JP2020087115A - Action support system of subject using disease/handicap code, and action support method - Google Patents

Abstract

To provide an action support system which effectively utilizes private information of a child with developmental disability collected together with a disease/handicap code and is capable of analyses from diversified perspectives.SOLUTION: An action support system has: a subject terminal machine 12; a supporter terminal machine 13; a manager server 10 connected to the subject terminal machine and the supporter terminal machine by communication line; and a database recording subject data with a disease/handicap code collected by the terminal machines. In the action support system giving support assistance in accordance with characteristic of a subject according to the subject data, the database has a first database 11 for first data disclosed only to the subject and the supporter, and a second database 21 for second data available for the third party as well, and is provided with an interface 20 which makes the second data available for the third party via a third party terminal 23 and communicates with the second database and the third party terminal machine in order to facilitate development of support means by the third party.SELECTED DRAWING: Figure 2

Description

The present invention uses, for example, a disease/disability code such as an ICF code or an ICD code to create a checklist of behaviors of subjects including a mentally ill person, a child with developmental disability, an elderly person with dementia, etc., and scores from the checklist. The present invention relates to an action support system and an action support method that captures a subject from various viewpoints based on the converted action data and provides appropriate support according to the individual characteristics of the subject, and promotes development of support means.

Examples of the disease/disability codes that have been defined in advance for the classification of diseases and injuries include, for example, the International Classification of Functioning (Disability and Health, ICF) established by the World Health Organization (WHO), diseases and related The International Statistical Classification of Diseases and Related Health Problems (ICD) is known.
Here, the International Classification of Living Functions (ICF) is a medical standard that categorizes health status, psychosomatic function, and disability status as mutual influence relationships and independent items, and aims at a comprehensive and neutral description of life from the perspective of the parties. Then, it is a code (hereinafter referred to as an ICF code) of a combination of an alphabet and a number for a living functioning state related to an individual's health condition, a social system surrounding the individual, a social resource, and the like. According to this ICF code, personal information on the whole body and life, that is, personal information indicating the direction of health, medical care, welfare services, and eventually the social system, is constructed based on the standardized rules. Therefore, if personal information (ICF information) based on this ICF code is put into a database, it can be expected to be useful in various fields including the engineering field, health field, medical field, and welfare field.

The inventor of the present invention uses the ICF code to identify children with developmental disorders such as AD/HD (attention deficit/hyperactivity disorder), ASD (autism spectrum disorder), and LD (learning disorder). Of an educational support system according to the individual characteristics of children, and a proposal of a system that matches the supporting teaching materials and supporting environment suitable for the individual characteristics, "Introduction of the development research of the educational support system according to the individual characteristics of children with developmental disabilities" (See Non-Patent Document 1).

Published by NuScience, Inc. Medical Science Digest 2017 Volume 43 September issue (Vol. 569) P9-P14 Sakiko Ogoshi and Yasuhiro Ogoshi "Introduction of research and development of educational support system according to individual characteristics of children with developmental disabilities"

However, in the future, in order to provide appropriate support according to various individual characteristics of subjects with diseases/disorders such as mentally ill persons, children with developmental disabilities, and elderly people with dementia, disease/disability codes such as ICF code and ICD code will be provided. It is desired to make effective use of the personal information of the test subjects collected together with the analysis, and to conduct analysis from a multifaceted perspective. In addition, it is not limited to people with mental illness, children with developmental disabilities, and elderly people with dementia, but also behavioral support systems and behavioral support methods for subjects that can be applied to people with intellectual disabilities, persons with physical disabilities, patients undergoing rehabilitation due to injury or illness, etc. Development is desired.
The present invention has been made to meet such a demand.

In order to achieve the object of the present invention, the inventor of the present invention has focused on IoT (Internet of Things), the use of which has been promoted in recent years. In addition, APIs (Application Programming Interfaces) will be used to promote the use of data collected by IoT and to promote and expand the development of support devices and methods. Information is collected and input to the database by subjects (children with developmental disabilities, elderly, intellectually disabled, physically handicapped, patients undergoing rehabilitation due to injury or disease, etc.) connected to the database, parents, teachers. , Specialists (including doctors, therapists, and education specialists) and other supporters perform on personal computer (PC), smartphones, subject terminals such as tablet terminals, or supporter terminals. The data collected in this way and accumulated in the database is also disclosed to third parties other than the subject and the supporter via an interface such as API, and supports various support applications, support devices, support methods, etc. While promoting the development of the means, it can be utilized not only for the support of the subject himself but also for the support of the subject by the supporter through the various applications and supporting devices that have been developed.

Specifically, a subject behavior support system using the disease/disability code of the present invention is, as described in claim 1, a subject terminal used by the subject and a supporter used by a supporter who assists the subject. A terminal, the subject terminal, and an administrator server connected to the supporter terminal via a communication line, and collected by the subject terminal and the supporter terminal, and associated with a disease/disability code. In a behavior support system that has a database that records data about the subject, and that assists assistance according to the individuality of each subject based on the data accumulated in the database, the database is one of the data. , A first database that records first data that is disclosed only to pre-specified persons including the subject and the supporter, and of the data, also disclosed to third parties other than the subject and the supporter. A second database that records second data that is allowed to be used and is used by the third party by connecting the second data to the administrator server via the communication line. The second database and the third-party terminal to enable the third-party to use the third-party terminal and to promote the development of support means for supporting the subject by the third-party. It is configured to include an interface that mediates communication between the two.

According to this configuration, the data regarding the behavior of the subject is collected from the subject and the supporter and accumulated in the database. At this time, a disease/fault code is linked to the data according to the action item of the subject. In addition, the above-mentioned data is the first data that is disclosed only to pre-designated persons including the test subject and the supporter, and is also disclosed to a third party who is a developer of the support application or support device, and the use is permitted. The first data is recorded in the first database and the second data is recorded in the second database.
The third party can access the second database, read the second data, and use the necessary second data to develop support means such as a support application or a support device. Since the second data is also disclosed to the third party, it is preferable that the second data is anonymous data that cannot directly or indirectly identify the subject. For example, an action item group that cannot identify a subject, an ICF data group or an ICD data group corresponding to each action item, and the like can be mentioned.

A well-known API (Application Programming Interface) can be used as the interface.
As described in claim 2, the second data disclosed to a third party and used for the development of the supporting means is the action item set for each subject and the string related to this action item. A related disease/fault code group including a plurality of attached disease/fault codes may be used.

The third party can develop an assisting device, an assisting application, etc. based on the related disease/disorder code group.
Further, as described in claim 3, one or a plurality of disease/disability codes related to the action item to be supported may be linked to the support means developed by the third party. The subject and the supporter can select the most appropriate support means from the plurality of support means according to the individuality of the subject, using the linked disease/disability code as a clue.

Further, as described in claim 4, when a plurality of disease/disability codes are associated with one action item or one support means, the action item or the action item to be supported by the support means , It is preferable to perform weighting in descending order of relevance. By doing so, it becomes easier to select the optimum support means according to the individuality of the subject.

Further, as described in claim 5, when the support means developed by one of the third parties can be used and browsed by the other third party, the subject, and the supporter. Good. If the third party terminal, the subject terminal, or the supporter terminal can communicate with each other through the interface, the support means developed by one of the third parties can be replaced by another third The person, the subject, or the supporter can browse and use the information.
For example, a subject or a supporter installs and uses a support application developed by one third party on a terminal device, or another third party who develops support equipment is developed by the third party. It is possible to browse or use the support application or support device that has been created, and improve the support means or divert it to another action support.

As described in claim 6, which of the optimal support means is selected from the disease/disability code associated with the plurality of support means and the disease/disability code associated with the action item of the subject. A judgment means for judging may be provided. By doing so, it becomes possible to select the most suitable support means for the subject from among the plurality of support means.

If one subject uses multiple support facilities such as a school, support center, hospital, rehabilitation facility, nursing care facility, etc., if each facility has its own behavior support system, link them to each other. Allowing one subject to collect more multi-faceted data.
At this time, different action items are often defined by different action support systems. In order to link them with each other, it is necessary to associate the action items with each other for the plurality of action support systems. Therefore, in the invention according to claim 7, the common behavior item of the subject recorded in the first database and/or the second database of another behavior support system is the same from the commonality of the disease/disability code. A similarity determination/link functioning to determine the relevance of an action item with another action support system and share the data about the related action item with the other action support system. It is configured to include a mechanism.

The problems of the present invention can also be solved by the support methods described in claims 8 to 12.
According to an eighth aspect of the invention, a subject terminal device used by a subject, a supporter terminal device used by a supporter who assists the subject, the subject terminal device, and the supporter terminal device are connected via a communication line. Prepared administrator server, and a database that records data about the subject, which is collected by the subject terminal device and the supporter terminal device and is associated with a disease/disability code, and is stored in the database. In a behavior support method for assisting support according to individual characteristics of individual test subjects based on the data, the data recorded in the database is disclosed only to pre-designated parties including the test subject and the supporter. Separated into one data and the second data that is open to the public and permitted to be used by a third party other than the subject and the supporter, and the behavior set for each subject in the second data. An item and a related illness/fault code group consisting of a plurality of illness/fault codes linked to this action item are included, and the third party is connected to the administrator server by the communication line. Development of support means for supporting the subject by the third party based on a related disease/disability code group by disclosing the second data through a third party terminal used by the third party There is a way to encourage.

As described in claim 9, one or more illness/disability codes related to an action item to be supported may be linked to the support means developed by the third party, As described in 10, which of the disease/disability codes is associated with the plurality of the assisting means and the disease/disability code associated with the action item of the subject, which is the optimal assisting means for one subject. It may be determined whether or not.
Further, as described in claim 11, weighting may be performed on the plurality of disease/fault codes in descending order of relevance to the action item.

As described in claim 12, in cooperation with another action support system that manages the first data and the second data, the first data and the second data of the other action support system. Regarding the behavior item of the common subject of, the relevance of the behavior item with the other behavior support system is judged from the commonality of the disease/disability code, and the first data and the related behavior item Alternatively, the second data may be shared with the another action support system.

According to the present invention, it is possible to collect extremely diverse data for one subject, and it is possible to provide optimal assistance to the subject. Then, it is possible to find out the relationship between the evaluation of one action and the evaluation of one or more other actions from the abundant data collected, and the support provided for that one action is different. By analyzing what kind of influence it has on the evaluation of one or a plurality of behaviors of the subject, it becomes possible to support the subject in various fields.
Further, by opening the second data to the third party, the third party uses the second data to support various supporting applications, supporting devices, supporting methods and the like corresponding to the action items. Can be developed. The subject and the supporter can select the optimal support means for the subject from the disease/disability code associated with the support means.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings.
In this embodiment, a child with a developmental disability is taken as an example of a subject, and an ICF code (including ICF-CY, which is a child's version of the child) is taken as an example of a disease/disorder code. It can be widely applied to all subjects who can support behavior using disease/disability codes such as ICF code and ICD code, such as sick people, elderly people, people with intellectual disabilities, people with physical disabilities, and patients undergoing rehabilitation due to injury or illness. Is.

FIG. 1 is a diagram illustrating the relationship between the behavior of a child with a developmental disability (hereinafter referred to as a subject) and the association of an ICF code with each behavior.
As shown in (a), the action items to be checked by a certain subject include, for example, "I did homework for school", "I ate breakfast well", "I was able to attend school without a gap", and "I was able to greet". It includes action items that should be evaluated, such as "I did not fight with my brother." About 400 items are prepared in advance as the action items, and action items corresponding to the subject in advance include guardians, teachers, experts (including doctors, therapists, and educational experts) and other supporters. (Hereinafter collectively referred to as “supporter”). The selected action item can be appropriately changed, deleted, or modified according to the subsequent action state of the subject. The number of action items to be selected varies depending on the degree of developmental disorder of the subject and the like, but can be about 25 to 50 as a guide. For each action item selected in this way, the supporter checks daily and the degree of achievement is recorded as an evaluation of multiple stages (five stages in the illustrated example).

Each action item is linked to an International Classification of Functioning (Disability and Health, ICF) code (ICF code) defined by the World Health Organization (WHO).
The ICF code is a combination of the components of b (mental and physical function), s (body structure), d (activity and participation), e (environmental factor) and the numbers of each level, and is an internationally common classification. Action items are expressed. It should be noted that one action item is not always represented by one ICF code, and is often represented by a plurality of ICF codes.

For example, "I did my homework for school" means "a mental function that induces an action, that is, a motive force for a conscious or unconscious act" (b1301), "a mental function that concentrates for a predetermined time" (b1400). , "To perform a simple action or a complex and coordinated action in order to achieve the requirements of daily procedures and obligations" (d2302), which can be expressed by three ICF codes.
Each action item is given an item number such as "7: Eat breakfast thoroughly", "20: Do homework for school", etc., and as shown in FIG. Along with the item number, the corresponding one or more ICF codes are recorded in the database.

When a plurality of ICF codes are attached to one action item, the ICF codes may be weighted. For example, as shown in FIG. 1B, weighting is performed in order from the ICF code that is closer (heavier) to one action item, such as ICF codes 1, 2, 3,. The weight may be a numerical value such as 100, 90, 70,... Or may be a preset rank such as 1, 2, 3,... Or A, B, C. ..
By performing such weighting, there are a plurality of support means that can be used to support a specific subject, such as support equipment and support applications and support methods developed by a third party other than the subject and the supporter. When the ICF code is associated with each of the means, it becomes possible to select the optimum support means for the subject from the plurality of support means by using the weighted ICF code as a guide. Further, when a support system such as the present invention for a specific subject is operated separately in a plurality of facilities such as a school, a support facility, and a hospital, ICF codes weighted in the plurality of support systems are used. As a guideline, common action items can be linked between mutual support systems.

The content evaluated for each action item is recorded as a score in the database in association with the action item number for each subject. For example, as shown in FIG. 1C, the action item number and the evaluation (score) of the action item on that day for each subject (each subject is assigned an ID (identification information) and is managed by the ID). Recorded in the database.

FIG. 2 is a diagram for explaining the configuration of an embodiment of the action support system of the present invention.
The action support system 1 of this embodiment includes an administrator server 10 that manages the action support system 1, a first database 11 that reads and writes first data via the administrator server 10, and an administrator server. A first network N1 that connects the first database 11 to the subject terminal 12 used by the subject and the supporter terminal 13 used by the supporter through 10 and an API having a webAPI function. A server 20, a second database 21 for reading and writing second data via the API server 20, a second database 21 via the API 20, a subject terminal 12 used by a subject, and a supporter's use It is possible to access the supporter terminal device 13, the RFID reader 21 that communicates with the IC tag owned by the subject, and the third party third party terminal device 23 that develops support means such as support applications and support devices. And a second network N2 connected to.

In addition, the first data and the second data include, for example, data including data about an individual who can identify a subject, and the first data is opened to a third party to encourage the development of support means. The data that may be used may be the second data. Examples of the first data include the subject's address, name, school name, outpatient facility name, action item for each subject, ICF code group corresponding to each action item, and evaluation result. In addition, the second data is preferably anonymous data such that the subject cannot be directly or indirectly identified even if it is disclosed to a third party. As the second data, for example, an action item group in which the subject cannot be identified, an ICF data group corresponding to each action item, and the like can be cited. The first data and the second data may be clearly distinguished, but some may be duplicated.
Further, for convenience of description, in FIG. 2, the first network N1 and the second network N2, the administrator server 10 and the API server 20, and the first database 11 and the second database 21 are described as separate entities. However, they may be physically one network, server or database.

The subject terminal device 12 is carried by a child/student who is a subject, and identification information (ID) is given to each subject in advance. In addition, the subject terminal 12 is preinstalled with an application required to execute the support system of this embodiment. The functions of this application include, for example, an IC tag function that communicates with an RFID reader 22 that detects and records the entry and exit of a facility such as a school, and position information such as GPS that detects the position information of the subject. The detection function etc. are included. The subject terminal device 12 may be a dedicated device having the above function, but a commercially available mobile terminal device such as a smartphone can be used. Then, the information of the IC tag read by the RFID reader 22 and the position information of the subject terminal device 12 by GPS are stored in the first database N via the administrator server 10 in the first database 11 and the subject ID. It is recorded as a history associated with.

The supporter terminal machine 13 is an information communication device such as a personal computer (PC), a smart phone, or a tablet terminal, and identification information (ID) is given to each supporter in advance. Applications necessary for executing this support system are pre-installed. This application has a function of confirming an ID required to access the first database 11. Therefore, in order to access the first database 11 from the supporter terminal device 13, the supporter needs to apply for access to the administrator who manages the administrator server 10 in advance. The manager associates the ID of the supporter terminal machine 13 used by the supporter with the IDs of the test subject and the test subject terminal machine 12, information such as IC tags, and registers them.
Who can access which data can be freely set in the management server 10. For example, a guardian of a particular subject can access only the data regarding the subject to read or write the data, and And other supporters can access and read and write data about multiple subjects such as homeroom classes and areas of responsibility.

The data regarding the subject (subject data) and the reading and writing history are recorded in the first database 11 as the reading and writing history together with the ID of the person who performed the reading and writing and the ID of the subject.
As described above, the first network N1 under the control of the administrator server 10 allows only a specific person to access the specific data recorded in the first database 11, and is conceptually a closed network. It is close.

In this embodiment, the second database 21 records anonymity data that cannot identify the subject, such as the timetable of the subject, the behavior of the subject going to and from school, and the subject ID. In addition, the list as shown in FIG. 1B, that is, the action item ID, its content, and the related ICF code are also recorded in the second database 21 as second data that can be disclosed to a third party. It is used for the development of support means by a third party. If the subject cannot be specified, a predetermined subject ID (anonymous) and a list of action item IDs assigned to this subject ID are also stored in the second database 21 as second data that can be disclosed to a third party. May be recorded.

The second data recorded in the second database 21 is open to a third party who intends to develop support means such as support equipment and applications, and encourages the third party to develop the support means. Therefore, the third party can access the second database 21 from the third party terminal 23 via the API server 20 and the second network N2. In advance, the third party is given an access right to the second database 21 together with the identification information (ID) by the application of the third party, and the third party uses the second database 21 from the second database 21 based on the ID and the access right. It is preferable to read the second data.

The second data recorded in the second database 21 is shared with the first database 11 via the administrator server 10, the API server 20, and the first network N1. Regarding the specific data recorded in the first database 11, it is shared with the second database 21 via the administrator server 10, the first network N1 and the API server 20 on the assumption that the subject is not specified. It is also possible to let.

In this way, the second network N2 under the control of the API server 20 opens the data of the first database 11 and the second database 21 to a wide range of third parties to support the third parties. Since it promotes the development of applications, supporting devices, and supporting methods, it is conceptually similar to an open network.

[Explanation of Support System Operation of the Present Invention]
The operation of the action support system 1 of the present invention having the above configuration will be described below.
Below, the behavior of the subject A who goes to elementary school for one day will be described as a model. In this model, a guardian of the subject A, a teacher in charge of school, an expert such as a public health doctor in charge, or a public health nurse in charge has the supporter terminal device 13, respectively. The subject A has a subject terminal 12 attached to a school bag used when going to and from school. Further, an RFID reader 22 for detecting the entrance/exit of the subject A to/from the school or the entrance/exit of the classroom is installed at the entrance of the elementary school or the entrance/exit of the classroom. The subject terminal 12 also has a GPS function so that the position information of the subject terminal 12 can be acquired.

The action support system 1 is activated in each of the terminals 12 and 13, and a data collection application that collects the first data and the second data from each of the terminals 12 and 13 and the collection by each of the terminals 12 and 13. The transmitted first data to the administrator server 10 and the second data to the API server 20, and at the same time, the first data, the second data or the message transmitted from the administrator server 10 or the API server 20. Is installed in advance. A unique ID is given to each of the terminals 12 and 13, and the administrator server 10 and the API server 20 associate the ID of each of the terminals 12 and 13 with the ID of the subject A, and The first data is recorded in the database 11 and the second data is recorded in the second database 21. In this case, the data regarding the behavior of the subject A including the data of the attendance at school or the attending school detected by the RFID reader 22 in a form in which the subject A cannot be specified (for example, only the ID of the subject A) is set for the support of the subject A. The second data includes the action item ID, one or more ICF codes related to each action item ID (a weighted group of related ICF codes when weighted), and the daily evaluation of the supporter for the subject A. included.

In the first database 11, the contents of activity to be checked by the subject A are recorded together with the item number and the ICF code.
Table 1 below shows an example of action contents in the order of item numbers and an example of the ICF code associated with each action content. In the table below, a part of the ICF code is shown as "..." and its description is omitted.

[Activity Evaluation of Subject A]
The evaluation of each item is performed by the supporter, and the evaluation points are given as shown in FIG. This work is performed by the supporter using the supporter terminal device 13 to activate the behavior support system 1, and the evaluation result is recorded as the first data in the first database 11 via the administrator server 10. In addition, the ID of the subject A may be recorded as second data in the second database 21 via the API server 20. Parents, teachers, experts, and the like can read the evaluation result of the subject A from the first database 11 as appropriate, and display the evaluation graphs shown in FIGS. 3 and 4, for example, on the display of each other terminal device 13. it can.

In the graph of FIG. 3, the horizontal axis represents the date and the vertical axis represents the evaluation score, and represents the transition of the evaluation score within a certain period (for example, one week). For example, at the beginning of the week, a target value of the evaluation score for one week is set for "I have done homework", and if the evaluation average value exceeds the target value, a higher target value is set for the next week.
Further, it is also possible to collect evaluation points for a certain action defined by the ICF code and obtain a graph as shown in FIG. The graph shown in FIG. 4 shows items that have the same ICF code for three actions, ICF codes related to the timetable function: b1641 (organization and planning), d2302 (achievement of daily routine), and d2305 (management of one's own time). It is possible to aggregate the evaluation points of and evaluate the behavior of a higher concept.

It becomes easy to analyze various personal characteristics of the subject A from the evaluation results as shown in FIG. 3 and FIG. 4, and appropriate support according to the individual characteristics of the subject A is provided from the transition of the evaluation results. Will be possible.
As described above, in the action support system of the present invention, not only the evaluation, analysis, and consideration of the individual detailed action items of the subject A but also the ICF code associated with each action item is used to make the action more versatile. It will be possible to evaluate behaviors, analyze and consider support.

[Link between action items]
With respect to the function associated with the ICF code, a higher function can be set by the ICF code, and a plurality of functions can be linked to this higher function as lower functions.
FIG. 5 is a conceptual diagram of the action support system of the present invention in which a plurality of subordinate conceptual functions are linked by an ICF code under one superordinate conceptual function.
In the example shown in FIG. 5, under the self-check system (ICF code: b1641 (organization and planning)), which is a superordinate function, the ICF code “b1” indicating mental and physical functions is used as a clue as shown in FIG. Timetable function (ICF code: b1641 (organization and planning), d2302 (achievement of daily routine), d2305 (management of own time)), sleep support function (ICF code: b1300 (vigor level), b134 (sleep function) ), a crime prevention function (ICF code: b1400 (maintenance of attention), d2300 (observe a fixed daily routine), and d2306 (observe a temporal requirement)).
Thus, by linking a plurality of subordinate conceptual functions under one superordinate conceptual function using the ICF code, the functions can be associated not only with the upper and lower sides but also with the left and right sides through the common superordinate conceptual function. , It will be possible to conduct more multi-faceted behavior evaluation, analysis and consideration of support.

[Collaboration with other action support systems]
When the behavior support system such as the present invention using the ICF code is operated in the school, the outpatient facility, the hospital, etc. where the subject A attends, if these are linked to each other, the subject A becomes more multifaceted. It is possible to collect various data and provide optimal support.
However, in these individual action support systems, different action items are often defined, or the same action item is often defined by different expressions.
Even in such a case, according to the present invention, action items having a high degree of commonality/similarity are extracted from the commonality of the ICF codes set between the action assistance systems, thereby coordinating between the action assistance systems. Will be possible.

FIG. 6 is a conceptual diagram showing a link with another action support system. In the action support systems 1A, 1B, and 1C, when the similarity determination/link mechanism 3 determines the ICF code similarity and the similarity is high. Will be linked. Each of the action support systems 1A, 1B and 1C has the same configuration as the action support system 1 shown in FIG. The similarity determination/link mechanism 3 may be provided separately from the action support systems 1A, 1B, 1C, but it may be provided in the management server 10 or the API server 20 of any of the action support systems 1A, 1B, 1C. Good.
In the example of FIG. 6, for example, the action item A of the action support system 1A operated in the school, the action item B of the action support system 1B operated in the outpatient facility, and the action support system 1C operated in the hospital When the action item C of No. 2 is related by the ICF code b1103 and the similarity is high, the similarity determination/link mechanism 3 links the action items A, B, and C to each other, and the action support system 1A, The data of the subject A recorded in the database of 1B, 1C is shared and reflected in the evaluation of each action support system 1A, 1B, 1C.
At this time, if a plurality of ICF codes are weighted in the action items A, B, and C, the degree of relevance or similarity is determined by the weight of the ICF code common to each of the action items A, B, and C. can do.

FIG. 7 illustrates an example of the similarity determination performed by the similarity determination/link mechanism 3.
In the example of (a), the ICF codes of the action item A of the action support system 1A and the action item B of the action support system 1B are compared. In this example, since the two ICF codes of the action item B are common to the three ICF codes of the action item A, the similarity of the action item B to the action item A is determined to be 66%. When a plurality of ICF codes are weighted, the similarity is multiplied by using the weighting weight as a coefficient.

Then, if the similarity determination/link mechanism 3 predefines that two items are related if the similarity is 60% or more, the similarity determination/link mechanism 3 will be the action item A of the action support system 1A. On the other hand, the action item B of the action support system 1B is judged to be related, and the evaluation of the action item A of the subject A in the action support system 1A is reflected in the evaluation of the action item B of the subject A in the action support system 1B.
As described above, in the action support system of the present invention, even if the action items A, B, and C are separately expressed by the different action support systems 1A, 1B, and 1C, the data of the subject A is changed to the action support system 1A, It can be shared between 1B and 1C.

Contrary to the case of (a), for example, when the action items A, B, and C are defined by higher expressions, the action items A, B, and C may be defined by similar expressions. However, even if the expressions of the action items A, B, and C appear to be common, the contents of the action items A, B, and C are not necessarily common.
In the action support system of the present invention, as shown in (a), the ICF code is used to determine the relevance/similarity of action items A, B, and C. Therefore, the occurrence of erroneous evaluation may occur. It can be prevented.
In the example of (b), the ICF codes of the action item A of the action support system 1A and the action item D of the action support system 1C are compared. In this example, none of the three ICF codes are common, so the similarity is 0%. Therefore, the similarity determination/link mechanism 3 determines that the action item A of the action support system 1A and the action item D of the action support system 1C are not related, and excludes the action items A and D from the targets of association. .

Such a link of the action support systems 1A, 1B, 1C is, for example, a common subject when different action support systems 1A, 1B, 1C are operated in various support facilities such as schools, outpatient facilities, and hospitals. It becomes possible to collect a variety of behavior data of A and share the behavior data in different behavior support systems 1A, 1B, 1C, and to evaluate and analyze more multifaceted behaviors in various support facilities and supporters. And it becomes possible to consider support.
Further, in the action support system of the present invention, by analyzing the rich data collected, it is possible to find out the relevance between the evaluation of one action item and the evaluation of one or more other actions, and Inform the supporters of how the support they provided affected the assessment of one or more other actions, and share support information across support facilities as well as between supporters. Therefore, it becomes possible to provide more appropriate and multifaceted support to the specific subject A by various support facilities and supporters.

[Promotion of development of support means by a third party]
FIG. 8 is an explanatory diagram of the case where the assisting devices A, B, and C are developed based on the second data published by the manufacturers A, B, and C, which are third parties.
The development of the supporting devices A, B, and C is performed as follows based on the published second data and the makers A, B, and C.
For example, some disorders are associated with sleep (insomnia, difficulty falling asleep, difficulty waking up and quality of sleep). The action items and ICF codes associated with these are, for example, as shown in FIG. 7, awake state control (b1103), motivation (b1301), time management (b1642), daily routine (goal) achievement (d2032), self Management of time (d2305).

For example, maker A uses a new alarm clock (support device A: ICF code) based on motivation (b1301), time management (b1642), achievement of daily routine (target) (d2032), and management of own time (d2305). : B1301, b1642, d2032, d2305). In addition, the maker B adjusts the electric blanket to a preset temperature with the elapse of time based on the control of the awakening state (b1103), the motivation (b1301), and the time management (b1642) (support device B: ICF code: b1103, b1301, b1642) is developed. Furthermore, maker C develops an audio device (supporting device C: ICF code: b1103, b301) that plays a predetermined relaxing music until falling asleep based on awakening control (b1103) and motivation (b1301). Suppose

On the other hand, the result of the evaluation by the subject A is “the subject has many difficult days to fall asleep, and often sleeps during the lesson even during the daytime activity check. There are days when he can sleep immediately, but there are days when he cannot sleep. It seems to be hypersensitive. If you warm it up with an electric blanket, you can sleep and fall asleep, but after a while it will be hot." As a result of the evaluation, it is assumed that the ICF code associated with the subject A is for control of the awake state (b1103), motivation (b1301), and time management (b1642).
From the ICF code associated with the subject A, the supporter can determine that the electric blanket developed by the manufacturer B (supporting device B) is the most suitable.

[Assistance for selecting support means]
In the example of FIG. 8, from the ICF code linked to the support devices A, B, and C developed by the third party manufacturers A, B, and C, the supporter is most suitable for supporting the predetermined action item of the subject A. It was to select various support equipment.
When there are a wide variety of supporting devices, it is troublesome and difficult for the supporter to select the optimum supporting device while checking the ICF code one by one.
Therefore, the action support system 1 of FIG. 9 includes the similarity determination means 3'for performing the similarity determination as shown in FIG. 6, and the ICF linked to the support devices A, B, C,... Based on the relevance/similarity between the code and the ICF code associated with the subject A, one or more optimal support devices can be selected from the plurality of support devices A, B, C... I have to.

Although the preferred embodiment of the present invention has been described, the present invention is not limited to the above embodiment.
For example, although the above embodiment has been described by taking a developmentally disabled child as an example, the present invention is also applicable to other subjects such as elderly people with dementia and intellectually disabled people, physically disabled people, and patients undergoing rehabilitation due to injury or illness. It is possible. Further, in the above embodiment, the case of using the ICF code has been described as an example, but the present invention is also applicable to the case of using the code (ICD code) of the international statistical classification of diseases and related health problems. is there.

It is a figure explaining the relation of the action of a child with a developmental disability, and the connection of the ICF code to each action. It is a figure explaining one Embodiment of the structure of the action support system of this invention. It is an example of a certain subject's behavior evaluation graph created based on the collected data. It is an example of a certain subject's behavior evaluation graph created based on the collected data. It is a conceptual diagram of the action support system of this invention which linked a some lower-order function and linked it to one higher-order function. It is a conceptual diagram which shows the link with another action support system. It is a figure explaining an example of the similarity judgment which a similarity judgment / link mechanism performs. It is explanatory drawing at the time of developing the support equipments A, B, and C based on the 2nd data which the makers A, B, and C who are a third party were made public. It is a figure which shows the modification of the embodiment of FIG. 8 which provided the similarity determination means in the action support system of the embodiment of FIG.

1, 1A, 1B, 1C Behavior support system 10 Administrator server 11 First database 12 Subject terminal 13 Supporter terminal 20 API server 21 Second database 22 RFID reader 23 Third party terminal 3 Similarity judgment/ Link mechanism 3'Similarity determination means N1 First network N2 Second network

Claims (12)

A subject terminal used by the subject, a supporter terminal used by a supporter who assists the subject, an administrator server connected to the subject terminal and the supporter terminal via a communication line, and the subject A database that records data about the subject, which is collected by the terminal and the supporter terminal and is associated with a disease/disorder code that is defined in advance according to the classification of the disease/disorder, and is stored in the database. In the action support system that assists the support according to the individuality of each subject based on the data obtained,
Of the data, the database is a first database that records first data that is disclosed only to pre-designated parties including a subject and a supporter; and, among the data, the subject and the supporter. And a second database that records second data that is also open to third parties and is permitted to use,
The second data is made available to the third party via a third-party terminal connected to the administrator server via the communication line and used by the third party, and the second data is used by the third party. An interface for mediating communication between the second database and the third-party terminal is provided in order to promote the development of support means for supporting the subject.
A behavior support system for test subjects using a disease/disability code characterized by. The second data is a related disease/disorder code group consisting of a behavior item set for each subject and a plurality of disease/disability codes associated with the behavior item. A behavior support system for a subject using the disease/disability code according to Item 1. 3. The disease/disorder according to claim 1 or 2, wherein one or more disease/disorder codes related to an action item to be supported are linked to the support means developed by the third party. Behavior support system for test subjects using code. The behavior support system for a subject using the disease/disability code according to claim 2, wherein the plurality of disease/disorder codes are weighted in descending order of relevance to the activity item. One third party's third party terminal of the other third party via the interface so that the other third party, the subject, or the supporter can use or browse the supporting means developed by the one third party. Machine, the subject terminal device, or the supporter terminal is communicatively connected to the subject behavior support system using the disease/disability code according to any one of claims 1 to 4. It is provided with a judgment means for judging which is the most suitable support means from the disease/disability codes associated with the plurality of support means and the disease/disability code associated with the action item of the subject. A behavior support system for a subject using the disease/disability code according to any one of claims 1 to 5. Regarding the action items of common subjects recorded in the first database and/or the second database of another action support system, actions are performed with the other action support system due to the commonality of disease/disability codes. A similarity determination/linking mechanism is provided that functions to determine the relevance of items and share the data about the related action items with the other action support system. A behavior support system for a subject using the disease/disability code according to any one of 1 to 6. A subject terminal used by the subject, a supporter terminal used by a supporter who assists the subject, an administrator server connected to the subject terminal and the supporter terminal via a communication line, and the subject Prepare a database that records the data related to the subject, which is collected by the terminal and the supporter terminal and is associated with the disease/disability code, and the individuality of each subject based on the data accumulated in the database. In the action support method that assists the support according to
Using the data recorded in the database, the first data disclosed only to pre-specified persons including the subject and the supporter, and the third party other than the subject and the supporter. Is separated into the second data that is allowed,
The second data, an action item set for each subject and a related disease/fault code group consisting of a plurality of disease/fault codes linked in association with this action item,
The related disease/fault code is disclosed to the third party by exposing the second data through a third party terminal connected to the administrator server by the communication line and used by the third party. Encouraging the development of support means for supporting the subject by the third party based on a group,
A behavior support method for a subject using a disease/disability code characterized by. The illness/fault code according to claim 8, wherein one or more illness/fault codes associated with an action item to be supported are linked to the support means developed by the third party. A method for supporting the behavior of the subject used. A feature is that which is an optimal support means for one subject is determined from a disease/disability code associated with a plurality of the support means and a disease/disability code associated with an action item of the subject. The method for supporting the behavior of a subject using the disease/disability code according to claim 9. 11. The behavior of the subject using the disease/disorder code according to claim 8, wherein the plurality of disease/disorder codes are weighted in descending order of relevance to the behavior item. How to help. In cooperation with another action support system that manages the first data and the second data, for the common subject action items of the first data and the second data of the another action support system, Judging the relevance of the action item with the other action support system from the commonality of the illness/disability code, the first data and/or the second data of the related action item It is shared with another action support system, and the subject's action support method using the disease/disability code according to any one of claims 8 to 11.

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