JP2002073816A - Health information control system and method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a health information control system and method capable of reducing complicatedness of doctor's diagnosis work in a health examination, and supporting doctor's diagnosis in the health examination. SOLUTION: If test values for test items registered in data base 2, 4, and 6 or test values of test items of a subject transmitted by a user terminal 70 are normal values or not is determined based on determination conditions of a test value determination condition data base by a control means 8 in a health information control system 50. Risk for the health control items which may occur corresponding to the test items is determined based on result of determination for the test items in accordance with determination conditions of a health risk condition data base. Based on result of determination of the risk, an occurrence rate of syndromes which may occur corresponding to the health control items is determined based on determination conditions of a syndrome occurrence degree determination data base, and result of determination is transmitted to a demand for reading from the user terminal 70 of a subject or a medical institution terminal 90 of a doctor or the like in charge.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a health information management system and method for providing information to assist a doctor or the like in making a diagnosis on a predetermined health management item from a test item of a person who wishes to make a diagnosis.

[0002]

2. Description of the Related Art Heretofore, doctors comprehensively judge test items at the time of a health examination to find findings on health management items (for example, items determined based on a plurality of test items such as liver function and diabetes). For example, he had diagnoses such as "The liver function is low. A detailed examination is required. A re-examination is needed." And "A spare group for diabetes. Let's refrain from alcohol consumption." Then, the subject is subjected to a detailed examination based on the diagnosis result or to stop drinking to prevent diabetes.

[0003]

However, as the number of examination items increases, the diagnosis work of doctors becomes complicated and difficult, and there is a demand for providing information to support the diagnosis of doctors. Also, medical examinations are usually conducted once a year, at most several times a year, and even if the insured wants to know whether or not to be diagnosed by a doctor in his current health condition, It was not possible until the next medical examination. In recent years, it has been found that a syndrome such as sudden death is caused when a problem occurs in a plurality of health care items, but support information for a doctor to diagnose whether such a syndrome can occur may be provided. Provision is also needed.

[0004] The present invention has been made in view of the above problems, and calculates the degree of risk of a health management item based on a test item and calculates the degree of occurrence of a syndrome that can occur in accordance with the health management item. It is an object of the present invention to provide a health information management system and method capable of supporting a doctor's diagnosis work and presenting a current health condition of a subject.

[0005]

According to a first aspect of the present invention, there is provided an inspection value determining means for determining whether values of a plurality of inspection items relating to a person who wants to diagnose are within a normal range. And a risk calculating means for calculating a risk of a health management item defined corresponding to the test item based on a determination result of the test value determining means. The invention according to claim 2 is characterized by comprising, based on the risk of the health management item, an occurrence calculation means for calculating the occurrence of a syndrome determined corresponding to the health management item. I do. According to a third aspect of the present invention, there is provided a transmission device for transmitting the degree of risk of the health management item or the degree of occurrence of the syndrome to a terminal possessed by the applicant for diagnosis. According to a fourth aspect of the present invention, the test item is obtained from a result of a health check registered in advance or transmitted from a terminal of a person who wants to make a diagnosis. In the invention according to claim 5, the inspection value determination unit includes
In the case where the result of the health checkup is the same as the test item transmitted from the terminal of the applicant for the diagnosis, the latest test item is used for the determination. In the invention according to claim 6, the test value determining means ranks and determines the determination result of the test item as an abnormal degree, and the risk calculating means calculates the risk based on the abnormal degree. It is characterized by doing. The invention according to claim 7, wherein the risk degree calculating means includes a time-series trend indicated by a predetermined test item in the diagnosis applicant, or a characteristic value indicating a physical characteristic of the diagnosis applicant, gender, or age. The risk is calculated based on the following.

[0008] The invention according to claim 8 is a process for judging whether the values of a plurality of test items relating to a person who wants to be diagnosed are within a normal range, and based on the judgment result of the test value judging means.
Calculating a risk level of a health management item defined corresponding to the test item. According to a ninth aspect of the present invention, there is provided a method for calculating, based on a risk level of the health management item, a degree of occurrence of a syndrome determined corresponding to the health management item.

[0007]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a block diagram showing the configuration of one embodiment of the health information management system of the present invention. In this figure, a health information management system (hereinafter, referred to as “the present system” as necessary) 50 is provided with a predetermined health management item based on the value of a test item of a person who wishes to diagnose (hereinafter, referred to as “subject”). Is calculated, and the result is presented. WWW (World Wide
A Web server (server device) of the Web is configured and connected to a user terminal 70 of the subject and a vital sensor 80 connected to the terminal, and a medical institution terminal 90 of a doctor or the like via a network 100 such as the Internet. Have been. And this system (Web server)
URL (Uniform Resource) assigned to
Locator) allows access to this system. The network 10
In addition to the Internet described above, for example, a dedicated line, a LAN (Local Area Network), a WAN (Wide A)
rea Network) or the like, and the vital sensor 80 may be directly connected to the present system via the network 100 without being connected to the user terminal.

The user terminal 70 comprises, for example, a personal computer provided with input means, communication means and a display device. Send to 50. The medical institution terminal 90
For example, it is composed of a personal computer having an input unit, a communication unit, and a display device, and requests the system 50 to view the calculation result of the subject as appropriate, and browses the calculation result transmitted from the system 50 in response to the request. Get as possible. The obtained calculation result is used when a medical examination of a subject is performed by a doctor. Also, the user terminal 70
Requests the system 50 to view the calculation result as appropriate, and obtains the calculation result transmitted from the system 50 in response to the request so as to be viewable. The vital sensor 80
The test item of the subject is measured, and the measurement result is stored in the user terminal 70.
Is transmitted to the system 50 via the.

The health information management system 50 includes a test item database 2, a vital sensor information database 4, a medical care information database 6, a test value determination condition database 10, a health risk condition database 12, a syndrome occurrence condition database 14, and various components described below. And a communication means for transmitting and receiving information to and from the user terminal 70 and the medical institution terminal 90 connected via the network 100. In this embodiment, the calculation result database 16 An information database 18 and a lifestyle database 20 are provided. The control means 8 is, for example, a central processing unit (CPU) of a server device constituting the system 50.
t).

The test items of the subject to be diagnosed by the present system 50 are predetermined clinical test items for examining the possibility of health management or the possibility of illness in a health check. For example, as shown in FIG. (Body Mass Index) for calculating height, weight, blood pressure, and a biometric test item F2 to be examined by directly touching the subject, such as an electrocardiogram; and blood and urine collected from the subject, such as blood glucose and urine protein. And a sample test item F4 for testing a sample. In addition, the health management items whose risk is calculated from the above test items are as follows:
A human dysfunction or disease caused based on the detection values of the check item (disease name), for example, as shown in FIG. 2, fasting glucose, corresponding to the test item F6 consisting HbA _1, HbA ₁ c It is determined in advance that the health management item is diabetes.

The test value judgment condition database 10 stores judgment conditions for judging whether or not the test item value of the subject is normal. In the present embodiment, if the test item value is abnormal, the test item A criterion for determining the degree is included. As shown in FIGS. 3 to 5, the database 10 includes a normality criterion F12 indicating a criterion of a normal value of the item corresponding to the inspection item F10, and a degree of abnormality when the item is an abnormal value. Is stored. The information is composed of an abnormality determination criterion F14 for determining. For example, FIG.
With regard to the systolic blood pressure of the test items, it is determined that the blood pressure less than 130 is normal (A: no abnormality), the blood pressure of 130 or more is abnormal,
9 or less is the degree of abnormality "B: almost normal", 140 or more and 15
9 or less is the degree of abnormality "C: Observation required", 160 to 179
In the following, a determination condition for determining that the degree of abnormality is “D: medical treatment required” and 180 or more for the degree of abnormality “E: precision required” is stored. Here, the test value of systolic blood pressure is “128”, and the determination is normal (A: no abnormality).

The health risk condition database 12 stores a condition for calculating the risk of the health management item based on the judgment result of the test item (test value) of the subject. ) Are stored according to the degree of abnormality. As shown in FIG. 6, the database 12 stores information including a health management item F20 and a risk calculation condition F22 of the item. For example, when the health management item is “lipid”, the worst determination among the determinations of the test values of the corresponding four test items is regarded as the risk of “lipid”. Here, the determination of the test value of the test item “T-Cho” is “C”, which is the worst, so the risk degree determination of lipid is “C” based on the above conditions.

The syndrome occurrence degree condition database 14 stores conditions for calculating an occurrence degree of a syndrome (for example, a matter related to life such as sudden death) expected to be caused in correspondence with a predetermined health management item. As shown in FIG. 7, the database 14 stores information including an item F30 indicating a syndrome and an occurrence condition F32. For example, in the case of sudden death, two or more items among the corresponding health management items are stored. Possibility of sudden death when the risk is “C” (degree of occurrence)
Assume that there is.

The test item database 2 stores, for each subject, the value of a test item in the result of a prescribed medical examination in association with the test date. The vital sensor information database 4 stores the value of the test item measured by the vital sensor 3 connected to the user terminal 70 of the subject in association with the measurement date, and is transmitted from the user terminal 70. The medical treatment information database 6 stores the values of the test items (medical treatments at medical institutions, etc.) obtained by the subject by a method other than the above-mentioned medical examination or measurement by a vital sensor in association with the test date. Calculation result database 16
Stores the calculation result by the present system. The personal information database 18 stores the subject's personal information (the subject's name, gender, age, date of birth, company name, insurance card number, etc.).
Is stored. The lifestyle information database 20
Items based on a medical interview or the like when the subject has undergone a health check are stored, and information on the subject's lifestyle such as drinking and smoking is stored. Further, each of the above databases stores information in time series as needed.

Next, calculation processing of the health information management system according to the present embodiment will be described with reference to FIGS. FIG. 8 is a flowchart showing the operation of the process of determining the degree of abnormality of the value of the test item of the subject and calculating the degree of health risk. When a request for calculation is input from the user terminal 70 or the medical terminal 90, the control unit 8 Extracts test items stored in the databases 2, 4, and 6 relating to the subject to be tested (step S1). At this time, if the same inspection item is registered in each of the databases 2, 4, and 6,
Get the value of the test item with the latest date information. The control unit 8 searches the inspection value determination condition database for the determination condition corresponding to the obtained inspection value, and determines whether or not the value of the predetermined inspection item is in the normal range (determination “A”) based on the search condition (step S2). In the case of abnormality ("No" in step S2), the degree of abnormality (determination "B" to "F") is further determined based on the inspection value determination condition database (step S3). The processing of step 2 to step S3 is repeated until the above determination is completed for all the test items of the corresponding subject ("No" in step S4), and the processing is completed when all the above determinations are completed ("Yes" in step S4). ). If "Yes" in step S2, the process proceeds to step S4. Next, the control unit 8 calculates a predetermined health management item, for example, the risk level of the liver function based on the calculation condition of the health risk level condition database shown in FIG. 6 described above, and calculates the risk levels “A” to “F”. (Step S5). For example, the worst anomaly level among a plurality of corresponding test items is calculated as a risk level, or when there are two or more worst anomaly level test items among a plurality of test items, the anomaly level is determined as the risk level. And the like can be appropriately selected from these. Then, the processing of step S5 is repeated until the above calculation is completed for all corresponding health management items ("No" in step S6), and when all the above determinations are completed, the process proceeds to the next step ("Yes" in step S6). . In step S7, the control means 8 stores the result of the determination of the degree of abnormality of the value of the test item and the result of the calculation of the health risk in the calculation result database 16, and proceeds to the following syndrome occurrence degree calculation processing operation.

Next, a flow chart showing the operation of the calculation process of the syndrome occurrence degree will be described with reference to FIG. In this figure, first, the control unit 8 extracts the risk level of the health management item corresponding to the predetermined syndrome from the calculation result database 16 (step S10). Next, the value is referred to as a calculation condition of the syndrome occurrence degree condition database 14, and the presence or absence of the occurrence degree of the syndrome (for example, sudden death) is calculated (step S11). For example, the condition of the degree of occurrence is that the number of health management items having a higher risk than a certain standard is equal to or greater than a predetermined number. This is consistent with a reduction in the occurrence of a syndrome when multiple test items have a health problem. If the occurrence degree is “Yes” (“Yes” in step S12), the occurrence degree is further ranked from “1 (small occurrence degree)” to “10 (large occurrence degree)” based on the above calculation conditions. (Step S13). For example, in FIG. 6, the risk level of each health management item related to sudden death is added, and the average is calculated as the occurrence level. Then, the result is stored in the calculation result database 16 (step S15). As a result of the above calculation, if there is no possibility of occurrence of a syndrome (“No” in step S12), “no prediction of syndrome occurrence” is made (step S14), and the result is stored in the calculation result database 16 (step S14). S1
5).

The risk and the occurrence of the syndrome of the health item calculated in this way are transmitted to the user terminal 70 and the medical institution terminal 90 as appropriate, and are provided for viewing. FIG. 10 shows the degree of danger of the health management item and the degree of occurrence of the syndrome in each of the terminals 70 and 9.
9 is a flowchart illustrating an operation of a process to be presented as 0. First, the control means 8 extracts from the lifestyle information database 20 information associated with a health management item having a risk level “C” or higher in the calculation result database 16 (step S20). The value of the test item of “C” or more and the occurrence degree (or no occurrence prediction) of the syndrome are extracted (step S21). The extracted lifestyle information, the values of the test items, and the degree of occurrence of the syndrome are edited as a total calculation result in a Web page format (step S
22), a Web page is transmitted to the desired user terminal 70 or medical institution terminal 90 (step S23). FIG. 11 is a diagram showing the form of the Web page, and the Web page 5
00 indicates the degree of occurrence (risk) of the syndrome 500a,
The value 500c, the reference value 500d, and the determination 500e of the inspection item 500b with the abnormality degree “C” or more are displayed. The judgment 500e is the same as the judgment criterion in FIGS. Further, lifestyle-related information 500f (here, information on the subject's drinking) corresponding to the test item 500b is displayed as reference-related data. Note that, in the column of the advice 500g in this figure, advice by a doctor or the like may be appropriately displayed, or a way of understanding the determination content may be appropriately displayed.

The risk level of the health management item is determined based on the chronological tendency of the test item used as the calculation condition of the risk level, for example, whether the test value increases or decreases year by year, the body type of the subject, For example, a predetermined correction value may be stored in a correction value database in accordance with the degree of obesity, age, sex, or the like, and the correction value may be calculated in consideration of the correction value. For example, FIG.
When the systolic blood pressure is gradually increasing as shown in FIG. 2 (1), the correction value + α is added to the risk calculation condition of the health management item, or as shown in FIG. If the hypertension is gradually decreasing, a correction value -α may be added to the risk calculation condition of the health management item.

[0019]

As described above, according to the health information management system of the present invention, it is determined by the test value determining means whether the test value of the test item of the applicant for diagnosis is in a normal range.
Based on the result of the determination, the risk calculating means calculates the risk of the health management item determined corresponding to the test item, so that the risk can be referred to the diagnosis of the doctor, The complexity of the diagnostic work can be reduced, and the doctor's diagnosis in the medical checkup can be supported.

Further, based on the risk level of the health management item, the occurrence level calculating means calculates the occurrence level of the syndrome determined in accordance with the health management item, so that the occurrence level can be used for diagnosis by a doctor. Can be referenced. Further, when the result of the health check registered in advance is the same as the test item transmitted from the terminal of the candidate, the transmitted test item is determined to determine the current health of the candidate. The risk of the management item and the occurrence of the syndrome can be calculated. Further, when the determination result of the inspection item is ranked and determined as the degree of abnormality, the degree of risk can be calculated with high accuracy. In addition, if the risk is calculated based on a time-series trend indicated by a predetermined test item in a diagnosis applicant or a characteristic value indicating a physical characteristic of the diagnosis applicant, gender or age, the calculation of the risk is Since it is performed more accurately, it is possible to more appropriately support a doctor's diagnosis in a health check.

[Brief description of the drawings]

FIG. 1 is a block diagram showing one embodiment of a health information management system of the present invention.

FIG. 2 is a diagram showing an example of an inspection item.

FIG. 3 is a diagram showing an example of a data configuration of a test value determination condition database 10.

FIG. 4 is a diagram showing an example of a data configuration of a test value determination condition database 10.

FIG. 5 is a diagram illustrating an example of a data configuration of a test value determination condition database 10.

6 is a diagram showing an example of a data configuration of a health risk condition database 12. FIG.

FIG. 7 is a diagram showing an example of a data configuration of a syndrome occurrence degree condition database 14;

FIG. 8 is a flowchart showing processing operations for determining an abnormality level of a test item and calculating a risk level of a health management item.

FIG. 9 is a flowchart showing a processing operation of calculating a syndrome occurrence degree.

FIG. 10 is a flowchart showing a processing operation of presenting a calculation result.

FIG. 11 is a diagram showing an example of a form of a presentation screen.

FIG. 12 is a diagram illustrating an example of a correction value.

[Explanation of symbols]

Reference Signs List 8 control means (test value determination means, risk degree calculation means, occurrence degree calculation means) 9 communication means (transmission means) 70 user terminal (terminal) 90 medical institution terminal (terminal) F10 test item

Continued on the front page (72) Inventor Tadao Hosoi 3-1-1, Komone, Itabashi-ku, Tokyo Inside the Ikkokai Health Care Center (72) Inventor Shigeru Ikeda 2-2-2, Otemachi, Chiyoda-ku, Tokyo Urbannet Otemachi Building (NTMI) Inc. (72) Inventor Yoshitaka Sato 2-2-2 Otemachi, Chiyoda-ku, Tokyo Urbannet Otemachi Building NTMI Consulting F-term (Reference) 5B049 AA06 BB41 EE01 GG04

Claims (9)

[Claims] 1. A test value determining means for determining whether or not the values of a plurality of test items relating to a person who wants to be diagnosed are within a normal range; and A health information management system comprising: a risk calculation unit configured to calculate a risk of a predetermined health management item. 2. Based on the risk of the health management item,
The health information management system according to claim 1, further comprising an occurrence degree calculation unit that calculates an occurrence degree of a syndrome defined corresponding to the health management item. 3. The apparatus according to claim 1, further comprising a transmission unit configured to transmit a risk level of the health management item or a degree of occurrence of the syndrome to a terminal of the applicant for diagnosis.
Health information management system described in. 4. The test item according to claim 1, wherein the test item is obtained from a result of a health check registered in advance, or is transmitted from a terminal of a person who wants to be diagnosed. Health information management system. 5. When the result of the health checkup is the same as the test item transmitted from the terminal of the applicant for the diagnosis, the test value determination means uses the latest test item for the determination. The health information management system according to claim 4, wherein 6. The inspection value determination unit ranks and determines the determination result of the inspection item as an abnormality degree, and the risk calculation unit calculates the risk based on the abnormality degree. The health information management system according to any one of claims 1 to 5, wherein 7. The risk calculating means, based on a chronological tendency indicated by a predetermined test item in the diagnosis applicant, or a characteristic value indicating a physical characteristic, gender or age of the diagnosis applicant. The health information management system according to claim 1, wherein a degree of risk is calculated. 8. A process for determining whether or not the values of a plurality of test items relating to a person who wants to be diagnosed are within a normal range, and a process which is determined corresponding to the test item based on a determination result of the test value determining means. Calculating a risk level of a health management item. 9. Based on the risk of the health management item,
The health information management method according to claim 8, further comprising calculating a degree of occurrence of a syndrome determined corresponding to the health management item.