JP2011115390A - Automatic inquiry apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To acquire accurate patient information necessary for treatment within limited time by acquiring the patient information clearly. <P>SOLUTION: In an automatic inquiry apparatus, which includes main memory means for storing inquiry items, inquiry output means for outputting inquiry contents on a display screen, inquiry input means having a video camera and a microphone for acquiring patient information, patient information storing means, communication means for transmitting the patient information to a medical worker terminal, and control means, acquires patient information including a patient image taken while the patient is answering the inquiry items for every automatic inquiry, stores the patient information for every patient in the patient information storing means, displays the stored patient information acquired at different times on the medical worker terminal of a medical institution connected by a predetermined line, and allows a medical worker to compare and examine the plurality pieces of patient information acquired at different times with respect to the same inquiry item, the patient information to answer includes such pieces of information that the patient has selected or answered with respect to the inquiry items by means of a symptom scale set in advance and stored in the main memory means. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to an automatic inquiry apparatus that automatically acquires predetermined inquiry items from a patient and transmits the acquired patient information to a medical staff's terminal.

  2. Description of the Related Art In recent years, an automatic interrogation apparatus has been frequently used that automatically advances an inquiry by responding to a question displayed on a screen by a predetermined means with respect to basic information of a patient required for medical treatment. Such an automatic inquiry device can automatically reflect patient information obtained through an inquiry on an electronic medical record or display it on a medical staff terminal installed in an examination room or the like.

  As a result, it is possible to acquire the interview items that have been directly listened to by medical personnel such as doctors, nurses, and pharmacists with an automatic interrogation device using the patient's waiting time, and check the results at the time of the examination. Therefore, the labor of the medical staff is saved and the medical treatment time is shortened, thereby contributing to shortening the waiting time of the patient.

  Therefore, it is possible for healthcare professionals to obtain detailed patient information for the same patient at different times, and to compare and examine the same interview items to obtain accurate patient information required for medical treatment. An automatic interrogation apparatus that enables effective medical treatment within a limited time as possible has been proposed by the present applicant (Japanese Patent Laid-Open No. 2005-52343).

  This automatic interrogation device not only can automatically acquire predetermined patient information by the patient answering the interrogation items stored in the main storage means in advance, but also the facial expression and facial color of the patient for each interrogation, as well as the tone and Because it is possible to obtain information that can infer the patient's psychological state such as loudness, it is easy for medical professionals to recognize slight changes in the condition of each patient's automatic interview and the latest information on the same items It is easy to recognize changes in patient information by directly comparing the past and the past, especially by comparing the situation when the patient answers multiple times for the same question, with the conventional automatic questioning device It would be easier to detect false or inaccurate answers that could not be made, and it would be easier for healthcare professionals to obtain accurate patient information by re-interrogating from a different angle during the actual examination. It has the cormorants excellent advantage.

JP 2005-52343 A

  The present invention aims to improve the automatic interrogation device presented in the above publication, to obtain clear patient information, and to acquire more accurate patient information required for medical care within a limited time. The challenge is to enable effective medical care.

  The present invention, which has been made to solve the above-mentioned problems, includes a main storage means for storing an inquiry item, an inquiry output means for outputting the inquiry content having a display screen, a video camera, and a microphone. Interrogation input means for acquiring patient information, patient information storage means for storing the patient information, communication means for transmitting the patient information to a medical staff terminal, and control means for controlling the means, Patient information including a patient image when answering the inquiry items output by the display screen is acquired for each automatic inquiry, and this is recorded and stored in the patient information storage means for each patient, and the different stored By displaying the patient information of the period on the medical staff terminal of the medical institution connected by a predetermined line, the medical staff is able to display a plurality of the patients at different times for the same question. In the automatic interrogation apparatus that enables comparison and examination of information, the patient information to be answered includes information that is selected and answered by a patient according to a symptom scale that is predetermined for an inquiry item and stored in the main storage means. Features.

  When a patient reports a symptom during an interview to the patient, the patient should answer his / her symptoms in his / her own words and sentences as before by using the symptom scale stored in the main memory. Instead, it is only necessary to select and answer using a symptom scale on the screen, and it is possible to make a quick and accurate diagnosis.

  Further, in the present invention, when the scale is formed by a figure or a numerical value, the patient can more clearly grasp the symptom immediately and answer it.

  According to the present invention, a medical staff can acquire detailed patient information at different times for the same patient and display the detailed patient information so that the same inquiry item can be compared and examined more deeply. Therefore, it becomes easier for health care workers to recognize minute psychological and pathological changes of patients, and it is possible to easily obtain accurate patient information required for medical treatment, enabling more effective medical treatment within a limited time. In particular, patients can answer their symptoms appropriately and quickly.

The front view which shows embodiment of this invention. The block diagram of the automatic inquiry apparatus of FIG. An example of a symptom scale stored in advance in the main memory. The chart which shows operation | movement of the automatic inquiry apparatus of FIG. The display example of the display of the automatic inquiry apparatus of FIG. The example of a different display of the display of the automatic inquiry apparatus of FIG. The chart which shows operation | movement of the automatic inquiry apparatus of FIG. The example of a display of the display of a medical worker terminal. The example of a different display of the display of a medical worker terminal. The front view which shows different embodiment of this invention.

  Next, embodiments of the present invention will be described with reference to the drawings.

  FIG. 1 shows a preferred embodiment in which the present invention is of a type installed in a reception or waiting room of a medical institution and is a stationary type equipped with a card reader 5 for reading a medical card (medical ticket). An automatic inquiry device 1 is shown.

  The automatic inquiry apparatus 1 has a display 2 on the front, and a video camera 3a, a microphone 3d, a speaker 4, and a thermography camera 3b are arranged around the display 2. An insertion port for the card reader 5 and an automatic sphygmomanometer 3c are arranged on a base 11 provided below the display 2.

  The display 2 sequentially displays instructions for the patient such as inquiry items, and also serves as a touch panel type input device so that patient information can be input by touching the patient with a finger. The speaker 4 is configured to generate an automatic voice as necessary for instructions / interview contents displayed on the display 2 and recognize the patient's hearing through the patient's auditory sense.

  For example, as shown in FIG. 3, the display 2 has an upper half as an inquiry display unit and a lower half as an input device unit having a touch panel 20 so that a patient can input predetermined items only by touching with a finger. The touch panel 20 can be easily operated by being divided into a number / symbol input unit 21 and an option input unit 22.

  The microphone 3d is configured to listen to the patient and convert it into a digital signal and record it in the storage means when the verbal answer is given to the patient by an instruction from the automatic inquiry device 1, or to transmit it to the control means described later. It constitutes an inquiry input means together with the display 2. In addition, it is good also as a structure which arrange | positions a predetermined keyboard in the base 11 etc. instead of the input device part of the touch panel 20 in the display 2. FIG.

  A thermography camera 3b arranged near the periphery of the display 2 senses and measures infrared rays emitted from the patient's face to measure the patient's body temperature and heat distribution. The automatic sphygmomanometer 3c disposed on the upper surface of the base 11 can automatically measure blood pressure and heart rate by simply inserting the arm of the patient, and constitutes a vital sign measuring means together with the thermographic camera 3b. To do.

  FIG. 2 is a block diagram of the automatic inquiry device 1. The display 2, microphone 3 d, video camera 3 a, thermography camera 3 b, automatic sphygmomanometer 3 c, speaker 4, and card reader 5 are all connected to the control device 7. The control device 7 constitutes control means for controlling these means. Further, the control device 7 is connected to an HDD 6a storing an inquiry program as main storage means and an HDD 6b storing patient information as patient information storage means.

  In particular, in the present embodiment, in the inquiry program, the main storage means HDD6a stores an inquiry item to be answered by the patient in accordance with a symptom scale in addition to an ordinary sentence.

  FIG. 3 shows an example of a symptom scale used for the above-mentioned interview items. FIG. 3 (a) shows a human body scale used for selecting a medical examination site, and FIG. 3 (b) shows a pain level of the medical examination site. 3 (c) is a body condition scale for selecting in which case there is pain, FIG. 3 (d) is a dosing scale for selecting a medication state, etc. FIG. 3 (e) is a numerical scale showing the degree of pain as a numerical value in a specific range, and FIG. 3 (f) is a color scale showing a symptom in a specific color. Note that these symptom scales are merely examples, and the present invention is not limited to these. For example, other symptom levels such as the degree of anxiety and the degree of suffering are appropriately optimized in accordance with the contents of each inquiry and answer.

  Next, an operation example when the automatic inquiry device 1 is installed in a waiting room such as a hospital, a clinic, or a pharmacy will be described in detail with reference to the flowchart of FIG. It is assumed that the patient has received a magnetic reading type medical card in which his / her identification information is recorded in advance, and the patient's identification information is read by inserting the card into the card reader 5. . And the identification information is memorize | stored in the patient information memory | storage means 6b, An automatic inquiry is started so that it can memorize | store while this identification information and patient information are linked | related. In addition, in addition to the characters on the screen of the display 2, the inquiry is performed using both automatic voices by the speaker 4.

  First, the automatic inquiry device 1 asks whether it is a first visit or revisit (A1), and the patient inputs using the touch panel 20, and if it is the first visit, proceed to A2 to A8. Proceed to B1 to B8. In the case of the first visit, a question for obtaining basic patient information is output (A2). Basic information includes, for example, height, weight, age, habits of drinking and smoking, etc., and information on the type and form of drugs that are currently or have been taken in the past, side effects and allergies to drugs, etc. However, this can be appropriately set by the department.

  After the patient inputs basic information using the touch panel 20 (A3), an inquiry about symptoms is performed (A4). For the symptom inquiry, for example, as shown in FIG. 5, the “head”, “chest”, “abdomen” of the figure of the human body displayed on the screen for the question “Which part of the body do you want to receive?” , “Hand”, “foot”, and the like are appropriately selected from symptom scale choices made up of prepared human body scales and touched to input (A5).

  Then, as shown in FIG. 6, the symptom scale options including the sensation scale prepared on the screen such as “I have fever” or “I have a headache” are appropriately selected and touched to input ( A5). Furthermore, in the present embodiment, when a symptom is input, a symptom scale including a face scale such as pain is displayed on the screen as shown in FIG. 7, and the degree is selected and input (A5).

  And, for example, when responding “has fever”, the body temperature is automatically measured and memorized by the thermographic camera 3b attached to the automatic inquiry device 1, and when it is answered “head hurts”, the body temperature is In addition to the measurement, an instruction “Measure blood pressure / pulse rate” is output, the blood pressure and pulse rate are measured by the automatic sphygmomanometer 3c, and the result is stored in the patient information storage device 6b.

  Next, the patient information acquired up to this stage is compared with the database stored in the main storage device 6a by the control device 7 to select an inquiry item corresponding to the symptom (A6), and a more detailed inquiry is performed (A7). ). For example, "Please explain in terms of how painful you are", ask for an answer, and select a slightly more detailed interview item, such as "Does your chest hurt when you climb the stairs?" (A7) The patient answers this with words if necessary on the screen, and the image and sound of the situation are obtained by the video camera 3a and the microphone 3d (A8) and recorded in the patient information recording means 6b. To finish.

  On the other hand, in the case of reexamination, since basic patient information is already stored, the control device 7 calls it and selects an inquiry item corresponding to the patient (B1). In this case, since the change in the pathological condition is important, for example, "Did the cough subside?" Or "Did the chest pain relieve?" (B2) Then, the patient inputs using the touch panel 20 (B3), but measures vital signs using a thermographic camera 3b or a sphygmomanometer 3c as vital sign measuring means as necessary, as described above, and stores patient information. Record in 6b.

  In addition, an inquiry item corresponding to the symptom is selected from the acquired patient information (B4), and a more detailed inquiry is performed (B5). And about this inquiry matter, a patient is made to answer verbally, and the image and sound are recorded similarly (B6). In addition, if the medicine was prescribed in the previous medical care, it is necessary to check whether the patient was taking it as instructed by the doctor, so a question is asked about the taking situation (B7). Also in this case, the above-mentioned symptom scale is used in combination with the screen input so that it is answered verbally (B8), and this is recorded and the automatic inquiry is terminated.

  The patient information recorded in detail by the procedure as described above can be transmitted to the medical staff terminal 30 in the examination room via the line 50 by the transmission device 8, and the medical staff such as a doctor can explain the contents. Can be used for medical treatment. For example, the doctor can call the patient information immediately before the examination and display it on the display of the medical staff terminal 30, so that most of the inquiry items required at the time of the examination can be confirmed in advance. In addition to being transmitted to the medical staff terminal 30, this patient information is transmitted to an electronic medical record storage device of a medical institution, an electronic medical history device installed in a pharmacy, and the like so as to be reflected in the electronic medical record of the patient. It is preferable to make it.

  Then, as shown on the display screen of the medical staff terminal 30 in FIG. 8, patient information including a plurality of images and sounds of the patients at different times who answer the same inquiry item in the case of revisiting is displayed on the same screen. If they can be displayed side by side, it becomes easy to grasp minute changes in the patient's pathology based on the patient's face color, facial expression, voice strength, and the like. In addition, for questions that patients do not want to answer honestly or are difficult to answer accurately, it is often possible to grasp a certain tendency by continuously observing the patient's facial expression and tone of voice at the time of answering. It becomes easy to judge whether or not the answer is honest or accurate by comparing the recorded images and sounds at different times. In particular, it is extremely useful in terms of treatment that a patient who does not take a prescribed medicine as instructed cannot answer this question honestly. In this way, medical personnel such as doctors can grasp accurate patient information and changes in pathological conditions, and then proceed with appropriate treatment by directly interviewing and obtaining detailed information during actual examinations. It becomes easy.

  In particular, in this embodiment, since the selected part of the symptom scale selected by the patient information selected by the patient is simultaneously displayed on the display screen for the reexamination, the doctor or the like can accurately and accurately display the patient information. Because it can be done by grasping instantly, it can respond very quickly.

  Further, in the present embodiment, in addition to the patient information shown on the display screen of the medical worker terminal 30 shown in FIG. 8, each symptom such as pain, medication information, Furthermore, it is also possible to display individual items such as changes in body temperature and blood pressure (not shown) alone or side by side in time series, and in this case, it is possible to confirm accurate patient information instantly. it can.

  In addition, if the automatic inquiry device of the present invention is installed in a patient's home or company and connected to a homepage or medical staff terminal 30 provided on a server installed in the medical institution through an Internet line or the like, the frequency of visiting the medical institution Even when there are few cases, it is easy for a health care worker to acquire patient information regularly and to grasp a patient's condition regularly. In this case, it is not necessary to provide a card reader in the automatic interrogation device, but for example, it should have a terminal function that can be connected to an Internet line or the like, or connected to a personal computer or mobile phone that has a terminal function by wire or wirelessly. Shall be. In particular, as shown in FIG. 10, if the cellular phone 40 is connected to the tabletop automatic inquiry device 1B and connected to a server or a medical worker terminal 30 installed in a medical institution via a wireless line, It becomes unnecessary to arrange a communication line and can be easily installed in any place, and a user (patient) can transmit the latest patient information from various places such as a destination.

  When an automatic inquiry device is installed outside a medical institution, an address on the Internet may be used as a means for specifying a patient, or an ID may be input on a home page. Then, by making the obtained patient information available to the medical staff at any time in the same manner as described above, it can be used for actual medical care. Therefore, the use of such an automatic interrogation device is particularly useful when there are few opportunities for medical personnel to contact the patient directly, such as remote medical care and home medical care.

  Although the best mode for carrying out the present invention has been sufficiently described in the above description, the present invention is not limited to this. For example, the vital sign acquisition means is not limited to the instrument described above, and may include an electrocardiograph or a device that measures lung function. Furthermore, in order to transmit patient information from the automatic inquiry device to the medical staff terminal, a server equipped with a predetermined storage device is arranged between them and the stored patient information is called from the medical staff terminal. Needless to say, it also includes the display.

1, 1B automatic inquiry device, 2 display, 3a video camera, 3b thermography camera, 3c automatic blood pressure monitor, 3d microphone, 4 speaker, 5 card reader, 6a, 6b HDD, 7 control device, 8 communication device, 11 base, 20 touch panel, 21 number / symbol input unit, 22 option input unit, 30 medical worker terminal, 40 mobile phone, 50 communication line

Claims (3)

  Main storage means for storing the inquiry items, inquiry output means for outputting the contents of the inquiry having a display screen, inquiry input means for obtaining predetermined patient information from a patient having a video camera and a microphone, and the patient information A patient information storage means for storing information, a communication means for transmitting the patient information to a medical staff terminal, and a control means for controlling the means, for answering an inquiry item output by the display screen Medical information in which patient information including patient images is acquired for each automatic inquiry, is recorded and stored in the patient information storage means for each patient, and the stored patient information at different times is connected by a predetermined line Automatic interrogation that allows medical personnel to compare and examine multiple patient information at different times for the same interrogation items by displaying them on the medical personnel terminal of the institution In location, an automatic inquiry apparatus which comprises those patients with pre-determined conditions scale is stored in the main storage unit with respect to interview matters as patient information the answer is selected and Response.   The automatic inquiry device according to claim 1, wherein the scale is formed by a figure. The automatic inquiry device according to claim 1, wherein the scale is formed by a numerical value.

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