JP2018175840A - Software, health condition determination device, and health condition determination method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide software, a health condition determination device, and a health condition determination method capable of accurately grasping individual variations which are different among object persons reflecting vital signs and daily body conditions taking into account individual differences among the object persons, and contributing to health management of the object persons, and to provision of medical care suiting the personality of each object person.SOLUTION: There is provided software for causing information processing equipment to function as means including: information input means 23 for receiving input of vital information measured from the same individual and information on measurement dates; information recording means 24 for recording the input vital information and information on measurement dates; reference calculation means 5 for calculating at least one selected from an average μ and a standard deviation σ of the whole or a part of a plurality of pieces of recorded vital information; and determination processing means 6 for determining whether or not prescribed vital information input with a prescribed numerical range set based on at least one selected from the average μ and the standard deviation σ as a reference is an abnormal value.SELECTED DRAWING: Figure 1

Description

  The present invention relates to software, a health condition determination apparatus, and a health condition determination method. Specifically, it is possible to accurately capture intra-individual variation that varies among subjects, reflecting vital signs and daily physical conditions that take individual differences among subjects into account, and the health management of subjects and individuality of each individual. The present invention relates to software contributing to provision of appropriate medical care, a health condition determination apparatus, and a health condition determination method.

  In recent years, the importance of "personalized medicine" in the medical field has increased. Personalized medicine generally means "performing medical treatment that is unique to each person", which is called tailor-made medicine.

  Medical treatment up to now is performed based on the idea of focusing on the disease, and the main purpose is to search for the cause of the disease and to develop its treatment. On the other hand, it has been known from the past that the condition of the disease varies from one person to another, and it is not always correct to apply the same treatment even for the same disease.

  However, in conventional medicine, individual differences in treatment effects are considered to be unknown without observing the treatment and its effects, and it is difficult to provide an optimal treatment plan for each person.

  Here, it is considered important to capture different “biomarkers” for each individual in order to realize personalized medicine. In general, a biomarker is an indicator of a specific medical condition or condition of a living being, and a research group of the National Institutes of Health has been using the “general biology” for the biomarker in 1998. Are defined as objectively measured and evaluated characteristics as an indicator of pharmacological processes, pathological processes or pharmacological responses to therapeutic interventions. Also, in the past, biomarkers mainly meant physiological indicators such as blood pressure and heart rate.

  Under such circumstances, there is a health management system that acquires diagnostic value information of a subject using a plurality of measurement devices and determines whether each diagnostic value is abnormal. For example, the health management system described in Patent Document 1 Proposed.

  Here, in the health management system described in Patent Document 1, diagnostic value information (vital) is measured by a body composition measuring device, a blood pressure measuring device, an urinary glucose measuring device, a blood glucose level measuring device, a body temperature measuring device, etc. Sign) is obtained.

  In addition, each diagnostic value information is recorded in the database, and whether the measured diagnostic value information is abnormal or not is judged in consideration of the standard value of each user, for example, the average value of measurement information for 3 days Is being done.

  Also, in the conventional health condition determination, including the health management system described in Patent Document 1, an absolute value as a reference is provided, and the magnitude of the measured value relative to the absolute value ranks the health condition, or indicates an abnormality. Perform detection.

JP, 2011-227547, A

  However, a conventional mechanism for detecting an abnormality based on measurement of vital information of a target person, such as the health management system described in Patent Document 1, is not a detection that takes into consideration intra-individual variation of the target person. In patent document 1, only calculating the average value of the measurement information for 3 days and setting it as the reference | standard of a normal value is described, and it is hard to say that it is a detection which considered the intra-individual fluctuation | variation of a subject.

  Further, in the prior art other than Patent Document 1, for example, when determining an abnormality from body temperature information, a normal heat obtained from the subject is used as a reference value, and a case exceeding the upper and lower 1.0 ° C. range is regarded as an abnormality. There are many cases where It is assumed that there is individual difference in the fluctuation range also in the temperature change from this normal heat and it can not be an appropriate reference value.

  That is, a person who should be judged as normal even if the displacement of the body temperature is large or a person whose abnormality should be detected even if the displacement of the body temperature is small can not be judged properly. Such a configuration makes it difficult to evaluate health conditions with high accuracy.

  In the field of personalized medicine, which is expected to expand in the future, biomarkers suitable for purposes such as diagnosis, prognosis, pharmacodynamics, and monitoring will be indispensable. The inventor of the present invention has been conducting research focusing on biomarkers for the purpose of "morbidity of elderly people" and "diagnosis". Among them, the present inventor is not a biomarker that carries out analysis at the gene level, which has been implemented in recent years, but it is not the most basic information on human life, such as “vital signs” such as body temperature, pulse and blood pressure. I found the possibility to be a marker.

  The reason why this vital sign can be used as a biomarker is that there are “intra-individual variation” that differs from one another in vital signs such as temperature, blood pressure, pulse and respiratory rate. That is, the way of change of vital signs is different depending on the subject, and it is considered that a technique contributing to health management or diagnosis of the subject can be developed by appropriately grasping and analyzing the way of the change. It is

  Further, the present inventors have basically confirmed that vital signs of humans are normally distributed when distribution is viewed over a certain period, according to the research conducted so far. Also, the normal distribution of vital signs is distributed including intra-individual variation unique to the person.

  However, in medical statistics, although there are papers and reports of “inter-individual variation” that sees the standard deviation of many people regarding vital signs, there are none that deal with “in-individual variation” of the same subject. is there.

  Also, in conventional medicine, an analysis focusing on “inter-individual variation” that accumulates vital sign data of different patients and compares accumulated data of many patients with vital sign data of a specific patient Although there are many, there is no analysis focusing on the variation of vital signs of the same subject, ie, “intra-individual variation”.

  Furthermore, in the conventional medicine, many analyzes focused on the normal distribution of "inter-individual variation", but the analysis focusing on the normal distribution of "in-individual variation" and its application to diagnosis etc. have not been made at all The

  Under these circumstances, in vital signs and analyzes that are useful biomarkers in personalized medicine, criteria that fully reflect intra-individual variability of the subject individual are important, and a judgment technique using this is strongly desired ing.

  In addition, the health condition determination technology using intra-individual variation can be used not only for early detection of the condition in which the subject has an abnormality but also for self-management and prevention of the condition at the stage before the abnormality occurs. In terms of self-management, we have the potential to use it for self-management.

  The present invention has been made in view of the above points, and it is possible to accurately capture intra-individual variation that is different for each target person, reflecting vital signs taking into account individual differences of the target person and daily physical condition. The present invention relates to software that contributes to the health management of a target person and the provision of medical care appropriate to the individuality of a subject, a health condition determination apparatus, and a health condition determination method.

  In order to achieve the above object, the software of the present invention is software for determining the health condition of an individual based on vital information which is the value of the vital sign measured, and the information processing device is identical An information input unit for receiving inputs of the vital information and measurement date and time information measured from an individual, an information recording unit for recording the input vital information and measurement date and time information, and a plurality of the vital information items recorded A reference calculation means for calculating at least one selected from all or part of the average μ and the standard deviation σ, and a predetermined value set based on the at least one selected from the average μ and the standard deviation σ Means for determining whether input predetermined vital information has an abnormal value based on a numerical range; It is configured as a Towea. In the present specification, software is a program related to the operation of a computer. Also, a program refers to an ordered sequence of instructions suitable for processing by a computer.

  Here, the information input means can receive vital information measured from the same individual and cause the information recording means to record the input vital information, whereby vital information of the same individual can be accumulated. In addition, the same individual here refers to the determination object which determines whether the value of the measured vital sign is an abnormal value.

  Also, the term "individual" as used herein refers to a single organism (human or animal). The present invention includes an aspect in which vital information of a single identical individual is recorded by a single software and an aspect in which vital information of a plurality of identical individuals is recorded in the same individual. For example, in the case of a human, the same individual refers to the same person.

  Further, "vital information measured from the same individual" as used herein means that individual can be distinguished at the stage of input by the information input means. For example, a mode in which one target person inputs his / her own vital information, or a mode in which a specific personal input screen is displayed and vital information is input when handling information of a plurality of target persons, etc. It is possible to distinguish individuals by making the form to be different.

  Further, the information input means receives input of vital information and measurement date and time information measured from the same individual, and causes the information recording means to record the input vital information and measurement date and time information, thereby the vitality of the same individual is input. The information is accumulated together with the information of the measured date and time. That is, it is possible to handle a plurality of pieces of vital information of the same individual in association with information of measurement date and time. In addition, when different vital information is compared, it is possible to confirm the displacement state and the displacement amount between the vital information to be compared. The information on measurement date and time referred to here is the mode in which the input person inputs the information on measurement date and time when inputting vital information into the information input means, and the time for inputting vital information to the information input means automatically. Included in the input mode.

  In addition, by calculating the average μ of all or a part of the plurality of pieces of vital information recorded by the reference calculation means, it becomes possible to use information of the average value of vital information reflecting intra-individual variation of the same individual . Here, the average μ means a value obtained by dividing “the number of data of vital values” from “the sum of each vital value”. In addition, “the average μ of a plurality of recorded vital information” here includes not only one calculated from all data of recorded vital information but also one calculated from a part of all data. There is. Furthermore, vital information to be the basis of calculation of the average μ may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. In addition, vital information that is the basis of calculation of the average μ mentioned here does not exclude vital values based on sudden displacement of vital values described later, or exclude vital values based on the contents of health inquiry information. .

  In addition, by calculating the standard deviation σ of all or part of the plurality of pieces of vital information recorded by the reference calculation means, it is possible to use the information of the standard deviation of vital information reflecting intra-individual variation of the same individual. Become. Here, the standard deviation σ is “the root mean square of deviation” of vital information in a predetermined period. Furthermore, “deviation” is a value obtained by subtracting “average value of vital values in a predetermined period” from “each vital value” of vital information in a predetermined period. In addition, “the standard deviation σ of a plurality of recorded vital information” mentioned here includes not only one calculated from all data of recorded vital information but also one calculated from a part of all data. It is. Furthermore, vital information serving as the basis of calculation of the standard deviation σ may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. . In addition, vital information that is the basis of calculation of the standard deviation σ here does not exclude vital values based on sudden displacement of vital values described later, or exclude vital values based on the contents of health inquiry information. is there.

  Also, the reference calculation means calculates at least one selected from the average μ and the standard deviation σ of all or part of the plurality of pieces of vital information recorded, any one of the average μ and the standard deviation σ Can be calculated. It is also possible to calculate both the mean μ and the standard deviation σ.

  Further, the determination means determines whether or not the input predetermined vital information is an abnormal value based on a predetermined numerical range set based on at least one selected from the average μ and the standard deviation σ. By doing this, it is possible to judge whether or not the vital information of the same individual is an abnormal value, on the basis of the reference reflecting intra-individual variation of the same individual. That is, since the predetermined numerical range serving as the determination reference is set using an average value or a standard deviation calculated from vital information accumulated for the same individual, it is unique to the same individual and the average of the vital information Whether it is abnormal or not can be determined based on a standard reflecting dispersion from the value or the average value. Here, “input predetermined vital information” means vital information to be determined. In addition, the “predetermined numerical range” mentioned here is a predetermined numerical information input, that is, a numerical range set to include predetermined vital information to be determined, and a predetermined vital range to be determined. It does not include information, but includes both of the numerical ranges set from previous past vital information. In addition, “predetermined numerical range” is a value that becomes a reference, for example, an upper limit value, and an aspect in which “abnormal” is set when the numerical value to be determined becomes equal to or higher than the upper limit value. When it exceeds, it includes both the aspects which make it "abnormal." The predetermined vital information input may be vital information input most recently. Also, the predetermined vital information input may be one or more vital information items of vital information previously input.

  Also, when the reference calculation means calculates the average μ and the standard deviation σ, and calculates the normal distribution from the average μ and the standard deviation σ, establishment of the same distribution, for example, for vital information of the same individual in a certain period The density function can be easily graphed and displayed, and variations from the average value and probability density can be easily confirmed.

  Further, when the reference calculation means calculates the average μ and the standard deviation σ from at least two vital information of a predetermined period recorded in the information recording means, all data of the plurality of recorded vital information are used. Instead, it is possible to calculate the average μ and the standard deviation σ from part of the information.

  Also, in the case where the reference calculation means calculates the average μ and the standard deviation σ from vital information of at least 30 days or more recorded in the information recording means, the average in which intra-individual variation of the same individual is further reflected Values and standard deviations can be calculated. As a result, it is possible to increase the accuracy of the criteria for determining whether or not the value is abnormal. Here, the term “vital for 30 days or more” includes not only consecutive dates, but also vital information that totals 30 days or more for information having a gap between days.

Further, the determination means sets the lower limit value and the value of the equation (2) as the upper limit value, using the average μ, the standard deviation σ, and the values of the following equation (1) expressed using n and m greater than 0. When it is determined based on at least one of the lower limit value and the upper limit value whether or not the input predetermined vital information is an abnormal value, a numerical value separated by a value of nσ in the negative direction from the average μ The lower limit value and the value separated from the average μ to mσ can be used as the determination reference with the upper limit value.
μ-nσ equation (1)
μ + mσ formula (2)
That is, the value obtained by subtracting nσ from the average μ is the lower limit value, and the value obtained by adding mσ to the average μ is the upper limit value. In addition, the values of n and m may be numbers larger than 0 as described above, and the values of n and m indicate various conditions such as strictness of judgment criteria, types of vitals, medical history of subjects, etc. It can be set appropriately in consideration. When vital information is normally distributed, vital information of about 95% or more is distributed in the range of μ ± 2σ, and this can also be adopted as an example of the determination criterion. Further, since it is “at least one of the lower limit value and the upper limit value”, not only an aspect in which only the lower limit value or only the upper limit value is set as a reference but also an aspect in which both the lower limit value and the upper limit value are adopted is included.

  In addition, when vital information includes vital sign values measured at least once in the morning and afternoon of the same day, the highest and lowest numerical values of that day can be confirmed, and it is possible to check the same day or between different dates. It becomes possible to compare vital information. For example, it is possible to determine that the vital value measured in the afternoon is an abnormal value when the displacement from the vital value measured in the morning is large and exceeds a predetermined displacement. Similarly, when the displacement of the highest numerical value (or lowest numerical value) of vital values between different dates exceeds the predetermined displacement amount, it can be determined as an abnormal value. Furthermore, vital information is recorded at least twice a day, and the accumulated amount of data increases, so that it is possible to calculate the average μ and standard deviation σ further reflecting the intra-individual variation of the same individual.

  Also, among the plurality of pieces of vital information recorded in the information recording means, the reference calculation means excludes vital information whose displacement from the value of vital signs measured on the previous day exceeds a predetermined range, and the average μ and standard deviation When calculating at least one of σ, at least one of the average value and the standard deviation of vital information reflecting the calm state of the same individual can be used. That is, the value of the day on which there was a sudden change in vital information is not included in the calculation basis of at least one of the average value and the standard deviation, and it becomes easy to grasp the calm state of the same individual. Here, "the previous day" in the expression of the value of vital information measured on the previous day as referred to herein means vital information of "the day before that" in view of vital information acquired and recorded every day. For example, based on the day on which the determination of abnormality is made, it is determined by the displacement from the value of vital information of seven days before whether the value of vital information of six days before is included in the calculation basis of the average value.

  Further, “mean μ” or “standard deviation σ” as used herein includes not only one calculated from all data of the vital information after exclusion but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, since “at least one of the average μ and the standard deviation σ” is included, it includes aspects of calculating only the average μ, calculating only the standard deviation σ, and calculating both the average μ and the standard deviation σ.

  Further, the determination means is the same because it is determined whether or not the input predetermined vital information is an abnormal value based on the predetermined numerical range set based on at least one of the average μ and the standard deviation σ. Whether the vital information is an abnormal value or not can be determined by a determination criterion set based on at least one of the average value and the standard deviation of the vital information reflecting the calm state of the individual. Further, the “predetermined numerical range” does not include the input predetermined vital information, that is, the numerical range set including the vital information to be determined and the vital information to be determined. In addition, it includes both of the numerical range set from the previous past vital information. In addition, “predetermined numerical range” is a value that becomes a reference, for example, an upper limit value, and an aspect in which “abnormal” is set when the numerical value to be determined becomes equal to or higher than the upper limit value. When it exceeds, it includes both the aspects which make it "abnormal." Further, since “at least one of the average μ and the standard deviation σ”, the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated without excluding the vital information or the vital information is excluded. The combination of the average μ calculated without the calculation and the standard deviation σ calculated excluding the vital information, and the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated excluding the vital information And the standard is set.

  In addition, health inquiry information recording means for recording the first health inquiry information in which the inquiry result regarding the same individual regarding at least one or more health condition is determined to be normal or abnormal for each item together with the information of the date of inquiry day When preparing, it becomes possible to record the result of the inquiry content confirmed in the same individual and the evaluation result in which the result is regarded as normal or abnormal together with the information of the inquiry date. The contents of the interview reflect, for example, information on the health condition of the determination day and the day before, and may be contents such as the physical condition of the day and whether sleep is sufficiently acquired. Moreover, the point of "determined as normal or abnormal" in the health inquiry information here means a determination result determined by the content of the answer. More specifically, in response to the question "How is your physical condition today?", If "yes" is answered, "normal" is judged, and if "bad" is answered, it is judged as "abnormal".

  In addition, the reference calculation means is at least one of the contents of the first health inquiry information based on the first health inquiry information recorded in the health inquiry information recording means among the plurality of vital information recorded in the information recording means. When calculating at least one of the mean μ and the standard deviation σ except for vital information measured on the day when two abnormalities were recorded, at least one of the mean value and the standard deviation of vital information reflecting the calm state of the same individual One can be used. That is, the vital value of the day when the abnormality is confirmed in the result of the inquiry is not included in the calculation basis of at least one of the mean value and the standard deviation, and it becomes easy to grasp the calm state of the same individual.

  Further, “mean μ” or “standard deviation σ” as used herein includes not only one calculated from all data of the vital information after exclusion but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, since “at least one of the average μ and the standard deviation σ” is included, it includes aspects of calculating only the average μ, calculating only the standard deviation σ, and calculating both the average μ and the standard deviation σ.

  Further, the determination means is the same because it is determined whether or not the input predetermined vital information is an abnormal value based on the predetermined numerical range set based on at least one of the average μ and the standard deviation σ. Whether the vital information is an abnormal value or not can be determined by a determination criterion set based on at least one of the average value and the standard deviation of the vital information reflecting the calm state of the individual. Further, the “predetermined numerical range” does not include the input predetermined vital information, that is, the numerical range set including the vital information to be determined and the vital information to be determined. In addition, it includes both of the numerical range set from the previous past vital information. In addition, “predetermined numerical range” is a value that becomes a reference, for example, an upper limit value, and an aspect in which “abnormal” is set when the numerical value to be determined becomes equal to or higher than the upper limit value. When it exceeds, it includes both the aspects which make it "abnormal." Further, since “at least one of the average μ and the standard deviation σ”, the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated without excluding the vital information or the vital information is excluded. The combination of the average μ calculated without the calculation and the standard deviation σ calculated excluding the vital information, and the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated excluding the vital information And the standard is set.

  In addition, the reference calculation means further includes, from the vital information recorded in the information recording means, the latest vital average value which is the average value of vital sign values for the last 7 days and the average value of vital sign values for the last 30 days. The software further includes software for causing the information processing device to function as a second determination unit, and the second determination unit calculates a difference between the latest vital average value and the control vital average value. However, when it is determined that the physical condition has a tendency to deteriorate when the value exceeds the predetermined range, information is provided that is predicted to deteriorate the health condition of the same individual on the basis of changes in the average value of vital information. It becomes possible. That is, based on fluctuations in vital average values in the last week and the last month, a phenomenon in which the vital average itself changes significantly is regarded as a large change in the health condition of the same target individual, causing an abnormality. Use as prediction information. In addition, the aspect which includes the vital information used as the object of determination can employ | adopt as the "most recent" here both the aspect which is not included.

  Further, after the information input means determines that the predetermined vital information input by the determination means is an abnormal value, the input of the remeasurement vital information and the measurement date and time of the same individual measured again is received, and the information recording means In the case of recording measurement vital information and information of measurement date and time, in addition to the vital information that is the basis of the determination, it is possible to record vital information of the same individual that has been measured again. For example, in the case where the value of vital information that is the basis of the determination becomes an incorrect value for some reason, and the measured value is determined to be an abnormal value, it is confirmed again whether the determination result is correct. It is possible to input and record vital information for

  In addition, when the software further includes software for causing the information processing device to function as the third determination unit, and the third determination unit determines whether the remeasurement vital information has an abnormal value or not, It is possible to make a determination on the measured vital information. That is, for example, as described above, when the value of vital information that is the basis of the first determination that the value is abnormal is a wrong numerical value for any reason, the presence or absence of abnormality is again determined. It becomes possible to judge. Furthermore, in this case, it is also possible to use an aspect in which the average value, standard deviation, and determination criteria set based on these are created using the remeasurement vital information, in the next determination.

  Further, when the information recording means records reference measurement time information, which is information of time serving as a reference for performing vital measurement, it becomes possible to record information of timing when the same individual should measure vital information. In addition, it is possible to calculate the time difference between the date and time when vital information was actually measured and the reference measurement time information.

  In addition, the reference calculation means is an average of a plurality of vital information recorded in the information recording means except vital information in which a time difference between the measured date and time and the reference measurement time information exceeds a predetermined range. When at least one of μ and standard deviation σ is calculated, the value of vital information measured in a time zone out of the uniform measurement standard time is not included in the calculation basis of at least one of the average value and the standard deviation. The mean value and the standard deviation can be calculated only from the value of vital information measured in a certain fixed time zone.

  Further, “mean μ” or “standard deviation σ” as used herein includes not only one calculated from all data of the vital information after exclusion but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, since “at least one of the average μ and the standard deviation σ” is included, it includes aspects of calculating only the average μ, calculating only the standard deviation σ, and calculating both the average μ and the standard deviation σ.

  In addition, since the determination means determines whether the input predetermined vital information is an abnormal value based on a predetermined numerical range set based on at least one of the average μ and the standard deviation σ, It is possible to determine the presence or absence of an abnormality with respect to the value of vital information based on a criterion that more accurately reflects intra-individual variation differences. That is, since the average value and the standard deviation can be calculated from vital information with little variation in the measured time zone and judgment can be made based on this, it is easy to reflect vital information of the same individual changing with the time zone of one day Become. Further, the “predetermined numerical range” does not include the input predetermined vital information, that is, the numerical range set including the vital information to be determined and the vital information to be determined. In addition, it includes both of the numerical range set from the previous past vital information. In addition, “predetermined numerical range” is a value that becomes a reference, for example, an upper limit value, and an aspect in which “abnormal” is set when the numerical value to be determined becomes equal to or higher than the upper limit value. When it exceeds, it includes both the aspects which make it "abnormal." Further, since “at least one of the average μ and the standard deviation σ”, the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated without excluding the vital information or the vital information is excluded. The combination of the average μ calculated without the calculation and the standard deviation σ calculated excluding the vital information, and the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated excluding the vital information And the standard is set.

  In addition, when the type of vital signs includes at least one selected from body temperature, pulse, systolic blood pressure, diastolic blood pressure and respiratory rate, the body temperature, pulse, systolic blood pressure, diastolic blood pressure and respiratory rate Based on the value of at least one vital sign, it can be determined whether it is an abnormal value or not.

  Also, in the case where the reference calculation means calculates at least one of the average μ and the standard deviation σ including predetermined vital information including the value of vital signs of the same individual and information of measurement date and time recorded in the information recording means The judgment criterion is calculated after including vital information to be judged. As a result, it is possible to make a determination in the form including vital information in which the physical condition of the subject person on the day of the determination date is reflected.

  Further, in the case where the information recording means can associate individual identification information capable of identifying an individual with vital information and record it, it is possible to identify and handle each vital information for each individual. That is, for example, vital information of a plurality of subjects can be managed by one software, and determination can be made on vital information of a plurality of subjects.

  Further, in the case where the vital sign is a vital sign measured from at least one of a human and an animal, the subject of the determination can be set as a human or an animal. In addition, a kind in particular is not limited here, If it is an animal which can measure the value of vital sign, it will become an object of judgment of abnormality.

  In addition, if vital information includes reference vital information including vital sign values to be measured before a predetermined measurement start time and measurement date and time information, vitals measured at a specific timing of the target person The value of the signature and the information of the measurement date and time are input and recorded. In addition, before a predetermined | prescribed measurement start time here, for example, if a target person is a worker who works at some work site, it means the time of the state before work start. In addition, even if you are not a worker who is working, the person who carries out a normal life, for example, an elderly person living alone, a resident of a nursing home, a housewife, a child, etc. It includes those set as before.

  In addition, when vital information includes monitoring vital information including the value of vital signs to be measured a plurality of times during a predetermined time from a predetermined measurement start time and information of measurement date and time, the predetermined measurement start Information of vital sign values measured at a plurality of timings in a fixed time period from a time point and the measurement date and time thereof is input and recorded. In addition, for a certain period of time from the predetermined measurement start time mentioned here, for example, if it is a worker who performs labor, a certain period of time from the start of the work of one day to the end of the work, morning, afternoon, etc. It includes time between breaks, or an activity time when a specific work is being performed. In addition, if the person is engaged in a normal life, it includes the period from the start of the activity to the bedtime, the period during which the user is in the room for a certain period of time, and the period during which the activity is performed. Moreover, the measurement performed a plurality of times includes, for example, content to be measured at a constant interval, and content to measure vitals at each of a plurality of set times.

  In addition, vital information includes reference vital information including vital sign values measured before a predetermined measurement start time and measurement date and time information, and vital sign information measured a plurality of times during a predetermined time from the predetermined measurement start time. When it is configured by monitoring vital information including information of value and measurement date and time, it is possible to handle vital information divided before and after a predetermined measurement start time. That is, for example, if the target person is a worker who carries out work, the work start time can be set to a predetermined measurement start time, and can be handled as reference vital information before work and monitoring vital information during work.

  When the reference calculation means calculates at least one of the average μ and the standard deviation σ of the vital information from at least one of the reference vital information and the monitoring vital information, it is based on at least one of the reference vital information and the monitoring vital information. At least one of the mean value and the standard deviation of vital information is available. That is, for example, if the target person is a worker who works, the average value and the standard deviation of the vital information reflecting the intra-individual variation of the target person reflecting the calm state before the work and the state during the work Information will be available.

  Further, the “mean μ and standard deviation” mentioned here includes not only one calculated from all data of a plurality of recorded vital information but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, since “mean μ and standard deviation” is a value calculated from “at least one of reference vital information and monitoring vital information”, calculation from only reference vital information, calculation from only monitoring vital information, and It includes the aspect of calculating from both of the reference vital information and the monitoring vital information.

  Further, the determination means determines whether the input vital information is an abnormal value or not based on a predetermined numerical range set based on the average μ and the standard deviation σ, so Whether the vital information is an abnormal value can be determined by a determination criterion set based on at least one of the average value and the standard deviation of the vital information reflecting the state of the same individual before and after. Further, the “predetermined numerical range” does not include the input predetermined vital information, that is, the numerical range set including the vital information to be determined and the vital information to be determined. In addition, it includes both of the numerical range set from the previous past vital information. In addition, “predetermined numerical range” is a value that becomes a reference, for example, an upper limit value, and an aspect in which “abnormal” is set when the numerical value to be determined becomes equal to or higher than the upper limit value. When it exceeds, it includes both the aspects which make it "abnormal." Moreover, the target of determination of abnormality here is both reference vital information and monitoring vital information.

  In addition, when the reference calculation means calculates the average μ and the standard deviation σ of vital information from the reference vital information and the monitoring vital information, the fluctuation of the value of vital signs in both the reference vital information and the monitoring vital information is reflected. Then, the average μ and the standard deviation σ can be calculated.

Further, the determination means sets the lower limit value and the value of the equation (2) as the upper limit value, using the average μ, the standard deviation σ, and the values of the following equation (1) expressed using n and m greater than 0. When it is determined based on at least one of the lower limit value and the upper limit value whether or not the input predetermined vital information is an abnormal value, a numerical value separated by a value of nσ in the negative direction from the average μ The lower limit value and the value separated from the average μ to mσ can be used as the determination reference with the upper limit value.
μ-nσ equation (1)
μ + mσ formula (2)
That is, the value obtained by subtracting nσ from the average μ is the lower limit value, and the value obtained by adding mσ to the average μ is the upper limit value, and it is possible to determine whether vital information is an abnormal value based on at least one of them. In addition, the values of n and m may be numbers larger than 0 as described above, and the values of n and m indicate various conditions such as strictness of judgment criteria, types of vitals, medical history of subjects, etc. It can be set appropriately in consideration. Further, since it is “at least one of the lower limit value and the upper limit value”, not only an aspect in which only the lower limit value or only the upper limit value is set as a reference but also an aspect in which both the lower limit value and the upper limit value are adopted is included.

  In addition, when provided with health inquiry information recording means for recording, with the information of the date of the interviewed date, the second health inquiry information in which a plurality of interview results regarding the health condition for the same individual are judged as normal or abnormal for each item. It becomes possible to record the result of the inquiry content confirmed in the same individual and the evaluation result in which the result is regarded as normal or abnormal together with the information of the inquiry date. In addition, the contents of the interview reflect information about the subject's judgment day and the health condition of the previous day, and for example, is the physical condition of the day, the sleep time of the previous night, or sleep enough? The contents include whether or not the previous day was drunk, whether it was a hangover on that day, etc. Further, in the health inquiry information here, it is determined that the subject person is determined to be normal or abnormal means a determination result determined by the subject's own answer contents. More specifically, in response to the question “How is your physical condition today?”, It is judged as “normal” if the target person answers “good”, “abnormal” if the target person answers “bad”. It is

  In addition, the reference calculation means is at least one of the contents of the second health inquiry information based on the second health inquiry information recorded in the health inquiry information recording means among the plurality of vital information recorded in the information recording means. When calculating at least one of the mean μ and the standard deviation σ except for vital information measured on the day when two abnormalities were recorded, at least one of the mean value and the standard deviation of vital information reflecting the calm state of the same individual One can be used. That is, the vital value of the day when the abnormality is confirmed in the result of the inquiry is not included in the calculation basis of at least one of the mean value and the standard deviation, and it becomes easy to grasp the calm state of the same individual.

  Further, “mean μ” or “standard deviation σ” as used herein includes not only one calculated from all data of the vital information after exclusion but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, since “at least one of the average μ and the standard deviation σ” is included, it includes aspects of calculating only the average μ, calculating only the standard deviation σ, and calculating both the average μ and the standard deviation σ.

  Further, the determination means determines whether or not the input predetermined vital information is an abnormal value based on a predetermined numerical range set based on at least one of the average μ and the standard deviation σ. Whether vital information is an abnormal value according to the judgment criteria set based on at least one of the state of the same individual before and after the measurement start time and the average value and standard deviation of the vital information reflecting the quiet state of the same individual Can be determined. In addition, the “predetermined numerical range” mentioned here does not include the input predetermined vital information, that is, the numerical range set including vital information to be determined and vital information to be determined. In addition, it includes both of the numerical range set from the previous past vital information. In addition, “predetermined numerical range” is a value that becomes a reference, for example, an upper limit value, and an aspect in which “abnormal” is set when the numerical value to be determined becomes equal to or higher than the upper limit value. When it exceeds, it includes both the aspects which make it "abnormal." Further, since “at least one of the average μ and the standard deviation σ”, the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated without excluding the vital information or the vital information is excluded. The combination of the average μ calculated without the calculation and the standard deviation σ calculated excluding the vital information, and the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated excluding the vital information And the standard is set.

  Further, among the plurality of pieces of vital information recorded in the information recording means, vital information whose displacement from the value of vital signs measured on the previous day or one before the reference exceeds the predetermined range. When calculating at least one of the mean μ and the standard deviation σ, excluding the condition of the same individual before and after the predetermined measurement start time, the average value and the standard deviation of vital information reflecting the calm condition of the same individual At least one of them will be available. That is, the value of the timing at which there is a sudden change in vital information is not included in the calculation basis of at least one of the average value and the standard deviation, and it becomes easy to capture the calm state of the same individual. In addition, the value of vital information measured on the previous day or the timing immediately before here refers to, for example, “reference vital information on the previous day when the measurement timing of reference vital information is set to once a day. Or “monitoring vital information measured at the previous timing” in monitoring vital information measured a plurality of times on the same day. Also, for example, "monitoring vital information measured in the same time zone of the previous day" may be included.

  Further, “mean μ” or “standard deviation σ” as used herein includes not only one calculated from all data of the vital information after exclusion but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, since “at least one of the average μ and the standard deviation σ” is included, it includes aspects of calculating only the average μ, calculating only the standard deviation σ, and calculating both the average μ and the standard deviation σ.

  Further, the determination means determines whether or not the input predetermined vital information is an abnormal value based on a predetermined numerical range set based on at least one of the average μ and the standard deviation σ. Whether vital information is an abnormal value according to the judgment criteria set based on at least one of the state of the same individual before and after the measurement start time and the average value and standard deviation of the vital information reflecting the quiet state of the same individual Can be determined. In addition, the “predetermined numerical range” mentioned here does not include the input predetermined vital information, that is, the numerical range set including vital information to be determined and vital information to be determined. In addition, it includes both of the numerical range set from the previous past vital information. In addition, “predetermined numerical range” is a value that becomes a reference, for example, an upper limit value, and an aspect in which “abnormal” is set when the numerical value to be determined becomes equal to or higher than the upper limit value. When it exceeds, it includes both the aspects which make it "abnormal." Further, since “at least one of the average μ and the standard deviation σ”, the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated without excluding the vital information or the vital information is excluded. The combination of the average μ calculated without the calculation and the standard deviation σ calculated excluding the vital information, and the combination of the average μ calculated excluding the vital information and the standard deviation σ calculated excluding the vital information And the standard is set.

Further, in order to achieve the above object, the software of the present invention is provided with reference vital information including vital sign values and measurement date and time information to be measured before a predetermined measurement start time, and from the predetermined measurement start time. Software for determining the health status of an individual based on vital information composed of vital sign values measured a plurality of times during a predetermined time and monitoring vital information including measurement date and time information processing The information input means for receiving the input of the vital information measured from the same individual, the information recording means for recording the input vital information, and the multiple interview results regarding the health condition for the same individual for each item Health inquiry information recording means for recording the third health inquiry information determined to be normal or abnormal together with information on the date of the interviewed date At least one abnormality in the contents of the third health inquiry information based on the third health inquiry information recorded in the health inquiry information recording means among the plurality of vital information recorded in the information recording means A reference average value calculation unit that calculates an average μ of all or part of the vital information except for vital information measured on the day when
The difference between the average μ and the vital sign value of the predetermined vital information input, or the difference between the average μ and the average μ at the previous day or one measurement before, is compared with a predetermined numerical value And determining means for determining whether the value is an abnormal value or not.

  Here, the vital information includes reference vital information including vital sign values measured before a predetermined measurement start time point and measurement date and time information, and the vital sign value measured at a specific timing of the subject and Information on the measurement date and time is input and recorded. In addition, before a predetermined | prescribed measurement start time here, for example, if a target person is a worker who works at some work site, it means the time of the state before work start. In addition, even if you are not a worker who is working, the person who carries out a normal life, for example, an elderly person living alone, a resident of a nursing home, a housewife, a child, etc. It includes those set as before.

  In addition, the vital information includes monitoring vital information including the value of vital signs measured a plurality of times during a predetermined time from a predetermined measurement start time and information of measurement date and time, so that the constant time from the predetermined measurement start time The values of vital signs measured at a plurality of timings during the period and the information of the measurement date and time are input and recorded. In addition, for a certain period of time from the predetermined measurement start time mentioned here, for example, if it is a worker who performs labor, a certain period of time from the start of the work of one day to the end of the work, morning, afternoon, etc. It includes time between breaks, or an activity time when a specific work is being performed. In addition, if the person is engaged in a normal life, it includes the period from the start of the activity to the bedtime, the period during which the user is in the room for a certain period of time, and the period during which the activity is performed. Moreover, the measurement performed a plurality of times includes, for example, content to be measured at a constant interval, and content to measure vitals at each of a plurality of set times.

  In addition, vital information includes reference vital information including vital sign values measured before a predetermined measurement start time and measurement date and time information, and vital sign information measured a plurality of times during a predetermined time from the predetermined measurement start time. By comprising monitoring vital information including information of value and measurement date and time, it becomes possible to handle vital information divided before and after a predetermined measurement start time. That is, for example, if the target person is a worker who carries out work, the work start time can be set to a predetermined measurement start time, and can be handled as reference vital information before work and monitoring vital information during work.

  In addition, by providing health inquiry information recording means for recording, together with information on the date of the inquiry date, third health inquiry information in which a plurality of interview results regarding the health condition for the same individual are judged as normal or abnormal for each item The result of the inquiry content confirmed in the same individual and the evaluation result in which the result is regarded as normal or abnormal can be recorded together with the information on the inquiry date. In addition, the contents of the interview reflect information about the subject's judgment day and the health condition of the previous day, and for example, is the physical condition of the day, the sleep time of the previous night, or sleep enough? The contents include whether or not the previous day was drunk, whether it was a hangover on that day, etc. Further, in the health inquiry information here, it is determined that the subject person is determined to be normal or abnormal means a determination result determined by the subject's own answer contents. More specifically, in response to the question “How is your physical condition today?”, It is judged as “normal” if the target person answers “good”, “abnormal” if the target person answers “bad”. It is

  In addition, the reference average value calculation unit may, among the plurality of vital information recorded in the information recording means, the content of the third health inquiry information based on the third health inquiry information recorded in the health inquiry information recording means An average value of vital information reflecting the calm state of the same individual is calculated by calculating an average μ of all or a part of the vital information except for vital information measured on the day when at least one abnormality is recorded. It becomes available. That is, the vital value of the day when the abnormality is confirmed by the result of the inquiry is not included in the calculation basis of the average value, and it becomes easy to grasp the calm state of the same individual.

  Further, the “average μ” mentioned here includes not only one calculated from all data of the vital information after exclusion but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, “average μ” includes calculation from only the reference vital information, calculation from only the monitoring vital information, and an aspect of calculating from both the reference vital information and the monitoring vital information.

  In addition, the determination means determines the difference between the average μ and the vital sign value of the predetermined vital information input, or the difference between the average μ and the average μ at the previous day or at the previous measurement with the predetermined numerical value By comparing the status of the same individual before and after a predetermined measurement start time and the average value of vital information reflecting the calm state of the same individual by determining whether or not it is an abnormal value, vital information It can be determined whether or not the value is abnormal. In addition, the “predetermined value” mentioned here is a value that becomes “abnormal” when the value to be determined becomes equal to or more than the upper limit value when the reference value, for example, the upper limit value is set. It includes both of the modes which make it "abnormal" when the value is exceeded. Moreover, the target of determination of abnormality here is both reference vital information and monitoring vital information. Further, the predetermined numerical value here is a value that can be appropriately set according to the type of vital sign.

  Moreover, the displacement from the value of vital signs measured at the timing of the previous day or one before in the plurality of pieces of vital information recorded in the information recording means by the reference average value calculation unit exceeds a predetermined range. When calculating the average μ excluding vital information, it becomes possible to use the average value of vital information reflecting the state of the same individual before and after the predetermined measurement start time and the calm state of the same individual. That is, the value of the timing at which there is a sudden change in vital information is not included in the calculation basis of the average value, and it becomes easy to grasp the calm state of the same individual. In addition, the value of vital information measured on the previous day or the timing immediately before here refers to, for example, “reference vital information on the previous day when the measurement timing of reference vital information is set to once a day. Or “monitoring vital information measured at the previous timing” in monitoring vital information measured a plurality of times on the same day. Also, for example, "monitoring vital information measured in the same time zone of the previous day" may be included.

  Further, the “average μ” mentioned here includes not only one calculated from all data of the vital information after exclusion but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, “average μ” includes calculation from only the reference vital information, calculation from only the monitoring vital information, and an aspect of calculating from both the reference vital information and the monitoring vital information.

  Also, the determination means determines whether the input vital information is an abnormal value or not based on the average μ, so the state of the same individual before and after the predetermined measurement start time and the quiet state of the same individual It is possible to judge whether the vital information is an abnormal value or not by using the average value of the vital information reflecting. Also, in the determination here, when the reference value, for example, the upper limit value is set, the mode of “abnormal” is exceeded when the numerical value to be determined is equal to or more than the upper limit value, and the upper limit value has been exceeded. It includes both of the modes which are considered as "abnormal". Moreover, the target of determination of abnormality here is both reference vital information and monitoring vital information.

  Further, in order to achieve the above object, the software of the present invention is software for determining the health condition of an individual based on vital information which is a value of a measured vital sign, which is an information processing device. Information input means for receiving inputs of the vital information and measurement date and time information measured from the same individual, information recording means for recording the input vital information and measurement date and time information, and the information recording means Among the plurality of vital information, all or part of the vital information except for vital information whose displacement from the value of vital sign measured on the previous day or the previous timing exceeds a predetermined range. A difference between a reference average value calculation unit that calculates an average μ and the value of vital signs of the predetermined vital information input to the average μ, or the average μ The difference between the average μ during the day before the measurement, as compared to the predetermined value, is configured as software to function as a means including, a determination unit configured to determine whether an abnormal value.

  Here, among the plurality of pieces of vital information recorded in the information recording means, the reference average value calculation unit is such that the displacement from the value of vital signs measured on the previous day or the immediately preceding timing exceeds the predetermined range. By calculating the average μ of all or a part of vital information except for vital information, the average of vital information reflecting the state of the same individual before and after the predetermined measurement start time and the calm state of the same individual The value becomes available. That is, the value of the timing at which there is a sudden change in vital information is not included in the calculation basis of the average value, and it becomes easy to grasp the calm state of the same individual. In addition, the value of vital information measured on the previous day or the timing immediately before here refers to, for example, “reference vital information on the previous day when the measurement timing of reference vital information is set to once a day. Or “monitoring vital information measured at the previous timing” in monitoring vital information measured a plurality of times on the same day. Also, for example, "monitoring vital information measured in the same time zone of the previous day" may be included.

  Further, the “average μ” mentioned here includes not only one calculated from all data of the vital information after exclusion but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, “average μ” includes calculation from only the reference vital information, calculation from only the monitoring vital information, and an aspect of calculating from both the reference vital information and the monitoring vital information.

  Also, the determination means compares the difference between the average μ and the vital sign value of the predetermined vital information input, or the difference between the average μ and the average μ at the previous day's measurement with a predetermined value, By using the average value of vital information reflecting the calm state of the same individual before and after the predetermined measurement start time by determining whether it is an abnormal value or not, the vital information has an abnormal value It can be determined whether or not. In addition, the “predetermined value” mentioned here is a value that becomes “abnormal” when the value to be determined becomes equal to or more than the upper limit value when the reference value, for example, the upper limit value is set. It includes both of the modes which make it "abnormal" when the value is exceeded. Moreover, the target of determination of abnormality here is both reference vital information and monitoring vital information. Further, the predetermined numerical value here is a value that can be appropriately set according to the type of vital sign.

  In addition, health inquiry information recording means for recording the fourth health inquiry information in which the questioning result regarding at least one or more health conditions for the same individual is judged as normal or abnormal for each item together with the information of the date of inquiry day When preparing, it becomes possible to record the result of the inquiry content confirmed in the same individual and the evaluation result in which the result is regarded as normal or abnormal together with the information of the inquiry date. In addition, the contents of the interview reflect information about the subject's judgment day and the health condition of the previous day, and for example, is the physical condition of the day, the sleep time of the previous night, or sleep enough? The contents include whether or not the previous day was drunk, whether it was a hangover on that day, etc. Further, in the health inquiry information here, it is determined that the subject person is determined to be normal or abnormal means a determination result determined by the subject's own answer contents. More specifically, in response to the question “How is your physical condition today?”, It is judged as “normal” if the target person answers “good”, “abnormal” if the target person answers “bad”. It is

  In addition, the reference average value calculation unit may, among the plurality of vital information recorded in the information recording means, the contents of the fourth health inquiry information based on the fourth health inquiry information recorded in the health inquiry information recording means When the average μ is calculated except the vital information measured on the day when at least one abnormality is recorded, the average value of the vital information reflecting the calm state of the same individual can be used. That is, the vital value of the day when the abnormality is confirmed by the result of the inquiry is not included in the calculation basis of the average value, and it becomes easy to grasp the calm state of the same individual.

  Further, the “average μ” mentioned here includes not only one calculated from all data of the vital information after exclusion but also one calculated from a part of all data. Furthermore, vital information as a basis of calculation may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. Further, “average μ” includes calculation from only the reference vital information, calculation from only the monitoring vital information, and an aspect of calculating from both the reference vital information and the monitoring vital information.

  Further, the determination means determines whether or not the input vital information is an abnormal value based on the average μ, so that the state of the same individual before and after a predetermined measurement start time and the calmness of the same individual It is possible to determine whether the vital information is an abnormal value by using the average value of the vital information reflecting the state. Also, in the determination here, when the reference value, for example, the upper limit value is set, the mode of “abnormal” is exceeded when the numerical value to be determined is equal to or more than the upper limit value, and the upper limit value has been exceeded. It includes both of the modes which are considered as "abnormal". Moreover, the target of determination of abnormality here is both reference vital information and monitoring vital information. Further, the predetermined numerical value here is a value that can be appropriately set according to the type of vital sign.

  Further, in order to achieve the above object, the health condition determination apparatus of the present invention is a health condition determination apparatus for determining the health condition of an individual based on vital information which is a value of a vital sign measured. Information input means for receiving input of the vital information and measurement date and time information measured from the same individual, information recording means for recording the input vital information and measurement date and time information, and a plurality of the recorded information It is set based on reference calculation means for calculating at least one selected from the average μ and the standard deviation σ of all or part of vital information, and at least one selected from the average μ and the standard deviation σ Determining means for determining whether or not the input predetermined vital information is an abnormal value based on the predetermined numerical range, and displaying the determination result determined by the determining means It is constituted by a capacity display unit.

  Here, it is determined whether or not the predetermined vital information input is an abnormal value based on a predetermined numerical range set based on at least one selected from the average μ and the standard deviation σ. By the determination, it is possible to determine whether or not the vital information of the same individual is an abnormal value, on the basis of the reference reflecting intra-individual variation of the same individual. That is, since the predetermined numerical range serving as the determination reference is set using the average value and the standard deviation calculated from the vital information accumulated for the same person, it is unique to the person and the average of the vital information Whether it is abnormal or not can be determined based on a standard reflecting dispersion from the value or the average value.

  Further, the determination result can be displayed and confirmed by the display means capable of displaying the determination result determined by the determination means.

  Further, when the display information creation means creates the thermal type table based on the vital information recorded in the information recording means, it becomes possible to organize the transition of vitals of the same individual into the thermal type table. In addition, a thermal type table means what the vital information and the information on the date which measured the vital information were graphed and displayed about the same individual.

  Also, in the case where the display information creation means creates a normal distribution curve in which the probability density function of the normal distribution is graphed based on the normal distribution calculated from vital information of a predetermined period, vitals of the same individual during the predetermined period The distribution of information can be organized into normal distribution curves.

  In addition, when the display means is configured to be able to display the thermal type table and the normal distribution curve created by the display information creation means, the thermal type table and the normal distribution curve can be visually confirmed, and the intra-individual variation is It becomes easy to catch the feature of the change of vital information of the same individual reflected. In addition, it will be useful for further detailed analysis and medical diagnostic applications.

  Further, in order to achieve the above object, the health condition determination method of the present invention is a health condition determination method for determining the health condition of an individual based on vital information which is a value of a vital sign measured. A standard calculation step of calculating at least one selected from the average μ and the standard deviation σ of vital information of a certain number of days or more among the vital information measured from the same individual, the average μ and the standard deviation σ And a determination step of determining whether or not the input predetermined vital information is an abnormal value based on a predetermined numerical value range set based on at least one selected from the above.

  Here, within the individual of the same individual, at least one selected from the average μ and the standard deviation σ of the vital information of a certain number of days or more among the vital information measured from the same individual in the reference calculation step. The information of the average value of vital information in which the change is reflected becomes available. Here, “average μ” includes not only one calculated from all data of vital information measured from the same individual but also one calculated from part of all data. Furthermore, vital information to be the basis of calculation of the average μ may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. The vital information used as the basis of calculation of the average μ in this case does not exclude the vital value based on the sudden displacement of the vital value or exclude the vital value based on the contents of the health inquiry information.

  Further, intra-individual variation of the same individual by calculating at least one selected from the average μ and the standard deviation σ of vital information of a certain number of days or more among the vital information measured from the same individual in the reference calculation step Information on the standard deviation of vital information reflected by Here, the standard deviation σ is “the root mean square of deviation” of vital information in a predetermined period. Furthermore, “deviation” is a value obtained by subtracting “average value of vital values in a predetermined period” from “each vital value” of vital information in a predetermined period. Further, the “standard deviation σ” mentioned here includes not only one calculated from all data of vital information measured from the same individual but also one calculated from a part of all data. Furthermore, vital information serving as the basis of calculation of the standard deviation σ may be calculated not only from continuous data, for example, data continuously measured every day, but also from data extracted with an interval of days. . Further, vital information used as a basis for calculation of the standard deviation σ here is one not excluding the vital value based on the sudden displacement of the vital value or excluding the vital value based on the contents of the health inquiry information.

  In the determination step, it is determined whether or not the input predetermined vital information is an abnormal value based on a predetermined numerical range set based on at least one selected from the average μ and the standard deviation σ. By doing this, it is possible to determine whether or not the vital information of the same individual is an abnormal value, on the basis of the reference reflecting intra-individual variation of the same individual in a predetermined period. That is, since the predetermined numerical range serving as the determination reference is set using the average value and the standard deviation calculated from the vital information accumulated for the same person, it is unique to the person and the average of the vital information Whether it is abnormal or not can be determined based on a standard reflecting dispersion from the value or the average value. Here, “input predetermined vital information” means vital information to be determined. In addition, the “predetermined numerical range” mentioned here does not include the input predetermined vital information, that is, the numerical range set including vital information to be determined and vital information to be determined. In addition, it includes both of the numerical range set from the previous past vital information. In addition, “predetermined numerical range” is a value that becomes a reference, for example, an upper limit value, and an aspect in which “abnormal” is set when the numerical value to be determined becomes equal to or higher than the upper limit value. When it exceeds, it includes both the aspects which make it "abnormal."

In addition, the lower limit value and the value of equation (2) are defined as the upper limit value and the value of the following equation (1) represented by using the average μ, the standard deviation σ, n greater than 0 and m as the determination step. When it is determined based on at least one of the lower limit value and the upper limit value whether or not the input predetermined vital information is an abnormal value, a numerical value separated by a value of nσ in the negative direction from the average μ The lower limit value and the value separated from the average μ to mσ can be used as the determination reference with the upper limit value.
μ-nσ equation (1)
μ + mσ formula (2)
That is, the value obtained by subtracting nσ from the average μ is the lower limit value, and the value obtained by adding mσ to the average μ is the upper limit value, and it is possible to determine whether vital information is an abnormal value based on at least one of them. In addition, the values of n and m may be numbers larger than 0 as described above, and the values of n and m indicate various conditions such as strictness of judgment criteria, types of vitals, medical history of subjects, etc. It can be set appropriately in consideration. When vital information is normally distributed, vital information of about 95% or more is distributed in the range of μ ± 2σ, and this can also be adopted as an example of the determination criterion. Further, since it is “at least one of the lower limit value and the upper limit value”, not only an aspect in which only the lower limit value or only the upper limit value is set as a reference but also an aspect in which both the lower limit value and the upper limit value are adopted is included.

  The software, the health condition judging device and the health condition judging method according to the present invention reflect the vital signs and daily physical condition taking into consideration the individual difference of the target person, and the accuracy of the subject's health condition under hot and cold environment Capable of achieving “individual management” based on intra-individual variation, which can be captured at a high level.

It is a figure which shows schematic structure of the tablet terminal which introduce | transduced the software to which this invention is applied (1st system configuration | structure). It is a schematic diagram showing the 2nd system configuration which has the software to which the present invention is applied. It is a schematic diagram showing the 3rd system configuration which has the software to which the present invention is applied. It is a block diagram which shows the structure of a calculating part, an information transmission / reception part, and a vital information recording part. It is the schematic which shows an example of the setting of the calculation period of a vital mean value and a vital standard deviation. It is the schematic which showed the example of extraction of vital information. (A) is a schematic diagram showing an example of an apparatus used when functioning software to which the present invention is applied, and (b) is a schematic view showing another example of the apparatus. It is the schematic which shows an example of the input screen of the value of vital sign. It is the schematic which shows the other example of the input screen of the value of vital sign. It is a graph which shows the example of the criterion by the vital mean value and standard deviation of body temperature. (A) is a graph of a normal distribution curve created based on vital information of a plurality of subjects, and (b) is a graph of a normal distribution curve created based on vital information of the same subject is there. (A) is a graph which shows QQ plot of the standard deviation of a body temperature, (b) is a graph which shows QQ plot of the standard deviation of a systolic blood pressure. (A) is a graph which shows the QQ plot of the standard deviation of respiration frequency, (b) is a graph which shows the QQ plot of the standard deviation of oxygen concentration (oxygen saturation). It is a flow figure showing a flow of information processing from input of vital information to judgment of abnormalities, display of information on a result. It is the schematic which shows the example of a thermal model. It is the schematic which shows the example of a disease state panel. It is a graph which shows a time-dependent change of the body temperature at the time of determining heatstroke with the software to which this invention is applied.

Hereinafter, embodiments of the present invention will be described with reference to the drawings to provide an understanding of the present invention.
FIG. 1 is a diagram showing a schematic configuration of a tablet terminal into which software to which the present invention is applied is introduced. The structure shown below is an example of the present invention, and the contents of the present invention are not limited to this.

[1. About overall device configuration]
The software to which the present invention is applied can be introduced into a general-purpose information processing apparatus, and provides each information processing function necessary for implementing the present invention to the incorporated information processing apparatus. As a result, in the tablet terminal 3, it is possible to determine the health condition reflecting the intra-individual variation of the value of the vital sign of the subject.

  Note that the information processing device includes a computing unit such as a CPU, a storage unit such as a RAM or ROM, a display screen such as a liquid crystal screen, an input unit such as a keyboard, a communication unit that controls communication with the Internet etc. It is equipped. For example, it is a general-purpose personal computer, a tablet terminal, a smartphone or the like. In addition, as information processing equipment, for example, various healthcare equipment, medical systems and nursing care systems installed in hospitals and facilities, etc. are also covered, and software to which the present invention is applied is incorporated and used in these. May be.

The software to which the present invention is applied is downloaded and incorporated into the tablet terminal 3 as application software, and the tablet terminal having the health condition determination function is used as the health condition determination device 1.
Hereinafter, the user of the health condition determination apparatus 1, that is, the person whose health condition is to be determined will be referred to as a "target person".

  As shown in FIG. 1, the health condition determination apparatus 1 (tablet terminal 3) includes an arithmetic unit 2. The calculation unit 2 is a processing unit that executes each information processing function of the health condition determination device 1. That is, in the software to which the present invention is applied, the arithmetic unit 2 of the tablet terminal 3 functions as the information input unit 23, the information recording unit 24, the reference calculation unit 5, the determination processing unit 6, and the like. The processing functions of the respective units perform transmission and reception of information, recording of information, determination of abnormality, setting of determination criteria, notification of determination results, creation and display of display information, and the like. The tablet terminal 3 can access an external server, terminal, and the like via the Internet, and can also transmit and receive information to and from the external server, terminal, and the like. The information recording unit 24, the reference calculation unit 5, and the determination processing unit 6 are examples of the "information recording unit", the "reference calculation unit", and the "determination unit" in the claims of the present application, respectively.

  The tablet terminal 3 includes a vital information recording unit 4, an information transmitting / receiving unit 3c, an input unit 3a, and a display screen 3b.

  The information transmission / reception unit 3c is a part responsible for transmission / reception of information among the calculation unit 2, the vital information recording unit 4, the input unit 3a, the display screen 3b and the like. Also. Information may be transmitted and received between the tablet terminal 3 and an external terminal.

  Here, each piece of information handled by the software to which the present invention is applied does not necessarily have to be recorded in the vital information recording unit 4 of the tablet terminal 3. For example, even if various types of information are transmitted to and recorded by an external server or an external terminal via the information transmission / reception unit 3c of the tablet terminal 3, and necessary information is received from the external server or the like at the time of determination or the like. Good.

  Furthermore, it is not necessary to download all the main components of the health condition determination device 1 to the tablet terminal 3. For example, in the tablet terminal 3, only the display of the information of the determination result and the display information such as the normal distribution curve and the thermal type table may be displayed, and recording and determination processing of various information may be performed by an external server or the like. .

  The software to which the present invention is applied may have multiple variations in the configuration on the system. The following describes some variation cases.

(First system configuration)
The schematic configuration of the tablet terminal 3 shown in FIG. 1 introduces software to which the present invention is applied to the terminal, and the terminal alone inputs vital information, records, judges, displays judgment results, and sets judgment calculation criteria. It is possible. That is, the apparatus alone can perform the functions of the present invention. The schematic configuration shown in FIG. 1 shows the use of software to which the present invention is applied in a "stand-alone type" device not connected to the Internet environment. The software of the present invention can be introduced into an information processing device not connected to the Internet environment, for example, various healthcare devices, and medical systems and care systems of hospitals etc., and can be used as a dedicated device. In addition, since the tablet terminal 3 was mentioned as an example of an information processing apparatus here, although connection with an internet environment is possible, if it is the structure shown in FIG. It can be performed.

(Second system configuration)
In FIG. 2, as a second system configuration, a configuration in which the function of software 1 a to which the present invention is applied is provided to an external server may be adopted. Here, the user terminal 50a and the external terminal 50b can access the information management server 32a via the Internet 30a. The information management server 32a is, for example, an external server provided in a cloud format, and the function of the software 1a to which the present invention is applied can be used on the information management server 32a.

  The information management server 2a includes a vital information recording unit 4a, an information transmitting / receiving unit 3c, and an arithmetic unit 2a. In addition, the calculation unit 2a includes a reference calculation unit 5a and a determination processing unit 6a. Vital information is input via the user terminal 50a or the external terminal 50b, and the information input from each terminal is transmitted to the information management server 32a, and the information management server 32a records the information and determines the health status. Is done. The determination result and the recorded information are transmitted to the user terminal 50a and the external terminal 50b, and can be confirmed at each terminal. Thus, a system configuration may be adopted in which the function of the software 1a is provided on an external server.

(Third system configuration)
FIG. 3 shows, as a third system configuration, a configuration of a management terminal 70b provided with a module A having a plurality of software 32c, 32d and the like in addition to the function of the software 32b to which the present invention is applied. The software 32b to which the present invention is applied constitutes one module A together with other software that causes the management terminal 70b to execute various functions different therefrom. That is, it is possible to incorporate the software 32b into the module A of the management terminal 70b into which a plurality of software 32c, 32d and the like have been introduced in advance and make the module A function. For example, software to which the present invention is applied can be incorporated in a module provided in a management terminal of a medical system such as an electronic medical record.

  In such a third system configuration, vital information is input to the management terminal 70b, the health condition is determined, and the resultant information can be confirmed on the management terminal 70b. In addition, the user terminal 60a, the external terminal 60b, and the management terminal 70b are connected, vital information is input from the user terminal 60a or the external terminal 60b and transmitted to the management terminal 70b, and the health condition is determined by the management terminal 70b. The result information may be received and confirmed by the user terminal 60a or the external terminal 60b. Thus, the software to which the present invention is applied can also adopt a configuration to function as a part of a module configured by a plurality of software.

  As described above, there are multiple variations in the system configuration of the software (or health condition determination device) to which the present invention is applied. Although the above description has been made focusing on three examples, the configuration of the software (or health condition determination device) to which the present invention is applied is not limited to this. For example, the vital information recording unit may be provided in the user terminal, and the reference calculation unit and the determination processing unit may be provided in the external server, and the location of the necessary functions may be divided into the terminal and the server. That is, vital information of the subject is recorded, a determination criterion reflecting intra-individual variation is set, and various configurations can be adopted as long as determination of health status is possible.

  The detailed configuration will be described below by using the usage mode of the tablet terminal 3 shown in FIG.

[2. Vital information recording section]
As shown in FIG. 4, various information is recorded in the vital information recording unit 4.
The vital information recording unit 4 is a portion for recording personal information of the subject person and vital information measured by various vital measuring instruments together with information of measurement date and time. Various types of information recorded in the vital information recording unit 4 can be input or corrected through the input unit 3a of the tablet terminal 3, the information transmitting / receiving unit 3c, and the information input unit 24 (not shown). . The contents of various information recorded in the vital information recording unit 4 can be confirmed through the display screen 3 b and the information transmitting / receiving unit 3 c of the tablet terminal 3.

  The vital information recording unit 4 records personal information 7 of the target person, vital sign measurement values measured by each vital measuring instrument, and vital information 8 including information on the measurement date and time. The personal information 7 and the vital information 8 are configured to be recordable in association with identification information that can identify individual subjects. Thereby, a plurality of subjects can be identified, and a plurality of subjects can use one health condition determination device 1.

  Vital information 8 includes vital information of body temperature, pulse, systolic blood pressure, diastolic blood pressure and respiratory rate. Further, the measurement date and time included in the vital information 8 is the date and time when the subject person performed vital measurement, and for example, the time when the subject person confirmed vital measurement by himself is input.

  Here, the type of vital information 8 does not necessarily have to be limited to body temperature, pulse, systolic blood pressure, diastolic blood pressure and respiratory rate, and may include other vital signs and may be used for determination. For example, respiration rates may be included. Furthermore, adoption of other vital signs such as oxygen saturation is also considered. However, since the above-mentioned items are the most basic vital signs and acquisition of vital information is simple, vital information of at least temperature, pulse, systolic blood pressure, diastolic blood pressure and respiratory rate are adopted. Is preferred.

  In addition, a vital measuring device for measuring vital information is not particularly limited, and it is sufficient if it can measure body temperature, pulse, systolic blood pressure, diastolic blood pressure and respiratory rate. For example, vitals may be measured using a household vital measuring instrument. Furthermore, if vital information can be obtained, it is not essential to use a vital measuring device. For example, while measuring time with a watch, it is also possible to measure a pulse rate and a respiration rate per minute and use it as vital information. However, from the viewpoint of accurately grasping the intra-individual variation of vital information, it is preferable that vital information be acquired by the same method. In daily measurement, the type of vital measurement device is frequently changed, and measurement by vital measurement machine and measurement without vital measurement coexist, bias by vital information acquisition method will be applied. . Therefore, it is preferable to acquire vital information by the same method or the same vital measuring device as much as possible.

  Vital information 8 is configured to be able to record vital information measured twice a day in the morning and evening time zones. In addition, in the vital information recording unit 4, it is possible to record standard time information 9 which is information of a time at which a target person performs vital measurement. The reference time information 9 is, for example, 8:30 in the morning and 18:00 in the evening, and the target time at which the subject measures vital is recorded. The target time information 9 can be freely set and corrected by the subject.

In the vital information recording unit 4, attitude information 10 which is information of a correct attitude when measuring each vital sign is recorded. The posture information 10 is, for example, as follows.
(1) Body temperature For example, when measuring body temperature with a thermometer that measures body temperature under the arm, "Is the measuring section of the thermometer located at the center of the arm", "Is the arm closely attached to the arm", It is the information of the posture such as "is the same posture".
(2) Pulse For example, when measuring the pulse rate by placing an electronic pulsimeter or a finger on the wrist, "Is it in a resting state?", "Is it a relaxed and comfortable posture?" It is the information of the posture such as
(3) Systolic blood pressure, diastolic blood pressure For example, when measuring by oscillometric method measured by the vibration of the blood vessel, "is it in a state of rest?" It is information on posture, such as "Do you keep the same posture every time?"

  Here, the vital information 8 does not necessarily have to be configured to be able to record vital information measured in the morning and evening time zones twice a day, and may be, for example, once a day measurement. In addition, although it will be described later, if a certain number of data to be used in processing of calculation of the judgment standard by the reference calculation unit, vital average value used for calculation of the judgment standard, and vital standard deviation is recorded, 1 The number of daily vital information recordings is not limited. In addition, vital information need not be recorded every day, and there may be days when vital information is not recorded. Here, from the viewpoint of appropriately grasping the intra-individual variation of the same individual, it is preferable that the vital information be widely recorded every one second, and it is preferable that the vital information be recorded once to 24 times a day. Furthermore, it is easy to record information by manual vital measurement, and it is possible to confirm the fluctuation of vital sign value on the same date, and to compare with another day easily, twice a day, morning and evening More preferably, vital information measured in a time zone can be recorded.

  In addition, the reference time information 9 does not necessarily have to be recorded in the vital information recording unit 4. However, as described later, by recording the reference time information 9, vital information measured by the subject largely deviates from the time recorded in the reference time information 9 is excluded from the calculation basis such as vital average value etc. It is preferable that the reference time information 9 be recorded in the vital information recording unit 4 in that the judgment can be made and the accuracy of the judgment can be enhanced.

  Also, the posture information 10 does not necessarily have to be recorded in the vital information recording unit 4. However, as described later, when it is determined that the vital information of the target person is an abnormal value by recording the posture information 10, the display screen 3b of the tablet terminal 3 became the basis of the determination. While displaying the posture information 10 of the vital sign, it is possible to display "Does the measurement have been performed in the correct posture" and to prompt attention on the posture at the time of vital measurement and vital measurement again. This can improve the accuracy of vital measurement and the reliability of determination. Therefore, it is preferable that the posture information 10 be recorded in the vital information recording unit 4.

  Further, the measurement method of each vital sign and the content of the posture information 10 are not limited to those described above, and the content of the vital measurement method and the posture information 10 suitable for this can be changed as appropriate.

  The vital information recording unit 4 can record the temperature information 11 of the place where the vital measurement was performed. The temperature information 11 is recorded in association with the records at each measurement of the vital information 8. As the temperature information 11, for example, information that the target person confirms and inputs the temperature of the measurement location is adopted.

  Here, the vital information recording unit 4 does not necessarily have to be able to record the temperature information 11 of the place where the vital measurement has been performed. However, as will be described later, if the displacement amount of the two air temperature information exceeds the set range by comparing the air temperature information on the judgment day and the air temperature information at the time of vital measurement on the day before the judgment day. The vital information of the judgment date can be excluded from the calculation basis of the subsequent vital mean value and vital standard deviation. As a result, it is possible to reduce the influence of the temperature on the fluctuation of vital information and to improve the accuracy of the determination. Therefore, it is preferable that the temperature information 11 of the place where the vital measurement was performed be recordable in the vital information recording unit 4.

  The vital information recording unit 4 can record the judgment result information 12 which is the information of the judgment result as to whether each vital information is inputted and the judgment processing means 6 judges as an abnormal value.

  The vital information recording unit 4 can record, as vital information 8, vital information at the time of performing the second measurement with respect to vital measurement and re-measurement vital information 13 which is information of the date at the time of measurement. The details of the second measurement of vital information will be described later, but for example, with regard to vital information, when the determination processing means 6 determines that the value is abnormal, the second measurement performed to confirm the accuracy of the vital information It means vital information.

  When displaying each vital information on the display screen 3b of the tablet terminal 3, the normal vital information recorded without re-measurement, the vital information targeted for re-measurement, and the vital after re-measurement About information, the color of the character which shows vital information of three patterns is changed and displayed.

  Here, the vital information recording unit 4 does not necessarily have to be able to record the determination result information 12. However, it is possible to confirm the past judgment results of vital information, and also it can be used as reference information to improve judgment accuracy, and information that can be used for collation with doctor's diagnosis results and interlocking with medical systems. From this point of view, it is preferable that the determination result information 12 be recordable in the vital information recording unit 4.

  Also, the vital information recording unit 4 does not necessarily have to be able to record the re-measurement vital information 13. However, as will be described later, it is possible to verify whether the vital measurement was accurate or not using the re-measurement vital information 13, and the vital average value or vital standard thereafter using the re-measurement vital information 13. It is preferable that the re-measurement vital information 13 be recordable in the vital information recording unit 4 in that the deviation can be calculated.

[3. Reference calculation means]
The reference calculation means 5 will be described. The reference calculation means 5 is one of the functions that the software to which the present invention is applied causes the operation unit 2 to execute, and based on various types of information recorded in the vital information recording unit 4, a judgment criterion for judging vital information. And calculation of vital mean values and vital standard deviations used for calculation of the judgment criteria. Further, a normal distribution is calculated by the reference calculation means 5 based on the vital mean value and the vital standard deviation.

  Various kinds of information calculated or recorded by causing the calculation unit 2 to function as the reference calculation means 5 may add information via the input unit 3 a of the tablet terminal 3, the information transmission / reception unit 3 c and the information input means 24 of the calculation unit 2. Correction is possible. The contents of various information calculated or recorded by causing the calculation unit 2 to function as the reference calculation means 5 can be confirmed via the display screen 3 b of the tablet terminal 3.

  FIG. 4 describes functions that the software to which the present invention is applied causes the computing unit 2 to execute. The calculation unit 2 functions as an average value calculation unit 14, a standard deviation calculation unit 15, a normal distribution calculation unit 16, and a determination reference setting unit 17 in addition to the reference calculation unit 5. Based on vital information 8 and remeasurement vital information 13 recorded in vital information recording unit 4, average value calculating means 14 and standard deviation calculating means 15 calculate the average value of vital information during synchronization from recording information of a predetermined period. The “value” and “standard deviation of vital information” in the distribution obtained by statistical information of vital information during synchronization are respectively calculated.

Further, the normal distribution calculating means 16 calculates a normal distribution from the average value and the standard deviation of vital information in a predetermined period. The normal distribution from the average value and the standard deviation of the calculated vital information is recorded in the vital information recording unit 4 in association with the judgment result information 12 of the judgment date.
In the following, the average value of vital information is referred to as “vital information average value” and the standard deviation of vital information is It shall be called vital information standard deviation.

  Further, the judgment standard setting means 17 judges the judgment processing means 6 based on the vital mean value and vital standard deviation calculated from each calculation unit in conjunction with the mean value calculating means 14 and the standard deviation calculating means 15. The determination criterion information 18 to be used is created. The created judgment criterion information 18 is recorded in the vital information recording unit 4. The details of calculation and creation of vital mean value, vital standard deviation and judgment standard information 18 and a plurality of setting contents are explained in the item of "5. Calculation and decision of vital mean value and vital standard deviation" below. Do.

  The “predetermined period” employed in the calculation of the average value calculating means 14 and the standard deviation calculating means 15 usually adopts a method of utilizing vital information for 90 days starting from the judgment date. The vital information of this period is vital information 8 and re-measurement vital information 13 for the past 90 days including the determination date.

  Further, as described above, vital information 8 measured in the morning and evening time zones twice a day can be recorded as vital information 8. When the calculation unit 2 functions as the average value calculation means 14 and the standard deviation calculation means 15 to calculate the vital mean value and the vital standard deviation, the mean value of the measurement date calculated from vital information twice a day is It is set to handle as vital information of the measurement date. That is, when calculating the vital mean value and the vital standard deviation, data of vital information for one day in a predetermined period is one vital information (average of morning and evening measurements per type of vital sign). Value) is used.

  Also, the average value calculation means 14 and the standard deviation calculation means 15 refer to vital information 8 and re-measurement vital information 13 recorded before the judgment date each time on the judgment date of the vital information of the subject person. The vital information average value and vital information standard deviation for the judgment date are calculated. As a result, the determination criterion used by the determination processing means 6 is changed every determination date, and the intra-individual variation of the vital information of the subject is reflected in the determination of whether or not it is an abnormal value in vital information. It will be easy.

  Here, the “predetermined period” employed in the calculation of the average value calculation means 14 and the standard deviation calculation means 15 does not necessarily need to use vital information for 90 days starting from the judgment date. Here, the number of days of the predetermined period can be appropriately set and changed. However, in order to capture the intra-individual variation of vital information of a subject, vital information of a certain number of days is required, and it is preferable that the certain number of days be the number of data for 90 days.

  In addition, by dividing the predetermined period into 90 days, it is possible to use intra-individual variation of vital information specific to that period. For example, it is possible to determine vital information reflecting intra-individual variation of a subject person in each season by limiting vital information to a division at different seasons where weather and temperature conditions are different.

  In addition, the period of using vital information is 90 days or more, and the vital information 8 and the remeasurement vital information of the whole period after the subject starts using the health condition determination device 1 for a longer period, for example The aspect which uses 13 may be sufficient. This makes it possible to use vital measurement information accumulated over a long period of time with respect to vital information of the same subject, and to determine whether the vital information is an abnormal value or not in the vital information, the vital of the subject. It will be easier to reflect intra-individual variation of information. Moreover, as the minimum number of days for capturing intra-individual variation, it is preferable that the number of data for 30 days or more be obtained.

  Further, the number of days of the “predetermined period” employed in the calculation of the average value calculation means 14 and the standard deviation calculation means 15 is, for example, 2 days to 3650 days, preferably 7 days to 365 days, and more preferably It is set to the number of days of "90 days". In particular, adopting the number of days of 90 days makes it easy to appropriately capture the intra-individual variation of the same individual.

  When "90 days" is adopted as the "predetermined period" employed in the calculation of the average value calculating means 14 and the standard deviation calculating means 15, this calculation period is, for example, a time as shown in FIG. The range of 90 days can be set to move day by day with the passage of time. That is, the period of 90 days used for calculation on a certain measurement date (judgment date) is indicated by a range (symbol A) from 90 days before the measurement date to the measurement date including the measurement date. In addition, the “predetermined period” used for calculation one day before the measurement day is indicated by a range from 91 days before the measurement day to one day before the measurement day (symbol B). Furthermore, the “predetermined period” used for calculation two days before the measurement date is indicated by a range from 92 days before the measurement date to two days before the measurement date (symbol C). Thus, the 90-day range of the "predetermined period" can be set to move one day at a time as time passes (in the direction of the arrow of symbol T).

  Also, the “predetermined period” employed in the calculation of the average value calculation means 14 and the standard deviation calculation means 15 is set such that vital information for 90 days including the determination date is used. The judgment date does not necessarily have to be the starting point. For example, a setting may be adopted in which vital information for 90 days is used starting from “the day before the judgment date” except for the judgment date. However, by including the determination date, it is possible to reflect the latest state of the same individual, and it is easy to catch intra-individual variation of the individual. It is preferable that vital information for 90 days including the determination date is used as the “predetermined period” to be performed.

  Further, the “predetermined period” employed in the calculation of the average value calculating means 14 and the standard deviation calculating means 15 does not necessarily have to be vital information measured on consecutive dates. For example, in a case where there is a day in which the subject does not perform vital measurement and there is a day in which there is no record of vital information, the number of days in a predetermined period may be 90 days in total.

  For example, in the configuration described above, vital information is recorded twice daily on the first day of the morning and the afternoon, as shown by a symbol A (a black circle figure) in FIG. 6, and all information is averaged It is used for calculation of the means 14 and the standard deviation calculation means 15.

  Here, in the present invention, as long as the data number of vital information for the set number of days is complete, it is not always necessary to be vital information continuously acquired every day. In a mode in which the days from which vital information is acquired are discontinuous as in the case of vital information indicated by a symbol B (figure of cross) and a symbol C (open triangle) in FIG. It may be. Furthermore, in a state where continuous records of vital information exist, partial extraction may be performed based on the set conditions. The set conditions include, for example, extraction of only vital information of each Monday, extraction of only vital information acquired in the morning, and extraction of only a designated date.

  In addition, when the mean value calculation means 14 and the standard deviation calculation means 15 calculate vital mean values and vital standard deviations, the mean value of the measurement date calculated from vital information twice a day is used to It does not have to be set to handle as vital information. For example, when making a determination on vital information measured in the "morning" of a certain determination date, only vital information 8 and re-measurement vital information 13 recorded on the measurement date and time in the morning among the measurement days are used. It is also possible to calculate vital mean and vital standard deviation. Along with this, it is possible to adopt a criterion set based on vital mean value and vital standard deviation based on vital information recorded at the measurement date and time in the morning as the decision criterion used by the decision processing means 6 is there. Of course, afternoon measurement data can be handled similarly.

  The normal distribution calculating means 16 is an example of the display information creating means in the claims of the present application. As described above, the normal distribution calculating means 16 is a part that calculates a normal distribution from the average value and the standard deviation of vital information in a predetermined period. A normal distribution on each judgment day of the subject can be calculated, and a normal distribution curve is created by graphing the probability density function of the calculated normal distribution, and this normal distribution curve is displayed on the display screen 3 b of the tablet terminal 3 It is configured to be

[4. Judgment processing means]
The determination processing means 6 will be described. The determination processing means 6 is one of the functions that the software to which the present invention is applied causes the operation unit 2 to execute, and the average value calculation means for vital information of the determination date input through the input unit 3a of the tablet terminal 3 14. Based on the determination reference information 18 set by the processing of the standard deviation calculation means 15 and the determination reference setting means 17, it is determined whether or not it is an abnormal value.

  As described above, the determination result information 12 which is the determination result determined by the determination processing means 6 is recorded in the vital information recording unit 4. Further, the contents of the determination result information 12 can be confirmed via the display screen 3 b of the tablet terminal 3.

  The determination processing unit 6 is configured to output the determination result information 12 in conjunction with the vital information recording unit 4 and the reference calculation unit 5. Further, the determination result information 12 can be confirmed on the display screen 3 b of the tablet 3. Further, the determination result information 12 transmits the determination result information 12 not only to the display screen 3 b of the tablet terminal 3 but also to an external server or an external terminal via the information transmitting / receiving unit 3 c of the tablet terminal 3. You can also check on the screen etc.

  Further, the determination result information 12 not only displays on the display screen 3 b of the tablet terminal 3 but also notifies the target person by a notification sound or a mail message notifying that the determination result information 12 has been issued. It can also be done. When notifying the determination result information 12 by a notification sound, for example, it is possible to change the types of notification sound when the content is an abnormal value and when it is not.

  Subsequently, an apparatus used to function software to which the present invention is applied, and specific contents of an input screen will be described.

  For example, as shown in FIG. 7 (a), acquisition of vital information is performed by a wearable vital measuring instrument 21a, a thermometer 21b, etc., and measurement values measured by these, together with information of the measured time, are tablet terminals 3. Input via the screen displayed on the display screen 3b of FIG. A touch panel type input unit 3a is displayed on the display screen 3b, and vital information is input here. If it is the tablet terminal 3 (1st system configuration | structure) in which the software to which this invention was applied was introduce | transduced, recording of information, determination of a health condition, and the display of a determination result are possible with a single terminal.

  Further, in FIG. 7B, vital information is managed from the smartphone terminal 22a and the personal computer terminal 22b (hereinafter referred to as "PC terminal 22"), the information management which is the external server described in the second system configuration described above. It is also possible to access the server 32a and input vital information from the smartphone terminal 22a or the PC terminal 22b. Based on the vital information transmitted from each terminal, the information management server 32a determines the health condition, the information of the result is transmitted to each terminal, and the information of the result is displayed on the screen of each terminal.

  Moreover, the screen shown to FIG.8 and FIG.9 is shown as an input screen of the tablet terminal 3, the smart phone terminal 22a, and the PC terminal 22b. FIG. 8 and FIG. 9 show examples of input screens used when making a patient of a hospital or a resident of a nursing home or the like a target of determination of the health condition. In FIG. 8, an input item of the target person for one person and a ten-key area displaying numbers are displayed. There are provided name display fields for the subject person and the staff in charge, and input fields for measurement data of body temperature, blood pressure (upper and lower), pulse, oxygen concentration, weight, and respiration. The value of each vital sign can be input in the ten-key area by a touch panel or cursor operation on the screen.

  Further, on the screen display of FIG. 8, items of diet, urination, defecation, observation and inquiry are provided, and in addition to the value of vital signs, a plurality of items for confirming the health condition of the subject are provided. The plurality of items for confirming the health status can be used not only for recording the daily health status of the subject but also for calculating the judgment criteria of vital information described later. The input information is recorded in vital information in the apparatus or transmitted to an external information management server 32a by touching or clicking the transmission button.

  In the input screen shown in FIG. 9, input fields of measurement data of a plurality of vital signs are provided on the right side of the screen, and selection items of normal or abnormal physical condition determined by the subject person are provided. In addition, by selecting the subjective symptoms, the objective symptoms, and the heat type table, it is possible to confirm the input of further physical condition information and the temporal change of the subject's vitals. Further, on the screen of FIG. 9, the names of a plurality of target persons are displayed, and by selecting the name field, the screen of the selected target person can be displayed. In addition, information on the time at the time of input of the vital sign value is simultaneously input. Furthermore, in addition to the input screen of the value of vital signs, it is possible to record and display information about items related to information registration and items of care provided such as excretion and meals.

  As described above, the input screen when using the software of the present invention is capable of inputting and displaying information in association with related items with a patient in a hospital or a resident in a nursing home or the like as a target person. it can. Moreover, the display of the input screen is not limited to the content associated with the carer etc. For example, as application software for health management, the input and recording of the value of each vital sign, and management of information such as weight etc. The screen configuration may be a combination of That is, it may be a mode that a healthy subject uses for daily health management.

  Subsequently, a specific determination method based on vital information will be described.

[5. About Calculation and Determination of Vital Average and Vital Standard Deviation]
The vital mean value and vital standard deviation are based on the vital information 8 and the re-measured vital information 13 recorded in the vital information recording unit 4, and the computing unit 2 serves as the mean value calculating means 14 and the standard deviation calculating means 15 of the reference calculating means 5. Calculated to function. Further, based on the vital mean value and vital standard deviation, the decision criterion information 18 is set. In the following, the contents of setting and judgment of judgment criteria of a plurality of patterns adopted in the present invention will be shown. In addition, by changing the setting of the plurality of patterns by the determination reference setting unit 17, it is possible to appropriately select the determination method to be used, to select the combination method of the plurality of patterns, and the like.

[5-1. Calculation using all vital information]
First, as a method of setting the most basic vital average value, vital standard deviation, and the judgment reference information 18 based on these, vital information 8 and re-measured vital information 13 recorded in vital information recording unit 4 The method used for calculation is mentioned. In this method, the standard deviation based on the vital mean value and the distribution of vital information is calculated using the following equations (3) and (4) in the mean value calculating means 14 and the standard deviation calculating means 15.

μ = (1 / N) × ΣSi formula (3)
σ = √ ((1 / N) × Σ (Si−μ) ² ) (4)
Here, μ is an average value of vital information, Si is a measurement value of each vital information, N is the number of data of all vital information, and σ is a standard deviation. Σ Si indicates the total of the measured values of all vital information. Further, as described above, the measurement value of each vital information is an average value of vital information twice a day (morning and evening). The content of all vital information here may extract part of the information recorded in the vital information recording unit 4 as described above.

  From the data of the same subject recorded in the vital information recording unit 4 when the vital information of the subject is judged on a certain judgment day, the above equation (3), (4) The vital mean value μ and the first vital standard deviation σ are calculated using That is, the determination criterion is calculated including the value of the vital sign to be determined on the determination day. Subsequently, the determination criterion setting unit 17 uses the value represented by the following equation (1) or equation (2) as the determination criterion information 18.

μ-nσ equation (1)
μ + mσ formula (2)
Here, n and m are numbers greater than 0.

  In the determination reference information 18, the value represented by the above equation (1) is the lower limit, and the value represented by the above equation (2) is the upper limit. When the value of predetermined vital information input by the tablet terminal 3 at the time of determination becomes lower than the lower limit value or higher than the upper limit, the predetermined vital information input by the determination processing means 6 is determined as "abnormal value" And the determination result information 12 is displayed on the display screen 3 b of the tablet terminal 3. In addition, the determination result information 12 is recorded in the vital information recording unit 4.

  In this determination, the vital mean value μ is a mean value calculated on the basis of the fluctuation of vital information of the same subject. That is, with the determination date as the starting point, the vital average value reflects the intra-individual variation of the subject during the period when vital information is recorded in vital information recording unit 4 before that date. Further, the vital standard deviation σ calculated by the above equation (4) including the vital mean value μ reflects the variation from the mean value μ of the vital information of the subject. Furthermore, since the determination criterion information 18 set by the above equation (1) or (2) is calculated from the vital mean value μ and the vital standard deviation σ, the determination criterion reflecting intra-individual variation of the subject and It goes without saying that it has become.

  Here, although it has been described that n in the above-mentioned formula (1) or formula (2) is a number larger than 0, the numerical values to be n and m are natural numbers of 1 or 2 even with decimals such as 0.5. It may be. The values of n and m can be changed as appropriate. For example, it is also possible to set μ-1σ as the lower limit value and μ + 2σ as the upper limit value, or set μ-2σ as the lower limit value and μ + 1σ as the upper limit value. It can be appropriately set in consideration of various conditions such as setting of lower limit value and upper limit value, strictness to be determined, type of vital to be determined, and medical history of subject. For example, as the value of n, 0.1 to 3, preferably 1 to 2, more preferably "2" is employed.

Here, as one example of setting of the lower limit value and the upper limit value, adopting μ ± 2σ will be described with respect to the above-mentioned Formula (1) and Formula (2).
FIG. 10 shows a graph of a normal distribution curve created by calculating vital mean (A) and standard deviation (σ) from 90 days of body temperature information of a subject. The horizontal axis is a random variable of body temperature, and the vertical axis is a probability density. In the case of FIG. 10, the vital mean value (A) is “about 36.48 (° C.)”, and the standard deviation (σ) is “about 0.35”. In addition, the value of "vital average value + 2σ" is "about 37.12 (represented as A + 2σ in Fig. 10)", and the value of "vital average value-2σ" is "about 35.84 (represented by A-2σ in Fig. 10) ). That is, if the reference body temperature or the monitoring body temperature of the subject is “37.12 ° C.” or more, or “35.84 ° C.” or less on this measurement day, the determination processing means 6 is “abnormal value” And the judgment.

  Assuming that the vital information is normally distributed, vital information of about 95% or more of the vital information of the subject is distributed in the range of μ ± 2σ. Therefore, when vital information less than the lower limit value or more than the upper limit value is measured by adopting μ ± 2σ as the lower limit value or the upper limit value in the determination reference information 18, the distribution of about 5% of the target person It can be estimated that only vital vital information has been measured. If the vital information falls within the distribution of about 5%, it is considered that the subject at the time of measuring the vital information can be judged as an "abnormal value" even in consideration of the intra-individual variation. As described above, μ ± 2σ can be adopted for the above equations (1) and (2) to statistically analyze the accuracy of the determination.

  Further, in the description so far, the determination based on the determination criterion information 18 is to determine vital information below the lower limit value or above the upper limit value as an “abnormal value” to one type of determination result, but the determination is not necessarily The results need not be limited to one type. For example, the lower limit value or the upper limit value of two steps can be set by selecting the value of two steps as the value to be set to n or m in the above equation (1) or equation (2). As a result, for example, when the input vital information becomes less than the first lower limit close to the value of the vital average value or more than the first upper limit, it is determined that "attention is likely" and is input. If vital information is below the second lower limit or higher than the second upper limit away from the value of the vital average, a two-step decision should be made such that it is determined to be an "abnormal" value. You can also.

  Further, in the configuration described above, when the vital information to be determined is equal to or less than the lower limit value of the determination reference value or equal to or more than the upper limit value, determination of abnormality is made. It is also possible to adopt one below or above the upper limit.

  As described above, it is possible to perform the determination reflecting the intra-individual variation of the vital information of the subject person, based on the determination criteria described in the content of “5-1. Calculation using all vital information” above. .

  Here, when vital information of a plurality of subjects is used to create distributions of vital information based on information of different individuals, and vital information of the same subjects is used, distribution of vital information of the same individuals Explain the difference from the case of creating.

  FIGS. 11 (a) and 11 (b) are graphs of normal distribution curves created based on information on body temperature. 11 (a) and 11 (b), the horizontal axis is a random variable of body temperature, and the vertical axis is a probability density. (A) is created by a large number of subjects, and (b) is created only by the same subjects. In FIG. 11 (a), various flat fevers and people with fluctuations in body temperature are included, and the average value μ is 37.0 ° C., which is the average value of a large number of subjects, and the value of μ + 2σ is 37.7. The value of ° C and μ-2σ is 36.0 ° C. However, in FIG. 11 (b), vital information of the same individual is recorded, and this is a person's typical fever and fluctuations in body temperature, so the average value μ is 35.6 ° C., and the value of μ + 2σ is 37. The value of 0 ° C and μ-2σ is 35.2 ° C.

  That is, if the upper limit value is set to μ + 2σ when determining vital information using each distribution, the body temperature at 37.0 ° C. is the position of μ in FIG. 11 (a) (FIG. It corresponds to the black circle in a). On the other hand, in the case of FIG. The body temperature of ° C. becomes the upper limit value μ + 2σ (black circle in FIG. 11 (b)). That is, in the determination of FIG. 11B, 37.0 ° C. is determined as an “abnormal value”. In other words, in the determination of the subject in FIG. 11B, it can be said that the determination criteria based on the vital information of many subjects can not be used to capture the “abnormal value”. Using the vital information of a large number of people as a standard is nothing other than the conventional judgment on “inter-individual variation”, and in order to see the variation of vital information specific to the subject, “in-individual variation” "Indicates that it is valid.

  In addition, the target person who performs the average value and fluctuation | variation of the body temperature shown in FIG.11 (b) does not correspond to a special case. In addition to the phenomenon that occurs only at the body temperature, other vital signs such as systolic blood pressure, diastolic blood pressure, pulse rate, and respiration rate also cause variations specific to the subject. In the above-mentioned example of temperature, there are many elderly people whose temperature changes in the temperature range shown in FIG. 11 (b), and when the health condition of such elderly people is judged by vital signs, Fluctuation is effective.

  Subsequently, in the following, if necessary, part of vital information recorded in vital information recording unit 4 is determined under various setting conditions, and calculation of vital average value etc. and contents of determination reference information 18 are performed. An aspect which excludes and improves the accuracy of determination will be described.

5-2. Calculation considering sudden displacement of vital information]
In this item, a method of excluding vital information indicating abrupt displacement from data when calculating a vital average value or the like will be described. In this method, the vital information recorded in the vital information recording unit 4 has the above-mentioned equations (3) and (3) except for vital information whose displacement from the value of vital information measured on the previous day exceeds a predetermined range. From (4), the vital mean value μ and the vital standard deviation σ are calculated.

For example, the predetermined range of displacement is displacement of 0.5 ° C or more if vital sign is body temperature, 10 times / min or more if pulse, and displacement of 20 mmHg or more if systolic blood pressure and diastolic blood pressure is there. The vital information recorded in the vital information recording unit 4 is compared with the measured value of the previous day, and the value of which fluctuates beyond the displacement of the set range is expressed by the equations (3) and (4). Exclude from the data to be calculated. If the temperature is 36.8 ° C on the day of measurement and 36.3 ° C the day before, it indicates a displacement of 0.5 ° C or more, so the measurement value of 36.8 ° C is excluded. Ru. By performing such setting, it is possible to exclude a value where vital information has largely changed during one day, and to set a judgment reference using vital information whose displacement from the previous day is gentle.
The vital mean and the vital standard deviation described in the item (5-2) can also be referred to as a second vital mean and a second standard deviation in the present invention.

  Moreover, although the aspect which remove | excluded what showed the sudden displacement of vital information was shown here from calculation basis of both vital mean value and vital standard deviation, it is not limited to this. For example, the aspect which remove | excluded what showed the sudden displacement of vital information from any one of vital mean value and vital standard deviation may be sufficient.

[5-3. Calculation considering health inquiry information]
In this item, in consideration of the judgment result of health inquiry information, if there is at least one evaluation item judged to be abnormal in health inquiry information, vital information of the day is excluded from the data when calculating the vital average value etc. Explain how to do it. The health inquiry information is information on the result of determining the inquiry result regarding the at least one or more health conditions performed on the subject as normal or abnormal for each item. As shown in FIG. 4, the vital information recording unit 4 records the medical inquiry information 19 about the health condition, and the subject answers the medical inquiry information 19 through the display screen 3b of the tablet terminal 3 and the input unit 3a. It has a structure that can be used.

  Questionnaire information 19 is, for example, a content that reflects information about the judgment date and the health condition of the previous day, and questions such as “How is your physical condition today?” Or “Is you able to sleep well yesterday?” It is. A plurality of inquiry information 19 may be set. Then, the target person selects an answer such as “good”, “bad”, “yes” or “no” via the input unit 3 a of the tablet terminal 3. According to the result of this selection, the result of “normal” or “abnormal” is linked, and is recorded as health inquiry information 20 in vital information recording unit 4. More specifically, in response to the question "How is your physical condition today?", If "yes" is answered, "normal" is judged, and if "bad" is answered, it is judged as "abnormal". If at least one result of "abnormality" is recorded for this health inquiry information 20, it is assumed that the target person of the measurement day is ill, and vital information etc. of vital information of the measurement day will be assumed. Exclude from the data when calculating.

As a result, excluding the vital information of the day when “abnormality” is recorded in the health inquiry information 20, the vital mean value μ and vital standard deviation σ are calculated from the above-mentioned formula (3) and formula (4). By performing such setting, the value of vital information of the day on which the target person is assumed to be in poor physical condition is excluded in advance, and the judgment criteria is set using vital information on the day on which the physical condition is assumed to be good. It becomes possible to provide.
The vital mean value and vital standard deviation described in the item (5-3) can also be referred to as a third vital mean value and third standard deviation in the present invention.

  Moreover, although the aspect except the vital information of the day when "abnormality" was recorded in health inquiry information 20 was shown here from calculation grounds of both vital mean value and vital standard deviation, it is limited to this Absent. For example, the aspect may be such that vital information of the day when "abnormality" is recorded in the health inquiry information 20 is excluded from either the vital mean value or the vital standard deviation.

5-4. Calculation taking into account the time of vital measurement]
In this item, a method of excluding from the data when calculating the vital average value and the like the vital information measured out of the time to be the vital measurement to be a standard will be described. In this method, the vital information recorded in the vital information recording unit 4 is the same as the above except for the vital information in which the time difference from the reference time information 9 recorded in the vital information recording unit 4 described above exceeds a predetermined range. From the equations (3) and (4), the vital mean value μ and the vital standard deviation σ are calculated.

For example, the reference time information 9 is information of a set time that is easy to perform daily vital measurement set by the subject, such as 8:30 in the morning and 18:00 in the evening. In addition, for example, 30 minutes or 1 hour is selected as the predetermined range of the time difference. Then, in the vital information 8 and the re-measurement vital information 13, the vital information measured at the measurement time having a time difference of the setting range or more from the time of the reference time information 9 can be expressed by Equations (3) and (4) Exclude from the data to be calculated. By making such setting, vital information out of the range of a fixed measurement time is excluded daily, and a judgment reference may be provided using vital information measured at a fixed time and a time near the fixed time. It becomes possible.
The vital mean value and vital standard deviation described in the item (5-4) can also be referred to as the fourth vital mean value and fourth standard deviation in the present invention.

  In addition, here, from the calculation basis of both vital mean value and vital standard deviation, an aspect is shown except vital information measured at measurement time with a time difference more than the set range from the time of standard time information 9, It is not limited to For example, it is possible to exclude vital information measured at a measurement time having a time difference equal to or greater than a set range from the time of the reference time information 9 from any one of vital mean and vital standard deviation.

[5-5. Calculation taking into account changes in temperature during vital measurement]
In this item, in consideration of changes in air temperature at the time of vital measurement, data at the time of calculating vital mean values etc. for vital information measured when the temperature at the place where vital measurement was performed showed a sudden displacement. Explain how to exclude from In this method, with regard to vital information recorded in vital information recording unit 4, the temperature information on the day when certain vital information was measured with reference to air temperature information 11 recorded in vital information recording unit 4 described above, and the day before If the amount of displacement of the two pieces of air temperature information exceeds the set range by comparing the temperature information at the time of vital measurement of the above, the above-mentioned expression except for the vital information of the day when the air temperature showed a sudden displacement The vital mean value μ and the vital standard deviation σ are calculated from (3) and the equation (4).

For example, the predetermined range of displacement is displacement of 2 ° C. or more. With regard to vital information recorded in vital information recording unit 4, the temperature of the place where vital information was measured, compared with the temperature where vital information of the previous day was measured, the temperature difference fluctuated beyond the displacement of the set range. Are excluded from the data calculated by equation (3) and equation (4). By such setting, vital information measured when the temperature largely changes in the environment at the time of vital measurement is excluded, and vital information measured in the environment where the change in temperature is small is used. It becomes possible to set a judgment standard.
The vital mean value and vital standard deviation described in the item (5-2) can also be referred to as an example of the fourth vital mean value and fourth standard deviation in the present invention.

  In addition, here, from the calculation basis of both vital mean value and vital standard deviation, an aspect is shown that excludes vital information measured when air temperature greatly changes under the environment of vital measurement, but it is limited to this It is not something to be done. For example, the aspect may be such that vital information measured when temperature largely changes under an environment at the time of vital measurement from either one of vital mean value and vital standard deviation.

  In the content described above, all the vital information 8 and the re-measured vital information 13 recorded in the vital information recording unit 4 are included in the calculation basis of the vital mean value, vital standard deviation, and the judgment reference information 18 set based on these. And the several aspect which excluded the vital information which meets predetermined conditions from the calculation basis was shown. These can be selected as needed. In addition, each aspect can be used not only individually but also in combination. For example, a combination of the above “5-2. Calculation in consideration of sudden displacement of vital information” and “5-3. Calculation in consideration of health inquiry information” is combined to exclude vital information under two conditions for determination. Reference information 18 can also be set. Furthermore, the setting which combines all the aspects is also possible. By adopting a plurality of combinations, it is possible to improve the accuracy of the determination.

[6. Other judgment methods]
Subsequently, other determinations by the determination processing means 6 will be described.
When it is determined that the vital information is an abnormal value, a message of “Do you want to perform measurement again?” Is displayed on the display screen 3b of the tablet terminal 3 to prompt re-measurement of vital measurement. Can. At the same time, as described above, the posture information 10 recorded in the vital information recording unit 4 is displayed, and a message of "Was vital measurement performed with the correct posture?" Is displayed. Furthermore, it is also possible to display a message of "Do you measure vital measurement at a fixed measurement time?"

  As described above, vital information is displayed by prompting the target person who has input vital information to be alerted and making a response to the effect that the target person himself / herself re-measures vital information via the input unit 3 a of the tablet terminal 3. Can be measured again, and the information of the result can be recorded in the vital information recording unit 4. This becomes the remeasurement vital information 13.

  The re-measured vital information 13 is used as the basis of calculation of the subsequent vital mean value, vital standard deviation, and the judgment reference information 13. Also, when displaying each vital information on the display screen 3b of the tablet terminal 3, the normal vital information recorded without re-measurement, the vital information targeted for re-measurement, and the re-measured vital Information is displayed with the color of characters indicating three pattern vital information being different.

  In addition, as another aspect in which the determination processing means 6 determines that the vital information is “abnormal value”, if the catecholamine release is suspected from the result of the subject's vital information, it is determined as “abnormal value”. It is an aspect. Catecholamine release is a phenomenon in which catecholamine (a type of adrenal medulla hormone) is released by physical stress. Cerebrovascular disease and heart disease are one of the disease states that develop when catecholamine release is triggered, and as a method of detecting these, it is possible to set a criterion that suspects catecholamine release.

A physiological sign that suspects catecholamine release is "acute increase in blood pressure accompanied by a large pulse pressure", and the condition to be determined by involving vital information is an increase in blood pressure with respect to systolic blood pressure and vital information on diastolic blood pressure. When the value of vital information (blood pressure) satisfying the condition of the following expression (5) is confirmed with (displacement of blood pressure), the possibility of the onset is suspected.
Large pulse pressure 収縮 systolic blood pressure / 2 · · · (5)
In addition, large pulse pressure is a value derived | led-out from "the highest blood pressure (systolic blood pressure)-diastolic blood pressure (diastolic blood pressure)." Also, “systolic blood pressure / 2” is a value obtained by dividing systolic blood pressure (hypotension) by 2.
With regard to vital information, it is also possible to indicate that catecholamine release may occur when vital information that satisfies the above equation (5) is acquired with an increase in blood pressure.
As described above, the state in which catecholamine release is suspected can be set as one of the determination reference information 18, and the determination processing means 6 can determine that it is an "abnormal value". Further, as described above, when it is determined that the value is “abnormal”, it is possible to prompt the measurement of vital information again.

As another method of determination by the determination processing means 6, a method of determining that "possibly abnormal" may be determined when the vital average value matches a predetermined condition.
Here, using the vital information recorded in vital information recording unit 4, the difference between the two vital average values is within a predetermined range by comparing the vital average value for the latest 7 days and the vital average value for the last 30 days. The determination processing means 6 determines that "there is a risk of going to an abnormality".

Here, it is conceivable that the predetermined displacement in the difference between the two average values is set as a value of 0.5 σ or more based on, for example, the vital standard deviation σ on the determination date. Even if there is intra-individual variation in the vital information of the subject, it is expected that the vital averages for the immediate 7 days of the decision day and the immediate 30 days of the decision day will be similar values under normal conditions. Ru. However, when the difference between the two vital mean values is a value of 0.5σ or more, a significant fluctuation occurs in the vital mean values, and with this phenomenon, the target person becomes an “abnormal value”. Although it can not be said, it may be considered as an indicator that the physical condition may deteriorate in the future, judging that "it is likely to go abnormal".
Here, the vital average value for the latest 7 days and the vital average value for the latest 30 days are examples of the "most recent vital average value" and the "control vital average value" in the claims of the present application.

  In this manner, the difference between the two vital average values is compared within a fixed period, and the determination processing means 6 is judged to indicate deterioration of the physical condition that "it is likely to go abnormally" and attention to the target person is made. It can be in the form of awakening or connecting to preventive medicine. In addition, the number of days of the latest 7 days and the latest 30 days is not necessarily limited to this. In addition, the vital information of the judgment date may or may not be included in the calculation basis of the vital average value, but by including the vital information of the judgment date, the presence or absence of fluctuation of the vital average value at the time of the judgment date It is preferable to include vital information of the judgment date, because

[7. Create Display Information]
In the health condition determination apparatus 1 to which the present invention is applied, it is possible to display the contents of the vital information of the subject as a normal distribution curve. It is also possible to display the vital information of the subject as a thermal chart. Although all are an example of a display mode of vital information of a subject person, it is a display mode which makes it easy to visually confirm a situation of intra-individual variation of vital information of the subject person. These pieces of information can not only be confirmed on the display screen 3b of the tablet terminal 3, but can also be confirmed on an external server or the like.

[8. Determination of measurement accuracy and determination of abnormal value based on the presence or absence of normal distribution]
The determination of measurement accuracy and the determination of an abnormal value based on the presence or absence of a normal distribution will be described with reference to FIGS. 12 and 13. In the health condition determination apparatus 1 to which the present invention is applied, QQ plots can be used as a method of confirming whether the measured vital information is fitted to the normal distribution. For example, the value of vital standard deviation is taken along the horizontal axis, and the value of percent of standard normal distribution corresponding to the cumulative probability of standard deviation is taken along the vertical axis, and the subject's vital standard deviation is plotted. If each plot is located on a straight line, it can be visually confirmed that the acquired vital information is normally distributed.

  For example, FIG. 12 (a) is a graph showing a Q-Q plot of standard deviation of body temperature for a certain period of time of a certain subject. In FIG. 12 to FIG. 14, the horizontal axis is the cumulative probability of certain measurements of the vital sign of the subject, and the vertical axis is the percentage of standard normal distribution corresponding to the cumulative probability of certain measurements. As shown in FIG. 12A, in the standard deviation of body temperature of this subject, it can be confirmed that the body temperature is normally distributed because most of the plots are located on a straight line. FIG. 12 (b) is also a graph showing a Q-Q plot of the standard deviation of systolic blood pressure, but also here, since most of the plots are located on a straight line, the body temperature is normally distributed. It can be confirmed that

  On the other hand, in the Q-Q plot of the standard deviation of the respiration frequency shown in FIG. 13A, the plots located in the vicinity of the value 1.0 on the abscissa and the value 2.5 or more on the abscissa are straight lines It's not positioned and it's far off. From this result, it can be confirmed that the number of respirations obtained from the subject is not normally distributed. Also, in the Q-Q plot of the standard deviation of the oxygen concentration (oxygen saturation) shown in FIG. 13 (b), one point of the plot located near the value 3.5 of the horizontal axis is not located on a straight line and is greatly deviated There is. In such a case, although the behavior is similar to the normal distribution, it is possible to confirm that the vital measurement of the day deviated from the straight line was not accurate. The value of the percentage of the standard normal distribution corresponding to the cumulative probability of the standard deviation, which is the value on the vertical axis of the QQ plot, can be calculated using a function such as known software, and such In conjunction with the function, an aspect is also conceivable in which a QQ plot is created each time. As described above, it is possible to confirm the accuracy of daily vital measurement by confirming whether vital information is normally distributed through QQ plots. In addition, as a further function, a QQ plot can be created, and when a value out of a certain range from a straight line connecting the plots is generated, a function to display that effect in any form can also be adopted. It can be easily confirmed that a value outside the normal distribution has arisen.

Subsequently, a series of information processing flows in software to which the present invention is applied will be described with reference to FIG.
FIG. 14 shows a flow of information processing from input of vital information to determination of abnormality and display of information as a result.
First, the value of the vital sign of the subject is measured by each measuring instrument, and the information of the measured value and the measurement date is input (S1). The input information is recorded in the vital information recording unit 4 (DB) as vital information of the subject (S2).

  The calculation unit 2 functions as the reference calculation unit 5 to calculate the determination reference, including the vital information to be the determination target recorded in the vital information recording unit (S3). Here, a vital mean value and a vital standard deviation are calculated, and based on these values, determination criteria (for example, upper limit value and lower limit value) under the set conditions are created. That is, the determination criterion is calculated each time the determination is made. In addition, as described above, when predetermined conditions are satisfied, part of vital information may be excluded from the calculation basis of vital mean value or vital standard deviation.

  Next, it is determined whether the input vital information of the determination target is an abnormal value based on the determination criterion (S4). For those that are not determined to be "abnormal" as a result of the determination, determination result information is recorded in vital information recording unit 4 (DB) (S8), and information on the determination result is displayed on display screen 3b (see FIG. S10). In addition, a thermal type table (see Fig. 15) in which temporal changes in vital sign values are graphed based on vital information of the target person (see Fig. 15) and an established density function (normal distribution curve graph) of normal distribution are displayed. These information can also be confirmed on the display screen 3b (S9).

  Further, it is determined whether or not the input vital information of the determination target is an abnormal value based on the determination criterion (S4). If the result of the determination is that it is determined to be “abnormal,” for example, display “Re-do measurement?” On the display screen 3b or alerting of the posture at the time of acquisition of vitals, and The subject is checked for the presence or absence of the remeasurement vital information (S6).

  Here, when the target person selects “no remeasurement vital information”, the determination result information of the abnormal determination is recorded in the vital information recording unit 4 (DB) (S8), and the information of the determination result is displayed on the display screen 3b. Is displayed (S10). Further, a thermal type table (see FIG. 15) and an established density function of a normal distribution (a graph of a normal distribution curve) are created as display information (S9), and these information can also be confirmed on the display screen 3b.

  In addition, when the subject selects “with remeasurement vital information”, the user is prompted to input the remeasured vital sign value and the measurement date and time, and the information into which the input remeasurement vital information is input is the remeasurement of the target person. It is recorded as vital information in vital information recording part 4 (DB) (S2). After this, calculation of the determination criteria (S3) and abnormality determination (S4) are performed again. If the determination indicates that the value is not an abnormal value, the determination result information is recorded in the vital information recording unit 4 (DB) (S8). Also, if it is determined that the value is an abnormal value, the process may proceed to the step of confirmation (S6) of presence or absence of remeasurement vital information, or since it is the second determination result, recording of the determination result information as it is ( You may proceed to S8).

  A series of information processing is completed at this point where the target person confirms the information of the determination result on the display screen 3b. As described above, the software to which the present invention is applied determines the health status from vital information.

  In addition, the display mode of the information of the determination result is not only displayed as a result of the presence or absence of abnormality, a thermal type table (see FIG. 15), or an established density function of normal distribution, but also the disease state panel of the subject (see FIG. 16). You may display in combination with. The disease state panel shown in FIG. 16 includes vital sign values, risk factors related to illness (previous history, lifestyle), nursing care records, and information on observation content. More specifically, the health of the subject Information related to the condition, in particular the disease, can also be displayed.

[Embodiment in determination of heat stroke]
Software to which the present invention is applied can be used for heatstroke determination. Specifically, for example, with a worker who works in an outdoor environment as a target person, vital information at the time of work is monitored at regular time intervals, and abnormality determination is performed on the acquired vital information.

  In the present embodiment, the subject wears the wearable vital measurement instrument 21a (see FIG. 7A) wearable on the arm, and the smartphone terminal 22a (see FIG. 7B) held by the subject The acquired vital information is transmitted to the administrator terminal via the communication terminal.

  The worker measures the various vitals (monitoring vital information) every hour from the start of the operation and, for example, at the start of the operation, for example, during calm time (reference vital information) before the operation by the vital measuring instrument 21a attached to the arm. Vital is mainly body temperature, pulse, diastolic blood pressure, systolic blood pressure, and respiratory rate. The acquired vital information is automatically transmitted to the smartphone terminal 22a as measurement information, together with the information on the measured date and time. In addition, measurement time here is not limited to 1 hour, A setting can be changed suitably.

  The smartphone terminal 22a which has received the measurement information from the vital measuring instrument 21a further transmits the same information to the management terminal side. The management terminal accesses the measurement information to the information management server 32a (see FIG. 2), and the measurement information is recorded in the vital information recording unit 4a. The measurement information is also recorded on the management terminal side. Here, the software of the present invention is installed in the information management server 32a, and recording of information, calculation of determination criteria, and determination of abnormality are performed.

  The calculation unit 2a of the information management server 32a functions as the reference calculation means 5a, calculates the vital mean value and vital standard deviation of the subject, and calculates the judgment standard based on this. For calculating the vital mean value and the vital standard acquisition deviation, it is possible to adopt either a mode of calculating including both of the reference vital information and the monitoring vital information, or a mode of using only one of them.

  The calculation unit 2a of the information management server 32a functions as the determination processing means 6a, and determines the abnormality of the vital information transmitted from the smartphone terminal 22a and recorded, with the determination criteria calculated by the reference calculation means 5a. The determination result is transmitted from the information management server 32a to the smartphone terminal 22a, and the worker can confirm the determination result on the terminal screen.

  In addition, when it is determined that the value is an abnormal value, if the configuration is such that the smartphone terminal 22a is notified of the situation by a warning sound or the like to stop the work or notify the work manager, the work is performed. It is possible to check the physical condition before a person has an abnormality in the physical condition, and prevent an accident etc. in advance.

Hereinafter, determination of abnormality is illustrated about the monitoring vital information of the body temperature in this Embodiment.
FIG. 17 is a graph showing an example of variation in monitoring temperature at a certain time of a subject on a certain work day.

  In FIG. 17, the vertical axis represents the monitoring temperature value (° C.), and the horizontal axis represents the elapsed time (hour) from the start of the work. Further, it is assumed that the line indicated by reference numeral 52 is the upper limit value (for example, μ + 2σ) of the determination standard at which determination of abnormality is made at the time of measurement of each monitoring body temperature. Further, two types of graphs are the result (number 53) which is not the target of determination of the presence of abnormality and the result (number 54) of the determination of the presence of abnormality in the monitoring temperature. In addition, originally, the judgment standard is calculated each time recording of each monitoring body temperature, but it does not become a fixed value like the line of the reference numeral 52, but in this case it is explained to judge the presence or absence of abnormality judgment. For convenience, it is a fixed value.

  As shown in FIG. 17, all monitoring body temperatures in the graph indicated by reference numeral 53 are lower than the upper limit value of the determination criterion, and it is not determined that the vital temperature of the body temperature is an abnormal value. On the other hand, for the graph indicated by reference numeral 54, the monitoring body temperature 4 hours to 8 hours after the start of measurement becomes equal to or higher than the upper limit value of the determination standard, so determination of "abnormal value" after measurement of each monitoring vital Is done.

  As described above, it is possible to measure the monitoring temperature every predetermined time from the start of the measurement of the temperature to determine the abnormality of the vital. The determination of abnormality can also be made similarly based on the vital signs other than the body temperature shown in FIG. 17, which are pulse, diastolic blood pressure, systolic blood pressure, and respiratory rate.

  Hereafter, the further application example of the content of the health condition determination apparatus to which this invention is applied is demonstrated.

[Linkage with electronic medical records and medical systems]
The health condition determination device to which the present invention is applied can be considered to be interlocked with an electronic medical chart introduced to a hospital. Since the electronic medical record records the information of the patient of the established hospital, by linking it with the information managed by the software to which the present invention is applied, the condition of the patient's more detailed basic disease, the history of the subject History, medication records, follow-up information, etc. can be used.

  Furthermore, since information on the progress of diagnosis by a doctor can also be confirmed, it is possible to improve the accuracy of determination of the state of health and to improve the usability as a diagnostic support tool. In addition, by adding the result of diagnosis and examination at the hospital to the information of the target person and recording it, the amount of personal information increases, leading to more accurate judgment. In addition, it is also more useful as a diagnostic support tool.

  Moreover, the aspect which combines the health condition determination apparatus to which this invention is applied, and the system of remote image diagnosis is also considered. For example, it is also possible to connect a device capable of acquiring image information such as a camera to the health condition determination device, transmit image information of the subject to the hospital side, and perform remote diagnosis. In addition, at that time, by transmitting the information on the heat type table of the target person to the terminal etc. on the hospital side, it is possible that the doctor can diagnose from a remote place while confirming the abnormal value of the vital value of the target person. Become.

  Moreover, the health condition determination apparatus to which this invention is applied can consider the variation of several operation versions according to the user's level. For example, if it is the aspect interlocked with the electronic medical record as mentioned above, it will become a diagnostic support tool at the time of a doctor's diagnosis in a hospital. Here, the information managed by the diagnostic device contributes to raising the diagnostic level of the doctor, since the information of daily diagnosis in the hospital is accumulated.

  Further, by giving a tablet terminal or the like having the function of the present invention to a specific nurse in a hospital, it can also be used as an auxiliary tool when the nurse makes a diagnosis instead of a doctor. Furthermore, a nurse with a tablet terminal can be useful when visiting and nursing at home or an elderly person who has moved into a facility.

  Moreover, about what a staff member such as a care facility uses, it is possible to improve the diagnostic level for a specific target person by accumulating information specialized for the resident.

[Application to disease prevention technology]
It is conceivable to use the health condition determination apparatus to which the present invention is applied to a typical disease prevention technology whose onset can be predicted by fluctuation of vital signs such as brain disease, pneumonia, heart failure and dehydration. When each disease described above develops, it often changes the vital sign specific to the disease. By setting the fluctuation of the vital sign specific to the disease as a determination condition, it can be connected to the prevention of the onset.

[Utilization to PHR (Personal Health Records) and medical big data]
In recent years, information and communication technology (ICT) has been remarkably developed, and information terminals such as smart phones, Internet communication environments using wireless LAN, and inexpensive, large-capacity databases such as cloud servers With this rise, it is possible to transmit and receive a large amount of data at high speed. As a result, all kinds of data, so-called big data, are gathered from all over the world, and services for various applications are performed using the necessary data.

  The Ministry of Health, Labor and Welfare in Japan will realize by 2025 a "comprehensive comprehensive care system" in which medical care, care, prevention, housing, and living support are comprehensively secured in order to support the elderly in the super-aged society across the entire community. And However, most of the underlying medical information is broken up at each office.

  For example, it is not uncommon to share information among medical institutions, even with the use of facsimiles or with the lack of continuity of health data among facilities, and it is an age-old for the period called the fourth industrial revolution. It has the appearance. The medical information collaboration network has been tried at 170 locations around the country, but it has not been able to cover the whole region and population of the whole country, and it has problems such as operation costs and low utilization rate, and is integrated into a common platform. It has not come to be done.

  Therefore, Japan's Ministry of Health, Labor and Welfare said, “Every single citizen manages their own lifetime health, medical care, and nursing care information in chronological order, and uses the information themselves to achieve high quality that matches their own health status. The PHR concept, which aims to receive services, is being considered (from the Ministry of Internal Affairs and Communications, and the Ministry of Health, Labor and Welfare, "The round-table conference on medical ICT in the cloud age"). PHR is an abbreviation of Personal Health Records, and is a mechanism by which an individual can collect or store medical information or health information about himself for life and use it.

  According to this, "Because it is necessary to refer not only to the latest information but also to the past information, the person can manage the information for the lifetime of his / her life so that he can use it for the service he / she wants to use". , If this PHR concept is realized, even if there is no integration of platforms, "evaluate caregiving notebooks", "evaluate health checkup and checkup information in municipality and workplace, and vital data and life related information" It will be possible to conduct various operations by linking medical care, nursing care, health and personal information, such as centralized management of

  In addition, in order to create an environment where big data can be used easily by each ministry and agency, in conjunction with the "PHR concept", which unifies the format of data (API etc.) and makes it easier to retrieve necessary data, The “Medical ID” concept, which makes it easier to identify and maintain personal data, and “Amendment of the Personal Information Protection Act” is planned so that anonymized information can be used without permission from individuals for development and treatment. There is.

  In this concept, with regard to vital data, reference is made as follows. "On the anonymizing the person's health, medical care, and nursing care information, analysis and utilization as big data, so-called secondary use, is also considered as an important factor in considering the sustainability of the PHR service In particular, with regard to vital data, there are currently various devices and services in the market, but when integrating data with PHR and utilizing data, the effects of health management should be considered. It is desirable to unify the API between the granularity of data and the platform to collect PHR, with a view to secondary use for the purpose of analysis etc. "

  In the future, an aspect may be considered in which the health condition determination apparatus (or the present health condition determination method) to which the present invention is applied is linked to the PKR concept. When integrating this device and utilizing vital data, the major difference from existing technologies is that when performing health management, “Taylor-made diagnosis” tailored to the characteristics of each individual, rather than comparing with general data , So-called "personalized medicine". Furthermore, analysis of medical big data will open the way for preventive medicine and help "artificial intelligence" to support that. In the future, it is considered that the health condition determination device to which the present invention is applied greatly contributes to the realization of the PHR concept.

[Doctor, nurse education software]
Moreover, the health condition determination device of the present invention can also be used as a teaching tool for medical workers. In addition to the present invention, by combining the disease condition discrimination flowchart database, it is possible to create educational software combining a question and an answer based on such information. In addition, scores of a plurality of medical workers who use educational software can be recorded and ranked, and a doctor's or nurse's evaluation table can be created.

[Reference tool when nurse prescribes medicine]
It can also be used as a reference tool for nurses in prescribing medicine. For example, information on the subject's medication history is recorded in the subject's personal information. As a result, data indicating "what kind of medicine was prescribed at what kind of symptom" is accumulated, and it can be used by the pharmacist as reference information when taking medicine. In addition, depending on the type of medicine, it can be expanded to use for taking medicine without intervention of a pharmacist. It is also possible to easily check the medication history by a drug engineer.

[Drug management and delivery service]
Furthermore, by linking the information on medication history and the delivery service, it is possible to automatically deliver the medicine required by the subject regularly at the necessary time.

[Link with health checkup data at work and school]
The health condition determination device of the present invention may be considered to record and utilize information of regular health checkup at work or school. In this case, since the acquisition period of vital information is open, the attention, the warning, and the determination of the abnormality are appropriately set. This will be useful for the health management of the subject. It also serves as a means to acquire vast amounts of clinical data. Furthermore, comprehensive health management of the target person becomes possible by linking with the information of the health check conducted by a public organization.

[Local health management in remote areas]
The health condition determination device of the present invention can also be used for on-site health management at remote locations. For example, the health condition determination device of the present invention is installed in the relevant country on a business trip abroad, a ship that has gone out to ocean fishing, an overseas dispatch destination of the SDF, or the like. This enables health management of the target person even in countries with low medical levels and places without medical facilities. Further, in combination with the remote diagnosis as described above, diagnosis by a doctor can also be performed.

[Confirmation of disease occurrence status by region]
The health condition determination apparatus of the present invention can contribute to preventive medical care of regional medicine by linking it with information on the disease occurrence status according to the area. For example, linking to information on the influenza epidemic can lead to preventive measures in the area where the health condition determination device is used. In addition, the information of the target person in the endemic area can be used as clinical data.

[Air environment detection]
Furthermore, the air environment detection mechanism and the health condition determination device of the present invention can be combined. The air environment detection mechanism detects the concentration of formaldehyde or PM 2.5, determines the degree of air pollution of the area, etc. from the concentration, and can be configured to urge the user of the apparatus to be alerted. In addition, in conjunction with administrative services, it can also be used as a reminder to target area residents and an information acquisition tool for environmental improvement.

[Utilization for adjustment of indoor environment]
Based on the information recorded in the health condition determination apparatus of the present invention, utilization to a healthcare home that enables adjustment of the room temperature and humidity by the air conditioner can be considered. It is possible to control the environment to the room temperature and humidity suitable for the subject who is determined to have an abnormal vital sign value, and to control to an appropriate set temperature and the like in which a healthy state can be easily maintained.

[Care record software and care request software]
The health condition determination device to which the present invention is applied can be considered to be interlocked with the care record software and the care request software. By managing the information of the care record inputted into the care record software by the information management unit, data of "what kind of care is appropriate for what kind of care" is accumulated. This makes it possible to provide uniform services to the care recipient without being influenced by the skill level of the carer. Yet another aspect in conjunction with the care record software is described below.

  When linked with the nursing care request software, it can be used as a support tool such as calculation of nursing care costs. As a result, it is possible to easily confirm the cost incurred for the provided care content, which can lead to an improvement in work efficiency.

[Health check of the care staff]
The health condition determination device to which the present invention is applied can also be used to check the health condition of the care staff on the care side. Health management is performed by measuring vital information of the care staff and transmitting it to the health condition determination device. This can lead to the improvement of the working environment at the care site.

[Watching function]
In addition, when linked with a care facility or a monitoring system for elderly people living alone, when a vital value abnormality is determined or when a target person's operation is abnormal, a watching target person (for example, a watching target person , Family etc.) can be considered. For example, a motion sensor may be installed in the house to automatically alert a security company or a family member when a resident does not move in the bathroom for a certain period of time. At that time, the recording of vital information of the watching target may be simultaneously transmitted as data.

[Diet, physical condition management]
The health condition determination device to which the present invention is applied can also be used as a device for supporting the diet and physical condition management of the user. For example, a configuration may be adopted in which advice for weight loss is displayed based on vital information and information on calories consumed by the diet. It is also possible to offer multiple weight loss programs in partnership with facilities such as a training gym.

[Utilization to wearable devices]
A mechanism is also conceivable in which the health condition determination device of the present invention is interlocked with a wearable device. In recent years, small wearable devices that can be worn on the body have been developed. Using these devices, various vital information such as body temperature, pulse, systolic blood pressure and diastolic blood pressure can be obtained in real time. In the health condition determination apparatus of the present invention, the application range can be greatly expanded by combining with a wearable device as acquisition means of vital information and display means for displaying the determination result. Also, it can be used as a device for self-management to manage physical condition by oneself.

[Utilization of application software]
Moreover, although it mentioned above, the structure which provides the function of the health condition determination apparatus of this invention as application software, and makes it useable with a portable terminal or a tablet terminal can be considered. As a result, the functions of the present apparatus can be easily used, and convenience can be improved. In addition, it contributes to the improvement of the penetration rate of this device and can lead to the acquisition of wider clinical data.

[Shopping support software]
It is also conceivable to link the information recorded in the health condition determination device of the present invention with a product sales website on the Internet or software for supporting product purchase. By providing a function that recommends food and health appliances according to the health condition of the user, reference information at the time of product purchase can be obtained.

Animal Health Management
The health condition determination device of the present invention is also considered to be used for animals. It can contribute to the health management of wildlife and animals as well as humans, as well as pets and zoos. Also, by accumulating clinical data and diagnostic information of animals, medically and academically useful information can be obtained.

[Installation to vehicle]
The aspect which installs the health condition determination apparatus of this invention in a vehicle is employable. For example, a vital measuring instrument (for example, a thermometer, a pulse meter, a respiration rate sensor, etc.) is installed in the driver's seat, and when the driver's physical condition is suspected, alerting is urged. In addition, in combination with an alcohol detector, it may be configured to check drunk driving.

As described above, the health condition determination apparatus according to the present invention can accurately capture the intra-individual variation that is different for each target person, reflecting the vital sign taking into consideration the individual differences of the target person and the daily physical condition. , It contributes to the health management of the target person and the provision of medical care appropriate for each person's individuality.
In addition, the health condition determination method of the present invention can accurately capture intra-individual variation different for each target person, reflecting vital signs taking into consideration individual differences of the target person and daily physical condition, and the target person It contributes to the health management of and the provision of medical care appropriate to each individual's individuality.

Reference Signs List 1 health condition determination device 1a software 2 operation unit 2a operation unit 3 tablet terminal 3a input unit 3b (tablet terminal) display unit 3b (tablet terminal) display screen 3c (tablet terminal) information transmission / reception unit 4 vital information recording unit 4a vital information recording Part 5 Reference calculation means 5a Reference calculation means 6 Judgment processing means 6a Judgment processing means 7 Personal information 8 Vital information 9 Standard time information 10 Posture information 11 Air temperature information 12 Judgment result information 13 Re-measurement vital information 14 Average value calculation means 15 Standard deviation Calculation means 16 Normal distribution calculation means 17 Judgment criteria setting means 18 Judgment information 19 Questionnaire information 20 Health inquiry information 21a Vital measure 21b Thermometer 22a Smartphone terminal 22b Personal computer terminal (PC terminal)
23 information input means 24 information recording means 24a information recording means 30a Internet 32a information management server 32b software 32c software 32d software 50a user terminal 50b external terminal 60a user terminal 60b external terminal 70b management terminal

Claims (29)

Software for determining the health status of an individual based on vital information that is the value of a vital sign measured,
Information processing equipment,
An information input unit that receives an input of the vital information measured from the same individual and information of measurement date and time;
An information recording means for recording the input vital information and information of measurement date and time;
Reference calculation means for calculating at least one selected from the average μ and the standard deviation σ of all or part of the plurality of pieces of vital information recorded;
A determination unit that determines whether or not the input predetermined vital information is an abnormal value based on a predetermined numerical range set based on at least one selected from the average μ and the standard deviation σ; ,
Software to function as a means that includes The software according to claim 1, wherein the reference calculation unit calculates the average μ and the standard deviation σ, and calculates a normal distribution from the average μ and the standard deviation σ. The software according to claim 1 or 2, wherein the reference calculation means calculates the average μ and the standard deviation σ from at least two pieces of vital information of a predetermined period recorded in the information recording means. The said reference | standard calculation means calculates said average (micro | micron | mu) and said standard deviation (sigma) from the said vital information of at least 30 days or more recorded on the said information recording means. software. The determination means sets the lower limit value and the upper limit value of the equation (2) to the value of the following equation (1) expressed using the average μ, the standard deviation σ, n greater than 0, and m. The software according to any one of claims 1 to 4, wherein it is determined whether or not the input predetermined vital information is an abnormal value based on at least one of the lower limit value and the upper limit value.
μ-nσ equation (1)
μ + mσ formula (2) The software according to any one of claims 1 to 5, wherein the vital information includes vital sign values measured at least once in the morning and afternoon of the same day. The reference calculation means
Among the plurality of vital information recorded in the information recording means, except for vital information whose displacement from the value of vital sign measured on the previous day exceeds a predetermined range, at least at least the average μ and the standard deviation σ. The software according to any one of claims 1 to 6, which calculates one. The health inquiry information recording means for recording, together with the information of the date of the inquiry date, the first health inquiry information in which the result of the inquiry regarding the same individual regarding at least one health condition is determined as normal or abnormal for each item,
The reference calculating means is a part of the first health inquiry information based on the first health inquiry information recorded in the health inquiry information recording means among the plurality of vital information recorded in the information recording means. The software according to any one of claims 1 to 7, wherein at least one of the average μ and the standard deviation σ is calculated except vital information measured on the day when at least one abnormality is recorded in the content. The reference calculating means further comprises, from the vital information recorded in the information recording means, an average value of the latest vital average value μ which is an average value of vital sign values for the last 7 days and an average of vital sign values for the last 30 days. Calculate the control vital average value which is the value,
The software further includes software for causing the information processing device to function as a second determination unit.
The second judging means judges that the value of the physical condition deterioration tendency is a value when the difference between the most recent vital average value and the control vital average value exceeds a predetermined range. Software described in Item 1 The information input means receives the input of the remeasured vital information and the measurement date and time of the same individual measured again after the predetermined vital information input by the determination means is determined to be an abnormal value,
The information recording means records the re-measurement vital information and the information of measurement date and time,
The software further includes software for causing the information processing device to function as a third determination unit.
The software according to any one of claims 1 to 9, wherein the third determination means determines whether or not the re-measurement vital information has an abnormal value. The information recording means records reference measurement time information which is information of a time to be a reference for performing vital measurement;
The reference calculation means excludes vital information in which a time difference between the measured date and time and the reference measurement time information exceeds a predetermined range among the plurality of vital information recorded in the information recording means. The software according to any one of claims 1 to 10, wherein at least one of the average μ and the standard deviation σ is calculated. The software according to any one of claims 1 to 11, wherein the type of vital signs includes at least one selected from body temperature, pulse, systolic blood pressure, diastolic blood pressure and respiratory rate. The reference calculation means calculates at least one of the average μ and the standard deviation σ including the predetermined vital information including the value of vital signs of the same individual and information of measurement date and time recorded in the information recording means. The software according to any one of claims 1 to 12. The software according to any one of claims 1 to 13, wherein the information recording means can record individual identification information capable of identifying an individual in association with the vital information. The software according to any one of claims 1 to 14, wherein the vital signs are vital signs measured from at least one of a human and an animal. The vital information includes reference vital information including vital sign values measured before a predetermined measurement start time and measurement date and time information, and vital sign information measured a plurality of times during a predetermined time from the predetermined measurement start time And monitoring vital information including information on value and measurement date,
The software according to claim 1, wherein the reference calculation unit calculates at least one of the average μ and the standard deviation σ of the vital information from at least one of the reference vital information and the monitoring vital information. 17. The software according to claim 16, wherein the reference calculation unit calculates the average μ and the standard deviation σ of the vital information from the reference vital information and the monitoring vital information. The determination means sets the lower limit value and the upper limit value of the equation (2) to the value of the following equation (1) expressed using the average μ, the standard deviation σ, n greater than 0, and m. The software according to claim 16 or 17, wherein it is determined whether or not the input predetermined vital information is an abnormal value based on at least one of the lower limit value and the upper limit value.
μ-nσ equation (1)
μ + mσ formula (2) The health inquiry information recording means for recording, together with the information of the date of the inquiry date, second health inquiry information in which a plurality of interview results concerning the health condition for the same individual are judged as normal or abnormal for each item,
The reference calculation means
At least one abnormality in the contents of the second health inquiry information based on the second health inquiry information recorded in the health inquiry information recording means among the plurality of vital information recorded in the information recording means The software according to any one of claims 16 to 18, wherein at least one of the average μ and the standard deviation σ is calculated except for vital information measured on the day when is recorded. The reference calculation means
Among the plurality of vital information recorded in the information recording means, except for vital information whose displacement from the value of the vital sign measured on the previous day or the immediately preceding timing exceeds the predetermined range, the average The software according to any one of claims 16 to 19, wherein at least one of μ and the standard deviation σ is calculated. Reference vital information including vital sign value and measurement date and time information measured before a predetermined measurement start time point, vital sign value and measurement date and time measured a plurality of times during a predetermined time from the predetermined measurement start time point Software for determining the health status of an individual based on vital information composed of monitoring vital information including information, comprising:
Information processing equipment,
An information input unit for receiving an input of the vital information measured from the same individual;
Information recording means for recording the input vital information;
Health inquiry information recording means for recording, together with information on the date of the inquiry date, third health inquiry information in which a plurality of interview results concerning the health condition for the same individual are judged as normal or abnormal for each item;
At least one abnormality in the contents of the third health inquiry information based on the third health inquiry information recorded in the health inquiry information recording means among the plurality of vital information recorded in the information recording means A reference average value calculation unit that calculates an average μ of all or part of the vital information except for vital information measured on the day when
The difference between the average μ and the vital sign value of the predetermined vital information input, or the difference between the average μ and the average μ at the previous day or one measurement before, is compared with a predetermined numerical value Determining means for determining whether the value is abnormal or not;
Software to function as a means that includes The reference average value calculation unit
Among the plurality of vital information recorded in the information recording means, except for vital information whose displacement from the value of the vital sign measured on the previous day or the immediately preceding timing exceeds the predetermined range, the average 22. Software according to claim 21, calculating μ. Software for determining the health status of an individual based on vital information that is the value of a vital sign measured,
Information processing equipment,
An information input unit that receives an input of the vital information measured from the same individual and information of measurement date and time;
An information recording means for recording the input vital information and information of measurement date and time;
Among the plurality of vital information recorded in the information recording means, the vital information except for the vital information whose displacement from the value of the vital sign measured on the previous day or the previous timing is over a predetermined range, A reference average value calculation unit that calculates an average μ of all or part of information;
The difference between the average μ and the value of the vital sign of the predetermined vital information input or the difference between the average μ and the average μ at the time of measurement of the previous day is compared with a predetermined numerical value to obtain an abnormal value. Determining means for determining whether or not
Software to function as a means that includes Providing health inquiry information recording means for recording fourth health inquiry information in which the result of questioning regarding at least one or more health conditions for the same individual is judged as normal or abnormal for each item together with information on the date of inquiry day,
The reference average value calculation unit is a fourth health inquiry based on the fourth health inquiry information recorded in the health inquiry information recording means among the plurality of vital information recorded in the information recording means. The software according to claim 23, wherein the average μ is calculated excluding vital information measured on the day when at least one abnormality is recorded in the content of the information. A health condition determination apparatus for determining the health condition of an individual based on vital information which is a value of a vital sign measured,
An information input unit that receives an input of the vital information measured from the same individual and information of measurement date and time;
An information recording means for recording the input vital information and information of measurement date and time;
Reference calculation means for calculating at least one selected from the average μ and the standard deviation σ of all or part of the plurality of pieces of vital information recorded;
A determination unit that determines whether or not the input predetermined vital information is an abnormal value based on a predetermined numerical range set based on at least one selected from the average μ and the standard deviation σ; ,
And a display unit capable of displaying the determination result determined by the determination unit. A thermal distribution table is created based on the vital information recorded in the information recording means, and a normal distribution curve is formed by graphing the probability density function of the normal distribution based on the normal distribution calculated from the vital information of a predetermined period. Equipped with display information creation means to create
The health condition determination apparatus according to claim 25, wherein the display unit is configured to be able to display the thermal type table and the normal distribution curve generated by the display information generation unit. A health condition determination method for determining the health condition of an individual based on vital information which is a value of a vital sign measured,
A reference calculation step of calculating at least one selected from the average μ and the standard deviation σ of vital information of a certain number of days or more among the vital information measured from the same individual;
A determination step of determining whether the input predetermined vital information is an abnormal value based on a predetermined numerical range set based on at least one selected from the average μ and the standard deviation σ; A method of health condition determination. The determination step is performed by using the average μ, the standard deviation σ, n greater than 0, and the value of the following formula (1) represented by using m as a lower limit value and an upper limit value of the formula (2) 28. The health condition determination method according to claim 27, wherein it is determined whether or not the input predetermined vital information is an abnormal value based on at least one of the lower limit value and the upper limit value.
μ-nσ equation (1)
μ + mσ formula (2) An information recording step of recording the vital information pertaining to the same individual;
A reference calculation step of calculating at least one selected from the average μ and the standard deviation σ of all or part of the plurality of pieces of vital information recorded;
A determination step of determining whether the input predetermined vital information is an abnormal value based on a predetermined numerical range set based on at least one selected from the average μ and the standard deviation σ; Perform health condition determination method.

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