JP2013196185A - Biological information display method, biological information display image data preparation device and program for the same - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a biological information display method which allows an expert to make a highly accurate diagnosis and perform accurate treatment, in a medical support system.SOLUTION: In a medical support system 10 in which a biological information measuring device 12, an expert terminal 15, and a server 14 are connected through a network 11, the biological information display method includes the steps of: having the server 14 receive identification information on a patient and a transfer request of biological information data from the expert terminal 15; referring to an examination date table corresponding to the received identification information and acquiring previous examination date and examination date before that; referring to a biological information data table corresponding to the received identification information and acquiring biological information data for display at least after the examination date before the previous examination date; preparing first biological information display image data for indicating the acquired biological information data for display in a time sequential manner, and indicating it together with the previous examination date and the examination date before that; and transmitting the prepared first biological information display image data to the expert terminal 15.

Description

  The present invention relates to a biometric information display method using a server, a server for creating display image data thereof, and a program in a medical support system in which an expert such as a doctor can share biometric information such as a patient's blood pressure and blood glucose level.

  A mechanism has been proposed in which biological information such as blood pressure measured at home or the like is stored on a server connected to a network such as the Internet, and an expert such as a doctor can view the data on a terminal as necessary. For example, Patent Document 1 discloses a “health management support system” in which a “user terminal”, a “health management support system server”, and a “medical staff terminal” are connected via the Internet or the like.

JP 2008-225585 A

  However, when specialists such as doctors check biometric data, they can grasp the relationship between the transition of biometric data and past examination results at a glance, even if they simply check data arranged in time series. There was a problem that it was difficult.

  The present invention was made in consideration of the above points, and when an expert such as a doctor confirms the patient's biological information data stored in the server, the expert performs a more accurate diagnosis, It is an object of the present invention to provide a biological information display method, a biological information display image data creation device, and a program therefor that enable more accurate treatment.

  The biological information display method of the present invention includes a biological information measuring device capable of measuring and transmitting a patient's biological information, an expert terminal having a display unit, and receiving the biological information transmitted from the biological information measuring device. And a biometric information data table associated with the biometric information measurement date, a server that receives the examination date transmitted from the expert terminal and stores it as the examination date table associated with the patient via a network. Used in a medical support system connected to each other. The server receives the patient identification information and the biometric information data transfer request from the expert terminal, refers to the examination date table corresponding to the received identification information, A step of obtaining a medical examination date, a step of obtaining biometric information data for display after at least a medical examination date after referring to the biometric information data table corresponding to the received identification information, and the obtained biometric information data for display A step of creating first biometric information display image data represented in time series and shown together with the previous examination date and the previous examination date, and a step of transmitting the created first biological information display image data to the expert terminal Have.

  With this configuration, it is possible to show the biometric information after the date of the previous examination to the specialist such as a doctor in time series and together with the date of the previous examination and the date of the previous examination. For specialists, it is possible to confirm the transition of biometric information data after the previous examination date, and to easily understand the relationship with the diagnosis, treatment, treatment, prescription of medicine, etc. performed on each past examination date. can get.

  The biological information display image data creation device of the present invention includes a biological information measuring device capable of measuring and transmitting a patient's biological information, an expert terminal having a display unit, and biological information transmitted from the biological information measuring device. Receive and store as a biometric information data table associated with the patient and biometric information measurement date, receive the exam date transmitted from the expert terminal, and store it as the exam date table associated with the patient In a medical support system in which a server is connected via a network, the server is constructed in the server. Then, means for receiving patient identification information and the transfer request of the biometric information data from the expert terminal, and referring to the examination date table corresponding to the received identification information, obtain the previous examination date and the previous examination date. Means for referring to the biological information data table corresponding to the received identification information, acquiring biological information data for display at least after the previous examination date, and representing the acquired biological information data for display in time series Means for creating the biometric information display image data shown together with the previous examination date and the pre-examination date, and means for transmitting the created biometric information display image data to the expert terminal.

  Here, the server may be physically composed of one computer or a plurality of computers. The biological information display image data creation device is constructed in the server. The biological information display image data creation device may be constructed in software inside a server that is physically constituted by one computer. The server may be constructed from one or a plurality of servers composed of a plurality of computers.

  With this configuration, it is possible to show the biometric information after the date of the previous examination to the specialist such as a doctor in time series and together with the date of the previous examination and the date of the previous examination. For specialists, it is possible to confirm the transition of biometric information data after the previous examination date, and to easily understand the relationship with the diagnosis, treatment, treatment, prescription of medicine, etc. performed on each past examination date. can get.

  The program of the present invention causes a computer to function as the biometric information display image data creation device.

  According to the biometric information display method, biometric information display image data creation device, or program of the present invention, it is easy for a specialist such as a doctor to grasp the transition of biometric data and past medical examinations at a glance, and has higher accuracy. It is possible to obtain an effect that a diagnosis can be performed and a more accurate treatment can be performed.

1 is an overall configuration diagram of a medical support system according to an embodiment of the present invention. It is a block diagram of the blood pressure meter (biological information measuring device) of one Embodiment of this invention. It is a block diagram of the patient card of one Embodiment of this invention. It is a block diagram of the server of one Embodiment of this invention. It is a block diagram of the expert terminal of one Embodiment of this invention. It is a block diagram of the patient terminal of one Embodiment of this invention. It is a figure which shows the structure of the patient table of one Embodiment of this invention. It is a figure which shows the structure of the blood-pressure data table of one Embodiment of this invention. It is a figure which shows the structure of the doctor table of one Embodiment of this invention. It is a figure which shows the structure of the examination date table of one Embodiment of this invention. It is a figure which shows the flow of the blood-pressure data storage process of one Embodiment of this invention. It is a figure which shows the flow of biometric information display image data creation of one Embodiment of this invention. It is a figure which shows the login screen of the expert terminal of one Embodiment of this invention. It is an example of the biometric information display image displayed on the expert terminal of one Embodiment of this invention. It is a figure which shows the display period change operation of the transition graph displayed on the expert terminal of one Embodiment of this invention. It is a figure which shows operation which selects the kind of biometric information analysis graph displayed on the expert terminal of one Embodiment of this invention. It is a figure which shows "the number of measurement days per week" which is an example of a biometric information analysis graph. It is a figure which shows "the measurement frequency classified by day of the week" which is an example of a biometric information analysis graph. It is a figure which shows the "change of morning and evening average and morning and evening difference (SBP)" which is an example of a biometric information analysis graph. It is a figure which shows the "occurrence status of tachycardia / bradycardia" which is an example of a biological information analysis graph. It is a figure which shows "the change of the blood pressure level from the first time" which is an example of a biometric information analysis graph. It is a figure which shows "blood pressure average value (according to a day of the week)" which is an example of a biometric information analysis graph. It is a figure which shows "change of blood pressure distribution (SBP)" which is an example of a biometric information analysis graph. It is a figure showing "change of blood pressure distribution (DBP)" which is an example of a living body information analysis graph. It is a figure which shows "blood pressure average value (according to time zone)" which is an example of a biometric information analysis graph. It is a figure which shows "blood pressure average value (monthly)" which is an example of a biometric information analysis graph.

  Hereinafter, an embodiment of the present invention will be described in the case where the biological information is blood pressure and the expert who operates the expert terminal is a doctor.

  FIG. 1 is a diagram showing an overall configuration of an embodiment of a medical support system as a premise of the present invention. In the medical support system 10 of the present embodiment, a sphygmomanometer (biological information measuring device) 12 capable of measuring and transmitting a patient's blood pressure, an expert terminal 15 used by a doctor, a patient terminal 16 used by a patient, and a server 14 Are connected via the Internet 11. The server receives the blood pressure of the patient from the sphygmomanometer and stores it as a blood pressure data table associated with the patient and the measurement date. Further, the server receives the examination date from the expert terminal, and stores it as an examination date table associated with the expert and the patient. Further, each patient has a card 13 to which unique card identification information associated with the patient is assigned.

  The method of using this medical support system is as follows, for example. Patients measure blood pressure at home in the morning and evening every day. The measured data is transmitted from the sphygmomanometer to the server for storage and accumulation. When a patient visits a hospital regularly (for example, once a month) and sees a doctor, the doctor can check the blood pressure data stored in the server with an expert terminal, and based on this data It can be carried out.

  FIG. 2 is a diagram illustrating a configuration of the sphygmomanometer 12 according to the present embodiment. The sphygmomanometer 12 includes a control unit 21, a communication unit 22, an input unit 23, a display unit 24, a storage unit 25, and a measurement unit 26. The control unit 21 controls the entire sphygmomanometer 12. The input unit 23 receives instructions from the patient such as measurement start and data transmission. The measurement unit 26 measures a patient's blood pressure (maximum blood pressure and minimum blood pressure) and a pulse (hereinafter, collectively referred to as “blood pressure data”). The measured blood pressure data is displayed on the display unit 24 and temporarily stored in the storage unit 25 together with the measurement time. When the measurement is completed, the blood pressure data is transmitted to the server 14 via the communication unit 22. The communication unit 22 can use a mobile communication system, for example. If the transmission cannot be completed for some reason, the data is continuously stored in the storage unit 25 until the next transmission is performed and the transmission is completed.

  A unique measuring device identification symbol is electromagnetically recorded in the sphygmomanometer. For example, when the third generation (3G) mobile phone function is used as the communication unit, the mobile number can be used as a measuring instrument identification symbol. The sphygmomanometer transmits a measuring instrument identification symbol and a set (record) of measurement date and blood pressure data stored in the storage unit to the server.

  When a plurality of patients use the same sphygmomanometer, for example, a plurality of buttons may be provided on the sphygmomanometer, and each button may be associated with each patient. When a patient presses a button corresponding to himself / herself when measuring blood pressure data, the sphygmomanometer stores the blood pressure data together with the number of the pressed button (hereinafter also referred to as “extended symbol”). When the sphygmomanometer transmits blood pressure data to the server, the sphygmomanometer transmits a combination of a telephone number and an extended symbol to the server as a measuring instrument identification symbol. Thus, by physically handling one sphygmomanometer as a plurality of sphygmomanometers, the patient and the sphygmomanometer can be made to correspond one-to-one, and the configuration of the entire medical support system is simplified. be able to.

  FIG. 3 is a diagram illustrating a configuration of the card 13 possessed by the patient. The card 13 includes a control unit 31, a communication unit 32, and a storage unit 33. The control unit 31 controls the entire card 13. In the storage unit 33, a card identification symbol uniquely assigned to the card is electromagnetically recorded. The communication unit 32 transmits a card identification symbol to a later-described card reading unit provided in the expert terminal 15. For example, a non-contact type IC card can be used as the card 13, and an ID number unique to the IC chip can be used as the card identification symbol.

  The individual patient, the card identification symbol of the card 13 possessed by the patient, and the measuring instrument identification symbol (mobile phone number and expansion symbol) of the sphygmomanometer 12 are associated in advance when the sphygmomanometer is sold to the patient, for example. This can be stored in the server 14 as a patient table. FIG. 7 is an example of such a patient table. The patient table consists of multiple patient records, and each patient record is uniquely assigned to each patient; instrument identification number; card identification number; personal information such as name / address / phone number; Login name / password; other information.

  FIG. 4 is a diagram illustrating the configuration of the server 14. The server 14 includes a control unit 41, a communication unit 42, a biological information analysis unit 43, a biological information display image data generation unit 44, and a storage unit 45. The control unit 41 controls the entire server 14. The communication unit 42 performs various communications with the sphygmomanometer 12, the expert terminal 15, the patient terminal 16, and the like. The biological information analysis unit 43 performs various analyzes of blood pressure data. The biological information display image data generation unit 44 generates image data representing the blood pressure data and the analysis result in a graph. The storage unit 45 stores various data such as blood pressure data and doctor information in addition to the patient table.

  When the server receives the measuring instrument identification symbol and blood pressure data from the sphygmomanometer, the server refers to the patient table and acquires the patient ID corresponding to the measuring instrument identification symbol. Next, blood pressure data is recorded in the blood pressure data table corresponding to the patient ID. FIG. 8 shows an example of such a blood pressure data table, and FIG. 11 shows the flow of the above processing. When the server receives a request from an expert terminal or a patient terminal, the server confirms the transmission source, performs processing according to the content of the transmission source and the request, and transmits necessary data to the terminal. Details of the server operation will be described later.

  The server may be a single computer or a plurality of computers. Preferably, it consists of a plurality of computers physically or virtually, and storage of patient information and biological information, analysis of biological information and generation of biological information display image data performed in response to a request from an expert terminal are separate. Preferably, it is performed by a computer. This is because it is possible to flexibly cope with changes in processing contents and addition of functions by replacing / adding physical devices or programs.

  FIG. 5 is a diagram illustrating a configuration of the expert terminal 15 according to the present embodiment. The expert terminal 15 includes a control unit 51, a communication unit 52, an input unit 53, a display unit 54, a card reading unit 55, and a storage unit 56. As the expert terminal 15, a normal personal computer or the like can be used. In that case, the control part 51, the communication part 52, the input part 53, the display part 54, and the memory | storage part 56 can use the thing of a normal personal computer as it is. The card reader 56 of the expert terminal is for reading the card identification symbol of the card 13 held by the patient, and can be used by connecting to an external terminal such as a USB of a personal computer. Although this card reading unit 55 is not an essential requirement of the present invention, it is possible to obtain the advantages described later by providing the card reading unit 55 like the expert terminal of the present embodiment.

  FIG. 6 is a diagram illustrating a configuration of the patient terminal 16 of the present embodiment. The patient terminal 16 includes a control unit 61, a communication unit 62, an input unit 63, a display unit 64, and a storage unit 65. A normal personal computer or the like can be used for the patient terminal 16. The patient terminal is used by the patient to check his / her past blood pressure data and the like, and to change patient information. The patient can perform these operations by logging into the server using a normal personal computer or the like.

  Next, in the above system, a method for displaying blood pressure data (biological information) on the expert terminal 15 will be described in more detail.

  Doctors who use the medical support system of this embodiment are registered in advance in the doctor table and stored in the storage unit 45 of the server 14. FIG. 9 is an example of a doctor table. The doctor table includes a plurality of doctor records, and each doctor record includes a doctor ID uniquely assigned to each doctor; doctor information such as name, address, and telephone number; login name and password when using an expert terminal; It consists of initial settings related to examination contents; other information.

  Moreover, the day when the doctor examined the patient is stored in the storage unit 45 of the server 14 as a consultation date table. FIG. 10 is an example of an examination date table. The examination date table is created for each combination of a specific doctor and a specific patient, and includes: a doctor ID; a patient ID; an initial setting for each doctor-patient regarding the contents of examination; a list of past examination dates; and other information. Is done. In addition, since the examination date table is created when the doctor first examines the patient, the server may determine whether or not the patient has been examined by the doctor depending on the presence or absence of the examination date table. it can.

  The doctor logs in to the server 14 from the expert terminal 15. At this time, as the authentication means, a known method such as a method using a login name and a password can be used. The server stores a doctor table in which a doctor ID uniquely assigned to each doctor is associated with a login name / password, and the doctor ID is obtained by referring to the doctor table when the doctor logs in. Further, when various types of information are subsequently received from the expert terminal, it can be determined that the transmission is from a doctor having the doctor ID.

  When a doctor uses the medical support system 10 for the first time, when the user logs in to the server 14 from the expert terminal 15, he / she is prompted to perform various initial settings applied to each doctor. Examples of setting items include a blood pressure data selection method, a default display item of a blood pressure information display screen, a screen design, and the like. The expert terminal transmits such setting items / contents to the server. The server that has received this records the setting contents in the doctor table stored in the storage unit 45 in association with the doctor ID of the transmission source doctor.

  FIG. 13 shows an example of a menu screen after login of the expert terminal. When a patient first sees the doctor, the doctor is prompted to make various initial settings for each patient. The doctor selects patient search from the menu of FIG. 13 and inputs the name of the patient. The expert terminal 15 transmits this to the server 14. The server obtains the patient ID by referring to the patient table, confirms that there is no examination date table corresponding to the doctor ID and the patient ID of the transmission source, and then creates a new examination date table in the storage unit. And various initial setting items and contents to be set for each combination of patients are transmitted to the expert terminal. The setting items include which time zone of blood pressure data of the day is used as a basis for examination according to the patient's life pattern, and the patient's medical record number. In addition, as setting items, numerical values (hereinafter referred to as “comparison reference values”) that doctors want to compare for determining the quality of blood pressure data, such as normal values of blood pressure according to the gender and age of patients, improvement target values for the patients, etc. ) Can also be set. The expert terminal transmits such setting items / contents to the server. The server that has received this records the setting contents in the examination date table.

  If the patient has already consulted with the doctor, the doctor can select an individual patient from the patient list in the menu of FIG. When the doctor selects the patient list from the menu, the expert terminal 15 transmits a patient list transfer request to the server 14, and the server 14 refers to an examination date table, which will be described later, linked to the doctor ID of the transmission source, A list of patient names who have been examined by the doctor is transmitted to the expert terminal 15. Therefore, the expert terminal can transmit a transfer request of blood pressure data of the patient to the server using the item number of the patient name list received from the server as patient identification information.

  Moreover, when a doctor examines the patient who brought the card 13, the above process can be simplified by causing the card reading unit of the expert terminal to read the card received from the patient. The expert terminal 15 of the present embodiment transmits a card identification symbol to the server 14 when the card reading unit 55 reads the card. At this time, the card identification symbol functions as patient identification information. When the server receives the card identification symbol, the server refers to the patient table and acquires the patient ID corresponding to the card identification symbol. Further, the server regards that day as an examination date, and can register it in the examination date table corresponding to the doctor ID and the patient ID of the transmission source. Further, when the server receives the card ID, the server can regard it as a biometric information transfer request, and can start analysis of biometric information and creation of biometric information display image data, which will be described later.

  When the server receives the blood pressure data transfer request from the expert terminal, the server performs a predetermined process and transmits the graph display image data to the expert terminal. FIG. 14 is an example of an image displayed on the expert terminal.

  FIG. 14A (lower part of FIG. 14) displays the transition of systolic blood pressure and diastolic blood pressure in the morning and evening for 60 days including the previous examination day and the previous examination day (hereinafter referred to as “transition graph”). FIG. 14A also shows the display date of the previous examination date and the previous examination date, and the improvement target values for the systolic blood pressure and the diastolic blood pressure set by the doctor.

  FIG. 12 is a diagram showing a flow of biometric information display image data creation by the server of this embodiment. When the server receives the patient's card ID (the patient's identification information and the biometric information data transfer request at the same time) from the expert terminal, the server performs the following processing. First, the patient ID corresponding to the received card ID is acquired with reference to the patient table. Next, referring to the doctor table, an initial setting value for each doctor corresponding to the doctor ID of the transmission source is acquired. Next, referring to the examination date table corresponding to the doctor ID and the patient ID, the previous examination date and the previous examination date, and the initial setting value for each doctor-patient are acquired. Next, in consideration of the acquired previous examination date, a period for displaying blood pressure data (hereinafter sometimes referred to as “display period”) is determined. This display period includes at least a period from the previous medical examination date to the date on which the biometric information data transfer request is received (hereinafter referred to as “current medical examination date”). Next, blood pressure data for the display period is acquired from the blood pressure data table corresponding to the patient ID. Next, a graph (transition graph) representing the acquired blood pressure data in time series is created, and display image data is also created. At this time, display image data is created so that the previous examination date and the previous examination date are displayed together in the graph. Further, the display image data may be created so that the comparison reference value is displayed together in the graph. When the image data of the transition graph is created in this way, the server transmits this to the expert terminal. With this graph, doctors can confirm the transition of biometric data after the previous medical examination date, and more accurately grasp the relationship with the diagnosis, treatment, treatment, prescription of medicine, etc. performed on each past medical examination date be able to.

  When creating the transition graph, the initial setting value for each doctor and the initial setting value for each doctor-patient are used as follows, for example. In general, it is recommended that blood pressure be measured three times in 10 minutes, but there are various ways of determining which value of the three measured values is used for diagnosis. For example, using only the first time, using only the second time, using the average of the first and second times, using the average of the second and third times, using the average of the first to third times, using the lowest value, and using the lowest two For example, the average of values is used. In the initial setting for each doctor, a method adopted by each doctor as a standard is set, and the server creates a transition graph from the blood pressure data acquired from the blood pressure data table according to the method. The comparison reference value is a numerical value set by the doctor for each patient, and is stored as an initial setting value for each doctor-patient in the examination date table.

  The start point and end point of the display period, that is, both ends of the transition graph, can simply be the previous examination date and the current examination date. However, if the two ends of the transition graph are always the previous examination date and the current examination date, the scale of the time series axis of the graph will be different each time, and it may be difficult to understand the degree of change over time. Therefore, the server stores a plurality of predetermined standard days, selects the shortest standard day including the previous examination date, acquires blood pressure data for the number of days from the blood pressure table, It is preferable to use to create a transition graph. For example, the standard days are set to 30 days, 60 days, 90 days, 180 days, and 365 days, and the shortest standard days larger than the days from the previous examination date to the current examination date are selected. Note that the scale of the time series axis of the transition graph may be changed afterwards according to a request from the expert terminal. FIG. 15 shows a display screen for making such a posteriori change.

  FIG. 14B (upper left in FIG. 14) displays the average values of the systolic blood pressure and the diastolic blood pressure in the morning and evening periods of the period from the previous examination date to the previous examination day and the period from the previous examination date to the current examination date ( Hereinafter referred to as “average graph”).

  In the process of creating the transition graph, the server calculates an average value of blood pressure data in the period from the previous examination date to the previous examination date and the period from the previous examination date to the transfer request reception date, and displays the image Create data and send it to the expert terminal.

  FIGS. 14C and D (upper center and right in FIG. 14) show the results of analyzing blood pressure data (hereinafter referred to as “analysis graph”). The analysis graph shows the result of the server performing various analyzes of blood pressure data. The analysis graph displayed on the screen of the expert terminal may be selectable from a plurality. FIG. 16 shows a display screen for such selection. Based on a list of analysis graphs transmitted from the server to the expert terminal, analysis graphs that can be selected by a pull-down menu method are displayed on the expert terminal. The analysis graph to be displayed first can be set to the initial setting for each doctor or the initial setting for each doctor-patient.

  When the server receives the patient identification symbol and the biometric information data transfer request from the expert terminal, the blood pressure data is analyzed by various preset analysis methods in the process of creating the transition graph, and the result is displayed. Create image data and send it to the expert terminal.

  Further, in FIG. 16, a circle or a triangle symbol is added to the left side of each analysis graph name. This indicates whether each analysis result shows a tendency to improve or deteriorate blood pressure data. (Hereinafter referred to as “evaluation mark”). After analyzing the blood pressure data, the server evaluates whether the result indicates a tendency to improve or deteriorate the biological information, and an image of an evaluation mark for each analysis result along with a list of selectable analysis graphs Data can be sent to expert terminals.

  By presenting the biological information analysis results in this way, the doctor can grasp the quality of each analysis result simply by looking at the evaluation mark before confirming all of the plurality of analysis results, It is possible to determine important analysis results. Moreover, such a biological information analysis result presentation method is also beneficial for patients. When a doctor or the like examines a patient and views the analysis result on an expert terminal, the patient also sees the analysis result at the same time. In this case, if the analysis result is bad, the patient may be depressed, and the willingness to measure biological information daily or receive treatment may be diminished. Or, if the analysis result is good, it may be neglected to keep up with daily measurement of living body information or improvement of lifestyle habits depending on the patient. On the other hand, according to the biometric information analysis result presentation method of the present embodiment, an expert such as a doctor can select and display a more appropriate analysis result in consideration of the patient's personality and medical condition.

  In order to display the list of analysis graphs that can be selected by the expert terminal with an evaluation mark, the server is selected as a transition graph and an initial setting when a biometric data transfer request is received. In addition to the analysis graph, it is necessary to perform all the selectable analyzes, evaluate them, and send an evaluation mark to the expert terminal.

  Below, the example of an analysis item and a graph is demonstrated based on FIGS.

  The “measured days per week” shown in FIG. 17 includes a period from the previous examination date to the previous examination day (hereinafter referred to as “current period”) and a period from the previous examination date to the current examination date (hereinafter referred to as “current period”). ) Shows the average number of measurement days per week for each morning and evening. For example, when the previous period is compared with the present period and increased from less than 3 times to 3 times or more, the evaluation is positive, and in the opposite case, the evaluation is negative.

  “Measurement frequency by day of the week” shown in FIG. 18 indicates the number of measurement days per day of the week in the morning and evening in the previous period and the current period. Comparing the previous period with the present period, for example, a positive evaluation is made when the number of days of the week on which the measurement has been performed one or more times is increased, and a negative evaluation is made in the opposite case.

  The “change in morning / night average / morning / night difference (SBP)” shown in FIG. 19 indicates the difference between the average of the highest blood pressure (systolic blood pressure, SBP) in the morning and evening, and the highest blood pressure in the morning and evening, in the previous period and the current period. Is. Comparing the previous period with the present period, for example, a positive evaluation is made when both the morning and evening average and the morning and evening difference are reduced, and a negative evaluation is made in the opposite case.

  The “occurrence status of tachycardia / bradycardia” shown in FIG. 20 indicates the number of times the pulse was 100 times / minute or more and the number of times less than 40 times / minute in the morning and evening in the previous period and the current period. Is. Since this analysis item alerts the physician that tachycardia / bradycardia has occurred, for example, when tachycardia / bradycardia is measured more than once during this period, negative analysis can be performed. .

  “Change in blood pressure level from the first time” shown in FIG. 21 indicates changes in the highest blood pressure and the lowest blood pressure (diastolic blood pressure, DBP) in the morning and evening in all periods from the first time including the previous period and the current period. Is. Comparing the previous period with the present period, for example, when both the systolic blood pressure and the diastolic blood pressure decrease, the evaluation is positive, and when the converse is the opposite, the evaluation is negative.

  The “average blood pressure value (by day of the week)” shown in FIG. 22 indicates the average values of the highest blood pressure and the lowest blood pressure in the morning and evening in the previous period and the current period. For example, a positive evaluation can be made when the systolic blood pressure and the diastolic blood pressure fall below the antihypertensive target on all days of the current period. In addition, for example, regarding either the maximum blood pressure or the minimum blood pressure, a negative evaluation can be made when the difference between the average of the highest day on the second day of blood pressure and the average of the other five days is 10 mmHg or more.

  The “change in blood pressure distribution (SBP)” shown in FIG. 23 indicates the distribution of the highest blood pressure in the morning and evening in the previous period and the current period. For example, in the case where the target pressure is not more than the target step-down value, the ratio is shown separately when the difference from the target step-down value is 20 mmHg or less and the target step-down value is higher than 20 mmHg. In addition, each may be color-coded green, yellow, red, etc. to facilitate visual reading. When comparing the previous period with the present period, for example, when the ratio when the target pressure is lower than the target step-down value is increased by 20% or more, or when the ratio is higher than the target step-down value + 20 mmHg and decreases by 20% or more, the case is positive Is negative.

  The “change in blood pressure distribution (DBP)” shown in FIG. 24 performs analysis similar to the change in blood pressure distribution (SBP) for the minimum blood pressure. For example, in the case of the step-down target value or less, the ratio is shown separately when the difference from the step-down target value is 10 mmHg or less and the step-down target value is higher than 10 mmHg. In addition, each may be color-coded green, yellow, red, etc. to facilitate visual reading. When comparing the previous period with the current period, for example, when the ratio below the target pressure reduction value is increased by 20% or more, or when the ratio above the target pressure reduction value +10 mmHg is decreased by 20% or more, it is positive and vice versa Is negative.

  The “blood pressure average value (by time zone)” shown in FIG. 25 indicates the average of the highest blood pressure and the lowest blood pressure by the measured time zone. The analysis period can be selected as appropriate, for example, only the current period, the previous period and the current period, and all after the first time.

  The “blood pressure average value (by month)” shown in FIG. 26 indicates the average of the highest blood pressure and the lowest blood pressure by month for all periods from the first time.

  The present invention is not limited to the above embodiment. In the said embodiment, although biometric information was demonstrated as a blood pressure value and the expert was demonstrated as a doctor, it is not restricted to this. In addition to blood pressure, the biological information may be various types of biological information that doctors need for diagnosis, such as blood glucose levels, measured daily. The specialist may be a medical worker other than the doctor or other specialists.

Claims (10)

A biological information measuring device capable of measuring and transmitting the biological information of the patient;
An expert terminal having a display unit;
Receiving the biological information transmitted from the biological information measuring device, storing it as a biological information data table associated with the patient and biological information measurement date, receiving the examination date transmitted from the expert terminal, A biometric information display method in a medical support system in which a server for storing as a consultation date table associated with a patient is connected via a network,
The server is
Receiving the patient identification information and the biometric information data transfer request from the expert terminal;
Referring to the examination date table corresponding to the received identification information, obtaining the previous examination date and the previous examination date;
Referring to the biometric information data table corresponding to the received identification information, obtaining biometric data for display at least after the date of previous examination;
Representing the acquired biometric information data for display in chronological order, and creating first biometric information display image data shown together with the previous examination date and the previous examination date;
And a step of transmitting the created first biological information display image data to the expert terminal. The medical support system further includes a card to which a unique card identification symbol associated with a patient is assigned,
The expert terminal further includes a card reading unit, and is configured to transmit a card identification symbol to the server when the card reading unit reads the card,
The biological information display method according to claim 1, wherein the patient identification information is a card identification number. The server comprises a plurality of computers connected by a telecommunication line,
The biometric information display method according to claim 1 or 2, wherein at least recording of the biometric information data table and creation of the biometric information display image data are performed by a separate computer. The server stores a plurality of predetermined standard days as a period of the biological information to be displayed,
The biological information display method according to any one of claims 1 to 3, wherein in the step of acquiring the display biological information data, biological information data for a shortest standard number of days including a measurement day before is acquired. The server is
Calculating an average value of the biological information data in a period from the previous examination date to the previous examination date and a period from the previous examination date to the transfer request reception date;
Creating second biological information display image data for displaying the two average values;
The biometric information display method according to claim 1, further comprising a step of transmitting the created second biometric information image data to the expert terminal. The server is
A step of analyzing the biometric data after the examination date
Creating third biological information display image data for displaying the analysis result;
The biometric information display method according to any one of claims 1 to 5, further comprising a step of transmitting the created third biometric information image data to the expert terminal. The server
From the expert terminal, the comparison reference value of the biological information for the patient is received, the received patient and the comparison reference value are associated with each other and stored as a comparison reference value table,
The biological information display method according to claim 6, wherein first to third biological information display image data indicating the comparison reference value data together with the biological information data, an average value, or an analysis result is created. The biological information display method according to any one of claims 1 to 7, wherein the biological information is one of a patient's blood pressure and blood glucose level. A biological information measuring device capable of measuring and transmitting the biological information of the patient;
An expert terminal having a display unit;
Receiving the biological information transmitted from the biological information measuring device, storing it as a biological information data table associated with the patient and biological information measurement date, receiving the examination date transmitted from the expert terminal, In a medical support system connected via a network to a server that stores as an examination date table associated with a patient, the biometric information display image data creation device constructed in the server,
Means for receiving patient identification information and the transfer request of the biometric information data from the expert terminal;
Means for referring to the examination date table corresponding to the received identification information and obtaining the previous examination date and the previous examination date;
Means for obtaining biometric information data for display after at least the previous examination date with reference to the biometric information data table corresponding to the received identification information;
Means for generating the biometric information display image data representing the acquired biometric information data for display in time series, and showing the medical examination information and the previous medical examination date,
A biometric information display image data creation device comprising means for transmitting the created biometric information display image data to the expert terminal.   A program for causing a computer to function as the biological information display image data creation device according to claim 9.