JP2022140103A - Web medical interview system, and program for the same - Google Patents

Abstract

To provide a WEB medical interview and a program for the WEB medical interview system that combine questions to a main complaint and additional question matching conditions, and can find out by inquiries, signs or symptoms suggesting diseases which must not be missed owing to replies to a plurality of combinations of questions.SOLUTION: A WEB medical interview system is provided with a medical interview server 1 that does a medical interview from a medical interview terminal, using WEB. The medical interview server 1 is configured to cause the medical interview terminal to display: questions with respect to a main complaint; a first appearance condition for providing a separate question with respect to the main complaint; a separate question to be provided when matching the first appearance condition; and a second appearance condition for providing an additional question with respect to replies to the question or separate question. When connecting to a standard medical interview database storing an additional question to be provided upon matching the second appearance condition, and the medical interview is started, the medical interview server is configured to cause the medical interview terminal to display: the question with respect to the main complaint; the question matching the first appearance condition with respect to the main complaint; and the additional question matching the second appearance condition with respect to the replies to these questions.SELECTED DRAWING: Figure 1

Description

TECHNICAL FIELD The present invention relates to a web inquiry system that conducts an inquiry over the web, and more particularly to a web inquiry system and its program that can find signs and symptoms suggestive of a disease that should not be overlooked.

[Conventional technology]
Some conventional medical inquiry systems use terminals such as tablets to conduct pre-examination medical interviews.
[Related technology]
Incidentally, as related prior art documents, there are Japanese Unexamined Patent Application Publication No. 11-353185 “Interview System” (Patent Document 1) and Japanese Unexamined Patent Application Publication No. 2020-057087 “Interview System” (Patent Document 2).

Patent Literature 1 describes an inquiry system for adding/deleting questions in an inquiry knowledge base.
Further, Patent Literature 2 describes a medical inquiry system that displays a question determined to be necessary from among question data corresponding to a symptom and a plurality of answer options corresponding to the question.

JP-A-11-353185 JP 2020-057087 A

However, in the above-mentioned conventional medical interview system, further questions are provided hierarchically according to the content of the answers to the questions to estimate the disease, so it takes time to guess, and if the selection of the answer content is not appropriate, the wrong disease There was a problem of estimating .

Incidentally, Patent Literatures 1 and 2 do not describe finding signs or symptoms suggestive of a disease that should not be overlooked through interviews by answering a combination of a plurality of questions.

The present invention has been made in view of the above-mentioned actual situation, and by combining questions about the main complaint and additional questions that match the conditions, by answering the combination of a plurality of questions, the signs and symptoms suggesting a disease that should not be overlooked are interviewed. , and by asking more appropriate questions based on symptoms, age, gender, medical history, etc., we can grasp the symptoms in more detail and contribute to improving the quality of medical care. intended to provide

The present invention for solving the problems of the conventional example is a WEB medical inquiry system provided with a medical inquiry server that conducts a medical inquiry from a medical inquiry terminal using the WEB, wherein the medical inquiry server asks questions for the main complaint and separately for the main complaint. to provide a first occurrence condition for providing a question of and another question provided when the first occurrence condition is met, and to provide additional questions in response to the question or the other question; A second appearance condition of and a standard interview database that stores additional questions provided when the second appearance condition is met. It is characterized in that questions that match one appearance condition and additional questions that match a second appearance condition in response to these questions are displayed on the inquiry terminal.

The present invention is characterized in that, in the WEB medical inquiry system, the medical inquiry server causes the medical inquiry terminal to display a questionnaire including questions corresponding to the answers to the medical inquiry when the medical inquiry ends.

According to the present invention, in the above-mentioned WEB interview system, the interview server is connected to the clinic-specific individual interview database used for the WEB interview for each clinic, and the interview data is transplanted from the standard interview database in units of blocks, and the clinic asks questions in units of blocks. and appearance conditions can be edited.

According to the present invention, in the WEB medical inquiry system, the medical inquiry server has an alert function for informing medical-related information to the terminal of the clinic.

In the WEB medical inquiry system of the present invention, the medical inquiry server has a progress follow-up function for inquiring about the progress after medical examination to the patient's terminal by sending a corresponding message at a preset timing based on the disease name or prescription medicine. characterized by

The present invention is characterized in that, in the WEB medical inquiry system, the medical inquiry server calculates a score for predicting the onset of disease for the answers to the questions and additional questions, and notifies the terminal of the patient and the terminal of the doctor.

The present invention is characterized in that, in the WEB medical inquiry system described above, the medical inquiry server converts the data input by the patient and the medical staff in the medical inquiry into electronic charts and imports them.

The present invention is a WEB medical inquiry system that includes an inquiry server that conducts an inquiry from an inquiry terminal using the WEB. It is a transition to the first medical interview screen, and the appearance conditions are set so that the basic data of the patient who has already been registered is omitted, and additional questions are provided to the interview terminal based on the answers already entered. Characterized by

The present invention is a computer program that operates on an inquiry server in a WEB medical inquiry system that performs medical inquiry from an inquiry terminal using the WEB, wherein the medical inquiry server asks questions about a chief complaint and other questions about the chief complaint. A first appearance condition for providing, another question to be provided when the first appearance condition is met, and a second question for providing an additional question in response to the question or another question and a means for storing additional questions to be provided when the second appearance condition is met; It is characterized by functioning as means for displaying on the inquiry terminal additional questions that match the second appearance condition in response to questions and answers to these questions.

The present invention is a computer program that operates on an inquiry server in a WEB medical inquiry system that conducts an inquiry from an inquiry terminal using the WEB. If it is entered as yes, the screen shifts to the initial medical interview screen, the basic data of the patient already registered is omitted, and additional questions are provided to the medical interview terminal based on the answers already entered. and

According to the present invention, the medical inquiry server includes a question for the main complaint, a first appearance condition for providing another question for the main complaint, and another provided when the first appearance condition is met. A standard interview database that stores a question, a second occurrence condition for providing an additional question in response to the question or another question, and an additional question to be provided when the second occurrence condition is met. , and when the interview is started, the interview terminal asks questions about the main complaint, questions that match the first appearance condition for the main complaint, and additional questions that match the second appearance condition for the answers to these questions. Since it is a WEB questionnaire system that is displayed on the , by combining additional questions when the answers to the questions to the main complaint match the appearance conditions, there is an effect that you can find out signs and symptoms suggestive of diseases that should not be overlooked. .

According to the present invention, the medical inquiry server shifts to the initial medical inquiry screen when the inquiry terminal inputs that there is a symptom of concern on the re-examination inquiry screen. abbreviated, and based on the answers that have already been entered, it is a web inquiry system in which the appearance conditions are set so that additional questions are provided to the inquiry terminal. There is an effect that questions and additional questions can be efficiently provided to the inquiry terminal by omitting the input of the basic data of the patient and the answered medical history, allergy history, surgery history, etc.

1 is a schematic diagram of the configuration of this system; FIG. It is a schematic diagram of interview data. FIG. 4 is a schematic diagram showing a processing flow of a web medical inquiry;

An embodiment of the present invention will be described with reference to the drawings.
[Outline of Embodiment]
The WEB medical inquiry system (this system) according to the embodiment of the present invention prepares a plurality of sets of questions about the chief complaint and the corresponding signs and symptoms while various signs and symptoms suggestive of a disease are conceivable for the chief complaint. Furthermore, additional questions related to the main complaint and the appearance conditions of the additional questions are stored, the questions for the main complaint are displayed on the interview terminal, and if the appearance conditions of the additional questions are met, the additional questions Questions are displayed on the medical interview terminal, and by combining additional questions when the answers to the main complaint match the appearance conditions, it is possible to find signs and symptoms suggestive of diseases that should not be overlooked. be.

In addition, in this system, in addition to the chief complaint, conditions for the appearance of additional questions can be set according to the contents of accompanying symptoms or age, medical history, allergy history, etc., and the questions for the above chief complaints are given a range so that detailed questions cannot be overlooked. It is something that can be detected by interviewing for signs and symptoms that suggest a disease that does not exist.

In addition, in the inquiry algorithm of this system, the appearance conditions of additional questions can be grouped by AND (logical product) or OR (logical sum) to form a hierarchy.
Here, the questions prepared in advance about the chief complaint are simply called "questions", and the questions that are added when the appearance condition is met are called "additional questions" for distinction.

In addition, in this system, if there are any worrisome symptoms in the follow-up interview, the patient returns to the first-visit interview and asks more detailed questions. By setting appearance conditions so as to ask additional questions that reflect the results of the previous answers, questions and additional questions can be efficiently provided to the inquiry terminal even in the case of re-examination interviews for worrisome symptoms.

[This system: Fig. 1]
The system will be described with reference to FIG. FIG. 1 is a schematic diagram of the configuration of this system.
As shown in FIG. 1, this system includes an interview server 1, a standard interview database (DB) 21, an individual clinic interview database (DB) 22, an interview result database (DB) 23, and an electronic medical record database (DB ) 24, network 3, and inquiry terminals 4a and 4b.
The medical inquiry terminals 4a and 4b may be collectively referred to as "medical inquiry terminal 4".
The medical inquiry server 1 and the medical inquiry terminal 4 are connected via a network 3 .

The medical inquiry terminal 4 accesses the medical inquiry server 1 via the network 3 .
The standard medical inquiry DB 21 , the individual medical inquiry DB 22 by clinic, the medical inquiry result DB 23 and the electronic medical record DB 24 are connected to the medical inquiry server 1 .
Although FIG. 1 shows two inquiry terminals 4a and 4b, more terminals are connected to the network 3 in practice.
Alternatively, the standard medical interview DB 21, the clinic-specific medical interview DB 22, the medical interview result DB 23, and the electronic medical record DB 24 may be integrated into a database, and these DBs may be connected to the medical inquiry server 1 via the network 3.

[Interview server 1]
The medical inquiry server 1 refers to the standard medical inquiry DB 21, the individual medical inquiry DB 22 by clinic, and the medical inquiry result DB 23, displays the medical inquiry form on the display unit of the medical inquiry terminal 4, and displays the answers input from the medical inquiry terminal 4 into the system. It provides characteristic questions and additional questions.

The inquiry server 1 includes a control unit 11, a storage unit 12, and an interface unit 13. The control unit 11 executes a processing program stored in the storage unit 12, thereby realizing an inquiry algorithm that is a feature of this system. It is something to do.
The details of the processing of the inquiry server 1 will be described later.

[Standard medical interview DB21]
The standard medical interview DB 21 stores medical interview data for conducting standard medical interviews common to all clinics.
The standard medical inquiry DB 21 stores medical inquiry data in various medical fields such as pediatric inquiry data, internal medicine inquiry data, and psychiatric inquiry data as a master, and is updated to the latest information.
The interview data includes chief complaints, questions, additional questions, appearance conditions of additional questions, and the like. Appearance conditions are set by chief complaints, medical questionnaires, parent questions (previous questions), question names, and the like. Details will be described later.

[Individual interview DB 22 by clinic]
The clinic-by-clinic individual medical interview DB 22 stores medical interview data for performing clinic original medical interviews. Each clinic can edit and customize the clinic-by-clinic individual medical interview DB 22 in accordance with medical examination practices.

Specifically, the interview data of a specific field in the standard interview DB 21 is logically copied to the individual clinic-specific interview DB 22, and the interview data is edited in block units for each clinic.
In this way, by allowing clinics to use their own methods of questioning, each clinic has a degree of freedom in questioning and usability is improved.

[Interview result DB 23]
The interview result DB 23 stores basic data such as the patient's name, gender, date of birth, and address input on the interview screen for each patient's identification number (ID), as well as answer data to questions and additional questions. The interview result is used in an application example to be described later.

"Electronic Medical Record DB24"
The electronic medical record DB 24 stores electronic medical record data (examination results, prescription drug information, etc.) of each clinic. It becomes possible.

Network 3 is assumed to be the Internet.
The medical inquiry terminal 4 is a tablet, smartphone, or the like that accesses the medical inquiry server 1 via the network 3 and displays and inputs medical inquiries on the WEB.
In order to receive the service of this system, the inquiry terminal 4 logs in on the WEB at the time of the re-examination. You can access the service without logging in for the first visit. An ID and a password must be entered to log in at the time of a return visit, but the date of birth may also be entered for authentication.
The inquiry terminal 4 is a smart phone, a tablet, a personal computer (PC), or the like of each person before coming to the hospital, and becomes a terminal such as a tablet prepared at the clinic after coming to the hospital.

[Processing of Medical Questionnaire Server]
Next, the medical inquiry algorithm executed by the medical inquiry server 1 will be described.
First, the standard medical interview DB 21 stores, as medical interview data, a plurality of questions for the main complaint, and further stores additional questions for the main complaint together with appearance conditions of the additional questions.

And the setting of the appearance condition is "=" (appear additional question only when the answer of the previous question matches), "!=" (appear additional question only when the answer of the previous question does not match ), “AND” (additional question appears only when any of the conditions are met), “OR” (additional question appears when any one of the conditions is met), “>” (greater than Appear additional questions with ), "<" (appear additional questions with less than).
The conditions of ">" or "<" are used for age, height, weight, and the like.

[Examples of appearance conditions and additional questions (examples 1 to 6)]
[First example]
For example, as a first example, if the appearance condition is chief complaint = "other pain", "other urinary symptoms" or "other skin trouble" (when the chief complaint matches those symptoms), display As an additional question to be asked, "What kind of symptoms do you have specifically?"

[Second example]
In addition, as a second example, the appearance condition is the medical questionnaire! ＝“First visit to psychosomatic medicine” AND chief complaint! = In the case of "convulsions", "menopausal symptoms" or "developmental abnormalities" (not "first visit to a psychosomatic medicine department" and the chief complaint does not correspond to "convulsions, menopausal symptoms or developmental abnormalities"), additional questions to be displayed I remember "Do you have any other symptoms to worry about?"

[Third example]
In addition, as a third example, if the appearance condition is the parent question (previous question) = "Have you been abroad?" ing.
In the first to third examples above, one additional question is associated with the appearance condition, and in particular, in the second example, appearance conditions are combined and one additional question is associated.

[Fourth example]
As a fourth example, if the appearance condition is the chief complaint or accompanying symptom = "abdomen/digestive/heartburn", the additional question to be displayed is "Do you have heartburn? Do you unintentionally rub your chest? After meals. Do you ever get heartburn in your life?”

Furthermore, multiple appearance conditions can be set at the same time.
[Fifth example]
For example, as a fifth example, [(chief complaint=“sore throat”) AND (severity of pain (5 levels))! ＝“1. No problem in daily life, 2. Problem in daily life”] OR (How do your symptoms compare to “usual cold”=“Severe sore throat, almost no coughing etc.” A plurality of appearance conditions can be set at the same time, such as OR (chief complaint = "sore throat" AND (severity of pain (three levels) = "strong"). In this fifth example, three appearances Conditions are linked by OR.

[Sixth example]
As a sixth example, "answered" or "unanswered" may be set as the appearance condition of the additional question to determine whether or not the previous question has been answered.
In this manner, the medical inquiry server 1 can display a plurality of questions on the medical inquiry terminal 4 with respect to the chief complaint, medical questionnaire, parent question, question name, etc. Further, by setting appearance conditions, additional questions can be displayed. is displayed, depending on the answer to the additional question, appearance conditions are set to display additional questions, multiple questions and additional questions are organically combined, and signs and symptoms suggestive of diseases that should not be overlooked. can be found in

[Summary of interview data: Figure 2]
Next, medical interview data in this system will be described with reference to FIG. FIG. 2 is a schematic diagram of interview data.
As shown in FIG. 2, the outline of the medical interview data includes, for example, a plurality of questions (1-1) and (1-2) for the main complaint (1), and an additional question (1-3) that matches the appearance condition a1. , additional questions (1-4) that match appearance condition a2 are stored, and appearance conditions b1 and b2 are set following one or more of these questions. , (1-6), and (1-7) appear.
In FIG. 2, additional questions (1-3) to (1-7) are simply indicated as questions (1-3) to (1-7).
Appearance conditions a1 and a2 correspond to first appearance conditions in claims, and appearance conditions b1 and b2 correspond to second appearance conditions in claims.

In particular, in FIG. 2, in the appearance condition b1, the combination of the answer (1-2) and the answer (1-3) are linked by AND or OR to make the additional question (1-5) appear.
In addition, like the appearance condition b2, if the appearance condition is matched (matched), multiple additional questions (1-6) and (1-7) will appear, and the respective answers (1-6) and (1-7) will appear. ) is obtained.
In the example of FIG. 2, the structure of the interview data for the chief complaint is shown, but the same interview data structure may be used for the interview sheet, the parent question, and the question name.

[Web interview process flow: Fig. 3]
The simple processing of the WEB inquiry in this system will be described with reference to FIG. FIG. 3 is a schematic diagram showing a processing flow of a web inquiry.
As shown in FIG. 3, the processing of the WEB medical inquiry in the medical inquiry server 1 is to display and output a question based on the main complaint on the medical inquiry terminal 4 (S1), and obtain an answer from the medical inquiry terminal 4 (S2). Instead of the content of the main complaint, the question may be displayed and output as the content of a medical questionnaire, a parent question, or the like.

The inquiry server 1 determines whether or not there is a next question in the inquiry data regarding the chief complaint (S3), and if there is a question (if Yes), displays and outputs the next question (S4). return. If there is no question (No), it is determined whether or not there is an appearance condition (S5), and if there is no appearance condition (No), the process ends.

If there is an appearance condition (if Yes), it is determined whether or not the appearance condition is met (S6). If the appearance condition is not met (if No), the process proceeds to step S9 to determine whether or not the next appearance condition exists.
If the appearance condition is met in step S6 (Yes), the corresponding additional question is displayed on the inquiry terminal 4 (S7), and an answer is obtained (S8).

Then, it is determined whether or not there is a next appearance condition (S9). If there is no next appearance condition (if No), the process is terminated. Returning to S6, it is determined whether or not the next appearance condition is met.
As described above, the processing of the WEB inquiry is performed.

[Specific example of web inquiry: Headache symptoms]
Next, an example of "headache symptoms" will be described as a specific example of a web inquiry.
First, under the condition that the chief complaint is "headache", the question "How was the headache this time?"

Then, the appearance condition is [(chief complaint or accompanying symptom = "whole body/fever") AND (chief complaint or accompanying symptom = "head/headache")] OR [difference from "usual cold" = "fever and severe headache No cough, runny nose, or abdominal pain.”] OR [Which category does fever apply to? Do you have any of the following about fever-associated headache?" is displayed, and the subject is asked to select from multiple-choice answers.

In addition, the main complaint=“headache” is set as another condition, and the question “Which type of headache applies to you?” is displayed, and the subject is made to select from a plurality of answers.
Furthermore, with the chief complaint=“headache” as another condition, the question “Is this headache you have experienced before?” is displayed, and the subject is asked to select from a plurality of answers.

For the answers, we prepared the options of "I have had a headache several times before," "I have never had a headache," and "I don't know." With "Don't know" (if any option is selected), an additional question "Symptoms associated with headache" is displayed, and the subject is asked to select from multiple-choice answers.

In addition, as conditions for appearance, [Which category does fever apply to? = "Fever and severe headache. No cough, runny nose, or abdominal pain." ]” AND (another worrisome symptom = “I have a fever”) AND (another worrisome symptom = “headache”) AND (another worrisome symptom! = “stomach ache, stomach ache”) , diarrhea, loose stools, constipation/absence of stools, runny nose, sore throat" , to select from multiple-choice answers.

[Example of application of this system]
Next, application examples (extended functions) in this system will be described.
[First visit/return visit function]
In the WEB medical interview, the patient's basic data such as name, gender, date of birth, address, etc. must be input to the medical interview terminal 4 for the first visit. Since the results are stored in the DB 23 and the medical examination data is stored in the electronic medical record DB 24, there is no need to input the basic data of the patient. The input can be omitted, and the progress, change, etc. from the previous examination will be input.

Specifically, on the re-examination inquiry screen of the inquiry terminal 4, as the input items [today's purpose], "regular examination", "follow-up of the previous examination", "running out of medicine", etc. are displayed and selected, and input Items such as “Are you taking all the prescribed medicines properly?”, “I am taking most of the prescribed medicines without problems”, “I often forget to take them”, and “I am not taking them at all” are displayed. to select. The re-inquiry mainly consists of follow-up questions for the name of a disease that has already been confirmed (for example, diabetes).

If you answer "yes" to the question "Do you have any symptoms that you are concerned about?" I have to. If you have other symptoms that you are concerned about (for example, you have a fever), ask when, in the same way as at the first visit, your body temperature, whether you have traveled overseas, etc., to help make a more appropriate diagnosis. can be done.
The reason for moving to the first-visit interview screen in this way is to set the appearance condition when the answer to the question "Do you have any symptoms that concern you?" .

However, since the patient's basic data is already stored in the medical interview result DB 23, the initial medical interview screen described above does not require input of the patient's basic data, unlike the completely new initial medical medical interview screen. Since the symptoms are also stored in the electronic medical record DB 24, additional questions can be displayed under the appearance conditions based on the symptoms so far.

In other words, in the re-examination inquiry screen, if there is a new worrisome symptom selected, the system returns to the initial examination inquiry screen depending on the appearance condition, but the input of the patient's basic data is omitted, and the inquiry result DB 23 is displayed. By referring to the results of answers to questions already entered in , it is possible to find symptoms of concern.
Furthermore, based on the medical examination results and drug prescription results stored in the electronic medical record DB 24, it is also possible to find out more detailed worrisome symptoms.

[Patient alert display function]
The patient alert display function is a function that displays an alert on the clinic side when an answer to a question that appears using an interview algorithm satisfies certain conditions.
For example, if you answer that you have a fever, ask additional questions about whether you have been in contact with a person infected with coronavirus or whether you have a taste disorder. An icon such as "Suspicious" is displayed.
As a result, when this patient comes to the hospital, it will be possible to provide more appropriate medical care, such as sending the patient to a separate room from a different window to prevent hospital-acquired infections, and giving priority to other patients for examination.

[Patient follow-up function]
It is a function to follow up the patient's progress after examination using SNS, chat, and e-mail. Then, at a set timing (e.g., 3 days later), questions appropriate to the disease and prescription drug (e.g., have you finished taking the drug, are you experiencing numbness in your hands, are there any side effects such as diarrhea, have you had any changes in your weight, etc.)? ) is displayed on the patient's terminal.
In addition, a follow-up content file (eg, notes on how to take medicine, recommended recipes for diabetes, effective exercise, etc.) is attached and displayed on the patient's terminal.

In addition, the contents based on the disease name and prescription drug for each patient stored in the electronic medical chart DB 24 are stored in a database separate from the electronic medical chart DB 24 (for example, a patient progress follow-up setting DB), and the patient progress The follow-up setting DB stores question content and follow-up content files for each patient type (combination of disease and prescription drug). is performed.
This progress input screen can also be combined with additional questions using the same algorithm as the WEB interview of this system.

[Predictive scoring of disease onset]
In this system, a score (score) for predicting the onset of disease may be calculated based on the content of the answers to the questions while conducting online interviews, and may be displayed on the terminal of the patient and the terminal of the medical staff.
Specifically, the score for predicting the onset of disease is stored in the disease score database (DB) for the answer content, and the score is added by referring to the disease score database (DB) as the interview is performed, and the score is obtained. Calculated. This score may be derived not only by adding points but also by a weighting formula.

For example, if there is a risk of osteoporosis, questions about osteoporosis (height, weight, age, fracture history, rheumatism, etc.) and a risk score list for each question are stored in the disease-specific score DB. Scoring is performed by referring to the score DB.
Thus, by predicting the onset of disease, it can be used for prevention.

[Simplification of input to electronic medical records]
There is a SOAP system as a flow of examination by a doctor.
S is the patient's chief complaint, which is the main complaint of the patient's inquiry, such as fever and headache. Also, O is the temperature, blood pressure, blood sugar level, etc. measured by a medical worker, etc., for example, 38 degrees, blood pressure 100 to 140 pigs. In addition, A is, for example, influenza or the like, which is freshly diagnosed by a doctor through palpation and inspection based on S and O. Also, P is prescription of medicine, for example, prescription of an antipyretic.

Normally, these data are entered into an electronic medical record by a doctor, but this system allows S (data entered by the patient) and O (data entered by the nurse) to be entered into the electronic medical record from the interview result DB 23 of the WEB interview. , and imported into the electronic medical chart DB 24 or the electronic medical chart operated by each clinic, and the doctor only inputs A and P to complete the input of the electronic medical chart. This has the effect of reducing the input burden on the doctor.

A medical term conversion dictionary database (DB) is prepared for conversion for electronic medical records. , and the converted data can be imported into the electronic medical record.

[Survey function]
In this system, the questionnaire function displays a questionnaire screen on the medical inquiry terminal 4 at the end of the medical inquiry or after the medical inquiry is completed to prompt the patient to answer the questionnaire questions.
The questionnaire has different questionnaire questions depending on the content of the answers to the medical interview. For example, the contents of the questionnaire to be displayed differ depending on the answers such as age, gender, medical history, and medication history.

In addition, in order to use the questionnaire response results, it is necessary to anonymize them. , sex, prefecture, allergy history, chief complaint, etc.) and questionnaire responses are combined and stored as data for anonymization.

[Effects of Embodiment]
According to this system, the standard medical interview DB 21 connected to the medical interview server 1 prepares and stores a plurality of sets of questions about the main complaint and the signs and symptoms associated therewith, and furthermore, additional questions related to the main complaint and the additional questions. The appearance condition of the question is stored, and the control unit 11 of the medical inquiry server 1 displays the question for the main complaint on the medical inquiry terminal 4, and when the appearance condition of the additional question is met, the additional question is displayed on the medical inquiry terminal 4. It is displayed, and by combining additional questions when the answers to the main complaint match the appearance conditions, it has the effect of being able to find signs and symptoms suggestive of diseases that should not be overlooked.

In addition, according to this system, if there is a symptom of concern on the re-examination inquiry screen of the inquiry terminal 4, the system returns to the initial examination inquiry screen and asks detailed questions. By omitting the patient's basic data and setting the appearance condition so that additional questions reflecting the results of the previous answers are referred to from the answer result DB 23, symptoms that are worrisome even in the case of re-examination interviews There is an effect that questions and additional questions can be efficiently provided to the inquiry terminal 4.

The present invention is a WEB medical inquiry system and its method that can find signs and symptoms suggestive of a disease that should not be overlooked by interviewing by combining questions about a chief complaint and additional questions that match conditions, and answering a combination of a plurality of questions. Suitable for programs.

Reference Signs List 1 medical inquiry server 3 network 4 medical inquiry terminal 11 control unit 12 storage unit 13 interface unit 21 standard medical inquiry database (DB) 22 clinic-specific individual medical inquiry database (DB) 23 ... interview result database (DB), 24 ... electronic medical record database (DB)

The present invention for solving the problems of the conventional example is a WEB medical inquiry system provided with a medical inquiry server that conducts a medical inquiry from a medical inquiry terminal using the WEB, wherein the medical inquiry server asks questions for the main complaint and separately for the main complaint. to provide a first occurrence condition for providing a question of and another question provided when the first occurrence condition is met, and to provide additional questions in response to the question or the other question; A second appearance condition combining a plurality of conditions and a standard interview database that stores additional questions provided when the second appearance condition is met . In addition to displaying a question for the main complaint, when a first appearance condition is set for the main complaint, another question that matches the first appearance condition is displayed, and an answer to the question or another question is displayed. On the other hand, when a second appearance condition is set, an additional question that matches the second appearance condition is displayed .
Further, according to the present invention, in the above-mentioned WEB interview system, the second appearance condition is that the additional question appears only when the answer to the previous question matches the set answer. A second setting that shows the additional question only if none of the set answers match, a third setting that only shows the additional question if all of the set answers match, any of the set answers match It is characterized by using a combination of a fourth setting that causes an additional question to appear if the case, a fifth setting that causes an additional question to appear if greater than, and a sixth setting that causes an additional question to appear if less than.

According to the present invention , in the above-mentioned WEB medical inquiry system, when the medical inquiry server inputs that there are worrisome symptoms from the medical inquiry terminal on the re-examination inquiry screen, it shifts to the initial medical inquiry screen. It is characterized in that appearance conditions are set so as to omit the patient's basic data and provide additional questions to the inquiry terminal based on the answers that have already been input.

The present invention is a computer program that operates on an inquiry server in a WEB medical inquiry system that conducts an inquiry from an inquiry terminal using the WEB, wherein the inquiry server is configured to perform questions on a chief complaint and other questions on the chief complaint. and another question provided if the first occurrence condition is met, and multiple questions to provide additional questions in response to the question or the other question and a means for storing additional questions to be provided when the second appearance condition is met; In addition, when the first appearance condition is set for the main complaint, another question that matches the first appearance condition is displayed, and the second appearance for the answer to the question or another question It is characterized by functioning as means for displaying an additional question that matches the second appearance condition when a condition is set .

In the above program, the medical inquiry server of the present invention shifts to the initial medical inquiry screen when a symptom of concern is input from the medical inquiry terminal on the re-examination inquiry screen, and the basic data of the already registered patient is transferred. It is characterized by providing additional questions to the inquiry terminal based on the answers that have already been input.

According to the present invention, the medical inquiry server includes a question for the main complaint, a first appearance condition for providing another question for the main complaint, and another provided when the first appearance condition is met. A question, a second relevance condition that combines multiple conditions to provide additional questions in response to the question or another question, and additional questions to be provided if the second relevance condition is met. When the inquiry is started, the inquiry terminal displays the question for the main complaint, and if the first appearance condition is set for the main complaint, the first appearance Display another question that matches a condition , and if a second appearance condition is set for a question or an answer to another question , display an additional question that matches the second appearance condition Since it is a web interview system, if the answer to the main complaint matches the appearance conditions, additional questions can be combined to find signs and symptoms that suggest a disease that should not be overlooked.

According to the present invention, the medical inquiry server shifts to the initial medical inquiry screen when the inquiry terminal inputs that there is a symptom of concern on the re-examination inquiry screen. Omitting it, since the above WEB interview system is set so that the appearance condition is set so that additional questions are provided to the interview terminal based on the answers that have already been entered, even in the case of a re-examination interview, It is possible to efficiently provide questions and additional questions to the inquiry terminal by omitting the input of the patient's basic data and answered medical history, allergy history, surgery history, etc.

The present invention for solving the problems of the conventional example is a WEB medical inquiry system provided with a medical inquiry server that conducts a medical inquiry from a medical inquiry terminal using the WEB, wherein the medical inquiry server asks questions for the main complaint and separately for the main complaint. to provide a first occurrence condition for providing a question of and another question provided when the first occurrence condition is met, and to provide additional questions in response to the question or the other question; A standard interview database that stores a second appearance condition combining a plurality of conditions, additional questions provided when the second appearance condition is met, basic data of the patient, questions and additional questions A medical interview result database that stores the answer data answered to, and in the case of an initial medical interview, the patient's basic data is entered on the initial medical interview screen of the medical interview terminal, and questions about the chief complaint are made on the initial medical interview screen. is displayed, and when the first appearance condition is set for the chief complaint, another question that matches the first appearance condition is displayed, and the answer to the question or another question is displayed. 2 appearance condition is set, an additional question that matches the second appearance condition is displayed, and in the case of a re-examination inquiry, if there are worrisome symptoms on the re-examination inquiry screen of the inquiry terminal If no input is made, progress and changes since the previous medical examination are entered on the re-examination inquiry screen. When the appearance condition is set in the standard interview database to omit the input of the patient's basic data stored in the result database and to provide additional questions to the interview terminal based on the answer data stored in the interview result database. is characterized by displaying an additional question that matches the appearance condition .
Further, according to the present invention, in the above-mentioned WEB interview system, the second appearance condition is that the additional question appears only when the answer to the previous question matches the set answer. A second setting that shows the additional question only if none of the set answers match, a third setting that only shows the additional question if all of the set answers match, any of the set answers match It is characterized by using a combination of a fourth setting that causes an additional question to appear if the case, a fifth setting that causes an additional question to appear if greater than, and a sixth setting that causes an additional question to appear if less than.

The present invention is a computer program that operates on an inquiry server in a WEB medical inquiry system that conducts an inquiry from an inquiry terminal using the WEB, wherein the inquiry server is configured to perform questions on a chief complaint and other questions on the chief complaint. and another question provided if the first occurrence condition is met, and multiple questions to provide additional questions in response to the question or the other question Means for storing a second appearance condition combining the conditions of, an additional question provided when the second appearance condition is met, the patient's basic data, and the answer to the question and the additional question Means for storing answer data; In the case of an initial medical interview, the patient's basic data is input to the initial medical interview screen of the medical interview terminal, and the question for the main complaint is displayed on the initial medical interview screen; When an appearance condition is set, display another question that matches the first appearance condition, and when the second appearance condition is set for the answer to the question or another question, means for displaying additional questions that match the second appearance condition ; The progress and changes since the previous medical examination are input, and if there is a symptom of concern on the re-examination inquiry screen, the screen shifts to the initial examination inquiry screen, but the input of the patient's basic data already stored is omitted. and furthermore, when an appearance condition for providing additional questions to the medical inquiry terminal based on the stored answer data is set, it functions as a means for displaying the additional questions that match the appearance conditions. Characterized by

According to the present invention, the medical inquiry server includes a question for the main complaint, a first appearance condition for providing another question for the main complaint, and another provided when the first appearance condition is met. A question, a second relevance condition that combines multiple conditions to provide additional questions in response to the question or another question, and additional questions to be provided if the second relevance condition is met. and an interview results database that stores patient basic data and answer data for questions and additional questions . The patient's basic data is entered on the interview screen, and the question about the chief complaint is displayed on the initial medical interview screen, and when the first appearance condition is set for the chief complaint, the first appearance condition is met. display another question, and if a second appearance condition is set for the question or the answer to the other question, display an additional question that matches the second appearance condition , In the case of interview, if there is no worrisome symptom entered on the re-examination inquiry screen of the inquiry terminal, the progress and changes from the previous examination are entered on the re-examination inquiry screen, and the re-examination inquiry screen When a symptom is entered, the screen shifts to the initial medical interview screen, but the input of the patient's basic data already stored in the medical interview result database is omitted, and furthermore, based on the answer data stored in the medical interview result database If the appearance conditions for providing additional questions to the interview terminal are set in the standard interview database, the WEB interview system displays additional questions that match the appearance conditions, so the answers to the questions to the chief complaints meet the appearance conditions. By combining additional questions when matching, it is possible to find signs and symptoms suggestive of a disease that should not be overlooked in the interview, and even in the case of re-examination interview, the patient's basic data and completed responses are collected for worrisome symptoms. There is an effect that questions and additional questions can be efficiently provided to the inquiry terminal by omitting the input of medical history, allergy history, surgery history, etc.

Claims (10)

A WEB medical inquiry system comprising an inquiry server for conducting an inquiry from an inquiry terminal using the WEB,
The medical inquiry server includes a question for a main complaint, a first appearance condition for providing another question for the main complaint, another question provided when the first appearance condition is met, and the Connected to a standard interview database storing a second recurrence condition for providing additional questions in response to a question or an answer to said another question, and additional questions to be provided when said second recurrence condition is met. death,
When the medical interview is started, the inquiry terminal asks questions about the main complaint, questions that match the first appearance condition for the main complaint, and additional questions that match the second appearance condition with respect to the answers to these questions. WEB inquiry system characterized by displaying on. 2. The WEB medical inquiry system according to claim 1, wherein the medical inquiry server causes the medical inquiry terminal to display a questionnaire including questions corresponding to the answers in the medical inquiry when the medical inquiry ends. The interview server is connected to the clinic-specific individual interview database used for web interviews for each clinic, and the interview data is transplanted from the standard interview database in units of blocks, and the clinic can edit questions and appearance conditions in units of blocks. The web inquiry system according to claim 1 or 2, characterized by: 4. The web medical inquiry system according to any one of claims 1 to 3, wherein the medical inquiry server has an alert function for notifying the terminal of the clinic of medical-related information. The inquiry server has a progress follow-up function for inquiring about the progress after the examination to the terminal of the patient by sending a corresponding message at a preset timing based on the name of the disease or prescription medicine. WEB inquiry system of either description. 6. The web medical inquiry system according to any one of claims 1 to 5, wherein the medical inquiry server calculates a score for predicting the onset of disease for the answers to the question and the additional question, and notifies the terminal of the patient and the terminal of the doctor. 7. The web medical inquiry system according to any one of claims 1 to 6, wherein the medical inquiry server converts the data input by the patient and the medical staff in the medical inquiry into electronic charts and imports the data. A WEB medical inquiry system comprising an inquiry server for conducting an inquiry from an inquiry terminal using the WEB,
The medical inquiry server, when it is input from the medical inquiry terminal that there is a symptom of concern on the re-examination inquiry screen, shifts to the initial medical inquiry screen, omitting the basic data of the already registered patient, Furthermore, the WEB medical inquiry system is characterized in that an appearance condition is set so as to provide the medical inquiry terminal with an additional question based on the answer that has already been input. A computer program that operates on a medical inquiry server in a WEB medical inquiry system comprising a medical inquiry server that conducts a medical inquiry from an inquiry terminal using the WEB,
The inquiry server is provided with a question for a main complaint, a first appearance condition for providing another question for the main complaint, another question provided when the first appearance condition is met, and the a second appearance condition for providing an additional question in response to the question or the answer to the another question; means for storing the additional question provided when the second appearance condition is met;
When the medical interview is started, the inquiry terminal asks questions about the main complaint, questions that match the first appearance condition for the main complaint, and additional questions that match the second appearance condition with respect to the answers to these questions. A program characterized by functioning as a means for displaying on. A computer program that operates on a medical inquiry server in a WEB medical inquiry system comprising a medical inquiry server that conducts a medical inquiry from an inquiry terminal using the WEB,
When the medical inquiry server inputs that there are worrisome symptoms from the medical inquiry terminal on the re-examination inquiry screen, the medical inquiry server shifts to the initial medical inquiry screen, omits the basic data of the already registered patient, and A program characterized by functioning to provide additional questions to the inquiry terminal based on the answers obtained.

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