JP2003186995A - Method for medical examination by interview - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a method for medical examination by interview capable of executing medical examination by interview suitable for a patient. <P>SOLUTION: This method comprises a process for receiving a signal associated with the state of a patient transmitted from the patient side terminal through a communication line, a process for selecting questions for the medical examination by interview of the patient from data stored in a storage device based on the signal associated with the state of the patient, a process for transmitting the information associated with the selected questions, a process for receiving the answers of the patient to the questions from the terminal, and a process for recording information associated with the answer. The data stored in the storage device are constituted of first data having general questions and second data having the questions for each patient, and the second data is prepared by a process for inputting a signal for selecting one patient from a plurality of patients, a process for displaying the question contents of the first data on a picture, a process for displaying the picture for editing the question contents of the first data, and a process for storing the patient and the edited questions by associating them with each other. <P>COPYRIGHT: (C)2003,JPO

Description

Detailed Description of the Invention

[0001]

TECHNICAL FIELD The present invention relates to an inquiry method used in the medical field.

[0002]

2. Description of the Related Art When conducting medical examinations, doctors collect the presence or absence of subjective symptoms, lifestyle habits, etc. by interview. As a method of conducting this interview on behalf of the doctor, there are interview methods such as group medical examination and reception of initial examination. Particularly in the field of home medical care, there is a demand for a method of collecting the state of medical treatment for patients who are undergoing medical treatment or medical treatment at home. In such an inquiry in home medical care, the patient confirms the symptom of the patient by answering the question displayed on the screen by pressing the selection button.

[0003]

However, in the conventional technique, since the questions prepared in advance are only presented to the patient, the questions suitable for the patient are not always asked. For example, the optimal question for a patient differs depending on the patient, because each patient has mildness or the like. If the patient is, for example, a chronically ill patient, it is desirable to be able to set a question for each patient. On the other hand, if a question is set for each patient, it is preferable to reduce the burden of setting the question as much as possible. Also, for example, the optimal question for the patient varies depending on the illness. Therefore, it is preferable that a question can be set for each symptom. In addition, the question to the patient is different depending on whether the patient is the first visit or the follow-up.

Therefore, an object of the present invention is to provide an inquiry method capable of asking an appropriate question to a patient.

[0005]

A main invention for achieving the above object is an inquiry method for inquiring a patient through a communication line, and a method of transmitting a signal relating to a condition of a patient transmitted from a terminal on the patient side. Receiving, selecting a question for inquiry of the patient from data stored in a storage device based on a signal relating to the condition of the patient, and transmitting information regarding the selected question to the terminal And the step of receiving the patient's answer to the question from the terminal, and the step of recording information about the answer, wherein the data stored in the storage device includes a general-purpose question. 1 data and 2nd data which has a question for every patient, As for this 2nd data, the process of inputting the signal for selecting one patient from several patients, and the question of this 1st data Content on the screen Data, a step of displaying a screen for editing the content of the question of the first data, and a step of storing the one patient and the edited question in association with each other. To do.

[0006] Another main invention for achieving the above object is an inquiry method for inquiring a patient via a communication line, which receives a signal relating to the condition of the patient transmitted from a terminal on the patient side. And a step of selecting a question for an inquiry of the patient from data stored in a storage device based on a signal relating to the condition of the patient, and transmitting information regarding the selected question to the terminal And a step of receiving the answer of the patient to the question from the terminal, and a step of recording information regarding the answer, and the step of selecting the question for the inquiry of the patient includes It is characterized by comprising a step of judging a symptom of the patient based on a signal relating to a condition, and a step of selecting a question for an inquiry of the patient based on the symptom of the patient.

Another main invention for achieving the above object is an inquiry method for inquiring a patient via a communication line, which comprises a step of receiving a signal relating to the patient transmitted from a terminal on the patient side. , Based on the signal about the patient,
From the data stored in the storage device, a step of selecting a question for inquiry of the patient, a step of transmitting information regarding the selected question to the terminal, and a response of the patient to the question from the terminal The data stored in the storage device includes a first data having a general-purpose question and a second data having a question for initial diagnosis. The step of selecting a question for an interview of the patient has a step of determining whether the patient is the first visit based on the received signal regarding the patient, and if the patient is not the first visit, the first data. Is selected, and if the patient is the first visit, the question is selected from the second data for the first visit.

[0008]

DESCRIPTION OF THE PREFERRED EMBODIMENTS <Outline of Disclosure> At least the following matters will be made clear by the description in the present specification and the accompanying drawings.

A method for inquiring about a patient via a communication line, the method comprising: receiving a signal concerning the condition of the patient transmitted from a terminal on the patient side; and a storage device based on the signal concerning the condition of the patient. From the data stored in
A step of selecting a question for inquiring about the patient, a step of transmitting information about the selected question to the terminal, a step of receiving the patient's answer to the question from the terminal, and information about the answer. And a step of recording, the data stored in the storage device includes first data having general-purpose questions, and second data having questions for each patient,
The second data includes a step of inputting a signal for selecting one patient from a plurality of patients, a step of displaying the content of the question of the first data on a screen, and a content of the question of the first data. An inquiry method using a communication line, which is data created by the step of displaying a screen for editing and the step of storing the one patient and the edited question in association with each other.

According to such an inquiry method, it is not necessary to input the inquiry contents from the beginning when editing the inquiry contents for each patient, so that the inquiry contents for each patient can be set easily. In this inquiry method, the step of setting an input item on the terminal side, the step of transmitting a signal regarding the set item to the terminal on the patient side, and the step for editing the item edited from the terminal on the patient side And receiving a signal regarding the condition of the patient. According to such an inquiry method, it is possible to set an item to be input by the patient and obtain information about the item.

[0011] A method of inquiring about a patient via a communication line, comprising the steps of receiving a signal concerning the condition of the patient transmitted from a terminal on the patient side, and based on the signal concerning the condition of the patient, Selecting a question for questioning the patient from the data stored in the storage device, and transmitting information regarding the selected question to the terminal,
There is a step of receiving from the terminal an answer of the patient to the question, and a step of recording information regarding the answer, and the step of selecting a question for an inquiry of the patient relates to the received state of the patient. An inquiry method using a communication line, comprising: a step of judging a symptom of the patient based on a signal; and a step of selecting a question for an inquiry of the patient based on the symptom of the patient. .

According to such an inquiry method, the contents of the inquiry can be selected according to the symptom. In the inquiry method, the data stored in the storage device includes a step of inputting the symptom, a step of displaying a screen for editing the question content, the symptom, and the edited question. It is desirable to have data for each symptom created by the step of storing in association with each other. According to such an inquiry method, the contents of the inquiry can be set for each symptom.

A method of inquiring about a patient via a communication line, the method comprising: receiving a patient-related signal transmitted from a patient-side terminal; and storing the signal in a storage device based on the patient-related signal. Selecting a question for inquiring about the patient from the stored data, transmitting information about the selected question to the terminal, and receiving the patient's answer to the question from the terminal. , The step of recording information about the answer, and the data stored in the storage device includes first data having a general-purpose question and second data having a question for initial diagnosis. ,
The step of selecting a question for interviewing the patient determines whether the patient is the first visit based on the received signal regarding the patient, and if the patient is not the first visit, selects the question from the first data. If the patient is a first visit, an inquiry method using a communication line is characterized in that a question is selected from the second data for the first visit.

According to such an inquiry method, it is possible to make an appropriate inquiry even for the first-time patient. In this inquiry method, it is preferable that the questions included in the second data for the initial examination have more options than the questions included in the first data. According to such an inquiry method, detailed information can be obtained from the patient who has received the initial examination.

<Structure of Interview System> FIG. 1 is a schematic view of the structure of a remote inquiry system according to the present invention. In the figure, this system includes a server 100, a terminal 120,
It is composed of a communication line 130.

The server 100 is installed in a medical institution such as a hospital or clinic, and is used by server users such as doctors and nurses. In addition, the server 100 includes a server control unit 101.
Server input / output device 102 and server communication device 103
The database storage device 104, the inquiry knowledge base storage device 105, the server storage unit, and the inquiry knowledge base editing unit 111. The server control unit 101 is the server 1
00 is controlled. The server input / output device 102 is an interface with a server user, and uses a keyboard, a mouse, a touch panel display, or the like as an input device, and uses a display, a television, a printer, or the like as an output device. The server communication device 103 uses the communication line 13
It is for data communication via 0. The database storage device 104 stores data input by the server input / output device 102 and data regarding a patient received via the communication line 130. The inquiry knowledge base storage device 105 stores an inquiry knowledge base which is data relating to question contents for an inquiry. Server storage unit 106
Temporarily stores the information in the server. The inquiry knowledge base editing unit 111 processes the inquiry knowledge base stored in the inquiry knowledge base storage device 105, outputs it to the server input / output device 102, and makes an inquiry based on the information input to the server input / output device 102. Edit the knowledge base. The editing of the inquiry knowledge base will be described later.

The terminal 120 is installed in a patient's home or the like and used by a terminal user such as a patient. Also, terminal 1
Reference numeral 20 denotes a terminal control unit 121 and a terminal input / output device 122.
It has an inquiry processing unit 123, a terminal communication device 124, and a terminal storage unit 125. The terminal control unit 121 uses the terminal 1
20 control is performed. The terminal input / output device 122 is an interface with a terminal user, and uses a keyboard, a mouse, a touch panel display, or the like as an input device, and uses a display, a television, a printer, or the like as an output device. The inquiry processing unit 123 carries out an inquiry based on the inquiry knowledge base stored in the inquiry knowledge base storage device. The terminal communication device 124 is for performing data communication via the communication line 130. The terminal storage unit 125 temporarily stores information in the terminal.

As the communication line 130, a telephone line or a dedicated line is used. Also, for example, ISDN line and CATV
A line or the like may be used.

FIG. 2 is an explanatory diagram of the inquiry knowledge base 200 stored in the inquiry knowledge base storage device 105.
In the figure, the inquiry knowledge base 200 has data relating to question contents for inquiry, and includes a question condition DB 210, a question answer DB 230, and a condition master D.
B250 and.

The question condition DB 210 has a condition field 2
11 and a question ID field 212. The condition field 211 stores a condition for determining the patient's condition. The question ID field 212 stores a question ID uniquely determined for the question.

The question / answer DB 230 includes a question ID field 231, a question field 232, and an answer item field 233. Question ID field 231
Stores the question ID uniquely determined for the question. The question field 232 stores the content of the question presented to the terminal user. The answer item field 233 stores the answer to the question presented to the terminal user.

The condition master DB 250 is composed of conditions for judging the patient's condition such as the presence or absence of subjective symptoms and the level of blood pressure.

In the inquiry knowledge base 200, the question condition DB
210 has one question condition 221 and question answer DB 230
There are two question answers 241 and 242. In the query condition 221, “high blood pressure” is set in the condition field 211,
“Question 01” is stored in the question ID field 212. In the question answer 241, the question ID field 231
Is "Question 01", the question field 232 is "Do you take medicine?", And the answer item field 233 is "Daily".
And "forget" are stored. The query condition 221 includes
“High blood pressure” is stored in the condition field, and “question 01” is stored in the question ID field. In the question answer 242, “question 02” is stored in the question ID field 231, “is sleep insufficient?” In the question field 232, and “sufficient” or “insufficient” in the answer item field 233. The condition master DB 250 stores a condition 261 “high blood pressure” and a condition 262 “has fever”. FIG. 3 shows an inquiry knowledge base 300 which is another example of the inquiry knowledge base 200. Interview knowledge base 300
Compared with the above-mentioned inquiry knowledge base 200, question condition 3
21 is added to the question condition DB 210.

<Operation of Terminal> FIG. 4 is a flowchart showing the operation of the terminal 120. The terminal user is the terminal 120
When the power is turned on, the terminal control unit 121 initializes the terminal 120 (step 401). Next, the terminal control unit 1
21 uses the terminal communication device 123 to connect the line with the server communication device 103 (step 402).

Next, the terminal control unit 121, the inquiry processing unit 1
24, an inquiry is made using the inquiry knowledge base stored in the inquiry knowledge base storage device 105 (step 40).
3). Next, the terminal control unit 121 controls the terminal communication device 123.
Server communication device 1 connected in step 402 using
The line with 03 is disconnected (step 404). Finally,
The terminal control unit 121 turns off the power of the terminal 120 (step 405). With that, the operation of the terminal 120 ends.

FIG. 5 is a flow chart showing the operation of the above-mentioned step 403 for conducting an inquiry.

When the processing of step 403 is started, the terminal control section 121 prompts the terminal user to input vital data such as blood pressure and body temperature which the patient has previously measured with a sphygmomanometer or a thermometer. Is stored in the terminal storage unit 125 as a measurement result (step 501). next,
The terminal control unit 121 prompts the terminal user to input the subjective symptoms of the patient, and stores the input result in the terminal storage unit 125 as the subjective symptom input result (step 502).

Next, the terminal control unit 121 uses the terminal communication device 123 to transmit the information regarding the patient's condition stored in the terminal storage unit 125 to the server 100 as a signal (step 503). Since the server transmits a signal regarding the question for the inquiry in response to the signal regarding the patient's condition, the terminal control unit 121 receives this signal and stores the information regarding the question in the terminal storage unit 125 (step 5).
04).

Next, the terminal control section 121 displays the content of the question using the terminal input / output device 122 based on the received information regarding the question in order to present the question to the patient for questioning (step 505). ). In addition, the terminal control unit 12
1 prompts the patient to input an answer to the displayed question, and the terminal storage unit 125 prompts the input result as the patient's answer.
(Step 506).

Next, the terminal control unit 121 uses the terminal communication device 123 to transmit the information about the answer stored in the terminal storage unit 125 to the server 100 as a signal (step 507). Since the server transmits a signal regarding the result of the inquiry in response to the signal regarding the patient's answer, the terminal control unit 121 receives this signal and stores the information regarding the result of the inquiry in the terminal storage unit 125 (step 50).
8).

Next, in order to present the result of the inquiry to the patient, the terminal control section 121 displays the contents of the result of the inquiry using the terminal input / output device 122 based on the received information regarding the inquiry result (step). 509).

Note that the terminal control unit 121 may receive a signal regarding a question for further inquiry from the server 100 after transmitting the answer to the inquiry. In this case,
After step 507, the process loops to step 504.

<Operation of Server> FIG. 6 is a flowchart showing the operation of the server 100 during an inquiry. The server control unit 101 receives a signal regarding the patient's condition from the terminal when the terminal starts an inquiry, and thus receives the signal.
It is stored in the server storage unit 106 or the database storage device 104 as information regarding the patient's condition (step 60).
1).

Next, the server control unit 101 selects a question for the inquiry of the patient from the inquiry knowledge base stored in the inquiry knowledge base storage device based on the received signal concerning the condition of the patient (step). 602). For example,
When the normal range of the blood pressure value of the patient is set to 160 to 90 mmHg, the terminal control unit 121 is prepared for a patient with a high blood pressure value when the received blood pressure value of the patient exceeds 160 mmHg. Select the question you have. Also,
For example, when a signal indicating a subjective symptom of "headache" is received, a question prepared for a patient with a headache is selected. For details regarding selection of questions, etc.
It will be described later. Then, the server control unit 101 transmits information regarding the selected question to the terminal (step 603).

Since the terminal transmits a signal regarding the answer to the question in response to the transmitted question, the server control unit 100
Receives this signal and stores it in the server storage unit 106 or the database storage device 104 as information regarding the answer (step 604). Next, the server control unit 101
The result of the inquiry is selected based on the received information about the answer (step 605). For example, if the answer to the question “Do you take medicine?” Is “Not taking”, select the result of the inquiry “Let's take medicine properly”. Then, the server control unit 101 transmits information regarding the selected inquiry result to the terminal (step 606).

As described above, since the question to be presented changes depending on the patient's condition, the operation time can be shortened by omitting redundant questions, and the information required by the doctor can be collected.

The operation of the server includes not only the operation at the time of inquiry, but also the operation of editing the question content of the inquiry knowledge base, which will be described later.

<Server Side Display Screen> FIG. 7 is an explanatory diagram of a list screen 700 presented to the server user by the server control unit 101. In the figure, the list screen 700 has a search area 710, a search result display area 720, a vital data editing area 730, and an inquiry editing area 740.

The search area 710 is used to search for data of a predetermined patient from the patient data stored in the database storage device 104. For example, the unconfirmed (unread) condition, the period, and the like can be used as the narrow-down conditions for the search. Search result display area 72
0 displays the outline of the data regarding the patient searched in the search area 710. The vital data editing area 730 is for editing a general-purpose template such as a vital data reference value input by the terminal user who is a patient in step 501 according to each symptom. Interview editing area 740 is
This is for editing the inquiry knowledge base stored in the inquiry knowledge base storage device 105.

FIG. 8 is an explanatory diagram of a screen for editing a general-purpose template such as vital data reference values. The screen of the figure is displayed by selecting "hypertension" and pointing to "edit" in the vital data editing area 730 of FIG. The editing screen of the general-purpose template includes a reference value setting area 810, a graph scale setting area 820,
And an item setting area 830. Reference value setting area 8
In 10, for example, if numerical values are input and registered for the lower limit and upper limit of the setting item “blood pressure (upper)”, the reference value of blood pressure (upper) for a patient with hypertension is set. Then, the reference value set here is used to determine whether to delete the question condition in step 505. In the graph scale setting area 820, the range of the vertical axis of the graph of vital data described below is set. Also, the graph scale setting area 82
The scale of the graph is determined based on the numerical values of "minimum value" and "maximum value" input with 0 (for example, a value obtained by dividing the range of the minimum value to the maximum value by 10). Item setting area 83
In 0, the item of vital data which the patient should input is newly set according to the symptom. For example, for a patient with high blood pressure, in addition to the blood pressure normally entered by a patient, data on "water content" and "salt content" may be required, so the items of vital data that the patient should enter Add "water content" and "salt content" to.

As described above, the reference values and items of vital data to be entered by the patient are set according to the patient's symptoms such as "hypertension" and "diabetes".
The data required for each condition can be obtained from the patient. Further, since the reference value or item of vital data can be set for each symptom, the burden on the server user can be reduced as compared with the case where the reference value or item of vital data is set for each patient. The template for each symptom created as described above is stored in the inquiry knowledge base storage device 105 or the database storage device 104 as general-purpose data for each symptom.

FIG. 9 is an explanatory diagram of a screen 900 for editing the inquiry knowledge base. This figure is displayed by selecting "hypertension" and pointing to "edit" in the inquiry editing area 740 of FIG. Further, the editing screen of the inquiry knowledge base has a parent node 901 displayed as “inquiry” at the highest level, and has a tree structure of all nodes and links. In the inquiry knowledge base editing screen 900, the inquiry knowledge base stored in the inquiry knowledge base storage device 105 is displayed in a tree structure.

In the figure, the first-order node 910, which is a subordinate node of the parent node 901, displays a "part having a symptom" such as "head". Further, the “main symptom” such as “headache” is displayed on the second-order node 911 which is a subordinate node of the first-order node. In addition, a question such as "Are you taking a drug to lower blood pressure?" Is displayed on the third node 912, which is a lower node of the second node 911. In addition, an answer such as “taken every day” is displayed on the fourth node 913, which is a lower node of the third node 912. Further, a comment such as “please come to the hospital” is displayed on the fifth node 914, which is a lower node of the fourth node 913. In the figure, the first node 910 displays only the "head", but the node display mark 940
By clicking, you can hide the subordinate nodes of the "head" and accurately understand the structure of the inquiry knowledge base even in a limited screen space. Also, by clicking another node display mark, the display and non-display of the lower node can be switched.

Further, in the figure, if a node is designated and editing is instructed, it is possible to add / delete / change the contents of the question and the contents of the answer. Also, when editing the contents of a question or the like, the importance of the question or the like can be decided in stages. By determining the importance of a question or the like, it is possible to determine the display priority when displaying the content of a question or the content of an answer.

As described above, since the inquiry knowledge base is displayed in a tree structure and the question and the like can be edited by operating the nodes, the inquiry knowledge base can be updated easily and easily. Further, since the question contents and the answer contents can be edited for each symptom, it is possible to ask a necessary question and obtain a necessary answer for each symptom. In addition, since general-purpose question contents and answer contents can be edited for each symptom, the burden on the server user can be reduced compared to editing question contents and answer contents for each patient. it can. Note that the question contents for each symptom created as described above are stored in the inquiry knowledge base storage device 105 as general-purpose data for each symptom.

FIG. 10 is an explanatory diagram of a screen 1000 that displays information regarding each patient. Patient information display screen 100
0 is a screen displayed by designating the patient displayed in the search result display area 720 of FIG. The patient information display screen 1000 includes a basic information area 1010,
A graph area 1020, an inquiry history area 1030,
It has a medical history area 1040 and a medication area 1050. The basic information area 1010 is for displaying basic information such as the name of the patient. Graph area 1020
Is for displaying a graph of patient vital data. The graph displayed in the graph area 1020 displays the measurement result stored in the database storage device 104. The horizontal axis of the graph is "2
It can be switched by a specified period such as “weekly” or “one month”. The vertical axis of the graph is based on the scale set in the graph scale setting area 820.
However, the vertical axis for the "weight" graph is set so that the latest data is in the middle of the vertical axis so that the history is easy to understand. In the graph, recent data is at the right end so that the history is easy to understand, and graphs relating to a plurality of items are superimposed and displayed so that the correlation with each item is easy to understand. In addition, a line of a graph having an abnormal value exceeding the reference value is displayed thicker than lines of other graphs. The inquiry history area 1030 is for displaying a history of answers to the inquiry. In the inquiry history area 1030, the history of answers is displayed in a tabular format so that the history can be easily understood, and the latest answer item is displayed above in consideration of the importance of the item. The medical history area 1040 is for displaying information regarding the medical history of the patient. In the figure, the medical history area 104
In 0, the latest disease name of the patient, the onset date of the disease, and the cure date if healed are displayed. The medication area 1050 is for displaying information regarding the medication administered to the patient. In the figure, the medication area 105
In 0, the drug name, the prescription date, and the period taken by the patient are displayed.

FIG. 11 is an explanatory diagram of a screen for editing a template such as vital data reference values for each patient. The screen of FIG. 10 is the patient information display screen 1000 of FIG.
In the graph area 1020 of “No.”, it is displayed by pointing to “Edit” of the graph area. On the screen in Figure 8 above,
A general-purpose template was set according to the symptom.
On the screen of, the template for each patient is set. That is, in FIG. 8, for example, when the upper limit and the lower limit of the reference value are set, the set values are generally used.
Then, for example, even if the upper and lower limits of the reference value are set, the upper and lower limits of the reference values of other patients are not changed. The screen of FIG. 11 is different from the screen of FIG.
They differ in having 10. Replacement area 1110
Is for instructing to replace the setting contents of the template for each patient with a general-purpose template. In the replacement area 1110, when a symptom close to the patient's symptom (“high blood pressure” in the figure) is selected from a plurality of symptoms and replacement is instructed, the setting content of the template for each patient is replaced with the setting content of the general-purpose template. Then, the server user can further edit the setting contents of the template, if necessary. As a result, when the server user sets the template for each patient,
Since it is not necessary to input the setting contents from the beginning, it becomes easy to set the template for each patient. The template for each patient created as described above is stored in the inquiry knowledge base storage device 105 or the database storage device 104 as data for each patient.

FIG. 12 is an explanatory diagram of a screen 1200 for editing the inquiry knowledge base for each patient. This figure shows an interview history area 10 of the patient information display screen 1000 of FIG.
At 30, an inquiry edit is indicated and displayed. In the screen of FIG. 9 described above, a general-purpose inquiry knowledge base corresponding to the symptom was edited, but in the screen of FIG. 12, the inquiry knowledge database for each patient is edited. That is, for example, when the question content is edited in FIG. 9, the edited question content is generally used, but in FIG. 12, for example, even if the question content is edited, the question content of another patient is edited. is not. The screen of FIG. 12 differs from the screen of FIG. 9 in having a replacement area 1210. Replacement area 12
Reference numeral 10 is for instructing to replace the inquiry content for each patient with general-purpose inquiry content. Replacement area 1
In 210, when a symptom close to the symptom of the patient (“hypertension” in the figure) is selected from a plurality of symptoms and replacement is instructed, the inquiry content for each patient is replaced with general-purpose inquiry content.
Then, the server user can further edit the inquiry contents, if necessary. This eliminates the need for the server user to input the inquiry contents from the beginning when setting the inquiry contents for each patient, and thus the inquiry contents for each patient can be set easily.

FIG. 13 is an explanatory diagram of a screen for displaying details of subjective symptoms of the patient on a predetermined day. The same figure is shown in FIG.
In the 0 inquiry history area, it is displayed if the date displayed in the inquiry history is designated.

FIG. 14 is an explanatory diagram of a screen 1400 for editing the medical history of the patient. This figure is displayed by instructing addition in the medical history area of the patient information display screen 1000 of FIG. On the medical history edit screen 1400, the illness of the patient can be added / deleted / changed. On the medical history editing screen 1400, the disease name, onset date, and treatment status are input. The healing date cannot be entered during treatment, and the healing date can be entered during treatment. If an instruction to add input contents is given, a medical history detailed screen 1420 is displayed. The medical history detailed screen 1420 is displayed even if an edit instruction is given in the medical history area of the patient information display screen 1000 of FIG. On the medical history details screen 1420,
Those for which no healing date has been entered are displayed preferentially (top), those for which a healing date has been entered are displayed with newer healing dates, and those with the same healing date have newer onset dates. Display things on top. In addition, when the history of illness displayed on the detailed medical history screen is selected, the medical history edit screen 14
40 is displayed, and the contents of the selected history can be changed.

FIG. 15 is an explanatory diagram of a screen 1500 for editing the history of patient medication. This figure is displayed if the addition is instructed in the medication area 1050 of FIG. On the medication history edit screen 1500, the medication administered to the patient can be added, deleted, or changed. On the medication history edit screen 1500, the medicine name, prescription date, and dosing period are input. If an instruction to add input contents is given, a medication history details screen 1420 is displayed. In addition, the medication history detailed screen 15
20 is also displayed in the medication area of the patient information display screen 1000 of FIG. 10 even if editing is instructed. The details screen 1520 of the medication history is displayed based on the date when the dose period is added to the prescription day. Further, the medication history edit screen 1540 is displayed, and the content of the selected history can be changed. The content of the question created for each patient as described above is stored in the inquiry knowledge base storage device 105 as data for each patient.

<Terminal Display Screen> FIG. 16 shows a basic information screen 16 presented by the terminal control unit 121 to a new terminal user.
It is explanatory drawing of 00. According to the basic information screen 1600, the patient who is the terminal user has information (not shown) such as date of birth, sex, blood type, etc., as well as illness currently being treated, past illness, family illness, drinking and smoking. Enter basic information such as whether or not. When the patient inputs a required item and instructs registration, the information is stored in the database storage device 104 of the server 100 via the communication line 130. Server 100
Upon receiving the basic information from the new patient, issues a password and membership number (patient ID) to the new patient and stores the contents in the database storage device 104. The patient can log in to the system by entering the issued password and membership number.

FIG. 17 is an explanatory diagram of a menu screen presented to the terminal user by the terminal control section 121 when the terminal user logs in. The patient who is the terminal user transmits his or her intention to the terminal control unit 121 by clicking the button displayed on the menu screen.

FIG. 18 is an explanatory diagram of a vital data input screen for the terminal user to input vital data such as blood pressure in step 501. The screen shown in the figure is displayed when the terminal user gives an instruction of "input vital data" in the menu screen shown in FIG. In the vital data input screen, if the personal template of the terminal user has been edited (see FIG. 11), information regarding the personal template is transmitted from the server side, so basic items (in FIG. 8, blood pressure, pulse, In addition to the input of body temperature / BMI), input of additional items (water content and salt content in FIG. 11) set in the template of the terminal user is requested. If the template of the terminal user has not been edited, the input of the additional items set in the general-purpose template (see FIG. 8) corresponding to the symptoms of the chronic illness such as hypertension of the terminal user is requested together with the input of the basic items. To do. If neither the terminal user's template nor the general-purpose template is used, the basic item input is requested. In the vital data input screen, the "reference value" and "graph scale setting" displayed in FIGS. 8 and 11 are not displayed. When the data input on the vital data input screen is registered, the input data is stored in the terminal storage unit 12 of the terminal 120.
5 and is transmitted to the server side.

FIG. 19 is an explanatory diagram of a site selection screen for a patient who is a terminal user to select a site with symptoms. The screen shown in the figure is displayed when the terminal user gives an instruction to “start inquiry” on the menu screen shown in FIG. The site selection screen displays a front view and a rear view. Then, a line is drawn from a predetermined part of the whole body diagram, and a check box is provided together with the name of the part to be selected. By checking the check box, the terminal user can specify and select the site having the symptom. The selection of the site is not limited to the selection by the check box, and the site may be selected by pointing the site such as the head of the whole body with a pointer. In addition, if the terminal user has previously selected a symptomatic site on the site selection screen, when displaying the site selection screen, check the check box at the same location as the site previously selected in advance. You can leave a check. The display contents of the symptomatic region in the figure correspond to the contents of the first node when the inquiry knowledge base stored in the inquiry knowledge base storage device 105 is displayed in a tree structure (see FIG. 9).

FIG. 20 is an explanatory diagram of the main symptom selection screen for the patient who is the terminal user to select the main symptom. The main symptom selection screen displays the symptom in the site according to the site selected in the site selection screen. A check box is provided next to each symptom display. The terminal user can specify and select the main symptom by checking the check box.
The display of the main symptom in the figure corresponds to the content of the second node when the inquiry knowledge base stored in the inquiry knowledge base storage device 105 is displayed in a tree structure (see FIG. 9).

21 to 23 are explanatory views of screens for conducting an inquiry to a patient who is a terminal user. Figure 21
The display content for the inquiry in (1) corresponds to the content of the third node when the inquiry knowledge base stored in the inquiry knowledge base storage device 105 is displayed in a tree structure (see FIG. 9). Similarly, the display contents of FIGS. 22 to 24 are questions and answers selected along the tree structure.

The screens shown in FIGS. 19 to 23 are displayed when the contents of the personal inquiry of the terminal user are edited (see FIG. 12).
It is displayed along the tree structure of the edited individual inquiry contents. In addition, if the personal inquiry content of the terminal user is not edited, general inquiry content according to the symptom (see FIG. 9)
Are displayed according to the tree structure of. The tree structure displayed when the inquiry content is edited on the server side is not displayed on the screen presented to the terminal user.

Since the initial examination is different from the follow-up observation of a chronically ill patient, the contents of the question to the patient are generally different. Therefore, when the patient who is the terminal user makes the initial examination, it is desirable that the screen presented to the terminal user is the screen for the initial examination.

FIG. 24 is an explanatory diagram of the subjective symptom inquiry screen for the initial examination. The screen shown in the figure is displayed when the terminal user gives an instruction for "first visit" in the menu screen shown in FIG. However, the subjective symptom inquiry screen for the first visit may be displayed when the terminal user is determined to be the first visit. The determination as to whether the terminal user is the first visit can be made by comparing the data stored in the database storage device 104 with the membership number that the terminal user inputs at the time of login. On the above-mentioned inquiry screen, the content of the inquiry set for each patient or each symptom was displayed, but in the case of the first visit, there is no information about the patient's condition, so
On the subjective symptom inquiry screen for the initial diagnosis, detailed contents of the symptom are displayed, and many options for the patient to convey his / her symptom are displayed. Therefore, more detailed information can be obtained by checking the symptoms applicable to the patient on the subjective symptom inquiry screen for the initial examination. However, when the number of options showing the symptoms increases, detailed information about the symptoms of the patient can be obtained, but when the patient selects his / her own symptoms from among the options, the selection may be difficult if there are many options. Therefore, the subjective symptom inquiry screen for the initial diagnosis may display only the important symptom rather than comprehensively displaying the detailed symptom.

FIG. 25 is an explanatory diagram of the sub-symptom inquiry screen for the initial examination. When the options displayed on the screen of FIG. 25 are limited to those of important symptoms, the options expressing the patient's symptoms may not be displayed. Therefore, more detailed symptoms should be displayed on the sub-symptom inquiry screen of FIG. 26. I am trying. The sub-symptom inquiry screen for the first examination may be displayed when the check box is not checked on the subjective symptom inquiry screen for the first examination and is registered. By displaying the detailed symptoms in two stages in this manner, it is possible to obtain detailed data of the patient who is the terminal user while reducing the selection burden on the terminal user.

FIG. 26 is an explanatory diagram of the symptom confirmation screen of the first medical examination. On the symptom confirmation screen of the initial examination, a list of the contents answered on the subjective symptom inquiry screen for initial examination of FIG. 25 or the sub-symptom inquiry screen for initial examination of FIG. 25 is displayed. By listing the symptoms of the first-visit patients, it becomes easy to confirm the symptoms selected from the detailed options.

It should be noted that the screen for the first visit is shown to the patient for the first visit (see FIG. 2).
4), it is possible to obtain detailed data of the first-visit patient by answering with "Fig. 25", and based on this data, start an inquiry (see Figs. 21 to 23) according to the patient's symptoms. Is also good. Further, even if the patient is the first visit, when the symptom of the patient can be known based on the data input to the basic information screen (FIG. 16), it is not necessary to display the subjective symptom inquiry screen for the first visit.

FIG. 27 is an explanatory diagram of a graph display screen for displaying the history of patient vital data in the form of a graph.
The screen shown in the figure is displayed when the terminal user gives an instruction to "check history" on the menu screen shown in FIG. The displayed graph is displayed based on the measurement result stored in the database storage device 104 or the measurement result stored in the terminal storage unit. The horizontal axis of the graph can be switched according to a designated period such as "2 weeks" or "1 month". The vertical axis of the graph is based on the scale set in the graph scale setting area 820 (see FIGS. 8 and 11). However, the vertical axis for the "weight" graph is set so that the latest data is in the middle of the vertical axis so that the history is easy to understand. In the graph, recent data is at the right end so that the history is easy to understand, and graphs relating to a plurality of items are superimposed and displayed so that the correlation with each item is easy to understand.

FIG. 28 is an explanatory diagram of the inquiry history display screen for displaying the history of the inquiry. The screen shown in the figure is displayed when the terminal user gives an instruction to "check history" on the menu screen shown in FIG. Alternatively, the graph display screen of FIG. 27 may be switched and displayed. On the inquiry history display screen, the history of answers is displayed in a table format so that the history of the inquiry can be easily understood, and the latest answer item is displayed above in consideration of the importance of the item. Further, if the degree of importance is set stepwise in the content of the question and the content of the answer, the display priority may be decided according to the degree of importance.

FIG. 29 is an explanatory diagram of a screen for displaying details of subjective symptoms of a patient on a predetermined day. The same figure is shown in FIG.
On the inquiry history display screen of No. 8, the date displayed in the inquiry history is indicated.

[0067]

According to the inquiry method of the present invention, it is possible to provide an inquiry method capable of easily asking a patient an appropriate question.

[Brief description of drawings]

FIG. 1 is a configuration diagram of a remote inquiry system according to an embodiment of the present invention.

FIG. 2 is an explanatory diagram showing a configuration example of an inquiry knowledge base.

FIG. 3 is an explanatory diagram showing another configuration example of an inquiry knowledge base.

FIG. 4 is a flowchart showing the operation of the terminal.

FIG. 5 is a flowchart showing the operation of an inquiry step.

FIG. 6 is a flowchart showing the operation of the server of the remote inquiry system.

FIG. 7 is an explanatory diagram of a list screen presented to the server user.

FIG. 8 is an explanatory diagram of a template edit screen for each symptom.

FIG. 9 is an explanatory diagram of an edit screen of inquiry contents for each symptom.

FIG. 10 is an explanatory diagram of a screen that displays patient information.

FIG. 11 is an explanatory diagram of a template edit screen for each patient.

FIG. 12 is an explanatory diagram of an editing screen of inquiry contents for each patient.

FIG. 13 is an explanatory diagram of a screen displaying details of subjective symptoms of a patient.

FIG. 14 is an explanatory diagram of a medical history edit screen of a patient.

FIG. 15 is an explanatory diagram of an editing screen of a medication history of a patient.

FIG. 16 is an explanatory diagram of a basic information screen presented to a new terminal user.

FIG. 17 is an explanatory diagram of a menu screen.

FIG. 18 is an explanatory diagram of a vital data input screen.

FIG. 19 is an explanatory diagram of a site selection screen.

FIG. 20 is an explanatory diagram of a main symptom selection screen.

FIG. 21 is a diagram showing an example of a screen for conducting an inquiry.

FIG. 22 is a diagram showing an example of a screen for conducting an inquiry.

FIG. 23 is a diagram showing an example of a screen for conducting an inquiry.

FIG. 24 is an explanatory diagram of a subjective symptom inquiry screen for an initial examination.

FIG. 25 is an explanatory diagram of a sub-symptom inquiry screen for initial diagnosis.

FIG. 26 is an explanatory diagram of a symptom confirmation screen of the first medical examination.

FIG. 27 is an explanatory diagram of a graph display screen.

FIG. 28 is an explanatory diagram of an inquiry history display screen.

FIG. 29 is an explanatory diagram of a screen that displays details of subjective symptoms of a patient.

[Explanation of symbols]

100 servers 101 server control unit 102 server input / output device 103 server communication device 104 database storage device 105 Interview Knowledge Base Storage 106 server storage unit 111 Interview Knowledge Base Editor 120 terminals 121 Terminal control unit 122 terminal input / output device 123 Interview processing department 124 terminal communication device 125 terminal storage unit 126 terminal interaction device 130 communication line One example of a 200-question knowledge base 300 Another example of a medical inquiry knowledge base 700 list screen 800 General-purpose template edit screen 900 Interview knowledge base edit screen 1000 Patient information display screen 1100 Template edit screen for each patient 1200 Edit interview screen for each patient 1300 Subjective symptom detail display screen 1400 Medical history edit screen 1500 medication history edit screen 1600 Basic information screen 1700 menu screen 1800 vital data input screen 1900 part selection screen 2000 Main symptom selection screen 2100 interview screen 2200 Interview screen 2300 interview screen 2400 Subject's symptom interview screen for the first visit 2500 Secondary Symptom Interview Screen for First Examination 2600 First visit symptom confirmation screen 2700 graph display screen 2800 Interview history display screen 2900 Subjective symptom detail display screen

   ─────────────────────────────────────────────────── ─── Continued front page    (72) Inventor Hitoshi Matsuo             1-280, Higashi Koigakubo, Kokubunji, Tokyo             Ceremony Hitachi Central Research Laboratory

Claims (6)

[Claims] 1. An inquiry method for inquiring a patient via a communication line, comprising the steps of receiving a signal concerning the condition of the patient transmitted from a terminal on the patient side, and based on the signal concerning the condition of the patient, From the data stored in the storage device, selecting a question for inquiry of the patient, transmitting information regarding the selected question to the terminal, and the patient's answer to the question from the terminal The data stored in the storage device includes a first data having a general-purpose question and a second data having a question for each patient. The second data has a step of inputting a signal for selecting one patient from a plurality of patients, a step of displaying a question content of the first data on a screen, and a step of displaying the first data of the first data. Edit question content An inquiry method using a communication line, which is data created by a step of displaying a screen and a step of storing the one patient and the edited question in association with each other. 2. The inquiry method according to claim 1, wherein a step of setting an input item on the terminal side, a step of transmitting a signal regarding the set item to the terminal on the patient side, and a terminal on the patient side Receiving a signal relating to the condition of the patient regarding the item edited from the above, the inquiry method using a communication line. 3. An inquiry method for inquiring a patient via a communication line, comprising the steps of receiving a signal relating to the condition of the patient transmitted from a terminal on the patient side, and based on the signal relating to the condition of the patient, From the data stored in the storage device, selecting a question for inquiry of the patient, transmitting information regarding the selected question to the terminal, and the patient's answer to the question from the terminal The step of receiving and the step of recording information about the answer, the step of selecting a question for the patient's inquiry, determining the symptom of the patient based on the received signal regarding the condition of the patient. And a step of selecting a question for an inquiry of the patient based on the symptom of the patient, an inquiry method using a communication line. 4. The inquiry method according to claim 3, wherein the data stored in the storage device includes a step of inputting the symptom, a step of displaying a screen for editing the question content, and the symptom. And data for each symptom created by associating and storing the edited question. 5. An inquiry method for inquiring a patient via a communication line, comprising the step of receiving a patient-related signal transmitted from a patient-side terminal, and storing in a storage device based on the patient-related signal. Selecting a question for inquiring about the patient from the stored data, transmitting information regarding the selected question to the terminal, and receiving the patient's answer to the question from the terminal. , A step of recording information about the answer, and the data stored in the storage device includes first data having a general-purpose question and second data having a question for initial diagnosis. Selecting the question for the patient's inquiry, determining whether the patient is the first visit based on the received signal regarding the patient, and if the patient is not the first visit, selecting the question from the first data And the patient If but a first visit, interview method utilizing a communication line, characterized by selecting a question from the second data for the first visit. 6. The communication method according to claim 5, wherein the questions included in the second data for the initial examination have more choices than the questions included in the first data. Interview method using.