JP2008000315A - Health testing system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a health testing system displaying reliable candidates of cases. <P>SOLUTION: This health testing system is provided with a means sequentially displaying an inquiry screen based on an inquiry program recorded in a recording medium, a means inputting at least a single reply from a plurality of symptom levels displayed on respective inquiry screens, a means associating conversion values according to the symptom levels in the replay with the cases cited on the displayed inquiry screen, and a means selecting and displaying a case cited as the candidate from the respective cases associated with the conversion values. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a medical examination system.

  As an aspect of the health checkup system, the patient's own physical symptoms are heard, applied to the medical diagnostic system, enumerated the diseases assumed from the symptoms, and the medical subjects are indicated as necessary It is known that the interview simulation has been realized.

  For example, Patent Document 1 below discloses a technique that employs a technique that enumerates many possible diseases by combining as many symptoms as possible.

  That is, the inquiry screen is sequentially developed, the corresponding inquiry answer is selected from the screen, the symptom code corresponding to each inquiry answer is stored, and the stored symptom code is compared with the previously stored disease name determination data. Thus, the estimated disease name can be determined.

According to the inquiry simulation configured as described above, it is possible to obtain an approximate idea about the disease of the patient, and thereby early detection and early treatment of the disease can be performed.
JP 2002-169885 A

  However, in the medical examination system shown in the above-mentioned patent document 1, it has been pointed out that the judgment factor (questioning content etc.) is not sufficiently narrowed down in the judgment of the disease name estimated thereby.

  For example, even if similar results are obtained in multiple medical checkups, because the factors are different in each medical checkup, there is a view that the reliability of the diagnosis based on the results is not sufficiently reliable It is.

  An object of the present invention is to provide a medical checkup system that can display more reliable case candidates.

  Another object of the present invention is to provide a medical examination system capable of displaying secular changes in test results and preventive measures for the test results.

   Of the inventions disclosed in this application, the outline of typical ones will be briefly described as follows.

(1) The medical examination system according to the present invention includes, for example, means for sequentially displaying an inquiry screen based on an inquiry program recorded on a recording medium;
Means for inputting at least one answer from a plurality of symptom levels displayed on each interview screen;
Means for associating a converted value according to the symptom degree in the answer to the case given on the displayed inquiry screen;
And means for selecting a case cited as a candidate from each case associated with the converted value and displaying it.

(2) The medical examination system according to the present invention is premised on the configuration of (1), for example, and the cases listed as candidates are ranked and displayed in descending order of their conversion values.

(3) The medical examination system according to the present invention is based on, for example, the configuration of (1), and at least the cases of other examinees having cases similar to the above-mentioned cases listed as candidates, A display means is provided.

  In addition, this invention is not limited to the above structure, A various change is possible in the range which does not deviate from the technical idea of this invention.

  According to the medical examination system described above, more reliable case candidates can be displayed. In addition, it is possible to display the secular change of the test result and the preventive measure against the test result.

  Embodiments of a medical examination system according to the present invention will be described below with reference to the drawings.

  FIG. 1 is a schematic configuration diagram showing an embodiment of a medical examination system according to the present invention.

  In FIG. 1, the medical examination system includes a medical examination system server 1, a medical examination client 2, a printer 3, a card reader 4, an OCR 5, a modality 6, a clinical examination system 7, a physiological examination system 8, a specimen examination system 9, and a medical image. The management system 10, the radiation information management system 11, and the like are each connected to a network 12, and are configured to be able to transmit and receive medical examination information and the like via the network 12.

  Here, for example, the medical examination system server 1 stores the medical examination data and controls the medical examination client 2 and the like. The medical examination client 2 is configured to refer to the medical examination result or perform registration work. The modality 6 includes, for example, an X-ray diagnostic apparatus, an X-ray CT apparatus, a magnetic resonance imaging apparatus, a nuclear medicine apparatus, or an ultrasonic apparatus. The medical image management system 10 captures and stores medical images acquired by the modality 6 and the like. The printer 3 prints the created medical record, the item of the symptom selected in the inquiry, the explanation of the disease, the medical institution information taken from the outside, and the like.

  FIG. 2 is a flowchart showing an embodiment of a procedure for performing a medical examination using the medical examination system.

  In FIG. 2, the basic flow is to fill out an inquiry form in step S1. For example, an inquiry screen is sequentially displayed on a display device based on an inquiry program recorded on the recording medium of the medical examination client 2, and at least one of a plurality of symptom levels displayed on each inquiry screen is used. Enter the answer. Next, based on the contents of the questionnaire entry, a medical checkup is started in step S2, and is ended in step S3. And based on the content of the said medical examination, a test result is displayed on a display apparatus in step S4. Further, based on the examination result displayed on the display device, the doctor interviews the examinee in step S5 and gives advice.

  In such a basic flow, first, in the questionnaire slip entry in step S1, the interview data is converted in step S2-1. Is reflected in the medical examination in step S2. In addition, the aspect of the inquiry data conversion in the step S2-1 will be described later. In this case, the operator can set the conversion value in the inquiry data conversion in step S2-1.

  Also, at the start of diagnosis in step S2, inspection data is converted in step S3-1, and the inspection data thus converted is reflected in the inspection result display in step S4. It has become. The inspection data conversion mode in step S3-1 will be described later. In this case, the operator can set the conversion value in the inspection data conversion in step S3-1.

  Further, the test data conversion is performed in step S3-1, whereby an appropriate collection of cases is displayed in step S4-1, and a similar examinee inquiry is performed in step S4-2. . These case collection display and similar referee inquiry are reflected in the interview in step 5. In this case, in the case collection display in step S4-1 and the similar examinee inquiry in step S4-2, the operator can set display of those data.

  FIG. 3 is a diagram showing an aspect in which the inquiry data conversion is performed in step S2-1. In FIG. 3 (a), an interview example 1 is shown. For example, “None”, “Not much”, “I don't know”, “Somewhat”, “Somewhat” Each selection branch is given, and conversion values of, for example, 0, 0.20, 0.50, 0.80, and 1.00 are assigned in order. In the case of FIG. 3A, for example, “somewhat” is selected, so that the converted value corresponds to 0.80. FIG. 3 (b) shows that cases (case 1, case A,..., Case X) related to the inquiry example 1 are given in advance, and a conversion value of 0.80 is assigned to these cases. As a result, the inquiry data is converted.

  FIG. 4 is a diagram showing another aspect in which the inquiry data conversion is performed in step S2-1. Interrogation example 2 is shown in FIG. 4 (a), and selection options of “None”, “Not much”, “I don't know”, “Somewhat” and “Somewhat” are given to the question. . In the case of FIG. 4A, for example, “not so much” is selected, so that the converted value corresponds to 0.20. FIG. 4 (b) shows that cases (case 1, case B,..., Case Y) related to the inquiry example 2 are given in advance, and a conversion value of 0.20 is assigned to these cases. As a result, the inquiry data is converted.

  In this case, since the case 1 is related in both the interview example 1 and the interview example 2, the converted value 0 of the case 1 in the interview example 2 is 0 with respect to the converted value 0.80 of the case 1 in the interview example 1. .20 is added, resulting in a converted value for case 1 of 1.00.

  FIG. 5 is a diagram showing another aspect in which the inquiry data conversion is performed in step S2-1. In FIG. 5 (a), an inquiry example 3 is shown, and “No” and “Yes” are selected for the inquiry, and conversion values of 0 and 1.00 are assigned in order, respectively. ing. In the case of FIG. 5A, since “Yes” is selected, the converted value corresponds to 1.00. FIG. 5B shows that cases (case F, case G,..., Case Z) related to the interview example 3 are given in advance, and conversion values 1.00 are assigned to these cases. As a result, the inquiry data is converted.

  FIG. 6 is a diagram showing another aspect in which the inquiry data conversion is performed in step S2-1. An inquiry example 4 is shown in FIG. In this case, unlike the above-described inquiry example, a method of checking an item corresponding to an inquiry “Please select an appropriate item” is adopted. Examples of the items include “I can't sleep at night”, “Easily stiff shoulders”, “Easily tired eyes”, etc., etc., and these are sequentially questioned examples 4-1, 4-2, 4-3. , ... are associated. In the case of FIG. 6 (a), “I cannot sleep at night” is checked as the interview example 4-1, and in FIG. 6 (b), cases (case L, case M,...) Related to the interview example 4-1. Case N) is given in advance and indicates that, for example, a conversion value of 0.50 is assigned in these cases, whereby the inquiry data is converted. In addition, as the interview example 4-2, “easy to stiff shoulder” is not checked, and in FIG. 6B, cases (case L, case T) related to the interview example 4-2 are given in advance, In these symptoms, for example, a conversion value of 0.00 is assigned, so that the inquiry data is converted.

  FIG. 7 is a diagram showing another aspect in which the inquiry data conversion is performed in step S2-1. In FIG. 7 (a), an example 5 of an interview is shown. For example, in response to an inquiry "How much do you drink?" The number of interviews is up to that number. In the case of 0, 1 to 3, 4 to 7, 7 or more, for example, 0.00, 0.25, 0.50, 0.75, and 1.00 are sequentially allocated, respectively. It is like that. In FIG. 7 (b), cases (case H, case I,..., Case R) related to the inquiry example 5 are given in advance, and in these symptoms, for example, conversion values 0.75, 1.0,. , 0.25 is allocated.

  FIG. 8A is a diagram illustrating an aspect in which inspection data conversion is performed in step S3-1 illustrated in FIG. FIG. 8A shows, for example, test result data in a chest X-ray examination, and related cases (case 1, case A,..., Case n) associated with the chest X-ray examination are listed. In addition, the upper limit of the reference value and the lower limit of the reference value for each case are shown. In each case, if the value of the test result is between each of the upper limit of the reference value and the lower limit of the reference value of the case, it is considered to be normal. For example, in the embodiment shown in FIG. The value 140 exceeds the value. In this case, for example, a ratio (20/120) exceeding the range of the reference value, that is, 0.167 is assigned as a conversion value. In this case, with respect to the cases (case 1, case A,..., Case n), conversion values have already been assigned in the above-described interview (the interview shown in FIG. 3), and the conversion values of these cases are given. The conversion value 0.167 allocated in FIG. 8B is added to 0.80 of (the conversion value data shown in FIG. 3B is shown again in FIG. 8B). As a result, for example, the conversion value of case 1 is 0.967.

  In the above-described embodiment, since the inspection result exceeds the upper limit of the reference value, the conversion value is positive (0.167). However, the converted value is negative when the inspection result is around the lower limit of the reference value.

  FIG. 9 is an explanatory diagram showing a case in which the cases are further narrowed down from the cases listed as candidates in the medical examination system, and explanations, causes, countermeasures, and the like regarding the selected cases are displayed on the display device. .

  FIG. 9A is a diagram showing that each case is associated with a converted value of each case. FIG. 9B is a diagram in which the respective cases are rearranged sequentially from the one with the larger converted value. The figure is shown. In other words, this means a case with a high conversion value and a high possibility (high doubt) for the examinee. FIG. 9 (c) selects some cases ranked upward in FIG. 9 (b), displays them on the display device, and provides a detailed explanation of those cases, for example, and general cases leading to the cases. This indicates that the cause, countermeasures (including preventive measures) for the case, etc. are displayed. This operation is in step S4-1 in FIG. In this case, as shown in FIG. 9B, each case selected in FIG. 9C is set so that, for example, the operator can input the value of the threshold value X through the console. A case having a larger conversion value may be used.

  As a result, possible cases are narrowed down. For example, a doctor can select an appropriate case, and can give accurate advice to the examinee.

  FIG. 10 is an explanatory diagram showing a case in which cases of other medical examinees having cases similar to the cases listed as candidates and a secular change of those cases are displayed in the medical examination system.

  FIG. 10 (a) shows, for example, a table in which each case of a person who has undergone a medical examination is ranked in descending order of the conversion value. Further, among these cases, for example, three cases (case 21, 21) from the top are displayed. This shows that case 15 and case 77) are selected as candidates. In this case, the selection of each case is not limited to the above number, and may be one or all cases may be selected. The table shown in FIG. 10 (b) is the same as that shown in FIG. 9 (b), for example.

  FIG. 10 (b) shows the case 21, case 15, and case 77 ranked from the top when the cases ranked in the order of case 21, case 15, and case 77 are selected. It shows that the data 20A, 20B, 20C of other examinees (diagnose A, examinee B, examinee C) having each ranked case are displayed in a switched manner, for example.

  The data 20A, 20B, and 20C of each of the examinee A, the examinee B, and the examinee C all indicate, for example, the secular change of each symptom of each case (case 21, case 15, case 77) in the examinee. It is represented by a graph. This operation is in step S4-2 in FIG.

  FIG. 10 (c) shows a table 21A showing the converted values of each case (case 21, case 15, case 77) of the examinee A together with the data 20A of the examinee A, for example. For example, Table 21B showing conversion values of each case (case 21, case 15, case 77) of the examinee B together with the data 20B, and each case of the examinee C together with, for example, the data 20C of the examinee C It shows that the table 21C indicating the respective conversion values of (Case 21, Case 15, Case 77) is displayed.

  In this case, it goes without saying that the converted values of each case in each recipient are different, but it is easy to compare with each case of the person who has undergone the examination at this time. Diagnosis of the person who performed can be performed accurately.

  Although not shown in FIG. 10, the contents of each preventive measure for the examinee A, the examinee B, and the examinee C may be displayed together. This is because each case ranked in the upper rank is the same as the ranking, so that their preventive measures can be sufficiently referred to.

  FIG. 11 is a flowchart showing another embodiment of a procedure for performing a medical examination using the medical examination system. In FIG. 11, steps SS1 to SS6 show the operation procedure of the medical examination client 2, and steps SC1 to SC4 show the operation procedure of the medical examiner.

  First, in step SC1, a medical examiner inputs inquiry data. The input of this data is taken in by an inquiry using a mark sheet or OCR. The medical examination client 2 is configured to convert the inquiry data in step SS1. This inquiry data conversion is performed in the same manner as the inquiry data conversion shown in FIG.

  In step SC2, inspection data is input. The input of this data may be input from a testing device, input from a storage medium, or manual input of the examiner himself. The medical examination client 2 is configured to perform examination data conversion in step SS2. This inspection data conversion is performed in the same manner as the inspection data conversion shown in FIG.

  In step SS3, the medical examination client 2 adds (totals) the conversion value obtained by the inquiry data conversion and the conversion value obtained by the examination data conversion for the same case. Next, in step SS4, the medical examination client 2 extracts each case of the medical examiner, arranges the cases in the descending order of the converted values, and other medical examiners (similar examinees) whose arrangement order is substantially equal. Search for. In step SS5, the medical examination client 2 displays each retrieved case in a ranking format. In this case, according to the reference data display setting, a collection of cases is displayed in step SC3 and a similar examinee inquiry is made. The medical examiner will be interviewed with a doctor in step SC4 with reference to these displays.

  The display of the search result of the case in step SS5 is calculated by the inquiry data conversion (step SS1) through the conversion correction value learning in step SS6 and through the inquiry data conversion setting and the examination data conversion setting, respectively. The return value calculated in the conversion value and inspection data conversion (step SS2) is corrected.

  FIG. 12 is an explanatory diagram showing an aspect of display on the display device in steps SS5 and SC3 of FIG.

  In FIG. 12, the screen of the display device shows the results (result A, result B, etc.) of several tests (test A, test B, test C,...) Already performed in the display area 21. Result C, ...) is displayed. Further, in the display area 22, data on the secular change of each of the searched several similar examinees is displayed by, for example, a line graph. These similar examinees are searched as persons having almost the same cases as the cases corresponding to the target medical examiner, and information on the similar examinees is displayed in the display area 23. ing. In the display area 24, for example, an X-ray image of a medical examiner is displayed. This is because an X-ray image that has become a document of the inspection result is easy to grasp the situation by visual observation and is a sufficient reference for diagnosis. In addition, not only an X-ray image but an ultrasonic tomogram etc. may be sufficient. In the display area 25, the cases of the medical examiner are displayed in a list, and the explanation, cause, countermeasure, and the like of the cases are displayed.

  FIG. 13 is an explanatory diagram showing another aspect of display on the display device. FIG. 13 shows a case where a case of a medical examiner is displayed, with one case out of several cases suspected and a description, a cause, and a countermeasure being displayed in the display area 26. . In this case, a large area for displaying the explanation, cause, and countermeasure of the case can be secured, and a lot of information can be displayed. In the display area 27, several cases (case 21, case 15,...) Suspected for the medical examiner are ranked and displayed, and the cases displayed in the display area 26 are displayed in this display area. 27 is selected from a plurality of cases displayed in 27. Furthermore, in the display area 28, a case can be specified by character selection, and thereby, a more detailed description of the specified case is switched and displayed in the display area 26, for example.

  Each of the embodiments described above may be used alone or in combination. This is because the effects of the respective embodiments can be achieved independently or synergistically.

It is a schematic block diagram which shows one Example of the medical examination system by this invention. It is a flowchart which shows one Example of the procedure of the procedure which performs a medical examination using the medical examination system by this invention. It is a figure which shows the one aspect | mode in which inquiry data conversion is made | formed in the medical examination system by this invention. It is a figure which shows the other aspect by which inquiry data conversion is made | formed in the medical examination system by this invention. It is a figure which shows the other aspect by which inquiry data conversion is made | formed in the medical examination system by this invention. It is a figure which shows the other aspect by which inquiry data conversion is made | formed in the medical examination system by this invention. It is a figure which shows the other aspect by which inquiry data conversion is made | formed in the medical examination system by this invention. It is a figure which shows the one aspect | mode by which test | inspection data conversion is made | formed in the medical examination system by this invention. It is a figure which shows the description regarding the candidate case displayed in the medical examination system by this invention, a cause, and a countermeasure. It is a figure which shows the data of the other medical examinees who have the same case displayed in the medical examination system by this invention. It is a flowchart which shows the other Example of the procedure of the procedure which performs a medical examination using the medical examination system by this invention. It is the figure which showed the one aspect | mode of the display in the display apparatus of the medical examination system by this invention. It is the figure which showed the other aspect of the display in the display apparatus of the medical examination system by this invention.

Explanation of symbols

1 ... medical examination system server, 2 ... medical examination client, 3 ... printer, 4 ... card reader, 5 ... OCR, 6 ... modality, 7 ... clinical examination system, 8 ... physiological examination system, 9: specimen inspection system, 10: medical image management system, 11: radiation information management system.

Claims (3)

Means for sequentially displaying an inquiry screen based on an inquiry program recorded on a recording medium;
Means for inputting at least one answer from a plurality of symptom levels displayed on each interview screen;
Means for associating a converted value according to the symptom degree in the answer to the case given on the displayed inquiry screen;
A medical examination system comprising: means for selecting a case cited as a candidate from each case associated with the converted value and displaying the selected case.   The medical examination system according to claim 1, wherein the cases listed as candidates are ranked and displayed in descending order of conversion values.   The medical examination system according to claim 1, further comprising means for displaying at least the cases of other examinees who have cases similar to the cases listed as candidates and the secular changes of those cases.

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