JP2003126047A - Method for providing diagnostic reference data of chronic dermal diseases - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide useful information on the diagnosis by a physician as to the cause of diseases to reduce the visits of a patient with chronic dermal diseases to receive face to face diagnosis thereby diminishing the burden on both the physician and patient. SOLUTION: A transpired water volume of a patient is periodically measured by a sensor and repeatedly stored in the physician's computer through an information terminal as useful information on the physician's diagnosis as well as treatment and prophylaxis in addition to a living information on foods intake and the like to be statistically analyzed.

Description

Description: BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method for a patient to transmit his / her own data to a chronic skin disease, such as atopic dermatitis, in which a chronic symptom appears repeatedly over a long period of time. Through the physician's computer over time to compare and analyze new data with past diagnostic data from the physician,
The present invention relates to a method for providing reference information useful for diagnosis, the content of which is displayed on a doctor's terminal. 2. Description of the Related Art It has been widely practiced that a doctor obtains data of a patient who is not in front of him through a communication line and makes a diagnosis. For example, patient data such as pulse, blood pressure, and radiographs are transmitted to a doctor using a communication line,
This is a case in which patient data is transmitted to a doctor to perform an emergency diagnosis during a daily checkup or during transportation by an ambulance. However, all of these methods merely transmit and receive patient data using a communication line, and do not statistically process personal information of chronic diseases over a long period of time, and do not contribute to treatment and investigation of the cause. [0003] Skin diseases, especially those caused by allergies such as atopic dermatitis, are characterized by a chronic and repetitive course.
Moreover, the cause of the onset itself often differs from person to person. Therefore, even if a physician examines the patient after the onset, only a coping therapy that alleviates the immediate symptoms can be taken, but in order to investigate the cause, find a treatment method that is appropriate for the patient's constitution, and prevent recurrence, the patient's Long-term observation was required. In addition, in such recurrent diseases, it is not only burdensome for the patient to visit the clinic and consult a physician every time the patient develops the disease, but it is also very effective for the physician from the viewpoint of elucidating the cause of the disease. Was not. SUMMARY OF THE INVENTION [0004] The present invention provides a physician who has examined a patient one or more times based on the characteristics of the medical condition, the course of treatment, the physical characteristics of the patient, and an interview with the patient. The data of the living environment and the like are input by using a partial area of a host computer or an external server computer (hereinafter, referred to as a doctor's computer) installed at the clinic at each consultation. Also,
Patients are provided with a sensor that measures the amount of water evaporation of the skin,
The patient uses the sensor to transmit and input the skin-related data to the doctor's computer at regular intervals, for example, every day, using a personal terminal such as a personal computer or a mobile phone, regardless of the presence or absence of a medical condition. At the same time, personal information, that is, the living environment of the day, the behavioral ingested foods, the touched items, the types of clothes, and other items instructed by the doctor are also input. By repeating this, the patient's data is accumulated on the physician's computer, and during the period when dermatitis develops and the physician consults, the physician also receives the above-mentioned symptoms, treatment, etc. Data is additionally entered into the computer. By repeating this and statistically processing the input data, reference information can be obtained when a doctor diagnoses a causal relationship with the onset and an optimal treatment method. Also, by detecting the onset in advance,
It becomes possible to take measures to prevent the onset or reduce the degree of onset. Embodiments of the present invention will be described below with reference to the drawings. In the figure, reference numeral 1 denotes a physician, who is frequently consulting and treating a patient 3 with a repetitive skin disease. The doctor 1 records the medical condition, treatment method, degree of effect, and the like of the patient 3 as a so-called electronic medical record in the doctor diagnosis information database 21 of the doctor-side computer 2 by the doctor terminal 11 each time a medical examination is performed. Simultaneously with this, items considered to be related to the onset of the patient, such as dietary contents, living environment, weather, clothing, and the results of interviews (hereinafter referred to as living information), are also stored in the time-series living information database 23. Record it. On the other hand, the patient 3 receives the patient 1D together with the skin moisture evaporation sensor 31 from the doctor. In addition, a password for the patient himself to access the doctor's computer 2 is set. This skin moisture transpiration sensor 31
Is, for example, H43 manufactured by Toyobo Engineering Co., Ltd.
A sealed probe of the same type as the type 00 skin moisture evaporation sensor is connected to a communication line, and has a function of measuring the amount of moisture evaporation from the skin surface of the patient 3. [0008] In chronic dermatitis such as atopic dermatitis and psoriasis, it is known that there is a remarkable difference in the amount of water transpiration from the skin surface when the symptoms are severe and when it is stable. The numerical values are approximately as follows when measured by the above sensor. Therefore, the physician 1 can know the approximate deterioration or remission of the symptoms from the above numerical values and the fluctuation tendency without directly looking at the skin symptoms. However, as described above, the causes of this kind of dermatitis disease are various, and therefore, in order to elucidate the cause, information on the patient's life is indispensable in addition to the amount of water transpiration. For this reason, the patient 3 periodically measures, for example, at a regular time every day, the skin water evaporation amount sensor 31 to measure the water evaporation amount on the skin surface, particularly at a location where a symptom is likely to occur and instructed by a doctor. An information terminal 32 such as a computer inputs the time series skin information database 22 of the doctor-side computer 2. At the same time, the living information of the day and other designated items are input to the time-series living information database 23. At this time, the information is easily distributed to the doctor in charge by the combination of the hospital code, the doctor code, the patient code number, and the alphabet which are predetermined for the ID number, and the privacy is protected. In addition, the physician-side computer 2 forms an alliance with an external weather information providing service 4 that provides weather information online,
Weather information such as temperature, humidity, and pollen information of the area at the time of patient input is automatically recorded. The doctor-side computer 2 reads out the past records of the doctor's diagnosis information database 21, the time-series living information database 23, and the time-series skin information database 22 every time these input information is present, and statistically performs an arithmetic processing. Recorded in the chart database 24. In addition, the result is transmitted to the doctor terminal 11, so that the doctor can browse it as needed. At this time, if the past data is statistically processed and the onset is expected in the future or the symptom is predicted to worsen, a flag urging the urgent opening of the terminal screen is inserted in the doctor's screen. The doctor-side doctor terminal 11 browses the contents of the time-series chart database 24 regularly, preferably at regular intervals, and integrates it with his / her own knowledge with reference to it.
It is determined whether or not a patient's examination is necessary. If it is determined that the patient's consultation is necessary, an e-mail prompting a visit is sent to the patient 3. This allows
Patients can feel reassured that they are being watched by doctors at all times, which motivates them to keep regular measurements and input of living information data. As described above, according to the method and apparatus of the present invention, the burden of frequent visits to patients for skin diseases that are chronically recurring and whose cause is difficult to identify is reduced, Physicians can also make diagnosis while referring to statistically processed data of individual patients, in addition to their own knowledge, so that they can save a lot of medical treatment time and can make objective decisions to find the cause. There are advantages such as becoming. When there is a risk of onset or worsening of symptoms, an emergency response instruction can be given.

[Brief description of the drawings] FIG. 1 is a block diagram illustrating the method of the present invention. [Explanation of symbols] 1 ・ ・ ・ Doctor 11 ・ ・ ・ Doctor terminal 2. Doctor computer 21 ・ ・ ・ Doctor diagnosis information database 22: Time-series skin information database 23: Time-series living information database 24: Time-series chart database 3 ... Patient 31 ・ ・ ・ Skin moisture evaporation sensor 32 ・ ・ ・ information terminal 4 ... Weather information service

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[Procedure for Amendment] [Date of Submission] October 29, 2001 (2001.10.
29) [Procedure amendment 1] [Document name to be amended] Description [Item name to be amended] 0007 [Correction method] Change [Contents of amendment] Receive 1D grant. In addition, a password for the patient himself to access the doctor's computer 2 is set. This skin moisture transpiration sensor 31
Is, for example, H4 manufactured by Toyobo Co., Ltd. Engineering Dept.
A sealed probe of the same type as the 300-type skin moisture evaporation sensor is connected to a communication line and has a function of measuring the amount of moisture evaporation from the skin surface of the patient 3. [Procedure amendment 2] [Document name to be amended] Description [Item name to be amended] 0008 [Amended method] Change [Content of amendment] [0008] In chronic dermatitis such as atopic dermatitis and psoriasis, the symptoms are severe. It has been found that there is a remarkable difference in the amount of water transpiration on the skin surface when and when it is stable. The numerical values are approximately as follows when measured by the above sensor.

   ────────────────────────────────────────────────── ─── Continuation of front page    (72) Inventor Kenichi Tomita             29-10 Sakuragaoka-cho, Shibuya-ku, Tokyo Nade Co., Ltd.             Inside (72) Inventor Shinobu Fujita             29-10 Sakuragaoka-cho, Shibuya-ku, Tokyo Nade Co., Ltd.             Inside

Claims (1)

Claims: 1. A step of connecting a skin moisture transpiration sensor provided at the hand of a patient with chronic skin disease to a physician's computer by a communication terminal at hand of the patient. A step of repeatedly storing the amount and the living information data before measurement in a database of a physician computer. A step of comparing and analyzing the information recorded in the past by the doctor's computer each time the water loss and the life information data are input. Said comparison,
A step of recording the analyzed data in a database and displaying it on a terminal screen at hand of a doctor. A method for providing reference data for diagnosing chronic skin diseases, comprising: