JP2017228003A - Symptom diagnosis support service providing system and symptom diagnosis support service providing method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make it possible to easily and quickly receive a symptom diagnosis support service anytime and anywhere and obtain information on an appropriate medical care department or medical care institution.SOLUTION: A symptom diagnosis support service providing server 100 which connects with a terminal apparatus 400 via a communication network 200 makes multiple-choice inquiries about symptom information to the terminal apparatus 400 multiple times, and is configured to identify disease information when a prescribed number of similar response formats for the inquiries are obtained. Regarding the disease information displayed by the terminal apparatus 400, the symptom diagnosis support service providing server is configured to control an output display number on the basis of score information and configured to be able to transmit medical care department information to the terminal apparatus 400 on the basis of the disease information and positional information.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a symptom diagnosis support service providing system and a symptom diagnosis support service providing method that enable a symptom diagnosis support service to be easily received at any time via a communication network such as the Internet.

  Conventionally, evaluation of illnesses and health conditions is generally performed by face-to-face diagnoses such as patients and test subjects who directly visit a doctor at a hospital or clinic. Recently, however, a service has been proposed that evaluates illnesses and health conditions via a communication network without the person being diagnosed going directly to the person being diagnosed.

  Patent Document 1 below discloses a technique for quickly evaluating personal information such as skin information via a network from an image transmitted from a remote place and inquiry / consultation information. According to this Patent Document 1, diagnosis, treatment, or counseling can be provided without the person being diagnosed and the diagnoser being simultaneously connected to the network. In addition, it is devised to make a diagnosis by grasping both subjective diagnosis information and objective information of the person to be diagnosed.

  In Patent Document 2 below, in addition to the patient's health condition, the local information on the remote location where the patient is present is acquired, and the remote location via a network that takes into account the specific diseases of the region and the diseases that are prevalent in the region. A diagnostic system is disclosed. According to this patent document 2, since the present location of the patient and the symptom peculiar to the region are taken into consideration, the state of the patient at the remote location can be appropriately recognized and diagnosed.

JP 2003-85278 A JP 2012-212447 A

Recently, the Ministry of Health, Labor and Welfare has worked to introduce community-based comprehensive care that integrates the provision of medical care and nursing care in the region, considering the increase in the elderly population and future medical care, etc. It is out. In this approach, the effective use of pharmacists and drug stores that open in the region is also in the horizon.
For example, if the person to be diagnosed does not go directly to a hospital or clinic, but he / she is unsure about his / her health condition, he / she may want to consult or get advice from a person with specialized knowledge. In some cases, it is not known where to go to a hospital, clinic, or department. In such a case, it is expected that consulting / advice by a pharmacist or drugstore opening in the area will be expected.

  However, it is difficult for pharmacists and drugstores that open in the region to have sufficient knowledge of symptomatic diagnosis for illness and the situation of local medical care, even if they have expertise in medicine. is there. Therefore, there is a possibility that information to be satisfied by the diagnosed person cannot be provided.

  What is disclosed in Patent Document 1 is that the server side automatically diagnoses and sends feedback to the diagnosed person from the image and inquiry / hearing information transmitted from a remote place, considering the situation of the local medical care It is not a thing. Therefore, it cannot cope with which hospital, clinic, or department to go to. Nor does it meet the above expectations for pharmacists and drugstores that open in the region.

  What is disclosed in Patent Document 2 is that it is possible to recognize and diagnose the condition of a remote diagnosis subject in consideration of the current location of the diagnosis subject and the symptom peculiar to the region. Is not taken into account. Therefore, it cannot cope with which hospital, clinic, or department to go to. Nor does it meet the above expectations for pharmacists and drugstores that open in the region.

SUMMARY OF THE INVENTION The present invention has been made in consideration of the above circumstances, and provides a symptom diagnosis support service providing system and a symptom diagnosis support service that can solve the above-described problems and can easily and quickly receive symptom diagnosis support anytime and anywhere. An object is to provide a providing method.
It is another object of the present invention to provide a symptom diagnosis support service providing system and a symptom diagnosis support service providing method that can easily and quickly obtain information on appropriate medical departments and medical institutions anytime and anywhere.

  In order to achieve the above object, the present invention has the following configuration.

(1) Stores information sent from outside, gender information, age information, body part information, symptom information, and disease information, and stores the gender information, age information, body part information, symptom information, and disease information according to predetermined rules. By first storage means having specialized knowledge database information associated according to the above, disease determination reasoning engine means for diagnosing symptoms referring to information stored in the first storage means, and this disease determination reasoning engine means Second storage means for storing clinical department information that is referred to in symptom diagnosis and includes regional medical information, disease information stored in the first storage means, and medical care stored in the second storage means A symptom diagnosis support service providing server comprising sending means for sending department information to the outside via a communication network;
Connect to this symptom diagnosis support service providing server via the communication network and input individual gender information, age information, body part information and symptom information, and respond to information sent from the symptom diagnosis service providing server Input means for inputting information, and input information and position information from the input means are sent to the symptom diagnosis support service providing server via the communication network, and disease information and clinical department information sent from the sending means are sent. A symptom diagnosis support service providing system comprising a terminal device having a web browser function provided with an output means for display output,
The disease information stored in the first storage means is provided with score information in consideration of the relative frequency of the disease, and the symptom diagnosis support service providing server makes an alternative inquiry about the symptom information to the terminal device. It is configured to specify disease information when a predetermined number of similar response forms are obtained from the terminal device with respect to this inquiry, and is transmitted from the symptom diagnosis support service providing server and displayed on the terminal device. The disease information is configured such that the number of display outputs is controlled based on the score information, and the symptom diagnosis support service providing server sends clinical department information to the terminal device based on the disease information and the position information. It is configured to be possible.

(2) In the configuration of (1) above, if the symptom diagnosis support service providing server does not make an alternative inquiry about symptom information to the terminal device at least a predetermined number of times, the disease information is specified. It is characterized in that it is configured not to be performed.

(3) Information sent from outside, gender information, age information, body part information, symptom information, and disease information are stored, and the gender information, age information, body part information, symptom information, and disease information are stored in a predetermined rule. By first storage means having specialized knowledge database information associated according to the above, disease determination reasoning engine means for diagnosing symptoms referring to information stored in the first storage means, and this disease determination reasoning engine means Second storage means for storing clinical department information that is referred to in symptom diagnosis and includes regional medical information, disease information stored in the first storage means, and medical care stored in the second storage means A symptom diagnosis support service providing server comprising sending means for sending department information to the outside via a communication network;
Input means for inputting individual gender information, age information, body part information and symptom information by connecting to the symptom diagnosis support service providing server via the communication network, and input information from the input means to the communication network. Syndrome diagnosis comprising a terminal device having a web browser function, and having an output means for displaying and outputting disease information and clinical department information sent from the sending means to the symptom diagnosis support service providing server A service providing system,
The disease information stored in the first storage means is provided with score information in consideration of the relative frequency of the disease, and the symptom diagnosis support service providing server sends individual genders collectively sent from the terminal device. When the information, age information, body part information, and symptom information are received, the disease determination inference engine means specifies the disease information, and the specified disease information is transmitted to the terminal device. To do.

(4) In the configuration of (1), (2) or (3), connected to the symptom diagnosis support service providing server via the communication network, the first storage means and the second storage The present invention is characterized in that a management server having a function of updating information stored in the means is provided.

(5) Stores information sent from outside, sex information, age information, body part information, symptom information, and disease information, and stores the sex information, age information, body part information, symptom information, and disease information according to predetermined rules. According to the information stored in the database as specialized knowledge database information, medical department information including regional medical information is stored, and individual gender information, age information, body part information, symptom information and position transmitted via the communication network Information is received, and based on this received information, the disease determination inference engine unit refers to the specialized knowledge database information and the medical department information to identify the disease information and the medical department information.

(6) The configuration of (5) is characterized in that the disease information is specified in consideration of a response status to at least a predetermined number of alternative queries regarding the symptom information.

(7) In the configuration of (5) or (6) above, the disease information is provided with score information in consideration of the relative frequency of the disease, and the number of display outputs is controlled based on the score information. It is characterized by that.

(8) In the configuration of (5) or (7), the individual gender information, age information, body part information, symptom information, and position information are collectively transmitted. .

(9) In the configuration of (5), (6), (7), or (8), the specialized knowledge database information and the medical department information can be updated.

According to the above configuration, anyone can easily and quickly receive a symptom diagnosis support service regardless of time and place. Moreover, it is possible to easily and quickly obtain information on appropriate departments and medical institutions anytime and anywhere.
Moreover, according to the said structure, since the number of display outputs of disease information is controlled based on score information, the information displayed and displayed is easy to see and easy to use. In addition, since the alternative inquiry about the symptom information is not performed at least a predetermined number of times, the disease information is not specified, which contributes to the improvement of the reliability of the specification.
Furthermore, according to the above configuration, the latest information can be provided by the update function, which is practical and useful for the user.
Furthermore, according to the said structure, it can utilize effectively for the consultation and advice response expected with respect to the pharmacist and drug store which open in the area.

  According to the present invention, anyone can receive a symptom diagnosis support service easily and quickly at any time and anywhere. In addition, anyone can easily and quickly obtain information on appropriate departments and medical institutions anytime, anywhere.

It is a figure which shows notionally the whole structure of the symptom diagnosis assistance service provision system concerning the 1st Embodiment of this invention. It is a figure which shows schematic structure of the symptom diagnosis assistance service provision server in connection with the embodiment. It is a figure which shows the schematic structure of a management server in connection with the embodiment. FIG. 3 is a diagram illustrating a schematic configuration of a terminal device according to the embodiment. It is a figure which concerns on the same embodiment and shows the flow of a process of symptom diagnosis assistance service provision. It is a figure which concerns on the same embodiment and shows the flow of an input process of basic information. It is a figure which concerns on the same embodiment and shows the flow of the input process of main complaint information. It is a figure which concerns on the same embodiment and shows the flow of a disease specific process. It is a figure which concerns on the embodiment and shows the flow of a search process of a medical institution. It is a figure which concerns on the same embodiment and shows the flow of the update process of the information which the symptom diagnosis assistance service provision server by a management server has. It is a figure which shows the top screen of the search menu in a terminal device in connection with the embodiment typically. It is a figure which shows the display screen of the age information input request in a terminal device typically in connection with the embodiment. It is a figure which shows the display screen of the sex information input request in a terminal device related to the embodiment. It is a figure which concerns on the same embodiment and shows typically the display screen of the site | part information input request which concerns in a terminal device. It is a figure which shows the display screen of the detailed information input request | requirement of the site | part which concerns on the same embodiment and concerns in a terminal device. FIG. 6 is a diagram schematically showing a display screen of a symptom information input request in the terminal device according to the embodiment. It is a figure which shows the display screen of the response information input request with respect to the question in a terminal device in connection with the embodiment typically. FIG. 4 is a diagram schematically showing a display screen of a department for receiving a determination result in the terminal device according to the embodiment. It is a figure which shows typically the display screen of the disease which concerns on the same embodiment and doubts the determination result in a terminal device. It is a figure which shows the display screen of the medical institution search in a terminal device in connection with the embodiment typically. It is a figure which shows notionally the whole structure of the symptom diagnosis assistance service provision system concerning the 2nd Embodiment of this invention. It is a figure which shows schematic structure of the symptom diagnosis assistance service provision server in connection with the embodiment. FIG. 3 is a diagram illustrating a schematic configuration of a terminal device according to the embodiment. It is a figure which concerns on the same embodiment and shows the external appearance and top screen of a terminal device typically. It is a figure which concerns on the same embodiment and shows the flow of a process of symptom diagnosis assistance service provision. It is a figure which concerns on the same embodiment and shows the flow of a disease specific process. FIG. 4 is a diagram schematically showing a display screen of a suspected disease / clinical department output and displayed on a terminal device according to the embodiment.

  Embodiments of the present invention will be described below with reference to the drawings.

(First embodiment)
The symptom diagnosis support service providing system 10 according to the present embodiment selectively responds to a symptom question presented and output by the system user on the system side by selecting “Yes”, “No”, or “I don't know”. The 10th side specifies the department for the symptoms. In addition, information on nearby medical institutions is provided to the user along with the identification of the department.

  That is, the symptom diagnosis support service providing system 10 communicates with the symptom diagnosis support service providing server 100, which is a cloud type server computer that provides the symptom diagnosis support service, as shown in FIG. A management server 300 having a web browser function and a terminal device 400 having a web browser function are connected via a network (communication network) 200. The communication with the symptom diagnosis support service providing server 100, the management server 300, and the terminal device 400 via the communication network 200 has a function of transmitting and receiving information by, for example, IETF TLS communication (for example, SSL communication) as a security measure. It is configured.

  As shown in FIG. 2, the symptom diagnosis support service providing server 100 includes a central control processing unit 110, an input unit 120, an output unit 130, a disease determination inference engine unit 140, a first memory 150 as a first storage unit, and a second memory unit. A second memory 160 serving as a storage unit is provided, and each is connected via a signal line 170. Then, the symptom diagnosis support service providing server 100 receives information related to the use of the symptom diagnosis support service transmitted from the terminal device 400 via the communication network 200, selects the corresponding service information and content information, and selects the terminal The device 400 has a function of identifying the information processing capability of the terminal device 400 and transmitting it in a form matched with the processing capability.

The central control processing unit 110 has a function of managing control processing of the entire system with reference to predetermined program information stored in the first memory 150. In addition, the central control processing unit 110 receives information transmitted from the terminal device 400 via the input unit 120 and sends service information and content information corresponding to the information to the terminal device 400 via the output unit 130. Has a function to send out.
Further, the central control processing unit 110 has a function of identifying the management server 300 and the terminal device 400 that are accessed via the communication network 200 and performing an authentication process. For example, if the access is performed by the management server 300, the symptom diagnosis support service providing server 100 is identified and determined so that the update process of the symptom diagnosis support service information and the like is performed. If the access is performed by the terminal device 400, the symptom diagnosis support service providing server 100 is identified and determined so that the symptom diagnosis support service providing process is performed according to the processing capability of the terminal device 400. The identification is configured based on the information processing capability of the management server 300 and the terminal device 400 to be connected and information to be transmitted.

  The input unit 120 has a function of receiving information transmitted from the outside and storing it in the first memory 150 under the control of the central control processing unit 110. For example, it is configured to receive request information relating to the use of the symptom diagnosis support service transmitted from the terminal device 400 and store it in the first memory 150. Further, the input unit 120 has a function of storing, in the first memory 150, input information by key input from an internal keyboard or the like under the control of the central control processing unit 110.

  The output unit 130 has an output function for outputting various types of information or sending the information to the outside under the control of the central control processing unit 110. For example, it is configured to send information related to menus and contents related to the symptom diagnosis support service to the terminal device 400 via the communication network 200.

  The disease determination and inference engine unit 140 has an expert system function that applies artificial intelligence, and refers to the first memory 150 and the second memory 160 under the control of the central control processing unit 110, and provides disease information and medical care. It has a function to specify department information. That is, the disease determination inference engine unit 140 refers to the first memory 150 and the second memory 160 regarding individual gender information, age information, body part information, symptom information, and position information transmitted from the terminal device 400. The terminal device 400 has a function of identifying disease information and clinical department information that are determined to be appropriate for the terminal device 400. For example, the disease determination inference engine unit 140 is configured to perform a determination using a sigmoid function in order to detect a difference in score information considering the relative frequency of diseases. This is because it is possible to efficiently narrow down the disease by mechanically extracting items with a large difference in the disease from the registered symptom information.

  The first memory 150 is a readable / writable storage device, and stores a program information storage area (not shown) for storing program information to be referred to by the central control processing unit 110 for various control processing and management, and various content information. Are stored in a content information storage area (not shown) and a work area (not shown) for performing various operations. The first memory 150 includes an age information storage area 151, a gender information storage area 152, a body part information storage area 153, a symptom information storage area 154, a disease information storage area 155, a specialized knowledge database information storage area (specialized knowledge DB information). Storage area) 156 and other information storage area 157 are provided. The information stored in the first memory 150 is configured to be updated by the management server 300.

  Thus, the age information storage area 151 is a storage area for storing age information.

  The sex information storage area 152 is a storage area for storing sex information for each gender.

  The body part information storage area 153 is a storage area for storing body part information such as the whole body and the body such as the head, neck, and hand for each gender. The part information is stored in two types, roughly body part information and detailed body part information.

  Symptom information storage area 154 has fever, pain, itching, dizziness, vomiting / nausea, cough / breathing abnormality, numbness / paralysis / convulsion, skin abnormality, swelling / swelling This is a storage area for storing symptom information such as that there is an abnormality in stool or urine, or others.

  The disease information storage area 155 is a storage area for storing disease information. The disease information stored in the disease information storage area 155 is provided with score information considering the relative frequency of the disease. In the initial setting, a high point is assigned to a disease that is commonly seen, and a low point is assigned to a rare disease. As a result, diseases that are commonly seen are positioned higher, and rare diseases are positioned lower.

  The specialized knowledge DB information storage area 156 stores information associated with gender information, age information, body part information, symptom information, and disease information in accordance with a predetermined rule so that the disease determination inference engine unit 140 can search efficiently. Storage area.

  The other information storage area 157 is a storage area for storing other information.

  The information stored in the first memory 150 is configured to be updated by the management server 300.

  The second memory 160 has a readable / writable memory function and includes a medical department information storage area 161 and a work area 162.

  Thus, the clinical department information storage area 161 is a storage area in which information related to the clinical department corresponding to the disease information is stored. The stored information is also extracted as consultation department information recommended by the disease determination inference engine unit 140 based on the score information in the disease specifying process. The medical department information storage area 161 has a regional medical information storage area 161a in which information related to hospitals, clinics, or regional medicines that exist in each region is stored. The information stored in the medical department information storage area 161 is configured to be updated by the management server 300.

  The work area 162 is a work area for performing various works.

  The management server 300 includes a control processing unit 310, an input unit 320, an output unit 330, a memory 340, and an update management unit 350, and each is connected via a signal line 360. This management server 300 has a web browser function, and has a function of periodically updating the information of the symptom diagnosis support service providing server 100 as necessary.

  The control processing unit 310 has a function of controlling the entire management server 300 with reference to predetermined program information stored in the memory 340. The control processing unit 310 has a function of transmitting information in the management server 300 to the outside via the output unit 330, and also has a function of storing input information from the input unit 320 in the memory 340 and transmitting the information to the outside. . The control processing unit 310 has a function of receiving information transmitted from the outside via the input unit 320 as necessary, storing the information in the memory 340, and outputting the information to the output unit 330.

  The input unit 320 has a function of storing input information in the memory 340 under the control of the control processing unit 310. The input unit 320 has a function of receiving information transmitted via the communication network 200 and storing it in the memory 340.

  The output unit 330 has an output function of displaying or printing out information stored in the memory 340 under the control of the control processing unit 310. The output unit 330 has a function of outputting information stored in the memory 340 and information from the update management unit 350 to the outside via the communication network 200.

  The memory 340 is a readable / writable storage device. The memory 340 performs a program information storage area for storing program information to be referred to by the control processing unit 310 for various control processes and management, a content information storage area for storing various content information, and various operations. A work area is provided for this purpose.

  The update management unit 350 has a function of performing update processing on data stored in the first memory 150 and the second memory 160 of the symptom diagnosis support service providing server 100 under the control of the control processing unit 310. That is, it has a function of updating gender information, age information, body part information, symptom information, disease information, medical department information, regional medical information and / or various content information to the latest information, for example.

The terminal device 400 includes a control processing unit 410, an input unit 420, an output unit 430, and a memory 440, and each is connected via a signal line 450. The terminal device 400 has a web browser function, and has a function of connecting to the symptom diagnosis support service providing server 100 via the communication network 200 and receiving a symptom diagnosis support service. The terminal device 400 has a GPS (Global Positioning System) function.
The terminal device 400 is assumed to be a smartphone in the present embodiment, but is not limited to this. In addition, for example, a desktop or notebook personal computer, a tablet terminal device, or a wearable terminal device may be used.

  The control processing unit 410 has a function of performing control processing of the entire terminal device 400 with reference to predetermined program information stored in the memory 440. The control processing unit 410 has a function of sending information in the terminal device 400 to the outside via the output unit 430 and also has a function of storing input information from the input unit 420 in the memory 440 and sending it to the outside. . In addition, the control processing unit 410 has a function of receiving information sent from the outside via the input unit 420 as necessary, storing it in the memory 440, and outputting it to the output unit 430.

  The input unit 420 has a function of storing input information in the memory 440 under the control of the control processing unit 410. The input unit 420 has a function of receiving information transmitted via the communication network 200 and storing it in the memory 440.

  The output unit 430 has an output function of displaying, printing, or outputting audio information stored in the memory 440 under the control of the control processing unit 410. The output unit 430 has a function of transmitting information stored in the memory 440 to the outside via the communication network 200.

  The memory 440 is a readable / writable storage device. The memory 440 performs a program information storage area for storing program information referred to for the control processing unit 410 to perform various control processes and management, a content information storage area for storing various content information, and various operations. A work area is provided for this purpose.

  The operation of the above configuration will be described below with reference to the drawings.

  When the terminal device 400 accesses the symptom diagnosis support service providing server 100 via the communication network 200 and requests the use and provision of the symptom diagnosis support service (step S502 in FIG. 5), the symptom diagnosis support service providing server 100 is a terminal. An authentication process of the device 400 is performed (step S504). When the symptom diagnosis support service providing server 100 determines that the access of the terminal device 400 is permitted (Y in step S504), the symptom diagnosis support service providing server 100 starts providing the symptom diagnosis support service to the terminal device 400.

When the symptom diagnosis support service is started, a menu screen is displayed on the output unit 430 of the terminal device 400 (step S506). On this menu screen, it is selected whether the service to be provided is a search for “symptom diagnosis” or a search for “medical institution” (step S508).
That is, the top screen 4010 is displayed on the output unit 430 of the terminal device 400, and the icons “symptom diagnosis search” 4010a and the icon “medical institution search” 4010b are displayed. Good (see FIG. 11).

  When “symptom diagnosis search” is selected via the input unit 420 of the terminal device 400 (“symptom diagnosis” in step S508), the process proceeds to basic information input processing (step S510). The input of basic information is such that the age information and gender information input request of the person receiving the service provision are sequentially displayed on the output unit 430 of the terminal device 400. Therefore, when the age is first input via the input unit 420, the age information Is stored in the age information storage area 151 of the first memory 150 (step S602 in FIG. 6). Subsequently, when sex is input via the input unit 420, the sex information is stored in the sex information storage area 152 of the first memory 150 (step S604).

  That is, since the age input screen 4020 is displayed on the output unit 430 of the terminal device 400, the age is input in the age information input box area 4020a (see FIG. 12). Thereafter, the gender input screen 4030 is displayed, and the icons “male” 4030a and icon “female” 4030b are displayed. Therefore, a desired icon may be touched and selected (see FIG. 13).

  When the input of the basic information is completed, the process proceeds to the main complaint selection process (step S512). In the chief complaint selection, a body part and a symptom are specified (see FIG. 7).

  That is, the body part is first identified. In this specification, the screen 4040 for roughly specifying the body part is displayed on the output unit 430 of the terminal device 400, and the body image is displayed in the part specifying display area 4040a. Selection is made by touching a site of concern such as a shoulder, arm, torso, arm, or foot (see FIG. 14).

  When a rough body part is selected (step S702), a detailed image of the part is displayed on the output unit 430. Therefore, a more interested part is selected via the input unit 420 (step S704). . For example, when the occipital region is selected for a rough body part, an image of the detailed part of the occipital region is displayed in the detailed part display area 4050a of the detailed screen 4050. (See Fig. 15)

  Thus, the selected body part information is stored in the body part information storage area 153 of the first memory 150.

  Next, the symptom at the selected site is specified (step S706). For example, the symptom selection screen 4060 is displayed on the output unit 430 of the terminal device 400, and the symptom display area 4060a has, for example, fever, pain, itching, dizziness, vomiting / nausea, cough / Symptoms such as abnormal breathing, numbness / paralysis / convulsions, abnormal skin, swelling / swelling, abnormal stool and urine, etc. are displayed. (See FIG. 16). The selected information is stored in the symptom information storage area 154.

When the main complaint selection process is completed, the symptom diagnosis support service providing server 100 asks the terminal device 400 about the symptom. In response to this question, the terminal device 400 selects and responds “Yes”, “No”, or “I don't know” (step S514).
That is, a question screen 4070 regarding symptoms is displayed, and a question such as “Is there a fever of 37.5 degrees or more?” Is displayed in the question display area 4070a. Therefore, the icon “Yes” 4070b and the icon “No” are displayed. A corresponding one is selected from 4070c or the icon “I don't know” 4070d (see FIG. 17).

  Here, at least 10 questions regarding symptoms are made, and when the number of “Yes” selection responses reaches three (Y in step S516), the disease determination inference engine unit 140 identifies the disease (step S518). ).

  The disease determination inference engine unit 140 performs analysis processing with reference to the input and response information from the terminal device 400, the first memory 150, and the second memory 160 (step S802 in FIG. 8). Then, recommended department information is extracted based on the analysis processing result, and the extracted result is displayed in the recommended department display area 4080a on the determination result screen 4080 of the terminal device 400 (see step S804, FIG. 18). ). The displayed departments are configured to display a list of bar graphs in order from the most relevant one based on the score information.

  When the icon “display suspected disease” 4080b is selected and input, a suspected disease is extracted based on the analysis processing result, and the extraction result is displayed in the suspected disease display area 4090a on the determination result screen 4090 of the terminal device 400. Is displayed (see step S806, FIG. 19).

  When the icon “search for medical institution” 4090c is selected (Y in step S520), a medical institution search process is executed (step S522). That is, the medical institution search screen 4100 is displayed on the terminal device 400, and “search from current location” or “search from address, facility, station, bus stop, etc.” is displayed in the search condition display area 4100a. In response to the selection, the icon “search execution” 4100c may be touch-inputted (see FIG. 20).

  When “search from current location” is selected (“search from current location” in step S902 in FIG. 9), current location information is acquired (step S904). This is acquisition of current location information using the GPS function of the terminal device 400. Based on the acquired position information, the disease determination inference engine unit 140 refers to the medical department information storage area 161 of the second memory 160 and extracts a medical institution located near the terminal device 400 (step S908). . The extracted nearby medical institution is provided on the terminal device 400 side and output and displayed (step S910).

  When “Search from address, facility, station, bus stop, etc.” is selected (“Search from address, etc.” in step S902 in FIG. 9), based on the position information input in the position information input area 4100b (step S906), The disease determination inference engine unit 140 refers to the medical department information storage area 161 of the second memory 160 and extracts a medical institution located near the input information (step S908). The extracted medical institution is provided on the terminal device 400 side and output and displayed (step S910).

  In addition, also when the search of a medical institution is selected in step S508 of FIG. 5, the process flow shown in FIG. 9 is similarly performed, and the extracted medical institution is provided to the terminal device 400 side. Is.

  Now, information update processing of the symptom diagnosis support service providing server 100 by the management server 300 will be described with reference to FIG. That is, for data stored in the first memory 150 or the second memory 160, such as age information, gender information, body part information, symptom information, disease information, medical department information, regional medical information and / or various content information. The update process will be described.

  When there is an access from the management server 300 to the symptom diagnosis support service providing server 100 via the communication network 200 (step S1010), the symptom diagnosis support service providing server 100 performs an authentication process of the management server 300 (step S1020). If the symptom diagnosis support service providing server 100 determines that the access of the management server 300 is permitted (Y in step S1020), the symptom diagnosis support service providing server 100 stores the access by the management server 300 in the first memory 150 or the second memory 160. It is determined whether or not the data update process is to be performed (step S1030).

  When the symptom diagnosis support service providing server 100 determines that the data stored in the first memory 150 or the second memory 160 is updated (Y in step S1030), the management server 300 is included in the symptom diagnosis support service providing server 100. An update process for updating the information to the latest information is performed (step S1040).

  Such an update process is periodically performed and can be arbitrarily performed as necessary.

According to the above-described embodiment, anyone can receive a symptom diagnosis support service easily and quickly through the communication network 200 regardless of time and place. Moreover, it is possible to easily and quickly obtain information on appropriate departments and medical institutions anytime and anywhere.
Further, according to the above embodiment, since the number of display outputs of disease information is controlled based on score information, the information displayed and displayed is easy to see and easy to use. In addition, since the alternative inquiry about the symptom information is not performed at least a predetermined number of 10 times, the disease information is not specified, which contributes to improving the reliability of the specification.
Furthermore, according to the embodiment, since the latest information can be prepared by the update function by the management server 300, it is practical and useful for the user. It can also be used effectively for consultations and advices expected for pharmacists and drugstores that open in the region.

  The symptom display order in the above embodiment is configured as follows. That is, a disease in which the same part is registered, a disease that is probabilistically farthest from a disease in which a previous symptom is registered is extracted, and the symptom registered in the disease is displayed. Here, it is assumed that each disease is given a priority score depending on whether it is a disease that is often seen epidemiologically or a rare disease. This algorithm regards this score as the probability.

(Second Embodiment)
Next, a second embodiment of the present invention will be described with reference to the drawings. Note that the same parts and / or functions as those in the first embodiment are denoted by the same reference numerals and symbols, and a part of the description is omitted, and different points are mainly described.

  In the first embodiment described above, as shown in FIG. 11 to FIG. 20, the disease identification process is performed on the display screen in a question-and-answer format. On the other hand, the symptom diagnosis support service providing system 20 according to the present embodiment has a function to display a list of questions as a general rule on the display screen and to display the list in a lump and to input response information on the screen to perform a specific process such as a disease. It is composed.

  That is, the symptom diagnosis support service providing system 20 communicates with the symptom diagnosis support service providing server 100, which is a cloud type server computer that provides the symptom diagnosis support service, as shown in FIG. A management server 300 having a web browser function and a terminal device 500 having a web browser function are connected via the network 200. Communication with the symptom diagnosis support service providing server 100, the management server 300, and the terminal device 500 via the communication network 200 is performed by, for example, IETF TLS communication (for example, SSL communication) as a security measure. Needless to say, the terminal device (not shown) of the first embodiment can also be connected.

  As shown in FIG. 22, the symptom diagnosis support service providing server 100 includes a central control processing unit 110, an input unit 120, an output unit 130, a disease determination inference engine unit 140, a first memory 150 serving as a first storage unit, and a second memory unit. A second memory 160 serving as a storage unit is provided, and each is connected via a signal line 170. Then, the symptom diagnosis support service providing server 100 receives information regarding the use of the symptom diagnosis support service transmitted from the terminal device 500 via the communication network 200, selects the corresponding service information and content information, and selects the terminal It has a function of identifying the information processing capability of the terminal device 500 to the device 500 and sending it in a form that matches the processing capability.

The central control processing unit 110 has a function of managing control processing of the entire system with reference to predetermined program information stored in the first memory 150. In addition, the central control processing unit 110 receives information transmitted from the terminal device 500 via the input unit 120 and sends service information and content information corresponding to the information to the terminal device 500 via the output unit 130. Has a function to send out.
Furthermore, the central control processing unit 110 has a function of identifying the management server 300 and the terminal device 500 that are accessed via the communication network 200 and performing an authentication process. For example, if the access is performed by the management server 300, the symptom diagnosis support service providing server 100 is identified and determined so that the update process of the symptom diagnosis support service information and the like is performed. If the access is performed by the terminal device 500, the symptom diagnosis support service providing server 100 is identified and determined so that the symptom diagnosis support service providing process according to the processing capability of the terminal device 500 is performed. The identification is configured based on the information processing capability of the management server 300 and the terminal device 500 to be connected and information to be transmitted.

  The input unit 120 has a function of receiving information transmitted from the outside and storing it in the first memory 150 under the control of the central control processing unit 110. For example, it is configured to receive request information relating to the use of the symptom diagnosis support service transmitted from the terminal device 500 and store it in the first memory 150. Further, the input unit 120 has a function of storing, in the first memory 150, input information by key input from an internal keyboard or the like under the control of the central control processing unit 110.

  The output unit 130 has an output function for outputting various types of information or sending the information to the outside under the control of the central control processing unit 110. For example, it is configured to send information related to menus and contents related to the symptom diagnosis support service to the terminal device 500 via the communication network 200.

  The disease determination and inference engine unit 140 has an expert system function that applies artificial intelligence, and refers to the first memory 150 and the second memory 160 under the control of the central control processing unit 110, and provides disease information and medical care. It has a function to specify department information. That is, the disease determination and inference engine unit 140 sends individual gender information, age information, body part information (corresponding to parts in FIG. 24), symptom information (main parts in FIG. With regard to position information, the first memory 150 and the second memory 160 are referred to, and the disease information and / or clinical department information determined to be appropriate for the terminal device 500 are included. For example, the disease determination inference engine unit 140 is configured to perform a determination using a sigmoid function in order to detect a difference in score information considering the relative frequency of diseases. This is because it is possible to efficiently narrow down the disease by mechanically extracting items with a large difference in the disease from the registered symptom information.

  The first memory 150 is a readable / writable storage device, and stores a program information storage area (not shown) for storing program information to be referred to by the central control processing unit 110 for various control processing and management, and various content information. Are stored in a content information storage area (not shown) and a work area (not shown) for performing various operations. The first memory 150 includes an age information storage area 151, a gender information storage area 152, a body part information storage area 153, a symptom information storage area 154, a disease information storage area 155, a specialized knowledge database information storage area (specialized knowledge DB information). Storage area) 156 and other information storage area 157 are provided. The information stored in the first memory 150 is configured to be updated by the management server 300.

  Thus, the age information storage area 151 is a storage area for storing age information. Here, for example, age information is classified into six types: 0 to less than 1 year, 1 to less than 7 years, 7 to less than 15 years, 15 to less than 20, 15 to less than 20, 20 to less than 65, 65 years or more To store.

  The sex information storage area 152 is a storage area for storing sex information for each gender.

  The body part information storage area 153 is a storage area for storing body part information such as limbs, whole body / mental nerve, skin / nail, etc., for each gender.

  The symptom information storage area 154 is a memory for storing symptom information such as high fever, headache, jet / nasal discharge, vomiting, sudden fever, dyspnea, limb joint pain, diarrhea, nasal discharge, convulsions, etc. as main symptoms. It is an area.

  The disease information storage area 155 is a storage area for storing disease information. The disease information stored in the disease information storage area 155 is provided with score information considering the relative frequency of the disease. In the initial setting, a high point is assigned to a disease that is commonly seen, and a low point is assigned to a rare disease. As a result, diseases that are commonly seen are positioned higher, and rare diseases are positioned lower.

  The specialized knowledge DB information storage area 156 stores information associated with gender information, age information, body part information, symptom information, and disease information in accordance with a predetermined rule so that the disease determination inference engine unit 140 can search efficiently. Storage area.

  The other information storage area 157 is a storage area for storing other information.

  The information stored in the first memory 150 is configured to be updated by the management server 300.

  The second memory 160 has a readable / writable memory function and includes a medical department information storage area 161 and a work area 162.

  Thus, the clinical department information storage area 161 is a storage area in which information related to the clinical department corresponding to the disease information is stored. The stored information is also extracted as consultation department information recommended by the disease determination inference engine unit 140 based on the score information in the disease specifying process. The medical department information storage area 161 has a regional medical information storage area 161a in which information related to hospitals, clinics, or regional medicines that exist in each region is stored. The information stored in the medical department information storage area 161 is configured to be updated by the management server 300.

  The work area 162 is a work area for performing various works.

  The description of the management server 300 is omitted because it is the same as that of the first embodiment (the same as the functional configuration of FIG. 3).

The terminal device 500 includes a control processing unit 510, an input unit 520, an output unit 530, and a memory 540, and each is connected via a signal line 550. The terminal device 500 has a web browser function, and has a function of connecting to the symptom diagnosis support service providing server 100 via the communication network 200 and receiving a symptom diagnosis support service. The terminal device 500 has a GPS function.
As the terminal device 500, for example, a tablet terminal device is assumed in the present embodiment, but the present invention is not limited to this.

  The control processing unit 510 has a function of controlling the entire terminal device 500 with reference to predetermined program information stored in the memory 540. The control processing unit 510 has a function of transmitting information in the terminal device 500 to the outside via the output unit 530, and also has a function of storing input information from the input unit 520 in the memory 540 and transmitting the information to the outside. . Further, the control processing unit 510 has a function of receiving information transmitted from the outside via the input unit 520 as necessary, storing it in the memory 540, and outputting it to the output unit 530.

  The input unit 520 has a function of storing input information in the memory 540 under the control of the control processing unit 510. In addition, the input unit 520 has a function of receiving information transmitted via the communication network 200 and storing the information in the memory 540.

  The output unit 530 has an output function of displaying, printing, or outputting audio information stored in the memory 540 under the control of the control processing unit 510. The output unit 530 has a function of transmitting information stored in the memory 540 to the outside via the communication network 200.

  The memory 540 is a readable / writable storage device. The memory 540 performs a program information storage area for storing program information referred to for the control processing unit 510 to perform various control processes and management, a content information storage area for storing various content information, and various operations. A work area is provided for this purpose.

  Thus, as shown in FIG. 24, the terminal device 500 has a text input area 5000a, a sex selection area 5000b, an age selection area 5000c, a part selection area 5000d, and a main symptom selection area on the top screen 5000 of the symptom diagnosis support service. 5000e, a disease name search area 5000f, and an execution icon 5000g are output and displayed. Here, when the items that are supposed to be displayed in the main symptom selection area 5000e cannot be displayed in one screen, the next display icon 5000h for displaying the next item is used for displaying the previous item again. A front display icon 5000i is provided at both lower ends of the main symptom selection area 5000e.

  The text input area 5000a is an area for inputting desired text information.

  The gender selection area 5000b is an area for selecting and inputting a male or female gender.

  The age selection area 5000c is an area for selectively inputting age information. That is, select age information according to six types of 0 to less than 1 year, 1 to less than 7 years, 7 to less than 15 years, 15 to less than 20 years, 20 to less than 65 years, 20 to less than 65 years, 65 years or more Is.

  The part selection area 5000d is an area for selectively inputting information on the body part. That is, it selects body part information such as limbs, whole body / psychiatric nerve, skin / nails.

  The main symptom selection area 5000e is an area for selectively inputting symptom information. That is, symptom information such as high fever, headache, fountain / nasal discharge, vomiting, sudden fever, dyspnea, limb joint pain, diarrhea, nasal discharge, convulsions, etc. is selected.

  The disease name search area 5000f is an input area that allows search according to the conditions when sex, age, and / or part information is input. For example, it is an area used by a pharmacist to confirm disease information when a consultant consults a pharmacist regarding a specific disease. When a disease name is input in this area, the disease information registered in the first memory 150 is retrieved, and its symptoms, examination, disease state, treatment, epidemiological information, and the like are displayed.

  The execution icon 5000g is for starting a disease specifying operation based on the input information when the icon is touched.

  Further, as shown in FIG. 27, the terminal device 500 includes a text input area 5100a, a suspected disease / clinical department area 5100b, and an explanation area on the suspected disease / clinical department display screen 5100 in the symptom diagnosis support service. 5100c, a “return” icon 5100d for moving to the previous page, and a usage history icon 5100e are output and displayed.

  Thus, the text input area 5100a is an area for inputting desired text information.

  The suspected disease / clinical department area 5100b is an area in which information on the specified disease / clinical department is displayed and output.

  The commentary area 5100c is an area for displaying and outputting detailed information and commentary information regarding the disease / clinical department selected from the disease / clinical department information displayed in the suspected disease / clinical department area 5100b.

  The “back” icon 5100d for moving to the previous page is an icon for functioning to display the previous screen by touching the icon.

  The use history icon 5100e is an icon for functioning to display and output the history information in a text format every time the symptom diagnosis support service is used by touching the icon.

  Information input in each area is stored in the memory 540 and is configured to be collectively transmitted from the output unit 530 to the symptom diagnosis support service providing server 100 via the communication network 200.

  The operation of the above configuration will be described below with reference to the drawings.

  When the terminal device 500 accesses the symptom diagnosis support service providing server 100 via the communication network 200 and makes a request for use and provision of the symptom diagnosis support service (step S2502 in FIG. 25), the symptom diagnosis support service providing server 100 displays the terminal. The device 500 is authenticated (step S2504). If the symptom diagnosis support service providing server 100 determines that the access of the terminal device 500 is permitted (Y in step S2504), the symptom diagnosis support service providing service to the terminal device 500 is started.

  When the symptom diagnosis support service is started, a top screen 5000 is displayed on the output unit 530 of the terminal device 500 as shown in FIG. 24 (step S2506). In this top screen 5000, gender selection area 5000b has gender selection items, age selection area 5000c has six age selection items, and region selection area 5000d has limbs, whole body / psychiatry, skin / nail. The body part selection items such as high fever, headache, fistula / nasal discharge, vomiting, sudden fever, respiratory distress, limb joint pain, diarrhea, nasal discharge, convulsions, etc. Since a selection item of symptom information is displayed in a list, the corresponding item is selected and input in each area (step S2508).

  When selection input of the corresponding item is completed in all areas and the execution icon 5000g is touched (Y in step S2510), the disease is specified (step S2512).

  The disease determination and inference engine unit 140 performs analysis processing with reference to the input information from the terminal device 500 and the first memory 150 and the second memory 160 (step S2602 in FIG. 26). Based on the analysis processing result, for example, recommended department information is extracted, and the recommended extraction result is displayed on the output unit 530 of the terminal device 500 (step S2604). Needless to say, the displayed departments may be configured to display a list in combination with a bar graph in the same order as in the first embodiment in descending order based on the score information.

  Further, a suspicious disease is extracted based on the analysis processing result, and the extraction result is displayed on the output unit 530 of the terminal device 500 (step S2606). That is, the department information and the suspected disease information extracted as described above are displayed in the suspected disease / clinical department area 5100b (see FIG. 27).

  Here, when “1. Acute bronchitis” is touched, an explanation area 5100c is opened and information on acute bronchitis is displayed.

  When the usage history icon 5100e is touched, history information of the symptom diagnosis support service is output and displayed in a text format. This facilitates, for example, transcription to a medical history (recording in a medical record in the case of a doctor), which is a medium recorded after consultation by a pharmacist.

  The information update process of the symptom diagnosis support service providing server 100 by the management server 300 is the same as that in the first embodiment (see FIG. 10), and the description thereof is saved.

According to the above-described embodiment, anyone can receive a symptom diagnosis support service easily and quickly through the communication network 200 regardless of time and place. Moreover, it is possible to easily and quickly obtain information on appropriate departments and medical institutions anytime and anywhere.
Further, according to the above embodiment, since the number of display outputs of disease information is controlled based on score information, the information displayed and displayed is easy to see and easy to use. In addition, since the terminal device 500 is configured to collectively display the selected input items, for those who have some expertise such as cases, work efficiency is improved compared to the terminal device 400 of the first embodiment. Can be achieved.
Furthermore, according to the above embodiment, the latest information can be prepared by the update function by the management server 300, which is practical and useful for the user. It can also be used effectively for consultations and advices expected for pharmacists and drugstores that open in the region.

  The symptom display order in the above embodiment is configured as follows. That is, a disease in which the same part is registered, and the number of symptoms registered in the disease related to the main symptom is large, or the usage frequency of the selected symptom recorded in the server with usage history information is high. Display things with priority. Here, it is assumed that each disease is given a priority score depending on whether it is a disease that is often seen epidemiologically or a rare disease. This algorithm regards this score as the probability.

  In addition, the text input area is recorded as a pharmacist's work after that, for example, by entering and storing a unique code and name so that the pharmacist corresponding to the case consultation can easily search the subsequent history. It should be easier to search when posting to “medicine history”.

  Furthermore, in the disease name search area 5000f, when a disease name is input to the area, the disease information registered in the first memory 150 is searched and the symptoms, examinations, disease states, treatments, epidemiological information, etc. are displayed. This makes it easier for patients to receive a recommendation to a doctor and to guide them to a specialized department.

  Also, in the above embodiment, as in the first embodiment, it is of course possible to provide a medical institution search function.

  The present invention is not limited to the above-described embodiment, and various modifications can be made without departing from the gist of the present invention.

10, 20 ... Symptom diagnosis support service providing system 100 ... Symptom diagnosis support service providing server 140 ... Disease determination inference engine unit 150 ... First memory 151 ... Age information storage area 152 ... Gender information storage area 153 ... Body part information storage area 154 ... symptom information storage area 155 ... disease information storage area 156 ... specialized knowledge DB information storage area 160 ... second memory 161 ... clinical department information storage area 161a ... regional medical information storage area 200 ... communication network (communication network)
300 ... management server 350 ... update processing unit 400 ... terminal device 500 ... terminal device

Claims (9)

Stores externally transmitted information, gender information, age information, body part information, symptom information, and disease information, and handles the gender information, age information, body part information, symptom information, and disease information according to predetermined rules. First storage means having specialized database information attached;
A disease determination reasoning engine means for making a symptom diagnosis with reference to information stored in the first storage means;
Second storage means for storing medical department information that is referred to in symptom diagnosis by this disease determination inference engine means and includes regional medical information;
A symptom diagnosis support service providing server comprising: disease information stored in the first storage means; and sending means for transmitting the clinical department information stored in the second storage means to the outside via a communication network;
Connect to this symptom diagnosis support service providing server via the above communication network, input individual gender information, age information, body part information and symptom information, and send it to the information sent from the symptom diagnosis support service providing server Input means for inputting response information,
Output means for sending input information and position information from the input means to the symptom diagnosis support service providing server via the communication network, and displaying and outputting disease information and clinical department information sent from the sending means; A symptom diagnosis service providing system comprising a terminal device having a web browser function,
The disease information stored in the first storage means is given score information considering the relative frequency of the disease,
The symptom diagnosis support service providing server makes multiple inquiries about the symptom information to the terminal device a plurality of times, and when a predetermined number of similar response forms are obtained from the terminal device regarding the inquiry, the disease information is specified. Configured to do and
The disease information transmitted from the symptom diagnosis support service providing server and displayed and output on the terminal device is configured such that the display output number is controlled based on the score information,
The symptom diagnosis service support providing server is configured to be able to send clinical department information to the terminal device based on the disease information and the position information.   The symptom diagnosis support service providing server is configured so that the disease information is not specified unless the alternative inquiry about the symptom information to the terminal device is performed at least a predetermined number of times. Item 3. The symptom diagnosis support service providing system according to Item 1. Stores externally transmitted information, gender information, age information, body part information, symptom information, and disease information, and handles the gender information, age information, body part information, symptom information, and disease information according to predetermined rules. First storage means having specialized database information attached;
A disease determination reasoning engine means for making a symptom diagnosis with reference to information stored in the first storage means;
Second storage means for storing medical department information that is referred to in symptom diagnosis by this disease determination inference engine means and includes regional medical information;
A symptom diagnosis support service providing server comprising: disease information stored in the first storage means; and sending means for transmitting the clinical department information stored in the second storage means to the outside via a communication network;
An input means for inputting individual gender information, age information, body part information and symptom information by connecting to this symptom diagnosis support service providing server via the communication network,
A web comprising output means for sending input information from the input means to the symptom diagnosis support service providing server via the communication network, and displaying and outputting disease information and clinical department information sent from the sending means. A symptom diagnosis service providing system comprising a terminal device having a browser function,
The disease information stored in the first storage means is given score information considering the relative frequency of the disease,
When the symptom diagnosis support service providing server receives individual gender information, age information, body part information, and symptom information sent collectively from the terminal device, the disease determination inference engine means specifies the disease information. The symptom diagnosis support service providing system is configured to send the identified disease information to the terminal device.   A management server connected to the symptom diagnosis support service providing server via the communication network and having a function of updating information stored in the first storage unit and the second storage unit is provided. The symptom diagnosis support service providing system according to claim 1, claim 2, or claim 3. Stores externally transmitted information, gender information, age information, body part information, symptom information, and disease information, and handles the gender information, age information, body part information, symptom information, and disease information according to predetermined rules. And store it as specialized knowledge database information,
Store clinical department information including regional medical information,
Receive individual gender information, age information, body part information, symptom information and location information sent via the communication network,
A symptom diagnosis support service providing method characterized in that a disease determination reasoning engine unit specifies disease information and medical department information by referring to the specialized knowledge database information and the medical department information based on the received information.   6. The symptom diagnosis support service providing method according to claim 5, wherein the symptom information is specified in consideration of a response situation to at least a predetermined number of alternative queries.   7. The disease information is provided with score information in consideration of the relative frequency of the disease, and the number of display outputs is controlled based on the score information. To provide symptom diagnosis support service.   8. The symptom diagnosis support service providing method according to claim 5, wherein the individual gender information, age information, body part information, symptom information, and position information are transmitted in a lump. 9. The symptom diagnosis support service providing method according to claim 5, wherein the expert knowledge database information and the medical department information are updateable.