JP2016073473A - Testing system, function recovery system, and method and program thereof - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a testing system, a function recovery system, and a method and a program thereof capable of smoothly performing a test or recovering a function based on preset test data or function recovery data.SOLUTION: A control part performs: a first step to search for test items for each patient from a patient chart database using patient information input from an input part as a key; a second step to display the test items searched for in the first step in a display part and receive the selection of the test items selected by using the input part; a third step to cause a testing part to generate a testing program according to the test items with a plurality of parameters set that are received in the second step, and searched for in the first step; and a fourth step to cause the testing part to perform a test according to the testing program generated in the third step.SELECTED DRAWING: Figure 3

Description

  The present invention relates to an inspection system suitable for ophthalmic examinations performed in ophthalmology, a function recovery system suitable for function recovery performed in ophthalmology, and methods and programs thereof.

  Ophthalmic examinations performed in ophthalmology include an eye position examination and a double image examination (see, for example, Non-Patent Document 1).

  The eye position inspection is an inspection for checking whether the positions of the left and right eyes are normal. In the eye position examination, a point light source such as a penlight is placed in front of the patient (subject) and fixed, and the doctor measures the deviation of the corneal reflection of the strabismus eye and expresses it in arcs. I do.

  The double-image examination is an examination for examining whether or not the movement of the eyeball by the extraocular muscles of the eye is normal. In the double image examination, the patient's head is fixed to the chin rest, and as shown in FIG. 1, for example, a red radial cell is projected onto the white screen in front of the patient, and in front of each eye of the patient. A red glass 11 and a green glass 12 are placed. The patient sees a square through the red glass 11 and the green glass 12. The grid is 5 degrees per scale, and the intersection of the front center and the vertical and horizontal grids 15 to 30 degrees away from the front center are indicated by circles (targets). The patient has an indicator that can project a green arrow with the right hand, and moves the indicator so that the tip of the arrow (pointer) sequentially matches the circle of the crossing point. The doctor fills in the position indicated by the arrow on the printed paper on which the cells are printed, and connects each measurement point with a line to generate the Hess chart 1 as shown in FIG. Red and green are in a complementary color relationship, and through the red lens 11, the green arrow cannot be seen only by the red squares, and the green lens 12 is reversed. When the eyelet is seen with the eye placed in front of the eye of the red lens 11, a fixation is made.

  In the Hess chart 1 in FIG. 1, the place where the left eye is looking is shown by a black circle when the white circle of the right eye is fixed, and the black circle corresponding to each white circle every 5 degrees is connected by a line. It is. In this Hess chart 1, the line of sight of the left eye when the right eye is viewed 15 degrees to the right protrudes from the chart, and the doctor determines that the left eye is abnormal. In this way, the doctor gives the result of the examination based on the Hess chart 1.

  In these ophthalmic examinations, when summarizing the test results, the doctor has to summarize by hand, which is very time-consuming. In order to solve this, a computer as described in Patent Document 1, for example, was used. There is an inspection device. The invention described in Patent Literature 1 is an eye inspection apparatus, which includes a generation unit that generates inspection data, and a target for specifying a position with a pointer that is moved by an operation of the subject based on the inspection data. A first display means for displaying an image including a target and a pointer, an operation input receiving means for receiving an operation input for designating a position of the pointer from the subject, and a relationship between the position of the target and the position of the pointer It is characterized by having a second display means for displaying characters or images, and it is not necessary to collect inspection data by hand, and quantitative inspection can be performed.

“Ophthalmological Examination Handbook 2nd Edition (Pages 188 to 192, and pages 207 and 209)”, edited by Toshio Maruo, Mizuo Matsui, Yoshihisa Oguchi, Katsushi Kozaki, Medical School, issued July 1, 1997

JP 2005-278661 A

  However, in the inspection apparatus described in Patent Document 1, the doctor (examiner) must perform the inspection after generating the inspection data by setting the parameters according to the patient each time. At the same time, there has been a problem that a doctor must be present with the patient. In addition, the above-described apparatus can only be used for eye examination, and there is a problem that it cannot be used for functional recovery (rehabilitation) of the cerebral nervous system that governs the optic nerve and visual function.

  The present invention has been made in view of such a situation, and an inspection system, a function recovery system, and the like that can smoothly perform inspection or function recovery based on preset inspection data or function recovery data. It is an object to provide a method and a program. Moreover, it aims at providing the test | inspection system which can perform test | inspection or function recovery by patient's own operation, a function recovery system, these methods, and a program. Furthermore, the present invention provides not only an eye examination but also a function recovery training operation at a preset level, thereby stimulating the optic nerve system that controls the visual function through the patient's vision, and It is an object of the present invention to provide a function recovery system that can promote recovery of cranial nerves that control functions, and methods and programs thereof.

  The present invention relates to a patient chart database in which patient information is recorded, an examination / function recovery database in which an examination data table in which a plurality of examination items in which a plurality of parameters are set in accordance with examination levels is recorded, and to input data. An input unit; an inspection unit that generates an inspection program in which parameters are set with reference to parameters stored in the inspection / function recovery database; a display unit that displays an image of the inspection item and the inspection program being executed; A test system comprising: a patient chart database and a control unit that controls the display unit and the test unit with reference to the test / function recovery database, wherein the control unit receives patient information input from the input unit. A first step of retrieving examination items for each patient from the patient medical record database as a key, and the first step A second step of displaying on the display unit the inspection item searched by the step, and receiving a selection of the inspection item selected using the input unit; and a plurality of parameters received by the second step and searched by the first step A third step for causing the inspection unit to generate an inspection program corresponding to the inspection item for which is set, and a fourth step for causing the inspection unit to execute an inspection corresponding to the inspection program generated by the third step are executed. This is a first feature.

  Further, the present invention is the inspection system of the first feature, comprising an intervention processing unit that performs an intervention process including a change of data input to the input unit and a change of parameters of the inspection data table, The control unit controls the intervention processing unit, and receives a change in the parameter of the examination data table between any of the steps, and executes a fifth step of performing the intervention processing. .

  The present invention is the inspection system according to the first feature, further including an intervention processing unit that changes data input to the input unit and changes parameters of the inspection data table, and the control unit includes: The sixth step of controlling the intervention processing unit to perform an intervention process for urging the determination as to whether the selection item received in the second step is suitable; and when the sixth step determines that no intervention is required, A seventh step for causing the inspection unit to generate an inspection program corresponding to an inspection item set with a plurality of parameters searched in the first step, and a change in the inspection item when it is determined that intervention is necessary in the sixth step. And an eighth step of causing the inspection unit to generate an inspection program corresponding to the changed inspection item is a third feature.

  Further, the present invention is the inspection system according to any one of the second and third features, wherein a logical contradiction determination table in which a determination condition for determining a logical contradiction of an inspection result is recorded in the inspection / function recovery database. Provided, when the control unit determines whether there is a logical contradiction in the inspection result executed in the fourth step with reference to the logical contradiction determination table, and determines that there is a logical contradiction, The fourth feature is that the ninth step of shifting to the fifth or sixth step is executed.

  Further, the present invention is the examination system according to any one of the second to fourth aspects, wherein the control unit changes the parameter when the intervention process is executed, and changes the parameters of the patient chart database and / or the examination / function. The fifth feature is that the tenth step of recording in the recovery database is executed.

  The present invention also includes a patient medical record database in which patient information is recorded, an examination / function recovery database storing a function recovery data table in which a plurality of function recovery items in which a plurality of parameters are set in accordance with a function recovery level are stored, and data A function recovery program in which parameters are set with reference to parameters stored in the inspection / function recovery database A function recovery system comprising: a function recovery unit that generates a control unit that controls the display unit and the function recovery unit with reference to the patient chart database and the examination / function recovery database, wherein the control unit includes: The function for each patient from the patient medical record database using the patient information input from the input unit as a key An eleventh step of searching for a reverse item; a twelfth step of displaying the function recovery item searched in the eleventh step on the display unit and receiving a selection of the function recovery item selected using the input unit; The 13th step of generating the function recovery program according to the function recovery item set in the plurality of parameters received in the 12th step and searched in the 11th step, and generated by the 13th step The sixth feature is that the fourteenth step of causing the function recovery unit to perform function recovery according to the function recovery program is executed.

  The present invention is the function recovery system according to the sixth aspect, wherein the function recovery system performs an intervention process including a change of data input to the input unit and a change of parameters of the function recovery data table. An intervention processing unit that performs the fifteenth step of controlling the intervention processing unit and accepting a change in the parameter of the function recovery data table between any of the steps and performing the intervention processing. This is a seventh feature.

  The present invention is the function recovery system according to the sixth feature, wherein the function recovery system changes the data input to the input unit and changes the parameters of the function recovery data table. The control unit controls the intervention processing unit to perform an intervention process for urging the determination as to whether or not the selection item received in the twelfth step is suitable, and the intervention by the sixteenth step. Is determined to be unnecessary, the function recovery unit generates a function recovery program corresponding to the function recovery item in which the plurality of parameters searched in the eleventh step are set, and the 16th step intervenes. When it is determined that it is necessary, the function recovery item is accepted, and a function recovery program corresponding to the changed function recovery item is stored in the function recovery unit. A 18th step of made, and eighth aspect of the performing.

  The present invention is the function recovery system according to any of the seventh and eighth features, wherein a logical contradiction determination is recorded in which a determination condition for determining a logical contradiction of the function recovery result is recorded in the inspection / function recovery database. A table is provided, and the control unit determines whether there is a logical contradiction in the function recovery result executed in the fourteenth step with reference to the logical contradiction determination table, and determines that there is a logical contradiction. In this case, the ninth feature is that the nineteenth step of shifting to the fifteenth or sixteenth step is executed.

  Further, the present invention is the function recovery system according to any one of the seventh to ninth aspects, wherein the control unit changes a parameter when the intervention process is executed, and changes the parameters in the patient chart database and / or the examination. The tenth feature is that the twentieth step of recording in the function recovery database is executed.

  Further, the present invention is the function recovery system according to any one of the sixth to tenth aspects, wherein the function recovery table sets a plurality of function recovery in which a parameter based on a muscle action direction in which a function recovery target muscle is identified is set. An item is recorded as an eleventh feature.

  Further, the present invention inputs a patient chart database in which patient information is recorded, an examination / function recovery database in which an examination data table in which a plurality of examination items in which a plurality of parameters according to examination levels are set is stored, and data are input. An input unit, a display unit for displaying an image during execution of the inspection item and the inspection program, an inspection unit for generating an inspection program in which parameters are set with reference to parameters stored in the inspection / function recovery database, An inspection program for a computer system comprising the display section and a control section for controlling the examination section with reference to the patient chart database and the examination / function recovery database, wherein the control section includes the input section Using the entered patient information as a key, test items for each patient are detected from the patient chart database. A twenty-first step, a twenty-second step for displaying the examination item searched in the twenty-first step on the display unit, and accepting selection of the examination item selected using the input unit, and the twenty-second step A 23rd step for causing the inspection unit to generate an inspection program corresponding to an inspection item in which a plurality of parameters set in the 21st step are accepted, and an inspection program generated according to the 23rd step. According to a twelfth feature, the twenty-fourth step of causing the inspection unit to perform an inspection is executed.

  The present invention is the inspection program according to the twelfth aspect, wherein the computer system performs an intervention process including a change of data input to the input unit and a change of parameters of the inspection data table. And having the control unit control the intervention processing unit to execute a twenty-fifth step of allowing the change of the parameter of the examination data table to be accepted between any of the steps and performing the intervention processing. Is a thirteenth feature.

  Further, the present invention is the inspection program according to the twelfth aspect, wherein the computer system includes an intervention processing unit that changes data input to the input unit and changes parameters of the inspection data table. The control unit controls the intervention processing unit to perform an intervention process that prompts the user to determine whether or not the selection item accepted in the twenty-second step is suitable, and the twenty-sixth step performs intervention. When it is determined that it is unnecessary, it is determined that intervention is necessary in step 27 and step 26 in which the inspection unit generates an inspection program corresponding to the inspection item in which the plurality of parameters searched in step 21 are set. When the inspection item is changed, the change of the inspection item is accepted, and the inspection unit according to the changed inspection item is generated by the inspection unit. And 8 steps, and fourteenth features of the be executed.

  The present invention is the inspection program according to any of the thirteenth and fourteenth aspects, wherein the inspection / function recovery database is provided with a logical contradiction determination table in which determination conditions for determining logical contradiction of the inspection result are recorded. The control unit is caused to determine whether there is a logical contradiction in the inspection result executed in the 24th step with reference to the logical contradiction determination table, and when it is determined that there is a logical contradiction, The fifteenth feature is that the twenty-ninth step for shifting to the twenty-fifth or twenty-sixth step is executed.

  Further, the present invention is the inspection program according to any one of the thirteenth to fifteenth features, wherein when the intervention process is executed by the control unit, the parameter change is performed by the patient chart database and / or the inspection / function. The sixteenth feature is that the 30th step of recording in the recovery database is executed.

  The present invention also includes a patient medical record database in which patient information is recorded, an examination / function recovery database storing a function recovery data table in which a plurality of function recovery items in which a plurality of parameters are set in accordance with a function recovery level are stored, and data A function recovery program in which parameters are set with reference to parameters stored in the inspection / function recovery database A function recovery program comprising: a function recovery unit that generates a control unit that controls the display unit and the function recovery unit with reference to the patient chart database and the examination / function recovery database, the control unit The patient information input from the input unit is used as a key for each patient from the patient chart database. A thirty-first step for searching for a function recovery item, and a thirty-second step for displaying the function recovery item searched in the thirty-first step on the display unit and accepting the selection of the function recovery item selected using the input unit. And a thirty-third step of causing the function recovery unit to generate a function recovery program corresponding to the function recovery item in which the plurality of parameters searched in the thirty-first step are set. A seventeenth feature is that the 34th step of causing the function recovery unit to execute the function recovery according to the function recovery program generated in the step is executed.

  The present invention is the function recovery program according to the seventeenth feature, wherein the computer system performs an intervention process including a change of data input to the input unit and a change of parameters of the function recovery data table. A thirty-fifth step of having an intervention processing unit, causing the control unit to control the intervention processing unit, accepting a change in the parameter of the function recovery data table between any of the steps, and performing the intervention processing The eighteenth feature is that it is executed.

  The present invention is the function recovery program according to the seventeenth feature, wherein the computer system includes an intervention processing unit that changes data input to the input unit and changes parameters of the function recovery data table. A control unit that controls the intervention processing unit to perform an intervention process that prompts the user to determine whether the selection item received in the thirty-second step is suitable; When it is determined that a function recovery program is determined to be unnecessary, the function recovery unit generates a function recovery program corresponding to the function recovery item set with the plurality of parameters searched in the 31st step, and the 36th step intervenes. When it is determined that the function recovery item is necessary, the function recovery program accepts the change of the function recovery item and the function recovery program corresponding to the changed function recovery item And 38 step of generating the functional recovery unit, and 19 characterized in that to execute.

  The present invention is the function recovery program according to any of the eighteenth and nineteenth aspects, wherein the inspection / function recovery database stores a logical contradiction determination table in which determination conditions for determining a logical contradiction of the function recovery result are recorded. And the control unit determines whether there is a logical contradiction in the function recovery result executed in the thirty-fourth step with reference to the logical contradiction determination table, and determines that there is a logical contradiction. In this case, the twenty-ninth feature is that the thirty-ninth step for shifting to the thirty-fifth or thirty-sixth step is executed.

  The present invention is the function recovery program according to any of the eighteenth to twentieth features, wherein when the intervention process is executed by the control unit, parameter changes are made to the patient chart database and / or the examination / The twenty-first feature is that the 40th step of recording in the function recovery database is executed.

  The present invention is the function recovery program according to any one of the seventeenth to twenty-first aspects, wherein the function recovery table sets a plurality of function recovery items in which parameters based on a muscle action direction that identifies a function recovery target muscle are set. Is recorded as a twenty-second feature.

  Further, the present invention inputs a patient chart database in which patient information is recorded, an examination / function recovery database in which an examination data table in which a plurality of examination items in which a plurality of parameters according to examination levels are set is stored, and data are input. An input unit, a display unit for displaying an image during execution of the inspection item and the inspection program, an inspection unit for generating an inspection program in which parameters are set with reference to parameters stored in the inspection / function recovery database, , An inspection method using a computer system comprising the display unit and a control unit for controlling the examination unit with reference to the patient chart database and the examination / function recovery database, wherein the input to the control unit The patient information entered from the department is used as a key to search the patient chart database for examination items for each patient. The forty-first step, the forty-second step for displaying the inspection item searched in the forty-first step on the display unit, and accepting the selection of the selected inspection item using the input unit, and the forty-second step A 43rd step for causing the inspection unit to generate an inspection program corresponding to an inspection item in which a plurality of parameters set in the 41st step are accepted, and an inspection program generated according to the 43rd step. According to a twenty-third feature, the forty-fourth step for causing the inspection unit to perform an inspection is executed.

  The present invention is the inspection method according to the twenty-third feature, wherein the computer system performs an intervention process including a change of data input to the input unit and a change of parameters of the inspection data table. A 45th step of causing the control unit to control the intervention processing unit and to accept a change in the parameter of the examination data table between any of the steps to perform the intervention process. Is the twenty-fourth feature.

  The present invention is the inspection method according to the twenty-third feature, wherein the computer system includes an intervention processing unit that changes data input to the input unit and changes parameters of the inspection data table. A 46th step for causing the control unit to control the intervention processing unit to perform an intervention process for prompting a determination as to whether or not the selection item received in the 42nd step is suitable; When it is determined that it is unnecessary, it is determined that intervention is necessary in the 47th step and the 46th step in which the inspection unit generates an inspection program corresponding to the inspection item set with the plurality of parameters searched in the 41st step. The 48th step of causing the inspection unit to generate an inspection program corresponding to the changed inspection item. And up to the first 25, characterized in that to execute.

  Further, the present invention is the method for inspecting any one of the features of the twenty-fourth or the twenty-fifth, wherein the inspection / function recovery database is provided with a logical inconsistency determination table in which determination conditions for determining logical inconsistencies in the inspection results are recorded. The control unit determines whether there is a logical contradiction in the inspection result executed in the 44th step with reference to the logical contradiction determination table, and when it is determined that there is a logical contradiction, The forty-sixth feature is that the forty-ninth step for shifting to the forty-fifth or forty-sixth step is executed.

  Further, the present invention is the inspection method according to any one of the twenty-fourth to the twenty-sixth aspects, wherein when the intervention process is executed by the control unit, the parameter change is changed to the patient chart database and / or the inspection The twenty-seventh feature is that the 50th step of recording in the function recovery database is executed.

  The present invention also includes a patient medical record database in which patient information is recorded, an examination / function recovery database storing a function recovery data table in which a plurality of function recovery items in which a plurality of parameters are set in accordance with a function recovery level are stored, and data A function recovery program in which parameters are set with reference to parameters stored in the inspection / function recovery database A function recovery method using a computer system comprising: a function recovery unit that generates a control unit that controls the display unit and the function recovery unit with reference to the patient chart database and the examination / function recovery database, Using the patient information input from the input unit as a key, the controller records the patient chart database. Step 51 for retrieving a function recovery item for each patient from the patient, and displaying the function recovery item retrieved in step 51 on the display unit, and accepting selection of the function recovery item selected using the input unit And a 53rd step of causing the function recovery unit to generate a function recovery program corresponding to the function recovery item in which the plurality of parameters retrieved in the 51st step are set. According to a twenty-eighth feature, the function recovery unit is caused to execute a function recovery according to the function recovery program generated in the 53rd step.

  The present invention is the function recovery method according to the 28th feature, wherein the computer system performs an intervention process including a change of data input to the input unit and a change of parameters of the function recovery data table. A 55th step of having an intervention processing unit, causing the control unit to control the intervention processing unit, accepting a change in the parameter of the function recovery data table between any of the steps, and performing the intervention processing; The 29th feature is to execute it.

  The present invention is the function recovery method according to the twenty-eighth aspect, wherein the computer system includes an intervention processing unit for changing data input to the input unit and changing parameters of the function recovery data table. And the control unit controls the intervention processing unit to perform an intervention process that prompts the user to determine whether or not the selection item received in step 52 is suitable, and the 56th step performs intervention. When it is determined that it is unnecessary, intervention is required in step 57 and step 56 in which the function recovery unit generates a function recovery program corresponding to the function recovery item in which the plurality of parameters searched in step 51 are set. When it is determined that the function recovery item is changed, the function recovery program corresponding to the changed function recovery item is A 58th step of generating a recovery unit, and the 30th feature of the be executed.

  The present invention is the function recovery method according to any of the 29th and 30th aspects, wherein the inspection / function recovery database stores a determination condition for determining a logical inconsistency of the inspection result. The control unit determines whether there is a logical contradiction in the function recovery result executed in the 54th step with reference to the logical contradiction determination table, and determines that there is a logical contradiction. In this case, the 31st feature is that the 59th step for shifting to the 55th or 56th step is executed.

  The present invention is the function recovery method according to any one of the 29th to 31st features, wherein when the intervention process is executed by the control unit, the parameter change is changed to the patient chart database and / or the examination / The thirty-second feature is that the 60th step of recording in the function recovery database is executed.

  The present invention is the function recovery method according to any one of the 28th to 32nd features, wherein the function recovery table sets a plurality of function recovery items in which parameters based on the muscle action direction in which the function recovery target muscle is identified are set. Is recorded as a thirty-third feature.

The examination system and these methods and programs according to the present invention are a patient record database in which patient information is recorded, and an examination / function recovery in which an examination data table in which a plurality of examination items in which a plurality of parameters are set in accordance with examination levels is stored is stored. In a computer system equipped with a database, the patient information is used as a key to search the patient chart database for each patient's inspection items, and the inspection unit generates an inspection program corresponding to the inspection item for which multiple parameters are set, and the inspection is performed. Therefore, the examination can be performed by the patient's own operation.
Furthermore, the function recovery system according to the present invention, and these methods and programs can not only perform eye inspection but also repeat the function recovery operation similar to the preset level inspection operation, thereby improving the visual function through the patient's vision. It can stimulate the optic nerve system that controls the patient's visual function and the recovery of the cranial nerve that controls the visual function.

It is a figure explaining the conventional double image inspection. It is a figure explaining the composition of the inspection system to which the present invention is applied. It is a flowchart explaining the test | inspection / function recovery process in the test | inspection apparatus for doctors, and the test | inspection apparatus for patients. It is a block diagram which shows the functional structural example of the test | inspection apparatus for doctors of FIG. It is a block diagram which shows the functional structural example of the test | inspection apparatus for patients of FIG. It is a flowchart explaining the test | inspection / function recovery process in the test | inspection apparatus for doctors, and the test | inspection apparatus for patients. It is a figure explaining the example of an initial screen. It is a figure explaining the example of a screen of a double image inspection. It is a figure explaining the example of the calculation result of a double image test | inspection. It is a figure explaining the example of a screen of a double image inspection. It is a figure explaining the example of a screen of eye position examination. It is a figure explaining the example of a screen of eye position examination. It is a figure explaining a patient chart database. It is a figure explaining a test | inspection / function recovery database. It is a flowchart explaining a function recovery process.

  Embodiments of the present invention will be described below. The correspondence relationship between the invention described in this specification and the embodiments of the invention is exemplified as follows. This description is intended to confirm that the embodiments supporting the invention described in this specification are described in this specification. Therefore, even if there is an embodiment that is described in the embodiment of the invention but is not described here as corresponding to the invention, the fact that the embodiment is not It does not mean that it does not correspond to the invention. Conversely, even if an embodiment is described herein as corresponding to an invention, that means that the embodiment does not correspond to an invention other than the invention. Absent.

  Further, this description does not mean all the inventions described in this specification. In other words, this description is for the invention described in the present specification, which is not claimed in this application, that is, for the invention that will be applied for in the future or that will appear and be added by amendment. It does not deny existence.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
[overall structure]
FIG. 2 is a diagram showing an external configuration of an inspection system to which the present invention is applied. The inspection system 20 mainly includes a doctor inspection device 31 operated by a doctor (examiner) for an inspection, a patient inspection device 32 used by a patient (examinee) for the inspection, and the doctor And a patient chart database 37 in which patient information such as medical records is recorded, and an examination / function recovery database 38 in which examination contents and function restoration contents are recorded. .
In the present embodiment, the two devices of the doctor inspection device 31 and the patient inspection device 32 are used. However, the present invention is not limited to this, and the inspection system may be configured by a single inspection device and database. Good.

  The doctor testing apparatus 31 and the patient testing apparatus 32 are connected via a LAN cable 33 and exchange data with each other. The doctor inspection device 31 and the patient inspection device 32 are connected to a printer 34 via a LAN cable 33, and the printer 34 is an image or document based on data from the doctor inspection device 31 or the patient inspection device 32. On the paper. In the present embodiment, the doctor testing apparatus 31, the patient testing apparatus 32, and the printer 34 are connected by a LAN cable. However, wireless communication may be performed.

  The doctor examination apparatus 31 and the patient examination apparatus 32 are, for example, general personal computers. A CPU (Central Processing Unit), a ROM (Read Only Memory), and a RAM (Random Access Memory) are connected via an internal bus. The internal bus is also connected to an input / output interface.

  In addition, the CPU executes various processes according to a program stored in the ROM or a program loaded from the storage unit to the RAM. The RAM also appropriately stores data necessary for the CPU to execute various processes.

  Input / output interfaces include an input unit consisting of a keyboard, mouse, microphone, touch panel, etc., an output unit consisting of CRT, LCD (Liquid Crystal Display), speakers, etc., a storage unit consisting of a hard disk, modem, terminal adapter, etc. A communicator configured is connected. The communication unit performs communication processing via various networks including a telephone line and CATV.

  In addition, a drive is connected to the input / output interface as necessary, and a removable medium such as a magnetic disk, an optical disk, a magneto-optical disk, or a semiconductor memory is appropriately mounted, and a computer program read from the medium is read as necessary. Installed in the storage unit.

[Configuration of doctor's inspection device]
FIG. 4 is a block diagram illustrating a functional configuration example of the medical examination apparatus 31 illustrated in FIG. 2.
The doctor examination apparatus 31 includes an input unit 151, a main control unit 152, a double image examination unit 153, an eye position examination unit 154, a function recovery unit 600, an intervention processing unit 500, a display unit 156, a data transmission / reception unit 159, and a display unit 156. An input unit 151 and a print data transmission unit 161.

  The input unit 151 receives an operation input from a doctor. The main control unit 152 controls the multiple image inspection unit 153, eye position inspection unit 154, function recovery unit 600, intervention processing unit 500, data transmission / reception unit 159, and print data transmission unit 161.

  The double image inspection unit 153 is a processing unit for performing a double image inspection to check whether or not the movement of the eyeball by the extraocular muscles of the eye is normal. The double image inspection unit 153 is provided with a parameter setting unit 171 and a double image inspection execution unit 172, and data can be exchanged inside the double image inspection unit 153. The parameter setting unit 171 sets various parameters for the double image inspection, and the double image inspection execution unit 172 uses the parameters set by the parameter setting unit 171 to perform a double image inspection program. Is generated.

  The eye position inspection unit 154 performs an eye position inspection to check whether the positions of the left and right eyes are normal. The eye position examination unit 154 includes a parameter setting unit 181 and an eye position examination execution unit 182, and each of the eye position examination units 154 can exchange data. The parameter setting unit 181 sets various parameters for the eye position examination, and the eye position examination execution unit 182 uses the parameters set by the parameter setting part 181 to perform an eye position examination program. Is generated.

  The function recovery unit 600 recovers the function of the optic nerve and the cranial nervous system that controls the visual function. The function recovery unit 600 is provided with a parameter setting unit 601 and a function recovery execution unit 602, and data can be exchanged inside the function recovery unit 600. The parameter setting unit 601 sets various parameters for function recovery, and the function recovery executing unit 602 generates a function recovery program for supporting function recovery using the parameters set by the parameter setting unit 601. . The function recovery program includes a program for performing double image recovery training processing and eye position recovery training processing, but is not limited thereto.

  The intervention processing unit 500 performs an intervention process including a change of the items and parameters by the intervention of a doctor when the examination items and function recovery items set by the patient and the parameters of these items are not optimal. That is, in this intervention process, there is a logical contradiction in the examination result or function recovery result calculated based on the examination contents when the examination item or function restoration item selected by the patient, which will be described later, is judged inappropriate by the doctor. When it is determined that there is a medical examination, the doctor selects an examination item or a function recovery item and intervenes to generate a new examination / function restoration program so as to lead to appropriate and reasonable results.

  The display unit 156 displays an image based on predetermined image data. Based on the control from the main control unit 152, the data transmission / reception unit 159 transmits each program and data for performing examination, function recovery, and intervention, and data of the diagnosis result, and each input data from the patient examination apparatus 32 And calculation result data on inspection / function recovery.

  The print data transmission unit 161 transmits print data to the printer 34 based on the control from the main control unit 152. The printer 34 prints an image or document on paper based on the print data.

[Configuration of patient testing equipment]
FIG. 5 is a block diagram illustrating a functional configuration example of the patient inspection apparatus 32 illustrated in FIG. 2.
The patient examination apparatus 32 includes an input unit 201, a main control unit 202, a display unit 204, a storage unit 205, a data reception unit 206, and a print data transmission unit 207.

  The input unit 201 receives an operation input from a patient. The input unit 201 is, for example, the mouse 51 in FIG. The main control unit 202 controls each unit of the input unit 201, the storage unit 205, and the data transmission / reception unit 206.

  The display unit 204 displays a predetermined image (for example, an image during execution of a program such as a target and a pointer) based on the control from the main control unit 202. The storage unit 205 stores the test program and function recovery program generated by the doctor test apparatus 31 and the calculation results of the test and function recovery. Based on the control from the main control unit 202, the data transmission / reception unit 206 receives each program, data, and diagnosis result data transmitted from the medical examination apparatus 31, and calculates each input data and examination / function recovery. Send the result.

  Here, for example, a liquid crystal display can be used as the display unit 204 on the patient side, and the input unit 201 is the mouse 51. However, the display unit 204 is not limited thereto, and may be a microphone, a touch panel, or the like. Also good. The screen size of the display unit 204 is 45 inches or more, and 50 inches is the most suitable. When performing examinations or restoring functions, the display unit 204 includes a chin rest and a forehead for fixing the patient's head. Install within 204 to 60 cm and set the inspection distance to 50 cm.

[Description of database]
The patient chart database 37 stores a patient chart table 611 in which patient chart information is recorded, as shown in FIG. 13. The patient chart table 611 corresponds to the target eye using, for example, a patient ID and a patient name as keys. Inspection items, inspection results, function recovery items, and function recovery results can be searched.

  As shown in FIG. 14, the inspection / function recovery database 38 includes an inspection data table 612 in which inspection data is recorded, a function recovery data table 613 in which function recovery data is recorded, and a logic in which logical contradiction determination data is recorded. The automatic contradiction determination table 614 is stored. In the inspection data table 612, the inspection item name, target eye, target size, display pattern, and luminance can be searched using the ID as a key. The function recovery data table 613 can search for the function recovery item name, the target eye, the target size, the display pattern, and the brightness using the ID as a key. Here, the target size is TG01> TG02>... And the display pattern is, for example, a pattern of the target display position or target display order, and is a muscle for function recovery (function recovery). It is set in advance based on the target muscle) and the action direction of the muscle (muscle action direction), and the brightness is high, medium, and low.

  The function recovery item name, target eye, target size, display pattern, and luminance parameters stored in the function recovery data table 613 according to the present embodiment are set in advance to perform a plurality of function recovery exercises according to the assumed symptoms. However, the present invention is not limited to this. For example, a doctor may set parameters so as to train a malfunctioning muscle for each patient, or, for example, a test item IDA02 may be tested. In the case of a patient who is appropriate for the patient, by setting the function recovery program to be the same as that for the examination in which the parameter of the E01 level, which is a level that this patient can easily cope with, is selected, An appropriate load may be repeatedly applied to the eye muscle.

  The data to be recorded in the inspection data table 612 and the function recovery data table 613 are not limited to those described above, and are not shown, but are necessary for generating inspection and function recovery programs such as the target color and pointer color and size. As long as the parameters are appropriate, the doctor may set them individually according to the symptoms of the patient.

  The logical contradiction determination table 614 stores determination conditions for determining whether or not the inspection results are logically contradictory. For example, when a double image is seen, the normal appearance is the same. Although there are no cases where the target position is shifted to the left end and the target position is shifted to the right end, such a result is logically contradictory. It is for judging. For this reason, the logical contradiction determination table 614 in the illustrated example determines that there is a logical contradiction when the right edge and the left edge are different from each other when the square end of the Hess chart is the target, and similarly, the upper and lower ends, diagonal directions This is a condition for determining that there is a logical contradiction when the upper left end and the lower right end of the upper and lower ends of the upper and lower ends are different.

[Operation]
Next, the operation of the inspection system, the function recovery system, the method, and the program according to the present embodiment will be described with reference to the flowchart of FIG.
This flowchart is executed by the following steps. The left side in the figure represents the operation of the patient examination apparatus 32, and the right side represents the operation of the doctor examination apparatus 31.
Step S601: A step in which the patient inspection apparatus 32 receives an input of a patient ID and a patient name by a patient operation.
The information entered in step S601 is transmitted from the patient examination apparatus 32 to the doctor examination apparatus 31.
Step S602: A step of retrieving examination / function recovery items for each patient from the patient chart database 37 using the patient ID and the patient name received from the patient examination apparatus 32 by the doctor examination apparatus 31 as keys.
In step S602, the medical examination apparatus 31 searches the patient chart database 37 stored in the medical examination apparatus 31 for examination items and function recovery items using the patient ID and the patient name as keys. By this search, for example, with the patient ID 001 and the patient name Ichiro Yamada in the patient chart database 37 shown in FIG. 13 as keys, the examination items are a double image examination and a right eye examination for both eyes. As a function recovery item, double image recovery training for the right eye and left eye, and eye position recovery training for both eyes are searched. Then, the retrieved examination item and function recovery item are transmitted to the patient examination apparatus 32, and the program selection screen shown in FIG. 7 is displayed on the display unit 204.

Step S603: A step in which the patient inspection apparatus 32 receives selection of an inspection item or a function recovery item by a patient operation.
In this step S603, any one of the double image examination 301, the eye position examination 302, the double image restoration training 310, or the eye position restoration training 311 shown in FIG. 7 is selected, and the patient examination apparatus 32 sends the selection result to the doctor. It transmits to the inspection device 31.
Step S604: A step in which the doctor testing apparatus 31 prompts the doctor to determine whether intervention is necessary for the selection result in Step S603 and accepts the input of the determination result.
In step S604, the doctor's inspection apparatus 31 receives a result of determination by the doctor whether the selection in step S603 is appropriate for the patient via the input unit 151.
Step S605: A step of performing an intervention process when the doctor testing apparatus 31 accepts a doctor's intervention in Step S604.
In this step S605, intervention is performed in which the medical examination apparatus 31 corrects it to an appropriate examination item or function recovery item.
Step S606: A step in which the double image inspection unit 153, eye position inspection unit 154, or function recovery unit 600 of the doctor inspection apparatus 31 generates an inspection or function recovery program.
In step S606, the double image inspection unit 153, the eye position inspection unit 154, or the function recovery unit 600 of the doctor inspection apparatus 32 refers to the patient chart database 31 and the test / function recovery database 38 to perform an inspection program or a function recovery program. Is generated. Each program is a program for presenting a target (a square frame to be described later) and a pointer (cursor (a round frame to be described later)), and the inspection program is an inspection data table 612 stored in the inspection / function recovery database 38. Is a program for executing the examination of the patient with reference to the target size, display pattern, and luminance parameters corresponding to the corresponding ID of the function. This is a program for executing function recovery with reference to a parameter corresponding to the corresponding ID in the function recovery data table 613.

Step S607: a step in which the medical examination apparatus 31 stores an examination or function recovery program in a storage unit (not shown).
Step S <b> 608: A step of storing the examination or function recovery program transmitted from the doctor examination apparatus 31 in the storage unit 205 by the patient examination apparatus 32.
Step S609: A step in which the patient inspection apparatus 32 executes an inspection or function recovery program.
Step S610: A step in which the patient inspection apparatus 32 calculates the result of the inspection or function recovery.
The calculation in step S610 is a calculation for displaying information input from the patient on the display in the examination or function recovery.
Step S611: A step in which the medical examination apparatus 31 determines whether there is a logical contradiction in the calculation result.
In this step S61, it is determined with reference to the logical contradiction determination table 614 of the examination / function recovery database 38 whether or not there is a logical contradiction in the result calculated by the medical examination apparatus 31.
Step S612: When the doctor examination apparatus 31 determines in step S611 that there is a logical contradiction in the calculation result, the doctor accepts intervention and performs intervention processing, and returns to step S606.
In step S612, when the doctor examination apparatus 31 determines that there is a logical contradiction in the calculation result, the doctor determines whether intervention is necessary, and accepts input such as parameter change / correction according to the determination result. , To intervene. Further, when the parameter is changed / modified after intervention, the parameter change is recorded in the patient chart database 37 and / or the examination / function recovery database 38.
Step S613: A step of accepting an input of a doctor's (examiner's) diagnosis result for the result when the doctor's examination apparatus 31 determines that there is no logical contradiction in the calculation result in Step S611.
Step S614: A step of storing the diagnosis result in the storage unit of the medical examination apparatus 31 and the patient chart database 37.
Step S615: A step in which the patient inspection apparatus 32 stores the diagnosis result transmitted from the doctor inspection apparatus 31 in the storage unit 205.
Step S616: A step in which the patient inspection apparatus 32 displays the diagnosis result on the display unit 204, and transmits and prints it to the printer 34 via the print data transmission unit 207.
Step S617: A step in which the medical examination apparatus 31 displays the diagnosis result on the display unit 156, and transmits and prints it to the printer 34 via the print data transmission unit 161.
Note that the determination of the logical contradiction in step S611 can be performed by the patient inspection apparatus 32 by downloading the logical contradiction determination data table 614 to the patient inspection apparatus 32. Judgment may be performed individually and intervention processing may be performed.
The diagnosis result input in step 13 is not essential, and after determining whether or not there is a logical contradiction, the inspection or function recovery result is stored in the storage unit of each inspection apparatus for display or printing. Also good.

  In the present embodiment, the patient inspection apparatus 32 displays and inspects or functions a target (a square frame described later) and a pointer (cursor) based on the inspection or function recovery program supplied from the doctor inspection apparatus 31. The recovery training is executed, and the calculation result is transmitted to the medical examination apparatus 31. However, the present invention is not limited to this, and the patient who is input to the input unit 201 during the examination or the function recovery training is performed. Based on the operation input, the position of the pointer may be transmitted as operation input data in real time, and at this time, a doctor may appropriately intervene.

  In the present embodiment, the examination data table 612 and the function recovery data table 613 create a plurality of patterns in advance, select a pattern suitable for the patient, and record the selected ID in the patient chart table 611. However, the present invention is not limited to this. For example, examination data and function recovery data are prepared in advance so that a doctor (examiner) is suitable for a patient, and recorded in the examination data table 612 and the function recovery data table 613. The ID assigned thereto may be recorded in the patient chart table 611.

[Inspection / function recovery processing]
Next, with reference to the flowchart of FIG. 6, the overall operation of the inspection processing and function recovery processing by the inspection system according to the present embodiment will be described. This process is started when the patient ID and the patient name are input to the input unit 201 by the patient. The program selection screen shown in FIG. 7 displays the test items and function recovery items transmitted from the doctor test apparatus 31. And start.

  FIG. 7 is an example of a program selection screen. The patient examination apparatus 32 has a button 301 displayed as a double image examination, a button 302 displayed as an eye position examination, and a function recovery training on the display unit 204 with an explanatory note “Please select a task to execute”. Button 310 displayed as double-image recovery training, button 311 displayed as eye position recovery training, and button 304 displayed as end. Buttons 310 and 311 indicate that it is possible to perform double-image recovery training and eye position recovery training in the function recovery training. The patient selects each button 301, 302, 304, 310, 311 by inputting a predetermined operation to the input unit 201. When the button 301 is selected, the patient inspection apparatus 32 performs a double image inspection described later, and when the button 302 is selected, the patient inspection apparatus 32 performs an eye position inspection described later to select the button 310 or 311. Is selected, the function recovery training described later is performed. When the button 304 is selected, the process is terminated.

Returning to FIG. 6, each step of the operation for performing the inspection / function recovery processing executed by the main control unit 202 will be described.
Step S12: A step of determining whether or not the double image inspection button 301 is selected from the program selection screen shown in FIG.
Step S13: A step of generating a double image inspection program and executing a double image inspection process when it is determined that the double image inspection button 301 has been selected.
Details of the double image inspection process will be described later.
Step S14: A step of determining whether or not the eye position inspection button 302 is selected from the program selection screen when it is determined in step S12 that the double image inspection button 301 is not selected.
Step S15: A step of generating an eye position inspection program and executing eye position inspection processing when it is determined in step S14 that the eye position inspection button 302 has been selected.
Details of this eye position inspection process will be described later.
Step S16: A step of determining whether or not the double image recovery training button 310 is selected from the program selection screen when it is determined in S14 that the eye position examination button 302 is not selected.
Step S17: A step of generating a double image recovery training program and executing a double image recovery training process when it is determined that the double image recovery training button 310 has been selected in step S16.
Details of this double image recovery training will be described later.
Step S18: A step of determining whether or not the eye position recovery training button 302 is selected from the program selection screen when it is determined in step S16 that the button of the double image recovery training 310 is not selected.
Step S19: A step of generating an eye position recovery training program and executing an eye position recovery training process when it is determined in step S18 that the eye position recovery training button 311 has been selected.
Details of this eye position recovery training will be described later.

Step S20: When it is determined in step S18 that the eye position recovery training button 311 is not selected, it is determined whether or not the process is to be ended. When it is determined that the process is to be ended, the process is ended, and when it is determined that the button is not to be ended. Returning to step S12.
In this step, the main control unit 202 determines whether or not the end button 304 has been selected by the patient (via the input unit 201) on the program selection screen of FIG. When it determines with not complete | finishing a process in step S20, it returns to step S12 and repeats the process after it. That is, the program selection screen shown in FIG. 7 is displayed, and the process for the selected button is performed again.

[Double image inspection]
Next, the double image inspection process in step S13 of FIG. 6 will be described. Double-image examination fixes the position of the patient's head and is assigned one glass of red glass (lens) or green glass in front of the patient's left eye and the other in front of the right eye. Wear the assigned glasses (lens color can be left or right, for example, glasses with green glass assigned to the left eye and red glass assigned to the right eye) or cap-type glasses. A position in which a red square frame (hereinafter also referred to as a target) is sequentially displayed at predetermined positions (for example, nine locations) of the display unit 204 (of the patient examination apparatus 32) in front, and the red square frame is visible to the patient. Is performed by selecting the pointers so as to overlap with the pointer of the green circle (by operating the mouse 51).

The display unit 204 of the patient examination apparatus 32 displays a first examination image examination screen as shown in FIG. 10 based on the double image examination program and image data received from the doctor examination apparatus 32.
In the case of the double image inspection, for example, nine positions are sequentially indicated by a red square frame (target), and the inspection is performed by clicking on the point where the patient overlaps the square frame with a green round frame (pointer). At this time, the patient is viewing the display unit 204 through the green lens with the left eye and the display unit 204 through the red lens with the right eye. The patient sees that the pointer (round frame) 651 that moves as the input unit 201 moves overlaps the red target 661 (square frame) that is the first display displayed on the display unit 204. Click (specify the position of the pointer). When the pointer (round frame) overlaps the target (square frame) as a way of viewing the patient, the pointer graphic (in this case, a circular graphic) surrounds the target (square frame). Thereby, the position of the pointer (round frame) with respect to the target can be determined accurately.

When the patient inspection device 32 clicks all the pointers to the targets on which the patients are sequentially displayed and determines that the inspection is completed, the processing is ended, the inspection result is calculated, and the doctor inspection device 31 is calculated. Send the result.
This calculation result is stored in each storage unit and patient chart database 37 of the patient examination apparatus 32 and the doctor examination apparatus 31.

Thereafter, the double image inspection unit 153 of the medical examination apparatus 31 determines whether or not there is a logical contradiction in the calculated result by referring to the logical contradiction determination table of the examination / function recovery database 38, If there is a contradiction, a doctor's intervention is accepted, an intervention process is performed, and a new inspection program is generated and executed. When there is no logical contradiction in the inspection result, an operation result as shown in FIG. 9 is displayed on the display unit 156.
When the doctor inspection apparatus 31 receives an input of the diagnosis result diagnosed by the doctor (examiner) on the result, the doctor inspection apparatus 31 stores it in the storage unit of the doctor inspection apparatus 31 and the patient chart database 37, and the patient The patient inspection device 31 stores the data in the storage unit 205. At this time, the patient ID, patient name, etc. are added to the file and stored so that they can be referred to as search parameters. In addition to the patient ID, patient name, and examination date, this file includes right eye / left eye data, examination conditions (all parameters) corresponding to the examination / function recovery database, and examination result data.

In addition, in each frame 551 in FIG. 9, axes representing R (right), L (left), U (upper), D (lower) and numerical values indicating angles are displayed. Connection lines connecting the target positions at the locations corresponding to the inspection data, and connection lines connecting the specified pointer positions for each target are displayed, and the inside of the connection line connecting the pointer positions is shaded. doing. In this way, by displaying an image showing the relationship between the connecting line connecting the target positions and the connecting line connecting the pointer positions designated by the operation input from the patient, the doctor can easily display the result of the examination. Can see. In addition, the inspection result can be easily determined.

  Thereafter, when printing is selected, print data that is data to be printed based on the inspection result data (for example, image data of the print result or text data of the print result) is printed. Specifically, the print data is transmitted to the printer 34 via the print data transmission unit 161 or 207 (and the LAN cable 35). The printer 34 prints and outputs an image (or document) based on the print data on paper.

In the present embodiment, the examination is completed and calculated by the patient examination apparatus 32, and then transmitted to the doctor examination apparatus 31. However, the present invention is not limited to this. It is good also as a structure which transmits to the doctor test | inspection apparatus 31 whenever it clicks, and in that case, the screen as shown in FIG. 8 is displayed on the display apparatus 156 of the doctor test | inspection apparatus 31, for example.

  In the center of the display unit 156 in FIG. 8, a frame 350 for displaying the inspection result is displayed. In this case, R (right), L (left), U (upper), D in the frame 350. An axis indicating (lower) and a numerical value indicating the angle are displayed. In the frame 350, the points 401 to 405 indicated by crosses represent the position of the pointer designated by the patient, that is, the point indicating the center of the circular frame pointer 380 at the time of being clicked. Reference numerals 416 to 419 indicate points that have not yet been selected by the patient, that is, points corresponding to locations that will be displayed on the patient examination apparatus 32 from now on. In the case of FIG. 8, since five locations 401 to 405 have already been selected by the patient, it indicates that the target display and the pointer input have been repeated five times.

  In the present embodiment, the coordinates of the chart are displayed on an angle scale (the unit of the vertical axis and the horizontal axis is an angle). In the conventional Hess chart, the coordinate of the chart is a length scale, and the grit indicating the angle is a non-uniformly spaced curve. However, in this embodiment, the length scale is converted to an angle scale and the grit of the chart is equalized. The interval is a straight line. This is due to the fact that the movement of the eyeball is essentially a rotational motion and is described by an angle rather than a length. Note that the display may be performed on the length scale as in the conventional HESS chart without performing the scale conversion.

  In the present embodiment, the field of view range that can be inspected is, for example, −35 degrees to +35 degrees in both the upper, lower, left, and right directions. Since this is a value that changes depending on the size of the display unit (display unit 204) of the examination apparatus for doctor 32 and the distance from the display unit to the patient, it may be changed as appropriate.

  The double image inspection program is a program for displaying a target (square frame) and a pointer on the display unit 204 of the doctor's inspection apparatus 32 in order to perform a double image inspection. The inspection data that is generated by reference and recorded in the inspection data table 612 is generated and recorded in advance as data for the double image inspection, but is based on patient-specific information. The data may be newly generated and recorded.

  By the above process, the double-image inspection can be performed by directly reading the position of the pointer operated by the patient as data instead of being seen by the doctor and handwritten.

  Further, for example, when the patient has a green lens on the left eye and a red lens on the right eye, the display unit 204 displays the lens without changing the lens color depending on the eye to be examined. Since it is only necessary to reverse the colors of the target (square frame) and the pointer (round frame), the labor of inspection can be further reduced, and the inspection can be performed quickly and quantitatively.

  Furthermore, since the program can be generated simply by inputting the patient ID and the patient name, the examination can be performed with less effort. Further, the inspection result data can be easily printed or saved as a file. Furthermore, inspection settings can be changed simply by manipulating parameters and display options. In other words, the inspection can be performed quickly and quantitatively. Moreover, a more appropriate result can be derived by appropriately performing an intervention process.

  In addition, although the inspection target is data at nine locations, in practice, it is possible to inspect at 25 locations depending on the case of inspection. These can be appropriately changed by setting parameters or the like.

  In addition, the examiner (doctor) may change the target presentation method from manual or automatic as appropriate so that an appropriate test result can be derived, or the background (for example, the background of the display unit 204 in FIG. 10) can be clearly defined. Change the medium, or dark, change the brightness of the target (for example, the square frame 661 in FIG. 10), change high, medium, or low, or the brightness of the cursor (for example, the pointer 651 in FIG. 10), Change the height, medium, or low, change the effective display area, maximum display resolution, eye-to-screen distance as the display method, and target cursor size (for example, the size of the square frame 661 in FIG. 10) As such, intervention processing to change large, medium, or small can be performed.

  With these intervention processes, the doctor can freely change the conditions, immediately reflect these conditions, and continue the examination. These conditions are recorded as parameters in the inspection / function recovery database. The parameter setting unit 171 stores these parameters as parameters for the next inspection.

[Eye position examination]
Next, the eye position inspection process in step S15 of FIG. 6 will be described. The eye position examination is an examination for checking whether the positions of the left and right eyes are normal, and a red color is displayed at a predetermined position (for example, the center of the display section 204) of the display section 204 of the patient examination apparatus 32. A square frame (target) is displayed, and the patient is made to operate the frame so that the frame overlaps with the pointer of the green circle (using the mouse 51).

  The doctor inspection apparatus 31 transmits the eye position inspection program to the patient inspection apparatus 32, and the patient inspection apparatus 32 displays an image based on the eye position inspection program. That is, the display unit 204 of the patient testing apparatus 32 displays the background in gray and the red square frame in the center as a target.

Then, the patient testing apparatus 32 displays a pointer image on the display unit 204. For example, since the display unit 204 has already displayed a gray background and a red square frame at the center as a target, a pointer is further displayed thereon. The patient operates the input unit 201 so that the round frame (pointer (cursor)) overlaps the square frame (target), and clicks the pointer with the operation input 201 at the overlapped position.
Thereafter, the patient examination apparatus 32 determines whether or not the number of examinations (pointer operation input to the target) has reached a set number of times (for example, the number of examinations of the left eye and the right eye is four each). This set number of times may be set by a doctor or may be set in advance. If it is determined that the number of inspections has not yet reached the set number, the process is repeated.

If the patient examination apparatus 32 determines that the examination has been performed a set number of times, the process is terminated, the examination result is computed, and the computation result as shown in FIG. 12 is transmitted to the doctor examination apparatus 31. To do. At this time, each of the patient testing apparatus 32 and the doctor testing apparatus 31 stores the calculation result in the storage unit.
In the frame 850 of FIG. 12, the position clicked by the patient, that is, an X mark indicating the test result is displayed. For example, the test result of the right eye is displayed in red, and the test result of the left eye is displayed. Display in green. The test results include the number of tests from the left, the eye-screen distance, L (left) or R (right) indicating the side of the eye to be tested, and the horizontal direction (horizontal axis position) and vertical direction (vertical axis position). ) Respectively. The position in the horizontal direction and the position in the vertical direction are values indicating eye misalignment. The larger the absolute value of this value, the greater the eye misalignment, and the sign indicates the direction of “deviation”. In the example of FIG. 12, the first row of the test result 880 is the first test, the eye-screen distance is 25 cm, the horizontal position is 0.0, and the vertical position is It is 0.6 (that is, 0.6 degrees on the upper side). In this manner, by displaying the image and the character indicating the relationship of the operation input from the patient with respect to the image based on the examination program on the display unit 156, the examination of the eye can be quantitatively performed. Further, by generating examination data that changes the target and pointer displayed on the display unit 204 based on the eye-screen distance parameter, the patient needs to change or move the color of the glasses lens. Therefore, the inspection can be performed more easily.

  Thereafter, the eye position examination unit 154 of the doctor examination apparatus 31 determines whether or not there is a logical contradiction in the calculated result by referring to the logical contradiction determination table of the examination / function recovery database 38, and the contradiction. If there is, an intervention by a doctor is accepted, an intervention process is performed, a new examination program is generated, transmitted to the patient examination apparatus 32, and the patient examination apparatus 32 executes. When there is no logical contradiction in the inspection result, the calculation result as shown in FIG.

  The doctor examination apparatus 31 receives an input of a diagnosis result diagnosed by the doctor (examiner) on the calculation result via the input unit 151 and stores it in the storage unit and the patient chart database 37 and transmits it to the patient examination apparatus 32. Then, the patient inspection device 32 is stored in the storage unit 205. At this time, the patient ID, patient name, etc. are added to the file and stored so that they can be referred to as search parameters. In addition to the patient ID, patient name, and examination date, this file includes right eye / left eye data, examination conditions (all parameters) corresponding to the examination / function recovery database, and examination result data.

Thereafter, when printing is selected, print data that is data to be printed based on the inspection result data (for example, image data of the print result or text data of the print result) is printed. Specifically, the print data is transmitted to the printer 34 via the print data transmission unit 161 or 207 (and the LAN cable 35). The printer 34 prints and outputs an image (or document) based on the print data on paper.

  In the present embodiment, the patient inspection apparatus 32 finishes the inspection and performs the calculation, and then transmits to the doctor inspection apparatus 31. However, the present invention is not limited to this. The coordinates for the operation input data may be transmitted to the doctor examination apparatus 31 for each click or operation including the movement of the pointer. In this case, for example, the display device 156 of the doctor examination apparatus 31 may 11 is displayed.

  In the center of the display unit 156 of FIG. 11, an image of a pointer (cursor, round frame) 891 operated by the patient using the input unit 201 of the patient examination apparatus 32 and a target for specifying a position with the pointer. When a frame (field) 850 showing an image of the target (square frame) 890 is displayed and operation input data is received for each operation including the movement of the pointer, the movement of the patient pointer 891 relative to the target is viewed. be able to.

In addition, the doctor (examiner) appropriately changes the background (for example, the background of the display unit 204) as the background (for example, the background of the display unit 204) or changes the target cursor size (for example, FIG. 10) so that an appropriate test result can be derived. As the cursor size in the case of eye position inspection corresponding to the square frame 661, the brightness of the cursor (for example, the cursor in the case of eye position inspection corresponding to the pointer 651 in FIG. 10) is changed. As an intervening process to change high, medium, or low, or to change high, medium, or low as the luminance of the target (for example, the target in the case of eye examination corresponding to the square frame 661 in FIG. 10). It can be carried out.
With these intervention processes, the doctor can freely change the conditions, immediately reflect these conditions, and continue the examination. These conditions are stored as parameters in the examination / function recovery database. The parameter setting unit 181 stores these parameters as parameters for the next inspection.

  According to the above, the doctor can quickly know the test result and perform a quantitative test. That is, a rapid and quantitative test result can be obtained. In addition, an appropriate test result can be derived by appropriately performing an intervention process.

  Moreover, the doctor does not need to write down the points indicated by the patient by hand, and can perform the examination quickly and easily. Furthermore, for the summary display of the test results, for example, it is not necessary to draw the connecting line of the points operated by the patient by hand, so that the test time can be shortened.

[Function recovery]
Next, function recovery processing in the doctor testing apparatus 31 and the patient testing apparatus 32 will be described with reference to the flowchart in FIG. This flowchart is executed by the following steps. The left side in the figure represents the operation of the patient examination apparatus 32, and the right side represents the operation of the doctor examination apparatus 31. The function recovery training described in the present embodiment is, for example, a plurality of external eye muscles that control the movement of the eyeball (upper rectus muscle, lower rectus muscle, medial rectus muscle, lateral rectus muscle, upper oblique muscle, and lower oblique muscle). If any one of these functions is dysfunctional, the malfunctioning external eye muscle is identified by inspection, and training is performed by repeatedly applying an appropriate load based on the action direction of the identified external eye muscle.
Step S121: A step in which the patient examination apparatus 32 receives an input of a selection result of double image recovery training or eye position recovery training by patient operation.
In step S <b> 121, the patient examination apparatus 32 receives input of the double image examination movement button 310 or the eye position examination operation button 311 in FIG. 7, and transmits the received information to the doctor examination apparatus 31.
Step S122: The doctor examination apparatus 31 extracts parameters (target eye / target size / display pattern / luminance) corresponding to the chart data table 611 from the function recovery table 613.
In this step S122, the multi-function recovery unit 600 of the doctor examination apparatus 31 searches the patient chart database 37 stored in the doctor examination apparatus 31 for the function recovery item ID using the patient ID and the patient name as a key. Corresponding parameters (target eye, target size, display pattern, luminance) are extracted from the function recovery data table 613 using the searched function recovery item ID as a key.
For example, in the case of compound eye recovery training, the function recovery item ID “E01” registered in the patient ID001 medical record is extracted using the patient ID001 and patient name Ichiro Yamada in the patient medical record database 37 shown in FIG. Then, using this function recovery item ID “E01” as a key, the corresponding parameters (target eye “right”, target size “TG01”, display pattern “pattern A”, luminance “high”) are extracted from the function recovery data table 613. Is.

Step S123: The doctor inspection apparatus 31 prompts the doctor to determine whether intervention is necessary and accepts the determination result.
Step S124: A step of performing the intervention process when the medical examination apparatus 31 receives a determination result that the intervention process is necessary in Step S604.
This step changes the parameters when the doctor determines that the function recovery program selected by the patient is not appropriate (for example, when the function is recovered and finer rehabilitation is better) (ID) Change).
Step S125: the function recovery unit 600 of the doctor examination apparatus 31 generates a function recovery program.
In this step, a function recovery program according to the parameters extracted by the function recovery unit 600 of the doctor examination apparatus 31 in step S122 is generated. The functional recovery program includes a double image recovery training program and an eye position recovery training program.
This function recovery program identifies muscles intended for function recovery in advance, records parameters based on the direction of action of the muscles in the function recovery data table 613, and records them in the patient chart database 37 according to the examination results. A program is generated by searching for the ID that has been executed, and is executed to give an appropriate load to the patient and promote functional recovery. It should be noted that each parameter (for example, examination) equivalent to each parameter of the examination program at a level one step weaker than the level of the examination program in which the patient is diagnosed as abnormal (for example, a parameter other than the target size ID of A02 in the examination data table 612). A function recovery program based on the parameters of the data table 612 having the ID of A01, which is equivalent to the parameters of the function recovery data table 613 and having the ID of the function recovery data table 613 of E01, may be repeatedly performed on the patient.

Step S126: A step in which the medical examination apparatus 31 stores a function recovery program in a storage unit (not shown).
Step S127: A step in which the patient inspection apparatus 32 stores the function recovery program received from the doctor inspection apparatus 31 in the storage unit 205.
Step S128: A step in which the patient inspection apparatus 32 executes the function recovery program.
Step S129: A step in which the patient inspection apparatus 32 determines whether the function recovery training has been performed a predetermined number of times.
In this step, it is determined whether or not the patient recovery apparatus 32 has performed the function recovery training for a predetermined number of times required for the function recovery (for example, the double image recovery program is executed twice for each function recovery training).
Step S130: The patient inspection apparatus 32 calculates a function recovery result (double image recovery training result or eye position recovery training result).
The calculation of this step is an operation for displaying information input from the patient on the display in the function recovery training (double image recovery training or eye position recovery training), for example, on the screen on which the patient points. This is a process for converting into image display data as shown in FIG. 9 based on the position information.
Step S131: A step in which the medical examination apparatus 31 determines whether or not there is a logical contradiction in the calculation result.
In this step, the medical examination apparatus 31 determines whether or not there is a logical contradiction in the calculated result with reference to the logical contradiction determination table 614 in the examination / function recovery database 38.
Step S132: A step in which, when the doctor examination apparatus 31 determines that there is a logical contradiction in Step S611, the doctor accepts the intervention, performs the intervention process, and returns to Step S125.
In this step, when the doctor examination apparatus 31 determines that there is a logical contradiction in the calculation result, the doctor determines whether intervention is necessary, accepts an input such as parameter correction according to the determination result, and intervenes. Is.
Step S133: A step of accepting an input of a doctor's (examiner's) diagnosis result for the function recovery training result when the doctor's examination apparatus 31 determines that there is no logical contradiction in Step S611.
Step S134: The doctor inspection apparatus 31 stores the diagnosis result in the storage unit of the doctor inspection apparatus 31 and the patient chart database 37.
Step S <b> 135: A step of storing the diagnosis result received by the patient inspection apparatus 32 from the doctor inspection apparatus 31 in the storage unit 205.
Step S136: A step in which the patient examination apparatus 32 displays the diagnosis result on the display unit 204, and transmits and prints it to the printer 34 via the print data transmission unit 207.
Step S137: A step in which the medical examination apparatus 31 displays the diagnosis result on the display unit 156, and transmits and prints it to the printer 34 via the print data transmission unit 161.
The determination of the logical contradiction in step S131 can also be performed by the patient inspection apparatus 32 by downloading the logical contradiction determination data table 614 to the patient inspection apparatus 32. Judgment may be performed individually and intervention processing may be performed.
Moreover, the input of the diagnosis result in step 133 is not essential, and after determining whether or not there is a logical contradiction, the inspection or function recovery result may be stored in the storage unit of each inspection apparatus.
Further, it is not essential to determine whether or not there is a logical contradiction, and a doctor may make an individual determination.

  Through the above, by repeating function recovery training at a preset level, it stimulates the optic nerve system that governs the visual function through the patient's vision, and promotes the recovery of the patient's visual function and the cranial nerve that governs the visual function Can do. Further, by resetting the next function recovery level in accordance with the result of function recovery, it is possible to perform the function recovery operation with an appropriate load always applied.

  Further, since not only two inspections, that is, a double image inspection and an eye position inspection, but also functional recovery can be performed by one inspection system, the inspection apparatus can be reduced in size.

  In addition, since this ophthalmic examination item can also be realized by installing a program that executes the above-described processing, in addition to the double image examination and the eye position examination, a program corresponding to the examination when examinations are further increased. Can be easily realized by installing.

  Furthermore, since data indicating the relationship between the position of the target and the position of the designated pointer (data of the examination result) is stored as a file, it can be easily retrieved based on the patient ID, etc. The results can be used to examine changes over time in the same patient, or to obtain comparisons and statistical data between multiple patients.

  Furthermore, by reversing the colors of the target 650 and the pointer 651 displayed on the display unit 204 of the test apparatus 32 for the subject, the patient can perform an examination without inverting the color of the lens of the glasses worn. Therefore, inspection can be performed more quickly.

  In the above example, the case where the present invention is applied to the inspection system 20 of FIG. 2 has been described. However, the present invention is not limited to this, and a display and a pointing device for a patient to view a screen and input the result are displayed. In addition, the present invention can also be applied to one apparatus including a display provided with an input device for a doctor to set examination items and function recovery items. That is, the present invention can be applied not to a plurality of apparatuses constituting the inspection system 20 of FIG. 2 but also to an inspection apparatus in which these plural apparatuses are mounted on one apparatus.

  Further, in the above example, the lens for eye examination is a red lens and a green lens, but this may be changed as appropriate. In this case, the colors of the target and pointer displayed on the display unit 204 are also changed according to the color of the lens. Further, the lens may have a power for a person with bad eyes.

  Further, in the above example, it has been described that the examination is performed by attaching a colored lens (color filter glasses) to the patient for the examination of the eye. Any one of the above may be used so long as the pointer is visible to the other eye.

  As a specific example, the left eye shows one of the target and the pointer, and the right eye shows the other by putting a pair of glasses using polarization filters with different right and left deflection directions. Alternatively, the left eye can show either the target or the pointer, and the right eye can be displayed by synchronizing the display by alternately opening and closing shutters (for example, liquid crystal shutters) applied to the left and right eyes. It may be a method in which the other is shown with the eyes. In addition, a display unit (for example, a three-dimensional liquid crystal) in which a parallax barrier is provided in the display unit so that one of two lights emitted from two adjacent points of the display unit is incident on the left eye and the other is incident on the right eye. By using a display, a method may be used in which one of the target and the pointer is shown with the left eye and the other is shown with the right eye. Whichever method is used, it is possible to cause the patient to show either the target or the pointer with the left eye and the other with the right eye. Examination and function recovery by displaying a target and a pointer on the display unit 204 of the inspection apparatus 32 and acquiring operation data based on movement of the pointer in response to an operation on the input unit 201 by the patient (operation in which the pointer overlaps the target) It can be performed.

  In the above example, the medical examination apparatus 31 and the medical examination apparatus 32 are each a general personal computer, but may actually be an embedded computer, for example.

  The shape of the target and the pointer is not limited to a square or a circle, and may be any shape.

  The series of processes described above can be executed by hardware or can be executed by software. When a series of processing is executed by software, a program constituting the software is installed from a network or a recording medium.

  This recording medium is not only composed of a package medium made of a removable medium on which a program is recorded, which is distributed to provide the program to the user separately from the computer, but is also pre-installed in the apparatus main body. Are provided to the user by a ROM in which a program is recorded, a hard disk including a storage unit, or the like.

  In the present specification, the step of describing a computer program includes not only processing performed in time series according to the described order but also processing executed in parallel or individually even if not necessarily processed in time series. Is also included.

20 inspection system,
31 Doctor's inspection device,
32 Examination device for patients,
34 printer,
151 input section,
153 Double Image Inspection Department,
154 Eye position inspection department,
156 display,
171 Parameter setting unit, 172 Double image inspection execution unit,
181 Parameter setting unit, 182 Eye position examination execution unit,
201 input section,
204 display unit,
600 function recovery department,
601 parameter setting unit, 602 function recovery execution unit,
500 Intervention processing unit,
37 Patient chart database,
38 Inspection / Function Recovery Database

Claims (33)

A patient chart database that records patient information;
An inspection / function recovery database storing an inspection data table in which a plurality of inspection items set with a plurality of parameters according to the inspection level are recorded;
An input unit for inputting data;
An inspection unit that generates an inspection program in which parameters are set with reference to parameters stored in the inspection / function recovery database;
A display unit for displaying an image during execution of the inspection item and the inspection program;
A test system comprising a display unit and a control unit that controls the test unit with reference to the patient chart database and the test / function recovery database,
The control unit is
A first step of searching examination items for each patient from the patient medical record database using patient information input from the input unit as a key;
A second step of displaying the inspection item searched in the first step on the display unit and receiving selection of the inspection item selected using the input unit;
A third step of causing the inspection unit to generate an inspection program according to an inspection item in which a plurality of parameters retrieved in the first step are set and received by the second step;
And a fourth step for causing the inspection unit to perform an inspection according to the inspection program generated in the third step. The inspection system includes an intervention processing unit that performs an intervention process including a change of data input to the input unit and a change of parameters of the inspection data table,
The controller is
The inspection system according to claim 1, wherein the intervention processing unit is controlled to execute a fifth step of performing the intervention process by accepting a change in the parameter of the inspection data table between the arbitrary steps. The inspection system has an intervention processing unit that changes data input to the input unit and changes parameters of the inspection data table;
The controller is
A sixth step of performing an intervention process for controlling the intervention processing unit and urging a judgment as to whether or not the selection item received in the second step is suitable;
A seventh step of causing the inspection unit to generate an inspection program corresponding to the inspection item in which the plurality of parameters searched in the first step are set when it is determined in the sixth step that intervention is unnecessary;
When it is determined in the sixth step that intervention is necessary, an eighth step of accepting a change of an inspection item and causing the inspection unit to generate an inspection program corresponding to the changed inspection item;
The inspection system according to claim 1, wherein the inspection system is executed. A logical contradiction determination table in which determination conditions for determining logical contradiction of inspection results are recorded in the inspection / function recovery database is provided.
The control unit is
Whether or not the inspection result executed in the fourth step has a logical contradiction is determined by referring to the logical contradiction determination table, and when it is determined that there is a logical contradiction, the fifth or sixth step The inspection system according to claim 2, wherein the ninth step of shifting to is executed. The control unit is
5. The examination according to claim 2, wherein when the intervention process is executed, a tenth step of recording a parameter change in the patient chart database and / or the examination / function recovery database is executed. system. A patient chart database that records patient information;
An inspection / function recovery database that stores a function recovery data table that records a plurality of function recovery items with multiple parameters set according to the function recovery level;
An input unit for inputting data;
A display unit for displaying an image during execution of the function recovery item and the function recovery program;
A function recovery unit that generates a function recovery program in which parameters are set with reference to parameters stored in the inspection / function recovery database;
A function recovery system comprising: a control unit that controls the display unit and the function recovery unit with reference to the patient chart database and the examination / function recovery database,
The control unit is
An eleventh step of searching for a function recovery item for each patient from the patient chart database using patient information input from the input unit as a key;
A twelfth step of displaying the function recovery item searched in the eleventh step on the display unit and receiving a selection of the function recovery item selected using the input unit;
A thirteenth step of causing the function recovery unit to generate a function recovery program in accordance with a function recovery item set by the plurality of parameters set by the eleventh step and received by the eleventh step;
And a 14th step for causing the function recovery unit to execute a function recovery according to the function recovery program generated in the thirteenth step. The function recovery system includes an intervention processing unit that performs an intervention process including a change of data input to the input unit and a change of a parameter of the function recovery data table,
The controller is
The function recovery according to claim 6, wherein the intervention processing unit is controlled to execute a fifteenth step of receiving the change of the parameter of the function recovery data table between any of the steps and performing the intervention process. system. The function recovery system has an intervention processing unit for changing data input to the input unit and changing parameters of the function recovery data table;
The controller is
A sixteenth step of controlling the intervention processing unit and performing an intervention process for prompting a determination as to whether or not the selection item received in the twelfth step is suitable;
A seventeenth step of causing the function recovery unit to generate a function recovery program according to a function recovery item in which a plurality of parameters searched in the eleventh step are set when it is determined in the sixteenth step that intervention is unnecessary;
When it is determined in the sixteenth step that intervention is necessary, an eighteenth step of accepting a change of the function recovery item and causing the function recovery unit to generate a function recovery program according to the changed function recovery item;
The function recovery system according to claim 6, wherein the function recovery system is executed. Providing a logical contradiction judgment table recording judgment conditions for judging logical contradiction of the function recovery result in the inspection / function recovery database;
The control unit is
It is determined whether there is a logical contradiction in the function recovery result executed in the fourteenth step with reference to the logical contradiction determination table, and when it is determined that there is a logical contradiction, the fifteenth or sixteenth The function recovery system according to claim 7, wherein the nineteenth step of shifting to the step is executed. The control unit is
The function according to any one of claims 7 to 9, wherein when the intervention process is executed, a twentieth step of recording a parameter change in the patient chart database and / or the examination / function recovery database is executed. Recovery system.   The function recovery system according to any one of claims 6 to 10, wherein the function recovery table records a plurality of function recovery items in which a parameter based on a muscle action direction in which a function recovery target muscle is identified is set. . A patient chart database that records patient information;
An inspection / function recovery database storing an inspection data table in which a plurality of inspection items set with a plurality of parameters according to the inspection level are recorded;
An input unit for inputting data;
A display unit for displaying an image during execution of the inspection item and the inspection program;
An inspection unit that generates an inspection program in which parameters are set with reference to parameters stored in the inspection / function recovery database;
An inspection program for a computer system comprising a display unit and a control unit that controls the examination unit with reference to the patient chart database and the examination / function recovery database,
In the control unit,
A twenty-first step for retrieving examination items for each patient from the patient chart database using patient information input from the input unit as a key;
A 22nd step of displaying the inspection items searched in the 21st step on a display unit and accepting selection of the inspection item selected using the input unit;
A 23rd step of causing the inspection unit to generate an inspection program corresponding to the inspection item in which the plurality of parameters searched in the 21st step are set and received in the 22nd step;
An inspection program that causes the inspection unit to execute an inspection according to the inspection program generated in the 23rd step. The computer system has an intervention processing unit that performs an intervention process including a change of data input to the input unit and a change of parameters of the examination data table,
In the control unit,
13. The inspection according to claim 12, wherein the intervention processing unit is controlled to execute a twenty-fifth step in which the change of the parameter of the inspection data table is accepted between any of the steps and the intervention processing is performed. program. The computer system includes an intervention processing unit that changes data input to the input unit and changes parameters of the examination data table;
In the control unit,
A twenty-sixth step for controlling the intervention processing unit to perform an intervention process for prompting a determination as to whether or not the selection item received in the twenty-second step is suitable;
A 27th step of causing the inspection unit to generate an inspection program corresponding to an inspection item in which a plurality of parameters searched in the 21st step are set when it is determined in the 26th step that intervention is unnecessary;
When it is determined in the twenty-sixth step that intervention is necessary, a change in the inspection item is accepted, and a twenty-eighth step of causing the inspection unit to generate an inspection program corresponding to the changed inspection item;
The inspection program according to claim 12, wherein the inspection program is executed. The inspection / function recovery database is provided with a logical contradiction judgment table in which judgment conditions for judging logical contradiction of test results are recorded,
In the control unit,
Whether or not there is a logical contradiction in the inspection result executed in the 24th step is determined by referring to the logical contradiction determination table, and when it is determined that there is a logical contradiction, the 25th or 26th step The inspection program according to any one of claims 13 and 14, wherein the 29th step of shifting to is executed. In the control unit,
The examination according to any one of claims 13 to 15, wherein when the intervention process is executed, a 30th step of recording a parameter change in the patient chart database and / or the examination / function recovery database is executed. program. A patient chart database that records patient information;
An inspection / function recovery database that stores a function recovery data table that records a plurality of function recovery items with multiple parameters set according to the function recovery level;
An input unit for inputting data;
A display unit for displaying an image during execution of the function recovery item and the function recovery program;
A function recovery unit that generates a function recovery program in which parameters are set with reference to parameters stored in the inspection / function recovery database;
A function recovery program comprising: a control unit that controls the display unit and the function recovery unit with reference to the patient chart database and the examination / function recovery database,
In the control unit,
31st step of retrieving function recovery items for each patient from the patient medical record database using patient information input from the input unit as a key;
A function recovery item retrieved in the thirty-first step is displayed on the display unit, and a thirty-second step of accepting selection of the function recovery item selected using the input unit;
A thirty-third step of causing the function recovery unit to generate a function recovery program according to a function recovery item in which the plurality of parameters searched by the thirty-first step are set and received by the thirty-second step;
A function recovery program that causes the function recovery unit to execute function recovery according to the function recovery program generated in step 33. The computer system includes an intervention processing unit that performs an intervention process including a change of data input to the input unit and a change of parameters of the function recovery data table,
In the control unit,
18. The 35th step of controlling the said intervention process part and making the change of the parameter of the said function recovery data table be accepted between arbitrary said steps, and performing the said intervention process is performed. Functional recovery program. The computer system has an intervention processing unit for changing data input to the input unit and changing parameters of the function recovery data table,
In the control unit,
A thirty-sixth step for controlling the intervention processing unit to perform an intervention process for prompting a determination as to whether or not the selection item received in the thirty-second step is suitable;
A thirty-seventh step of causing the function recovery unit to generate a function recovery program according to the function recovery item in which the plurality of parameters searched in the thirty-first step are set when it is determined in step 36 that intervention is unnecessary;
When it is determined in the thirty-sixth step that intervention is necessary, a thirty-eighth step of accepting a change in the function recovery item and generating a function recovery program corresponding to the changed function recovery item in the function recovery unit;
The function recovery program according to claim 17, wherein the function recovery program is executed. The inspection / function recovery database is provided with a logical contradiction judgment table in which judgment conditions for judging logical contradiction of the function recovery result are recorded,
In the control unit,
Whether or not there is a logical contradiction in the function recovery result executed in the thirty-fourth step is determined by referring to the logical contradiction determination table, and when it is determined that there is a logical contradiction, the thirty-fifth or thirty-sixth The function recovery program according to any one of claims 17 and 19, wherein the 39th step of shifting to a step is executed. In the control unit,
21. The function recovery program according to claim 18, wherein when the intervention process is executed, a 40th step of recording a parameter change in the patient chart database and / or the examination / function recovery database is executed. .   The function recovery program according to any one of claims 17 to 21, wherein the function recovery table records a plurality of function recovery items set with parameters based on a muscle action direction in which a function recovery target muscle is identified. . A patient chart database that records patient information;
An inspection / function recovery database storing an inspection data table in which a plurality of inspection items set with a plurality of parameters according to the inspection level are recorded;
An input unit for inputting data;
A display unit for displaying an image during execution of the inspection item and the inspection program;
An inspection unit that generates an inspection program in which parameters are set with reference to parameters stored in the inspection / function recovery database;
A test method using a computer system comprising a display unit and a control unit that controls the test unit with reference to the patient chart database and the test / function recovery database,
In the control unit,
41st step of searching examination items for each patient from the patient medical record database using the patient information input from the input unit as a key;
A forty second step for causing the inspection item searched in the forty first step to be displayed on a display unit and accepting selection of the selected inspection item using the input unit;
A 43rd step of causing the inspection unit to generate an inspection program according to an inspection item in which a plurality of parameters searched in the 41st step are set and received in the 42nd step;
An inspection method, comprising: causing the inspection unit to execute an inspection according to the inspection program generated in the 43rd step. The computer system has an intervention processing unit that performs an intervention process including a change of data input to the input unit and a change of parameters of the examination data table,
In the control unit,
24. The examination according to claim 23, wherein the intervention processing unit is controlled to execute a 45th step in which the change of the parameter of the examination data table is accepted between any of the steps to perform the intervention process. Method. The computer system includes an intervention processing unit that changes data input to the input unit and changes parameters of the examination data table;
In the control unit,
A 46th step of controlling the intervention processing unit to perform an intervention process for prompting a determination as to whether or not the selection item received in the 42nd step is suitable;
A 47th step of causing the inspection unit to generate an inspection program according to an inspection item in which a plurality of parameters searched in the 41st step are set when it is determined that no intervention is required in the 46th step;
Forty-eighth step, when it is determined that intervention is necessary in the forty-sixth step, the change of the test item is accepted, and the test unit generates a test program corresponding to the changed test item;
The inspection method according to claim 23, wherein the inspection method is executed. The inspection / function recovery database is provided with a logical contradiction judgment table in which judgment conditions for judging logical contradiction of test results are recorded,
In the control unit,
When it is determined that there is a logical contradiction in the inspection result executed in the 44th step with reference to the logical contradiction determination table, and it is determined that there is a logical contradiction, the 45th or 46th step 26. The inspection method according to claim 24, wherein the 49th step of shifting to is executed. In the control unit,
27. The examination according to any one of claims 24 to 26, wherein when the intervention process is executed, a 50th step of recording a parameter change in the patient chart database and / or the examination / function recovery database is executed. Method. A patient chart database that records patient information;
An inspection / function recovery database that stores a function recovery data table that records a plurality of function recovery items with multiple parameters set according to the function recovery level;
An input unit for inputting data;
A display unit for displaying an image during execution of the function recovery item and the function recovery program;
A function recovery unit that generates a function recovery program in which parameters are set with reference to parameters stored in the inspection / function recovery database;
A function recovery method using a computer system comprising a display unit and a control unit that controls the function recovery unit with reference to the patient chart database and the examination / function recovery database,
In the control unit,
51st step of retrieving function recovery items for each patient from the patient medical record database using patient information input from the input unit as a key;
A function recovery item searched in the 51st step is displayed on the display unit, and a 52nd step of accepting selection of the function recovery item selected using the input unit;
A 53rd step of causing the function recovery unit to generate a function recovery program according to a function recovery item in which a plurality of parameters searched in the 51st step are set and received in the 52nd step;
A function recovery method, comprising causing the function recovery unit to execute function recovery according to the function recovery program generated in step 53. The computer system includes an intervention processing unit that performs an intervention process including a change of data input to the input unit and a change of parameters of the function recovery data table,
In the control unit,
29. The 55th step of causing the intervention processing unit to perform control so that the change of the parameter of the function recovery data table is accepted between any of the steps to perform the intervention processing is executed. Function recovery method. The computer system has an intervention processing unit for changing data input to the input unit and changing parameters of the function recovery data table,
In the control unit,
A 56th step of controlling the intervention processing unit and performing an intervention process for prompting a determination as to whether or not the selection item received in the 52nd step is suitable;
A 57th step of causing the function recovery unit to generate a function recovery program corresponding to the function recovery item in which the plurality of parameters searched in the 51st step are set when it is determined in the 56th step that intervention is unnecessary;
When it is determined in step 56 that intervention is necessary, a change in function recovery item is accepted and a function recovery program corresponding to the changed function recovery item is generated in the function recovery unit;
The function recovery method according to claim 28, wherein the function recovery method is executed. The inspection / function recovery database is provided with a logical contradiction judgment table in which judgment conditions for judging logical contradiction of the function recovery result are recorded,
In the control unit,
Whether or not there is a logical contradiction in the function recovery result executed in the 54th step is determined by referring to the logical contradiction determination table, and when it is determined that there is a logical contradiction, the 55th or 56th 31. The function recovery method according to claim 29, wherein the 59th step of shifting to a step is executed. In the control unit,
32. The 60th step of recording a parameter change in the patient chart database and / or the examination / function recovery database when the intervention process is executed is performed. Function recovery method. The function recovery method according to any one of claims 28 to 32, wherein the function recovery table records a plurality of function recovery items in which a parameter based on a muscle action direction in which a function recovery target muscle is identified is set. .

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