JP4228352B2 - Medical interview system for medical examinees - Google Patents

Description

  The present invention uses a computer equipped with an inquiry program, and displays a common inquiry in a medical institution and an inquiry question specific to each clinical department on a display device screen, and a plurality of predicted answers corresponding thereto, It is related to a system technology that supports the efficient medical care by selecting and touching the answer corresponding to the patient's symptom and sequentially executing the operation for multiple questions, and importing the obtained data into the medical system in the medical institution. .

  In the first phase of the clinic, it is necessary for the physician to interrogate and record the patient's complaint (hereinafter referred to as “complaints”) in detail. However, in a medical setting where a large number of patients have to be treated within a limited time, the doctor usually summarizes the patient's contents at the doctor's own discretion and takes notes in the medical record. It is difficult to respond to an interview. In many cases, the patient will hand-write the main complaint (hereinafter referred to as the main complaint) and past medical history on the questionnaire in advance and submit it at the time of the examination. However, the questions are simplified on the premise of filling in the doctor's medical record, and the related medical conditions of the main complaint are supplemented. Since there is no function to ask questions, it is difficult to reduce the burden of the doctor's interview.

  In response to the development of computers and price reductions, many medical universities have tried to apply research to diagnosis and interviews that are preconditions for diagnosis, but they have not yet been put into practical use. The reason for this is that the patient's content is subjective and unsuitable for data generation, and the patient often expresses optimistic medical conditions, so doctors need to supplement questions from different angles and check the actual situation. However, the interview in this case must rely on the doctor's advanced empirical skills. In addition, there is no accumulation of research data because the interview skills were handed down through the oral education of the instructor, and doctors are also reluctant to disclose interview know-how as skills they have acquired.

  On the other hand, the recent pursuit of medical accidents and treatment mistakes has become increasingly severe, and it has become a routine case. Although there is a situation where the courts are required to present a medical chart for judging the facts, the current level of recording of the medical chart is insufficient as a document to elucidate the relationship between patient complains and diagnosis and treatment. Therefore, listening to the medical complaints in the order of the patient's main complaint and secondary symptoms and recording them accurately is an important element for realizing reliable medical treatment.

  Electronic medical records (hereinafter referred to as electronic medical records) were approved by the Ministry of Health and Welfare notification at the time of April 1999, and electronic medical records have been promoted in medical institutions since then. However, inputting the contents using the keyboard while the doctor is inquiring at the time of medical care may put an additional burden on the doctor because not all doctors are familiar with the operation of the computer. Since there are no restrictions on non-doctoral interviews, if patients can create an accurate questionnaire based on their symptoms, there is an advantage of not having to spend valuable medical hours.

  However, patients are also not familiar with computer operations and have no medical knowledge. Therefore, it is extremely difficult for the patient himself / herself to describe symptoms based on medical terms desired by a doctor without the assistance of medical personnel using an input device such as a keyboard or a mouse.

  In the present invention, a patient who visits a medical institution uses a screen touch method input means prior to a medical examination to display an inquiry question based on computer control and a plurality of predicted answers corresponding thereto. To provide a system that makes it easy to create an accurate report of a patient's medical condition in the form of a questionnaire, by displaying and touching and inputting the appropriate answer, and then repeating the question and answer. It is aimed.

  In the present invention, using a computer equipped with a touch panel, the main storage device in the central processing unit stores a program for controlling a series of inquiry contents and answer selection input. This program basically adopts a grid type (matrix type) logical structure and uses a hierarchical method for each affected area, affected area, main complaint, main complaint related individual questions, main complaint related common questions, all patients A system that displays a question and multiple answers on the same screen in the order of common questions, and asks the patient to operate a key or button (hereinafter referred to as a button for a command to the computer). Build to make it happen.

  The computer has a button for selecting a specific function on the display screen. With this button, the medical department, a part of the affected area, and a part of the question text in the affected area are not displayed. A means of optimizing for the practice of medical care in the home or self-care department.

  Each screen is provided with an [Enlarge] button as necessary. Touching this button switches the expected response to the enlarged display, and displays large letters and so on, so that it can also be displayed to elderly people with poor vision. Provide a means to make it easy to read and touch the required answer.

  Built-in portable input / output terminal (hereinafter referred to as portable terminal) that has a touch panel and input / output functions, and incorporates a small, large-capacity storage medium such as a CD-R / W, hard disk, or flash memory Lending a portable terminal device that stores a question sentence for inquiry in the memory and a group of answer terms (called a list for answers), which is a list of possible answers corresponding to each question. A system in which each user's own content is input at the time, the doctor collects the portable terminal from the patient at the time of medical care, and inputs and uses the patient's inquiry results on the medical terminal of the medical small computer or hospital medical information system Means.

  At the waiting time before the examination, the patient displays the questions for inquiry on the computer screen in sequence according to a predetermined program, including basic items such as height and weight as shown in Fig. 4, and the patient reads the questions. Since the patient's medical condition is selected by selecting his / her medical condition from the answers on the screen, the patient's contents can be received in an organized manner without bothering the doctor or nurse.

  When applied to electronic medical records, the results of automatic inquiry before the start of medical treatment, that is, during the patient's medical waiting time, are automatically transmitted to the in-hospital medical information system. You can refer to on the screen. As a result, the time loss for inputting the patient's medical condition from the keyboard while diagnosing, which has been an obstacle to the spread of electronic medical records, has been solved, and the basic patient information is repeated every day to ask the number of patients for the first visit. Since it can be omitted, the medical load on the doctor is also reduced.

  As an additional effect of the automatic inquiry according to the present invention, if the answers are made according to the program, the patient's own contents will be automatically arranged as a result, and as a result, the doctor can grasp the medical condition directly. It becomes possible and medical treatment efficiency improves. In addition, since the basic interview has been completed before the examination, doctors have time to focus on important matters and interact with the patient. Furthermore, since the items to be interviewed are standardized and answers can be obtained sequentially, it is possible to prevent the possibility of missing important diagnostic elements such as symptoms and past history.

  In medical disputes, it is important for third parties such as judges to preserve the materials that can withstand the relationship between complains and diagnosis and treatment.・ Because it is preserved, it is socially most meaningful to be able to provide fair materials for the verification of third parties in medical trials. If the present invention is applied to emergency medical care and the inquiry result is wirelessly transmitted simultaneously with the explanation of the situation, the emergency patient receiving hospital can prepare for the medical condition before the patient arrives, and therefore it can be expected to improve the lifesaving effect.

  FIG. 1 is a block diagram of a computer system used for automatic inquiry according to the present invention. Reference numeral 11 is a central processing unit that controls all data processing processes, and 12 is a display / input / output unit that displays a question sentence and a corresponding answer, and is superimposed on a display unit such as a liquid crystal display device. The answer selection touch panel is provided. The display / input / output unit is connected to the central processing unit 11 via the input / output control unit 13. A storage device 15 connected via the storage control device 14 is also provided. The storage device has a predicted answer sentence or answer term phrase storage unit (hereinafter abbreviated as a question / answer storage unit) 15 set for each of a number of questions for an inquiry. These question sentences, expected answer sentence groups, or listed word phrases constitute a database.

  When the automatic inquiry program is started, the question and answer in the database stored in the question / answer storage unit 15 in FIG. 1 are sequentially displayed on the display / input unit 12. The automatic inquiry process will be explained in detail. In the display and input section 12 of FIG. 1, the inquiry for the first examination is started with the guidance message “Please take a computer inquiry” that is always displayed on the inquiry start screen of FIG. Button [Continue] [Continue] [Continue] When the medical condition progresses or another symptom appears in a revisited patient, the button [Continue] [Confirmed] is displayed. When the patient who has read the guidance text touches an inquiry start instruction button and answer key, for example, [first consultation], the inquiry starts.

  The control program displays a series of questions starting with the patient basic data inquiry illustrated in FIG. 4 and a corresponding answer group on the touch panel, and the patient reads the question text and is considered appropriate from the answers displayed on the touch panel. When a word is selected and input, the selected answer is recognized and transmitted to the question / answer storage unit 15, and the next question to be displayed is read out according to the answer and sent to the input / output control unit 13 on the screen. For this reason, between the display / input unit 12 and the central processing unit 11, the input / output control unit 13 for controlling the entry / exit and transfer of a question sentence and answer term / phrase group and the affected part site data layered, the next question and the corresponding The storage control device 14 is also provided for selecting answer sentence groups and phrases to be executed according to a predetermined order.

  When a button is selected by fingertip touch, the display / input unit 12 detects the screen number of the button and button position information on the screen and transmits the detected button number to the input / output control unit 13. The input / output control unit 13 sends it to the central processing unit 11, the central processing unit transmits the screen number and position information to the storage control unit 14, and the memory control unit receives the same information received from the central processing unit from the start of inquiry and the next question. Recognizing as a selection command, the next question sentence and the answer sentence group or phrase linked to this are selected from the question / answer storage unit 15 according to a predetermined order according to a preset logic, and the central processing unit To send.

  The next question and the expected answer phrase sent out are traced to the display / input / output unit 12 in the reverse process of sending the patient answer, and the display / input unit is sent from the central processing unit via the input / output control unit. And displayed on the display / input / output unit screen. The question sentence and answer data displayed on the display / input / output unit screen after the inquiry start instruction button is touched are stored in the question / answer storage unit 15 for each patient ID (examination ticket) number.

  When the inquiry completion sign attached to a specific question sentence is sent to the input / output control unit 13 together with the question sentence, the input / output control unit responds to the guidance sentence “This completes the inquiry”. When the phrase [OK] is displayed on the display / input / output unit screen 12 and the patient touches [OK], the input / output control unit 13 transmits the inquiry end signal to the central processing unit 11, and the central processing unit stores it. The control device 14 is instructed to send the patient inquiry result data to the central processing unit, and when the data is received, the input / output control unit 13 is instructed to output to the printer. Further, after output to the printer, the automatic inquiry system is returned to the automatic inquiry start screen of FIG.

  When performing an integrated operation with an electronic medical record, as shown in FIG. 2, when a small computer for automatic examination of this case is connected in advance to a hospital medical information system via a LAN, and the patient's ID number is input to the automatic inquiry computer The ID number is transmitted to the central processing unit of the in-hospital medical information system via the communication control units 17 and 18 as a request for sending basic patient information, and the central processing is registered from the main storage device when the patient receives the first medical examination. From the patient basic data, the name, gender, and age (when the date of birth is converted to age by the central processing unit on the small computer side) are called and sent to the small computer for automatic inquiry via the communication control unit.

  The computer displays the data on the display / input / output unit via the central processing unit 11 and the input / output control unit 12. When the patient confirms his / her basic patient data on the screen and touches the [OK] button, an automatic inquiry begins. To use this procedure, it is necessary to adjust the connection conditions with the in-hospital medical information system manufacturer and develop interface software, but it will prevent patient misidentification and reduce input. There is also a great merit that each hospital department can share interview information.

  The automatic inquiry process of the present invention will be described using FIG. 5 as an example. For example, the question of confirming the affected area, such as “Where is wrong?”, And a plurality of response lists such as expected [head] [abdomen] are the same. Display on the screen and let the patient select and touch one of them. Each answer set in the answer list has a function as an independent input key for each frame. In order to move to the next question when the answer is completed, a [Next] button is installed on the screen.

  Originally, medical institutions have defined the medical field and scope for each department, and the outpatient doctor will arrange the medical condition in the order of the affected area, chief complaint, main complaint-related questions, history, etc. Question. On the other hand, patients do not necessarily understand the scope of treatment for each department they wish to visit at the time of visit, so if, for example, sudden headaches occur suddenly, dizziness occurs, and the limbs shake, these are collectively collected by the doctor. Try to appeal to. From the standpoint of neurosurgeons, these complaints assume brain damage and try to follow the surgical procedure for brain surgery, but if the doctor determines that the treatment of limb tremor is necessary, the patient is reshaped. Introduce to surgery.

  At the referee's orthopedic department, we will ask about the trembling of the limbs while being aware of brain diseases. In psychiatry, if this patient develops related dementia, a unique interview is conducted to diagnose dementia. In the present invention, for example, there is frontal pain in the chief complaint of glaucoma, and because the breast requires internal medicine, surgery, and gynecology, the interview should be in line with the patient's complaint as much as possible. Since taking the position that it should be performed, avoid setting the inquiry for each department and start with the confirmation of the affected area and the main complaint question for the selected affected area, as shown in FIGS. In addition, the affected area is expanded to the concept of the affected area so that the patient can be complained about the symptoms of other parts at the same time.

  According to this concept, as shown in FIG. 6, for example, as a main complaint answer for [head], it is possible to present questions related to [comotion] of the limbs and [cognitive impairment] as a mental area. In addition, it is possible to conduct an inquiry about [breast] (mammary gland disease, breast cancer) in which the department in charge differs for each medical institution regardless of the department. It is also useful for non-specialist inquiries about mixed symptoms of physical and mental symptoms throughout the body, such as menopause, in a female-only outpatient centered on a female doctor who is expected to become a medical trend in the future. It is.

  In the present invention, the name of the affected area (cumbent input key) is [ear / vertigo] (strictly, vertigo is not the affected area) [psychology / nerve] [pediatric illness] [obstetrics and gynecology consultation] Express as much as possible so that the patient can easily analogize the department, and for example, the affected area key of [Ear / Dizzy] [Nose] [Mouth / Throat] Set. Furthermore, it has a function that allows the doctor to hide the affected area key and the question text that are not targeted for medical treatment by a simple operation.

  This non-display function is essentially a means for not accepting an inquiry about an affected area that is not responsible for medical treatment in the hospital or self-clinical department. As a means for listening to the symptom of the patient, and when introducing a patient in the specially affected area to another medical institution, a doctor can also leave and use the symptom as appropriate.

  The automatic inquiry according to the present invention includes a series of information including one question sentence and a plurality of answers to the question sentence, and generates a material for judging a patient's symptom. In addition, an optimal next question and a list for answers set in advance for each answer are presented, and the patient is requested to respond by selecting a corresponding answer from the list.

  In case the patient cannot find an appropriate answer, the [Other] key and [I don't know] key are set on the screen, and the inquiry is advanced even if the patient gets stuck in the answer. As shown in Fig. 3, on the screen, illustrations of doctors and nurses are arranged so that the patient feels familiar, guidance information explaining the process and meaning of the interview is displayed, and the answer keys are classified in different colors. Change the color when the patient touches, and if the finger cannot be used due to a disorder, the answer key is expanded as much as possible so that it can be touched by other body parts. Add.

  In order to put automatic interview into practical use, it is necessary to establish a logical structure of computer processing, stratification according to the personality classification and logical structure of question sentences and answer sentences / phrases for questioning, and patient input load. Detailed structural design on the computer is necessary, such as selection of the number of questions and screen layout to minimize the problem. Usually, as a logic of an interview on a computer, a so-called tree type is applied in which selection of either Yes or No is continued. Since multiple expected answer lists must be presented, and even if an answer is not selected because an appropriate answer is not found, it is necessary to proceed with an inquiry. Takes a lattice (matrix) logical structure that can arbitrarily link multiple answers.

  The patient may select the wrong answer and lead to a doctor's misdiagnosis. In order to avoid this situation, a question that reveals a contradiction, for example, the number of pregnancy, then the birth, miscarriage, or the number of pregnancy as a secondary question, the computer asks a supplementary question to fill out the questionnaire. This makes it possible to conduct more accurate interviews. In relation to obstetrics and gynecology etc., in the case of oral interviews, it may happen that it is difficult to answer questions that are difficult to answer due to shame, but according to the present invention only humans do not intervene and record it only with the computer screen. Because it can be concealed, the patient's mental pain is alleviated.

  In order for the automated inquiry system to support a doctor's diagnosis, it may require further related questions about the patient's answer results. For example, in the case of selecting “Shore” in the chief complaint of “Head” in FIG. 6, if the affected part is confirmed as shown in FIG. 8 as the next question, and the affected part is answered as “half body” As a question one after another, you must check the left and right. For this reason, in the present invention, a question “Is it right or left?” As shown in FIG. 9 is displayed on the screen. In addition, when [vertigo] is selected in FIG. 6, since the diagnosis name varies depending on the nature of the dizziness, [what is the symptom] and [vertigo] are displayed on the screen as supplementary questions as shown in FIG.

  As shown in Fig. 4, the automatic interview is initially required by the doctor for diagnosis, but is not necessarily beneficial to the doctor himself / herself, gender, age, height, weight, presence / absence of pregnancy in female patients As basic patient data first, and then, as in the case of a doctor's oral interview, questions about the affected area. In this case, since the onset site varies depending on the symptom, a special affected area table is prepared as shown in FIG. 7 for the site where the symptom is in a small range such as [head], and the symptom occurs throughout the whole body. ] For parts such as [numbness] and [paralysis], a common affected area table as shown in FIGS. 8 and 9 is prepared, and responses are standardized.

  When the expected answer differs between men and women, for example, in the “pain” part answer list, [cold cancer] is arranged for men and [breast] is arranged for women. In order to selectively display the male and female parts lists, the gender data in the patient basic data inquiry is referred to. For example, in FIG. 6, when “mahi” is selected as the main complaint answer and in FIG. 8, the affected part [hand] “foot” is selected in the next question, it is necessary to ask the left and right questions separately. Therefore, the affected part detail question and answer as shown in FIG. 9 are set as the next question.

  Next to the affected area questions, as a logical construction idea, as shown in Fig. 6, we set up a main complaint individual question group in which the next question changes depending on the answer condition for each answer selected in the first stage layer. The next question sentence group required for each answer is also set on the same level. At the next level of the main complaint individual question, the main complaint common question, such as “When does the symptom begin?”, “When does the symptom occur?”, “Does the symptom continue?” The main complaint common question group that should present the same next question to the answer will be established. Next, a common question group for all patients, which presents the same question to all patients regardless of the medical condition, such as FIG.

  The answer list to be presented to the patient is defined as 25 frames per screen (also as an input key) as the limit that the patient can read in order, but the question items per patient vary depending on the answer. Designed to be about 35 items and designed so that a single patient can be interviewed in about 5 to 6 minutes. Further, the present matrix type logic will be described as follows by taking the affected area [head] in FIG. 5 as an example.

(1) As shown in FIG. 5, a question sentence “Where is wrong?” And an affected area answer list are presented simultaneously. Touch the [Next] button after selecting an answer to move to the next question.
(2) When the affected area [head] is selected, as shown in FIG. 6, the question sentence “What is the symptom [head]” and the list of answers expected as the head complaint are displayed on the same screen. To display. For the answer number attached to each chief complaint response, for example, chief complaint answer (1) [head hurts], the next question is marked with a circle at the intersection with the question sentence "Where is the head [affected part of the head]" Display instructions. If the main complaint answer (5) [Dizzy] is selected, the next question will be a display command with a circle at the intersection with “What is the symptom [vertigo]”?

  If the chief complaint answer (7) [Fly] is selected, the next question will be a display command with a circle at the intersection of “Please point to the part”. For parts that require further confirmation of the left and right, the ◆ (black rhombus, a designation mark that asks only when a specific answer is selected in the previous question) symbol and the question sentence “Is it right or left?” Specify [half body], [hand], [foot], etc. as selection conditions. The number of answers is possible up to the number specified by the guidance text. If the number of patients is less than the specified number and the [Next] button is touched according to the guidance text, the next question is transferred. If you have answered up to the specified number, you can move to the next question without touching the [Next] button.

  When the next question sentence “Where is the head?” To the main complaint answer (1) is displayed, the answer list of the affected part detailed site in FIG. 7 linked in advance is automatically displayed. When the next question sentence “What is the symptom? [Vertigo]” to the main complaint answer (5) [vertigo] is displayed, the list for answering the type of dizziness in FIG. 10 is automatically displayed. The main question answer (7) [Fly] (8) [Seizure] (9) [numbness] (10) The next question text to [Mahi] is displayed in the answer condition For example, the left and right confirmation questions and the answer list in FIG. 9 are displayed only for [half body], [hand], and [foot].

(3) When the main complaint individual question ends, the main complaint common questions “When do symptoms occur?”, “When do symptoms occur?”, “Symptoms are still present” “Do you continue?” ○ Displayed sequentially by the intersection symbol.
(4) When the main complaint common question is over, as shown in Fig. 11 and Fig. 12, all patient common questions such as "Are you allergic?" Display. For breast and gynecological patients, in addition to the general medical history, additional medical history specific to gynecology is asked.

(5) When [Other] or [I don't know] is selected as the main complaint answer, the contents of the answer are unknown, so the confirmation of the contents is entrusted to a dialogue with the doctor at the time of the examination. Ask only common questions for all patients.
(6) Although automatic interviews are mainly applied to patients who are first diagnosed, even in revisited patients, if a medical condition worsens from the time of the previous visit, or if a medical condition is different from the previous medical examination, an automatic interview is performed. In preparation for this, as shown in the automatic inquiry start screen in FIG. 3, a [previous consultation] button is installed for system activation. In the case of revisited patients, to reduce patient input load and increase conversations with doctors, automatic interviews are limited to individual complaints and common complaints. I leave it to you.

  [Derri], a mental illness, requires a kind of simple translation function because it cannot be understood by the general public even if it is established as a concept in the medical community. In the present invention, an [I don't know] button is added to the answer list to call a short explanation, and after touching the answer, if this button is touched instead of [Next], the answer content is [(delivery) It is to be excited without understanding]] with a function to pop up a short explanation. This short comment will be canceled when the next key touch is performed.

  There may be an expressional difference between the patient's complains and the judgment of medical professional symptoms. As a doctor, he / she asks an accurate question using medical terms and requests an appropriate answer, but it may be difficult for a patient without medical knowledge to answer. In the present invention, both a question sentence and an answer term phrase are expressed in plain terms for the general public, for example, [joint contracture] is replaced with a general term such as [joint stiffness], and [vomiting] Add a kana or short explanation to words that seem to be difficult to understand, such as (Oto)] [Incontinence (urinary leakage)].

  If the patient finds it difficult to answer only by an inquiry on the touch panel, a help function can be provided to explain the contents of the question and hints of the answer using voice information. In order to realize this function, it is necessary to prepare data for explanation in advance. For this reason, when the patient touches the [I don't know] key on the screen, the screen number and the question number are shown in FIG. If it is memorize | stored in the question and answer memory | storage part 15, it will become possible to give the learning function which improves an automatic inquiry.

  When performing an integrated operation with an electronic medical record, when the patient presses the “interview completed” key on the display / input / output unit screen 12 in FIG. 2, the medical information system in the hospital is requested to permit automatic inquiry data transmission. When the central processing unit 20 of the second hospital medical information system sends a permission signal to the automatic inquiry computer, the automatic inquiry data is transmitted to the hospital medical information system and stored in the main storage device 21.

  When the doctor sees the result of the automatic inquiry on the electronic medical record, he or she enters the patient's examination ticket number in the medical terminal of the in-hospital medical information system 23 in FIG. When the patient name is designated, the inquiry data of the patient can be read from the main storage device 21 of FIG. 2 of the hospital medical information system and displayed on the screen of the medical terminal.

  As a means of aligning patient complaints with the medical field of the department of self-care, and avoiding inquiries about diseases that cannot be handled responsibly in the self-care department, the function of hiding the affected area and specific question texts by a simple operation of the doctor himself Prepare. That is, the non-display setting is started by double-touching a nurse illustration as a hidden button in order to avoid an erroneous operation or mischief by an outsider on the automatic inquiry start screen in FIG.

  In order to fix the disease handled by the self-care department or the self-care department, it is made non-displayable by touching the name of the treatment department not handled in the self-care department or the self-care department on the non-display setting screen of the medical department in FIG. Of course, it is necessary to take a security measure for managing the non-display setting person. However, as with general software design, this can be done by setting a password (number) input screen. On the non-display setting screen of the medical department, a “next” button for shifting to the next screen and a key for correcting erroneous input are set as in the automatic inquiry screen. When the non-display setting is made, the key on the screen is displayed in reverse video to prevent a mistake input.

  When the medical department non-display setting is finished, if the [To affected area] button is touched, the screen shifts to an affected area non-display setting screen as shown in FIG. The non-display setting of the affected area is a function for performing a process of collectively undisplaying the inquiry to the affected area other than the need for the inquiry in the self-care department or the self-care department.

  Although the automatic interview as the affected area remains, when the specific interview text in the affected area is not displayed, an inquiry screen for each affected area is sequentially displayed as shown in FIG. Touching the question text and touching the ○ intersection symbol between the main complaint response and the relevant question text will change the ○ intersection symbol to a × intersection symbol, and the question text will not be displayed only for the main complaint answer specified by the × intersection symbol. It becomes.

  For example, in the case of the main complaint response in the affected area [head] in FIG. 15, in the case of [screening], [convulsion] [numbness], [paralysis], and not to display the site question, the question sentence “ If you touch the ○ intersection symbol at the intersection of the beginning of the [affected area table 1] and the question text and the main complaint answer [Furee], the ○ intersection symbol will change to an x intersection symbol and the main complaint answer [Furee] Do not ask questions about the affected area.

  Since the non-display setting screen for each affected area is displayed sequentially for all affected areas, perform the non-display setting operation for the required affected area and touch the [END] button on the screen when the setting is complete. Then, the setting conditions inside the computer are updated, and only the portion that is not hidden is realized as an automatic inquiry unique to the hospital.

  Although it is difficult for doctors themselves to add interview texts because the main complaint individual question text is related to other question texts, ask the system provider to do the related questions in the customization process or the next version. It can be added after confirming that there is no inconvenience by considering to match.

  When using it for automatic interviews for assistance when creating a written opinion that is necessary for nursing care level certification, it is possible to apply the automatic medical interview method. Not a caregiver. Whether a patient has symptoms of a specific disease covered by long-term care insurance or whether the degree of disability requires 24-hour care is determined by caregivers who are in charge of daily care. There is no other way than to judge.

  While automatic medical interviews are used once by the patient at the first visit, in the interviews in the nursing care system, the respondents do not always grasp all of the patient's life situation, so there are multiple interviews. In addition, there is a difference such as the fact that it is important to confirm the identity of respondents. Reduce the burden on caregivers. Multiple users of the inquiry system for medical use and support for creating a written opinion of the attending physician can share the computer and reduce processing costs.

  In the screen display of the touch panel, as shown in FIG. 5, an [Enlarge] button is provided on each screen, and when the characters displayed on the screen are small and difficult to read, the user touches this button. Thus, the expected answer part is switched to an enlarged display, and a function is provided to make it easier for elderly people or persons with visual impairments to read.

  A question-and-answer question and answer list are stored in a portable terminal equipped with a touch panel. The portable terminal is lent to patients who want to receive medical care, and their own complains are entered during the examination waiting time. Let According to this method, the outpatient doctor receives the portable terminal from the patient immediately before the examination, and causes the recorded medical examination answer data to be read into the small medical computer or the medical terminal of the in-hospital medical information system. The patient's contents can be viewed on the screen.

  This method complicates the handling of portable terminals, but it does not require connection software necessary for online connection, and portable terminals are cheaper than small computers for automatic inquiry, so it is easy to add multiple devices. Can be provided. The doctor can record the interview data in the portable terminal on the medical terminal, and then erase the data and pass it to the next patient. It can also be applied to handing out situation reports and chart copies after patient acceptance at the institution. In this case, there is no need for an online transmission cost via a public line to an introduction source and a complicated transmission procedure. As a patient, the burden on the body can be reduced because individual input can be performed at the chair seat.

  In addition, if an automated medical examination using a portable terminal is applied to the electronic health care notebook model, it is necessary for accurate diagnosis, but it is not possible to refer to it in current medical care, and it is not possible to refer to blood pressure before going to bed and when waking up. Lifestyle, such as changes and transitions, steps, and nutritional status, can be recorded as data. By presenting this data to a doctor at the time of diagnosis, improvement in diagnosis and treatment accuracy can be expected.

  At the end of the automatic inquiry, you can display and answer the question text of the visit motivation and use it as the data for the satisfaction survey. For first-time visitors, you can ask questions about the reasons for choosing a clinic or hospital, such as transportation, medical reputation, etc., and use it for materials to improve public relations and medical services, and to provide medical care and management It becomes. In addition, for revisited patients, it is possible to set questions related to the degree of satisfaction and reliability for medical care, and statistically process the answers to understand the patient's awareness, reliability, satisfaction, etc. .

Block diagram of the automatic inquiry system of the present invention Connection system diagram of computer for inquiry and hospital medical information system Interview start screen Patient basic data inquiry question screen Screen view showing an example of diseased area confirmation Screen diagram showing an example of symptom confirmation Question screen for questioning the affected area Common question site confirmation question screen Affected position detailed question screen Symptom supplement question screen Screen view showing an example of a common question group for all patients Screen view showing an example of a common question group for all patients Screen view showing an example of the setting for non-display of the medical department Screen diagram showing an example of the non-display setting of the affected area Screen diagram showing an example of setting to hide specific interviews

Explanation of symbols

11 Central processing unit 12 Display / input / output unit 13 for displaying question sentence and corresponding answer 13 Input / output control unit 14 Storage control unit 15 Expected answer sentence or answer phrase storage unit (hereinafter abbreviated as question / answer storage unit) )

Claims (2)

Display / input / output unit equipped with a touch panel, input / output control unit for controlling the display of question texts and answer lists, a central processing unit that controls all data processing processes, a storage device, and interrogation results A printer that outputs
The storage device has a question / answer storage unit for storing a predicted answer sentence or answer term phrase set for each question for an inquiry, and storing an inquiry result,
In the order of the affected area, main complaint, individual complaint-related individual questions, main complaint-related common questions, and all patient common questions, the next question sentence and the answer sentence group or phrase linked to it in accordance with the preset logic are stored as questions and answers. A function to read out from the department, display the question text and multiple answers on the same screen of the display / input / output section, and perform button selection by the patient's touch,
A function that saves the displayed question text and selected answer data in the question / answer storage unit for each patient, and obtains the interview result data from the question / answer storage unit after completion of the interview and sends it to the printer by the input / output control unit. An interrogation system for medical examinees having a function of returning to an automatic interrogation start screen by performing transmission to an in-hospital medical information system that manages output or electronic medical records,
In the question / answer storage unit, for each affected area, question items to be sequentially displayed corresponding to a plurality of answers expected as main complaints are displayed in a matrix-type logical structure as a predetermined question display command. Remember by storing a predetermined symbol that is a display instruction for a question only when a specific answer is selected in the symbol or previous question,
The question items in the logical structure are the main complaint-related common questions that should be presented to all main complaint responses in the first stage of the main complaint-related individual question group in which the next question changes for each selected answer. Set up a group of questions in the next hierarchy, and a group of questions common to all patients that presents the same questions to all patients regardless of their medical condition.
Answers to the main complaint can be made up to the specified number, and the patient can move to the next question by touching a predetermined button while answering less than the specified number, or by answering up to the specified number. A medical interview system for medical examinees. In the automatic inquiry system, set a button with a function to hide the inquiry text and answer list,
By operating this button, the question text and the answer list are hidden.
The automatic interrogation system for medical examinees according to claim 1, comprising means for aligning an inquiry with a medical field of a self-care department by this method.

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