JP6273631B2 - Health condition judgment device - Google Patents

Description

  The present invention relates to a health condition determination apparatus. Specifically, reflecting the vital signs and daily physical condition that take into account the individual differences of the target person, it is possible to accurately capture the health condition, and appropriate abnormality detection and deterioration of the health condition for the elderly The present invention relates to a health condition determination apparatus that contributes to the rapid discovery of health.

  In recent years, as the demand for medical care for the elderly has increased, medical risks in medical institutions and home medical care after discharge from acute hospitals have increased. Hereinafter, the “elderly person” targeted in the present invention is intended for persons who are 65 years old or older.

  For example, in acute hospitals, it is the mainstream that specialists in a specific field consult a specific symptom according to the symptom. On the other hand, in convalescent and chronic hospitals and clinics that provide home medical care, there is an increasing number of cases where a single doctor examines a non-specialty field in order to deal with all illnesses of a patient.

  That is, there is a problem that the difference in the diagnosis skills of the doctors is noticeable depending on the type of hospital to be examined.

  In addition, in the diagnosis of doctors, diseases that are likely to cause elderly people are a problem. Conventionally, in the diagnosis by a doctor, the diagnosis starts when the patient himself / herself tells the doctor a medical condition with subjective symptoms, such as “I have a stomachache” or “I have a headache”.

  In other words, based on the “disease state”, a doctor performs an examination to check whether the patient is suffering from some disease by conducting an inquiry, observation, and examination.

  In this conventional medical examination, it is common to conduct a medical examination in a format in accordance with a pathological condition discrimination flow in which a medical condition is identified by proceeding with an inquiry for any specific medical condition.

  However, the elderly are poor in subjective symptoms and are often dementia patients. Therefore, the patient himself / herself does not complain of physical condition, and the pathological condition may not be identified along the pathological condition discrimination flow.

  In addition, elderly people have weak biological responses when performing diagnosis and examination based on vital information such as body temperature and pulse, and it may be difficult to detect vital abnormalities with uniform reference values regardless of age. . The reference value is often set mainly in the acute phase of adults.

  For this reason, in the conventional pathological condition discrimination flow in which the pathological condition is identified by proceeding from the medical condition, there are many cases that are not suitable for elderly medical care. In addition, in the diagnosis of elderly people, a method for detecting vital abnormalities reflecting individual differences is required, but even with current diagnosis by doctors, there is no established diagnosis form that fully considers this point. Is the current situation.

  In recent years, there has been an increasing need for “family doctors” who can appropriately evaluate the health status of residents and determine the presence or absence of illnesses in nursing homes and nursing homes.

  Especially for elderly people, to detect early and accurate physical conditions such as fever and hypertension, as well as illnesses such as respiratory failure, pneumonia, heart failure, myocardial infarction, heat stroke and dehydration. Is important.

  Most of the nursing care facilities are on days when doctors are absent, and the daily physical condition of residents is checked by the staff of the facilities. However, as described above, there are not a few cases where elderly people have a disease without subjective symptoms, and it may be overlooked that the medical condition worsens due to a minute change in physical condition. Therefore, there is a strong demand for a mechanism that can quickly detect abnormalities from changes in daily health conditions.

  In addition, the number of people with lifestyle-related diseases such as hypertension and diabetes is increasing in a wide range of age groups, and it is necessary for medical institutions to remotely detect abnormalities based on daily physical condition changes in response to these diseases. Is growing.

  Furthermore, among the doctors in the subacute hospital, long-term care hospital, and clinics that provide home medical care, only a part of general specialist physicians with comprehensive knowledge of circulatory organs, respiratory organs, digestive organs, and endocrine are limited. Some doctors have difficulty in diagnostic skills other than their own specialty, and there are cases where the level of diagnosis varies.

  The difference in doctor's diagnostic skills as described above will have a major impact on the diagnosis of medical care for the elderly that requires expertise in a wide range of fields such as cardiovascular, respiratory, digestive, and endocrine. .

  Under such circumstances, there is a health management system that acquires diagnostic value information of a subject using a plurality of measuring devices and determines whether or not each diagnostic value is abnormal. For example, the health management system described in Patent Document 1 is provided. Proposed.

  Here, in the health management system described in Patent Document 1, diagnostic value information is obtained by a body composition measurement device, a blood pressure measurement device, a urine sugar measurement device, a blood glucose level measurement device, a body temperature measurement device, and the like connected to a user terminal. It is supposed to be

  In addition, each diagnosis value information is recorded in the database, and whether or not the measured diagnosis value information is abnormal is determined in consideration of a normal value standard of each user, for example, an average value of measurement information for three days. Has become.

  In addition, in the conventional health condition determination including the health management system described in Patent Document 1, an absolute value serving as a reference is provided, and the magnitude of the measured value with respect to the absolute value is used to rank the health condition or Detection is to be performed.

JP 2011-227547 A

  However, the conventional mechanism for detecting an abnormality based on the measurement of vital information of the subject, including the health management system described in Patent Document 1, is not a detection that reflects the health condition of daily calm conditions. There was a problem in the accuracy of abnormality detection.

  For example, even when an abnormality is found in meals and excretion during an inquiry to the subject, vital information measured on that day is accumulated as data and included in the determination element as to whether there is an abnormality.

  Moreover, the measured value in which a big displacement is seen from the value of the vital information measured on the previous day is also accumulated as data and is similarly included in the determination element.

  Speaking of the contents of Patent Document 1 described above, there is a possibility that vital information in a state where there is an abnormality in physical condition is included in the calculation of a normal value to be compared with a measured value in the determination of abnormality. There was a problem that became low.

  In addition, for example, when determining an abnormality from body temperature information, there are many cases in the field where normal heat is used as a reference value and an abnormality occurs when the temperature exceeds the range of 1.0 ° C above and below. It is assumed that there is an individual difference in the fluctuation range in the body temperature change from this normal heat, and it cannot be an appropriate reference value.

  In addition, there are individual differences in body temperature fluctuations due to seasonal room temperature differences. Further, the normal heat is often set to a fixed value of 36.5 ° C. or the like.

  That is, a person who should be determined to be normal even when the body temperature is large or a person whose abnormality should be detected even if the body temperature is small cannot be properly determined. With such a configuration, it is difficult to accurately evaluate the health condition.

  Further, in the conventional physical condition confirmation method in a care facility or the like, even if the body temperature is measured every day, the average value of the body temperature of the subject is calculated once a week. Therefore, the average value of the body temperature used for the physical condition confirmation of the subject does not reflect daily physical condition changes.

  In addition, in the conventional technology including the health management system described in Patent Document 1, it is possible to capture the change in the physical condition of the subject, but the content for judging whether or not the subject is ill or The content is not enough to provide sufficient information.

  Even if it is determined whether or not the subject is in a diseased state, the medical condition such as high blood pressure and high fever is a subject of judgment, but for example, it is possible to determine in detail the disease such as what medical condition the medical condition is due to It was not content.

  Until now, it is hard to say that medical care has fully taken into account information gathering and diagnosis methods for signs unique to elderly people different from young people. According to internal diagnostics (written by Kazuyoshi Giri), “In principle, there is nothing special about the examination of the elderly, and the same method as for young people is sufficient. However, considerable consideration is required in the results and ideas obtained. "a.

  That is, "results obtained", that is, various vital reactions weaken due to aging, and abnormalities cannot be detected with reference values consisting of probability statistics of adults in general, and "thinking", that is, no subjective symptoms, many dementia This is because it requires “considerable consideration” with respect to the characteristics unique to the elderly, such as the fact that it is difficult to differentiate the pathological conditions using conventional diagnostic methods with symptoms.

  This strengthening can be said to be a major problem in the future medical field. Thus, there is a strong demand for a system that can fully contribute to the determination of health conditions and diagnosis of diseases specialized in “medical care for the elderly”.

  The present invention was devised in view of the above points, and can reflect a vital sign and daily physical condition in consideration of individual differences of the target person, can accurately capture the health condition, and is an elderly person The present invention relates to a health condition determination apparatus that contributes to the appropriate detection of abnormalities and quick discovery of deterioration of health conditions.

  In order to achieve the above-described object, the health condition determination apparatus of the present invention records a vital measurement unit that measures vital information of a subject and information on the date of the day on which the vital information measured by the vital measurement unit is measured. A vital information recording unit, and an interview information recording unit that records the results of multiple interviews regarding at least meals and excretion for the subject together with information on the date of the interview date, which is determined as normal or abnormal for each item, Based on the vital information recorded in the vital information recording unit and the inquiry determination information recorded in the inquiry information recording unit, vital information measured on the day when at least one abnormality is recorded in the contents of the inquiry determination information Vital average processing unit that takes the average value and calculates the vital average value, and vital information measured by the vital measurement unit And an abnormality determination unit that determines an abnormality when the measured vital information exceeds a predetermined range.

  Here, the vital information of the subject can be acquired by the vital measurement unit that measures the vital information of the subject. The vital information here is, for example, measurement information such as body temperature, oxygen saturation (SpO2), upper and lower blood pressure, pulse pressure, pulse, weight, and the like.

  In addition, the measurement result is accumulated together with the measurement date information by the vital information recording unit that records the vital information measured by the vital measurement unit together with the date information of the date of measurement.

  In addition, an interview information recording unit that records at least the results of multiple interviews related to meals and excretion as normal or abnormal for each item together with information on the date of the interview is confirmed with the subject. It is possible to record the results of the interview contents and the evaluation results regarding the results as normal or abnormal together with the information on the interview date. The contents of the inquiry are basically those related to meals and excretion, but the contents include a plurality of finely divided contents. For example, an inquiry regarding the face color, mood, senses of the five senses, etc. of the subject on that day may be included. That is, it may be observation information on the state of the subject on that day, or care record information related to ingested water and excretion.

  In addition, based on the vital information recorded in the vital information recording section and the interview determination information recorded in the interview information recording section, the vital information measured on the day when at least one abnormality is recorded in the contents of the interview determination information is excluded. An average value excluding vital information on the day on which the abnormality is confirmed as a result of the inquiry can be determined by the vital value processing unit that takes the average value and calculates the vital value. As a result, the average value information of vital information in a calm state of the subject can be confirmed with higher accuracy.

  In addition, abnormalities can be detected on the basis of sudden changes in vital information by the abnormality determination processing unit that determines abnormalities when the vital information measured by the vital measurement unit exceeds the predetermined range from the vital information measured on the previous day It will be something. For example, when measuring body temperature as an example of vital information and abrupt displacement, the measured body temperature value can be set to be detected as abnormal when the body temperature value changes by 0.5 ° C. or more from the previous day body temperature value. .

  In addition, when the vital average processing unit calculates the vital average value, if the average value excluding vital information whose displacement from the value of the previous day's vital information exceeds a predetermined range, The information on the average value of vital information in a calm state of the subject can be confirmed with high accuracy. That is, not only the abnormality of the result of the inquiry but also the value of the day when the vital information suddenly changed is not included in the basis for calculating the average value, and it becomes easy to grasp the calm state of the subject.

  In addition, when the vital average processing unit calculates the vital average, the vital information measured on the day when at least one abnormality is recorded in the contents of the inquiry determination information and the displacement from the value of the vital information on the previous day are When the average value of vital information for the most recent seven days excluding vital information exceeding a predetermined range is taken, information on the average value of vital information reflecting the current state of the subject can be confirmed.

  In addition, at least one abnormality in the contents of the inquiry determination information from the vital average value on the day before the measurement day and the past vital information recorded in the vital information recording unit. Calculating the difference between the vital information measured on the day of recording and the maximum and minimum values of vital information excluding vital information whose displacement from the value of the previous day's vital information exceeds a predetermined range, When equipped with a bandwidth information processing unit that records information on the width of the upper and lower limits on the basis of the vital value on the day before the measurement date, the abnormality was confirmed in the results of the interview. It is possible to grasp the range of vertical fluctuation of the vital information of the subject individual in a state excluding the vital information of the day and the day of the sudden change. That is, it is possible to set a fluctuation range in which the subject person can be considered to be in a calm state among fluctuation ranges of vital information having individual differences.

  In addition, the abnormality determination processing unit has a difference between the vital information measured by the vital measurement unit and the average vital value on the day before the measurement date exceeds the bandwidth information on the day before the measurement date recorded in the bandwidth information processing unit. If it is determined that there is an abnormality, the abnormality can be detected on the basis of the fluctuation range in which the subject can be regarded as being in a calm state. That is, when the difference between the measured vital information value and the average value of the previous day's vital information exceeds the fluctuation range that the subject can be considered to be in a calm state, Can be detected. As a result, it is possible to detect an abnormality with high accuracy in accordance with the characteristics of the subject.

  Also, the bandwidth information processing unit calculates the bandwidth information before the measurement date for the past 30 days of vital information based on the measurement date of the vital information among the past vital information recorded in the vital information recording unit. In this case, it is possible to set a fluctuation range that reflects the current state of the subject person and that the subject person can be considered to be in a calm state. More specifically, it can be the fluctuation range of the vital information of the subject reflecting the change in physical condition accompanying the change in climate. Here, “the past 30 days based on the measurement date of vital information” means the past 30 days from the “previous day” of the day excluding the day on which the health condition is determined.

  In addition, when the bandwidth information processing unit calculates the bandwidth information before the measurement date for the vital information of all days of the past vital information recorded in the vital information recording unit, the information accumulated from the start of the measurement Thus, it is possible to set a fluctuation range that allows the subject to be regarded as being in a calm state.

  In addition, when the abnormality determination processing unit determines that there is an abnormality when the difference between the vital information measured by the vital measurement unit and the average vital value on the day before the measurement exceeds a predetermined range, the average value of the vital information The abnormality can be detected based on the “absolute value” of the displacement. That is, an abnormality can be detected using an absolute value set in advance as a fluctuation range in which the above-described subject can be regarded as being in a calm state.

  In addition, when an initial reference value recording unit that records vital information of the subject's health check as an initial reference value is provided, normality or abnormality can be determined based on the vital information of the health check. For example, at the beginning of measurement, there is a small amount of data measured for vital information, and the average value of vital information may not be obtained or may not be an appropriate average value. Information can be set as a reference.

  Further, the abnormality determination processing unit, the vital average value processing unit, the displacement from the value of the vital information measured on the day when at least one abnormality is recorded in the content of the inquiry determination information and the value of the vital information of the previous day is within a predetermined range. Vital information and initial reference values measured by the vital measurement unit at the stage before the vital value on the day before the measurement date can be calculated by taking the average value of the last 7 days of vital information excluding the vital information If the difference is more than a predetermined range, it is possible to detect the abnormality based on the vital information measured in advance by the health check and the absolute value of the displacement.

  In addition, when the abnormality determination processing unit determines that the vital information measured by the vital measurement unit is abnormal when the vital information exceeds or falls below a predetermined absolute value, the vital information value that is clearly regarded as abnormal physical condition is abnormal. It is possible to make a determination. For example, when the vital information is body temperature, a measurement value of 35 ° C. or lower or 40 ° C. or higher is determined to be abnormal.

  In addition, when the vital average processing unit calculates the vital average value on the day before the measurement day every day, the average value of the daily vital information of the subject can be acquired. As a result, it is possible to capture the progress of the physical condition change in more detail.

  In addition, when the bandwidth information processing unit calculates daily bandwidth information before the measurement date, it is possible to capture the fluctuation range of vital information according to the daily physical condition change of the subject. As a result, the abnormality can be detected with higher accuracy.

  When the abnormality determination processing unit notifies the determined abnormality in at least two stages, the handling after detecting the abnormality can be various. For example, even in a state indicating an abnormality, if the degree of displacement of the vital information value is small, it is notified as `` caution '', and if the displacement is large, it is notified as `` warning ''. It is not necessary to handle the abnormality uniformly. As a result, when an abnormality is detected, it is possible to efficiently handle a countermeasure after the abnormality is detected, such as whether or not a doctor's check is required immediately.

  In addition, a diagnosis result information recording unit that records information of a doctor's diagnosis result for the subject is provided, and the bandwidth information processing unit is based on the content of the diagnosis result information recorded in the diagnosis result information recording unit, In the case of correcting the content of the bandwidth information, the content of the bandwidth information before the measurement date is appropriately corrected, and the accuracy of the abnormality detection of the vital information using the bandwidth information before the measurement date can be further enhanced. The doctor's diagnosis result information here means that the subject whose daily bandwidth information is recorded daily is actually diagnosed by the doctor and is diagnosed as having no abnormality (not a specific condition). Or information on the result of diagnosis of an abnormality (something ill).

  In addition, when the vital measurement unit is configured by a wearable computer that can be attached to the body of the subject, vital information can be acquired more easily. Further, since the subject can always wear it, vital information can be acquired over time. As a result, it is also possible to capture daytime fluctuations in vital information for each individual of the target person.

  Further, when the vital information includes at least one piece of information selected from body temperature, pulse, pulse pressure, and blood pressure, the subject's abnormality is determined based on any of body temperature, oxygen saturation, pulse, pulse pressure, and blood pressure. Can be detected.

  Further, when the vital information is at least body temperature information, the abnormality of the subject can be detected based on the body temperature.

  If the vital information is body temperature information and at least one information selected from pulse, pulse pressure, and blood pressure, the body temperature is used as a base, and oxygen saturation, pulse, pulse pressure, or blood pressure is further determined. An abnormality can be detected as a reference.

  In addition, when the abnormality determination processing unit determines that there is an abnormality when the displacement from the body temperature value measured on the previous day for the body temperature value measured by the vital measurement unit is 0.5 ° C. or more, As for the value, it becomes possible to detect an abnormality with a sudden change of 0.5 ° C. from the body temperature value of the previous day.

  In addition, the abnormality determination processing unit determines that it is abnormal when the displacement from the body temperature measured on the previous day for the body temperature value measured by the vital measurement unit is 0.5 ° C. or more, and the determination level corresponds to caution. When the displacement is 1.0 ° C. or higher and the notification that the determination level corresponds to the warning, the abnormality is detected in two stages and can be processed.

  In addition, when the vital average value processing unit calculates the reference temperature average value by taking the average value excluding the temperature information in which the displacement from the temperature information value of the previous day is 0.5 ° C. or more, the accuracy is higher. The information on the average value of the body temperature of the subject's calm state can be confirmed.

  Further, at least one of the contents of the inquiry determination information is selected from the reference temperature average value on the day before the measurement day, which is the reference temperature average value on the day before the vital measurement, and the past body temperature information recorded in the vital information recording unit. Calculate the difference between the body temperature information measured on the day when two abnormalities were recorded and the maximum and minimum body temperature information excluding body temperature information whose deviation from the body temperature information on the previous day is 0.5 ° C or higher. If there is a temperature range information processing section that records the temperature range information on the day before the measurement date, which is the information on the upper and lower limits based on the reference temperature average value on the day before the measurement date, It is possible to capture the range of vertical fluctuations in the body temperature of the subject individual, excluding the body temperature information on the day when the abnormality is confirmed and the value of the body temperature information on the day when there is a sudden change. That is, it is possible to set a fluctuation range of the body temperature that can be considered that the subject is in a calm state among the fluctuation ranges of the body temperature having individual differences.

  In addition, the difference between the body temperature information measured by the vital measurement unit and the reference temperature average value on the day before the measurement day exceeds the temperature band information on the day before the measurement date recorded in the temperature band information processing unit. When it is determined that there is an abnormality in the case, it is possible to detect the abnormality on the basis of the fluctuation range of the body temperature that can be considered that the subject is in a calm state. That is, when the difference between the measured body temperature value and the average value of the body temperature on the previous day (normal heat) exceeds the fluctuation range of body temperature that the subject can be considered to be in a calm state , Can be detected as abnormal.

  In addition, the vital information is at least body temperature information, and the abnormality determination processing unit determines that there is an abnormality when the difference between the body temperature information measured by the vital measurement unit and the reference temperature average value on the day before the measurement day is 0.5 ° C. or more. In this case, the abnormality can be detected based on the average value (normal heat) of the body temperature on the day before the determination and 0.5 ° C. as the absolute value of the body temperature displacement.

  Further, the vital information is at least body temperature information, and the abnormality determination processing unit determines that the abnormality is present when the difference between the temperature information measured by the vital measurement unit and the initial reference value average value related to the temperature is 0.5 ° C. or more. In this case, an abnormality can be detected based on a body temperature value measured in advance through a health check and an absolute value of body temperature displacement of 0.5 ° C.

  In addition, when the vital information is at least pulse information, and the vital average value processing unit calculates a reference pulse average value by taking an average value excluding a pulse whose displacement from the pulse value of the previous day is 10 or more The information on the average value of the pulse in a calm state of the subject can be confirmed with higher accuracy.

  Further, at least one of the contents of the inquiry determination information is selected from the reference pulse average value on the day before the measurement day which is the reference pulse average value on the day before the vital measurement and the past pulse recorded in the vital information recording unit. Calculate the difference between the pulse measured on the day when the abnormality was recorded and the maximum and minimum values of the pulse excluding the pulse whose displacement from the previous day's pulse value is 10 or more, and calculate the reference pulse average the day before the measurement day If you have a pulse width information processing unit that records information as the pulse width information on the day before the measurement date, which is the upper and lower limit width information based on the value, the pulse on the day on which the abnormality was confirmed as a result of the interview Then, it is possible to capture the range of vertical fluctuation of the individual pulse of the subject person excluding the pulse on the day when there was a sudden change. That is, it is possible to set a pulse fluctuation range in which the subject can be considered to be in a calm state among pulse fluctuation ranges having individual differences.

  Also, when the difference between the pulse measured by the vital measurement unit and the reference pulse average value on the day before the measurement date exceeds the pulse band width information on the day before measurement recorded in the pulse band width information processing unit When it is determined as abnormal, it is possible to detect the abnormality on the basis of the fluctuation range of the pulse that can be regarded as a calm state of the subject. That is, when the difference between the measured pulse value and the average value of the previous day's pulse exceeds the fluctuation range of the pulse that the subject can be considered to be in a calm state, Can be detected.

  Also, the vital information is at least pulse pressure information, and the vital average processing unit takes an average value except a pulse pressure whose displacement from the previous day's pulse pressure value is 10 or more, and obtains a reference pulse pressure average value. In the case of calculation, information on the average value of the pulse pressure in a calm state of the subject can be confirmed with higher accuracy.

  In addition, from the reference pulse pressure average value on the day before the measurement day which is the reference pulse pressure average value on the day before the vital measurement and the past pulse pressure information recorded in the vital information recording unit, the inquiry determination information Calculate the difference between the pulse pressure measured on the day when at least one abnormality is recorded in the content and the maximum and minimum values of the pulse pressure excluding the pulse pressure whose displacement from the value of the previous day's pulse pressure is 10 or more Then, in the case of providing a pulse pressure band width information processing section to record as the measurement day before day pulse pressure band width information that becomes the information of the upper limit side and the lower limit side width based on the measurement day previous day reference pulse pressure average value, It is possible to grasp the range of up and down fluctuations of the pulse pressure of the subject individual in a state excluding the pulse pressure on the day when the abnormality is confirmed as a result of the inquiry and the pulse pressure on the day when there is a sudden change. That is, it is possible to set a fluctuation range of the pulse pressure that can be considered that the subject is in a calm state among the fluctuation ranges of the pulse pressure having individual differences.

  In addition, the abnormality determination processing unit calculates the difference between the pulse pressure measured by the vital measurement unit and the reference pulse pressure average value on the day before the measurement date as the pulse pressure band width information recorded on the pulse pressure band information processing unit. When it is determined that there is an abnormality when it exceeds, it is possible to detect the abnormality on the basis of the fluctuation width of the pulse pressure that can be considered that the subject is in a calm state. That is, when the difference between the measured pulse pressure value and the average value of the pulse pressure on the previous day of the day exceeds the fluctuation range of the pulse pressure that the subject can be considered to be in a calm state. , Can be detected as abnormal.

  The vital information is at least blood pressure information, and the vital average processing unit calculates a reference systolic blood pressure average value by taking an average value excluding the systolic blood pressure whose displacement from the systolic blood pressure value of the previous day is 20 or more. In this case, the information on the average value of the systolic blood pressure in a calm state of the subject can be confirmed with higher accuracy.

  In addition, the inquiry determination information is obtained from the reference pulse pressure average value on the day before the measurement day, which is the reference maximum blood pressure average value on the day before the vital measurement, and the past systolic blood pressure information recorded in the vital information recording unit. Calculates the difference between the maximum and minimum maximal blood pressures excluding the maximal blood pressure measured on the day when at least one abnormality is recorded in the content and the maximum BP from the previous day's maximum BP. Then, in the case of including a systolic blood pressure band width information processing section that records as the systolic blood pressure band width information on the day before the measurement date, which is information on the upper limit side and the lower limit side width based on the reference day standard systolic blood pressure average value It is possible to grasp the range of up-and-down fluctuations of the maximum blood pressure of the subject individual in a state excluding the maximum blood pressure on the day when abnormality is confirmed as a result of the inquiry and the maximum blood pressure on the day when there is a sudden change. That is, it is possible to set a fluctuation range of the maximum blood pressure in which the subject can be considered to be in a calm state among the fluctuation ranges of the maximum blood pressure having individual differences.

  In addition, the abnormality determination processing unit determines that the difference between the systolic blood pressure information measured by the vital measurement unit and the reference systolic blood pressure average value on the day before the measurement day is recorded in the pulse pressure band information processing unit, When it is determined that there is an abnormality when the value exceeds, it is possible to detect the abnormality on the basis of the fluctuation range of the systolic blood pressure at which the subject can be considered to be in a calm state. That is, when the difference between the measured systolic blood pressure value and the average value of the systolic blood pressure on the day before that day exceeds the fluctuation range of the systolic blood pressure that the subject can be considered to be in a calm state. , Can be detected as abnormal.

  Further, the vital information is at least blood pressure information, and the vital average processing unit calculates a reference minimum blood pressure average value by taking an average value except for the minimum blood pressure whose displacement from the minimum blood pressure value of the previous day is 20 or more. In this case, the information on the average value of the minimum blood pressure in a calm state of the subject can be confirmed with higher accuracy.

  In addition, from the reference pulse pressure average value on the day before the measurement day, which is the reference minimum blood pressure average value on the day before the day of the vital measurement, and the past minimum blood pressure information recorded in the vital information recording unit, the inquiry determination information Calculate the difference between the maximum and minimum values of the minimum blood pressure excluding the minimum blood pressure measured on the day when at least one abnormality was recorded in the content and the minimum blood pressure of the previous day's minimum blood pressure is 20 or more. Then, in the case of including a minimum blood pressure band width information processing unit for recording as the minimum blood pressure band width information on the day before the measurement date, which is information on the upper limit side and the lower limit side width based on the reference day minimum blood pressure average value on the day before the measurement day, It is possible to grasp the range of the vertical fluctuation of the minimum blood pressure of the subject individual in a state excluding the minimum blood pressure on the day when abnormality is confirmed as a result of the inquiry and the minimum blood pressure on the day when there is a sudden change. That is, it is possible to set the fluctuation range of the minimum blood pressure that can be considered that the subject is in a calm state among the fluctuation ranges of the minimum blood pressure that vary among individuals.

  In addition, the abnormality determination processing unit calculates the difference between the minimum blood pressure information measured by the vital measurement unit and the reference minimum blood pressure average value on the day before the measurement date, and the minimum blood pressure band width information on the day before the measurement date recorded in the minimum blood pressure band information processing unit. When it is determined that there is an abnormality when the value exceeds the threshold value, it is possible to detect the abnormality based on the fluctuation range of the minimum blood pressure at which the subject can be regarded as being in a calm state. That is, when the difference between the measured value of the minimum blood pressure and the average value of the minimum blood pressure on the previous day of the day exceeds the fluctuation range of the minimum blood pressure at which the subject can be considered to be in a calm state. , Can be detected as abnormal.

  In addition, disease state identification information in a flowchart format that includes disease information, vital value condition information related to the disease, condition information, specific inquiry information specific to the disease, and information on conditions for answering specific inquiry information If the contents of the vital information that the abnormality determination processing unit has determined to be abnormal are used as the starting point of the flowchart, the pathological condition identification information is specified based on the abnormalities of the vital signs. Can be useful. That is, for example, it is possible to proceed with the diagnosis by an approach different from that according to the pathological condition discrimination flowchart starting from the “disease state” as seen in a conventional doctor's diagnosis. For example, it is assumed that a vital warning is detected in a subject who has a high fever symptom of 38 ° C. or higher. Here, the subject is subjected to multiple medical condition confirmation interviews according to `` high fever '' recorded in the pathology classification flowchart recording unit, and multiple items indicating the state of the answer or face color of `` Yes '' or `` No '' Nurses and caregivers will proceed with interviews to choose from (degree of complexion). Vital abnormalities are the starting point, but the specific interview information includes, for example, patients who have diarrhea that is not bloody stool. "Sexual bowel syndrome is suspected." As responses are advanced, the disease predicted from the flow of responses up to that point is recorded in the pathological condition discrimination flowchart recording unit, and the result can be shown. In addition, the confirmation item for proceeding the flowchart format includes not only the contents of the medical condition but also the contents of whether or not the condition of the vital value associated with the individual illness is satisfied. In addition, the above is configured to reach the pathological condition predicted by answers to multiple medical condition confirmation interviews. However, the answer to the first medical condition confirmation interview includes the content that reaches the candidate pathological condition. May be. Basically, the analysis of the pathological condition discrimination flowchart proceeds with “vital information in which an abnormality has been confirmed” as a starting point. For example, in the above-described example, it is configured such that an inquiry is made based on a vital abnormality such as “the body temperature is 38 ° C. or higher” and confirmation of whether the vital value satisfies a predetermined condition. Such a pathological differentiation flowchart starting from vital abnormality is not found in existing ones, and is an effective tool in disease prediction.

  In addition, the health basic information recording unit that records at least the subject's medical history information, disease information, and lifestyle information, and the interview information recorded in the vital information and inquiry information recording unit are carefully observed. In addition to extracting information that should be observed as observation information, and providing a thermal table processing unit that creates a thermal table by listing the information of each item of observation information and date information, This makes it easy to check your own thermal table that contains the information you need to pay attention to. In other words, because it is a thermal table that extracts vital information and health observation information that should be observed daily based on the subject's past history, current disease, and lifestyle information, it is used as reference information at the time of diagnosis by an actual doctor. It becomes very useful information. In addition, the caregiver can easily confirm the points to be watched carefully when caring each subject person.

  The health condition determination apparatus according to the present invention reflects vital signs and daily physical conditions in consideration of individual differences among subjects, can accurately capture the health condition, and is suitable for the elderly This contributes to the detection of urine and the rapid detection of deterioration in health.

It is the schematic of the health condition determination apparatus to which this invention is applied. It is a graph which shows the fluctuation | variation of a subject's body temperature. It is a graph which shows the outline | summary of automatic correction of bandwidth information. It is the schematic which shows the example of a thermotype table | surface.

Hereinafter, embodiments of the present invention will be described with reference to the drawings to facilitate understanding of the present invention.
FIG. 1 is a schematic diagram of a health condition determination apparatus to which the present invention is applied. In addition, the structure shown below is an example of this invention and the content of this invention is not limited to this.

  A health condition determination apparatus 1 as an example of a health condition determination apparatus to which the present invention is applied includes a vital measurement unit 2 and an information management unit 3.

  The vital measurement unit 2 is composed of a device that measures various vital information of the subject, and is connected to the information management unit 3. Note that the connection here includes both wired and wireless, and is a configuration that transmits measured data to the information management unit 3 using, for example, known short-range wireless communication for digital devices. Also good.

  The vital measurement unit 2 includes a thermometer 4, a pulse oximeter 5, a sphygmomanometer 6, a body composition meter 7, and a blood glucose meter 8. Moreover, the vital measurement part 2 is comprised as a wearable terminal of shapes, such as a bracelet shape, and can acquire the information of various vitals when a subject wears.

The thermometer 4 is the body temperature, the pulse oximeter 5 is the oxygen saturation (SpO ₂ ) and pulse, the sphygmomanometer 6 is the maximum blood pressure and the minimum blood pressure, the body composition meter 7 is the body weight, body fat, muscle mass and bone mass, The blood glucose meter 8 measures the blood glucose level.

  Moreover, the vital measurement part 2 has the respiration rate sensor 9 which measures a respiration rate. In addition, the vital measurement unit 2 can be connected to the walking strength meter 10. The walking strength meter 10 measures the walking strength and the time spent walking at a constant walking strength.

  Here, the vital measurement part 2 does not necessarily need to be configured by a wearable terminal, and the vital measurement part 2 in a form used at the time of measurement may be adopted each time without being worn by the subject. However, the vital measurement unit 2 is composed of a wearable terminal because it makes it very easy to acquire vitals, makes it easy to perform regular measurements, and makes it easy to obtain information on fluctuations during the day by monitoring over time. It is preferable.

  Moreover, it is preferable that the measured vital value is automatically transmitted to the information management unit 3 at least for blood pressure, pulse, body temperature, oxygen saturation, and respiratory rate. This is because the vital information is frequently associated with the determination of the presence of abnormal physical condition or the presence of pathological factors.

  Further, the types of vital measurement devices of the vital measurement unit 2 are not limited to the devices described above. If necessary, it is possible to employ a device that measures vital information that can be used to manage the physical condition of the subject.

  The information management unit 3 is an information processing terminal including an information processing unit 11 that performs control processing of various types of information and a display unit 12 that can display information managed by the information management unit 3.

  Here, the information management unit 3 only needs to be configured to be able to control various types of information, and can be used in a stand-alone manner in which information can be recorded and processed only by the information management unit 3. It may be. On the other hand, a configuration in which information processing is performed on a server through an Internet line may be employed.

  The information processing unit 11 of the information management unit 3 has a personal information database 13 that records personal information of the measurement subject. In the personal information database 13, the name, sex, age, height, and weight of the target difference individuals that are the health condition determination targets are recorded.

  The personal information database 13 stores health checkup information that is information on a checkup that the subject has received in the past. Health checkup information includes, for example, height, weight, abdominal circumference, vision, hearing information, chest X-ray examination, blood pressure measurement, urinalysis, anemia test, liver function test, blood lipid test for general health checkup Information on blood glucose test and electrocardiogram test.

  The personal information database 13 also records lifestyle information such as basic illness, medical history, and smoking history, information such as medication history, and the presence or absence of subjective symptoms and objective symptoms. In addition, body temperature information 14 at the time of medical examination, which is body temperature information measured at the time of a medical examination, is also recorded.

  When the health diagnosis information recorded in the personal information database 13 described above includes information on body temperature, oxygen saturation, pulse, pulse pressure, blood pressure, body weight, respiratory rate, and blood glucose level, It can be handled as a vital information value.

  Here, the information recorded in the personal information database 13 is not limited to the content described above. Information necessary as initial information of the subject and information that can be used to determine the health condition can be set to be recordable.

  Moreover, it is not always necessary to use the health diagnosis information recorded in the personal information database 13 as the initial vital information value. That is, any information that can be input as vital information on the subject can be used instead of the health check information.

  The information processing unit 11 of the information management unit 3 has a vital information database 15 that records the value of vital information measured by each measurement device of the vital measurement unit 2. Each vital information is recorded together with information on the date on which the vital measurement was performed.

  In the vital information database 15, as vital information, body temperature (° C.), oxygen saturation (%), pulse (times / minute), pulse pressure (mmHg), blood pressure (mmHg), body weight (kg), respiratory rate (times) / Min), blood glucose level (mg / dL) is recorded.

  The vital information database 15 includes body fat percentage (%), muscle mass (%), and bone mineral mass (kg) measured with the body composition meter 7, walking strength measured with the walking strength meter 10, and certain amounts. The number of minutes spent walking with walking intensity is recorded.

  The vital information database 15 records urine volume (mL / kg / hour), blood glucose level (mg / dL), and subject's consciousness level.

  The level of consciousness is determined by the state of open eyes, language response when talking, exercises such as calls and responses to pain, etc., and whether or not consciousness is clear is judged as normal or abnormal and recorded. Is. The consciousness level and the urine volume may be recorded in an inquiry information database to be described later.

  Here, it is not always necessary to record the urine volume, blood glucose level, and consciousness level in the vital information database 15. However, these items are information required when stricter health condition determination and subsequent disease diagnosis are performed, and it is preferable to acquire information as necessary.

  The information processing unit 11 of the information management unit 3 has an inquiry information database 16. The inquiry information database 16 records the information of the determination results (interrogation determination information) that the observer has determined as normal or abnormal for each item, together with the information on the date of the interview, regarding the results of the interview conducted on the subject. Is done. Here, the observer is, for example, a person who supports the daily life of the subject, such as a hospital nurse or a nursing facility staff. The contents of the inquiry and the information on the results are recorded in association with individual subjects in the personal information database 13.

  In the inquiry information database 16, what the observer determines as “normal” or “abnormal” when the subject answers an inquiry that seems different from usual is recorded. For example, the question items include questions about the patient's physical condition that the subject answers, such as questions about appetite, mood of the day, senses of the five senses, and consciousness level.

  Moreover, when performing an inquiry, the structure which displays the content of an inquiry on the display part 12 of the health condition determination apparatus 1, and selects selection of the answer with respect to an inquiry or determination of normality or abnormality may be sufficient on a touch panel. . Moreover, it is good also as a structure which can display and input an inquiry content via a tablet terminal by making a separate tablet terminal interlock | cooperate. When the three items of appetite, mood, and consciousness level are listed, the answer to each question is judged as normal or abnormal and recorded.

  For example, in the case of an appetite item, the observer determines whether the appetite item is normal or abnormal after obtaining the subject's response to the appetite item, such as “I have appetite”, “I don't have a good appetite”, or “I have no appetite” Is recorded. The same is true for mood and consciousness level.

  A plurality of questions may be set for one item. For example, for items of consciousness level, confirmation is made with multiple contents, such as eye movements for calls, rhythm during conversation, hand movements for calls, etc., and as a result, normality or abnormality is determined and recorded. May be.

  Here, it is not always necessary that the determination on the result of the inquiry be made by comprehensively determining answers to a plurality of question items, and it is sufficient if the determination is normal or abnormal. . For example, the determination of the item of meal may be configured such that normality or abnormality is determined by an answer of “meal amount” alone. However, determination from a plurality of question items is preferable from the viewpoint of increasing the reliability as a result of the inquiry.

  In addition, the contents of the inquiry need not be limited to those related to appetite, mood, and consciousness level, and can be adopted if it is an inquiry about the contents of the subject's health. For example, it may include content that allows the observer to determine whether the subject's physical condition is normal or abnormal, such as facial color, amount of exercise, sleep time, mood of the day, presence or absence of pain or poor physical condition.

  For example, the inquiry determination information recorded in the inquiry information database 16 may be based on the observation information of the target person as well as the answer to the inquiry. If observation information is included, check the appearance of the subject, etc., and information on the results of the judgment that the observer has judged as normal or abnormal for each item (interrogation judgment information) is information on the date of observation Recorded with.

  In this observation information, information that the observer has determined “normal” or “abnormal” when the subject seems to be different from usual is recorded. For example, observation items include the presence or absence of sweating, skin color, consciousness level, swelling, and the like.

  Moreover, when performing observation, the structure which displays the content of observation on the display part 12 of the health condition determination apparatus 1 and inputs selection of an observation item and determination of normality or abnormality may be sufficient on a touch panel. Moreover, it is good also as a structure which can display and input observation content via a tablet terminal by making a separate tablet terminal interlock | cooperate.

  For example, if the item is the presence or absence of sweating, obtain the observation result for the item of sweating or not such as `` a lot of sweating '', `` slightly sweating '', `` no sweating at all '' Recorded by the observer as normal or abnormal. The same applies to skin color, consciousness level, and swelling.

  Here, the content of observation need not necessarily be limited to the presence or absence of sweating, the color of the skin, the level of consciousness, or swelling, but it should show the appearance and reaction of the subject's health. Can be adopted.

  Further, for example, the inquiry determination information recorded in the inquiry information database 16 may be based on the care record information of the target person as well as the answer to the inquiry. When the care record information is included, the information of the judgment result (inquiry judgment information) that the observer has judged to be normal or abnormal for each item is obtained for the care record obtained with the care of the subject. Recorded with date information.

  In the care record information, information that the observer has determined “normal” or “abnormal” when the subject appears to be different from the usual is recorded. For example, items of care records include meal volume, inoculated water volume, urine volume, defecation content, respiratory rate, blood glucose level, sleep content, and the like.

  At this time, when recording care record information, the observation content is displayed on the display unit 12 of the health condition determination apparatus 1 and the result of the item or determination of normality or abnormality is input on the touch panel. There may be. Moreover, it is good also as a structure which can link the separate tablet terminal and can display and input the content of care record via a tablet terminal. Especially for information included in the vital data of the subject, such as the level of consciousness and urine volume, input through the tablet terminal facilitates sharing of health observation information and care record information, and has been performed in the past. This eliminates the work of posting the same content, and reduces the work of the caregiver.

  For example, in the case of the amount of inoculated water, the care record information may be specific information such as “large amount”, “normal”, “small amount”, or “300 ml of water intake in half a day”. The numerical value information is obtained, and what is judged normal or abnormal by the observer is recorded. The same applies to the amount of meal, urine volume, defecation content, respiratory rate, blood glucose level, sleep content, and the like.

  Here, it is not always necessary that the contents of the care record be limited to those relating to the amount of meal, the amount of inoculated water, the amount of urine, the content of defecation, the respiratory rate, the blood sugar level, the content of sleep, etc. It can be adopted as long as it shows the care records involved.

  The information processing unit 11 of the information management unit 3 includes a vital average value processing unit 17. The vital average value processing unit 17 is a part that calculates the average value of the individual vital information for each measurement date based on the value of the vital information recorded in the vital information database 15.

  The average value of vital information for each measurement date is one index for determining the health status of the subject. The average value of vital information for each measurement date calculated by the vital value processing unit 17 is linked to the subject and recorded in the vital information database 15. Hereinafter, the average value of vital information for each measurement date will be described. The determination of the health condition will be described later.

  The information processing unit 11 of the information management unit 3 has a bandwidth information processing unit 18. The bandwidth information processing unit 18 is a part that calculates the vertical width of the individual vital information for each measurement date based on the vital information recorded in the vital information database 15 and the vital average information for each measurement date. is there. The vertical width of the vital information indicates a range of vital information values that can be regarded as a healthy state by a person who is determined to be in a healthy state, and is referred to as band width information 19.

  The bandwidth information 19 for each measurement date calculated by the bandwidth information processing unit 18 is linked to the subject and recorded in the vital information database 15. The band width information 19 is combined with the vital information value measured on the day and the average value of the vital information on the previous day (the previous day vital value) when determining the health condition. This is one index for determination.

  The information processing unit 11 of the information management unit 3 includes a doctor diagnosis result information recording unit 39 that records information on a diagnosis result when the subject actually receives a doctor's diagnosis. In the doctor diagnosis result information recording unit 39, the subject whose information is managed by the health condition determination apparatus 1 actually receives a doctor's examination, and at least the diagnosis result is “abnormal (specific disease state)”. ”And“ No abnormality (not a specific disease state) ”are recorded.

  In addition, the information processing unit 11 of the information management unit 3 includes a bandwidth information correction processing unit 40. The bandwidth information correction processing unit 40 is a part for correcting the content of the bandwidth information 19 based on the diagnosis result of the doctor in conjunction with the vital information database 15, the bandwidth information processing unit 18, and the doctor diagnosis result information recording unit 39. is there. Specific contents of the correction of the bandwidth information will be described later.

  The information management unit 3 has a pathological condition discrimination flowchart database 41. The pathological condition discrimination flowchart database 41 stores pathological condition confirmation inquiry information in the form of a flowchart for a subject's medical condition and predicted pathological information associated with an answer to the inquiry. The medical condition confirmation inquiry information and the predicted disease state information are used when the health condition determination apparatus 1 detects a vital abnormality, and predicts the subject's disease state by answering the inquiry. Further, it can be used not only when a disease can be identified but also when a doctor later tests whether the disease is identified.

  In the pathological condition discrimination flowchart database 41 according to the present invention, the analysis proceeds with any “vital abnormality” as a starting point. That is, for example, it starts from the content starting from “vital abnormality” that “the heat is 38 ° C. or higher”. Thereby, the corresponding range of the pathological condition discrimination is wider than the pathological condition discrimination flowchart in which only the conventional medical condition is the starting point. The analysis is performed by a person in charge such as a nurse or a care worker.

  It is possible to present a possibility of some pathological condition by performing a predetermined medical condition confirmation inquiry (starting from vital abnormality) recorded in the pathological condition discrimination flowchart database 41 to the subject. In other words, it is possible to arrive at any pathological condition by proceeding with the selection of the results for multiple answers of “Yes” or “No” or “Facial Color” for the flow chart format of the interview. It has become. Further, the confirmation item in the flowchart format includes an item indicating whether the vital value satisfies a predetermined condition. In addition, this result can be used as reference information for diagnosis by an actual doctor. In addition, in the item of the medical condition confirmation inquiry, for example, a question related to the “medical condition” such as “fever” or “diarrhea” may naturally be included.

[Create thermal table]
The information management unit 3 has a thermal table processing unit 42. Based on the information recorded in the personal information database 13 of the subject, the thermal table processing unit 42 extracts information to be observed from the vital information and the inquiry information with particular attention to the subject. This is the part that creates the type table. FIG. 4 is a schematic diagram illustrating an example of a thermal table.

  Among the information recorded in the personal information database 13 of the subject, the thermal table processing unit 42 is based on the past history information, the disease information, and the lifestyle information. Information that should be observed with care is extracted as information requiring observation.

  For example, when there is a record of “having a smoking habit” in the lifestyle information, the thermal table processing unit 42 extracts a pathological condition that is likely to increase the risk from the smoking habit and a pathological factor that identifies the pathological condition. . Then, vital information related to the determination of the presence or absence of the pathological factor and inquiry information (including observation information) are extracted as observation-required information, and the subject's own thermal table is created based on the contents. In the case of smoking habits, since the risk of pathological conditions such as ischemic heart disease and pneumonia increases, vital information and interview information (including observation information) related to the pathological factors of those pathological conditions are extracted and a thermal table is obtained. create.

  As shown in FIG. 4, the thermal table 43 displays the extracted vital information and information on the date on which the vital information is measured in a graph. In addition, determination information and the like in related inquiry information (including observation information) are displayed. Moreover, if necessary, it is also possible to provide individual special notes for the target person and also describe observation information to be noted with information other than the information extracted by the thermal table processing unit 42. The created thermal table 43 is recorded in the personal information database 13.

  By creating the thermal table 43, for example, if the subject is concerned about dehydration symptoms, the “weight” of the vital and the “inoculation water amount” of the observation information can be confirmed at the same time. From this thermotype table, if it is confirmed that the body weight has decreased and the inoculated water amount has increased, it can be confirmed that there is a risk of dehydration.

  Hereinafter, calculation of the vital average value by the vital average value processing unit 17 will be described.

[Calculation of vital average]
From the vital information values recorded in the vital information database 15, the vital average value processing unit 17 uses the vital information of the day when “abnormal” is recorded in the item of the inquiry information database 16 and the value of the previous day. The vital average value on the day before the day on which the health condition is determined is calculated from the data values for the latest seven days, excluding vital information on the day when there was a sudden change. Here, the “sudden change from the value of the previous day” is a value that can be set according to the type of vital information to be measured, and this point will be described later.

  The vital information on the day when “abnormal” is recorded in the items in the inquiry information database 16 is “abnormal” in the determination of the items of meal, urination, and defecation in the above-described configuration. Means the case. That is, the value of vital information measured on the day when any one is recorded as abnormal is excluded from the numerical value for calculating the average value.

  For example, when the health condition is determined on October 9, the average value of vital information on “October 8”, which is the “previous day”, is used. When calculating the average value of vital information on October 8, the value of vital information up to October 2 (7 days) including the value of vital information measured on October 8 is the average value. It is confirmed whether or not the value can be included in the calculation. Here, it is assumed that the vital value measured on October 8 did not change suddenly from the vital value of the previous day. It is also assumed that no abnormality was found in the October 8 interview. That is, the vital information for the most recent seven days can be calculated including the vital information on the day for which the average value is to be calculated, or calculated without being included.

  In adopting the value of vital information for the most recent seven days, vital information on the day on which an abnormality was found in the interview or the day when there was a sudden change from the value on the previous day is excluded. Until vital information for the number of days removed is obtained, whether or not numerical values can be adopted is determined based on the vital information and the inquiry information.

  For example, if the value of the vital information for 7 days from October 2 to October 8 contains two days of numerical values to be removed, the vital information for two days is used to calculate the average value. Is required. Thus, the vital average value processing unit 17 confirms the past records until the data for seven days that can be used for calculating the average value is collected, going back to the past information on October 1 and September 30.

  Here, the number of abnormalities in the items in the inquiry information database 16 need not be limited to one. For example, the value of vital information measured on the day when the number of abnormalities is two or more is an average value. The structure excluded from calculation may be sufficient. However, when the average value of the vital information is obtained, the information on the result of the interview is more easily reflected. Therefore, when the number of items in the interview information database 16 is one abnormality, the value of the vital information on that day Is preferably excluded from the calculation of the average value.

  Further, the number of days for calculating the average value of vital information is not necessarily limited to seven days. For example, the configuration may be changed to the number of days such as two weeks or five days. However, if the number of days for calculation is too small, the reliability of the average value of vital information will be low, and if the number of days is too long, it will be difficult to obtain the latest average value. The number of days is preferably set to 7 days.

  Also, it is not always necessary to exclude vital information on the day when there is a sudden change from the previous day value in order to calculate the average value of vital information. However, not only the abnormalities of the interview were recorded, but the vital information of the day that may have changed in physical condition is excluded by excluding the vital information of the day when there was a sudden change from the previous day's value. In addition, it becomes easy to obtain an average value of vital information reflecting the vital information of the healthy state of the subject.

  In the above-described example, the average value of the vital information is calculated on the assumption that the vital information is measured every day, but the vital information is not necessarily measured every day. For example, vital information in measurement every other day can also be adopted. However, in order to calculate the average value of vital information with high accuracy, it is preferable that vital information is measured every day. This point is not limited to the average value, and the same applies to the setting of bandwidth information and determination of abnormality, which will be described later.

Subsequently, the content of calculating the average value for each type of vital information will be described below.
(1) Average value of body temperature The body temperature is measured by the wearable thermometer 4 and recorded in the vital information database 15 together with the information on the measurement date. The body temperature here may be measured up to the first decimal place, such as 36.5 ° C. In calculating the average value of body temperature (hereinafter referred to as “normal heat”), as described above, the measured values on the day when an abnormality was observed in the interview or on the day when there was a sudden change from the previous day value were excluded. It is burned.

  Moreover, in the body temperature, the measured value of the body temperature whose displacement from the measured value of the previous day is 0.5 ° C. or more is excluded from the value that is the basis for the calculation of the normal heat. For example, when the body temperature of the previous day is 35.9 ° C. and the body temperature of the next day is 36.4 ° C., the displacement from the value of the previous day is 0.5 ° C. or more, so the body temperature value of 36.4 ° C. However, it will be removed from the ground value for the calculation of normal heat. Similarly, the value at which the body temperature from the previous day has decreased by 0.5 ° C. or more is also excluded from the basis value for calculating the normal heat.

  Here, the displacement value from the measurement value of the previous day is not necessarily limited to 0.5 ° C. or more. For example, the displacement value may be 1.0 ° C. or higher, or may be set to other numerical values. However, a displacement of 0.5 ° C is a large value of the body temperature in one day, and it is considered that there is a high possibility that it reflects the change in physical condition. The temperature is preferably set to 0.5 ° C. or higher.

(2) Average value of oxygen saturation (SpO ₂ ) Oxygen saturation is vital information indicating the proportion of hemoglobin associated with oxygen in hemoglobin in blood measured by wearable pulse oximeter 5 It is recorded in the vital information database 15 together with the date information.

  Here, the oxygen saturation is indicated by a double-digit value such as 98%. In the calculation of the average value of oxygen saturation, as described above, the measurement value on the day when the abnormality is found in the inquiry or the day when there is a sudden change from the previous day value is excluded.

  Further, in the oxygen saturation, the measured value of the oxygen saturation having a displacement rate of 2% or more from the measured value on the previous day is excluded from the value that is the basis for calculating the average value. For example, when the body temperature of the previous day is 98% and the body temperature of the next day is 96%, the rate of displacement from the previous day's value is 2% or more, so the oxygen saturation value of 96% is the average value. This is excluded from the ground value for the calculation of. On the other hand, when the rate of displacement of the oxygen saturation from the previous day is less than 2%, it is adopted as the basis value for calculating the average value.

  Here, the ratio of displacement from the measurement value of the previous day is not necessarily limited to 2% or more. For example, the displacement ratio may be set to 3% or more, or other numerical values. However, a displacement of 2% or more is a large percentage of oxygen saturation per day and is considered to reflect a change in physical condition, so the percentage of displacement from the previous day's measured value. Is preferably set to 2% or more.

(3) Average value of pulse The pulse is vital information indicating the heart rate for one minute at rest measured by the wearable pulse oximeter 5 and is recorded in the vital information database 15 together with the information on the measurement date.

  The pulse here is shown as 60 (times / minute) or 80 (times / minute), for example. In the calculation of the average value of the pulse, as described above, the measurement value on the day when the abnormality is found in the inquiry or the day when there is a sudden change from the previous day value is excluded.

  In addition, in the case of a pulse, a measured value of a pulse having a displacement value of 10 or more from the measured value on the previous day is excluded from a value serving as a basis for calculating an average value. For example, if the previous day's pulse is 60 and the next day's pulse is 70, the displacement value from the previous day's value is 10 or more, so the 70 pulse values are calculated from the basis value for calculating the average value. It will be removed. On the other hand, when the value of the pulse displacement from the previous day is less than 10, it is adopted as the basis value for calculating the average value.

  Here, the displacement value from the measurement value of the previous day is not necessarily limited to 10 or more. For example, the displacement value may be set to 20 or more or other numerical values. However, since a displacement of 10 or more is large as a displacement value in one day of the pulse, and it is considered that there is a high possibility that it reflects a change in physical condition, the displacement value from the measurement value of the previous day is 10 or more. It is preferable to set to.

(4) Average value of pulse pressure The pulse pressure is vital information indicating the difference between the highest blood pressure and the lowest blood pressure obtained from the highest blood pressure and the lowest blood pressure measured by the wearable sphygmomanometer 6. It is recorded in the information database 15.

  The pulse pressure here is shown as 45 (mmHg) or 60 (mmHg), for example. In the calculation of the average value of the pulse pressure, as described above, the measurement value on the day when the abnormality is found in the inquiry or the day when there is a sudden change from the previous day value is excluded.

  Further, in the pulse pressure, the pulse pressure measurement value having a displacement value of 10 or more from the previous day measurement value is excluded from the value that is the basis for calculating the average value. For example, if the pulse pressure of the previous day is 45 and the pulse pressure of the next day is 55, the displacement value from the value of the previous day is 10 or more, so the pulse pressure value of 55 is the average value calculation. It will be removed from the ground value. On the other hand, when the value of the displacement of the pulse pressure from the previous day is less than 10, it is adopted as a basis value for calculating the average value.

  Here, the displacement value from the measurement value of the previous day is not necessarily limited to 10 or more. For example, the displacement value may be set to 20 or more or other numerical values. However, since a displacement of 10 or more is a large value of the pulse pressure in one day and is considered to have a high possibility of reflecting a change in physical condition, the displacement value from the measurement value of the previous day is 10 It is preferable to set as described above.

(5) Average values of systolic blood pressure and diastolic blood pressure The systolic blood pressure and the diastolic blood pressure are vital information measured by the wearable sphygmomanometer 6 and are recorded in the vital information database 15 together with information on the measurement date.

  Here, the maximum blood pressure and the minimum blood pressure are indicated as a maximum blood pressure 125 (mmHg) or a minimum blood pressure 80 (mmHg), for example. In the calculation of the average values of the maximum blood pressure and the minimum blood pressure, as described above, the measurement values on the day when the abnormality was found in the inquiry or the day when there was a sudden change from the previous day value are excluded.

  In the systolic blood pressure and the diastolic blood pressure, the measured values of the systolic blood pressure and the diastolic blood pressure whose displacement from the measurement value of the previous day is 20 or more are excluded from the values that are the basis for calculating the average value. For example, if the systolic blood pressure on the previous day is 125 and the systolic blood pressure on the next day is 105, the displacement value from the value on the previous day is 20 or more, so the value of the systolic blood pressure of 105 is the average value calculation. It will be removed from the ground value. On the other hand, when the value of displacement of the systolic blood pressure from the previous day is less than 20, it is adopted as the basis value for calculating the average value. The minimum blood pressure is set similarly.

  Here, the displacement value from the measurement value of the previous day is not necessarily limited to 20 or more. For example, the displacement value may be set to 30 or more or other numerical values. However, a displacement of 20 or more is considered to be a high value of displacement of the highest blood pressure or the lowest blood pressure in one day and is likely to reflect a change in physical condition. Is preferably set to 20 or more.

(6) Average value of blood glucose level The blood glucose level is vital information measured by the wearable blood glucose meter 8, and is recorded in the vital information database 15 together with information on the measurement date.

  The blood glucose level here is shown as 90 (mg / dL), for example. In the calculation of the average value of the blood sugar level, as described above, the measurement value on the day when the abnormality is found in the inquiry or the day when there is a sudden change from the previous day value is excluded.

  Moreover, in the blood glucose level, the measured value of the blood glucose level whose displacement from the measured value of the previous day is 10 or more is excluded from the value that is the basis for calculating the average value. For example, if the blood glucose level of the previous day is 80 and the blood glucose level of the next day is 90, the value of the 90 blood glucose level is calculated as the average value because the displacement value from the previous day value is 10 or more. It will be removed from the ground value. On the other hand, when the displacement value of the blood glucose level from the previous day is less than 10, it is adopted as the basis value for calculating the average value.

  Here, the displacement value from the measurement value of the previous day is not necessarily limited to 10 or more. For example, the displacement value may be set to 20 or more or other numerical values. However, since a displacement of 10 or more is considered to be a high value of the blood glucose level in one day and is likely to reflect a change in physical condition, the displacement value from the previous day's measured value is It is preferably set to 10 or more.

(7) Average respiratory rate The blood glucose level is vital information indicating the number of breaths per minute at rest measured by the wearable respiratory rate sensor 9, and is recorded in the vital information database 15 together with information on the measurement date. The Note that the respiration rate is not necessarily measured by the respiration rate sensor 9, and the value may be measured by other measurement methods such as visual or stethoscope measurement or electrocardiogram measurement.

  Here, the respiration rate is shown as 15 (times / min), for example. In the calculation of the average value of the respiration rate, as described above, the measurement value on the day when the abnormality is found in the inquiry or the day when there is a sudden change from the previous day value is excluded.

  In the respiratory rate, the measured value of the respiratory rate whose displacement from the measured value of the previous day is 5 or more is excluded from the value that is the basis for calculating the average value. For example, if the previous day's respiration rate is 12 and the next day's respiration rate is 17, the displacement value from the previous day's value is 5 or more, so the respiration rate value of 17 is calculated as the average value. It will be removed from the ground value. On the other hand, when the value of the displacement of the respiratory rate from the previous day is less than 5, it is adopted as the basis value for calculating the average value.

  Here, the value of the displacement from the measurement value on the previous day is not necessarily limited to 5 or more. For example, the displacement value may be set to 10 or more, or other numerical values. However, a displacement of 5 or more is considered to be a large value for the daily displacement of the respiration rate, and is considered highly likely to reflect a change in physical condition. It is preferably set to 5 or more.

[Calculation of bandwidth information]
Next, bandwidth information serving as one reference for health condition determination in the health condition determination apparatus 1 to which the present invention is applied will be described. The bandwidth information is calculated by the above-described bandwidth information processing unit 18.

  The bandwidth information processing unit 18 determines the maximum value or the minimum value of the vital information for a certain period among the values of the vital information recorded in the vital information database 15 and the day on which the health condition of the subject is determined. The difference from the average value of the vital information of “previous day” is calculated, and the range that is the width above or below the average value is specified. In other words, the band width information 19 is composed of a numerical range in which the value is larger than the average value of the vital information on the previous day on which the health condition is determined and a numerical range in which the value is smaller than the previous day's vital information average value. Information.

  At this time, the vital information on the day measured on the day when the abnormality is recorded in at least one of the inquiry determination information is excluded from the target having the maximum value or the minimum value. Furthermore, vital information on the day when there is a sudden change from the previous day's value is also excluded from the target having the maximum value or the minimum value. In addition, the average value of the vital information on the day before the day when the health condition is determined is a value calculated from the vital information for the most recent seven days. Further, the vital information for a certain period is set, for example, as confirming vital information for the past 30 days based on the day before the day on which the health condition is determined. Furthermore, the “abrupt change from the previous day value” part is a value that can be set according to the type of vital information, which will be described later.

  In addition, when the bandwidth information processing unit 18 outputs the maximum value or the minimum value from the values of the vital information recorded in the past, the “absolute value” defined in advance may be excluded. For example, when obtaining band width information based on body temperature, past vital information that is a numerical value of “40 ° C. or higher” or “35 ° C. or lower” is used when a maximum value or a minimum value is output. It is good also as a structure excluded from object. By using the absolute value in this way, it is possible to exclude a case where the target person cannot be regarded as a calm state from the target at the time of calculating the bandwidth.

  Here, the vital information for a certain period for calculating the bandwidth information 19 does not necessarily need to be vital information for the past 30 days based on the day before the day on which the health condition is determined. For example, it can be set as appropriate, such as two weeks or around one month, half a year, or the entire period of recording. However, if it is a period of about 30 days, the bandwidth information can be set based on information reflecting the change in physical condition of the subject in the last month.

  In the configuration as described above, numerical values that are far from the average value of the vital information of the day and values that have changed suddenly from the previous day are excluded, so the range in which the subject's physical condition is considered to be calm The bandwidth information 19 can be set at. Here, the “sudden change from the value of the previous day” is a value that can be set according to the type of vital information to be measured, and this point will be described later.

For example, the bandwidth information will be described using a specific example of vital information.
FIG. 2 shows an example of determination of the result of the interview recorded in the interview information database 16. In the lower part of FIG. 2, the determination result about the interview (including observation information and information on care records) regarding meals, urination, and defecation for each date is displayed.

  In the example of the body temperature shown in FIG. 2, calculation of bandwidth information used when determining the health state on October 5 will be described. When the health condition is determined on October 5, the normal temperature 20 which is the average value of vital information on the body temperature on October 4, which is the previous day, is “36.5 ° C.” from the body temperature information for the most recent 7 days. Suppose that Then, the bandwidth information of October 4 is calculated for the past 30 days, that is, in the range from the body temperature value until September 5.

  In addition, when calculating the band width based on the body temperature, a sudden change from the previous day value to be excluded from the target of vital information is a displacement of 0.5 ° C. or more.

  Here, the displacement value from the measurement value of the previous day is not necessarily limited to 0.5 ° C. or more. For example, the displacement value may be 1.0 ° C. or higher, or may be set to other numerical values. However, a displacement of 0.5 ° C is a large value of the body temperature in one day, and it is considered that there is a high possibility that it reflects the change in physical condition. The temperature is preferably set to 0.5 ° C. or higher.

  As shown in FIG. 2, among the body temperature information from September 5th to October 4th, 37.3 ° C. which is the value of body temperature 21 on September 9 is the body temperature 22 on September 8 of the previous day. The temperature rises from 36.7 ° C., which is the value, to 0.6 ° C. That is, since the displacement from the body temperature value of the previous day is 0.5 ° C. or more, 37.3 ° C., which is the body temperature 21 value on September 9, is excluded from the value of the bandwidth information calculation.

  Similarly, 35.9 ° C., which is the value of body temperature 23 on September 16, is a decrease in body temperature of 36.6 ° C., which is the value of body temperature 24 on September 15, the previous day. That is, since the displacement from the body temperature value of the previous day is 0.5 ° C. or more, 35.9 ° C., which is the value of the body temperature 23 on September 16, is excluded from the calculated bandwidth information.

  Of the remaining body temperature values, 36.9 ° C., which is the body temperature 25 on September 10, is the maximum value, and 36.1 ° C., which is the body temperature 26 on September 26, is the minimum value. Since the difference between body temperature 25 and normal heat 20 is 0.4 ° C., and the difference between normal heat 20 and body temperature 26 is 0.4 ° C., the band width information on October 4 is from 36.5 ° C. which is normal heat 20 to the upper side. A range of 0.4 ° C. (upper band width 27) and a range of 0.4 ° C. (lower band width 28) from 36.5 ° C. to the lower side are calculated.

  Based on the bandwidth information set in this way, the health condition of the subject on October 5 can be determined. For example, the measured value of the body temperature on October 5 in FIG. 2 is “36.4 ° C.”, and the normal heat 20 on the previous day is “36.5 ° C.”, but the difference between the normal heat 20 and the measured value on that day Is “−0.1 ° C.”, and this value is a value that falls within the range of the upper band width 27 and the lower band width 28. Therefore, in this index, the subject can be determined to be “healthy” without any abnormality. It will be a thing.

  On the other hand, if the measured value of the body temperature on October 5 was “37.0 ° C.”, the difference between the normal heat 20 and the measured value was “+ 0.5 ° C.”, and the range of the upper band width 27 The value exceeds. As a result, it is determined as “abnormal” in the determination using the bandwidth information as an index.

[Correction of bandwidth information based on diagnosis results]
The correction of the bandwidth information based on the content of the doctor's diagnosis result information by the bandwidth information correction processing unit 40 described above is, for example, as follows.
FIG. 3 is a graph showing an outline of automatic correction of bandwidth information.

  As one example, the vital value on the previous day of the subject's body temperature on a certain measurement day (that is, the previous day's normal temperature) is 36.5 ° C, and the previous day's width in the body temperature is in the range of 0.4 ° C above and below the previous day's normal temperature. And If the measured value of the subject's body temperature is 37.1 ° C. (+ 0.6 ° C.), the vital abnormality determination unit determines that the body temperature is abnormal (warning) because the body temperature exceeds the width of the previous day. When the subject is actually diagnosed by a doctor and diagnosed as having no abnormality, “normal” is recorded in the doctor diagnosis result information recording unit 39.

  At this time, the band width information correction processing unit 40 corrects the previous day band width of the subject from the range of 0.4 ° C. up and down from the previous day's normal heat to the range of 0.6 ° C. up and down. Record as. That is, the difference between the value of the body temperature when the diagnosis result that there is no abnormality and the previous day's normal heat, which is the reference at that time, is corrected to reflect in the new bandwidth information 18 of the subject.

  Here, the upper and lower temperature ranges are corrected from the upper and lower ranges of 0.4 ° C. to the upper and lower ranges of 0.6 ° C., but this set range may be corrected in more detail. That is, only the temperature range above the previous day's normal temperature is corrected, and after correction, the range of 0.6 ° C above the previous day's normal temperature and 0.4 ° C below is recorded as the corrected band width information 18. May be used. That is, only the side actually exceeding the range of the band width information 18 is corrected based on the previous day's normal heat. Further, in the above-described correction for expanding the range of the band width, the band width is not limited to a mode in which the correction is performed immediately with a single diagnosis result, but at the timing when no abnormality is diagnosed with a plurality of diagnosis results. You may set to the aspect which corrects. In addition, although the body temperature was taken as an example, a similar configuration can be configured such that the bandwidth information 18 is corrected based on the recording of the diagnosis result of the doctor similarly for other vital information. In particular, with regard to blood pressure and pulse pressure, correction of bandwidth information contributes to improving the accuracy of health condition determination.

  As another example, it is assumed that the previous-day vital average value of the subject's body temperature on a certain measurement day (that is, the previous day's normal temperature) is 36.5 ° C, and the body temperature band is in the range of 0.4 ° C above and below the previous day's normal temperature. . If the measured value of the subject's body temperature is 36.8 ° C. (+ 0.3 ° C.), the vital abnormality determination processing unit determines that the body temperature is normal (no abnormality) because the body temperature does not exceed the previous day's width. When the subject is actually diagnosed by a doctor and diagnosed as having a disease caused by an inflammatory reaction (fever), the diagnosis result information recording unit 39 indicates that there is an abnormality (something is in a disease state). Is recorded.

  At this time, the band width information correction processing unit 40 corrects the previous day band width of the subject from the range of 0.4 ° C. up and down from the previous day's normal heat to the range of 0.3 ° C. up and down. Record as. That is, the difference between the body temperature value at the time of obtaining the diagnosis result that there is an abnormality and the previous day's normal fever as a reference at that time is corrected so as to be reflected in the new bandwidth information 18 of the subject.

  Here, the upper and lower temperature ranges are corrected from the upper and lower ranges of 0.4 ° C. to the upper and lower ranges of 0.3 ° C., but this set range may be corrected in more detail. That is, only the temperature range above the previous day's normal heat is corrected, and after correction, the range of 0.3 ° C. above the previous day's normal heat and 0.4 ° C. below are recorded as the corrected band width information 18. It may be a thing. That is, only the side actually exceeding the range of the band width information 18 is corrected based on the previous day's normal heat.

  FIG. 3 conceptually shows the correction of the band width information. The band width range 105 that was originally set is corrected based on the information of the diagnosis result of the doctor, and the band width 106 or band after correction of the target person is corrected. The width 107 is newly provided as a reference for detecting a vital abnormality.

  In addition, in the correction that narrows the range of the band width as described above, it is determined that the subject has some kind of illness even though the abnormality was not detected in the vital measurement. It is preferable that the band width is corrected at a timing when a diagnosis result is output. Whether the band width is to be corrected may be determined according to the relationship between the diagnosis result of the disease and the type of vital information. For example, when vital information is body temperature and the diagnosis result is a disease or medical condition that has a decrease in body temperature or fever as an element, the correction should be made because the type of vital is related to the disease. It is.

  The correction of the range of the bandwidth information 18 does not necessarily reflect one doctor's diagnosis result. For example, the bandwidth information may be set to be corrected only after a result after a predetermined number of examinations. In particular, in the above-described example, care is required in correction when the range of the band width is expanded after correction. It is considered that it becomes difficult to detect a vital abnormality of the subsequent subject by expanding the range of the band width. Even in this case, it can be said that the configuration can be dealt with by further modification.

  As described above, the bandwidth information correction processing unit 40 corrects the content of the bandwidth information 18 based on the content of the diagnosis result information recorded in the doctor diagnosis result information recording unit 39, thereby obtaining the bandwidth information 18. It is possible to further improve the accuracy of the determination of the health condition based on the content and reflect the individual difference.

  Here, it is not always necessary to classify the result of the diagnosis of the doctor in two stages, that is, whether there is an abnormality, and it may be configured to record with more detailed contents. For example, the content of abnormality is further divided into “abnormal (specific disease state)” and “abnormality is suspected (observation required)”, “abnormality (specific disease state)” or “no abnormality” A configuration in which the band width information correction processing unit 40 corrects the band width information 18 when the diagnosis result “not a specific disease state” is recorded may be used.

  In the above example, the setting of the bandwidth information when the vital information is “body temperature” has been described. However, the pulse width, the pulse pressure, the maximum blood pressure and the minimum blood pressure, the blood sugar level, and the respiratory rate are similarly described. Information can be calculated. Further, bandwidth information can be set similarly for other information.

  What is different in the type of vital information in calculating the bandwidth information is a numerical value that serves as a reference for removing the vital information value when selecting the maximum value and the minimum value. This point will be described below.

  For example, in the case of a pulse, a numerical value deviating 10 or more from the average value of the pulse on the day for setting the bandwidth information is excluded. In addition, a pulse value in which a displacement of 10 or more from the previous day value is seen is also excluded.

  Further, in the case of pulse pressure, a numerical value that is 10 or more off from the average value of pulse pressure on the day when band width information is set is excluded. In addition, a numerical value of pulse pressure in which a displacement of 10 or more from the previous day value is seen is also excluded.

  In the case of systolic blood pressure and diastolic blood pressure, numerical values deviating 20 or more from the average values of the systolic blood pressure and the diastolic blood pressure on the day when the bandwidth information is set are excluded. In addition, numerical values of systolic blood pressure and diastolic blood pressure in which a displacement of 20 or more from the value of the previous day is seen are also excluded.

  Moreover, if it is a blood glucose level, the numerical value which remove | deviated 10 or more from the average value of the blood glucose level in the day which sets bandwidth information will be excluded. Moreover, the numerical value of the blood glucose level in which the displacement of 10 or more from the value of the previous day was seen is also excluded.

  Furthermore, if it is a respiration rate, the numerical value which remove | deviated 5 or more from the average value of the respiration rate in the day which sets bandwidth information will be excluded. Moreover, the numerical value of the respiration rate in which the displacement of 5 or more from the value of the previous day was seen is also excluded.

  As described above, even if the types of vital information are different, the bandwidth information can be calculated similarly. Needless to say, the displacement value set in each vital is not limited to the above.

  Next, the contents of health condition determination by the health condition determination apparatus 1 to which the present invention is applied will be described.

  The health status determination will be explained for each type of vital information.

(8) Determination of health condition based on body temperature The determination of health condition based on body temperature determines abnormality based on the following three judgment grounds. There are three reasons for this judgment: 1) judgment based on sudden change, 2) judgment based on average value, and 3) judgment based on absolute value.

  In addition, when it is determined as “abnormal” in the above-described health condition determination, the determination of “abnormal” is notified by a two-stage display depending on the degree. The two-stage display is two displays of “warning” or “caution”. “Warning” is a notification of a level at which the value of vital information indicates a severe or important abnormal value, and a doctor's check is requested only by the result of the item of the vital information value. Further, “Caution” is a notification that indicates a value that is not a normal value but has a smaller change from a calmer state than a warning.

  In the determination of the health condition based on body temperature, 1) the determination based on a sudden change is determined as an abnormality of the subject when the displacement from the measurement value of the body temperature on the previous day is 1.0 ° C. or more, and “warning” ”State. For example, when the body temperature of the previous day is 35.8 ° C. and the measured body temperature is 36.8 ° C., it is regarded as an abnormality of the subject's physical condition, and is determined to correspond to “warning”.

  This “warning” for body temperature is recorded in the personal information database 13 and the vital information database 15. Further, the display unit 12 of the information management unit 3 displays that the body temperature value is “warning” together with the vital information of the subject and the result of the inquiry.

  Here, in the health condition determination apparatus 1 which is an example of the health condition determination apparatus to which the present invention is applied, the display unit 12 displays “warning” to notify that there is an abnormality. It is not limited. For example, when the body temperature value becomes “warning”, the configuration is such that the subject person is in a state of “warning” about the body temperature to a separate terminal or the like via the communication means connected to the information management unit It may be. That is, it is possible to adopt a configuration for notifying the external terminal of the abnormality of the subject person via the Internet. Further, a mechanism may be used in which the display of the “warning” on the display unit 12 is confirmed by a staff or a nurse at a care facility where the health condition determination apparatus 1 is located to know the abnormality. The same applies to other vital information regarding the notification of abnormality.

  In addition, in the judgment based on 1) sudden change in body temperature, if the displacement from the measured value of body temperature on the previous day is 0.5 ° C. or more, it is determined that the subject is abnormal, and the state is “caution”. . For example, when the body temperature of the previous day is 35.8 ° C. and the measured body temperature is 36.3 ° C., it is regarded as an abnormality of the subject's physical condition and is determined to correspond to “caution”.

  This “attention” for body temperature is recorded in the personal information database 13 and the vital information database 15. In addition, the display unit 12 of the information management unit 3 displays that the body temperature value is “Caution” along with the vital information of the subject and the result of the inquiry.

  Here, it is not necessarily limited to the content that is determined as “Caution” when the displacement value from the measurement value of the previous day is 0.5 ° C. or more and determined as “Warning” when the displacement value is 1.0 ° C. or more. . The display of these numerical values and determination contents can be changed as appropriate. However, a displacement of 0.5 ° C. or 1.0 ° C. is a large value as a displacement value of body temperature per day, and is a numerical value that can be easily used as a standard for stepwise evaluation. .

  In the above example, when “warning” is issued, information to that effect is transmitted to an external terminal or the like. However, in “caution”, the display on the display unit 12 is limited. Accordingly, it is possible to prevent the external terminal from being frequently notified of a “caution” state that is an abnormality of the subject's physical condition but is not severe. On the other hand, depending on the target person, even if “Caution” is set, it is possible to set not only to display but also to transmit information to an external terminal.

  In the judgment of the health condition based on body temperature, 2) the judgment based on the average value is the day before the above-mentioned normal heat, that is, the day when the abnormality of the inquiry is seen, and the day when the deviation from the body temperature of the previous day is 0.5 ° C. or more. The average value of the body temperature on the day before the day of health condition determination (previous day's normal heat) calculated from the body temperature values for the most recent 7 days excluding this value is used. Moreover, the upper side band width and the lower side band width, which are the band widths of the body temperature the day before the day on which the health condition of the subject is determined, are also used.

  That is, an abnormality is determined based on whether or not the difference between the body temperature measured on the day for determining the health condition and the previous day's normal heat exceeds the temperature range of the upper band width or the lower band width of the previous day band width. .

  For example, in the example of October 5 in FIG. 2 described above, the normal heat 20 of October 4 which is the previous day is 36.5 ° C., and the range of the upper band width 27 is 36.5 ° C. where the normal heat 20 is 20 ° C. The lower band width 28 ranges from 36.5 ° C. to 0.4 ° C. below. Moreover, the measured value of the body temperature on October 5 is 36.4 degreeC. In this case, the difference between the normal heat 20 on the previous day and the measured value 36.4 ° C. on that day is “−0.1 ° C.”, and this value is within the range between the normal heat 20 and the lower band width 28. is there. That is, it is determined that the body temperature of the subject on October 5 is “health” that is not regarded as abnormal.

  On the other hand, in the above-mentioned example on October 5, it is assumed that the body temperature measured on October 5 was “35.9 ° C.”. In this case, the difference between the normal heat 20 on the previous day and the measured value 35.9 ° C. on that day is “−0.5 ° C.”, which exceeds the range between the normal heat 20 and the lower band width 28. . That is, the body temperature of the subject on October 5 is regarded as abnormal, and the fact that the body temperature value is “warning” is displayed. That is, when it is regarded as abnormal in the judgment based on the normal heat and bandwidth information of the subject that varies from day to day, it is judged not to be “caution” but to correspond to “warning”.

  Further, in the determination of the health condition based on the body temperature, in 2) the determination based on the average value, the above-described timing at which there is no accumulation of information on the body temperature value enough to calculate the bandwidth information, that is, the bandwidth information It is possible to set a reference in the stage before is set. Furthermore, it is also possible to set a reference at a timing when there is no accumulation of information on the body temperature value for calculating the normal heat of the subject, that is, before the normal heat is set.

  First, the standard in the stage before the bandwidth information is set is based on the assumption that the normal heat of the previous day calculated from the body temperature values for the most recent 7 days described so far is calculated. Then, the upper band width is determined within a range of 0.5 ° C. or higher or 1.0 ° C. or higher with reference to normal heat, and the lower band width is determined within a range of 0.5 ° C. or lower or 1.0 ° C. or lower with reference to normal heat. Set as the bandwidth range.

  As an example of the determination at the stage before the bandwidth information is set, if the normal heat of the previous day is “36.5 ° C.” and the body temperature measured on that day is “36.4 ° C.”, The difference between the measured values is “−0.1 ° C.”, and this value is inside the range of 0.5 ° C. or less based on the normal heat. That is, it is determined that the subject's body temperature of the day is “health” that is not considered abnormal.

  On the other hand, in the above example, it is assumed that the body temperature measured on that day is “35.8 ° C.”. In this case, the difference between the normal heat of the previous day and the measured value of 35.8 ° C on that day is “−0.6 ° C.”, and this value exceeds the range of 0.5 ° C. or less based on the normal heat. It is determined that there is an abnormality, and a state of “caution” is set.

  Further, in the above example, it is assumed that the body temperature measured on that day is “35.4 ° C.”. In this case, the difference between the normal heat of the previous day and the measured value 35.4 ° C of the day is “−1.1 ° C.”, and this value exceeds the range of 1.0 ° C. or less based on the normal heat. Is determined to be “warning”.

  In this way, the standard at the stage before the band width information is set is based on the normal heat of the previous day and whether it exceeds the temperature range within 0.5 ° C above and below or 1.0 ° C above and below based on the normal heat. When it is regarded as abnormal, it is set to display two levels of caution or warning.

  Here, it is not necessarily limited to the content that is determined as “caution” at 0.5 ° C. or higher and “warning” at 1.0 ° C. or higher, based on the normal heat of the previous day. The display of these numerical values and determination contents can be changed as appropriate.

  Subsequently, in the standard before the normal heat of the previous day is set, body temperature information 14 at the time of medical examination, which is body temperature information measured at the time of the medical examination recorded in the personal information database 13 is used. Then, the upper band width is 0.5 ° C. or more or 1.0 ° C. or more based on the body temperature information 14 at the time of medical examination, and the lower band width is 0.5 ° C. or less or 1 based on the body temperature information 14 at the time of medical examination. A range of 0 ° C. or lower is set as the definitive band width range.

  As an example of the determination at the stage before the normal heat of the previous day is set, when the temperature information 14 at the medical examination is “36.2 ° C.” and the value of the body temperature measured on that day is “36.7 ° C.” The difference between the body temperature information 14 at the time of the medical examination and the measured value is “+ 0.5 ° C.”, and this value is within the range of 0.5 ° C. or more based on the body temperature information 14 at the time of the medical examination. That is, it is determined that the subject's body temperature of the day is “health” that is not considered abnormal.

  On the other hand, in the above example, it is assumed that the body temperature value measured on that day is “36.8 ° C.”. In this case, the difference between the body temperature information 14 at the time of the medical examination and the measured value 36.8 ° C. of the day is “+ 0.6 ° C.”, and this value is in the range of 0.5 ° C. or more based on the body temperature information 14 at the time of the medical examination. It is determined that the subject is abnormal, and a state of “caution” is set.

  Further, in the above example, it is assumed that the body temperature measured on the day is “35.1 ° C.”. In this case, the difference between the body temperature information 14 at the time of the medical examination and the measured value 35.1 ° C. on the day is “−1.1 ° C.”, and this value is 1.0 ° C. or less based on the body temperature information 14 at the time of the medical examination. Beyond the range, it is determined that the subject is abnormal, and the status is “warning”.

  Thus, in the standard in the stage before the normal heat of the previous day is set, the temperature within the upper and lower 0.5 ° C or the upper and lower 1.0 ° C based on the body temperature information 14 at the time of the medical examination and the body temperature information 14 at the time of the medical examination When it is regarded as abnormal using the point of exceeding the range, it is set to display two levels of caution or warning.

  Here, it is not necessarily limited to the content that is determined as “caution” at 0.5 ° C. or higher and “warning” at 1.0 ° C. or higher based on the body temperature information 14 at the time of medical examination. The display of these numerical values and determination contents can be changed as appropriate.

  In the determination of the health condition based on the body temperature, 3) the determination based on the absolute value is determined as an abnormality of the subject when the measured value on the day for determining the health condition is 35 ° C. or lower or 40 ° C. or higher, It is in a “warning” state. The absolute values of 35 ° C. and 40 ° C. are values that can hardly be recorded in the range of normal human body temperature, and are values that can be immediately determined as abnormal physical conditions. In such a case, the third judgment criterion can be set to correspond to “warning”. In addition, the numerical value of an absolute value is not limited to this, It can change and set suitably.

  As described above, the determination of the health condition based on the body temperature is made based on three determination grounds: 1) determination based on abrupt change, 2) determination based on average value, and 3) determination based on absolute value. In addition, depending on the type of judgment grounds, the abnormal physical condition is displayed as “caution” or “warning”.

  Further, the determination of the health condition based on the body temperature is configured to display or notify that it is regarded as abnormal when any one of the above three determination grounds falls under “warning”. In addition, if 1) Judgment based on sudden change or 2) Judgment based on average value may fall under “Caution”, if there is no other “Warning” decision, information management It is configured such that “caution” is only displayed in the body temperature item of the display unit 12 of the unit 3.

  Hereinafter, the determination of the health condition based on vital information other than body temperature will be described.

(9) Determination of health condition based on oxygen saturation The determination of health condition based on oxygen saturation determines abnormality based on the following two judgment grounds. There are two reasons for this judgment: 1) judgment based on abrupt change and 2) judgment based on absolute value.

  In addition, when it is determined as “abnormal” in the above-described health condition determination, notification of “abnormal” is made in two levels of display of “warning” or “caution” depending on the degree. .

  In the judgment of health status based on oxygen saturation, 1) judgment based on abrupt change means that if the percentage of displacement from the measured value of oxygen saturation on the previous day exceeds 4%, the subject's abnormality It is determined that the state is “warning”. For example, when the oxygen saturation of the previous day is 99% and the measured oxygen saturation is 94%, it is regarded as an abnormality of the subject's physical condition and is determined to correspond to “warning”.

  The “warning” for the oxygen saturation is recorded in the personal information database 13 and the vital information database 15. In addition, the display unit 12 of the information management unit 3 displays that the value of the oxygen saturation is “warning” along with the vital information of the subject and the determination result of the interview.

  In addition, in the judgment based on 1) abrupt change of oxygen saturation, if the rate of displacement from the measured value of oxygen saturation on the previous day exceeds 2%, it is determined that the subject is abnormal, ”State. For example, when the oxygen saturation level of the previous day is 99% and the measured oxygen saturation level is 96%, it is considered that the subject is in an abnormal physical condition and is determined to correspond to “caution”.

  The “attention” regarding the oxygen saturation is recorded in the personal information database 13 and the vital information database 15. In addition, the display unit 12 of the information management unit 3 displays that the body temperature value is “Caution” along with the vital information of the subject and the result of the inquiry.

  Here, it is not necessarily limited to the content that is determined as “Caution” when the rate of displacement from the measured value of the previous day exceeds 2% and determined as “Warning” when the rate of displacement exceeds 4%. . The display of these numerical values and determination contents can be changed as appropriate. However, the rate of displacement of 2% and 4% is large as the rate of displacement of oxygen saturation in one day, and it is a numerical value that can be easily used as a standard for stepwise evaluation, so it is adopted as a criterion. .

  In the determination of the health condition based on the oxygen saturation, 2) the determination based on the absolute value is assumed to be “caution” when the measured value is less than 92% on the day when the health condition is determined. When the measured value of oxygen saturation is less than 90%, the state is “warning”. As described above, whether or not there is an abnormality is determined based on the measured value and the absolute value of the oxygen saturation twice. In addition, the numerical value of an absolute value is not limited to this, It can change and set suitably.

  As described above, the determination of the health condition based on the oxygen saturation is made based on two determination grounds: 1) determination based on abrupt change, and 2) determination based on absolute value. In addition, depending on the type of judgment grounds, the abnormal physical condition is displayed as “caution” or “warning”.

(10) Determination of health condition based on pulse In the determination of health condition based on pulse, abnormality is determined based on the following three determination grounds, similarly to determination based on body temperature. There are three reasons for this judgment: 1) judgment based on sudden change, 2) judgment based on average value, and 3) judgment based on absolute value.

  In addition, when it is determined as “abnormal” in the above-described health condition determination, notification of “abnormal” is made in two levels of display of “warning” or “caution” depending on the degree. .

  In the determination of the health condition based on the pulse, 1) the determination based on the sudden change is determined as an abnormality of the subject when the displacement from the pulse measurement value of the previous day is 20 or more, and the state of “warning” It is said. For example, when the pulse on the previous day is 65 and the measured pulse is 85, it is considered that the subject is in an abnormal physical condition and is determined to correspond to “warning”.

  This “warning” for the pulse is recorded in the personal information database 13 and the vital information database 15. Further, the display unit 12 of the information management unit 3 displays that the pulse value is “warning” along with the vital information of the subject and the result of the inquiry.

  Further, in the judgment based on 1) abrupt change of the pulse, if the displacement from the measured value of the pulse on the previous day becomes 10 or more, it is determined that the subject is abnormal, and the state is “caution”. For example, when the pulse on the previous day is 65 and the measured pulse is 75, it is regarded as an abnormality of the subject's physical condition, and it is determined to correspond to “caution”.

  The “attention” regarding the pulse is recorded in the personal information database 13 and the vital information database 15. Further, the display unit 12 of the information management unit 3 displays that the value of the pulse is “caution” along with the vital information of the subject and the determination result of the inquiry.

  Here, it is not necessarily limited to the content that is determined to be “caution” when the displacement value from the measurement value of the previous day is 10 or more and “warning” when the displacement value is 20 or more. The display of these numerical values and determination contents can be changed as appropriate. However, the displacement of 10 or 20 is a large value as the displacement value in one day of the pulse, and is a numerical value that can be easily used as a criterion for stepwise evaluation, and is adopted as a criterion.

  In the determination of the health condition based on the pulse, 2) the determination based on the average value is the above-described average value of the pulse, that is, the value of the day when the abnormality of the inquiry is observed, and the value of the displacement from the pulse of the previous day is 10 or more. The average value of the pulse of the day before the day on which the health condition is determined, which is calculated from the pulse values for the most recent seven days, is used. In addition, the upper band width and the lower band width, which are the pulse widths of the day before the day on which the health condition of the subject is determined, are also used.

  That is, whether or not the difference between the pulse value measured on the day for determining the health condition and the average value of the previous day's pulse exceeds the upper band width or lower band width of the previous day band width, Make a decision.

  For example, the average value of the pulse of the day before the day for determining the health condition is 67.7, and the range of the upper band width is the range of 14.3 from the average value of the pulse of the previous day to 64.3, the lower band. It is assumed that the width is in the range of 9.7 from 67.7 to the lower side. In addition, it is assumed that the measured value of the pulse for determining the health condition on the day is 74. In this case, the difference between the average value of the previous day's pulse and the measured value 74 of that day is “+6.3”, and this value is within the range between the average value of the previous day's pulse and the upper band width. is there. That is, it is determined that the subject's pulse for determining the health condition is “healthy”, which is not regarded as abnormal.

  On the other hand, in the above example of the day for determining the health state, it is assumed that the pulse value measured on that day is “55”. In this case, the difference between the average value of the previous day's pulse and the measured value 55 of that day is “−12.7”, which exceeds the range between the average value of the previous day's pulse and the lower band width. is there. In other words, the pulse of the subject on that day is regarded as abnormal, and it is displayed that the value of the pulse is “warning”. That is, when it is regarded as abnormal in the judgment based on the average value of the pulse of the subject who changes daily and the bandwidth information, it is judged not to be “caution” but to correspond to “warning”.

  In addition, in the determination of the health condition based on the pulse, 2) In the determination based on the average value, as in the determination based on the body temperature, accumulation of information on the pulse value sufficient to calculate the band width information of the target person described above is performed. There is no timing, that is, the reference at the stage before the bandwidth information is set can be set. Furthermore, it is also possible to set a reference at a timing when there is no accumulation of pulse value information sufficient to calculate the average pulse value of the subject, that is, before the average pulse value is set.

  In the above case, the basic configuration is the same as the determination based on body temperature, and the numerical value that is the definitive bandwidth range is within 10 or 20 or 20 or less on the basis of the average value of the previous day's pulse. . It is determined that a value that is 10 or more in the vertical direction corresponds to “caution”, and a value that is 20 or more in the vertical direction corresponds to “warning”.

  Here, it is not necessarily limited to the content that is determined to be “caution” at 10 or more and “warning” at 20 or more on the basis of the average value of the pulse of the previous day. The display of these numerical values and determination contents can be changed as appropriate.

  In addition, if there is no accumulation of pulse value information that can calculate the average value of the pulse, the measured value of the pulse at the time of the subject's health checkup, etc., is set based on the numerical value acquired as the subject's information in advance can do.

  Here, it is not necessarily limited to the content that is determined as “caution” at 10 or more and “warning” at 20 or more based on the measured value of the pulse at the time of the health check. The display of these numerical values and determination contents can be changed as appropriate.

  In the determination of the health condition based on the pulse, 3) the determination based on the absolute value is determined as an abnormality of the subject when the measured value on the day when the determination of the health condition is 50 or less or 100 or more. ”State. The absolute values of 50 and 100 are values that can hardly be recorded in the normal range of normal human pulsation, and are values that can be immediately determined as abnormal physical conditions. In such a case, the third judgment criterion can be set to correspond to “warning”. In addition, the numerical value of an absolute value is not limited to this, It can change and set suitably.

  As described above, the health condition based on the pulse is determined based on three judgment grounds: 1) judgment based on sudden change, 2) judgment based on average value, and 3) judgment based on absolute value. In addition, depending on the type of judgment grounds, the abnormal physical condition is displayed as “caution” or “warning”.

  Further, the determination of the health condition based on the pulse is configured to display or notify that it is regarded as abnormal when any one of the above three determination grounds corresponds to “warning”. In addition, even if “Caution” is applicable, “Caution” is displayed in the pulse item of the display unit 12 of the information management unit 3 if “Warning” is not determined for other reasons. It has only a configuration.

(11) Determination of health condition based on pulse pressure As in the determination based on body temperature, the determination of health condition based on pulse pressure determines abnormality based on the following three determination grounds. There are three reasons for this judgment: 1) judgment based on sudden change, 2) judgment based on average value, and 3) judgment based on absolute value.

  In addition, when it is determined as “abnormal” in the above-described health condition determination, notification of “abnormal” is made in two levels of display of “warning” or “caution” depending on the degree. .

  In the judgment of the health condition based on the pulse pressure, 1) the judgment based on the sudden change is determined as an abnormality of the subject when the displacement from the measurement value of the pulse pressure on the previous day becomes 20 or more, and “warning” State. For example, when the pulse pressure on the previous day is 40 and the measured pulse pressure is 65, it is regarded as an abnormality of the subject's physical condition, and is determined to correspond to “warning”.

  This “warning” for the pulse pressure is recorded in the personal information database 13 and the vital information database 15. Further, the display unit 12 of the information management unit 3 displays that the pulse pressure value is “warning” together with the vital information of the subject and the determination result of the inquiry.

  Further, in the determination based on 1) abrupt change of the pulse pressure, if the displacement from the measured value of the pulse pressure on the previous day becomes 10 or more, it is determined that the subject is abnormal, and the state is “caution”. For example, when the pulse pressure on the previous day is 45 and the measured pulse pressure is 35, it is regarded as an abnormality of the subject's physical condition, and is determined to correspond to “caution”.

  The “attention” regarding the pulse pressure is recorded in the personal information database 13 and the vital information database 15. In addition, the display unit 12 of the information management unit 3 displays that the pulse pressure value is “Caution” along with the vital information of the subject and the result of the inquiry.

  Here, it is not necessarily limited to the content that is determined to be “caution” when the displacement value from the measurement value of the previous day is 10 or more and “warning” when the displacement value is 20 or more. The display of these numerical values and determination contents can be changed as appropriate. However, the displacements of 10 and 20 are large as the displacement values of the pulse pressure in one day, and are easy to use as a standard for stepwise evaluation, and are therefore adopted as judgment criteria.

  In the determination of the health condition based on the pulse pressure, 2) the determination based on the average value is the above-described average value of the pulse pressure, that is, the value of the day when the abnormality of the inquiry is observed, and the displacement from the pulse pressure of the previous day is 10 or more. The average value of the pulse pressure of the day before the day on which the health condition is determined, which is calculated from the pulse pressure values for the most recent seven days excluding the value of. Moreover, the upper side band width and the lower side band width, which are the band widths of the pulse pressure the day before the day on which the health condition of the subject is determined, are also used.

  That is, whether the difference between the value of the pulse pressure measured on the day for determining the health condition and the average value of the pulse pressure of the previous day exceeds the range of the upper band width or the lower band width of the previous day band width, Check for abnormalities.

  For example, the average value of the pulse pressure of the day for determining the health condition is 47.1, the range of the upper band width is the range of 15.9 above the average value of the pulse pressure of the previous day, and the lower band Assume that the width is in the range of 12.1 from 47.1 to the lower side. In addition, the measurement value of the pulse pressure of the day for determining the health state is 56. In this case, the difference between the average value of the pulse pressure of the previous day and the measured value 56 of the day is “+8.9”, and this value is within the range between the average value of the previous day's pulse pressure and the upper band width. Is. That is, it is determined as “health” in which the pulse pressure of the subject on the day for determining the health condition is not regarded as abnormal.

  On the other hand, in the above example of the day for determining the health condition, it is assumed that the value of the pulse pressure measured on that day is “33”. In this case, the difference between the average value of the previous day's pulse pressure and the measured value 33 of the day is “−14.1”, which exceeds the range between the average value of the previous day's pulse pressure and the lower band width. Is. In other words, the pulse pressure of the subject on that day is regarded as abnormal, and it is displayed that the value of the pulse pressure is “warning”. That is, when it is regarded as abnormal in the judgment based on the average value and the bandwidth information of the subject's pulse pressure that varies from day to day, it is judged not to be “caution” but to correspond to “warning”.

  In addition, in the determination of the health condition based on the pulse pressure, in the determination based on 2) the average value, as in the determination based on the body temperature, the information on the value of the pulse pressure sufficient to calculate the above-described subject's bandwidth information. It is possible to set a reference when there is no accumulation, that is, before the bandwidth information is set. Furthermore, it is possible to set a reference at a timing when there is no accumulation of pulse pressure value information sufficient to calculate the average value of the subject's pulse pressure, that is, before the average value of the previous day's pulse pressure is set. is there.

  In the above case, the basic configuration is the same as the determination based on body temperature, and the numerical value within the definitive bandwidth range is within 10 or 20 or 20 on the basis of the average value of the pulse pressure on the previous day. is there. It is determined that a value that is 10 or more in the vertical direction corresponds to “caution”, and a value that is 20 or more in the vertical direction corresponds to “warning”.

  Here, it is not necessarily limited to the content that is determined as “caution” at 10 or more and “warning” at 20 or more based on the average value of the pulse pressure of the previous day. The display of these numerical values and determination contents can be changed as appropriate.

  In addition, when there is no accumulation of pulse pressure information that can calculate the average value of the pulse pressure, a numerical value obtained as information on the subject in advance such as a measured value of the pulse pressure at the time of the subject's health examination It can be set as a standard.

  Here, it is not necessarily limited to the content that is determined as “caution” at 10 or more and “warning” at 20 or more based on the measured value of the pulse pressure at the time of the health check. The display of these numerical values and determination contents can be changed as appropriate.

  In the determination of the health condition based on the pulse pressure, 3) the determination based on the absolute value is determined as an abnormality of the subject when the measurement value on the day for determining the health condition is less than 30, and the “warning” State. This absolute value of less than 30 is a value that can hardly be recorded in the range of normal human normal pulse pressure, and is a value that can be immediately determined as an abnormal physical condition. In such a case, the third judgment criterion can be set to correspond to “warning”. In addition, the numerical value of an absolute value is not limited to this, It can change and set suitably.

  As described above, the determination of the health condition based on the pulse pressure is made based on three determination grounds: 1) determination based on abrupt change, 2) determination based on average value, and 3) determination based on absolute value. In addition, depending on the type of judgment grounds, the abnormal physical condition is displayed as “caution” or “warning”.

  Further, the determination of the health condition based on the pulse pressure is configured to display or notify that it is regarded as abnormal when any one of the above three determination grounds falls under “warning”. In addition, even if “Caution” is applicable, “Caution” is displayed in the item of the pulse pressure on the display unit 12 of the information management unit 3 if “Warning” is not determined for other reasons. It has a configuration that only

(12) Determination of health condition based on systolic blood pressure and diastolic blood pressure In the determination of health condition based on maximal blood pressure and diastolic blood pressure, abnormality is determined based on the following three judgment grounds, similarly to the determination based on body temperature. There are three reasons for this judgment: 1) judgment based on sudden change, 2) judgment based on average value, and 3) judgment based on absolute value.

  In addition, when it is determined as “abnormal” in the above-described health condition determination, notification of “abnormal” is made in two levels of display of “warning” or “caution” depending on the degree. .

  In the determination of the health condition based on the systolic blood pressure and the diastolic blood pressure, 1) the judgment based on the abrupt change is that when the displacement from the measured values of the systolic blood pressure and the diastolic blood pressure on the previous day is 30 or more, It is judged and is set to a “warning” state. For example, when the systolic blood pressure on the previous day is 115 and the measured systolic blood pressure is 145, it is regarded as an abnormality of the subject's physical condition, and is determined to correspond to “warning”.

  The “warning” for the maximum blood pressure and the minimum blood pressure is recorded in the personal information database 13 and the vital information database 15. Further, the display unit 12 of the information management unit 3 displays that the values of the systolic blood pressure and the diastolic blood pressure are “warning” together with the vital information of the subject and the result of the inquiry.

  Further, in the determination based on 1) abrupt change of the maximum blood pressure and the minimum blood pressure, when the displacement from the measurement value of the maximum blood pressure and the minimum blood pressure on the previous day is 20 or more, it is determined that the subject is abnormal, and “attention” State. For example, when the minimum blood pressure on the previous day is 65 and the measured minimum blood pressure is 85, it is considered that the subject's physical condition is abnormal, and is determined to correspond to “caution”.

  The “attention” regarding the maximum blood pressure and the minimum blood pressure is recorded in the personal information database 13 and the vital information database 15. Further, the display unit 12 of the information management unit 3 displays that the values of the systolic blood pressure and the diastolic blood pressure are “caution” along with the vital information of the subject and the determination result of the inquiry.

  Here, it is not necessarily limited to the content that is determined to be “caution” when the displacement value from the measurement value of the previous day is 20 or more and “warning” when the displacement value is 30 or more. The display of these numerical values and determination contents can be changed as appropriate. However, the displacements of 20 and 30 are large as the daily displacement values of the systolic blood pressure and the systolic blood pressure, and are easy to use as criteria for stepwise evaluation, and are adopted as judgment criteria.

  In the determination of the health condition based on the systolic blood pressure and the diastolic blood pressure, 2) the judgment based on the average value is the above-described mean value of the diastolic blood pressure and the diastolic blood pressure, that is, the value on the day when the abnormality of the inquiry is observed, And the mean value of the highest blood pressure and the lowest blood pressure of the day before the day on which the health status is determined, calculated from the highest blood pressure and the lowest blood pressure values for the last seven days excluding the value of 10 or more from the lowest blood pressure. Use the average value. Further, the upper and lower band widths, which are the band widths of the highest blood pressure and the lowest blood pressure on the day before the day on which the health condition of the subject is determined, are also used.

  That is, the difference between the maximum blood pressure and the minimum blood pressure measured on the day for determining the health state and the average value of the maximum blood pressure and the minimum blood pressure on the previous day is the upper band width or the lower band width of the previous day band width. An abnormality is determined based on whether or not the range is exceeded.

  For example, the average value of the highest blood pressure on the previous day for determining the health condition is 130.3, and the range of the upper band width is in the range of 7.7 on the upper side from the average value of the highest blood pressure on the previous day, 130.3. It is assumed that the width is in the range of 8.3 from 130.3 to the lower side. In addition, the measurement value of the systolic blood pressure for determining the health condition is 130. In this case, the difference between the average value of the highest blood pressure of the previous day and the measured value 130 of that day is “+0.3”, and this value is within the range between the average value of the highest blood pressure of the previous day and the upper band width. Is. That is, the determination is made as “health” in which the systolic blood pressure of the subject on the day for determining the health condition is not regarded as abnormal.

  On the other hand, in the above example of the day for determining the health condition, it is assumed that the value of the systolic blood pressure measured on that day is “121”. In this case, the difference between the average value of the highest blood pressure of the day and the measured value 121 of the day is “−9.3”, and this value exceeds the range between the average value of the highest blood pressure of the previous day and the lower band width. Is. That is, the maximum blood pressure of the subject on that day is regarded as abnormal, and it is displayed that the value of the maximum blood pressure is “warning”. That is, when it is regarded as abnormal in the judgment based on the average value of the systolic blood pressure and the band width information of the subject that varies from day to day, it is judged not to be “caution” but to correspond to “warning”. The same determination can be made for the value of the minimum blood pressure.

  Further, in the determination of the health condition based on the systolic blood pressure and the diastolic blood pressure, in 2) the determination based on the average value, as in the determination based on the body temperature, the systolic blood pressure and the minimum It is possible to set the reference at the timing when the blood pressure value information is not accumulated, that is, before the bandwidth information is set. Furthermore, the timing when there is no accumulation of information on the systolic blood pressure and the systolic blood pressure, which is sufficient to calculate the mean value of the subject's systolic blood pressure and the mean value of the diastolic blood pressure, that is, A reference in the stage before the average value is set can also be set.

  In the above case, the basic configuration is the same as the determination based on body temperature, and the numerical value within the definitive bandwidth range is within 10 or below or above and below based on the average value of the highest blood pressure and the average value of the lowest blood pressure on the previous day. It will be 20 or less. It is determined that a value that is 20 or more in the vertical direction corresponds to “caution”, and a value that is 30 or more in the vertical direction corresponds to “warning”.

  Here, it is not necessarily limited to the content that is determined as “caution” at 20 or more and “warning” at 30 or more based on the average value of the maximum blood pressure and the average value of the minimum blood pressure. The display of these numerical values and determination contents can be changed as appropriate.

  In addition, if there is no accumulation of information on the maximum blood pressure and the minimum blood pressure that can calculate the average value of the maximum blood pressure and the average value of the minimum blood pressure, measured values of the maximum blood pressure and the minimum blood pressure at the time of the subject's health examination For example, it is possible to set based on a numerical value acquired in advance as information about the subject.

  Here, it is not necessarily limited to the content determined as “caution” at 20 or more and “warning” at 30 or more on the basis of the measured values of the maximum blood pressure and the minimum blood pressure at the time of the medical examination. The display of these numerical values and determination contents can be changed as appropriate.

  In the determination of the health condition based on the systolic blood pressure and the diastolic blood pressure, 3) the determination based on the absolute value is when the measured value on the day when the health condition is determined becomes 180 or more at the maximum blood pressure and 50 or less at the minimum blood pressure. It is determined that the subject is abnormal, and the state is “warning”. The absolute value of the maximum blood pressure of 180 or more and the minimum blood pressure of 50 or less is a value that can hardly be recorded in the normal normal maximum blood pressure and minimum blood pressure ranges. It is a value that can be judged. In such a case, the third judgment criterion can be set to correspond to “warning”. In addition, the numerical value of an absolute value is not limited to this, It can change and set suitably.

  As described above, the determination of the health condition based on the systolic blood pressure and the diastolic blood pressure is made based on three judgment grounds: 1) judgment based on abrupt change, 2) judgment based on average value, and 3) judgment based on absolute value. It becomes. In addition, depending on the type of judgment grounds, the abnormal physical condition is displayed as “caution” or “warning”.

  In addition, the determination of the health condition based on the maximum blood pressure and the minimum blood pressure is configured to display or notify that it is regarded as abnormal when any one of the above three determination grounds falls under “warning”. In addition, even if “Caution” is applicable, if “Warning” is not determined based on other judgment grounds, “Caution” is displayed in the items of maximum blood pressure and minimum blood pressure on the display unit 12 of the information management unit 3. It is configured to display only.

(13) Determination of health condition based on blood glucose level In the determination of health condition based on blood glucose level, abnormality is determined based on the following three determination grounds, similarly to determination based on body temperature. There are three reasons for this judgment: 1) judgment based on sudden change, 2) judgment based on average value, and 3) judgment based on absolute value.

  In addition, when it is determined as “abnormal” in the above-described health condition determination, notification of “abnormal” is made in two levels of display of “warning” or “caution” depending on the degree. .

  In the determination of the health condition based on the blood glucose level, 1) the determination based on the sudden change is determined as an abnormality of the subject when the deviation from the measured value of the blood glucose level on the previous day is 20 mg / dL or more. “Warning” state. For example, when the blood glucose level on the previous day is 102 mg / dL and the measured pulse pressure is 75 mg / dL, it is regarded as an abnormality of the subject's physical condition and is determined to correspond to “warning”. In addition, the example described below is a description about the measurement of fasting blood glucose.

  This “warning” for the blood glucose level is recorded in the personal information database 13 and the vital information database 15. Further, the display unit 12 of the information management unit 3 displays that the blood glucose level is “warning” together with the vital information of the subject and the result of the inquiry.

  In addition, in the determination based on 1) a sudden change in blood glucose level, if the displacement from the measurement value of the previous day's blood glucose level is 10 mg / dL or more, it is determined that the subject is abnormal, and the state is “caution”. The For example, when the blood glucose level of the previous day is 95 and the measured blood glucose level is 82 mg / dL, it is regarded as an abnormality of the subject's physical condition and is determined to correspond to “caution”.

  The “attention” regarding the blood glucose level is recorded in the personal information database 13 and the vital information database 15. Further, the display unit 12 of the information management unit 3 displays that the blood glucose level is “caution” along with the vital information of the subject and the result of the inquiry.

  Here, it is not necessarily limited to the content that is determined to be “caution” when the displacement value from the measurement value of the previous day is 10 or more and “warning” when the displacement value is 20 or more. The display of these numerical values and determination contents can be changed as appropriate. However, the displacements of 10 and 20 are large as the daily displacement value of the blood glucose level, and are easy to use as a standard for the stepwise evaluation, and thus are adopted as the determination standard.

  In the determination of the health condition based on the blood glucose level, 2) the determination based on the average value is the average value of the above-mentioned blood glucose level, that is, the value on the day when the abnormality of the inquiry is observed, and the displacement from the blood glucose level on the previous day is 10 mg / The average value of the blood glucose level on the day before the day on which the health condition is determined, which is calculated from the blood glucose level values for the most recent 7 days excluding the value of dL or more, is used. Moreover, the upper side band width and the lower side band width, which are the band widths of blood glucose levels on the day before the day on which the health condition of the subject is determined, are also used.

  That is, whether or not the difference between the blood glucose level measured on the day for determining the health condition and the average value of the blood glucose level on the previous day exceeds the upper band width or lower band width of the previous day band width, Check for abnormalities.

  For example, the average value of the blood sugar level the day before the day of judging the health condition is 92.6 mg / dL, and the range of the upper band width is 97.4 mg / dL, which is the average value of the blood sugar level, 17.4 on the upper side. It is assumed that the range and the lower band width are in the range of 24.6 from 92.6 mg / dL to the lower side. In addition, the measurement value of the blood glucose level on the day for determining the health condition is 95 mg / dL. In this case, the difference between the average blood glucose level on the previous day and the measured value 95 mg / dL on that day is “+2.6”, and this value is within the range between the average blood glucose level on the previous day and the upper bandwidth. It is what. That is, it is determined that the subject's blood glucose level on the day for determining the health condition is “health” that is not regarded as abnormal.

  On the other hand, in the above example of the day for determining the health condition, it is assumed that the blood glucose level measured on that day is “60”. In this case, the difference between the average blood glucose level on the previous day and the measured value 60 mg / dL on the day is “−32.6”, and this value is a range between the average blood glucose level on the previous day and the lower band width. Is more than That is, the blood glucose level of the subject on that day is regarded as abnormal, and a message indicating that the blood glucose level is “warning” is displayed. That is, when it is regarded as abnormal in the judgment based on the average blood glucose level and bandwidth information of the subject who fluctuates from day to day, it is judged not to be “caution” but to correspond to “warning”.

  Further, in the determination based on the blood glucose level, in the determination based on 2) the average value, as in the determination based on the body temperature, the above-described information on the blood glucose level that can only be calculated for the bandwidth information is accumulated. There is no timing, that is, the reference at the stage before the bandwidth information is set can be set. Furthermore, it is also possible to set a reference at a timing when there is no accumulation of blood glucose level information for calculating the average blood glucose level of the subject, that is, before the average blood glucose level on the previous day is set.

  In the above case, the basic configuration is the same as the determination based on the body temperature, and the numerical value within the definitive bandwidth range is within 10 or 20 or 20 on the basis of the average value of the blood glucose level. It is determined that a value that is 10 or more in the vertical direction corresponds to “caution”, and a value that is 20 or more in the vertical direction corresponds to “warning”.

  Here, it is not necessarily limited to the content that is determined to be “caution” at 10 or more and “warning” at 20 or more based on the average blood glucose level of the previous day. The display of these numerical values and determination contents can be changed as appropriate.

  In addition, if there is no accumulation of blood glucose information that can be used to calculate the average value of blood glucose, the values obtained as information on the subject in advance, such as measured values of blood glucose during the subject's health checkup, are used as a reference. Can be set.

  Here, it is not necessarily limited to the content that is determined as “caution” at 10 or more and “warning” at 20 or more on the basis of the measured value of the blood glucose level at the time of the health check. The display of these numerical values and determination contents can be changed as appropriate.

  In the determination of the health condition based on the blood glucose level, 3) the determination based on the absolute value means that if the measured value on the day when the health condition is determined is 200 mg / dL or more or less than 50 mg / dL, It is judged and is set to a “warning” state. This absolute value of 200 mg / dL or more or less than 50 mg / dL is a value that can hardly be recorded in the normal blood glucose range of normal humans, and is a value that can be immediately judged as an abnormal physical condition. is there. In such a case, the third judgment criterion can be set to correspond to “warning”. In addition, the numerical value of an absolute value is not limited to this, It can change and set suitably.

  As described above, the determination of the health condition based on the blood sugar level is made on the basis of three determination grounds: 1) determination based on abrupt change, 2) determination based on average value, and 3) determination based on absolute value. In addition, depending on the type of judgment grounds, the abnormal physical condition is displayed as “caution” or “warning”.

  In addition, the determination of the health condition based on the blood glucose level is configured to display or notify that it is regarded as abnormal when any one of the above three determination grounds falls under “warning”. In addition, even if “Caution” is applicable, “Caution” is displayed in the blood glucose level item of the display unit 12 of the information management unit 3 if “Warning” is not determined for other reasons. It has a configuration that only

(14) Determination of health condition based on respiration rate In the determination of health condition based on respiration rate, abnormality is determined on the basis of the following three determination grounds, similarly to determination based on body temperature. There are three reasons for this judgment: 1) judgment based on sudden change, 2) judgment based on average value, and 3) judgment based on absolute value.

  In addition, when it is determined as “abnormal” in the above-described health condition determination, notification of “abnormal” is made in two levels of display of “warning” or “caution” depending on the degree. .

  In the determination of the health condition based on the respiratory rate, 1) the determination based on the sudden change is determined to be an abnormality of the subject when the displacement from the measured value of the respiratory rate on the previous day is 10 times / minute or more, It is in a “warning” state. For example, when the respiratory rate of the previous day is 12 times / minute and the measured respiratory rate is 22 times / minute, it is regarded as an abnormality of the subject's physical condition and is determined to correspond to “warning”. .

  This “warning” for the respiratory rate is recorded in the personal information database 13 and the vital information database 15. Further, the display unit 12 of the information management unit 3 displays that the value of the respiratory rate is “warning” together with the vital information of the subject and the result of the inquiry.

  Here, it is not necessarily limited to the content that is determined as “caution” when the displacement value from the previous day measurement value is 5 or more and determined as “warning” when the displacement value is 10 or more. The display of these numerical values and determination contents can be changed as appropriate. However, the displacements of 5 and 10 are large as the daily displacement values of the respiration rate, and are easy to use as a standard for stepwise evaluation, and thus are adopted as judgment criteria.

  In addition, in the judgment based on 1) sudden change in the respiratory rate, if the displacement from the measured value of the respiratory rate on the previous day is 5 times / minute or more, it is determined that the subject is abnormal, and the state of “attention” Is done. For example, when the respiratory rate of the previous day is 12 and the measured respiratory rate is 17 times / minute, it is regarded as an abnormality of the subject's physical condition, and is determined to correspond to “caution”.

  The “attention” regarding the respiration rate is recorded in the personal information database 13 and the vital information database 15. In addition, the display unit 12 of the information management unit 3 displays that the respiratory rate value is “Caution” along with the vital information of the subject and the result of the inquiry.

  In the determination of the health condition based on the respiration rate, 2) the determination based on the average value is the average value of the respiration rate described above, that is, the value of the day when the abnormality of the inquiry is seen, and the displacement from the respiration rate of the previous day is 5 times. The average value of the respiration rate of the day before the day on which the health condition is determined, which is calculated from the respiration rate values for the most recent 7 days excluding the value of / min or more, is used. Moreover, the upper side band width and the lower side band width, which are the band widths of the respiratory rate the day before the day on which the health condition of the subject is determined, are also used.

  That is, whether or not the difference between the respiratory rate value measured on the day for determining the health condition and the average value of the respiratory rate of the previous day exceeds the upper band width or lower band width range of the previous day band width, Check for abnormalities.

  For example, the average value of the respiration rate the day before that day for determining the health condition is 16.3 times / minute, and the upper bandwidth range is 3.7 times upward from the average value of the respiration rate of 16.3 times / minute. And the lower band width is from 16.3 times / min to 4.3 in the lower side. Further, the measurement value of 16.3 times / minute on the day for judging the health condition is 17 times / minute. In this case, the difference between the average value of the previous day's breathing rate and the measurement value of 17 times / minute of the day is “+0.7”, and this value is a range between the average value of the previous day's breathing rate and the upper band width. It is what is inside. That is, it is determined that the subject's breathing rate on the day for determining the health condition is “healthy” that is not considered abnormal.

  On the other hand, in the above example of the day for determining the health condition, it is assumed that the value of the respiration rate measured on that day is “22 times / minute”. In this case, the difference between the average value of the previous day's respiration rate and the measurement value 22 times / minute of the day is “+5.7”, and this value is a range between the average value of the previous day's respiration rate and the upper band width. Is more than In other words, the respiratory rate of the subject on that day is considered abnormal, and a message indicating that the blood glucose level is “warning” is displayed. That is, when it is regarded as abnormal in the judgment based on the average value of the respiratory rate and the bandwidth information of the subject that varies from day to day, it is judged not to be “caution” but to correspond to “warning”.

  In addition, in the determination of the health condition based on the respiration rate, in the determination based on the average value, as in the determination based on the body temperature, the information on the respiration rate value for calculating the bandwidth information of the target person described above is used. It is possible to set a reference when there is no accumulation, that is, before the bandwidth information is set. Furthermore, it is possible to set a reference at a timing when there is no accumulation of information on the respiration rate value enough to calculate the average respiration rate of the subject, that is, before the average respiration rate of the previous day is set. is there.

  In the above case, the basic configuration is the same as the determination based on body temperature, and the numerical value that is the definitive bandwidth range is within 5 times / minute up / down or 10 times up / down based on the average value of the respiratory rate of the previous day. Within minutes. It is determined that a value that is 5 times per minute or more corresponds to “caution” and a value that is 10 times per minute or more corresponds to a “warning”.

  Here, it is not necessarily limited to the content that is determined as “caution” at 5 or more and “warning” at 10 or more based on the average value of the respiratory rate of the previous day. The display of these numerical values and determination contents can be changed as appropriate.

  In addition, if there is no accumulation of information on the respiratory rate that can calculate the average value of the respiratory rate, the numerical value acquired as the subject's information in advance, such as the measured value of the respiratory rate at the time of the subject's health examination, etc. It can be set as a standard.

  Here, it is not necessarily limited to the content determined as “caution” at 5 or more and “warning” at 10 or more on the basis of the measured value of the respiratory rate at the time of the health check. The display of these numerical values and determination contents can be changed as appropriate.

  In the determination of the health condition based on the respiratory rate, 3) the determination based on the absolute value means that the measurement value of the day on which the health condition is determined is 24 times / min or less or less than 12 times / min. It is determined that there is an abnormality and the state is “warning”. This absolute value of 24 times / min or more or less than 12 times / min is a value that can hardly be recorded in the normal human respiratory rate range and can be immediately judged as an abnormal physical condition. Value. In such a case, the third judgment criterion can be set to correspond to “warning”. In addition, the numerical value of an absolute value is not limited to this, It can change and set suitably.

  As described above, the determination of the health condition based on the respiratory rate is made on the basis of three determination grounds: 1) determination based on abrupt change, 2) determination based on average value, and 3) determination based on absolute value. In addition, depending on the type of judgment grounds, the abnormal physical condition is displayed as “caution” or “warning”.

  Further, the determination of the health condition based on the respiratory rate is configured to display or notify that it is regarded as abnormal when any one of the above three determination grounds corresponds to “warning”. In addition, even if “Caution” is applicable, “Caution” is displayed in the respiratory rate item of the display unit 12 of the information management unit 3 if “Warning” is not determined for other reasons. It has a configuration that only

(15) Determination of health condition based on weight Unlike other vital information, determination of health condition based on body weight is often not performed on a regular basis every day. For example, weight measurement is often performed once a month. Therefore, the health condition based on the body weight is determined as follows.

  First, as information on the initial weight of the subject, the weight measured at the time of the health check is recorded in the personal information database 13 as initial weight information. Then, the weight measurement information once a month is recorded in the vital information database 15 together with the date information.

  Here, the determination of the health state based on the body weight is performed based on the magnitude of the displacement of the body weight value. Anomalies based on the magnitude of the displacement should be regarded as “caution” if the displacement from the previous measured value is 0.5 kg or more above and below, and “warning” if the displacement is above 1.0 kg above or below . Note that the notification when it is determined as a caution or warning is the same as before.

  For example, when the subject first measures body weight using the health condition determination apparatus 1, the measured value is determined based on the displacement from the value of the initial weight information. Further, regarding the measured values of body weight thereafter, the health condition is determined based on the previously measured values of body weight.

  Here, it is not necessarily limited to the content that is determined as “caution” when the displacement value from the measurement value of the previous day is 0.5 kg or more and determined as “warning” when the displacement value is 1.0 kg or more. The display of these numerical values and determination contents can be changed as appropriate. However, the displacement of 0.5 kg or 1.0 kg is a large value as the displacement value of the body weight, and is a numerical value that can be easily used as a standard for stepwise evaluation, and is therefore adopted as a determination standard.

(16) Determination of health condition based on urine volume In the determination of health condition based on urine volume, the value of the measured urine volume (mL / kg / hour) and the set absolute value are used. Usually, the amount of urine in a healthy state is 0.5 to 1.0 mL / kg / hour.

  Here, when the urine volume is less than 0.5 mL / kg / hour, it is determined that the state is abnormal, and the state corresponding to the “warning” is recorded or notified. In addition, it is determined that there is an abnormality even in an urine-free state in which no urine is discharged, and recording or notification is made as a state corresponding to “warning”.

(17) Determination of health condition based on consciousness state In the determination of health condition based on consciousness state, determination is made by observing a subject such as a caregiver. For example, the determination is made by observing the state of eye opening, the state of the language when talking, the action of responding to the call, the action of responding to pain, and the like. On the other hand, when an abnormality is recognized, the determiner inputs and records the abnormality in the vital information database 15. As a result, it is assumed that the consciousness state is recorded or notified as a state corresponding to “warning”.

  Subsequently, another configuration of the abnormality notification method in the health condition determination apparatus to which the present invention is applied will be described.

  In the above-described contents, the abnormality is determined based on the display contents such as caution and warning based on the numerical values of various vital information. However, the determination is not necessarily made based on one type of vital information.

  For example, a mechanism for issuing a “warning” that prompts a doctor to check when abnormalities are determined based on at least two pieces of vital information by combining body temperature information and other vital information in the vital information. Examples are combinations of body temperature and oxygen saturation, body temperature and pulse, body temperature and pulse pressure, body temperature and blood pressure, body temperature and blood sugar level, body temperature and respiration rate, body temperature and body weight.

  The body temperature is not only easily measured, but is also an index that clearly shows changes in the daily physical condition of the subject, and it is possible to determine abnormalities in physical condition by accurately and appropriately grasping the body temperature. Therefore, it is possible to determine a health state with higher accuracy by performing determination by combining other vital information based on body temperature information among vital information. Moreover, since it is a combination of at least two pieces of vital information, the determination may be made by combining a plurality of types of vital information.

  In addition, the following contents can be adopted as a method of issuing “caution” or “warning” when an abnormality is determined.

  For example, the health condition determination based on the weight of vital information has been described. Since the weight is basically measured once a month, the displacement is larger than other vital information that is measured daily. It is necessary to raise the alert level. As an example, when the displacement from the previous measurement is 1.5 kg or more, there is considered a mode of notifying “warning” but also an abnormality with an increased warning level such as “diagnosis required” above it.

  It is also possible to specify the type of vital information to be particularly watched based on the current medical history and past history information of the subject. If a warning is issued for the specified vital information, the alert level is raised and the value of the other vital information is set to “Caution” even if the result of other vital information is “Caution”. A mode of promoting

  For example, when the oxygen saturation is specified as vital information to be watched, it is determined as “warning” by measuring the vital value, and the other vital information is “caution”. In that case, in the display of other vital information, display that the subject may have a health risk than usual, or change the display such as “Caution” to “Needs attention”. It is also possible to make a setting.

  Alternatively, the alert level may be increased when the number of “cautions” in a plurality of vital information exceeds a certain number. For example, even if there is no “Warning” in the determination of multiple vital information, if the number of “Caution” is 3 or more, the subject may be at a health risk than usual. May be set to display that there is a possibility, or to change the display such as “Caution” needs to be noted. Furthermore, there is no “warning” in the judgment for each vital information, but as a health status judgment that combines the measured values of the vital information of the target person, “warning” due to the number of attentions is displayed or notified. Also good.

  As described above, in the determination of the health condition determination apparatus to which the present invention is applied, not only the determination of one type of vital information, but also the configuration in which multiple vital information is combined and evaluated or the determination of abnormality is further subdivided. A configuration for displaying and notifying the converted determination is conceivable. As a result, the health condition can be determined with higher accuracy, and the usability of the apparatus is improved.

  Moreover, in the health condition determination apparatus to which the present invention is applied, a plurality of subjects can be classified and displayed based on the health condition of the determination result. For example, according to the determination result of the day, it is possible to divide the group into a group with a warning, a group with a caution, and a group with a healthy state without a warning and a caution, and sort in descending order of risk. In that case, it is also possible to sort by prioritizing according to the number of warnings and cautions and the type of vital information. By setting it as such a content, even if it is a large number of people, a person with a high health risk can be confirmed easily.

  Hereinafter, further utilization examples of the contents of the health condition determination apparatus to which the present invention is applied will be described.

  The health condition determination apparatus to which the present invention is applied can be configured to be interlocked with an electronic medical record introduced into a hospital. Since the electronic medical record records the information of the patient at the hospital where it was installed, it is linked with the information managed by the information management unit 3 described above, so that the subject's detailed status of the underlying disease, past medical history, Medication records, follow-up information, etc. can be used.

  Furthermore, since it is possible to check information on the progress of diagnosis by a doctor, the health condition determination accuracy is improved and the usability as a diagnosis support tool is improved. In addition, by adding and recording the diagnosis results and examination results in the hospital to the information of the subject person, the amount of personal information increases, leading to more accurate determination and detection of vital abnormalities. In addition, it is more useful as a diagnosis support tool.

  Further, a mode in which a health condition determination apparatus to which the present invention is applied and a remote image diagnosis system are combined is also conceivable. For example, a device capable of acquiring image information such as a camera can be connected to the health condition determination apparatus, and the image information of the subject can be transmitted to the hospital side for remote diagnosis. In addition, at that time, by sending information on the thermal type table of the subject to the terminal on the hospital side, etc., it is possible for a doctor to make a diagnosis from a remote location while checking the vital value of the subject, etc. Become.

  In addition, the health condition determination apparatus to which the present invention is applied may have a plurality of operation version variations according to the level of the user. For example, if it is an aspect linked to the electronic medical record as described above, it becomes a diagnosis support tool at the time of diagnosis by a doctor in a hospital. Here, the information managed by the diagnostic apparatus contributes to raising the diagnosis level of the doctor because information of daily diagnosis at the hospital is accumulated.

  In addition, by giving a specific nurse a tablet terminal or the like having the function of this apparatus in a hospital, the nurse can make a diagnosis instead of a doctor. Furthermore, it will be useful when a nurse with a tablet terminal visits an elderly person who is at home or in a facility.

  Moreover, about the thing which staff members, such as a care facility, use, it becomes possible to improve the diagnostic level with respect to a specific object person by accumulating the information specialized for the resident.

[Educational software for doctors and nurses]
Moreover, the health condition determination apparatus of the present invention can also be used as an educational tool for medical staff. The vital information, health observation information, and basic health information of the actual subject and the presence or absence of the disease state of the subject are recorded. Moreover, it has a pathological condition discrimination flowchart database. Therefore, it is possible to create educational software that combines questions and answers based on this information. It is also possible to record the scores of a plurality of medical workers who use the educational software, rank them, and create an evaluation table for doctors and nurses.

  Furthermore, since the construction of a large-scale medical database will proceed in the future, a mode in which medical big data stored in this database and a health condition determination apparatus to which the present invention is applied can be considered. In medical big data, not only is the amount of information huge, but the analysis of the recorded information also clarifies information on the symptoms and pathological factors of a specific disease, which greatly increases the accuracy of health status determination. It can be expected to improve.

[Reference tools for nurses to prescribe drugs]
It can also be used as a reference tool when nurses prescribe medicines. For example, information on the subject's medication history is recorded in the subject's personal information database. As a result, data on “what kind of medicine was prescribed for what kind of symptom” is accumulated and can be used as reference information by the pharmacist when taking the medicine. Also, depending on the type of medicine, it can also be used for taking medicine without a pharmacist. The confirmation work of the medication history by the pharmacist can be easily performed.

[Medication management and delivery service]
Furthermore, by recording the medication history information in conjunction with the delivery service, it is possible to automatically deliver medicines that the subject needs regularly to the hand at the necessary time.

[Links with health checkup data at work and school]
It is also conceivable that the health condition determination apparatus of the present invention records and utilizes information on periodic health examinations at work or school. At this time, since the acquisition period of vital information, health observation information, and the like is vacant, determination of caution, warning, or abnormality is set as appropriate. This is useful for the health management of the subject. In addition, it becomes a means for acquiring a large amount of clinical data. Furthermore, by linking with information on health examinations conducted by public institutions, comprehensive health management of the subject becomes possible.

[Local health management in remote areas]
The health condition determination apparatus of the present invention can also be used for on-site health management in a remote place. For example, the health condition determination apparatus of the present invention is installed in a country on an overseas business trip, a ship that has gone out in the ocean fishing industry, an overseas dispatch destination of the Self-Defense Forces, and the like. As a result, it is possible to manage the health of the target person even in a country with a low medical level or in a place where there is no medical equipment. Moreover, a diagnosis by a doctor can also be performed by combining with the remote diagnosis as described above.

[Confirmation of disease occurrence by region]
The health condition determination apparatus of the present invention can contribute to regional medical preventive medicine by linking with information on the state of disease occurrence by region. For example, linking with information related to influenza epidemics can lead to preventive measures in the area where the health condition determination device is used. In addition, information on subjects in endemic areas can be used as clinical data.

[Air environment detection]
Furthermore, the air environment detection mechanism and the health condition determination apparatus of the present invention can be combined. The air environment detection mechanism can detect the concentration of formaldehyde and PM2.5, determine the air pollution level in the area from the concentration, and urge the user of the device to be alerted. In conjunction with administrative services, it can also be used as an information acquisition tool for alerting residents in the target area and improving the environment.

[Nursing care software and nursing care request software]
The health condition determination apparatus to which the present invention is applied may be configured to be linked with care recording software or care request software. Data of “what kind of care is appropriate for what kind of symptom” is accumulated by managing the information of the care record input to the care record software by the information management unit. Thereby, a uniform service can be provided to the care recipient regardless of the skill level of the caregiver. Still another aspect of the interlocking with the care record software will be described later.

  When linked with care request software, it can be used as a support tool for calculating care costs. This makes it possible to easily confirm the costs incurred for the provided nursing care contents, which can lead to improvement in work efficiency.

[Health care staff health check]
The health condition determination apparatus to which the present invention is applied can also be used for checking the health condition of a care worker on the caregiver side. Health care is performed by measuring the vital information of the caregivers themselves and sending them to the health condition determination device. This can lead to an improvement in the working environment at the nursing care site.

[Monitoring function]
In addition, when linked to a nursing care facility or a monitoring system for elderly people living alone, when a vital value abnormality is determined or when an abnormality is observed in the movement of the target person (for example, , Family, etc.) may be notified. For example, a human sensor is installed in a house so that when a resident does not move in a toilet for a certain period of time, an alert is automatically sent to a security company or family. In that case, it can also be set as the structure which transmits simultaneously the record of vital information of a monitoring object person, and health observation information by data.

[Diet, physical condition management]
The health condition determination apparatus to which the present invention is applied can also be used as an apparatus that supports a user's diet and physical condition management. For example, a configuration may be employed in which advice for weight loss is displayed based on vital information and information on calorie intake. It is also possible to partner with facilities such as training gyms to provide multiple weight loss programs.

[Utilization of application software]
Moreover, the structure which provides the function of the health condition determination apparatus of this invention as application software, and can be used with a portable terminal or a tablet terminal is also considered. As a result, the functions of the present apparatus can be easily used, and convenience can be improved. Moreover, it contributes to the improvement of the penetration rate of this apparatus, and it can be connected to the acquisition of a wider range of clinical data.

[Shopping support software]
It is also conceivable to link information recorded in the health condition determination apparatus of the present invention with a product sales website on the Internet or software that supports product purchase. By adding a function that recommends foods and health appliances according to the health condition of the user, reference information at the time of product purchase can be obtained.

[Animal health management]
It is also considered that the health condition determination apparatus of the present invention is used for animals. It can contribute not only to humans but also to the health management of pets and zoo animals and the protection of wild animals. Also,
Accumulating animal clinical data and diagnostic information will provide medically and academically useful information.

[Installation on the vehicle]
The aspect which installs the health condition determination apparatus of this invention in a vehicle is employable. For example, a vital measuring device (for example, a thermometer, a pulsometer, a respiratory rate sensor, etc.) is installed in the driver's seat, and if the driver's physical condition is suspected, alerting is urged. Moreover, it can also be set as the structure which checks a drunk driving in combination with an alcohol detector.

[Health check before boarding leisure equipment]
The health condition determination apparatus of the present invention can also be used for a health check before getting on a playground equipment at a leisure facility. For example, depending on the type of playground equipment, there is a case where the passengers are uniformly “riding is prohibited for those 65 years and older”. However, there are actually many healthy people over the age of 65, and it is possible not only to draw by age, but to determine whether or not to get on after grasping the actual health condition.

[Immigration Control (Infectious Disease Control)]
The health condition determination apparatus of the present invention can be used for immigration control. For example, by installing this apparatus in a seat of a facility such as an airport or an airplane seat, the presence or absence of an infectious disease in a person sitting in the seat can be confirmed. As a result, the inflow of immigrants with infectious diseases can be prevented at the water's edge.

[Provision of information about hospitals and nursing homes]
The health condition determination apparatus of the present invention can be linked with information on hospitals and care facilities. The information on hospitals and care facilities is, for example, information such as the number of patients accepted for each disease state, the content and number of specialists, and the content of care performed at the facility. It is conceivable to provide a function of automatically discriminating a hospital and a care facility suitable for a user's medical condition and a function of ranking a hospital suitable for each medical condition.

  In the following, the linkage between the health condition determination apparatus of the present invention and the care record software will be described.

  First of all, since the nursing staff is currently busy with the work at the site, it is difficult to describe the nursing records during the work. Therefore, care records are often created while the care staff returns to office work such as an office and remembers the work and situation. In addition, the contents to be described are diverse in every hour and are complicated.

  At the time of creating this care record, the care staff relies on the memory of several hours ago to create the contents, so there are cases where omissions or mistakes occur. In addition, it takes tens of minutes to over an hour to create a care record, which causes overtime work for care staff.

  In a care facility, it is common for a plurality of care staff to work alternately. Further, there is a case in which a care staff record is recorded by another care staff and newly created by another care staff regarding the records of care contents for the same care recipient.

  As a result of this work, a great deal of time is used to create care records. In addition, since care records cannot be grasped unless a plurality of care records are confirmed, the information sharing method is very inefficient.

  Therefore, in order to improve the efficiency of creating care records and facilitate the sharing of information on care records, the following configuration is adopted for the management and input of care records of the health condition determination apparatus to which the present invention is applied. It is possible.

  First, it is assumed that the information input of the care record can be input by a touch panel to the screen, not the description on the paper medium or the keyboard input to the personal computer terminal. As a result, care records can be easily created even by care staff who are not good at keyboard input work. In this case, the tablet terminal etc. which can input the existing touch panel can be employ | adopted and comprised.

  In the field of nursing care business, there is a current situation where IT (information technology) utilization is delayed, and it has been pointed out that there are many nursing staff who are not good at operating personal computer terminals. Therefore, it is important that the operation of the apparatus is easy, and the work efficiency can be improved by visually simplifying the configuration by using a touch panel function and replacing buttons with icons.

  Moreover, it becomes possible to collect the location which records information by performing the input location of care record with the terminal linked with the health condition determination apparatus. In addition, there is no need to change care diaries and care records, and data entered once can be used to create and confirm records. Thereby, a human error can be suppressed.

  Moreover, it is set as the structure which manages the data of a care record and the data of the care recipient (namely, the subject of pathological diagnosis) separately. In other words, the information related to the care record used by the care staff is managed separately from the vital information, health observation information, and basic health information data recorded in the personal information database of the care recipient as described above. . Both management data are managed as digital data so that the mutual data can be displayed at the same time on a terminal linked with the health condition determination apparatus. For example, for vital data of a care recipient “weight gain”, care record data such as water intake, calorie intake, and defecation can be immediately displayed for grasping the situation.

  The measurement result of the vital information of the care recipient by the care staff is automatically transmitted to a terminal linked to the health condition determination device, and the result is automatically input. Thereby, work efficiency increases and an input mistake can be suppressed. For example, a health management terminal that manages vital data that is commercially available for electronic medical records can be utilized so that data can be automatically input and automatically reflected in each recording table with a single button.

  In addition, care record data and care recipient data are made into a database of digital data so that spreadsheet software and thermal tables can be easily graphed.

  The care record data and the care recipient data are encrypted so that information can be transmitted over the Internet. This makes it possible to easily share information with a medical institution when a health condition determination device is installed in a care facility or the like.

  Further, for example, with the above-described configuration, clinical data can be acquired at a care facility or a hospital, and the information can be easily transmitted to an organization that performs information analysis such as a university. Thereby, it contributes to the system which verifies the effectiveness and effectiveness of the data managed with the health condition determination apparatus of this invention using medical statistics.

  Furthermore, it is assumed that a commercially available personal computer terminal, tablet terminal, or general-purpose vital measurement device can be used as hardware constituting the health condition determination apparatus, not a dedicated machine. In addition, a known non-contact IC card is used to identify a care staff, a nurse, or a care recipient. As a result, the manufacturing cost of the present apparatus can be kept low and easy to introduce.

  Below, the specific example of use of the structure mentioned above is described.

  The care staff who handles the health condition determination apparatus of the present invention logs in by reading his / her contactless IC card into a card reader. Further, the non-contact type IC card of the target person who is in charge of the care staff is read by the reader, and the target person who is to perform the care is selected.

  When the care staff selects the target person, the data regarding the care content and the care record of the target person are itemized and displayed. When the caregiver touches (selects) an item in the care record, input becomes possible using the touch panel.

  The care staff inputs a care record by an icon on the touch panel, input by a fixed sentence, or a memo by automatic voice conversion as necessary. Further, if the care staff wants to know the vital information of the subject person, the vital information of the subject person is displayed when the vital data item is touched (selected).

  As described above, the care record data and the care target person data can be displayed by touching each other as necessary. The vital information measured from the subject can be automatically taken in by a commercially available thermometer or blood pressure monitor having an automatic data transmission function. In addition, the care record is automatically created by linking various records such as a care diary, a contact report, and individual case records.

  With the configuration as described above, the following effects can be obtained for the care record.

  First, it is possible to reduce leakage of care contents, input errors of care records, and transcription errors. Moreover, it becomes the work efficiency of the nursing record and vital information measurement said to have the most work time. Moreover, the trouble of changing the same content to a different recording medium, such as a care diary and a care record, can be saved.

  In addition, a plurality of nursing staff can share vital information and nursing records in real time. Furthermore, information sharing with medical institutions is facilitated. Moreover, management as digital data makes it easy to visualize the data. In addition, centralized management using digital data can reduce the burden of office work management for care providers.

  As described above, the health condition determination apparatus according to the present invention reflects the vital signs and daily physical conditions in consideration of individual differences among subjects, can accurately capture the health condition, and is intended for the elderly. This contributes to the appropriate detection of abnormalities and the rapid detection of deterioration of health status.

DESCRIPTION OF SYMBOLS 1 Health condition determination apparatus 2 Vital measurement part 3 Information management part 4 Thermometer 5 Pulse oximeter 6 Sphygmomanometer 7 Body composition meter 8 Blood glucose meter 9 Respiration rate sensor 10 Ambulatory intensity meter 11 Information processing part 12 Display part 13 Personal information database 14 Healthy Body temperature information at examination 15 Vital information database 16 Interview information database 17 Vital average processing section 18 Band width information processing section 19 Band width information 20 Normal temperature 21 Body temperature on September 9 22 Body temperature on September 8 23 September 16 Body temperature 24 Body temperature on September 15 25 Body temperature on September 10 26 Body temperature on September 26 27 Upper band width 28 Lower band width 29 Average oxygen saturation 30 Oxygen saturation on October 9 31 October 8 Oxygen saturation 32 Oxygen saturation on October 14 33 Oxygen saturation on October 13 34 Oxygen saturation on October 4 35 October 8 Elementary saturation 36 Oxygen saturation on September 25 37 Upper band width 38 Lower band width 39 Doctor diagnosis result information recording unit 40 Band width information correction processing unit 41 Pathological condition discrimination flowchart database 42 Thermal type table processing unit 43 Thermal type table 105 Originally set band width 106 Corrected band width 107 Corrected band width

Claims (31)

A vital measurement unit that measures vital information of the target person,
A vital information recording unit that records the vital information measured by the vital measurement unit together with the date information of the date of measurement,
An interview information recording unit that records at least the results of multiple interviews regarding meals and excretion for the subject together with information on the date of the interview on which the interview determination information determined to be normal or abnormal for each item;
Based on the vital information recorded in the vital information recording unit and the inquiry determination information recorded in the inquiry information recording unit, vital information measured on the day when at least one abnormality is recorded in the contents of the inquiry determination information A vital average processing unit for calculating a vital average by taking an average value excluding
A health condition determination apparatus comprising: an abnormality determination processing unit that determines an abnormality when vital information measured by the vital measurement unit exceeds a predetermined range from vital information measured on the previous day. The said vital average value process part takes an average value except the vital information in which the displacement from the value of the vital information on the previous day exceeds the predetermined range, when calculating the vital average value. Health condition judging device. When calculating the vital average value, the vital average value processing unit measures the vital information measured on the day when at least one abnormality is recorded in the content of the inquiry determination information, and the deviation from the vital information value of the previous day. The health condition determination apparatus according to claim 1 or 2, wherein an average value of vital information for the latest seven days excluding vital information that exceeds a predetermined range is taken. At least one abnormality in the contents of the inquiry determination information from the vital average value on the day before the measurement day, which is the vital average value on the day before the vital measurement, and the past vital information recorded in the vital information recording unit Calculating the difference between the vital information measured on the day of recording and the maximum and minimum values of vital information excluding vital information whose displacement from the value of the previous day's vital information exceeds a predetermined range, A bandwidth information processing unit that records the bandwidth information on the day before the measurement date, which is information on the upper limit side and the lower limit side width based on the vital value on the day before the measurement date,
In the abnormality determination processing unit, the difference between the vital information measured by the vital measurement unit and the average vital value on the day before the measurement date exceeds the day width information on the measurement date recorded in the bandwidth information processing unit. The health condition determination apparatus according to claim 1, wherein the condition is determined to be abnormal. The bandwidth information processing unit calculates the bandwidth information before the measurement date for the past 30 days of vital information based on the measurement date of the vital information among the past vital information recorded in the vital information recording unit. The health condition determination device according to claim 4. The health condition determination device according to claim 4, wherein the bandwidth information processing unit calculates the bandwidth information before the measurement date for vital information of all days of past vital information recorded in the vital information recording unit. The abnormality determination processing unit determines an abnormality when a difference between the vital information measured by the vital measurement unit and the average vital value on the day before the measurement date exceeds a predetermined range. Item 7. The health condition determination device according to Item 6. An initial reference value recording unit for recording vital information of the subject's health examination as an initial reference value,
In the abnormality determination processing unit, the vital average value processing unit has a predetermined range of displacement from the value of vital information measured on the day when at least one abnormality is recorded in the content of the inquiry determination information and the value of vital information on the previous day. Vital information measured by the vital measurement unit at a stage before taking the average value of the previous seven days of vital information excluding vital information exceeding the average value and calculating the average value of the previous day's vital value The health condition determination device according to claim 4, 5, 6, or 7, wherein the abnormality is determined when a difference from the initial reference value exceeds a predetermined range. The abnormality determination processing unit determines an abnormality when vital information measured by the vital measurement unit exceeds or falls below a predetermined absolute value. Claims 1, 2, 3, 4, The health condition determination apparatus according to claim 5, claim 6, claim 7 or claim 8. The health status determination device according to claim 4, wherein the vital average value processing unit calculates the vital average value on the day before the measurement date every day. The health condition determination device according to claim 4, wherein the bandwidth information processing unit calculates the bandwidth information before the measurement date every day. The abnormality determination processing unit notifies the determined abnormality in at least two stages. Claim 1, Claim 2, Claim 3, Claim 4, Claim 5, Claim 7, Claim 7. The health condition determination apparatus according to claim 8, claim 9, claim 10 or claim 11. A diagnostic result information recording unit that records information of a doctor's diagnostic result for the subject,
The bandwidth information processing unit corrects the content of the bandwidth information before the measurement date based on the content of the diagnostic result information recorded in the diagnostic result information recording unit. The health condition determination apparatus according to claim 4, claim 5, claim 6, claim 7, claim 8, claim 9, claim 10, claim 11, or claim 12. The vital measurement unit is configured by a wearable computer that can be attached to a subject's body. Claims 1, 2, 3, 4, 4, 5, 7, and 7. The health condition determination apparatus according to claim 8, claim 9, claim 10, claim 11, claim 12 or claim 13. The vital information includes at least one piece of information selected from body temperature, pulse, pulse pressure, and blood pressure. Claims 1, 2, 3, 4, 5, 6, and 7. The health condition determination apparatus according to claim 8, claim 9, claim 10, claim 11, claim 12, claim 13, or claim 14. The vital information is at least body temperature information. Claim 1, Claim 2, Claim 3, Claim 4, Claim 5, Claim 7, Claim 8, Claim 9, Claim 10, The health condition determination apparatus according to claim 11, 12, 13, 14, or 15. The vital information is body temperature information and at least one piece of information selected from pulse, pulse pressure, and blood pressure. Claims 1, 2, 3, 4, 4, 5, and 6. The health condition determination apparatus according to claim 7, claim 8, claim 9, claim 10, claim 11, claim 12, claim 13, claim 14, claim 15, or claim 16. The abnormality determination processing unit determines an abnormality when a displacement from a body temperature value measured on the previous day with respect to a body temperature value measured by the vital measurement unit is 0.5 ° C or more. The health condition determination apparatus according to claim 17. The abnormality determination processing unit determines an abnormality when the displacement from the body temperature measured on the previous day is about 0.5 ° C. or more with respect to the body temperature value measured by the vital measurement unit, and the determination level corresponds to caution. The health condition determination device according to claim 18, wherein when the displacement is 1.0 ° C. or higher, the determination level is a warning. The vital average value processing unit calculates a reference temperature average value by taking an average value excluding body temperature information whose displacement from the value of the body temperature information on the previous day is 0.5 ° C. or more. The health condition determination apparatus according to claim 17, claim 18 or claim 19. The content of the inquiry determination information is at least one of the reference temperature average value on the day before the measurement day and the past body temperature information recorded in the vital information recording unit. Calculate the difference between the body temperature information measured on the day when two abnormalities were recorded and the maximum and minimum body temperature information excluding body temperature information whose deviation from the body temperature information on the previous day is 0.5 ° C or higher. A temperature band information processing unit for recording the temperature band information on the day before the measurement date as information on the upper limit side and the lower limit side width based on the reference temperature average value on the day before the measurement day,
The abnormality determination processing unit obtains the temperature band information on the day before the measurement date recorded in the temperature band information processing unit as a difference between the body temperature information measured by the vital measurement unit and the reference temperature average value on the day before the measurement day. The health condition determination device according to claim 20, wherein when it exceeds, it is determined as abnormal. The vital information is at least body temperature information,
The health condition according to claim 7, wherein the abnormality determination processing unit determines an abnormality when a difference between the body temperature information measured by the vital measurement unit and a reference temperature average value on the day before the measurement date is 0.5 ° C. or more. Judgment device. The vital information is at least body temperature information,
The health state according to claim 8, wherein the abnormality determination processing unit determines an abnormality when a difference between the body temperature information measured by the vital measurement unit and the initial reference value average value related to temperature is 0.5 ° C. or more. Judgment device. The vital information is at least pulse information,
The health condition determination device according to claim 15 or 17, wherein the vital average value processing unit calculates a reference pulse average value by taking an average value excluding a pulse whose displacement from the pulse value of the previous day is 10 or more. . At least one of the contents of the inquiry determination information is selected from the reference pulse average value on the day before the measurement day and the past pulse recorded in the vital information recording unit. The difference between the pulse measured on the day when the abnormality was recorded and the pulse from which the displacement from the pulse value of the previous day is 10 or more is calculated, and the difference between the maximum value and the minimum value of the pulse is calculated. A pulse band width information processing section for recording as the pulse band width information on the day before the measurement date, which is information on the upper limit side and lower limit side width based on the average value,
In the abnormality determination processing unit, the difference between the pulse measured by the vital measurement unit and the reference pulse average value on the day before the measurement day exceeds the pulse band width information on the day before the measurement recorded in the pulse band width information processing unit. The health condition determination apparatus according to claim 24, wherein it is determined that the abnormality is present. The vital information is at least pulse pressure information,
18. The health according to claim 15, wherein the vital average value processing unit calculates a reference pulse pressure average value by taking an average value except for a pulse pressure whose displacement from the value of the previous day's pulse pressure is 10 or more. State determination device. The content of the inquiry determination information from the reference pulse pressure average value on the day before the measurement day which is the reference pulse pressure average value on the day before the vital measurement and the past pulse pressure information recorded in the vital information recording unit The difference between the pulse pressure measured on the day when at least one abnormality was recorded and the maximum and minimum values of the pulse pressure excluding the pulse pressure whose displacement from the value of the previous day's pulse pressure is 10 or more is calculated. A pulse pressure band width information processing unit for recording the measurement day before day pulse pressure band width information as information on the upper limit side and lower limit side width based on the measurement day previous day reference pulse pressure average value,
The abnormality determination processing unit is configured such that the difference between the pulse pressure measured by the vital measurement unit and the reference pulse pressure average value on the day before the measurement day is recorded in the pulse pressure band width information processing unit on the day before the measurement day. The health condition determination apparatus according to claim 26, wherein an abnormality is determined when the width information is exceeded. The vital information is at least blood pressure information,
18. The health value according to claim 15, wherein the vital average value processing unit calculates a reference systolic blood pressure average value by taking an average value excluding a systolic blood pressure whose displacement from the systolic blood pressure value of the previous day is 20 or more. State determination device. The content of the inquiry determination information from the reference pulse pressure average value on the day before the measurement day which is the reference maximum blood pressure average value on the day before the vital measurement and the past systolic blood pressure information recorded in the vital information recording unit The difference between the systolic blood pressure measured on the day when at least one abnormality was recorded and the systolic blood pressure excluding the systolic blood pressure that is more than 20 from the previous day's systolic blood pressure value is calculated. A systolic blood pressure band width information processing section for recording as the systolic blood pressure band width information on the day before the measurement date, which is the information on the upper and lower side widths based on the reference day-to-day standard systolic blood pressure average value,
The abnormality determination processing unit is configured such that the difference between the systolic blood pressure information measured by the vital measurement unit and the reference systolic blood pressure average value on the day before the measurement day is recorded in the pulse pressure band width information processing unit on the day before the measurement day. The health condition determination device according to claim 28, wherein the condition is determined to be abnormal when the bandwidth information is exceeded. The vital information is at least blood pressure information,
18. The health according to claim 15, wherein the vital average value processing unit calculates a reference minimum blood pressure average value by taking an average value excluding a minimum blood pressure whose displacement from a minimum blood pressure value on the previous day is 20 or more. State determination device. The content of the inquiry determination information from the reference pulse pressure average value on the day before the measurement day that is the reference minimum blood pressure average value on the day before the vital measurement and the past minimum blood pressure information recorded in the vital information recording unit The difference between the minimum and maximum values of the minimum blood pressure excluding the minimum blood pressure measured on the day when at least one abnormality was recorded and the minimum blood pressure from the previous day's minimum blood pressure is 20 or more is calculated. And a minimum blood pressure band width information processing unit for recording as the minimum blood pressure band width information on the day before the measurement date, which is information on the upper limit side and the lower limit side width based on the reference day previous minimum blood pressure average value,
The abnormality determination processing unit is configured such that the difference between the minimum blood pressure information measured by the vital measurement unit and the reference minimum blood pressure average value on the day before the measurement day is recorded in the minimum blood pressure band width information processing unit on the day before the measurement day The health condition determination device according to claim 30, wherein it is determined that an abnormality occurs when the bandwidth information is exceeded.

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