JP2023041699A - Program, method, information processing device and system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To achieve easily usable telemedicine.

SOLUTION: A program causing a computer including a processor and a memory to execute processing is provided. The program causes the processor to execute the steps of: using an automatic interactive system to perform a medical consultation; determining whether or not it is necessary to hand over to a doctor based on a content of the medical consultation, and when it is necessary to hand over to the doctor, handing over voice conversations with the patient to the doctor.

SELECTED DRAWING: Figure 12

COPYRIGHT: (C)2023,JPO&INPIT

Description

The present disclosure relates to programs, methods, information processing apparatuses, and systems.

2. Description of the Related Art In recent years, telemedicine, in which a patient at home or the like receives medical treatment from a doctor at a medical institution such as a hospital using a communication device equipped with an Internet connection function, is becoming widespread. For example, Japanese Patent Laid-Open No. 2002-200000 proposes an application that performs medical interviews and guidance on taking medical narcotics in response to an operation input by a patient.

JP 2020-034993 A

Although preparations are underway to realize telemedicine, some patients are reluctant to face-to-face telemedicine with a doctor through a display, and there is a demand for more casual telemedicine.

An object of the present disclosure is to realize telemedicine that can be easily used.

A program to be executed by a computer having a processor and a memory. The program instructs the processor to use the automatic dialogue system to ask questions to the patient, determine whether or not to take over the doctor based on the contents of the questions, and if the takeover is necessary, the patient and and handing over the spoken dialogue to the doctor.

According to the present disclosure, easy-to-use telemedicine can be realized.

1 is a block diagram showing an example of the overall configuration of system 1; FIG. 2 is a block diagram showing a configuration example of a terminal device 10 shown in FIG. 1; FIG. 3 is a diagram illustrating an example of a functional configuration of a first server 20; FIG. 3 is a diagram illustrating an example of a functional configuration of a second server 31; FIG. FIG. 10 is a diagram showing the data structure of a patient information table 2021; FIG. FIG. 11 shows the data structure of a chart information table 2022. FIG. It is a figure which shows the data structure of the inquiry information table 2023. FIG. FIG. 13 is a diagram showing the data structure of a doctor information table 3121; FIG. FIG. 13 is a diagram showing the data structure of a schedule management table 3122; FIG. FIG. 11 shows the data structure of a nurse information table 3123. FIG. FIG. 11 shows the data structure of a shift table 3124; It is a mimetic diagram showing an example of composition of system 1 concerning this embodiment. FIG. 13 is a flow chart showing an example of the operation when the first server 20 shown in FIG. 12 takes over the dialogue with the patient through the medical platform from the medical platform to a doctor or the like. FIG. 3 is a schematic diagram showing an example of a medical question by a text dialogue displayed on the terminal device 10. FIG. FIG. 13 is a flow chart showing an example of the operation when the first server 20 shown in FIG. 12 takes over the dialogue with the patient through the medical platform from the medical platform to a doctor or the like. FIG. 3 is a schematic diagram showing an example of a medical question by a text dialogue displayed on the terminal device 10. FIG. 13 is a flow chart showing an example of operations when the first server 20 and the second server 31 shown in FIG. 12 take over a dialogue with a patient from the medical platform to a doctor or the like. FIG. 11 is a schematic diagram showing a display example of the terminal device 32 when taking over the dialogue with the patient. FIG. 4 is a schematic diagram showing a display example of the terminal device 10 when a medical treatment is scheduled. FIG. 11 is a schematic diagram showing a display example of the terminal device 32 when a medical treatment is scheduled. FIG. 10 is a schematic diagram showing a display example of the terminal device 32 when the scheduled time for medical treatment is reached. 13 is a flow chart showing an example of operations when the first server 20 and the second server 31 shown in FIG. 12 take over the dialogue between the doctor and the patient from the doctor to the pharmacist. FIG. 5 is a diagram showing an example of a functional configuration of a modified example of the first server 20; FIG. 11 is a block diagram showing an example of the overall configuration of a modified example of system 1; 2 is a block diagram showing the basic hardware configuration of computer 90. FIG.

Hereinafter, embodiments of the present disclosure will be described with reference to the drawings. In the following description, the same parts are given the same reference numerals. Their names and functions are also the same. Therefore, detailed description thereof will not be repeated.

<Overview>
The system according to the present embodiment uses AI (Artificial Intelligence) voice dialogue or text dialogue to hear the patient's condition (interview), and based on the hearing content, the dialogue with the patient, from the system hand over to the doctor.

<1 Configuration diagram of the entire system>
FIG. 1 is a block diagram showing an example of the overall configuration of system 1. As shown in FIG. The system 1 shown in FIG. 1 includes a terminal device 10, a first server 20, and a hospital system 30, for example. The terminal device 10, the first server 20, and the hospital system 30 are connected for communication via a network 80, for example. The first server 20 and the hospital system 30 may be connected by a dedicated line whose security is particularly guaranteed.

Although FIG. 1 shows an example in which the system 1 includes two terminal devices 10, the number of terminal devices 10 included in the system 1 is not limited to two. The terminal device 10 is, for example, a terminal possessed by a patient. The number of terminal devices 10 included in the system 1 may be less than three, or may be three or more.

Although FIG. 1 shows an example in which the system 1 includes one hospital system 30, the number of hospital systems 30 included in the system 1 is not limited to one. Two or more hospital systems 30 may be included in the system 1 .

Although FIG. 1 shows an example in which the first server 20 is independent of the hospital system 30, the first server 20 may be included in the hospital system 30. FIG. At this time, the first server 20 may be integrated with the second server 31 of the hospital system 30, for example. In other words, services provided by the first server 20 may be managed by the hospital system 30 .

In this embodiment, a set of multiple devices may be used as one server. The method of distributing a plurality of functions required to implement the first server 20 according to this embodiment to one or a plurality of pieces of hardware depends on the processing capacity of each piece of hardware and/or the first server 20. It can be determined as appropriate in view of the specifications and the like.

A terminal device 10 shown in FIG. 1 is an information processing device operated by a patient. The terminal device 10 is implemented by, for example, a mobile terminal such as a smart phone or a tablet. The terminal device 10 may be a fixed telephone. If the terminal device 10 is a fixed telephone, the terminal device 10 is connected to the first server 20 or the terminal device 32 included in the hospital system 30 via a fixed telephone line, for example. The terminal device 10 may be a stationary PC (Personal Computer) or a laptop PC. The terminal device 10 may be a wearable terminal such as an HMD (Head Mount Display) or a wristwatch type terminal.

The terminal device 10 includes a communication IF (Interface) 12 , an input device 13 , an output device 14 , a memory 15 , a storage 16 and a processor 19 . The input device 13 is a device (for example, a touch panel, a touch pad, a pointing device such as a mouse, a keyboard, etc.) for receiving an input operation from a user. The output device 14 is a device (display, speaker, etc.) for presenting information to the user.

The first server 20 is, for example, an information processing device that connects to the terminal device 10 used by the patient, interacts with the patient, and mediates the connection between the patient and the doctor or nurse. In this embodiment, the form of interaction is voice and text. For voice interaction, for example, a telephone function using a telephone line may be used, or an IP telephone function using an Internet line may be used. The IP telephony function also includes a calling function of an application having a predetermined chat function. The text interaction may use, for example, a predetermined application having a chat function or a chat function of a predetermined browser.

The first server 20 is realized by a computer connected to the network 80, for example. As shown in FIG. 1, the first server 20 includes a communication IF 22, an input/output IF 23, a memory 25, a storage 26, and a processor 29. The input/output IF 23 functions as an interface with an input device for receiving input operations from the user and an output device for presenting information to the user.

The hospital system 30 is a system constructed within a hospital. The hospital system 30 has, for example, a second server 31 and a terminal device 32 . The second server 31 and the terminal device 32 are connected for data communication via an intra-hospital network such as a LAN (Local Area Network). The connection to the hospital network may be wired connection or wireless connection.

The second server 31 is an information processing device that manages schedules of doctors and nurses and controls connections between patients and doctors or nurses. The second server 31 is one of servers provided in the hospital system 30 . The hospital system 30 includes, for example, a second server 31, a server for constructing a system for managing information of a predetermined department, and a hospital information system (HIS) for managing information related to electronic medical records. A server or the like to be constructed may be included.

In addition, in FIG. 1, although the case where the 2nd server 31 is one unit|set is shown as an example, it is not limited to this. A plurality of second servers 31 may be provided as necessary.

The terminal device 32 is, for example, an information processing device for a doctor, a nurse, or a pharmacist to access a system, server, or the like connected to the hospital LAN. The terminal device 32 may be an information processing device for contacting patients outside the hospital. The terminal device 32 is realized by, for example, a mobile terminal such as a smart phone or a tablet. Terminal device 32 may be a landline telephone. When the terminal device 32 is a fixed telephone, the terminal device 32 is connected to the first server 20 or the terminal device 10 via a fixed telephone line, for example. The terminal device 32 may be a stationary PC or a laptop PC. The terminal device 32 may be a wearable terminal such as an HMD or a wristwatch type terminal. A doctor or nurse may use multiple terminals 32 . For example, a doctor or nurse may use terminal 32 as a laptop PC while using terminal 32 as a landline phone.

Each information processing device is composed of a computer having an arithmetic device and a storage device. The basic hardware configuration of the computer and the basic functional configuration of the computer realized by the hardware configuration will be described later. Descriptions of the terminal device 10, the first server 20, the second server 31, and the terminal device 32 that overlap with the basic hardware configuration of the computer and the basic functional configuration of the computer, which will be described later, will be omitted.

<1.1 Configuration of terminal device>
FIG. 2 is a block diagram showing a configuration example of the terminal device 10 shown in FIG. As shown in FIG. 2, the terminal device 10 includes a communication unit 120, an input device 13, an output device 14, an audio processing unit 17, a microphone 171, a speaker 172, a camera 161, and a position information sensor 150. , a storage unit 180 and a control unit 190 . Each block included in the terminal device 10 is electrically connected by, for example, a bus.

The communication unit 120 performs processing such as modulation/demodulation processing for the terminal device 10 to communicate with other devices. The communication unit 120 performs transmission processing on the signal generated by the control unit 190 and transmits the signal to the outside (for example, the first server 20). Communication unit 120 performs reception processing on a signal received from the outside and outputs the signal to control unit 190 .

The input device 13 is a device for a user operating the terminal device 10 to input instructions or information. The input device 13 is implemented by, for example, a touch-sensitive device 131 or the like that inputs an instruction by touching an operation surface. If the terminal device 10 is a PC or the like, the input device 13 may be implemented by a reader, keyboard, mouse, or the like. The input device 13 converts an instruction input by the user into an electric signal and outputs the electric signal to the control unit 190 . Note that the input device 13 may include, for example, a receiving port for receiving an electrical signal input from an external input device.

The output device 14 is a device for presenting information to the user who operates the terminal device 10 . The output device 14 is implemented by, for example, the display 141 or the like. The display 141 displays data under the control of the controller 190 . The display 141 is implemented by, for example, an LCD (Liquid Crystal Display) or an organic EL (Electro-Luminescence) display.

The audio processing unit 17 performs digital-analog conversion processing of audio signals, for example. The audio processing unit 17 converts the signal supplied from the microphone 171 into a digital signal and supplies the converted signal to the control unit 190 . Also, the audio processing unit 17 provides an audio signal to the speaker 172 . The audio processing unit 17 is realized by, for example, a processor for audio processing. The microphone 171 receives an audio input and provides an audio signal corresponding to the audio input to the audio processing section 17 . The speaker 172 converts the audio signal provided from the audio processing unit 17 into audio and outputs the audio to the outside of the terminal device 10 .

The camera 161 is a device for receiving light with a light receiving element and outputting it as a photographing signal.

The position information sensor 150 is a sensor that detects the position of the terminal device 10, and is, for example, a GPS (Global Positioning System) module. A GPS module is a receiving device used in a satellite positioning system. The satellite positioning system receives signals from at least three or four satellites, and detects the current position of the terminal device 10 equipped with a GPS module based on the received signals. The position information sensor 150 may detect the current position of the terminal device 10 from the position of the wireless base station to which the terminal device 10 connects.

The storage unit 180 is realized by, for example, the memory 15 and the storage 16, and stores data and programs used by the terminal device 10. FIG. The storage unit 180 stores user information 181, for example.

The user information 181 includes, for example, information on users who use the terminal device 10 . Information about the user includes, for example, the user's name, age, address, date of birth, telephone number, email address, and the like.

Control unit 190 is implemented by processor 19 reading a program stored in storage unit 180 and executing instructions included in the program. The control unit 190 controls operations of the terminal device 10 . The control unit 190 functions as an operation reception unit 191, a transmission/reception unit 192, a presentation control unit 193, and a call control unit 194 by operating according to a program.

The operation reception unit 191 performs processing for receiving instructions or information input from the input device 13 . Specifically, for example, the operation accepting unit 191 accepts an instruction or information input from the touch sensitive device 131 or the like.

Further, the operation accepting unit 191 accepts voice instructions input from the microphone 171 . Specifically, for example, the operation reception unit 191 receives an audio signal input from the microphone 171 and converted into a digital signal by the audio processing unit 17 . The operation reception unit 191 acquires an instruction from the user, for example, by analyzing the received audio signal and extracting a predetermined noun.

The transmitting/receiving unit 192 performs processing for the terminal device 10 to transmit/receive data to/from an external device such as the first server 20 according to a communication protocol. Specifically, for example, the transmitting/receiving unit 192 transmits to the first server 20 the information about the answers to the medical questions input by the user. The transmitting/receiving unit 192 also receives information about medical interviews about the user from the first server 20 .

The presentation control unit 193 controls the output device 14 in order to present the information provided by the first server 20 to the user. Specifically, for example, the presentation control unit 193 causes the display 141 to display the information regarding medical interviews transmitted from the first server 20 . The presentation control unit 193 causes the display 141 to display the answer to the inquiry input by the user. The presentation control unit 193 also causes the speaker 172 to output information transmitted from the first server 20 .

The call control unit 194 performs processing for a patient using the terminal device 10 to make a call with an external device. The call control unit 194, for example, performs processing for a patient to make a call with a doctor or the like using the first server 20 or the terminal device 32. FIG. Specifically, when a call request is input from the patient, the call control unit 194 transmits a connection request to the designated connection destination. When receiving a response to the connection request, the call control unit 194 establishes a connection with the responder. Further, the call control unit 194 establishes connection with the first server 20 or the terminal device 32 when the patient responds to a connection request from the first server 20 or the terminal device 32 .

The call control unit 194 transmits information about the voice input from the microphone 171 to the first server 20 or the terminal device 32 with which the connection has been established. In addition, the call control unit 194 outputs information about audio transmitted from the first server 20 or the terminal device 32 with which the connection has been established, from the speaker 172 as audio.

A call with the first server 20 or the terminal device 32 may be a call using a telephone function using a telephone line, or a call using an IP telephone function using an Internet line. The IP telephony function also includes a calling function of an application having a predetermined chat function.

<1.2 Functional configuration of the first server>
FIG. 3 is a diagram showing an example of a functional configuration of the first server 20. As shown in FIG. As shown in FIG. 3 , the first server 20 functions as a communication section 201 , a storage section 202 and a control section 203 .

The communication unit 201 performs processing for the first server 20 to communicate with an external device.

The storage unit 202 has, for example, a patient information table 2021, a chart information table 2022, an interview information table 2023, a learned model 2024, and the like.

The patient information table 2021 is a table that stores information about patients. The latest information about the patient is managed by the hospital system 30, for example. Information stored in the patient information table 2021 is updated based on information managed by the hospital system 30 at a predetermined timing. For example, the predetermined timing is as follows.
・Predetermined cycle ・Predetermined time ・When the hospital system 30 accumulates a predetermined amount of patient information

The medical record information table 2022 is a table that stores information on electronic medical records of patients. The information related to the electronic medical chart stored in the medical chart information table 2022 is, for example, part of the electronic medical chart managed by the hospital system 30 . The information on the electronic medical chart stored in the medical chart information table 2022 is updated at a predetermined timing. For example, the predetermined timing is as follows.
・Predetermined cycle ・Predetermined time ・When the information in the electronic medical record of the predetermined patient is updated in the hospital system 30

The medical inquiry information table 2023 is a table that stores patient's answers to medical inquiries.
A trained model 2024 is, for example, a model for implementing an interview with a patient. The trained model 2024 is stored in advance when the first server 20 provides the service.

A trained model 2024 is generated by causing a machine learning model to perform machine learning according to a model learning program. The trained model 2024 is, for example, a parameterized synthetic function obtained by synthesizing multiple functions. A parameterized composite function is defined by a combination of multiple adjustable functions and parameters. A trained model according to this embodiment may be any parameterized composite function that satisfies the above requirements.

For example, if the trained model 2024 is generated using a forward-propagating multi-layered network, the parameterized synthesis function may be, for example, a linear relationship between each layer using a weight matrix, a non-linear defined as a combination of a relationship (or linear relationship) and a bias. Weighting matrices and biases are called parameters of the multilayered network. A parameterized composite function changes its form as a function depending on how the parameters are chosen. In a multi-layered network, by appropriately setting the constituent parameters, it is possible to define a function capable of outputting favorable results from the output layer.

As the multi-layered network according to the present embodiment, for example, a deep neural network (DNN), which is a multi-layered neural network targeted for deep learning, can be used. As the DNN, for example, a recurrent neural network (RNN) targeting time-series information or the like may be used. Also, a network with a self-attention mechanism targeting natural language may be used.

The trained model 2024 is trained, for example, to output a predetermined response to an input answer. At this time, the learning data for training the trained model 2024 uses, for example, a plurality of answer patterns corresponding to the type of conversation as input data, and the response patterns for these answer patterns as correct output data.

The learned model 2024 may be re-learned at any time based on the reply log from the terminal device 10 .

The storage unit 202 also stores, for example, information about questions to be sent to the patient during medical interviews. The question content is set, for example, for each patient who needs automatic medical interview from the first server 20 among the patients stored in the patient information table 2021 .

The control unit 203 is implemented by the processor 29 reading a program stored in the storage unit 202 and executing instructions included in the program. The control unit 203 operates according to a program to exhibit functions shown as a reception control module 2031, a transmission control module 2032, a connection control module 2033, a voice dialogue module 2034, a text dialogue module 2035, and a handover control module 2036.

The reception control module 2031 controls the process by which the first server 20 receives signals from an external device according to a communication protocol.

The transmission control module 2032 controls the process of transmitting a signal from the first server 20 to an external device according to a communication protocol.

The connection control module 2033 controls connection with the terminal device 10 owned by the patient. The connection control module 2033 connects with the terminal device 10 via, for example, a telephone line or an Internet line. The connection control module 2033 connects to the terminal device 10 in response to a request from the terminal device 10, for example.

Also, the connection control module 2033 may request connection to the terminal device 10 owned by the patient at a predetermined timing. For example, the predetermined timing is as follows.
・Predetermined cycle ・Predetermined time ・Predetermined time after a predetermined period has passed since the previous medical examination ・When the patient's condition is expected to reach a predetermined state

The connection control module 2033 establishes a connection with the terminal device 10 when there is a response from the terminal device 10 to the connection request.

The connection control module 2033 also controls connection between the terminal device 10 owned by the patient and the terminal device 32 owned by the doctor or nurse. The connection control module 2033 connects the terminal device 10 and the terminal device 32 via, for example, a telephone line. When the connection between the terminal device 10 and the terminal device 32 is established, telemedicine between the patient and the doctor or nurse is carried out.

The connection control module 2033 also controls connection between the terminal device 10 owned by the patient and the terminal device 32 owned by the pharmacist. The connection control module 2033 connects the terminal device 10 and the terminal device 32 via, for example, a telephone line. When the connection between the terminal device 10 and the terminal device 32 is established, the pharmacist will give instructions on how to take medication. By receiving medication guidance over the phone, the patient can receive the medicine dispensed based on the prescription, for example, by mail.

Voice interaction module 2034 controls voice interaction with the patient. For example, the voice dialogue module 2034 transmits to the terminal device 10 owned by the patient information based on the voice reading out at least one of the questions included in the interview content set for each patient. If the patient is a first-time visitor, the content of the interview will be the content for the first-time patient. Also, when the voice interaction module 2034 receives information based on voice uttered by the patient, for example, it recognizes the voice and converts it into text format data. Voice interaction module 2034 produces a response to the patient based on the textual data. Specifically, for example, the voice interaction module 2034 inputs data in text form to the trained model 2024 and outputs a response according to the patient's answer.

Text interaction module 2035 controls text interaction with the patient. For example, the text dialogue module 2035 transmits information based on at least one of the questions included in the interview content set for each patient to the terminal device 10 owned by the patient. The text interaction module 2035 also, for example, upon receiving text-based information entered by the patient, generates a response to the patient based on the received information. Specifically, for example, the text interaction module 2035 inputs data in text form to the trained model 2024 and outputs a response according to the patient's answer.

A handover control module 2036 controls the handover of the dialogue based on the results of the interview with the patient. For example, the handover control module 2036 determines whether the patient's condition is in an emergency state, and if it is in an emergency state, the dialogue between the first server 20 and the patient is sent from the first server 20 to the doctor. to the second server 31 to immediately take over. The handover control module 2036 may also determine the patient's condition based on the patient's vital information transmitted from the terminal device 10 . The handover control module 2036 transmits interview information about the patient who has been interviewed to the terminal device 32 .

The handover control module 2036 transmits to the second server 31 a second request signal indicating that the patient wishes to see a doctor even though the patient is not in an emergency but wants to see a doctor.

The control unit 203 may create medical interview questions for each patient based on the medical chart information stored in the medical chart information table 2022 .

<1.3 Functional configuration of the second server>
FIG. 4 is a diagram showing an example of a functional configuration of the second server 31. As shown in FIG. As shown in FIG. 4 , the second server 31 functions as a communication section 311 , a storage section 312 and a control section 313 .

The communication unit 311 performs processing for the second server 31 to communicate with an external device.

The storage unit 312 has, for example, a doctor information table 3121, a schedule management table 3122, a nurse information table 3123, a shift management table 3124, and the like.

The doctor information table 3121 is a table that stores information about doctors.

The schedule management table 3122 is a table that stores doctors' schedules.

Nurse information table 3123 is a table that stores information about nurses.
The shift management table 3124 is a table that stores nurse shifts.

The control unit 313 is implemented by the processor reading a program stored in the storage unit and executing instructions included in the program. The control unit 313 operates according to programs to exhibit functions as a reception control module 3131 , a transmission control module 3132 , a connection control module 3133 , a setting module 3134 , a presentation module 3135 and a prescription module 3136 .

The reception control module 3131 controls the process by which the second server 31 receives signals from an external device according to a communication protocol.

The transmission control module 3132 controls the process of transmitting a signal from the second server 31 to an external device according to the communication protocol.

The connection control module 3133 controls connection between the terminal device 10 owned by the patient and the terminal device 32 owned by the doctor or nurse. For example, when the connection control module 3133 receives a signal from the first server 20 requesting to take over the dialogue with the doctor, the connection control module 3133 refers to the doctor information table 3121 and the schedule management table 3122, and determines the doctor who can handle it. do. Specifically, when a handover is requested, the connection control module 3133 determines, among doctors who are not conducting face-to-face medical care or telemedicine, a doctor with a specialty suitable for the result of the patient's interview. The connection control module 3133 may also determine a doctor by referring to, for example, the attending doctor, etc., described in the patient's electronic medical record information. The connection control module 3133 notifies the determined contact information of the doctor to the first server 20 .

If there is no available doctor, the connection control module 3133 may refer to the nurse information table 3123 and the shift management table 3124 to determine an available nurse. The connection control module 3133 notifies the first server 20 of the determined nurse's contact information.

For example, when the connection control module 3133 receives a signal from the first server 20 requesting medical treatment with a doctor, the connection control module 3133 refers to the doctor information table 3121 and the schedule management table 3122 to determine a doctor who can handle the request. Specifically, when medical treatment is requested, the connection control module 3133 determines, among doctors who do not perform face-to-face medical treatment or telemedicine, a doctor with a specialty suitable for the result of the patient's interview. The connection control module 3133 may also determine a doctor by referring to, for example, the attending doctor, etc., described in the patient's electronic medical record information. The connection control module 3133 notifies the determined contact information of the doctor to the first server 20 .

At a predetermined time, the connection control module 3133 causes the terminal device 32 owned by the determined doctor to transmit a connection request to the terminal device 10 owned by the patient. When the terminal device 10 responds to the connection request from the terminal device 32, the connection between the terminal device 10 and the terminal device 32 is established. A telephone consultation is conducted between the patient and the doctor on the established connection. That is, the connection control module 3133 causes the terminal device 32 to call back the terminal device 10 at a predetermined time. The connection control module 3133 may check whether the terminal device 10 is ready for communication before causing the terminal device 32 to transmit a connection request. For example, the connection control module 3133 sends a connection request to the terminal device 10 and checks whether the terminal device 10 is on the phone with another terminal before causing the terminal device 32 to send a connection request. As a result, the doctor can make a call after confirming that the patient is ready to talk, and the resources of the doctor can be used efficiently.

The connection control module 3133 controls connection between the terminal device 10 owned by the patient and the terminal device 32 owned by the pharmacist or the terminal device 32 provided in the pharmacy department. The connection control module 3133 notifies the contact information of the pharmacist to the first server 20, for example, when the doctor finishes examining the patient and issues a prescription to the patient.

The settings module 3134 controls the setting of times for a doctor to televise a patient. For example, the setting module 3134 receives a signal from the first server 20 requesting medical treatment with a doctor, and if there is no doctor who can respond immediately, the setting module 3134 refers to the doctor information table 3121 and the schedule management table 3122, Keep track of available doctor schedules. Specifically, if the setting module 3134 receives a signal that a doctor wishes to consult with a doctor, but there is no doctor who can immediately respond, Determine the doctor with the closest available time. The configuration module 3134 may select the doctor with the closest available time, regardless of specialty. The setting module 3134 may also determine a doctor by referring to, for example, the attending doctor, etc., described in the patient's electronic medical record information.

A presentation module 3135 presents information to the patient regarding the take-over of the dialogue. For example, the presentation module 3135 causes the terminal device 10 to display the scheduled time of callback from the doctor when the dialogue with the patient cannot be handed over to the doctor. The presentation module 3135 presents information regarding the issued prescription if the prescription has been issued. Prescription information includes, for example:
・Name of prescribed medicine ・Photo of prescribed medicine ・Prescription identification number

The presentation module 3135 also presents information to the doctor or nurse about taking over the dialogue. For example, the presentation module 3135 presents the content of the interview with the patient to a doctor or nurse who takes over the interaction with the patient. A presentation module 3135 may present the patient's chart information to a doctor or nurse who takes over the interaction with the patient.

Prescription module 3136 controls the issuance of prescriptions as directed by a physician. For example, the prescription module 3136 receives designation of medicine from the terminal device 32 as a laptop PC, and issues a prescription based on the designated medicine.

<2 Data structure>
5 to 7 are diagrams showing data structures of tables stored by the first server 20. FIG. It should be noted that FIGS. 5 to 7 are examples and do not exclude data that are not shown. Moreover, even data described in the same table may be stored in separate storage areas in the storage unit 202 .

FIG. 5 is a diagram showing the data structure of the patient information table 2021. As shown in FIG. The patient information table 2021 shown in FIG. 5 is a table having patient ID as a key and columns of name, age, sex, date of birth, address, contact information, contact account, and e-mail address.

A patient ID is an item that stores an identifier for uniquely identifying a patient. The name is an item that stores the patient's name. Age is an item that stores the patient's age. Sex is an item that stores the patient's sex. The date of birth is an item for storing the date of birth of the patient. The address is an item that stores the address where the patient lives. The contact information is an item that stores the telephone number of the terminal device 10 owned by the patient. The telephone number of the terminal device 10 may be the telephone number of a telephone using a telephone line or the telephone number of an IP telephone. A contact account is an item that stores account information for identifying a patient when conducting a text interaction. A contact account is, for example, account information used in a predetermined application having a chat function. The mail address is an item for storing addresses for sending mails to patients.

FIG. 6 is a diagram showing the data structure of the chart information table 2022. As shown in FIG. The chart information table 2022 shown in FIG. 6 is a table having columns of disease name, inspection item, inspection value, attending physician, and past history, with patient ID as a key.

The disease name is an item that stores the name of the disease diagnosed for the patient. The inspection item is an item that stores the name of the inspection item measured for the patient. The inspection value is an item that stores the value measured in inspection for each inspection item. The doctor in charge is an item that stores the name of a doctor in charge of medical care for the patient. The medical history is an item that stores the names of diseases suffered in the past that are currently cured.

FIG. 7 is a diagram showing the data structure of the inquiry information table 2023. As shown in FIG. The inquiry information table 2023 shown in FIG. 7 is a table having columns of connection time and inquiry content with patient ID as a key.

The connection time is an item that stores the time at which the patient was interviewed by the first server 20 . The inquiry content is an item that stores the content of the inquiry conducted by the first server 20 . The interview content may store data representing the content, or may store a link to a storage destination of the data representing the content.
8 to 11 are diagrams showing data structures of tables stored by the second server 31. FIG. It should be noted that FIGS. 8 to 11 are examples and do not exclude data that are not shown. Moreover, even data described in the same table may be stored in separate storage areas in the storage unit 312 .

FIG. 8 is a diagram showing the data structure of the doctor information table 3121. As shown in FIG. The doctor information table 3121 shown in FIG. 8 is a table having columns of name, age, sex, date of birth, department of work, and contact information with the doctor ID as a key.

A doctor ID is an item that stores an identifier for uniquely identifying a doctor. The name is an item for storing the doctor's name. Age is an item that stores the age of the doctor. Gender is an item that stores the gender of a doctor. The date of birth is an item for storing the date of birth of the doctor. The work department is an item that stores the name of the department in which the doctor works. The contact information is an item that stores the telephone number of the terminal device 32 owned by the doctor. The telephone number of the terminal device 32 may be the telephone number of a telephone using a telephone line or the telephone number of an IP telephone.

FIG. 9 is a diagram showing the data structure of the schedule management table 3122. As shown in FIG. The schedule management table 3122 shown in FIG. 9 is a table having columns of start time, end time, medical care mode, and patient ID, with the doctor ID as a key.

The start time is an item that stores the time at which the doctor starts to treat a given patient. The end time is an item that stores the time when the medical treatment of a given patient by a doctor ends. In other words, the start time and end time define the time required for medical care for one patient. The medical care defined by the start time and end time may be one that was performed in the past or one that will be performed in the future. When the start time and end time for a future practice are stored, the start time and end time represent the appointment of the practice. The medical care mode is an item that stores the medical care mode performed by the doctor. The form of medical care includes, for example, face-to-face medical care and telemedicine. In addition, a medical treatment form is not limited to these. A patient ID is an item that stores an identifier for identifying a patient who receives medical care.

FIG. 10 is a diagram showing the data structure of the nurse information table 3123. As shown in FIG. The nurse information table 3123 shown in FIG. 10 is a table having columns of name, age, sex, date of birth, department of work, and contact information, with nurse ID as a key.

The nurse ID is an item that stores an identifier for uniquely identifying a nurse. The name is an item that stores the name of the nurse. Age is an item that stores the age of the nurse. Gender is an item that stores the gender of the nurse. The date of birth is an item for storing the date of birth of the nurse. The work department is an item that stores the name of the department in which the nurse works. The contact information is an item that stores the telephone number of the terminal device 32 owned by the nurse. The telephone number of the terminal device 32 may be the telephone number of a telephone using a telephone line or the telephone number of an IP telephone.

FIG. 11 is a diagram showing the data structure of the shift management table 3124. As shown in FIG. The shift management table 3124 shown in FIG. 11 is a table having columns of working days and working hours with a nurse ID as a key.

The work day is an item for storing the day when the nurse comes to work. Working hours is an item that stores the hours that nurses work.

<3 Operation>
The operations of the first server 20 and the second server 31 that mediate telemedicine will be described.

FIG. 12 is a schematic diagram showing an example of the configuration of the system 1 according to this embodiment. In the following description, as shown in FIG. 12, the first server 20 and the second server 31 construct a medical platform. In the medical platform, the first server 20 automatically conducts patient interviews. The first server 20 and the second server 31 hand over the dialogue with the patient to the doctor. After taking over the dialogue from the medical care platform, the doctor treats the patient via the terminal device 32 .

(Determination of necessity of handover based on medical interview content: connection from the first server 20)
FIG. 13 is a flow chart showing an example of the operation of the first server 20 shown in FIG. 12 when handing over the dialogue with the patient through the diagnostic platform from the diagnostic platform to the doctor or the like.

FIG. 13 illustrates an example in which a connection request is transmitted from the diagnostic platform to the terminal device 10 possessed by patient A. FIG. It is assumed that patient A has already received medical treatment at least once, and information is stored in patient information table 2021 . Having the clinical platform automatically interview patient A is effective, for example, in routinely interviewing patients who are recovering at home due to chronic illness, COVID-19, or the like.

First, the control unit 203 of the first server 20 specifies a patient who needs to be interviewed by the connection control module 2033 (step S11). For example, the control unit 203 identifies a patient who corresponds to any of the following.
・Patients whose prescribed period has passed since the last medical examination ・Patients who are expected to be in a prescribed condition ・Patients whose progress should be confirmed

In step S12, the connection control module 2033 determines whether or not the terminal device 10 of the identified patient A supports text interaction. For example, the connection control module 2033 refers to the patient information table 2021 and determines whether information is stored in the item "contact account". When patient A's terminal device 10 supports text interaction (Yes in step S12), that is, when information is stored in the item "contact account", for example, the connection control module 2033 communicates via the Internet line. to connect to the terminal device 10. When connected to the terminal device 10, the control unit 203 causes the text dialogue module 2035 to conduct text dialogue using an application having a predetermined chat function (step S13). For example, the text interaction module 2035 sends a message confirming the interaction with Patient A.

When patient A's terminal device 10 does not support text interaction (No in step S12), that is, when information is not stored in the item "contact account", for example, the connection control module 2033 communicates via the telephone line. to connect to the terminal device 10. Note that the connection control module 2033 may be connected to the terminal device 10 via the Internet line using the IP telephone function. When connected to the terminal device 10, the control unit 203 causes the voice dialogue module 2034 to perform voice dialogue using the telephone function (step S14).

At step S15, the text interaction module 2035 determines whether there is a response from patient A in the text interaction. If there is a response from the patient A within a predetermined period of time, for example, 10 minutes from the first message sent (Yes in step S15), the text dialogue module 2035 starts a text dialogue inquiry (step S16).

14A and 14B are schematic diagrams showing an example of a medical question by a text dialogue displayed on the terminal device 10. FIG. The presentation control unit 193 of the terminal device 10 displays, for example, the message transmitted from the first server 20 on the display object 1411 arranged on the left side of the display 141 from top to bottom in chronological order. The patient enters an answer to each question displayed. The presentation control unit 193 displays, for example, a message input by the patient on the display object 1412 arranged on the right side of the display 141 from top to bottom in chronological order.

If there is no response after a predetermined period of time, for example, 10 minutes has passed since the first message was sent (No in step S15), the connection control module 2033 connects to the terminal device 10 via the telephone line, and proceeds to step S14. to

In step S14, when the patient A responds to the voice dialogue using the telephone function, the voice dialogue module 2034 starts medical interview by voice dialogue (step S17).

In step S<b>18 , the voice dialogue module 2034 or the text dialogue module 2035 stores the question contents in the storage unit 202 .

In step S19, the control unit 203 determines whether or not it is necessary to take over the dialogue based on the result of the interview with the patient. For example, the control unit 203 uses the handover control module 2036 to refer to the interview information table 2023 and determines whether patient A requests handover to the doctor. If the dialogue needs to be handed over (Yes in step S19), the handover control module 2036 determines whether immediate handover is necessary (step S110). For example, the handover control module 2036 refers to the interview information table 2023 and determines whether the condition of patient A is in an emergency. For example, an emergency situation is as follows.
・Among the symptoms confirmed in the medical interview, there are symptoms that are presumed to require immediate medical attention. ・The patient’s condition is clearly strange.

If immediate handover is required (Yes in step S110), the handover control module 2036 sends a first request signal from the first server 20 to the doctor to immediately take over the dialogue between the first server 20 and the patient. It is transmitted to the server 31 (step S111). The handover control module 2036 transmits to the second server 31 a second request signal indicating that the patient desires medical treatment with a doctor when the patient requests medical treatment with a doctor although the condition is not urgent (step S112). When the handover control module 2036 transmits the first request signal or the second request signal to the second server 31, it also transmits the inquiry information stored about the patient.

(Determination of necessity of handover based on interview content: connection from patient's terminal device 10)
FIG. 15 is a flow chart showing an example of the operation of the first server 20 shown in FIG. 12 when handing over the dialogue with the patient through the diagnostic platform from the diagnostic platform to the doctor or the like.

FIG. 15 illustrates an example of transmitting a connection request from the terminal device 10 possessed by patient B to the diagnostic platform.

First, patient B contacts the hospital. Specifically, patient B, for example, presses the telephone number set in the hospital to make a call. Alternatively, patient B uses, for example, a predetermined application having a chat function, designates an account set in the hospital, and sends a message.

The control unit 203 of the first server 20 uses the connection control module 2033 to determine which type of connection the access from the patient B is (step S21). If it is a connection by a predetermined application, that is, if it is a text dialogue request, the control unit 203 shifts the process to step S16. If it is a connection by telephone, that is, if it is a request for voice interaction, the control unit 203 causes the process to proceed to step S17.

16A and 16B are schematic diagrams showing an example of a medical question by a text dialogue displayed on the terminal device 10. FIG. The presentation control unit 193 of the terminal device 10 displays, for example, the message transmitted from the first server 20 on the display object 1413 arranged on the left side of the display 141 from top to bottom in chronological order. The patient enters an answer to each question displayed. The presentation control unit 193 displays, for example, a message input by the patient on the display object 1412 arranged on the right side of the display 141 from top to bottom in chronological order. In the example shown in FIG. 16, as the first question for patient B, the purpose of the inquiry is displayed. This is because, unlike the inquiry requested from the medical platform shown in FIG. 13, it is necessary to first grasp the purpose of the inquiry of the connection source.

(Handover processing to doctors or nurses)
FIG. 17 is a flow chart showing an example of operations when the first server 20 and the second server 31 shown in FIG. 12 take over the dialogue with the patient from the diagnostic platform to the doctor or the like.

In step S<b>31 , the control unit 313 of the second server 31 determines whether or not the first request signal to take over immediately has been received from the first server 20 . If received (Yes in step S31), the control unit 313 determines whether or not there is an available doctor (step S32).

For example, the control unit 313 uses the connection control module 3133 to refer to the doctor information table 3121, the schedule management table 3122, and the content of the interview, and determines a doctor who can respond. More specifically, for example, when the connection control module 3133 receives the first request signal, the connection control module 3133 selects, among doctors who are not performing face-to-face medical care or telemedicine, a doctor with a specialty suitable for the result of the interview with the patient. to decide. After determining the doctor, the connection control module 3133 sends the contact information stored in the doctor information table 3121 to the first server 20 .

In step S33, the connection control module 2033 of the first server 20 takes over the connection to the determined doctor. Specifically, for example, the connection control module 2033 causes the terminal device 10 owned by the patient to transmit a connection request to the determined contact information of the doctor. When the doctor operates the terminal device 32 to respond to the request, the connection between the terminal device 10 and the terminal device 32 is established. A telephone consultation is conducted between the patient and the doctor on the established connection.

When a medical question is received using a predetermined application having a chat function, that is, when a medical question is received in a text-format dialogue, for example, an icon for accepting an instruction to send to the terminal device 32 is displayed on the operation screen of the application. be done. The patient causes the terminal device 10 to transmit a connection request to 32 by pressing the icon.

FIG. 18 is a schematic diagram showing a display example of the terminal device 32 when taking over the dialogue with the patient. The terminal device 32 displays, on the display object 321, information representing, for example, the patient to whom the telephone is connected and the content of the inquiry. The terminal device 32 displays a response button 322 for establishing connection with the terminal device 10 owned by the patient. When the doctor presses 322w, the connection between the terminal device 10 and the terminal device 32 is established.

In step S32, if there is no currently available doctor (No in step S32), the connection control module 3133 of the second server 31 refers to the nurse information table 3123 and the shift management table 3124, and to decide. After determining the nurse, the connection control module 3133 sends the contact information stored in the nurse information table 3123 to the first server 20 .

In step S34, the connection control module 2033 of the first server 20 takes over the connection to the determined nurse. Specifically, for example, the connection control module 2033 causes the terminal device 10 owned by the patient to transmit a connection request to the determined contact information of the nurse. When the nurse operates the terminal device 32 to respond to the request, the connection between the terminal device 10 and the terminal device 32 is established. A telephone consultation is conducted between the patient and the nurse on the established connection.

In step S31, if the control unit 313 of the second server 31 has not received the first request signal (No in step S31), the control unit 313 transmits the second request signal to the first server 20 to request medical treatment with a doctor. (step S35). If received (Yes in step S35), the control unit 313 determines whether or not there is an available doctor (step S36).

For example, the control unit 313 uses the connection control module 3133 to refer to the doctor information table 3121, the schedule management table 3122, and the content of the interview, and determines a doctor who can respond. After determining the doctor, the connection control module 3133 sends the contact information stored in the doctor information table 3121 to the first server 20 . In addition, even if there is a doctor who has an appointment at the current time, the doctor may not be determined as a transfer target for a patient who urgently needs to take over.

In step S37, the connection control module 2033 of the first server 20 takes over the connection to the determined doctor. For example, in the dialogue between the terminal device 10 and the first server 20 , an instruction to transmit a connection request to the terminal device 32 of the determined doctor is received from the terminal device 10 . When the doctor operates the terminal device 32 and responds to the connection request sent from the terminal device 10, the connection between the terminal device 10 and the terminal device 32 is established. A telephone consultation is conducted between the patient and the doctor on the established connection.

In step S36, if there is no doctor currently available (No in step S36), the control unit 313 reserves a doctor's schedule (step S38). For example, the control unit 313 uses the setting module 3134 to determine the doctor who has the closest available time among the doctors whose specialty is suitable for the result of the interview of the patient. The configuration module 3134 may also select the doctor with the closest available time, regardless of specialty.

In step S39, the control unit 313 presents information regarding handover of the dialogue to the patient and the doctor. For example, the control unit 313 uses the presentation module 3135 to present information about the determined doctor and the reserved schedule to the patient via the first server 20 . If the patient is audibly connected to the first server 20 via a telephone line, the presentation module 3135 announces the information regarding the doctor and schedule, for example, audibly. If the patient is connected to the first server 20 in text form via the internet line, the presentation module 3135 will notify the information regarding the doctor and schedule by text using a predetermined application having a chat function, for example.

FIG. 19 is a schematic diagram showing a display example of the terminal device 10 when a medical treatment is scheduled. The terminal device 10 displays, on the display object 1414, information representing, for example, the determined doctor and the scheduled return time.

Also, for example, the presentation module 3135 presents information about the patient scheduled to see, the content of the interview, and the scheduled schedule to the determined doctor.

FIG. 20 is a schematic diagram showing a display example of the terminal device 32 when a medical treatment is scheduled. The terminal device 32 displays, on the display object 323, information representing, for example, the patient scheduled to be treated and the content of the inquiry. The terminal device 32 displays information representing the medical treatment schedule on the display object 324 .

At a predetermined time, the connection control module 3133 causes the terminal device 32 owned by the determined doctor to transmit a connection request to the terminal device 10 owned by the patient.

FIG. 21 is a schematic diagram showing a display example of the terminal device 32 when the scheduled time for medical treatment has arrived. The terminal device 32 displays, for example, a patient to be medically treated, information representing the content of the inquiry, etc. on the display object 325 . The terminal device 32 displays a call button 326 for establishing connection with the terminal device 10 owned by the patient. When the doctor presses 326 w , a connection request is transmitted from the terminal device 32 to the terminal device 10 . When the terminal device 10 responds to the connection request from the terminal device 32, the connection between the terminal device 10 and the terminal device 32 is established. A telephone consultation is conducted between the patient and the doctor on the established connection.

(handover process to pharmacist)
Physicians conducting telemedicine visits to patients can prescribe medications. For example, a doctor operates the terminal device 32 as a laptop PC and instructs the second server 31 to issue a prescription while making a phone call. Prescription module 3136 stores information about issued prescriptions in storage unit 312 .

FIG. 22 is a flow chart showing an example of operations when the first server 20 and the second server 31 shown in FIG. 12 hand over the dialogue between the doctor and the patient from the doctor to the pharmacist.

The terminal device 32 possessed by the doctor notifies the second server 31 of the end of the medical care when the medical care of the patient by phone is completed.

The control unit 313 receives the notification that the medical treatment has ended (step S41). Upon receiving the notification that the medical treatment has ended, the control unit 313 determines whether or not a prescription has been issued (step S42). For example, when the connection control module 3133 stores information about a prescription in the storage unit 312, the control unit 313 determines that the prescription has been issued.

If a prescription has been issued (Yes in step S42), the connection control module 3133 transmits the contact information of the pharmacist or pharmacy department to the first server 20.

In step S43, the connection control module 2033 of the first server 20 takes over the connection to the pharmacist or pharmacy department. Specifically, for example, the connection control module 2033 causes the terminal device 10 owned by the patient to transmit a connection request to the contact information of the pharmacist or pharmacy department. When the pharmacist or pharmacy department operates the terminal device 32 to respond to the request, the connection between the terminal device 10 and the terminal device 32 is established. With the established connection, the pharmacist will provide instructions on how to take medication.

As described above, in the above embodiments, the voice dialogue module 2034 or the text dialogue module 2035 utilizes an automatic dialogue system to ask the patient questions. The handover control module 2036 determines whether or not handover to the doctor is necessary based on the content of the inquiry. If handover is required, the connection control module 2033 hands over the voice interaction with the patient to the doctor. As a result, the first server 20 can allow the patient and the doctor to interact with each other according to the content of the inquiry.

Therefore, according to the system according to the present embodiment, telemedicine that can be easily used by patients can be realized.

Also, in the above embodiments, the voice interaction module 2034 implements an automatic interaction system. As a result, the patient can telemedicine with the doctor by talking to the first server 20 on the phone, so that the patient can receive the telemedicine more easily.

Also, in the above embodiments, the text interaction module 2035 implements an automatic interaction system. As a result, the patient can receive telemedicine with a doctor by sending a message to the first server 20, so that the patient can receive telemedicine more easily.

Also, in the above embodiment, the connection control module 2033 switches between the voice dialogue system and the text dialogue system according to the patient. This allows the patient to interact with the first server 20 in a user-friendly manner.

Further, in the above embodiment, the control unit 203 prepares the contents of questions in medical interview according to the patient. This improves the accuracy of medical interviews and reduces the burden on the doctor who takes over the dialogue.

Also, in the above embodiment, the connection control module 3133 determines a doctor based on the content of the interview. As a result, it becomes possible to hand over the dialogue to a doctor who is in the patient's condition.

Further, in the above embodiment, the connection control module 3133 determines a doctor who has an appointment when it determines that a handover is necessary in case of emergency. This makes it possible to immediately find a doctor who has an appointment in case of emergency.

Further, in the above embodiment, the connection control module 3133 determines a nurse if there is no doctor who is available when it is judged that a handover is necessary although there is an emergency. The connection control module 2033 hands over the interaction with the patient to the nurse. Thereby, even if there is no doctor who has an appointment, it is possible to hand over the dialogue with the patient to the medical staff.

In the above embodiment, the connection control module 3133 determines a doctor who is available at the time of the patient's request for medical treatment, even though it is not urgent. As a result, regardless of the contents of the medical interview, it is possible to allow a patient who wishes to have a dialogue with a doctor to have a dialogue with the doctor.

Further, in the above-described embodiment, if the patient requests medical treatment without an emergency, but there is no doctor who is available when the patient requests medical treatment, the setting module 3134 determines that the previous schedule is not available. Keep track of your doctor's appointment. As a result, regardless of the content of the medical interview, it is possible to allow the patient who wishes to have a dialogue with the doctor to have a dialogue with the doctor after a predetermined period of time has elapsed.

Also, in the above embodiment, the presentation module 3135 notifies the doctor who made the appointment of information about the appointment that was made. This allows the doctor to grasp his/her schedule.

In the above embodiment, the connection control module 3133 connects the terminal 32 owned by the doctor to the terminal 10 owned by the patient when the set schedule comes. This enables the doctor to prevent forgetting to call the patient.

In the above embodiment, the connection control module 3133 checks whether the terminal 10 owned by the patient is connectable before connecting the terminal 32 owned by the doctor. This makes it possible to prevent the doctor from calling back, thereby protecting the doctor's resources.

Also, in the above embodiment, the connection control module 2033 requests the patient to establish a connection for questioning. As a result, for example, it is possible to efficiently interview a patient with a chronic disease who is being treated at home.

Also, in the above embodiment, the connection control module 2033 receives a request for connection from the patient to receive an interview. As a result, even a first-time patient can receive an interview using the automatic dialogue system.

Also, in the above embodiments, the prescription module 3136 issues prescriptions in response to instructions from a physician interacting with a patient. This makes it possible to issue a prescription in telemedicine.

In the above embodiment, the connection control module 2033 hands over the dialogue with the patient to the pharmacist if the prescription has been issued when the dialogue between the patient and the doctor ends. As a result, it becomes possible to receive prescribed medicines by mail or the like, since it is possible to receive medication guidance in telemedicine.

In the above-described embodiment, the case where the phone function or the call function of a predetermined application is used when performing voice interaction with the first server 20 has been described. Also, the case where a predetermined application is used when executing a text interaction with the first server 20 has been described. At this time, the application used may be an application for receiving services provided by the first server 20 .

In the above embodiment, the input device 13 may receive vital information from an external input device such as a sensing device. The sensing device acquires the user's vital information including, for example, body temperature, blood pressure, heart rate, oxygen concentration, and the like. Also, any of the terminal devices 10 may be a sensing device that acquires the user's vital information. Vital information includes, for example, body temperature, blood pressure, heart rate, and the like. The control unit 190 stores the acquired vital information in, for example, the user information 181 and transmits it to the first server 20 at the time of medical inquiry.

In the above embodiment, part of the functions of the second server 31 may be performed by the first server 20 . For example, the first server 20 may perform a process of determining a doctor or the like, a process of setting a doctor's schedule, or the like. In such a case, for example, any of the tables stored on the second server 31 may be stored on the first server 20 .
FIG. 23 is a diagram showing an example of a functional configuration of a modification of the first server 20. As shown in FIG.

In the above embodiment, medical care using a teleconferencing system, for example, may be used in parallel with medical care using a telephone function between a patient and a doctor.

In the above embodiment, the first server 20 automatically asks the patient a medical question, but a person may ask a medical question. For example, when interviewing a patient who is recuperating at home, the interview is conducted by a person when the patient is being carefully interviewed. For example, when paying attention to medical interview, it is as follows.
・When a symptom of concern is mentioned in the previous medical interview ・When a predetermined period of time has passed since the previous manned interview ・When a predetermined number of medical interviews have been performed since the previous manned interview

In the above embodiment, the case where the user accesses the contact information of the hospital when using the service provided by the first server 20 has been described as an example. However, the contact point accessed when using the service provided by the first server 20 may be the service provider. At this time, the first server 20 has aggregated information on a plurality of hospitals. By connecting to the first server 20 and receiving an inquiry, the user can have the dialogue taken over by a doctor of a hospital suitable for the user. A hospital suitable for the user is determined by, for example, the user's address.
FIG. 24 is a block diagram showing an example of the overall configuration of a modification of system 1. As shown in FIG.

In the above embodiment, the control unit 203 of the first server 20 may exhibit the function shown as a payment control module by operating according to the program. The payment control module controls processing related to payment of medical fee (diagnosis fee) or medicine fee.

For example, in FIG. 12, the first server 20 receives information about medical fees or medicine fees from the hospital system 30 . The control unit 203 pays the medical fee or the medicine fee to the hospital system 30 using the payment control module. In other words, the payment control module reimburses the patient's medical fees or medication fees. The payment control module bills the patient, for example, the rebuilt medical fee or medicine fee and the communication fee together at a predetermined timing. As a result, the patient can reduce the frequency of payment of the medical fee or the medicine fee, thereby improving the convenience of receiving the service.

The payment control module may also send information about the medical fees or medication fees paid to the telephone or telecommunications company for billing the patient along with the current month's telecommunications charges. At this time, the payment control module, for example, instructs the telephone company or telecommunications company to pay the fee paid by the patient to the service provider of the first server 20 . As a result, the medical fee or medicine fee is billed to the patient together with the communication fee, and the fee paid by the patient is paid to the service provider of the first server 20 via the telephone company or the communication company. . For this reason, the patient does not have to pay a fee for each consultation, which improves the convenience of receiving services.

The payment control module may also reconcile the payment of medical fees or medicine fees based on the patient's credit. For example, the payment control module requests information about the payment status of the patient's phone bill from the telephone company or telecommunications company if there is a medical bill or medicine bill for the patient. The payment control module determines whether the medical fee or medicine fee can be reimbursed based on information provided by the telephone company or telecommunications company. For example, the payment control module determines that the medical fee or medicine fee for the patient cannot be reimbursed if there are more than a predetermined number of months in which the payment of the telephone bill is delayed. If it is determined that the medical fee or the medicine fee cannot be rebuilt, the payment control module, for example, requests the patient to pay the fee. If it is determined that the medical fee or medicine fee can be reinstated, the payment control module will reimburse the patient's payment. As a result, it becomes possible to rebuild the fee only for reliable patients, and the convenience of receiving services is improved for reliable patients. It can also be a motivation for patients to improve their reliability.

<4 Basic hardware configuration of computer>
FIG. 25 is a block diagram showing the basic hardware configuration of computer 90. As shown in FIG. The computer 90 includes at least a processor 91, a main storage device 92, an auxiliary storage device 93, and a communication IF 99 (interface). These are electrically connected to each other by a bus.

The processor 91 is hardware for executing an instruction set described in a program. The processor 91 is composed of an arithmetic unit, registers, peripheral circuits, and the like.

The main storage device 92 is for temporarily storing programs and data processed by the programs. For example, it is a volatile memory such as a DRAM (Dynamic Random Access Memory).

The auxiliary storage device 93 is a storage device for storing data and programs. For example, flash memory, HDD (Hard Disc Drive), magneto-optical disk, CD-ROM, DVD-ROM, semiconductor memory, and the like.

The communication IF 99 is an interface for inputting/outputting signals for communicating with other computers via a network using a wired or wireless communication standard.
The network is composed of various mobile communication systems constructed by the Internet, LAN, wireless base stations, and the like. For example, networks include 3G, 4G, and 5G mobile communication systems, LTE (Long Term Evolution), wireless networks (for example, Wi-Fi (registered trademark)) that can be connected to the Internet through predetermined access points, and the like. When connecting wirelessly, communication protocols include, for example, Z-Wave (registered trademark), ZigBee (registered trademark), Bluetooth (registered trademark), and the like. In the case of wired connection, the network includes direct connection using a USB (Universal Serial Bus) cable or the like.

It should be noted that the computer 90 can be virtually realized by distributing all or part of each hardware configuration to a plurality of computers 90 and connecting them to each other via a network. Thus, the computer 90 is a concept that includes not only the computer 90 housed in a single housing or case, but also a virtualized computer system.

<Basic Functional Configuration of Computer 90>
A functional configuration of the computer realized by the basic hardware configuration of the computer 90 shown in FIG. 25 will be described. The computer includes at least functional units of a control section, a storage section, and a communication section.

Note that the functional units included in the computer 90 can also be implemented by distributing all or part of each functional unit to a plurality of computers 90 interconnected via a network. The computer 90 is a concept that includes not only a single computer 90 but also a virtualized computer system.

The control unit is implemented by the processor 91 reading out various programs stored in the auxiliary storage device 93, developing them in the main storage device 92, and executing processing according to the programs. The control unit can implement functional units that perform various information processing according to the type of program. Thereby, the computer is implemented as an information processing device that performs information processing.

A storage unit is realized by the main storage device 92 and the auxiliary storage device 93 . The storage unit stores data, various programs, and various databases. Further, the processor 91 can secure a storage area corresponding to the storage unit in the main storage device 92 or the auxiliary storage device 93 according to the program. In addition, the control unit can cause the processor 91 to execute addition, update, and deletion processing of data stored in the storage unit according to various programs.

A database refers to a relational database, and is for managing data sets called tables in tabular form, which are structurally defined by rows and columns, in association with each other. In a database, a table is called a table, columns of a table are called columns, and rows of a table are called records. Relational databases allow you to establish and associate relationships between tables.
Each table usually has a key column that uniquely identifies a record, but setting a key to the column is not essential. The control unit can cause the processor 91 to add, delete, and update records in a specific table stored in the storage unit according to various programs.

A communication unit is realized by the communication IF 99 . The communication unit implements a function of communicating with another computer 90 via a network. The communication section can receive information transmitted from another computer 90 and input it to the control section. The control unit can cause the processor 91 to execute information processing on the received information according to various programs. Also, the communication section can transmit information output from the control section to another computer 90 .

Although several embodiments of the present disclosure have been described above, these embodiments can be implemented in various other forms, and various omissions, replacements, and modifications are possible without departing from the spirit of the invention. It can be performed. These embodiments and their modifications are intended to be included in the invention described in the claims and their equivalents as well as included in the scope and gist of the invention.

<Appendix>
The items described in the above embodiments will be added below.
(Appendix 1)
A program to be executed by a computer comprising a processor and a memory, the program instructing the processor to use an automatic dialogue system to perform a step of interviewing a patient and, based on the contents of the interview, a handover to a doctor. and, if necessary, the step of handing over voice dialogue with the patient to the doctor.
(Appendix 2)
The program according to (Appendix 1), wherein in the questioning step, the automatic dialogue system is a voice dialogue system.
(Appendix 3)
The program according to (Appendix 1) or (Appendix 2), wherein in the questioning step, the automatic dialogue system is a text dialogue system.
(Appendix 4)
The program according to (Appendix 1), wherein in the questioning step, the automatic dialogue system is a voice dialogue system and a text dialogue system, which are switched according to the patient.
(Appendix 5)
The program according to any one of (Appendix 1) to (Appendix 4), causing a processor to execute the step of creating question content for medical interview according to the patient.
(Appendix 6)
The program according to any one of (Appendix 1) to (Appendix 5), causing a processor to execute a step of determining a doctor based on the contents of an interview.
(Appendix 7)
The program according to (Appendix 6), wherein, in the determining step, if there is an emergency, a doctor who has an appointment when it is determined that a handover is necessary is determined (Appendix 6).
(Appendix 8)
In the step of deciding, if there is no doctor who is available when it is determined that it is urgent and handover is necessary, in the step of deciding a nurse and taking over, the voice dialogue with the patient is handed over to the nurse ( The program described in appendix 7).
(Appendix 9)
In the determining step, if the patient requests medical treatment although it is not urgent, determine a doctor who is available at the time of the request for medical treatment (Appendix 6) to (Appendix 8) program as described.
(Appendix 10)
In the decision step, if the patient requests medical treatment without an emergency, but there is no doctor who is available at the time of the request for medical treatment, the doctor who has an earlier appointment is scheduled ( The program according to any one of Appendices 6) to (Appendix 9).
(Appendix 11)
10. The program according to appendix 10, causing the processor to execute the step of notifying information about the booked appointment to the doctor who booked the appointment.
(Appendix 12)
The program according to (Appendix 10) or (Appendix 11), causing a processor to execute a step of connecting a terminal owned by a doctor to a terminal owned by a patient when scheduled.
(Appendix 13)
12. The program according to appendix 12, wherein in the step of connecting, before connecting the terminal owned by the doctor, it is confirmed whether the terminal owned by the patient is connectable.
(Appendix 14)
13. The program according to any one of (Appendix 1) to (Appendix 13), causing a processor to execute a step of requesting a connection for interviewing a patient.
(Appendix 15)
13. The program according to any one of (Appendix 1) to (Appendix 13), causing a processor to execute the step of receiving a connection request for receiving an interview from a patient.
(Appendix 16)
The program according to any one of (Appendix 1) to (Appendix 15), causing a processor to execute a step of issuing a prescription in response to an instruction from a doctor who interacts with a patient.
(Appendix 17)
16. The program according to appendix 16, causing the processor to execute the step of handing over voice dialogue with the patient to the pharmacist if the prescription has been issued when the dialogue between the patient and the doctor ends.
(Appendix 18)
A computer-implemented method comprising a processor and a memory, wherein the processor utilizes an automatic dialogue system to ask a patient questions; A method for performing the steps of determining and, if handover is necessary, handing over the patient interaction to the physician.
(Appendix 19)
An information processing apparatus comprising a control unit and a storage unit, wherein the control unit uses an automatic dialogue system to ask a patient a question, and based on the content of the question, decides whether or not to hand over to a doctor. An information processing device that performs the steps of determining and, if handover is necessary, handing over a dialogue with a patient to a doctor.
(Appendix 20)
Using an automatic dialogue system, a means of interviewing the patient, a means of judging whether or not to hand over to the doctor based on the contents of the interview, and handing over the dialogue with the patient to the doctor if it is necessary to hand over a system comprising a means;

DESCRIPTION OF SYMBOLS 1... System 10... Terminal device 120... Communication part 13... Input device 131... Touch sensitive device 14... Output device 141... Display 15... Memory 150... Position information sensor 16... Storage 161... Camera 17... Sound processing part 171... Microphone 172 Speaker 180 Storage unit 181 User information 19 Processor 190 Control unit 191 Operation reception unit 192 Transmission/reception unit 193 Presentation control unit 194 Call control unit 20 First server 201 Communication unit 202 Storage Unit 2021 Patient information table 2022 Medical record information table 2023 Interview information table 2024 Learned model 203 Control unit 2031 Reception control module 2032 Transmission control module 2033 Connection control module 2034 Voice dialogue module 2035 Text dialogue module 2036... Takeover control module 22... Communication IF
23 input/output IF
25... Memory 26... Storage 29... Processor 30... Hospital system 31... Second server 311... Communication unit 312... Storage unit 3121... Doctor information table 3122... Schedule management table 3123... Nurse information table 3124... Shift management table 313... Control Part 3131... Reception control module 3132... Transmission control module 3133... Connection control module 3134... Setting module 3135... Presentation module 3136... Prescription module 32... Terminal device 80... Network 90... Computer 91... Processor 92... Storage device 93... Auxiliary storage device 99...Communication IF

Claims (20)

A program to be executed by a computer comprising a processor and a memory, the program comprising:
A step of interviewing the patient using an automatic dialogue system;
a step of determining whether or not to take over to a doctor based on the content of the medical interview;
and handing over voice interaction with said patient to a doctor if handover is required. 2. The program according to claim 1, wherein in said questioning step, said automatic dialogue system is a voice dialogue system. 3. The program according to claim 1 or 2, wherein in said questioning step, said automatic dialogue system is a text dialogue system. 2. The program according to claim 1, wherein in said questioning step, said automatic dialogue system is a voice dialogue system and a text dialogue system, which are switched according to said patient. 5. The program according to any one of claims 1 to 4, causing the processor to execute a step of creating question contents in the medical interview according to the patient. 6. The program according to any one of claims 1 to 5, causing the processor to execute a step of determining a doctor based on the content of the interview. 7. The program according to claim 6, wherein, in said determining step, if there is an emergency, a doctor who is available when it is determined that a handover is necessary is determined. In the determining step, if it is urgent but there is no doctor who is available when it is determined that handover is necessary, determine a nurse,
8. The program according to claim 7, wherein in the step of handing over, voice interaction with the patient is handed over to the nurse. 9. A doctor according to any one of claims 6 to 8, wherein, in said determining step, when medical treatment is desired by said patient although it is not urgent, a doctor who is available at the time of the request for medical treatment is determined. program. In the determining step, if the patient requests medical treatment without an emergency, but there is no doctor who is available when the patient requests medical treatment, the doctor who has a previous appointment is scheduled. 10. The program according to any one of claims 6 to 9. 11. The program according to claim 10, which causes the processor to execute the step of notifying the doctor who made the appointment of the information about the made appointment. 12. The program according to claim 10 or 11, causing the processor to execute a step of connecting a terminal owned by the doctor to a terminal owned by the patient when the appointment comes. 13. The program according to claim 12, wherein in said connecting step, before connecting the terminal owned by said doctor, it is confirmed whether the terminal owned by said patient is connectable. 14. The program according to any one of claims 1 to 13, causing the processor to execute a step of requesting a connection for interviewing the patient. 14. The program according to any one of claims 1 to 13, causing the processor to execute a step of receiving a request for connection for taking an interview from the patient. 16. The program according to any one of claims 1 to 15, causing the processor to execute the step of issuing a prescription in response to instructions from a doctor interacting with a patient. 17. The program according to claim 16, causing the processor to execute a step of handing over voice interaction with the patient to a pharmacist if the prescription has been issued when the interaction between the patient and the doctor ends. A computer-implemented method comprising a processor and a memory, wherein the processor comprises:
A step of interviewing the patient using an automatic dialogue system;
a step of determining whether or not to take over to a doctor based on the content of the medical interview;
and handing over said patient interaction to a physician if handover is required. An information processing device comprising a control unit and a storage unit, wherein the control unit
A step of interviewing the patient using an automatic dialogue system;
a step of determining whether or not to take over to a doctor based on the content of the medical interview;
and handing over the dialogue with the patient to a doctor if the handover is necessary. A means for interviewing a patient using an automatic dialogue system;
means for determining whether or not to take over to a doctor based on the content of the medical interview;
and means for handing over said patient interaction to a physician if handover is required.

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