JP2023080373A - Medical consultation system - Google Patents

Abstract

To provide a technique for making all questions to be asked, be asked without being forgotten in a medical consultation.SOLUTION: A server device 11 receives symptom data showing a symptom selected by a patient from a terminal device 12 used by the patient, and sends data showing options of questions based on the symptom and a plurality of answers to the questions to the terminal device 12. The terminal device 12 displays the options of questions and answers shown by the data received from the server device 11. The server device 11 receives answer data showing answers selected by the patient from the terminal device 12, determines necessity of asking unanswered questions on the basis of the answers in the received answer data, and sends the questions that the server device has determined to be necessary to be asked and data indicating the options of the answers to the terminal device 12. In that way, all the questions to be asked are asked without being forgotten and questions not to be asked are not asked.SELECTED DRAWING: Figure 1

Description

The present invention relates to systems for processing medical information.

In order for medical professionals (doctors, pharmacists, etc.) to correctly diagnose a patient's condition, it is necessary to obtain information such as a medical history from the patient or his/her family, which serves as diagnostic material. The interview work is called medical interview, and it is not easy for medical staff to listen to all the necessary information in the interview.

Therefore, techniques for assisting medical interviews have been proposed. For example, in Patent Document 1, a symptom input step, a symptom input step, an interview item step, and an interview result display step are sequentially provided, and between the symptom input step and the symptom input step, an "explanation of diagnostic points regarding symptoms" step is provided. , an inquiry system with a learning function characterized by providing an "explanation on inquiry item" step between the symptom input step and the inquiry item step. According to the medical inquiry system with a learning function described in Patent Literature 1, a medical worker can learn necessary information when medical inquiry is made to a patient.

JP 2017-158754 A

2. Description of the Related Art In many medical institutions (hospitals, pharmacies, etc.), medical interviews are conducted in a form in which patients, etc., answer questions listed on a standard medical questionnaire. In the medical interview according to such a fixed medical questionnaire, the subsequent questions do not change according to the content of the answers to the preceding questions. Therefore, there is a problem that necessary questions are omitted depending on the medical condition.

SUMMARY OF THE INVENTION In view of the above background, an object of the present invention is to provide a technique for asking all the necessary questions in medical interviews.

In order to solve the above-described problems, the present invention relates to each of a plurality of questions about each of a plurality of symptoms, question data indicating the question, answer option data indicating a plurality of answer options for the question, and Necessity condition data indicating a condition for determining necessity of a question indicated by the question data based on a user's answer to a question other than the question indicated by the question data is stored, and the answer for each of the plurality of answer option data is stored. storage means for storing a database storing answer content data indicating the content of the answer to the option indicated by the option data; obtaining means for obtaining symptom data indicating the symptom input by the user; and questions stored in the database. display instruction means for causing a display device to display a question indicated by question data corresponding to a symptom indicated by the symptom data and answer options indicated by a plurality of answer option data corresponding to the question data, among the data; The means sequentially acquires answer data indicating an answer selected by the user from among the answer options displayed on the display device, and the storage means sequentially stores the answer data sequentially acquired by the acquisition means. When new answer data is stored in the storage means, the display instruction means displays the condition indicated by the necessity condition data stored in the database and the answer indicated by the answer data stored in the storage means. Based on this, it is determined whether or not each of the questions indicated by the question data corresponding to the symptom indicated by the symptom data, which has not been answered by the user, is necessary or not, the question determined to be necessary is extracted, and the extracted question and the question are combined. An inquiry comprising an output means for displaying response options on the display device and outputting response content data corresponding to each of the plurality of response data stored in the storage means to an external device. A system is provided as a first aspect.

According to the medical inquiry system according to the first aspect described above, if appropriate data is stored in the database, all necessary questions will be asked in the medical inquiry.

In the medical inquiry system according to the first aspect, the database stores question explanation data indicating an explanation of the question indicated by the question data for each of the plurality of stored question data, and the display instruction means includes: A configuration may be adopted as a second aspect in which the explanation indicated by the question explanation data corresponding to the question data indicating the question displayed on the display device is displayed on the display device.

According to the medical inquiry system according to the second aspect, for example, medical staff can obtain information such as the significance of questions and how to effectively ask questions.

In the medical inquiry system according to the first or second aspect, the database stores one or more urgency determination condition data indicating conditions for determining the urgency of treatment for a disease based on the answer indicated by the answer data. The display instruction means displays the urgency of treatment for the disease determined based on the condition indicated by the urgency determination condition data stored in the database and the answer indicated by the answer data stored in the storage means. A configuration of displaying on a display device may be adopted as a third mode.

According to the inquiry system according to the third aspect, for example, a patient can determine whether or not to go to a medical institution to receive medical treatment.

In the medical inquiry system according to any one of the above first to third aspects, the database stores each of the one or more urgency determination condition data, and is determined according to the condition indicated by the urgency determination condition data Urgency level commentary data indicating a commentary on the urgency level is stored, and the display instruction means displays the urgency level commentary data according to the urgency determination condition data used to determine the urgency level displayed on the display device. A configuration in which the commentary is displayed on the display device may be employed as a fourth aspect.

According to the medical inquiry system according to the fourth aspect, for example, a medical professional can know points to be considered with priority in diagnosing a patient's disease.

In the medical inquiry system according to any one of the first to fourth aspects, each of the plurality of question data stored in the database expresses the question indicated by the question data in each of a plurality of languages in the language. each of the plurality of answer option data stored in the database includes text expressing the answer option indicated by the answer option data for each of the plurality of languages in the language. wherein the acquisition means acquires language data indicating a language selected by the user from among the plurality of languages, and the display instruction means includes a question indicated by the question data and the question When the answer options indicated by the plurality of answer option data corresponding to the data are displayed on the display device, language-specific question data corresponding to the language indicated by the language data among the plurality of language-specific question data included in the question data. and the text indicated by the language-specific answer option data corresponding to the language indicated by the language data among the plurality of language-specific answer option data included in each of the plurality of answer option data, are displayed on the display device. The configuration may be adopted as the fifth aspect.

According to the medical interview system according to the fifth aspect, by preparing texts corresponding to multiple languages only for question and answer options, even if the patient and the medical staff use different languages , can be interviewed.

In the medical inquiry system according to any one of the first to fifth aspects above, the acquisition means acquires medical institution condition data indicating conditions related to a medical institution designated by the user, and the acquisition means obtains medical institution For each medical institution that satisfies the conditions indicated by the condition data, reservation available time zone data indicating a time zone in which a medical treatment can be reserved at the medical institution is acquired, and the display instruction means controls each of the appointment available time zone data. The display device displays the time slots available for appointment at the medical institution, and the obtaining means selects the medical institution selected by the user from the time slots available for appointment at each medical institution displayed on the display device. a notifying means for acquiring appointment data indicating a time period in which an appointment can be made, and notifying the medical institution indicated by the appointment data that a medical treatment appointment has been made during the time period indicated by the appointment data; , may be employed as a sixth aspect.

According to the inquiry system according to the sixth aspect, when a patient wants to go to a medical institution to receive medical treatment, he/she easily makes an appointment to receive medical treatment at a medical institution with desired conditions at a desired time slot. be able to.

In the medical inquiry system according to any one of the above first to sixth aspects, the output means outputs answer contents related to patients undergoing medical treatment at the medical institution to a device storing electronic medical records managed by the medical institution. A configuration of outputting data may be employed as a seventh aspect.

According to the medical interview system according to the seventh aspect, the medical institution can view the results of the medical interview of the patient visiting the hospital.

In addition, the present invention provides a computer with question data indicating each of a plurality of questions regarding each of a plurality of symptoms, answer option data indicating a plurality of answer options for the question, and data indicated by the question data. Necessity condition data indicating a condition for determining whether or not a question indicated by the question data is necessary based on a user's answer to a question other than the question is stored, and the answer option data indicates each of the plurality of answer option data. A process of storing a database for storing answer content data indicating the content of answers of options; a process of acquiring symptom data indicating symptoms input by a user; A process for displaying on a display device a question indicated by question data corresponding to a symptom indicated by the data and answer options indicated by a plurality of answer option data corresponding to the question data, and among the answer options displayed on the display device a process of sequentially acquiring answer data indicating an answer selected by a user from the data base; a process of sequentially storing the sequentially acquired answer data; and when new answer data is stored in the storing process, stored in the database. Based on the conditions indicated by the necessary/unnecessary condition data stored and the answers indicated by the stored answer data, the requirements for each of the questions indicated by the question data corresponding to the symptoms indicated by the symptom data, which have not been answered by the user. a process for determining whether or not the answer is acceptable, extracting a question determined to be necessary, displaying the extracted question and answer options corresponding to the question on the display device; An eighth aspect provides a program for executing a process of outputting reply content data corresponding to the data to an external device.

In addition, the present invention provides a computer with question data indicating each of a plurality of questions regarding each of a plurality of symptoms, answer option data indicating a plurality of answer options for the question, and data indicated by the question data. Necessity condition data indicating a condition for determining whether or not a question indicated by the question data is necessary based on a user's answer to a question other than the question is stored, and the answer option data indicates each of the plurality of answer option data. A process of storing a database for storing answer content data indicating the content of answers of options; a process of acquiring symptom data indicating symptoms input by a user; A process for displaying on a display device a question indicated by question data corresponding to a symptom indicated by the data and answer options indicated by a plurality of answer option data corresponding to the question data, and among the answer options displayed on the display device a process of sequentially acquiring answer data indicating an answer selected by a user from the data base; a process of sequentially storing the sequentially acquired answer data; and when new answer data is stored in the storing process, stored in the database. Based on the conditions indicated by the necessary/unnecessary condition data stored and the answers indicated by the stored answer data, the requirements for each of the questions indicated by the question data corresponding to the symptoms indicated by the symptom data, which have not been answered by the user. a process for determining whether or not the answer is acceptable, extracting a question determined to be necessary, displaying the extracted question and answer options corresponding to the question on the display device; As a ninth aspect, there is provided a non-volatile recording medium continuously recording in a computer-readable state a program for executing a process of outputting reply content data corresponding to the data to an external device. do.

According to the program according to the eighth aspect or the recording medium according to the ninth aspect, the inquiry system according to the first aspect is realized by a computer.

It is the figure which showed the structure of the inquiry system which concerns on one Embodiment. It is the figure which showed the data structure of the inquiry table which concerns on one Embodiment. It is the figure which showed the data structure of the urgency table which concerns on one Embodiment. It is the figure which showed the data structure of the user table which concerns on one Embodiment. It is the figure which showed the data structure of the hospital table which concerns on one Embodiment. It is the figure which showed the data structure of the answer table which concerns on one Embodiment. It is the figure which showed the data structure of the reservation table which concerns on one Embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment. It is a screen displayed on the terminal device according to one embodiment.

[Embodiment]
A medical inquiry system 1 according to an embodiment of the present invention will be described below. The medical inquiry system 1 is a system that assists the medical inquiry of a patient. FIG. 1 is a diagram showing the configuration of an inquiry system 1. As shown in FIG. The medical inquiry system 1 includes a server device 11 managed by a business operator that operates the medical inquiry system 1, a terminal device 12 used by a patient, a server device 13 managed by a medical institution, and used by an employee of the medical institution. A terminal device 14 is provided.

Although the server device 11 is shown as one device in FIG. 1, the server device 11 may be configured by a group of devices that operate in cooperation with each other. Although only one terminal device 12 is shown in FIG. Although only one server device 13 is shown in FIG. Although only one terminal device 14 is shown in FIG.

The terminal device 12 performs data communication with the server device 11 . The server device 13 performs data communication with the server device 11 . The terminal device 14 performs data communication with the server device 11 and the server device 13 .

In this embodiment, the server device 11, the terminal device 12, the server device 13, and the terminal device 14 are implemented by a computer executing a program according to this embodiment. A computer for implementing the server device 11 and the server device 13 includes a memory, a processor that performs data processing according to a program stored in the memory, and a communication interface that performs data communication with an external device.

A computer for realizing the terminal device 12 and the terminal device 14 includes a memory, a processor that performs data processing according to a program stored in the memory, a communication interface that performs data communication with an external device, and a user interface. A display device such as a liquid crystal display for displaying various information and an operating device such as a keyboard for accepting user operations are provided. However, the computer for realizing the terminal device 12 and the terminal device 14 is provided with an input/output interface for inputting/outputting data to/from the display device and the operating device instead of the display device and the operating device. It may be connected to a computer via an output interface.

The memory (an example of storage means) of the server device 11 stores an interview database, a user table, and a hospital table. Further, the memory of the server device 11 stores an answer table that stores the results of the answers to the inquiry each time the patient answers the inquiry.

The inquiry database includes an inquiry table for each symptom and an urgency level table. FIG. 2 is a diagram showing the data structure of the inquiry table. The inquiry table is prepared for each of a plurality of symptoms, and stores records corresponding to each of a plurality of questions corresponding to the corresponding symptoms in the order in which the questions should be asked. A record of the inquiry table includes [question ID], [necessity condition], [necessity flag], [question], [answer option], [question explanation], and [answer content] as fields. [Question] and [Answer options] include subfields [Japanese], [English], etc. corresponding to each of a plurality of languages.

The field [question ID] stores data indicating an identifier for identifying a question. The field [necessity condition] stores necessity condition data indicating conditions for determining necessity of a question according to another record based on the patient's answer to the question according to the other record. The condition indicated by the necessity condition data is, for example, a condition such as "If the answer to the question corresponding to the question ID XX is XX, then the question is required".

A field [necessity flag] stores a flag indicating whether or not a question is required according to the record. For questions that are required by default, "1" indicating that they are required, for example, is stored in advance in the field [necessity flag]. For questions that are not required by default, "0" indicating that they are not required is stored in advance in the field [necessity flag].

The field [question] stores question data indicating a question. A subfield corresponding to each of a plurality of languages included in the field [question] stores language-specific question data indicating a text expressing the question in the corresponding language.

The field [answer option] stores answer option data indicating multiple answer options for the question indicated by the question data stored in the field [question] of the same record. A subfield corresponding to each of a plurality of languages included in the field [answer options] stores language-specific answer option data indicating texts expressing answer options in the corresponding language.

The field [question commentary] stores question commentary data indicating commentary on the question indicated by the question data stored in the field [question] of the same record. The commentary on the question is, for example, an explanation of the significance of the question and how to effectively ask the question.

In the field [response content], for each of the response options stored in the field [answer options] of the same record, the content of the response for that option is expressed in terms that are easy for medical professionals to understand (for example, technical terms). This is the expression used, and the data shown in the expression in which the question and the answer to it are expressed in one sentence) are stored.

FIG. 3 is a diagram showing the data configuration of the urgency table. The urgency level table stores records corresponding to each of the conditions for judging the urgency level of treatment for the patient's disease based on the patient's answer to the question.

The record of the urgency level table includes [criteria for determining urgency level], [level of urgency], and [description of urgency level] as fields. The field [urgency judgment condition] stores urgency judgment condition data indicating conditions for judging the urgency of treatment for a patient's disease based on the patient's answer to the question. The condition indicated by the urgency determination condition data is, for example, a condition such as "the answer to the question corresponding to the question ID XX is XX and the answer to the question corresponding to the question ID XX is XX". is.

The [Urgency] field contains data indicating the urgency of treatment for the patient's illness when the condition indicated by the urgency judgment condition data stored in the [Urgency Judgment Condition] field of the same record is met. stored. In this embodiment, the degree of urgency indicates, for example, one of three levels of "high", "medium", and "low".

The field [Urgency level commentary] stores urgency level commentary data indicating the level of urgency determined by the condition indicated by the urgency level determination condition data stored in the field [Urgent level determination condition] of the same record. there is The commentary on the degree of urgency is, for example, the reason why the degree of urgency is determined to be high when the degree of urgency is determined to be high (for example, "high" or "medium").

FIG. 4 is a diagram showing the data configuration of the user table. The user table stores records corresponding to each user of the medical inquiry system 1 (general user who can be a patient). The record of the user table has [user ID], [password], [user name], [date of birth], [gender], [health insurance card information], [address], [telephone number], [location] as fields. ].

Each field of the user table stores data corresponding to the name of the field. The data stored in the field [location] is data indicating the latitude and longitude corresponding to the user's address (home).

FIG. 5 is a diagram showing the data structure of the hospital table. The hospital table stores records corresponding to each medical institution (hereinafter referred to as "hospital" for convenience) using the inquiry system 1. FIG. The record of the hospital table has fields of [hospital ID], [password], [hospital name], [medical department], [address], [telephone number], [location], [reservation table URL], [medical record database URL]. ].

Each field of the hospital table stores data corresponding to the name of the field. The data stored in the field [Position] is data indicating the latitude and longitude corresponding to the address of the hospital. The data stored in the field [reservation table URL] is data indicating the URL (Uniform Resource Locator) of a reservation table (described later) stored in the server device 13 . The data stored in the field [medical record database URL] is data indicating the URL (Uniform Resource Locator) of the medical chart database (described later) stored in the server device 13 .

FIG. 6 is a diagram showing the data structure of the answer table. The answer table is a table generated each time a medical interview is performed, and is stored in the server device 11 in association with data indicating the user ID of the patient who answered the medical interview and the time when the medical interview was performed (for example, the start time of the medical interview). stored in the memory of

The answer table stores a record corresponding to each question answered by the patient. A record of the answer table includes [question ID] and [answer] as fields.

The field [question ID] stores data indicating an identifier for identifying a question answered by the patient. The field [Answer] stores data indicating the answer selected by the patient from a plurality of options for the question.

The memory of the server device 13 stores a reservation table and a chart database. FIG. 7 is a diagram showing the data configuration of the reservation table. The reservation table is a table generated for each business day of the hospital, and is stored in the memory of the server device 13 in association with data indicating the date of the business day.

The appointment table stores records corresponding to time frames for accepting appointments for medical treatment. The record of the reservation table contains [time frame], [user name], [health insurance card information], and [telephone number] as fields. Each field of the reservation table stores data corresponding to the name of the field. It should be noted that no data is stored in the fields [user name], [health insurance card information], and [telephone number] for records of time frames for which reservations have not yet been made.

The medical record database is a database that stores electronic medical record data used by hospitals.

The operation of the medical inquiry system 1 when a patient uses the medical inquiry system 1 to answer a medical inquiry will be described below.

A user who is a patient, for example, enters the URL of the login page of the medical interview system 1 into the Web browser running on the server device 11, enters the user ID, password, and language to be used on the displayed login page, The Web page of the inquiry site provided by the server device 11 is opened. FIG. 8 shows the top screen of the inquiry site displayed on the display of the terminal device 12. As shown in FIG. On the Web page of the medical interview site, options for questions and answers are displayed in the language entered by the patient on the login page.

The patient selects one or more of his or her symptoms on the screen of FIG. 8, and clicks the "start inquiry" button. In response to the operation, the symptom data indicating the symptom selected by the patient is transmitted from the terminal device 12 to the server device 11 .

When the server device 11 receives the symptom data from the terminal device 12, the server device 11 generates a new empty answer table (FIG. 6) in association with the patient's user ID and the data indicating the time at that time, and stores it in the memory. In addition, the server device 11 duplicates the medical inquiry table corresponding to the symptoms indicated by the received symptom data among the plurality of medical inquiry tables (FIG. 2) stored in the medical inquiry database, and creates a working medical inquiry table (hereinafter simply referred to as (referred to as an “inquiry table”) and stored in memory.

Subsequently, the server device 11 extracts a record indicating that the data stored in the field [necessity flag] of the inquiry table indicates that a question is required, and displays options for the question and answer indicated by the extracted record. to the terminal device 12. The terminal device 12 displays the inquiry screen according to the data received from the server device 11 . FIG. 9 is an example of an inquiry screen. In addition, one question may be displayed on the inquiry screen, or a plurality of questions may be displayed at the same time.

When the patient performs an operation of selecting a corresponding answer from among a plurality of answer options for one question on the inquiry screen, the terminal device 12 transmits answer data indicating the selected answer to the server device 11.例文帳に追加When the server apparatus 11 receives the answer data, it associates the received answer data with the question ID of the question corresponding to the answer data and stores it in the answer table.

Subsequently, the server device 11 collects the condition indicated by the necessity condition data stored in the inquiry table corresponding to the symptom indicated by the symptom data received from the terminal device 12, and the answer data stored in the answer table at that time. Based on the answers indicated by , it is determined whether or not the questions indicated by the question data included in the interview table are necessary or not, and the data indicating the results are stored in the field [necessity flag]. Update data.

The server device 11 extracts a record indicating that the data stored in the field [necessity flag] indicates that a question is required from the medical inquiry table updated as described above, and extracts the question indicated by the extracted record. and data for instructing the display of answer options to the terminal device 12 . The terminal device 12 displays a new inquiry screen according to the data received from the server device 11 . FIG. 10 is an example of an inquiry screen newly displayed on the display of the terminal device 12 .

After that, every time the patient selects an answer on the interview screen, the answer data is transmitted from the terminal device 12 to the server device 11, and the server device 11 transmits data instructing the terminal device 12 to display a new interview screen, A new inquiry screen is displayed on the display of the terminal device 12 . This series of processes is repeated in the server device 11 until no records related to unanswered questions requiring an answer are extracted from the inquiry table.

FIG. 11 shows an inquiry screen newly displayed when, for example, "pulsating pain (pulsatile)" is selected on the inquiry screen of FIG. FIG. 12 shows an inquiry screen newly displayed when, for example, "throbbing pain" is selected on the inquiry screen of FIG. In this way, the question displayed on the subsequent inquiry screen changes according to the answer selected by the patient on the preceding inquiry screen. As a result, all necessary questions are asked to the patient according to the symptoms, etc., and unnecessary questions are not asked.

When all the questions have been answered on the medical interview screen and no records related to unanswered questions requiring an answer are extracted from the medical inquiry table, the server device 11 determines the urgency levels stored in the urgency level table (FIG. 3). Based on the condition indicated by the judgment condition data and the answer indicated by the answer data stored in the answer table, the degree of urgency of treatment for the disease is judged. Subsequently, the server device 11 displays the determined degree of urgency, and transmits to the terminal device 12 data instructing a display prompting the patient to make an appointment with a hospital.

The terminal device 12 displays the hospital reservation screen shown in FIG. 13 according to the data received from the server device 11 . In the example of FIG. 13, based on the results of the medical interview, the urgency of treatment for the disease (if there are multiple urgency levels determined, the highest among them) is "medium", and according to the urgency Advice "Please wait until tomorrow and go to the hospital if it does not get better" is displayed. When the degree of urgency is "high", an advice such as "Please see a doctor immediately" is displayed on the hospital reservation screen. Further, when the degree of urgency is "low", for example, an advice such as "Wait a week and if it doesn't get better, go to the hospital" is displayed on the hospital reservation screen.

When the patient selects the desired clinical department, the area where the hospital is located, the consultation date, and the time period on the hospital reservation screen, and clicks the "Search" button, etc., medical institution conditions indicating the selected clinical department and area The data and time zone condition data indicating the selected examination date and time zone are transmitted from the terminal device 12 to the server device 11 .

When receiving the medical institution condition data and the time zone condition data, the server device 11 extracts records of hospitals that satisfy the conditions (medical department, region) indicated by the medical institution condition data from the hospital table (FIG. 5). At that time, the server device 13 reads out the patient's home position from the user table (FIG. 4) and uses it to calculate the distance from the home to the hospital.

Subsequently, the server device 11 stores the reservation table (FIG. 7) of those hospitals according to the reservation table URL indicated by the data stored in the record extracted from the hospital table. Available time zone data is acquired from the server device 13 corresponding to each hospital. Subsequently, the server device 11 extracts records corresponding to the time frames that can be reserved that satisfy the conditions (examination date, time frame) indicated by the time frame condition data from the reservation table acquired from the server device 13, and Generate a list showing the time frames indicated by the time frame data stored in the record, together with the name of the hospital, the area containing the hospital address, and the distance from the patient's home to the hospital, for example in ascending order of distance, and The data shown is transmitted to the terminal device 12 .

The terminal device 12 uses the data received from the server device 11 to display a list of reservable time frames on the hospital reservation screen. Note that FIG. 13 shows the hospital reservation screen in a state where the list is displayed. When the patient selects one of the hospital time frames included in the list for which reservations can be made, and clicks the "reservation execution" button, the terminal device 12 displays the hospital name and time frame of the hospital selected by the patient. The shown reservation data is transmitted to the server device 11 .

When the server device 11 receives the reservation data, it searches the user table (FIG. 4) for a record corresponding to the patient, and reserves data indicating the user name, health insurance card information, and telephone number stored in the searched record. Generate notification data in addition to data. Subsequently, the server device 11 searches the hospital table (FIG. 5) for a record corresponding to the hospital name indicated by the reservation data. The notification data is transmitted to the server device 13 corresponding to the hospital selected in . Server device 13 updates the reservation table (FIG. 7) according to the notification data received from server device 11 . As a result, the hospital reservation is completed.

The above is the operation of the medical inquiry system 1 when the patient receives an medical inquiry.

After that, when the patient goes to the reserved hospital during the reserved time slot, the medical staff of the hospital uses the terminal device 14 to read the data stored in the reservation table (FIG. 7) stored in the server device 13. and check appointments for patients who come to the hospital. FIG. 14 shows a reservation confirmation screen displayed on the terminal device 14. As shown in FIG. When a patient who made a reservation comes to the hospital, the medical staff clicks the "visit" column in the row of the patient in the list. In response to this operation, the terminal device 14 sends data indicating, for example, the patient's user name and telephone number to the server device 11 as answer content request data for requesting answer content data indicating the result of the patient's interview. Send.

The server device 11 reads the patient's answer table (FIG. 6) indicated by the received answer content request data from the memory, and for each record included in the read answer table, asks the question indicated by the data stored in the record. The inquiry table (FIG. 2) is searched for answer content data indicating the content of answers corresponding to the combination of answers.

The server device 11 searches the hospital table (FIG. 5) for a record corresponding to the name of the hospital of the terminal device 14 that sent the response content request data, and follows the chart database URL indicated by the data stored in the searched record. The reply content data retrieved as described above is transmitted to the server device 13 . As a result, the results of the patient's medical interview can be viewed in the system for viewing the electronic medical record of the hospital visited by the patient.

FIG. 15 shows an example of the content of answers displayed to a doctor or the like in a system for viewing electronic medical charts in a hospital. It should be noted that the underlined portions of the response contents shown in FIG. 15 are related to the responses whose urgency level is judged to be “medium” or “high”.

The operation of the medical inquiry system 1 described above is the operation when the patient uses the terminal device 12 to make a medical inquiry. 1 is available. The medical staff accesses the server device 11 using the terminal device 14, asks questions to the patient while viewing the interview screen displayed on the terminal device 14, and inputs the answers. It is possible to conduct a medical interview.

When the medical staff uses the terminal device 14 to log in to the inquiry system 1, the hospital ID and password are used. Thereby, the server device 11 can determine whether the user is a patient or a medical worker.

As shown in FIG. 16, an "explanation" button is displayed on the inquiry screen displayed by the terminal device 14 to the medical staff. When the medical staff clicks the "Commentary" button, etc., the commentary on the question is displayed as shown in FIG. This commentary is the commentary indicated by the question commentary data stored in the interview table (FIG. 2). With this commentary, the medical staff can know the significance of the questions and how to ask them effectively.

18 is displayed on the terminal device 14 instead of the hospital reservation screen (FIG. 13). In this list, a "commentary" button is displayed for items whose urgency is determined to be "high" or "medium". When the medical staff clicks on this "commentary" button, a commentary on the degree of urgency is displayed as shown in FIG. This explanation is the explanation indicated by the urgency explanation data stored in the urgency table (FIG. 3). With this commentary, medical professionals can know the points that should be considered with priority in diagnosis.

[Modification]
The above-described embodiments can be variously modified. Examples of these modifications are shown below. Note that two or more modified examples shown below may be appropriately combined.

(1) The server device 11 may have the functions of the server device 13 .

(2) The programs executed by the computer to realize the server device 11, the terminal device 12, the server device 13, and the terminal device 14 may be downloaded to the computer via a network such as the Internet. It may be read by a computer from a non-volatile recording medium for persistent storage.

DESCRIPTION OF SYMBOLS 1... Interview system, 11... Server apparatus, 12... Terminal apparatus, 13... Server apparatus, 14... Terminal apparatus.

Claims (9)

Regarding each of a plurality of questions about each of a plurality of symptoms, question data indicating the question, answer option data indicating multiple answer options for the question, and user answers to questions other than the question indicated by the question data and store necessity condition data indicating a condition for determining necessity of the question indicated by the question data based on the answer content indicating the content of the answer of the option indicated by the answer option data for each of the plurality of answer option data. a storage means for storing a database for storing data;
Acquisition means for acquiring symptom data indicating symptoms input by a user;
A display for displaying, on a display device, a question indicated by the question data corresponding to the symptom indicated by the symptom data, among the question data stored in the database, and answer options indicated by a plurality of answer option data corresponding to the question data. and
The acquisition means sequentially acquires answer data indicating an answer selected by a user from among the answer options displayed on the display device,
The storage means sequentially stores the response data sequentially acquired by the acquisition means,
When new answer data is stored in the storage means, the display instruction means is based on the condition indicated by the necessity condition data stored in the database and the answer indicated by the answer data stored in the storage means. determining the necessity of each of the questions not answered by the user among the questions indicated by the question data corresponding to the symptoms indicated by the symptom data, extracting the questions determined to be necessary, and responding to the extracted questions and the questions causing the display device to display the selected answer options;
An inquiry system comprising an output means for outputting reply content data corresponding to each of the plurality of reply data stored in the storage means to an external device. the database stores question commentary data indicating commentary on the question indicated by the question data for each of the plurality of stored question data;
2. The medical inquiry system according to claim 1, wherein said display instruction means causes said display device to display an explanation indicated by question explanation data corresponding to question data indicating a question displayed on said display device. The database stores one or more urgency determination condition data indicating conditions for determining the urgency of treatment for a disease based on the response indicated by the response data;
The display instruction means displays the urgency of treatment for the disease determined based on the condition indicated by the urgency determination condition data stored in the database and the answer indicated by the answer data stored in the storage means. 3. The medical inquiry system according to claim 1 or 2. The database stores urgency commentary data indicating an explanation of the urgency determined by the condition indicated by the urgency determination condition data for each of the one or more stored urgency determination condition data,
4. The display instruction means according to claim 3, wherein the display instruction means causes the display device to display the comment indicated by the urgency commentary data corresponding to the urgency determination condition data used for the determination of the urgency displayed on the display device. inquiry system. each of the plurality of question data stored in the database includes language-specific question data indicating a text expressing the question indicated by the question data in each of the plurality of languages in the language;
each of the plurality of answer option data stored in the database includes language-specific answer option data indicating text expressing, in the language, the answer option indicated by the answer option data for each of the plurality of languages;
the acquiring means acquires language data indicating a language selected by a user from among the plurality of languages;
The display instruction means, when causing the display device to display the question indicated by the question data and the answer options indicated by the plurality of answer option data corresponding to the question data, displays the plurality of language-specific question data included in the question data. Text indicated by language-specific question data corresponding to the language indicated by the language data, and language-specific answer option data corresponding to the language indicated by the language data among a plurality of language-specific answer option data included in each of the plurality of answer option data 5. The medical inquiry system according to any one of claims 1 to 4, wherein text indicated by answer option data is displayed on said display device. The acquisition means acquires medical institution condition data indicating conditions related to a medical institution designated by a user,
The acquiring means acquires reservation available time slot data indicating a time slot during which medical treatment can be booked at each medical institution that satisfies the conditions indicated by the medical institution condition data, and
The display instruction means causes the display device to display a time slot for which an appointment can be made for each medical institution indicated by the appointment available time slot data,
The acquisition means acquires reservation data indicating a time slot in which a reservation is available for a medical institution selected by a user from among the time slots in which reservations are available for each medical institution displayed on the display device,
6. The medical interview according to any one of claims 1 to 5, further comprising notification means for notifying the medical institution indicated by the reservation data that a medical treatment appointment has been made in the time zone indicated by the reservation data. system. 7. The medical interview according to any one of claims 1 to 6, wherein said output means outputs answer content data regarding a patient undergoing medical treatment at a medical institution to a device storing electronic medical records managed by the medical institution. system. to the computer,
Regarding each of a plurality of questions about each of a plurality of symptoms, question data indicating the question, answer option data indicating multiple answer options for the question, and user answers to questions other than the question indicated by the question data and store necessity condition data indicating a condition for determining necessity of the question indicated by the question data based on the answer content indicating the content of the answer of the option indicated by the answer option data for each of the plurality of answer option data. a process of storing a database that stores data;
a process of acquiring symptom data indicating symptoms input by a user;
A process of displaying, on a display device, the question indicated by the question data corresponding to the symptom indicated by the symptom data, among the question data stored in the database, and the answer options indicated by a plurality of answer option data corresponding to the question data. and,
a process of sequentially acquiring answer data indicating an answer selected by a user from among the answer options displayed on the display device;
a process of sequentially storing the sequentially acquired answer data;
When new answer data is stored in the storing process, the symptom indicated by the symptom data is determined based on the condition indicated by the necessity condition data stored in the database and the answer indicated by the stored answer data. determining the necessity of each of the questions that have not been answered by the user among the questions indicated by the question data, extracting the questions determined to be necessary, and displaying the extracted questions and answer options corresponding to the questions on the display device processing to display,
A program for executing a process of outputting reply content data corresponding to each of a plurality of stored reply data to an external device. to the computer,
Regarding each of a plurality of questions about each of a plurality of symptoms, question data indicating the question, answer option data indicating multiple answer options for the question, and user answers to questions other than the question indicated by the question data and store necessity condition data indicating a condition for determining necessity of the question indicated by the question data based on the answer content indicating the content of the answer of the option indicated by the answer option data for each of the plurality of answer option data. a process of storing a database that stores data;
a process of acquiring symptom data indicating symptoms input by a user;
A process of displaying, on a display device, the question indicated by the question data corresponding to the symptom indicated by the symptom data, among the question data stored in the database, and the answer options indicated by a plurality of answer option data corresponding to the question data. and,
a process of sequentially acquiring answer data indicating an answer selected by a user from among the answer options displayed on the display device;
a process of sequentially storing the sequentially acquired answer data;
When new answer data is stored in the storing process, the symptom indicated by the symptom data is determined based on the condition indicated by the necessity condition data stored in the database and the answer indicated by the stored answer data. determining the necessity of each of the questions that have not been answered by the user among the questions indicated by the question data, extracting the questions determined to be necessary, and displaying the extracted questions and answer options corresponding to the questions on the display device processing to display,
Continually record, in a computer-readable state, a program for executing the process of outputting the response content data corresponding to each of the multiple stored response data to an external device, and non-volatile recording medium.

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