 420, and a communication unit 430.
　制御部４１０は、ＣＰＵ４１１およびメモリ４１２を含む。メモリ４１２は、ＲＡＭおよびＲＯＭ等を含む。メモリ４１２は、ＣＰＵ４１１が実行するプログラムを記憶したり、ワークメモリとして機能したりする。制御部４１０は、ＣＰＵ４１１がメモリ４１２を用いてプログラムを実行することにより、各種の動作制御およびデータ処理等を行う。 Control unit 410 includes a CPU 411 and a memory 412. The memory 412 includes a RAM, a ROM, and the like. The memory 412 stores a program executed by the CPU 411 or functions as a work memory. The control unit 410 performs various types of operation control, data processing, and the like by the CPU 411 executing a program using the memory 412.
　記憶部４２０は、例えばハードディスクドライブ、ソリッドステートドライブ等の補助記憶装置であり、制御部４１０で実行される健康管理プログラム４２１を記憶する。 The storage unit 420 is an auxiliary storage device such as a hard disk drive or a solid state drive, and stores a health management program 421 executed by the control unit 410.
　通信部４３０は、ユーザ端末２００、医療者端末３００、サービスサーバ５００、およびサービスサーバ６００と通信するための通信インターフェースである。通信部４３０は、ローカルネットワークを介して医療者端末３００へのデータを送信したり、医療者端末３００からのデータを受信したりする。また、通信部４３０は、ネットワーク７００を介してユーザ端末２００、サービスサーバ５００、およびサービスサーバ６００へのデータを送信したり、ユーザ端末２００、サービスサーバ５００、およびサービスサーバ６００からのデータを受信したりする。通信部４３０による通信は、無線通信あるいは有線通信のいずれであってもよい。 The communication unit 430 is a communication interface for communicating with the user terminal 200, the medical staff terminal 300, the service server 500, and the service server 600. The communication unit 430 transmits data to the medical staff terminal 300 via the local network, and receives data from the medical staff terminal 300. Communication unit 430 transmits data to user terminal 200, service server 500, and service server 600 via network 700, and receives data from user terminal 200, service server 500, and service server 600. To Communication by the communication unit 430 may be either wireless communication or wired communication.
　＜サービスサーバ５００＞
　次に、図６を用いて、本実施形態に係るサービスサーバ５００のハードウェア構成の一例について説明する。 <Service server 500>
Next, an example of the hardware configuration of the service server 500 according to the present embodiment will be described using FIG.
　図６に示されるとおり、本実施形態に係るサービスサーバ５００は、制御部５１０、記憶部５２０、および通信部５３０を含む。制御部５１０は、ＣＰＵ５１１およびメモリ５１２を含む。 As shown in FIG. 6, the service server 500 according to the present embodiment includes a control unit 510, a storage unit 520, and a communication unit 530. Control unit 510 includes a CPU 511 and a memory 512.
　制御部５１０、記憶部５２０、通信部５３０、ＣＰＵ５１１、およびメモリ５１２はそれぞれ、上記健康管理装置４００の制御部４１０、記憶部４２０、通信部４３０、ＣＰＵ４１１、およびメモリ４１２と同様である。ただし、サービスサーバ５００の記憶部５２０は、制御部５１０で実行されるリワードプログラム５２１を含む。 The control unit 510, the storage unit 520, the communication unit 530, the CPU 511, and the memory 512 are the same as the control unit 410, the storage unit 420, the communication unit 430, the CPU 411, and the memory 412 of the health management device 400, respectively. However, the storage unit 520 of the service server 500 includes a reward program 521 executed by the control unit 510.
　＜サービスサーバ６００＞
　次に、図７を用いて、本実施形態に係るサービスサーバ６００のハードウェア構成の一例について説明する。 <Service Server 600>
Next, an example of the hardware configuration of the service server 600 according to the present embodiment will be described using FIG. 7.
　図７に示されるとおり、本実施形態に係るサービスサーバ６００は、制御部６１０、記憶部６２０、および通信部６３０を含む。制御部６１０は、ＣＰＵ６１１およびメモリ６１２を含む。 As shown in FIG. 7, the service server 600 according to the present embodiment includes a control unit 610, a storage unit 620, and a communication unit 630. Control unit 610 includes a CPU 611 and a memory 612.
　制御部６１０、記憶部６２０、通信部６３０、ＣＰＵ６１１、およびメモリ６１２はそれぞれ、上記健康管理装置４００の制御部４１０、記憶部４２０、通信部４３０、ＣＰＵ４１１、およびメモリ４１２と同様である。ただし、サービスサーバ６００の記憶部６２０は、制御部６１０で実行されるプログラムを含む。制御部６１０は、例えば、記憶部６２０に記憶されたプログラムを実行することで、ポイントが付与されたユーザに対して、ポイントに応じた保険料のディスカウント等を行う。 The control unit 610, the storage unit 620, the communication unit 630, the CPU 611, and the memory 612 are the same as the control unit 410, the storage unit 420, the communication unit 430, the CPU 411, and the memory 412 of the health management device 400, respectively. However, the storage unit 620 of the service server 600 includes a program executed by the control unit 610. For example, by executing the program stored in storage unit 620, control unit 610 performs, for example, discounting of premium according to the point to the user to whom the point is given.
　［機能構成］
　＜健康管理装置４００＞
　次に、図８を用いて、本実施形態に係る健康管理装置４００における制御部４１０の機能構成の一例を説明する。 [Function configuration]
<Health management device 400>
Next, an example of a functional configuration of the control unit 410 in the health management device 400 according to the present embodiment will be described using FIG. 8.
　健康管理装置４００の制御部４１０は、記憶部４２０に記憶された健康管理プログラム４２１をメモリ４１２に展開する。そして、制御部４１０は、メモリ４１２に展開された健康管理プログラム４２１をＣＰＵ４１１により解釈および実行して、各構成要素を制御する。これにより、図８に示されるとおり、本実施形態に係る健康管理装置４００の制御部４１０は、指示受信部４１３、指示送信部４１４、取得部４１５、判定部４１６、および判定結果送信部４１７として機能する。 The control unit 410 of the health management device 400 deploys the health management program 421 stored in the storage unit 420 in the memory 412. Then, the control unit 410 causes the CPU 411 to interpret and execute the health management program 421 developed in the memory 412 to control each component. Thus, as illustrated in FIG. 8, the control unit 410 of the health management device 400 according to the present embodiment includes the instruction receiving unit 413, the instruction transmitting unit 414, the acquiring unit 415, the determining unit 416, and the determination result transmitting unit 417. Function.
　指示受信部４１３は、医療者端末３００からユーザの健康管理のための指示を受信する。ユーザの健康管理のための指示は、医療者によるユーザの診断結果に基づいて医療者端末３００に入力される。健康管理のための指示とは、例えば、受診指示、運動指示、および服薬指示等である。 The instruction receiving unit 413 receives an instruction for health management of the user from the medical staff terminal 300. The instruction for the health management of the user is input to the medical staff terminal 300 based on the diagnosis result of the user by the medical staff. The instruction for health management is, for example, a consultation instruction, an exercise instruction, a medication instruction, and the like.
　受診指示とは、ユーザに対して医療機関に受診するように命じる指示である。医療者は、受診指示により、例えば所定日または所定期間に受診するようユーザに指示する。運動指示とは、ユーザに対して運動をするように命じる指示である。医療者は、運動指示により、例えば所定期間（例えば１日）に所定値以上の活動量を有する運動（例えば、消費カロリーが所定値以上の運動）をするようにユーザに指示する。あるいは、医療者は、運動指示により、例えば所定期間（例えば１日）に所定値（所定歩数、所定距離、または所定時間）以上歩行するようにユーザに指示する。服薬指示とは、ユーザに対して所定の薬剤を所定時刻に服用するように命じる指示である。医療者は、服薬指示により、例えば１日の所定時刻（例えば、朝夜）に所定の薬剤を服用するようにユーザに指示する。なお、以下の説明において、所定の薬剤が血圧降下剤である場合を例に説明するが、これに限らない。 The consultation instruction is an instruction to instruct the user to have a medical institution receive a medical examination. The medical doctor instructs the user to receive a medical examination, for example, on a predetermined day or a predetermined period, according to the medical examination instruction. The exercise instruction is an instruction to command the user to exercise. The medical instruction instructs the user to exercise having an activity amount equal to or more than a predetermined value, for example, in a predetermined period (for example, one day), according to the exercise instruction. Alternatively, the medical practitioner instructs the user to walk by a exercise instruction, for example, at least a predetermined value (predetermined number of steps, a predetermined distance, or a predetermined time) in a predetermined period (for example, one day). The medication instruction is an instruction to instruct the user to take a prescribed medicine at a prescribed time. The medical practitioner instructs the user to take a prescribed medicine at a prescribed time of day (for example, morning and night) according to the medication instruction. In the following description, although the case where a predetermined medicine is an antihypertensive agent is described as an example, the present invention is not limited thereto.
　指示送信部４１４は、指示受信部４１３によって受信された健康管理のための指示をユーザ端末２００または測定端末１００に送信する。指示送信部４１４は、指示が指示受信部４１３によって受信される度に当該指示を送信してもよいし、一度指示が指示受信部４１３によって受信されると当該指示を定期的に送信してもよい。 The instruction transmission unit 414 transmits the instruction for health management received by the instruction reception unit 413 to the user terminal 200 or the measurement terminal 100. The instruction transmission unit 414 may transmit the instruction each time the instruction is received by the instruction reception unit 413, or may transmit the instruction periodically once the instruction is received by the instruction reception unit 413. Good.
　取得部４１５は、与えられた指示に対するユーザの行動状態を表す情報（以下、行動情報と称す）を取得する。例えば、取得部４１５は、指示が与えられた後の所定期間におけるユーザの行動情報を取得する。取得部４１５は、送信された指示の種類に応じて、適切なユーザの行動情報を取得する。なお、指示の種類に対応したユーザの行動情報がどのようなものであるかを表す情報は、記憶部４２０に記憶されている。当該情報は、例えば、指示の種類とユーザの行動情報との対応関係を表すテーブル情報である。そして、測定端末１００は必要に応じて当該情報を参照して対応するユーザの行動情報を自動的に生成し、取得部４１５によってユーザの行動情報が取得される。 The acquisition unit 415 acquires information (hereinafter referred to as action information) representing the action state of the user in response to the given instruction. For example, the acquisition unit 415 acquires user's action information in a predetermined period after the instruction is given. The acquiring unit 415 acquires appropriate user behavior information in accordance with the type of the transmitted instruction. Information indicating what kind of action information of the user corresponding to the type of instruction is is stored in the storage unit 420. The said information is table information showing the correspondence of the kind of instruction | indication, and a user's action information, for example. Then, the measurement terminal 100 generates the action information of the corresponding user automatically with reference to the information as needed, and the acquisition unit 415 acquires the action information of the user.
　より具体的には、受診指示が送信された場合、取得部４１５は行動情報として医療者端末３００から受診情報を取得する。受診情報は、医療者端末３００によって生成され、ユーザの受診履歴（受診日、診断結果等）を表す情報である。ユーザの受診履歴は、ユーザが受診した際に医療者によって入力される。取得部４１５は、指示が与えられた後の所定期間（例えば、指示に対応する受診日または受診期間）におけるユーザの受診情報を取得する。 More specifically, when a consultation instruction is transmitted, the acquisition unit 415 acquires examination information from the medical staff terminal 300 as action information. The examination information is information generated by the medical staff terminal 300 and representing a user's examination history (date of examination, diagnosis result, etc.). The visit history of the user is input by the medical staff when the user visits. The acquisition unit 415 acquires the user's visit information in a predetermined period (for example, a visit date or visit period corresponding to the instruction) after the instruction is given.
　また、運動指示が送信された場合、取得部４１５は行動情報として測定端末１００から運動履歴を表す情報（以下、運動情報と称す）を取得する。運動情報は、測定端末１００によって生成された活動量データまたは歩行データである。活動量データは、ユーザの活動量（消費カロリー）とその測定時刻とを含むデータである。歩行データは、ユーザの歩数、歩行距離、および歩行時間のそれぞれとそれらの測定時刻とを含むデータである。取得部４１５は、指示が与えられた後の所定期間（例えば１日）におけるユーザの運動情報を取得する。取得部４１５は、活動量、歩数、歩行距離、および歩行時間以外の活動に関する物理量とその測定時刻とを含むデータを取得してもよい。 When an exercise instruction is transmitted, the acquisition unit 415 acquires information representing exercise history (hereinafter referred to as exercise information) from the measurement terminal 100 as action information. The exercise information is activity amount data or walking data generated by the measurement terminal 100. The activity amount data is data including the user's activity amount (calories consumed) and the measurement time thereof. The walking data is data including each of the number of steps of the user, the walking distance, and the walking time and their measurement times. The acquisition unit 415 acquires exercise information of the user in a predetermined period (for example, one day) after the instruction is given. The acquisition unit 415 may acquire data including an activity amount, the number of steps, a walking distance, and physical quantities regarding activities other than walking time and their measurement times.
　また、服薬指示が送信された場合、取得部４１５は行動情報として測定端末１００からユーザ端末２００を介して服薬履歴を表す情報（以下、服薬情報と称す）を取得する。服薬情報は、測定端末１００によって生成された血圧データおよびユーザ入力データである。血圧データは、ユーザの血圧値に測定時刻が紐づけられたデータである。ユーザ入力データは、ユーザが服薬した薬剤の種類とその服薬時刻とを含むデータである。取得部４１５は、指示が与えられた後の所定期間（例えば１日）におけるユーザの服薬情報を取得する。 In addition, when a medication instruction is transmitted, the acquisition unit 415 acquires information (hereinafter referred to as medication information) representing medication history from the measurement terminal 100 via the user terminal 200 as activity information. The medication information is blood pressure data and user input data generated by the measurement terminal 100. The blood pressure data is data in which the measurement time is linked to the blood pressure value of the user. The user input data is data including the type of medicine taken by the user and the time of taking the medicine. The acquisition unit 415 acquires user medication information in a predetermined period (for example, one day) after the instruction is given.
　なお、事前に服薬すべき薬剤の種類と服薬すべき時刻とを入力することで、服薬毎にユーザ入力データの入力をしなくてもよい。この場合、取得部４１５は、血圧データのみを取得してもよい。すなわち、取得処理は自動的に実行される。 In addition, it is not necessary to input user input data for each medication by inputting in advance the type of medicine to be taken and the time to be taken. In this case, the acquisition unit 415 may acquire only blood pressure data. That is, the acquisition process is performed automatically.
　また、取得部４１５は、血圧データに限らず、服薬によって影響を受ける生体情報を含む生体データを取得してもよい。 Further, the acquiring unit 415 may acquire not only blood pressure data but also biological data including biological information affected by medication.
　判定部４１６は、取得された行動情報に基づいて、ユーザが指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。すなわち、判定部４１６は、ユーザが医療者からの指示に従ったか否かを判定する。 The determination unit 416 determines whether the user has performed an action associated with the instruction based on the acquired action information. That is, the determination unit 416 determines whether the user has followed an instruction from the medical staff.
　受診情報が取得された場合、判定部４１６は行動情報として受診情報に基づいてユーザが指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。より具体的には、判定部４１６は、例えば、受診情報の受診日を確認する。そして、判定部４１６は、例えば、受診日が指示に対応する受診日または受診期間であるか否かに基づいて、ユーザが受診指示に従ったか否かを判定する。なお、指示に対応する受診日または受診期間は、例えば記憶部４２０に記憶されている。そして、記憶されている受診日または受診期間が読み出され、実際の受診日と照合されることで、判定される。 If the examination information is acquired, the determination unit 416 determines whether the user has performed an action associated with the instruction based on the examination information as the action information. More specifically, the determination unit 416, for example, confirms the consultation date of the visit information. Then, the determination unit 416 determines whether or not the user has followed the consultation instruction based on, for example, whether the consultation date is a consultation date or a consultation period corresponding to the instruction. Note that the consultation date or the consultation period corresponding to the instruction is stored, for example, in the storage unit 420. Then, the stored visit date or visit period is read out and compared with the actual visit date to determine.
　運動情報が取得された場合、判定部４１６は行動情報として運動情報（活動量データまたは歩行データ）に基づいてユーザが指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。より具体的には、判定部４１６は、例えば、活動量データの活動量および測定時刻を確認する。これにより、判定部４１６は、所定期間（例えば１日）の活動量（例えば消費カロリー）を算出することができる。そして、判定部４１６は、例えば、所定期間の活動量が予め設定された所定値以上（第１閾値の範囲）であるか否かに基づいて、ユーザが運動指示に従ったか否かを判定する。第１閾値は、例えば記憶部４２０に記憶されている。 When exercise information is acquired, the determination unit 416 determines whether the user has performed an action associated with the instruction based on the exercise information (activity amount data or walking data) as the action information. . More specifically, the determination unit 416 confirms, for example, the activity amount and measurement time of the activity amount data. Thus, the determination unit 416 can calculate the amount of activity (for example, consumed calories) for a predetermined period (for example, one day). Then, the determination unit 416 determines whether or not the user has followed the exercise instruction based on, for example, whether or not the activity amount in a predetermined period is equal to or greater than a predetermined value (a range of the first threshold) set in advance. . The first threshold is stored in, for example, the storage unit 420.
　あるいは、判定部４１６は、例えば、歩行データの歩数、歩行距離、および歩行時間の少なくとも１つと測定時刻とを確認する。これにより、判定部４１６は、所定期間（例えば１日）の歩数、歩行距離、および歩行時間の少なくとも１つを算出することができる。そして、判定部４１６は、例えば、所定期間の歩数、歩行距離、および歩行時間の少なくとも１つが所定値以上（第２閾値の範囲）であるか否かに基づいて、ユーザが運動指示に従ったか否かを判定する。第２閾値は、例えば記憶部４２０に記憶されている。 Alternatively, for example, the determination unit 416 confirms at least one of the number of steps of walking data, the walking distance, and the walking time and the measurement time. Thereby, the determination unit 416 can calculate at least one of the number of steps in a predetermined period (for example, one day), the walking distance, and the walking time. Then, the determination unit 416 determines whether the user follows the exercise instruction based on, for example, whether at least one of the number of steps in a predetermined period, the walking distance, and the walking time is equal to or greater than a predetermined value (a range of the second threshold). It is determined whether or not. The second threshold is stored in, for example, the storage unit 420.
　服薬情報が取得された場合、判定部４１６は行動情報として服薬情報（血圧データおよびユーザ入力データ）に基づいてユーザが指示に対して当該指示に対応付けられた行動を行ったか否かを判定する。 When the medication information is acquired, the determination unit 416 determines whether the user has performed an action associated with the instruction based on the medication information (blood pressure data and user input data) as the action information. .
　より具体的には、判定部４１６は、まず、ユーザ入力データの服薬した薬剤の種類および服薬時刻を確認する。そして、判定部４１６は、服薬した薬剤の種類および服薬時刻と処方箋情報とを比較し、服薬した薬剤の種類および服薬時刻が処方箋情報通りであるか否かを判定する。処方箋情報は、例えば、医療者からの服薬指示に対応するものであり、記憶部４２０に記憶されている。さらに、血圧データの血圧値および測定時刻を確認する。これにより、判定部４１６は、服薬時刻から所定時間（例えば、数時間）内における血圧値の変動履歴を確認することができる。そして、判定部４１６は、服薬時刻から所定時間内における血圧値の変動履歴が所定値以上（第３閾値の範囲）であるか否かに基づいて、ユーザが服薬指示に従ったか否かを判定する。 More specifically, the determination unit 416 first confirms the type of medicine taken and the time of administration of the user input data. Then, the determination unit 416 compares the type and time of medication taken with the prescription information with the prescription information, and determines whether the type and time of medication taken are the same as the prescription information. The prescription information corresponds to, for example, a medication instruction from a medical practitioner, and is stored in the storage unit 420. Furthermore, check the blood pressure value and measurement time of the blood pressure data. Thereby, the determination unit 416 can confirm the fluctuation history of the blood pressure value within a predetermined time (for example, several hours) from the time of medication. Then, the determination unit 416 determines whether or not the user follows the medication instruction based on whether or not the fluctuation history of the blood pressure value within a predetermined time from the medication time is equal to or more than the predetermined value (the third threshold range). Do.
　ここで、ユーザ入力データは、ユーザによる自己申告である。このため、ユーザは、実際に服薬していない場合であっても、服薬を申告することができる。すなわち、ユーザ入力だけでは、ユーザが実際に服薬したか否かを判定するためには信頼性が低く不十分である。これに対し、本実施形態では、上述したように、ユーザ入力（服薬の申告）とともに血圧データが確認される。これにより、服薬の申告とそれに伴う実際の血圧値変動を確認することができ、ユーザが実際に服薬したか否かを判定することができる。 Here, the user input data is self-reported by the user. For this reason, the user can declare medication even if he is not actually taking medication. That is, user input alone is not reliable enough to determine whether the user has actually taken a drug. On the other hand, in the present embodiment, as described above, the blood pressure data is confirmed together with the user input (reporting of medication). This makes it possible to confirm the declaration of medication and the actual blood pressure value fluctuation associated therewith, and it is possible to determine whether the user has actually taken a medication.
　図９は、本実施形態に係る血圧データとユーザ入力データとの関係および服薬指示に対する判定方法の一例を例示する。 FIG. 9 illustrates an example of a relationship between blood pressure data and user input data according to the present embodiment and a determination method for a medication instruction.
　図９に示されるとおり、判定部４１６は、ユーザ入力データの薬剤の種類（血圧降下剤Ａ）および服薬時刻（時刻ｔ１）を確認する。さらに、判定部４１６は、服薬時刻（時刻ｔ１）から所定時間（時刻ｔ１から時刻ｔ２までの時間）内における血圧値の変動履歴を確認する。この所定時間は、薬剤の効果が十分に現れる時間に基づいて設定され、ユーザに応じて適宜設定されてもよい。例えば、この所定時間は、ユーザの過去の履歴データの蓄積等に基づいて自動的に設定されてもよい。また、この所定時間は、ユーザ以外の被測定者群の過去の履歴データの蓄積等に基づいて自動的に設定されてもよい。そして、判定部４１６は、所定時間内において血圧値が閾値ＢＰｔｈ１以下に降圧した場合、ユーザが服薬した（服薬指示に従った）と判定する。一方、判定部４１６は、所定時間内において血圧値が閾値ＢＰｔｈ１まで降圧しない場合、ユーザが服薬していない（服薬指示に従っていない）と判定する。閾値ＢＰｔｈ１は、服薬することで得られる降圧効果の最低値に応じて設定され、ユーザに応じて適宜設定されてもよい。例えば、閾値ＢＰｔｈ１は、ユーザの過去の履歴データの蓄積等に基づいて自動的に算出されてもよい。ユーザの過去の履歴データは、記憶部４２０に蓄積されて記憶される。また、閾値ＢＰｔｈ１は、ユーザ以外の被測定者群の過去の履歴データの蓄積等に基づいて自動的に算出されてもよい。例えば、閾値ＢＰｔｈ１は、変化前の血圧値と変化後の血圧値の平均としてもよい。 As illustrated in FIG. 9, the determination unit 416 confirms the type of medicine (hypertension reducing agent A) and the dosing time (time t1) of the user input data. Furthermore, the determination unit 416 checks the change history of the blood pressure value in a predetermined time (time from time t1 to time t2) from the medication time (time t1). The predetermined time may be set based on the time when the effect of the drug sufficiently appears, and may be set appropriately according to the user. For example, the predetermined time may be automatically set based on accumulation of historical data of the user in the past. Moreover, this predetermined time may be automatically set based on accumulation of past history data of the measurement subject group other than the user. Then, if the blood pressure value falls below the threshold BPth1 within the predetermined time, the determination unit 416 determines that the user has taken the medication (in accordance with the medication instruction). On the other hand, when the blood pressure value does not decrease to the threshold BPth1 within the predetermined time, the determination unit 416 determines that the user is not taking medication (not following the medication instruction). The threshold value BPth1 may be set according to the lowest value of the step-down effect obtained by taking the drug, and may be set appropriately according to the user. For example, the threshold BPth1 may be automatically calculated based on accumulation of historical data of the user in the past. The user's past history data is accumulated and stored in the storage unit 420. In addition, the threshold BPth1 may be automatically calculated based on accumulation of historical data of the subject group other than the user. For example, the threshold BPth1 may be an average of the blood pressure value before change and the blood pressure value after change.
　図１０は、本実施形態に係る血圧データとユーザ入力データとの関係および服薬指示に対する判定方法の他の例を例示する。 FIG. 10 illustrates another example of the relationship between blood pressure data and user input data according to the present embodiment and a determination method for a medication instruction.
　図１０では、図９と異なり、判定部４１６は、ユーザ入力データの薬剤の種類（血圧降下剤Ａ）および服薬時刻（時刻ｔ１）を確認すると、服薬時刻（時刻ｔ１）の血圧値と、服薬時刻から所定時間後（時刻ｔ２）の血圧値とを確認する。さらに、判定部４１６は、これらの血圧値の差ＢＰ１を算出する。そして、判定部４１６は、血圧値の差ＢＰ１が閾値ＢＰｔｈ２以上である場合、ユーザが服薬した（服薬指示に従った）と判定する。一方、判定部４１６は、血圧値の差ＢＰ１が閾値ＢＰｔｈ２より小さい場合、ユーザが服薬していない（服薬指示に従っていない）と判定する。閾値ＢＰｔｈ２は、服薬することで得られる降圧効果の最低値に応じて設定され、ユーザに応じて適宜設定されてもよい。例えば、閾値ＢＰｔｈ２は、ユーザの過去の履歴データの蓄積等に基づいて自動的に算出されてもよい。また、閾値ＢＰｔｈ２は、ユーザ以外の被測定者群の過去の履歴データの蓄積等に基づいて自動的に算出されてもよい。 In FIG. 10, unlike FIG. 9, when the determination unit 416 confirms the type of medicine (hypertension reducing agent A) and the medication time (time t1) of the user input data, the blood pressure value for medication time (time t1) and the medication The blood pressure value after a predetermined time (time t2) from the time is confirmed. Further, the determination unit 416 calculates the difference BP1 of these blood pressure values. Then, when the blood pressure value difference BP1 is equal to or greater than the threshold BPth2, the determination unit 416 determines that the user has taken the medication (in accordance with the medication instruction). On the other hand, when the blood pressure value difference BP1 is smaller than the threshold BPth2, the determination unit 416 determines that the user is not taking medication (in accordance with the medication instruction). The threshold value BPth2 may be set according to the lowest value of the step-down effect obtained by taking the drug, and may be set appropriately according to the user. For example, the threshold BPth2 may be automatically calculated based on accumulation of historical data of the user in the past. In addition, the threshold BPth2 may be automatically calculated based on accumulation of past history data of the measurement subject group other than the user.
　なお、生体データとして血圧データを例に説明したが、これに限らない。脈波情報、脈拍情報、心電情報、心拍情報、および体温情報のそれぞれに測定時刻を紐づけて脈波データ、脈拍データ、心電データ、心拍データ、および体温データが生成されてもよい。そして、これらの生体データと服薬との関係から、ユーザが実際に服薬したか否かを判定してもよい。また、血圧降下剤以外の薬剤と上記生体データとの関係から、血圧降下剤以外の薬剤に関しての服薬指示の判定を行うこともできる。 Although blood pressure data has been described as an example of biological data, the present invention is not limited to this. Pulse wave data, pulse data, electrocardiogram data, heart rate data, and body temperature data may be generated by linking measurement time to pulse wave information, pulse information, electrocardiogram information, heart rate information, and body temperature information. Then, based on the relationship between the biological data and the medication, it may be determined whether the user has actually taken the medication. In addition, it is also possible to determine the medication instruction for a drug other than the antihypertensive agent from the relationship between the drug other than the antihypertensive drug and the biological data.
　再度、図８に示されるとおり、判定結果送信部４１７は、判定部４１６によって判定された判定結果（すなわち、ユーザが指示に従ったか否かの判定結果）をサービスサーバ５００に送信する。 Again, as shown in FIG. 8, the determination result transmission unit 417 transmits the determination result determined by the determination unit 416 (that is, the determination result of whether the user has followed the instruction) to the service server 500.
　＜サービスサーバ５００＞
　次に、図１１を用いて、本実施形態に係るサービスサーバ５００における制御部５１０の機能構成の一例を説明する。 <Service server 500>
Next, an example of a functional configuration of the control unit 510 in the service server 500 according to the present embodiment will be described with reference to FIG.
　サービスサーバ５００の制御部５１０は、記憶部５２０に記憶されたリワードプログラム５２１をメモリ５１２に展開する。そして、制御部５１０は、メモリ５１２に展開されたリワードプログラム５２１をＣＰＵ５１１により解釈および実行して、各構成要素を制御する。これにより、図１１に示されるとおり、本実施形態に係るサービスサーバ５００の制御部５１０は、判定結果受信部５１３、評価値決定部５１４、および評価値処理部５１５を備えるコンピュータとして機能する。 The control unit 510 of the service server 500 loads the reward program 521 stored in the storage unit 520 in the memory 512. Then, the control unit 510 causes the CPU 511 to interpret and execute the reward program 521 developed in the memory 512 to control each component. Thereby, as shown in FIG. 11, the control unit 510 of the service server 500 according to the present embodiment functions as a computer including the determination result receiving unit 513, the evaluation value determining unit 514, and the evaluation value processing unit 515.
　判定結果受信部５１３は、健康管理装置４００からユーザが指示（受診指示、運動指示、および服薬指示）に従った否かの判定結果を受信する。 The determination result receiving unit 513 receives, from the health management device 400, a determination result as to whether or not the user has followed instructions (a consultation instruction, an exercise instruction, and a medication instruction).
　評価値決定部５１４は、判定結果受信部５１３によって受信された判定結果に基づいて、ユーザの評価値を決定する。評価値決定部５１４は、例えば、ユーザが指示に従った場合に評価値を高くし、ユーザが指示に従わなかった場合に評価値を低くする。また、評価値決定部５１４は、各指示の判定結果に応じて各評価値を決定してもよいし、全ての指示の判定結果に応じて総合評価値を決定してもよい。あるいは、評価値決定部５１４は、各評価値および総合評価値のいずれも決定してもよい。 The evaluation value determination unit 514 determines the evaluation value of the user based on the determination result received by the determination result reception unit 513. For example, the evaluation value determination unit 514 increases the evaluation value when the user follows the instruction, and lowers the evaluation value when the user does not follow the instruction. In addition, the evaluation value determination unit 514 may determine each evaluation value according to the determination result of each instruction, or may determine a comprehensive evaluation value according to the determination results of all the instructions. Alternatively, the evaluation value determination unit 514 may determine any of each evaluation value and the comprehensive evaluation value.
　評価値処理部５１５は、評価値決定部５１４によって決定された評価値に基づいて、ユーザに対してポイントを付与、またはクーポンを発行する。ポイントは、評価値が高いユーザ（指示に従ったユーザ）に付与され、例えばサービスサーバ６００（保険会社）における保険料のディスカウントに用いられる。同様に、クーポン、例えばグルメクーポンまたは旅行クーポンは、評価値が高いユーザ（指示に従ったユーザ）に発行される。このようなポイントの付与およびクーポンの発行により、ユーザが健康に関する指示に従うモチベーションを上げることができる。ただし、上記に限らず、例えばスポーツジムクーポンは、運動指示に対する評価値が低いユーザ（運動指示に従わなかったユーザ）に発行されてもよい。これにより、運動指示に従わないユーザに対して、運動をするよう促すことができる。 The evaluation value processing unit 515 gives points to the user or issues a coupon based on the evaluation value determined by the evaluation value determination unit 514. The points are given to a user with a high evaluation value (a user according to the instruction), and used, for example, for discounting premiums on the service server 600 (insurance company). Similarly, a coupon, for example, a gourmet coupon or a travel coupon, is issued to a user with a high evaluation value (a user who follows the instruction). Such point grant and coupon issuance can motivate the user to follow the health related instructions. However, not limited to the above, for example, a gym gym coupon may be issued to a user having a low evaluation value for an exercise instruction (a user who did not follow the exercise instruction). This can prompt the user who does not follow the exercise instruction to exercise.
　なお、上述した健康管理装置４００が実現する機能（処理）の一部または全部は、サービスサーバ５００が実施してもよい。この場合、判定結果送信部４１７および判定結果受信部５１３はなくてもよく、判定部４１６で得られた判定結果は評価値決定部５１４で直接用いられる。また、健康管理装置４００およびサービスサーバ５００が実現する機能（処理）の一部または全部は、サービスサーバ６００が実施してもよい。 In addition, the service server 500 may implement some or all of the functions (processes) realized by the health management device 400 described above. In this case, the determination result transmission unit 417 and the determination result reception unit 513 may not be provided, and the determination result obtained by the determination unit 416 is directly used by the evaluation value determination unit 514. In addition, the service server 600 may perform some or all of the functions (processes) realized by the health management device 400 and the service server 500.
　§３　動作例
　［健康管理装置４００］
　次に、図１２を用いて、健康管理装置４００の動作例を説明する。図１２は、健康管理装置４００の処理手順の一例を例示するフローチャートである。なお、以下で説明する処理手順は一例に過ぎず、各処理は可能な限り変更されてもよい。また、以下で説明する処理手順について、実施の形態に応じて、適宜、ステップの省略、置換、および追加が可能である。 3 3 Operation example [Health management device 400]
Next, an operation example of the health management device 400 will be described using FIG. FIG. 12 is a flowchart illustrating an example of the processing procedure of the health management device 400. In addition, the process sequence demonstrated below is only an example, and each process may be changed as much as possible. In addition, according to the embodiment, steps may be omitted, replaced, and added as appropriate according to the embodiment.
　（ステップＳ１１）
　ステップＳ１１では、制御部４１０は、指示受信部４１３として機能し、医療者端末３００からユーザの健康管理のための指示（受診指示、運動指示、および服薬指示）を受信する。 (Step S11)
In step S11, the control unit 410 functions as the instruction reception unit 413, and receives an instruction (medical instruction, exercise instruction, and medication instruction) for health management of the user from the medical staff terminal 300.
　（ステップＳ１２）
　次のステップＳ１２では、制御部４１０は、指示送信部４１４として機能し、ステップＳ１１で受信された健康管理のための指示をユーザ端末２００または測定端末１００に送信する。 (Step S12)
In the next step S12, control unit 410 functions as instruction transmission unit 414, and transmits the instruction for health management received in step S11 to user terminal 200 or measurement terminal 100.
　（ステップＳ１３（ステップＳ１３１，Ｓ１３２，Ｓ１３３））
　次のステップＳ１３では、制御部４１０は、取得部４１５として機能し、ステップＳ１２で与えられた指示に対するユーザの行動情報を取得する。 (Step S13 (steps S131, S132, S133))
In the next step S13, control unit 410 functions as acquisition unit 415, and acquires the user's action information in response to the instruction given in step S12.
　より具体的には、受診指示が送信された場合、制御部４１０は、ステップＳ１３１において行動情報として医療者端末３００から受診情報を取得する。 More specifically, when a medical examination instruction | indication is transmitted, the control part 410 acquires medical examination information from the medical staff terminal 300 as action information in step S131.
　また、運動指示が送信された場合、制御部４１０は、ステップＳ１３２において行動情報として測定端末１００からユーザ端末２００を介して運動情報（活動量データまたは歩行データ）を取得する。 In addition, when an exercise instruction is transmitted, the control unit 410 acquires exercise information (activity amount data or walking data) from the measurement terminal 100 via the user terminal 200 as activity information in step S132.
　また、服薬指示が送信された場合、制御部４１０は、ステップＳ１３３において行動情報として測定端末１００からユーザ端末２００を介して服薬情報（血圧データおよびユーザ入力データ）を取得する。
　（ステップＳ１４（ステップＳ１４１，Ｓ１４２，Ｓ１４３））
　次のステップＳ１４では、制御部４１０は、判定部４１６として機能し、ステップＳ１３で取得された行動情報に基づいてユーザが指示に対して当該指示に対応付けられた行動を行ったか否か（指示に従ったか否か）を判定する。 When a medication instruction is transmitted, the control unit 410 acquires medication information (blood pressure data and user input data) from the measurement terminal 100 via the user terminal 200 as activity information in step S133.
(Step S14 (steps S141, S142, S143))
In the next step S14, the control unit 410 functions as the determination unit 416, and based on the action information acquired in step S13, whether the user has performed an action associated with the instruction (instruction Determine whether or not
　より具体的には、受診情報が取得された場合、制御部４１０は、ステップＳ１４１において行動情報として受診情報に基づいてユーザが指示に対して当該指示に対応付けられた行動を行ったか（受診指示に従ったか）否かを判定する。 More specifically, when the examination information is acquired, the control unit 410 performs an action associated with the instruction in response to the instruction based on the examination information as the action information in step S141 (a consultation instruction Determine whether or not
　また、運動情報が取得された場合、制御部４１０は、ステップＳ１４２において行動情報として運動情報（活動量データまたは歩行データ）に基づいてユーザが指示に対して当該指示に対応付けられた行動を行ったか（運動指示に従ったか）否かを判定する。 When exercise information is acquired, the control unit 410 performs an action associated with the instruction in response to the instruction based on the exercise information (activity data or walking data) as action information in step S142. It is determined whether or not (following the exercise instruction) or not.
　また、服薬情報が取得された場合、制御部４１０は、ステップＳ１４３において行動情報として服薬情報（血圧データおよびユーザ入力データ）に基づいてユーザが指示に対して当該指示に対応付けられた行動を行ったか（服薬指示に従ったか）否かを判定する。 In addition, when medication information is acquired, the control unit 410 performs an action associated with the instruction in response to the instruction based on the medication information (blood pressure data and user input data) as the action information in step S143. It is determined whether or not (in accordance with the medication instruction).
　（ステップＳ１５）
　次のステップＳ１５では、制御部４１０は、判定結果送信部４１７として機能し、ステップＳ１４で判定された判定結果をサービスサーバ５００に送信する。 (Step S15)
In the next step S15, the control unit 410 functions as the determination result transmission unit 417, and transmits the determination result determined in step S14 to the service server 500.
　［サービスサーバ５００］
　次に、図１３を用いて、サービスサーバ５００の動作例を説明する。図１３は、サービスサーバ５００の処理手順の一例を例示するフローチャートである。なお、以下で説明する処理手順は一例に過ぎず、各処理は可能な限り変更されてもよい。また、以下で説明する処理手順について、実施の形態に応じて、適宜、ステップの省略、置換、および追加が可能である。 [Service server 500]
Next, an operation example of the service server 500 will be described using FIG. FIG. 13 is a flowchart illustrating an example of the processing procedure of the service server 500. In addition, the process sequence demonstrated below is only an example, and each process may be changed as much as possible. In addition, according to the embodiment, steps may be omitted, replaced, and added as appropriate according to the embodiment.
　（ステップＳ２１）
　ステップＳ２１では、制御部５１０は、判定結果受信部５１３として機能し、健康管理装置４００からユーザが指示（受診指示、運動指示、および服薬指示）に従った否かの判定結果を受信する。 (Step S21)
In step S21, control unit 510 functions as determination result receiving unit 513, and receives a determination result as to whether or not the user follows instructions (a consultation instruction, an exercise instruction, and a medication instruction) from health management device 400.
　（ステップＳ２２）
　次のステップＳ２２では、制御部５１０は、評価値決定部５１４として機能し、ステップＳ２１で受信された判定結果に基づいてユーザの評価値を決定する。 (Step S22)
In the next step S22, control unit 510 functions as evaluation value determination unit 514, and determines the user's evaluation value based on the determination result received in step S21.
　（ステップＳ２３）
　次のステップＳ２３では、制御部５１０は、評価値処理部５１５として機能し、ステップＳ２２で決定された評価値に基づいてユーザに対してポイントを付与、またはクーポンを発行する。 (Step S23)
In the next step S23, control unit 510 functions as evaluation value processing unit 515, and grants a point or issues a coupon to the user based on the evaluation value determined in step S22.
　§４　作用・効果
　以上のように、本実施形態では、健康管理装置４００は、医療者からの健康管理のための指示（受診指示、運動指示、および服薬指示）をユーザ（患者）に送信する。そして、健康管理装置４００は、指示に対するユーザの行動情報（受診情報、運動情報、および服薬情報）を取得し、その行動情報に基づいてユーザが指示に対して当該指示に対応付けられた行動を行ったか否か、すなわち、ユーザが指示に従ったか否かを判定する。これにより、医療者は、指示に対するユーザの行動を把握することができ、健康状態を管理することができる。また、医療者は、指示に対するユーザの行動を把握することで、ユーザに合った治療方針および生活改善等のさらなる指示をすることができる。 As described above, in the present embodiment, the health management device 400 transmits the health care instruction (medical instruction, exercise instruction, and medication instruction) from the medical staff to the user (patient). . Then, the health management device 400 acquires the user's action information (the consultation information, the exercise information, and the medication information) in response to the instruction, and based on the action information, the user performs the action associated with the instruction. It is determined whether or not the user has done the instruction. Thereby, the medical staff can grasp the action of the user in response to the instruction, and can manage the health condition. In addition, by grasping the action of the user in response to the instruction, the medical staff can give further instructions such as a treatment policy and life improvement suitable for the user.
　また、本実施形態では、ユーザが服薬指示に従ったか否かを判定する場合、判定のための閾値は蓄積されたユーザの過去の履歴データ（生体データ）に基づいて設定される。すなわち、閾値は、年月変化に伴うユーザ自身の生体データの変動に対応する。これにより、より精度よくユーザが服薬指示に従った否かを判定することができる。 Further, in the present embodiment, when it is determined whether or not the user follows the medication instruction, the threshold for the determination is set based on the accumulated history data (biometric data) of the user. That is, the threshold corresponds to the fluctuation of the user's own biometric data due to the yearly change. This makes it possible to more accurately determine whether the user has followed the medication instruction.
　また、本実施形態では、サービスサーバ５００は、健康管理装置４００で得られた判定結果に基づいてユーザの評価値を決定する。そして、サービスサーバ５００は、決定された評価値に基づいてユーザに対してポイントを付与、またはクーポンを発行する。これにより、ユーザが健康に関する指示に従うモチベーションを上げることができる。 Further, in the present embodiment, the service server 500 determines the evaluation value of the user based on the determination result obtained by the health management device 400. Then, the service server 500 gives points to the user or issues a coupon based on the determined evaluation value. This can motivate the user to follow the health related instructions.
　本発明は、上記実施形態そのままに限定されるものではなく、実施段階ではその要旨を逸脱しない範囲で構成要素を変形して具体化できる。また、上記実施形態に開示されている複数の構成要素の適宜な組み合せにより種々の発明を形成できる。例えば、実施形態に示される全構成要素から幾つかの構成要素を削除してもよい。さらに、異なる実施形態に亘る構成要素を適宜組み合せてもよい。 The present invention is not limited to the above embodiment as it is, and at the implementation stage, the constituent elements can be modified and embodied without departing from the scope of the invention. In addition, various inventions can be formed by appropriate combinations of a plurality of components disclosed in the above embodiments. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, components in different embodiments may be combined as appropriate.

Claims (12)

  1. 　ユーザに対し健康管理のための指示が与えられた後の所定期間における前記ユーザの行動状態を表す情報を取得する取得部と、
    　前記取得された行動状態を表す情報に基づいて、前記ユーザが前記指示に対して当該指示に対応付けられた行動を行ったか否かを判定する判定部と、
    　を具備する、
    　健康管理装置。     An acquisition unit for acquiring information representing an action state of the user in a predetermined period after the user is given an instruction for health management;
    A determination unit that determines whether the user has performed an action associated with the instruction based on the acquired information indicating the action state;
    Equipped with
    Health management device.
  2. 　前記取得部は、前記ユーザに対し受診指示が与えられた後の所定期間における前記ユーザの受診履歴を表す情報を、前記行動状態を表す情報として取得し、
    　前記判定部は、前記取得された受診履歴を表す情報に基づいて、前記ユーザが前記受診指示に対して当該指示に対応付けられた行動を行ったか否かを判定する、
    　請求項１に記載の健康管理装置。     The acquisition unit acquires, as information representing the action state, information representing a consultation history of the user in a predetermined period after the user is given a consultation instruction to the user.
    The determination unit determines whether or not the user has performed an action associated with the consultation instruction in response to the consultation instruction, based on the information indicating the acquired examination history.
    The health management device according to claim 1.
  3. 　前記取得部は、前記ユーザに対し運動指示が与えられた後の所定期間における前記ユーザの運動履歴を表す情報を、前記行動状態を表す情報として取得し、
    　前記判定部は、前記取得された運動履歴を表す情報に基づいて、前記ユーザが前記運動指示に対して当該指示に対応付けられた行動を行ったか否かを判定する、
    　請求項１に記載の健康管理装置。     The acquisition unit acquires, as information representing the action state, information representing an exercise history of the user in a predetermined period after the exercise instruction is given to the user.
    The determination unit determines whether or not the user has performed an action associated with the exercise instruction in response to the exercise instruction, based on the acquired information representing the exercise history.
    The health management device according to claim 1.
  4. 　前記取得部は、前記運動履歴を表す情報として、前記運動指示が与えられた後の所定期間における前記ユーザの活動量を取得し、
    　前記判定部は、前記取得されたユーザの活動量が予め設定された第１閾値の範囲であるか否かに基づいて、前記ユーザが前記運動指示に対して当該指示に対応付けられた行動を行ったか否かを判定する、
    　請求項３に記載の健康管理装置。     The acquisition unit acquires, as information representing the exercise history, an amount of activity of the user in a predetermined period after the exercise instruction is given,
    The determination unit determines an action associated with the exercise instruction to the user based on whether the acquired user activity amount is in a range of a first threshold set in advance. Determine if you have done,
    The health management device according to claim 3.
  5. 　前記取得部は、前記運動履歴を表す情報として、前記運動指示が与えられた後の所定期間における前記ユーザの歩数、歩行距離、および歩行時間の少なくとも１つを取得し、
    　前記判定部は、前記取得されたユーザの歩数、歩行距離、および歩行時間の少なくとも１つが予め設定された第２閾値の範囲であるか否かに基づいて、前記ユーザが前記運動指示に対して当該指示に対応付けられた行動を行ったか否かを判定する、
    　請求項３に記載の健康管理装置。     The acquisition unit acquires, as information representing the exercise history, at least one of the number of steps of the user, a walking distance, and a walking time in a predetermined period after the exercise instruction is given,
    The determination unit determines whether the user receives the exercise instruction based on whether or not at least one of the acquired user's number of steps, walking distance, and walking time is in a range of a second preset threshold. It is determined whether or not the action associated with the instruction has been performed.
    The health management device according to claim 3.
  6. 　前記取得部は、前記ユーザに対し服薬指示が与えられた後の所定期間における前記ユーザの服薬履歴を表す情報を、前記行動状態を表す情報として取得し、
    　前記判定部は、前記取得された服薬履歴を表す情報に基づいて、前記ユーザが前記服薬指示に対して当該指示に対応付けられた服薬を行ったか否かを判定する、
    　請求項１に記載の健康管理装置。     The acquisition unit acquires, as information representing the action state, information representing a medication history of the user in a predetermined period after the user is given a medication instruction.
    The determination unit determines whether or not the user has taken the medication associated with the medication instruction based on the acquired information indicating the medication history.
    The health management device according to claim 1.
  7. 　前記取得部は、前記服薬履歴を表す情報として、前記服薬指示が与えられた後の所定期間において、操作部により入力された、前記ユーザが服薬した薬剤の種類および服薬時刻を含む服薬確認情報を取得し、
    　前記判定部は、前記取得された服薬確認情報と、前記服薬指示に対応する処方箋情報との比較結果に基づいて、前記ユーザが前記服薬指示に対して当該指示に対応付けられた行動を行ったか否かを判定する、
    　請求項６に記載の健康管理装置。     The acquisition unit receives, as information representing the medication history, medication confirmation information including the type of medication taken by the user and the medication time which has been input by the operation unit during a predetermined period after the medication instruction is given. Acquired,
    Whether the user has performed an action associated with the medication instruction according to the instruction based on the comparison result between the acquired medication confirmation information and the prescription information corresponding to the medication instruction. Determine whether or not
    The health management device according to claim 6.
  8. 　前記取得部は、前記服薬履歴を表す情報として、前記服薬確認情報が入力された後の所定時間における、服薬によって影響を受ける前記ユーザの生体情報の変動履歴をさらに取得し、
    　前記判定部は、前記取得された生体情報の変動履歴が予め設定された第３閾値の範囲であるか否かに基づいて、前記ユーザが前記服薬指示に対して当該指示に対応付けられた行動を行ったか否かを判定する、
    　請求項７に記載の健康管理装置。     The acquisition unit further acquires, as information representing the medication history, a fluctuation history of biological information of the user affected by the medication during a predetermined time after the medication confirmation information is input,
    The determination unit determines an action associated with the user's instruction for taking the medicine based on whether or not the acquired change history of the biological information is within a range of a third preset threshold. To determine whether or not
    The health management device according to claim 7.
  9. 　前記判定部による判定結果に基づいて、前記ユーザの評価値を決定する評価値決定部と、
    　前記決定された評価値に基づいて、前記ユーザに対するポイントの付与およびクーポンの発行の少なくとも一方を行う評価値処理部と、
    　をさらに具備する、
    　請求項１乃至８のいずれか１項に記載の健康管理装置。     An evaluation value determination unit that determines the evaluation value of the user based on the determination result by the determination unit;
    An evaluation value processing unit that performs at least one of the provision of points to the user and the issuance of a coupon based on the determined evaluation value;
    Further equipped,
    The health management device according to any one of claims 1 to 8.
  10. 　前記指示の種類と前記ユーザの行動情報との対応関係を表す情報を記憶する記憶部をさらに具備し、
    　前記取得部は、前記指示の種類と前記ユーザの行動情報との対応関係を表す情報を参照して生成された前記ユーザの行動情報を表す情報を取得する、
    　請求項１乃至９のいずれか１項に記載の健康管理装置。     The information processing apparatus further includes a storage unit that stores information indicating a correspondence between the type of the instruction and the action information of the user,
    The acquisition unit acquires information representing the user's action information generated with reference to information representing a correspondence between the type of the instruction and the user's action information.
    The health management device according to any one of claims 1 to 9.
  11. 　ユーザの健康状態を管理する装置が実行する健康管理方法であって、
    　ユーザに対し健康管理のための指示が与えられた後の所定期間における前記ユーザの行動状態を表す情報を取得する過程と、
    　前記取得された行動状態を表す情報に基づいて、前記ユーザが前記指示に対して当該指示に対応付けられた行動を行ったか否かを判定する過程と、
    　を備える、
    　健康管理方法。     A health management method executed by an apparatus for managing the health status of a user, comprising:
    Obtaining information representing an action state of the user in a predetermined period after the user is given an instruction for health management;
    Determining whether the user has performed an action associated with the instruction based on the acquired information indicating the action state;
    Equipped with
    Health management method.
  12. 　請求項１乃至１０のいずれか１項に記載の健康管理装置が備える各部としてプロセッサを機能させる、
    　健康管理プログラム。     A processor is functioned as each part with which the health management device according to any one of claims 1 to 10 is provided,
    Health management program.
PCT/JP2018/022221 2017-06-19 2018-06-11 Health management device, health management method, and health management program WO2018235652A1 (en)

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