JP2009061236A - Small terminal with functions of reading and inputting multi-data on personal medical information, of data management, analysis, and display, and of entertainment, game, and communication to facilitate self-management for health, having strong bio-feedback effect on life-style related disease, which allows unified management of measured personal data at first when developing medical information database at medical institute, or local/national government - Google Patents

Small terminal with functions of reading and inputting multi-data on personal medical information, of data management, analysis, and display, and of entertainment, game, and communication to facilitate self-management for health, having strong bio-feedback effect on life-style related disease, which allows unified management of measured personal data at first when developing medical information database at medical institute, or local/national government Download PDF

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JP2009061236A
JP2009061236A JP2007262704A JP2007262704A JP2009061236A JP 2009061236 A JP2009061236 A JP 2009061236A JP 2007262704 A JP2007262704 A JP 2007262704A JP 2007262704 A JP2007262704 A JP 2007262704A JP 2009061236 A JP2009061236 A JP 2009061236A
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data
measuring device
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Arimasa Nishida
有正 西田
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<P>PROBLEM TO BE SOLVED: To solve such a problem that a continuous and appropriate display, management, and keeping of measured personal data is so difficult that developing medical database could be difficult though it is essential to keep personal motivation, to grasp a plurality of data transitions such as a blood sugar level, blood pressure or the like, and to improve a personal self-management ability so as to overcome a life-style related disease. <P>SOLUTION: A terminal such as a game apparatus or the like as a handy tool is equipped with functions of reading and inputting multi-data on medical information, and of data management, analysis, and display, which a user to obtain/manage data with an instinctive operation and to check the data at real time so as to improve the self-management ability with a strong bio-feedback effect. The terminal is also equipped with a communication function, which allows the user to exchange information with friends sharing a problem, to be advised by a doctor of a medical institute, and to transfer data to the medical institute, or local/national government as a database. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

医療情報のデータ通信・管理方法。バイオフィードバック効果による生活習慣病の予防・改善技術。健康自己管理の質向上のためのエンターテインメント・ゲーム機能。  Data communication and management method for medical information. Technology for preventing and improving lifestyle-related diseases through biofeedback effects. Entertainment game function to improve the quality of health self-management.

生活習慣病に関する血糖値や血圧などのデータは、本来家庭でこまめに測定して記録・管理することが望ましいが、多くの場合医療機関でのみ測定されており、その測定頻度も低く、周期にもばらつきがある。  It is desirable that data related to lifestyle-related diseases such as blood glucose level and blood pressure should be measured and recorded and managed frequently at home. There are also variations.

現在のところ、体重、体脂肪、血圧、血糖などいくつかのデータを測定できる特殊装置とコンピュータの組み合わせて健康管理を行うシステムは存在するが、あまり知られていない。さらにこのシステムの問題点は、測定装置が特殊であるため、測定したいデータが変われば新しい測定装置を購入せねばならず、データ管理についても別の方法を用意しなくてはならないことであり、なにより測定データを見るにもパソコンを起動せねばならず、煩雑である。  At present, there is a system for performing health management by combining a special device capable of measuring some data such as body weight, body fat, blood pressure, blood sugar and a computer, but not well known. The problem with this system is that the measurement device is special, so if the data you want to measure changes, you must purchase a new measurement device, and you must prepare another method for data management. Above all, to see the measurement data, it is necessary to start a personal computer, which is complicated.

医療機関の電子カルテ化にともなって、個人の医療情報をデータベース化する動きがあるが、データの採取方法や採取データの管理方法など、一元化すべき問題が山積している。  Along with the digitalization of medical records by medical institutions, there is a movement to create a database of personal medical information, but there are many problems that should be unified, such as data collection methods and collection data management methods.

生活習慣病には、生活習慣の自己管理によって改善できるものが多いにも関わらず、適切な自己管理を継続することは誰にでもできるというものではない。多くの人は、漠然と悪いと知っていながらも現行の生活習慣を改めることができず、メタボリックシンドロームなどのさらなる悪循環から逃れることができない、という状況にいる。  Although many lifestyle-related diseases can be improved by self-management of lifestyle habits, not everyone can continue appropriate self-management. Many people are in a situation where they know they are vaguely bad, but cannot change their current lifestyle and cannot escape from further vicious circles such as metabolic syndrome.

生活習慣病の撃退に最も必要なのは、患者の健康自己管理に関するモチベーションを巻き込むことである。そのためにはまず、データ採取・管理の煩雑さがなく、さらにデータを採取することが楽しいと思えるようなシステムが必要である。さらに同じ悩みをもつ仲間を端末を通して見つけることができ、疎外感を感じることなく、仲間とともに自己管理能力に磨きをかけられるようなシステムが必要である。  What is most necessary to fight off lifestyle-related diseases is to involve motivation for patient health self-management. To that end, there is a need for a system that eliminates the complexity of data collection and management, and that makes it even more enjoyable to collect data. Furthermore, there is a need for a system that can find peers with the same trouble through the terminal and can hone their self-management skills together with their peers without feeling alienated.

多くの臨床医が抱える悩みとして、糖尿病などの慢性疾患の退院後のコントロールがあげられる。たとえば入院時には定期的な、そして頻回の測定によって把握できていた血糖値なども、退院後にはデータが量的にも信頼性という意味でも不足しており、果たしてきちんとコントロールされているのか疑わしい、という状況に甘んじることになる。  One of the problems that many clinicians have is control after discharge of chronic diseases such as diabetes. For example, blood glucose levels that could be grasped by regular and frequent measurements at the time of hospitalization are lacking in terms of quantitative and reliability after discharge, and it is doubtful that they are being controlled properly. I will be disappointed with the situation.

生活習慣病は近い将来、国家の医療経済を著しく圧迫すると予測されており、平成20年度からは厚生労働・経済産業・総務の3省の働きかけで、個人の健康情報をデータベース化し、医療機関での履歴や家庭での血圧測定結果などをデータベースに保存・閲覧できるモデル事業が開始される。しかしながらこの事業には、まず個人が医療機関に出向き血圧などを測定する、あるいは家庭で血圧などを測定しもれなくしっかりと記録してそのデータを保管する、という前提が必要である。さらにデータベースとして意味を持つためには多様なデータ収集が肝要であり、この事業が個人の生活習慣病予防、ひいては医療経済の改善に即効性を持つためには、個人が様々なデータの自己収集と管理を容易に行え、さらに医療機関や自治体、国家機関にとっても、データベースの入り口部分、つまりデータの採取時に、誰がデータを採取しても、同じようにそのデータが処理・保管されるようなシステムが必須である。  Life-style related diseases are expected to severely squeeze the national medical economy in the near future, and since fiscal 2008, personal health information has been made into a database by the efforts of the three ministries of welfare labor, economic industry and general affairs. A model business that can save and view the history and blood pressure measurement results at home in a database is started. However, this business requires the premise that an individual goes to a medical institution to measure blood pressure, etc., or to record blood pressure securely at home and store the data. Furthermore, in order to be meaningful as a database, it is essential to collect a variety of data. In order for this project to have an immediate effect on the prevention of individual lifestyle-related diseases and, in turn, the improvement of the medical economy, individuals must collect various data on their own. Management is easy, and for medical institutions, local governments, and national institutions, the entry part of the database, that is, when data is collected, no matter who collects the data, the data is processed and stored in the same way. A system is essential.

生活習慣の自己管理のためには、個人の医療情報の読み込み・入力機能を持ち、それらのデータの一括管理・解析・表示できる端末の開発が必須である。さらに、健康の総合管理のためには、血糖値、血圧、中性脂肪、コレステロールなどの生活習慣病に必須の項目だけではなく、測定対象が多くなることは否めない。そこで、測定対象によってソフトウェアを入れ替えれば、端末がどのような測定対象にも対応し、すべてのデータに関して一元的に保存・管理がなされる必要がある。  For self-management of lifestyle habits, it is indispensable to develop a terminal that has a function to read and input personal medical information and can manage, analyze and display such data collectively. Furthermore, for comprehensive health management, not only items essential for lifestyle-related diseases such as blood glucose level, blood pressure, neutral fat, and cholesterol, but also the number of measurement objects cannot be denied. Therefore, if the software is replaced depending on the measurement target, the terminal needs to be compatible with any measurement target, and all data needs to be centrally stored and managed.

個人が健康データの収集・管理を容易に楽しく、しかも継続的に行えるように、端末は誰にとっても非常に身近で、医療機器であることを感じさせないような端末である必要がある。電源を入れれば即座にデータ採取、あるいはデータ履歴を確認することができ、直感的に操作して自己管理能力の成長具合を見てとれる、強力なバイオフィードバック効果を持った端末である必要がある。さらにデータ収集・管理を長続きさせるために、データの向上によってキャラクターが成長・変化するなど、エンターテインメント・ゲーム性を持った端末である必要がある。  In order for individuals to collect and manage health data easily and happily and continuously, the terminal needs to be a terminal that is very familiar to everyone and does not feel like a medical device. It is necessary to be a terminal with a powerful biofeedback effect that can immediately collect data or check the data history when the power is turned on, and can intuitively see the growth of self-management ability. . Furthermore, in order to continue data collection and management, it is necessary for the terminal to have entertainment and game characteristics, such as characters growing and changing as data improves.

個人で収集・管理されている医療データを、医療機関、自治体あるいは国家機関へと送信できる通信機能を持った端末が必要である。さらにその通信機能を使って、端末を通して、医療機関の担当医師とつながったり、同じ悩みを抱える仲間を探したるすることができ、データやメールなど相互のやり取りが可能な端末が必要である。  A terminal having a communication function capable of transmitting medical data collected and managed by an individual to a medical institution, a local government, or a national institution is required. Furthermore, it is necessary to use the communication function to connect with the doctor in charge of the medical institution through the terminal, or to search for a fellow who has the same trouble, and a terminal that can exchange data and e-mails is required.

個人が楽しく継続的に、自身の健康管理のための医療データを採取・管理でき、そのデータを視覚的・直感的に確認することで強力なバイオフィードバック作用が起こり、自己管理能力を進歩させ、健康を維持することができる。端末を通して、医療機関の担当医師からアドバイスを受けることができる。端末を通して同じ悩みを持つ仲間を見つけることができ、互いに励ましあうことができる。万が一なんらかの疾患に罹患した場合でも、その疾患に関して家庭で採取できるようなデータがあれば、ソフトウェアを変更して同様のデータ採取・管理を行えば、会得した自己管理能力によってその疾患を克服することができる。  Individuals can happily and continuously collect and manage medical data for their own health management, and by checking the data visually and intuitively, a powerful biofeedback action occurs, improving self-management ability, Can maintain health. You can get advice from the doctor in charge at the medical institution through the terminal. Through the terminal, you can find friends with the same troubles and encourage each other. Even if you have some kind of disease, if there is data that can be collected at home about the disease, if you change the software and perform similar data collection and management, you can overcome that disease with the self-management ability you have acquired. be able to.

個人が採取したデータは端末に読み込まれる、あるいは端末に入力された段階で、医療機関レベル、自治体レベル、あるいは国家レベルのデータベースとして利用できる形に管理されて送信され、医療機関の担当医師は慢性疾患のコントロールを評価しやすく、またデータベースを作るうえでは非常に効率がよく、また非常に信頼性の高いデータベースをつくることができる。  Data collected by an individual is read into the terminal or input to the terminal, and is managed and transmitted in a form that can be used as a database at the medical institution level, local government level, or national level. It is easy to evaluate disease control, and it is very efficient in creating a database, and a very reliable database can be created.

個人の自己管理能力が向上することで、医療費は削減され、信頼のおける医療データベースによって今後の医療に関する展望が見える。  Improving personal self-management capabilities reduces medical costs, and a reliable medical database provides a view of future medical care.

ある糖尿病を患う中年女性が端末を持っており、端末を通してI型糖尿病を患う少年と知り合っているとする。I型糖尿病は遺伝的にインシュリンを欠くか、インシュリンの量が少ないために著しい高血糖となる病気で、若年発症し、一生に渡って血糖値測定とインシュリン治療を行わなければならない。日本の患者数は1万人くらいである。
端末は、本発明の機能を満たすものならばその可能性は様々に考えられるが、本命最初では誰にとっても身近な存在であり、エンターテインメント・ゲーム性の高い、小型ゲーム機とする。
Suppose a middle-aged woman with diabetes has a terminal and is acquainted with a boy with type I diabetes through the terminal. Type I diabetes is a disease that genetically lacks insulin or is markedly hyperglycemic due to a small amount of insulin. It develops at a young age, and blood glucose level measurement and insulin treatment must be performed throughout life. There are about 10,000 patients in Japan.
There are various possibilities for the terminal as long as it satisfies the functions of the present invention, but it is a small game machine that is familiar to everyone at the very beginning and is highly entertaining and gaming.

以下、本発明がどのように効率的に働くかを、図1を使って説明する。  Hereinafter, how the present invention works efficiently will be described with reference to FIG.

中年女性が2aを用いて血糖測定する。データは1aに転送されて読み込まれ、以前のデータと合わさってグラフとなり表示される。測定値が満足いくものであれば、グラフ画面に表示されるキャラクター(設定により自分を表す中年女性のキャラクターでもいいし、自分好みの動物でもよい)がスリムになったり、笑顔になったりする。逆に不満足なものであれば、キャラクターが太ったり、不機嫌になったりするが、この場合は別のキャラクターが登場して励ましたりもする。  A middle-aged woman measures blood glucose using 2a. The data is transferred to 1a and read, and is combined with the previous data and displayed as a graph. If the measured value is satisfactory, the character displayed on the graph screen (a middle-aged female character representing yourself or an animal of your choice depending on the settings) may become slim or smile. . On the other hand, if you are unsatisfied, your character may become fat or grumpy, but in this case, another character will appear and encourage you.

1aを操作してデータの転送を行うと、5を介して6と7にデータが送信され、医療機関と自治体あるいは国家機関のコンピュータに、データベースとして蓄積される。このデータに関して、医療機関の担当医師からコメントを受けることができる。担当医師の顔写真を端末のカメラで取り込むこともできる。  When data is transferred by operating 1a, data is transmitted to 6 and 7 through 5, and is stored as a database in computers of medical institutions and local governments or national institutions. Comments on this data can be received from doctors in charge of medical institutions. The doctor's face photo can also be captured with the terminal camera.

1aを操作してI型糖尿病の少年と連絡をとると、1aに少年の様子が写真で、あるいは少年の設定したキャラクターで表示される。1bには中年女性の様子が、写真あるいはキャラクターで表示される。相互に許可しあえばその日の状態が公開されるので、調子が悪ければ少年を励ますこともできるし、また思わぬタイミングで励ましをもらうこともできる。同じ病気で苦しむ人のコミュニティにも、ゲーム機を使ってアクセスできる。  When 1a is operated to contact a boy with type 1 diabetes, the state of the boy is displayed as a photograph or a character set by the boy in 1a. In 1b, the state of a middle-aged woman is displayed as a photograph or a character. If you allow each other, the state of the day will be public, so if you are not feeling well, you can encourage the boy, or you can get encouragement at an unexpected time. You can also access the community of people suffering from the same illness using a game console.

中年女性が血圧を測定する場合には、ソフトウェアを変更し、3aで血圧を測定し、データが1aに転送される。血糖値と同様、グラフ表示されてその日の状態を以前と比較してリアルタイムに知ることができる。データベースに転送され、医師のアドバイスを受けることができる。また端末を携帯し忘れて、知人の血圧計で測定したときなどには、その数値を1aに入力してデータとすることができる。  When a middle-aged woman measures blood pressure, the software is changed, the blood pressure is measured at 3a, and the data is transferred to 1a. Like the blood glucose level, it is displayed in a graph, and the state of the day can be known in real time compared to the previous time. It is transferred to the database and can receive advice from a doctor. Also, when the user forgets to carry the terminal and measures with an acquaintance's sphygmomanometer, the numerical value can be input to 1a to obtain data.

本発明であるゲーム機を中心とする、データ読み込み・管理・表示の様子と、バイオフィードバック効果、医師・仲間との通信効果、一括データ管理の流れ。Flow of data reading / management / display, biofeedback effect, communication effect with doctors / companies, and collective data management centering on the game machine of the present invention.

符号の説明Explanation of symbols

1a 糖尿病を患う中年女性の端末
1b I型糖尿病を患う少年の端末
2a 糖尿病を患う中年女性の血糖測定器
2b I型糖尿病を患う少年の血糖測定器
3 糖尿病を患う中年女性の血圧計
4a 糖尿病を患う中年女性のコンピュータ
4b I型糖尿病を患う少年のコンピュータ
5 公共通信網
6 医療機関のコンピュータ
7 自治体あるいは国家機関のコンピュータ
1a Terminal of a middle-aged woman suffering from diabetes 1b Terminal of a boy suffering from type I diabetes 2a Blood glucose meter of a middle-aged woman suffering from diabetes 2b Blood glucose meter of a boy suffering from type I diabetes 3 Blood pressure meter of a middle-aged woman suffering from diabetes 4a Computers for middle-aged women with diabetes 4b Computers for boys with type I diabetes 5 Public communication network 6 Computers for medical institutions 7 Computers for local governments or national institutions

Claims (4)

個人の様々な医療情報を測定・撮影する種々の装置からデータを読み込む、あるいはデータを入力することができ、それらのデータを管理・解析・表示することによって、バイオフィードバック効果により測定者の身体自己管理の質向上を促し、さらに通信機能によって医療機関や地方自治体・国家機関、あるいは同一データ測定者とのデータあるいはその付随情報を相互にやりとりできる、小型端末。  Data can be read from various devices that measure and shoot various medical information of individuals, or data can be input. A small terminal that promotes the improvement of management quality and can exchange data with medical institutions, local governments / national institutions, or the same data measurer, or the accompanying information, through communication functions. 請求項1に記載の端末で、必要によってはソフトウェアを変更することによって種々の医療情報測定装置に対応し、
身長計、体重計、体温計、体脂肪計、体組成計、血圧計、心拍数測定装置、心電図測定装置、脳波測定装置、歩数計、
赤血球数測定装置、ヘモグロビン測定装置、ヘマトクリット測定装置、MCV・MCH・MCHC測定装置、白血球数測定装置、血小板数測定装置、CRP測定装置、HBs抗原測定装置、HCV抗体測定装置、
血糖測定装置、血中ケトン体測定装置、HbA1c測定装置、フルクトサミン測定装置、総コレステロール測定装置、中性脂肪測定装置、アルブミン測定装置、総タンパク測定装置、AST測定装置、ALT測定装置、ガンマGTP測定装置、ALP測定装置、LDH測定装置、ZTT・TTT測定装置、総ビリルビン測定装置、コリンエステラーゼ測定装置、LAP測定装置、BUN測定装置、クレアチニン測定装置、尿酸測定装置、血清アミラーゼ測定装置、各種腫瘍マーカー測定装置、
尿タンパク測定装置、尿糖測定装置、尿潜血測定装置、尿沈査測定装置、尿比重測定装置、尿ウロビリノーゲン測定装置、便潜血測定装置、
pH測定装置、
婦人体温計、尿中hCG測定装置、
筋力測定装置、筋肉の静止電位測定装置、
スパイロメーター、電子ピークフローメーター、パルスオキシメーター、
呼気一酸化炭素測定装置、血中ニコチン測定装置、
エコー装置、CCDカメラ、
口臭測定装置、
などのデータを読み込む、あるいはそのデータを入力することができる、小型端末。
The terminal according to claim 1, corresponding to various medical information measuring devices by changing software as necessary,
Height meter, weight scale, thermometer, body fat meter, body composition meter, blood pressure monitor, heart rate measuring device, electrocardiogram measuring device, electroencephalogram measuring device, pedometer,
Erythrocyte count measurement device, hemoglobin measurement device, hematocrit measurement device, MCV / MCH / MCHC measurement device, leukocyte count measurement device, platelet count measurement device, CRP measurement device, HBs antigen measurement device, HCV antibody measurement device,
Blood glucose measurement device, blood ketone body measurement device, HbA1c measurement device, fructosamine measurement device, total cholesterol measurement device, neutral fat measurement device, albumin measurement device, total protein measurement device, AST measurement device, ALT measurement device, gamma GTP measurement Device, ALP measuring device, LDH measuring device, ZTT / TTT measuring device, total bilirubin measuring device, cholinesterase measuring device, LAP measuring device, BUN measuring device, creatinine measuring device, uric acid measuring device, serum amylase measuring device, various tumor marker measuring devices apparatus,
Urine protein measuring device, urine sugar measuring device, urine occult blood measuring device, urine sediment measuring device, urine specific gravity measuring device, urine urobilinogen measuring device, fecal occult blood measuring device,
pH measuring device,
Ladies thermometer, urine hCG measuring device,
Muscle strength measuring device, muscle static potential measuring device,
Spirometer, electronic peak flow meter, pulse oximeter,
Breath carbon monoxide measuring device, blood nicotine measuring device,
Echo device, CCD camera,
Bad breath measuring device,
A small terminal that can read or input such data.
請求項1、請求項2に記載の端末で、データやグラフなどの表示画面、操作のための十字キーや選択ボタンあるいはキーボードなどの装置を持つ、小型ゲーム機、小型音楽プレーヤー、PDA、携帯電話、などの小型端末で、
暗証番号や指紋認証などによって個人を識別し、
読み込まれたあるいは入力されたデータを内部クロックによって時間識別し、
カメラを内蔵しており画像データをとりこむことができ、
データの経時変化をグラフ化して表示でき、さらにグラフは時間単位、日単位、週単位など好みの設定で表示でき、
データの微小な差を増幅して表示でき、
測定し忘れを防ぐアラーム機能などを有し、
測定し忘れた場合にも前後のデータの推移から予測・補正してグラフ表示することができ、数値の向上によって成長・変化するキャラクター表示機能、画面やキャラクターのカスタマイズ機能、日記機能、などを併せ持つ、小型端末。
3. A small game machine, a small music player, a PDA, a mobile phone having a display screen for data and graphs, a cross key for operation, a selection button, or a keyboard, etc., in the terminal according to claim 1 or 2 , Etc.
Identify individuals by PIN or fingerprint authentication,
Read or input data is time identified by the internal clock,
It has a built-in camera and can capture image data.
Data changes over time can be displayed as a graph, and the graph can be displayed with your preferred settings such as hourly, daily, weekly,
Amplify and display minute differences in data,
Has an alarm function to prevent forgetting to measure,
Even if you forget to measure, you can predict and correct from the transition of the data before and after, and display it as a graph. It also has a character display function that grows and changes with improved numerical values, a screen and character customization function, a diary function, etc. Small terminal.
請求項1、請求項2、請求項3に記載の端末で、
同様の数値測定を行う者あるいはデータ管理を行う医療機関や国家機関などとの通信が可能で、データあるいはその付随情報を相互に送受信できる機能を持ち、
さらに至近距離であれば同種小型端末どうしでデータのやりとりが可能であり、
USB接続、IEEE接続、Bluetooth接続、Wifi接続、赤外線接続などの接続方式、あるいはその他の、端末とコンピュータ、端末どうしを接続することのできる、端末。
The terminal according to claim 1, claim 2, or claim 3,
It is possible to communicate with a person who performs the same numerical measurement or a medical institution or national institution that manages data, and has a function to mutually transmit and receive data or its accompanying information,
In close range, data can be exchanged between small terminals of the same type,
USB, IEEE connection, Bluetooth connection, WiFi connection, infrared connection, or other connection methods, or other terminals that can connect a terminal to a computer or between terminals.
JP2007262704A 2007-09-07 2007-09-07 Small terminal with functions of reading and inputting multi-data on personal medical information, of data management, analysis, and display, and of entertainment, game, and communication to facilitate self-management for health, having strong bio-feedback effect on life-style related disease, which allows unified management of measured personal data at first when developing medical information database at medical institute, or local/national government Pending JP2009061236A (en)

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