JP2011239885A - System of medical examination by interview - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable a physician in charge to easily set threshold information about normality/abnormality determination of a physiological condition for each customer, correctly determine the normality/abnormality of the physiological condition even when a customer has an underlying disease, and to output an appropriate content of a medical examination by interview to the terminal of the customer.SOLUTION: The system of medical examination by interview includes: a customer terminal connected to the terminal of the physician in charge via a communication network; measuring instruments for measuring the physiological condition of the customer and outputting it as data about a vital measurement value; and a section of a medical examination by interview for outputting the corresponding content of the medical examination by interview to the terminal of the customer on the basis of the vital measurement value. A database 60 is connected to the communication network and the sample 68 of threshold information for distinguishing a normal area from an abnormal area of the vital measurement value is recorded at least for each kind of the underlying diseases. The section of the medical examination by interview compares the threshold information set for the customer by using the terminal of the physician in charge with the vital measurement value and outputs the content of medical examination by interview corresponding to the vital measurement value to the terminal of the client.

Description

  The present invention relates to an inquiry system capable of checking daily health conditions.

Conventionally, physiological conditions such as blood pressure are measured daily and used for health management.
As a technology related thereto, Patent Document 1 discloses that a terminal at a customer's home is connected to a terminal at a medical institution via a communication network such as the Internet, and a measurement result of a physiological state such as blood pressure is obtained from the terminal at the customer's home. It is described that data is input, transmitted to a medical institution terminal, stored, and aggregated.

Japanese Patent Laid-Open No. 2003-116797

  Here, the customer's terminal automatically performs normal / abnormal determination of the physiological state based on the vital measurement value that is the measurement result of the physiological state, and the terminal outputs the inquiry content to a display or the like based on the determination result If this is the case, the customer can receive an inquiry and advice each time measurement is performed while staying at home, which is convenient.

  However, the normal / abnormal range of the physiological state is considered to change depending on the presence and type of the underlying disease that the customer suffers from. Therefore, preferably, the threshold value used for the normality / abnormality determination is preferably set for each customer based on the customer's basic disease, and the setter can know the customer's basic disease. The attending physician is considered appropriate.

  However, even for the attending physician, it is difficult to set the customer threshold in the situation where there is no reference threshold sample at all, and even if it can be set, there is a problem in the accuracy of the normal / abnormal judgment Will have. In that case, inappropriate inquiry content may be output to the customer's terminal.

  The present invention has been made in view of the above-described conventional problems, and the attending physician can easily set threshold information related to the normality / abnormality determination threshold of the physiological state for each customer, and is based on the customer. An object of the present invention is to provide an inquiry system that can accurately determine normal / abnormal physiological conditions and output appropriate inquiry contents to a customer's terminal even when there is a disease.

The main invention for achieving the above object is:
A customer terminal connected to the attending physician's terminal via a communications network;
A measuring device that is arranged adjacent to the customer's terminal and measures the customer's physiological state and outputs it as data relating to vital measurement values;
An inquiry system that outputs a corresponding inquiry content to the customer's terminal based on the vital measurement value,
A database is connected to the communication network, and in the database, a sample of threshold information that distinguishes between a normal area and an abnormal area of the vital measurement value defines the inquiry content in the normal area and the inquiry content in the abnormal area Is recorded at least for each type of underlying disease,
The inquiry unit responds to the vital measurement value by comparing the threshold information set for the customer using the terminal of the attending physician based on the sample of the database and the vital measurement value. The inquiry system is characterized in that the inquiry content is outputted to the terminal of the customer.
Other features of the present invention will become apparent from the description of the present specification and the accompanying drawings.

  According to the present invention, the attending physician can easily set threshold information related to the normality / abnormality determination threshold of the physiological state for each customer, and the normality / abnormality of the physiological state can be accurately determined even when the customer has a basic disease. It can be determined, and appropriate inquiry content can be output to the customer terminal.

It is a schematic whole block diagram of the inquiry system concerning this embodiment. 2 is a schematic configuration diagram of a customer terminal 10. FIG. 3A and 3B are explanatory diagrams of the threshold value table for determination. It is explanatory drawing of inquiry information. It is an example of the guidance screen 20 for measurement guidance output to the display 14 of the customer terminal 10. It is an example of the measurement result display screen 22 output to the display 14 of the customer terminal 10. 2 is a schematic configuration diagram of an attending doctor terminal 40. FIG. 3 is a schematic configuration diagram of a database management terminal 60. FIG. It is explanatory drawing of the database of the sample of systolic blood pressure. It is explanatory drawing of the inquiry information prepared in the database.

At least the following matters will become apparent from the description of the present specification and the accompanying drawings.
A customer terminal connected to the attending physician's terminal via a communications network;
A measuring device that is arranged adjacent to the customer's terminal and measures the customer's physiological state and outputs it as data relating to vital measurement values;
An inquiry system that outputs a corresponding inquiry content to the customer's terminal based on the vital measurement value,
A database is connected to the communication network, and in the database, a sample of threshold information that distinguishes between a normal area and an abnormal area of the vital measurement value defines the inquiry content in the normal area and the inquiry content in the abnormal area Is recorded at least for each type of underlying disease,
The inquiry unit responds to the vital measurement value by comparing the threshold information set for the customer using the terminal of the attending physician based on the sample of the database and the vital measurement value. An inquiry system, wherein the inquiry content is output to the terminal of the customer.

According to such an inquiry system, since the threshold information is set for each customer based on the customer's basic disease, it is possible to accurately determine whether the physiological state is normal or abnormal. As a result, appropriate inquiry content can be output to the customer's terminal.
Further, the attending physician can set threshold information suitable for the customer while referring to the threshold information corresponding to the basic disease of the customer from the sample of the database. Therefore, it is possible to easily set the threshold information most suitable for the customer.

Such an inquiry system,
In the database, a sample of the threshold information is recorded for each measurement period of the physiological state,
In the inquiry section, the threshold information and the inquiry information corresponding to the threshold information are set for each measurement time zone,
The inquiry unit compares the threshold information of the measurement time zone corresponding to the measurement time of the vital measurement value with the vital measurement value, thereby obtaining the inquiry content corresponding to the vital measurement value of the customer. It is desirable to output to the terminal.
According to such a consultation system, the threshold information is set for each measurement time zone. Therefore, normal / abnormal physiological conditions can be determined more accurately.

Such an inquiry system,
In the database, a sample of the threshold information is preferably recorded for each symptom level of the underlying disease.
According to such an inquiry system, the threshold information can be set according to the level of symptoms of the underlying disease. Therefore, normal / abnormal physiological conditions can be determined more accurately.

Such an inquiry system,
When the customer's basic disease name is input from the terminal of the attending physician, the terminal extracts a sample of threshold information corresponding to the basic disease name from the database using the basic disease name as a key, and the extracted sample Is desirable to output.
According to such an inquiry system, samples that are candidates for customer threshold information can be easily extracted from the database.

Such an inquiry system,
In the sample of threshold information, an assumed disease name is recorded in association with the abnormal area,
When the vital measurement value is in the abnormal area, the inquiry unit preferably outputs the inquiry content including the assumed disease name to the terminal of the customer.
According to such an inquiry system, the customer can know the names of diseases that he or she can suffer.

Such an inquiry system,
The interview content of the interview information includes explanatory question content and instruction content to the customer,
The inquiry unit preferably outputs corresponding instruction content to the customer terminal based on answer information input from the customer terminal to the explanation question content.
According to such an inquiry system, the customer can immediately know the action to be taken by himself / herself, so that the customer can quickly take the action such as going to the hospital.

=== This Embodiment ===
FIG. 1 is an overall configuration diagram of an inquiry system according to the present embodiment.
The inquiry system according to the present embodiment includes a customer terminal 10 (hereinafter referred to as a customer terminal 10) installed at a customer's home and a doctor's terminal 40 (hereinafter referred to as a doctor's doctor terminal 40) installed at a hospital of the customer's doctor. And a database management terminal 60 for managing samples such as determination threshold values and interview contents for use in an interview. These terminals 10, 40, 60 are connected to each other via a communication network 1 such as an Internet line, a telephone line, or a dedicated line related to the inquiry system.

Here, as shown in the explanatory diagram of the customer terminal 10 in FIG. 2, the terminal 10 is connected to a measuring device 30 such as a sphygmomanometer that measures a physiological state of the customer's blood pressure and outputs it as a vital measurement value. ing. In addition, the customer terminal 10 is equipped with an inquiry unit 15 that makes an inquiry based on the measured vital measurement values. Therefore, the customer can receive an inquiry and advice (instruction) related to the vital measurement value while staying at home.
Hereinafter, each terminal 10, 40, 60 will be described.

<<< Customer terminal 10 >>>
The customer terminal 10 is installed, for example, in a washroom at the customer's home. A measuring device 30 is also provided in the bathroom. Thereby, this corner functions as a simple examination room. By the way, the installation position may be other than the washroom.

  The customer terminal 10 is, for example, a suitable computer, and as shown in FIG. 2, an input unit 12 such as a mouse and a keyboard, an output unit 14 such as a display and a speaker, and a control unit 16 including a CPU, a RAM, and the like. And a data recording unit 18 such as a hard disk. It should be noted that sound collecting means such as a headset microphone is used as the input unit 12 and voice recognition software is appropriately installed in the control unit 16 so that an input operation to the customer terminal 10 can be performed with the customer's voice. good. Moreover, the display of the output part 14 may be installed on the washstand in the washroom, or may be incorporated in a part of the mirror included in the washstand.

  The measuring device 30 is, for example, a sphygmomanometer, a thermometer, a weight scale or the like, and these measuring devices 30 are mounted on, for example, a chair (not shown) of a washstand. These measuring devices 30 are communicably connected to the control unit 16 of the customer terminal 10 by appropriate wireless or wired communication devices (not shown). Thereby, each measurement result such as blood pressure, body temperature, and weight is transmitted as a vital measurement value to the control unit 16, and each vital measurement value is stored in the data recording unit 18 via the control unit 16. In this example, the vital measurement value corresponds to both “vital measurement value” and “data related to vital measurement value” according to claim 1.

  Here, the control unit 16 of the customer terminal 10 is combined with the data recording unit 18 to function as the inquiry unit 15 that performs customer inquiry processing. That is, the control unit 16 determines whether the vital measurement value is normal or abnormal based on the vital measurement value transmitted from the measuring device 30, and determines the output unit 14 or the input unit 12 based on the determination result. Interview with customers while using. Such an inquiry process is realized by, for example, the CPU of the control unit 16 reading and executing an inquiry process program from the data recording unit 18.

  The determination threshold necessary for the above determination is recorded in the data recording unit 18. That is, the data recording unit 18 stores a threshold table for determination of vital measurement values (refer to FIG. 3A, corresponding to “threshold information”) for each measurement item such as blood pressure, body temperature, and weight. In each, a threshold value for determination of a corresponding measurement item is recorded.

  FIG. 3A shows a threshold value table for determining whether the measurement item is systolic blood pressure, as an example of the threshold value table for determination. In this example, from the top, the thresholds for determination are “Emergency communication lower limit”, “Required consultation lower limit”, “Warning lower limit”, “No worry lower limit (normal upper limit)”, “No worry upper limit (normal lower limit)” Eight numerical values are recorded, “the upper limit of caution”, “the upper limit of consultation required”, and “the upper limit of emergency contact required”. Each determination threshold value in the determination threshold table is substituted into the determination condition calculation table in FIG. 3B that is preliminarily developed in the memory of the control unit 16 based on the inquiry program, for example. It is divided into two judgment areas. That is, three determination areas are set as abnormal areas above and below the three determination areas in the middle as normal areas.

  In these judgment areas, in order from the top, emergency contact 1 required, consultation 1 required, alert 1 required, almost normal 1, normal, almost normal 2, alert 2 required, consultation 2 required, and emergency contact required. The determination result of 2 is associated. The data recording unit 18 also stores interview information (FIG. 4) that defines the interview content for each determination area.

  FIG. 4 is an explanatory diagram of this inquiry information. The inquiry information has unique inquiry contents for each determination area. As the inquiry contents, explanation question contents for explaining the situation or asking a question to the customer are prepared. When the question content is included in the explanation question content, in order to deal with both the YES answer and the NO answer from the customer with respect to the question content, the instruction content is further provided for each of the YES answer and the NO answer. It is prepared.

  For example, in the example of FIG. 4, the determination area 1 of “Emergency contact 1” is associated with the question content “Do you have headache or nausea?” Instruction contents such as "Contact your doctor immediately and call an ambulance" are prepared as contents, while instruction contents such as "Please lie down immediately and contact your doctor" as instruction contents for answering NO Is prepared.

  The inquiry content includes the name of an assumed disease related to the determination area. For example, in the example of FIG. 4, “cerebral hemorrhage” is recorded as the assumed disease name in the determination area 1 of “emergency contact 1”.

  The determination threshold and the inquiry content are basically set for each customer by the customer's attending doctor using the attending doctor terminal 40 for the customer, but before the start of use of this inquiry system, that is, the attending doctor determines the determination. Before setting the threshold value, a standard threshold value may be set as a default value. The procedure for setting the threshold for determination by the attending physician will be described later.

  In the above description, the threshold table for determination of systolic blood pressure and the inquiry information have been exemplified. However, those having a similar configuration are recorded in the data recording unit 18 for measurement items such as diastolic blood pressure, body temperature, and weight. Needless to say.

  And according to the customer terminal 10 of such a structure, the control part 16 which is combined with the data recording part 18 and makes the inquiry part 15 operate | moves as follows based on an inquiry processing program. A state measurement and an inquiry process based on the measurement are performed.

  First, when a customer sits on a chair in the bathroom and activates the terminal 10 by, for example, turning on the power switch of the customer terminal 10 in FIG. 2, the control unit 16 of the terminal 10 is displayed on the display 14 as the output unit 14. 5 guidance screen 20 is output to prompt the customer to prepare for measurement of blood pressure and body temperature. That is, the user is encouraged to wear a blood pressure meter and a thermometer as the measuring device 30. Here, since the weight is measured by, for example, a weight scale disposed between the chair and the floor, preparation for measurement is not necessary.

  Then, when the customer wears the blood pressure meter and the thermometer, the customer presses the sensor input button 20a on the guidance screen 20 via the input unit 12. Thereby, measurement of each measuring device 30 is started, and each vital measurement value as a measurement result is transmitted from the sphygmomanometer, the thermometer, and the weight scale to the control unit 16 after a predetermined time has elapsed. Then, the control unit 16 records each vital measurement value in the data recording unit 18.

  If it does so, the control part 16 will output the measurement result display screen 22 of FIG. That is, the measurement result display screen 22 is provided with display columns 22a for each vital measurement value such as blood pressure and body temperature, and each vital measurement value is displayed in each display column 22a.

  At this time, the control unit 16 compares each vital measurement value such as blood pressure and body temperature with the above-described threshold value for determination, and accordingly, the determination result display field 22b of the same screen 22 corresponds to each vital measurement value. Each determination result to be displayed is displayed.

  For example, the case where the vital measurement value of the systolic blood pressure is “230” will be described as an example. First, the control unit 16 first determines the systolic blood pressure determination threshold table (FIG. 3A) and the determination condition calculation table (FIG. 3B). ). Then, a determination area corresponding to “230” is searched from these tables. In this example, the determination area corresponding to “230” is the determination area 1 of the emergency contact 1 that exceeds the value “200” of the emergency contact lower limit. As described above, this determination area 1 includes the emergency area. The determination result of communication 1 is associated. Therefore, the control unit 16 outputs “emergency contact 1 required” as the determination result corresponding to “230” to the determination result display field 22 b of the screen 22.

  Further, an inquiry field 22c is prepared on the screen 22, and an inquiry button 22d is also displayed for each measurement item such as blood pressure and body temperature. When the customer presses the inquiry button 22d via the input unit 12, the control unit 16 displays the inquiry content corresponding to the vital measurement value in the inquiry column 22c.

 For example, in the case where the vital measurement value of the systolic blood pressure is “230”, when the inquiry button 22d related to the systolic blood pressure is pressed, the control unit 16 refers to the tables in FIGS. 3A and 3B. In the same manner as described above, a determination area corresponding to “230” is searched, and it is determined that the determination area corresponding to “230” is the determination area 1 of the emergency contact 1 required. If it does so, the medical inquiry content matched with the determination area 1 of this emergency contact 1 will be acquired from the medical inquiry information of FIG. 4, and the said medical inquiry content will be output to the medical inquiry column 22c of the measurement result display screen 22. FIG.

  When the customer who has seen the inquiry column 22c includes the contents of the question, the customer inputs the answer information by pressing the YES answer button or the NO answer button on the screen 22 using the input unit 12. Then, the control part 16 acquires the instruction | indication content corresponding to this answer information from the inquiry information of FIG. 4, and outputs it to the inquiry column 22c. This completes a series of measurements and inquiry. Then, the customer presses the examination end button 22 f on the same screen 22 via the input unit 12. Thereby, the control part 16 complete | finishes an inquiry process program, and an inquiry process is complete | finished by this.

  Incidentally, in the inquiry field 22c of the measurement result display screen 22 in FIG. 6, an assumed disease related to the measurement item of the pressed inquiry button 22d is also displayed. For example, when the above-mentioned vital measurement value is “230”, the determination result of the systolic blood pressure is “Emergency communication 1”. Therefore, based on the correspondence in FIG. 4, the inquiry column 22 c of the screen 22 in FIG. Is displayed as “cerebral hemorrhage”.

  Here, it is desirable that the data recording unit 18 has the determination threshold value table for each measurement time zone. For example, a threshold value table for determination is set for each of the three time zones of 5 am to 10 am as the morning time zone, 11 am to 3 pm as the day time zone, and 5 pm to 10 pm as the night time zone. It is good to have. This is because the human physiological state is considered to change periodically according to morning and daytime, and it is considered that there is an appropriate value for each time zone.

  In this case, the control unit 16 records the measurement time every time a vital measurement value is acquired from the measurement device 30. The measurement time is acquired from the clock of the control unit 16 itself, a clock built in each measurement device 30, or the like, and recorded in the data recording unit 18 in association with each vital measurement value. As a result, the control unit 16 can extract from the data recording unit 18 a threshold table for determination of a time zone corresponding to the measurement time using the measurement time as a key. In this case, it is needless to say that the inquiry information is also stored in the data recording unit 18 for each determination threshold table, that is, corresponding to each measurement time zone.

<<< Physician Terminal 40 and Database Management Terminal 60 >>>
As shown in FIG. 7, the attending physician terminal 40 is, for example, a suitable computer, and includes an input unit 42 such as a mouse and a keyboard, an output unit 44 such as a display and a speaker, a control unit 46 such as a CPU, a hard disk, and the like. Data recording unit 48. The attending doctor terminal 40 is connected to the customer terminal 10 via the communication network 1, and using this attending doctor terminal 40, the attending doctor can use the data recording unit 18 of the customer terminal 10 to determine a threshold table for judgment and an inquiry for the customer. Set the information.

The data recording unit 48 of the attending doctor terminal 40 stores a support program for supporting the setting process in advance, that is, the CPU of the control unit 46 of the terminal 40 reads the support program from the data recording unit 48. To execute the setting process.
Hereinafter, this setting process will be described.

  When setting the determination threshold table or the like in the customer terminal 10, first, the attending physician refers to a sample of the determination threshold table prepared in advance. The sample is stored in the database management terminal 60 connected to the communication network 1. Therefore, first, the attending physician connects the attending physician terminal 40 to the database management terminal 60.

  Here, as shown in FIG. 8, this database management terminal 60 is also an appropriate computer like the attending doctor terminal 40, an input unit 62 such as a mouse and a keyboard, an output unit 64 such as a display and a speaker, and a CPU. And a data recording unit 68 such as a hard disk. The sample is stored in the database of the data recording unit 68. Therefore, the control unit 46 of the attending doctor terminal 40 outputs the sample of the data recording unit 68 of the database management terminal 60 to the display 44 of the attending doctor terminal 40.

  As shown in FIG. 8, a sample database is prepared for each measurement item such as systolic blood pressure, diastolic blood pressure, body temperature, and body weight. In the following, a systolic blood pressure database will be described as an example of these.

  FIG. 9 is an explanatory diagram of a database of samples of systolic blood pressure. This database has a plurality of samples of a threshold table for determination of systolic blood pressure. These samples are prepared for basic diseases such as low blood pressure and high blood pressure, symptom levels of basic diseases (risk levels such as mild, moderate, and severe) and measurement time zones such as morning and night. Each sample is assigned a sample number for designating the sample without duplication. Furthermore, in the database, for each of these samples, the inquiry information corresponding to the basic disease, the symptom level, and the measurement time zone is prepared in association with each other via the inquiry information number ( FIG. 10).

  Then, under the control of the support program, when the attending physician inputs a viewing request from the input unit 42 of the attending doctor terminal 40, the control unit 46 of the attending doctor terminal 40 accesses the data recording unit 68 of the database management terminal 60 to access the data in the database. A sample of the determination threshold table (FIG. 9) is output on the display 44 of the attending doctor terminal 40. Then, the doctor views the sample. At this time, depending on the case, the attending physician may input the inquiry information number from the input unit 42. Accordingly, the control unit 46 searches the database using the inquiry information number as a key, and displays the inquiry information corresponding to the inputted inquiry information number on the display 44. Therefore, the attending physician can refer to the contents of the inquiry information.

  Then, the attending physician selects a sample that matches the customer from among these samples, taking into account the customer's underlying disease and the customer's normal health. Note that the health condition of the customer during normal times can be recognized by the attending physician, for example, by measuring blood pressure, body temperature, etc. on the spot or by self-reporting the customer. In addition, it is possible to set up a monthly preparation period, collect data on the customer's vital measurements using this inquiry system during this period, and recognize the normal health status based on the collected data. .

  Then, the attending physician inputs the sample number of the sample selected for customer use from the input unit 42. Then, the control unit 46 of the attending doctor terminal 40 acquires the sample of the sample number and the inquiry information from the data recording unit 68 of the database management terminal 60, transmits the sample to the customer terminal 10, and transmits the sample to the customer terminal 10. The data is stored in the data recording unit 18. Thus, the determination threshold value table for the sample is stored in the determination threshold value table of the data recording unit 18 of the customer terminal 10, and the inquiry information related to the sample is stored in the data recording unit 18. With this, the determination threshold table and the like of the customer terminal 10 are in a state customized for the customer, and thereafter, the inquiry process can be executed under the conditions most suitable for the customer.

  By the way, in this setting processing example, as shown in FIG. 9, in order to facilitate browsing, data other than the inquiry content, that is, the basic disease, the risk level, the measurement time zone, the determination threshold, and the sample number Can be displayed in a list so that they fit within the same line, but if you do this, you can compare many samples at the same time and easily find samples that match your customers. Become.

  Further, this support program may have a keyword search function. For example, if a basic disease name such as hypotension is input from the input unit 42 of the attending physician terminal 40, the control unit 46 of the terminal 40 extracts a corresponding sample from the database management terminal 60 using the basic disease name as a key, The extraction results may be displayed as a list on the output unit 44 of the attending physician terminal 40. This makes it easier for the attending physician to find a sample that matches the customer.

  Further, this support program may have a function of editing the determination threshold value in the determination threshold table stored in the data recording unit 18 of the customer terminal 10 and the inquiry content of the inquiry information. In this way, it is possible to conduct an inquiry that is more suitable for the customer.

  By the way, the location of the database management terminal 60 may be the hospital of the attending physician as described above, but may be other than the hospital of the attending physician. For example, it may be installed in a 24-hour emergency medical institution or security company. And when it installs in such a 24-hour organization, the database management terminal 60 can be basically kept in an activated state. Therefore, in such a case, preferably, when the determination result of the vital measurement value measured at the customer terminal 10 is “emergency contact required”, the control unit 16 of the customer terminal 10 signals “emergency contact required”. May be transmitted to the database management terminal 60. In this way, a person in charge of the 24-hour organization who has noticed this “emergency contact” can make a response according to the customer's condition by appropriately calling the customer's home.

=== Other Embodiments ===
As mentioned above, although embodiment of this invention was described, this invention is not limited to this embodiment, The deformation | transformation as shown below is possible.

  In the above-described embodiment, a blood pressure meter, a thermometer, a weight scale, and the like are illustrated as the measurement device 30 for the physiological state of the customer. However, the present invention is not limited to this, and may be, for example, an electrocardiograph or an electroencephalograph. That is, in the above-described embodiment, blood pressure, body temperature, weight, and the like are exemplified as vital measurement values, but an electrocardiogram, an electroencephalogram, or the like may be used.

  In the embodiment described above, the question content of the inquiry content is prepared for one question for the sake of simplification. However, a plurality of times are provided so that further questions can be made in response to a YES answer and a NO answer from the customer. You may have prepared question content.

In the above-described embodiment, the data recording unit 18 is provided in the customer terminal 10, but the present invention is not limited to this. For example, in the case where a server (a computer that provides a service (inquiry processing program, support program) related to this inquiry process by downloading) is provided on the communication network 1 so that communication is possible, a data recording unit 18 is provided in the server. Also good. In the configuration using such a server, when the attending physician stores the customer sample and the inquiry information from the attending physician terminal 40 to the data recording unit 18 of the server, the database management terminal 60 is used to distinguish it from other customers. The customer's sample and inquiry information acquired from the data recording unit 68 are stored in the data recording unit 18 while associating a customer ID unique to the customer. Then, the inquiry unit 15 accesses the customer sample and the inquiry information by searching the data recording unit 18 of the server using the customer ID input from the input unit 12 of the customer terminal 10 as a key. And an inquiry process is performed based on the inquiry information.
Furthermore, in the above-described embodiment, the function of the inquiry unit 15 is provided in the control unit 16 of the customer terminal 10, but the function may be provided in the above-described server.

  In the above-described embodiment, the inquiry content to be displayed on the measurement result display screen 22 (FIG. 6) of the customer terminal 10 is selected based only on the measured vital measurement value. However, the present invention is not limited to this. . For example, in the guidance screen 20 for measurement guidance in FIG. 5, an inquiry processing program is configured to ask about subjective symptoms such as physical condition, and the customer response information in response to this question is combined with vital measurement values. Based on this, the inquiry content to be displayed on the measurement result display screen 22 of FIG. 6 may be selected. In this case, the inquiry information in FIG. 10 is further prepared for each response information.

In the above-described embodiment, absolute values such as blood pressure, body temperature, and body weight are exemplified as vital measurement values. However, the concept of this vital measurement value is not limited to absolute values, for example, absolute values measured immediately before It includes a relative value (hereinafter referred to as a fluctuation value) that is a deviation between the value and the absolute value measured this time.
In this case, the data recording unit 18 stores the absolute value measured immediately before, and the inquiry unit 15 subtracts the absolute value measured immediately before from the absolute value measured this time. Thus, the fluctuation value is calculated. Further, in association with the fluctuation value, the data recording unit 18 of the customer terminal 10 has a table similar to the determination threshold value table of FIG. 3 for the fluctuation value, and the display 14 has the measurement of FIG. It goes without saying that a screen similar to the result display screen 22 is displayed for the variable value, and the data recording unit 68 of the database management terminal 60 has a database similar to the database of FIGS. 8 and 9 for the variable value. Yes. Further, the absolute value used for the fluctuation value is not limited to the absolute value measured immediately before as described above, and may be an absolute value measured at the same time on the previous day. Incidentally, in the case where the above fluctuation value is used as a vital measurement value, the absolute value corresponds to “data relating to vital measurement value” in claim 1.

1 communication network, 10 customer terminal (customer terminal),
12 input units, 14 output units (display),
15 inquiry department, 16 control section, 18 data recording section,
20 Guidance screen, 20a Sensor input button,
22 measurement result display screen, 22a display field, 22b determination result display field,
22c Question column, 22d Question button, 22f Examination end button,
30 measuring equipment, 40 primary doctor's terminal (terminal of the primary doctor),
42 input unit, 44 output unit (display),
46 control unit, 48 data recording unit, 60 database management terminal,
62 input unit, 64 output unit, 66 control unit, 68 data recording unit

Claims (6)

A customer terminal connected to the attending physician's terminal via a communications network;
A measuring device that is arranged adjacent to the customer's terminal and measures the customer's physiological state and outputs it as data relating to vital measurement values;
An inquiry system that outputs a corresponding inquiry content to the customer's terminal based on the vital measurement value,
A database is connected to the communication network, and in the database, a sample of threshold information that distinguishes between a normal area and an abnormal area of the vital measurement value defines the inquiry content in the normal area and the inquiry content in the abnormal area Is recorded at least for each type of underlying disease,
The inquiry unit responds to the vital measurement value by comparing the threshold information set for the customer using the terminal of the attending physician based on the sample of the database and the vital measurement value. An inquiry system, wherein the inquiry content is output to the terminal of the customer. The inquiry system according to claim 1,
In the database, a sample of the threshold information is recorded for each measurement period of the physiological state,
In the inquiry section, the threshold information and the inquiry information corresponding to the threshold information are set for each measurement time zone,
The inquiry unit compares the threshold information of the measurement time zone corresponding to the measurement time of the vital measurement value with the vital measurement value, thereby obtaining the inquiry content corresponding to the vital measurement value of the customer. An interview system characterized by outputting to a terminal. The inquiry system according to claim 1 or 2,
The interrogation system, wherein the threshold information sample is recorded in the database for each symptom level of the underlying disease. The inquiry system according to any one of claims 1 to 3,
When the customer's basic disease name is input from the terminal of the attending physician, the terminal extracts a sample of threshold information corresponding to the basic disease name from the database using the basic disease name as a key, and the extracted sample Interrogation system characterized by outputting The inquiry system according to any one of claims 1 to 4,
In the sample of threshold information, an assumed disease name is recorded in association with the abnormal area,
When the vital measurement value is in the abnormal region, the inquiry unit outputs the inquiry content including the assumed disease name to the terminal of the customer. An inquiry system according to any one of claims 1 to 5,
The interview content of the interview information includes explanatory question content and instruction content to the customer,
The inquiry system outputs the corresponding instruction content to the customer terminal based on the answer information input from the customer terminal to the explanation question content.