JP6455906B1 - Information notification device, information notification method, and program - Google Patents

Abstract

An information notification apparatus, an information notification method, and a program capable of providing appropriate information related to a test result to a patient in a timely manner. A transmission / reception unit (101) acquires examination information associated with a patient ID, and an examination value variation determination unit (103) obtains the obtained examination information and previous examination information stored in an examination information storage unit (120). The short message generation unit 106 determines whether the comparison result has fluctuated more than a predetermined reference, and the short message generation unit 106 generates a short message when determining that the comparison result has fluctuated more than a predetermined ratio. 101 transmits the generated short message with the telephone number as the destination. [Selection] Figure 1

Description

  The present invention relates to an information notification device, an information notification method, and a program.

  Conventionally, patients who have undergone a medical examination at a medical institution generally receive blood tests according to symptoms, etc., and the results are explained by a doctor before being prescribed a medicine according to the test results. . Especially for chronic diseases such as diabetes, self-management such as eating habits and exercise by the patient is important in addition to taking prescribed medicines. However, there was a problem that it was difficult for patients to continue and maintain their motivation for self-management for a long time. In order to deal with such problems, when examination data entered by a patient is searched as a search condition, examination data of another patient similar to that examination data is extracted, and progress data including the situation after the similar part is extracted to the client terminal Has been disclosed (see Patent Document 1).

JP 2009-205456 JP

  However, although the technique described in the above-mentioned publication contributes to the maintenance of patient motivation, since the patient's own operation of searching for the progress data of other patients is necessary, the timing of confirming the progress data is left to the patient himself. Therefore, there is a problem that information cannot be surely presented to the patient.

  In addition, if you have already been diagnosed with a chronic disease such as diabetes and have been prescribed medications, it is often the case that the examination according to the test results and changes in prescription drugs will be at the next examination. There was a problem that the response to the change in the medical condition was delayed.

  The present invention has been made in view of the above, and an object of the present invention is to provide an information notification apparatus, an information notification method, and a program capable of providing appropriate information regarding a test result to a patient in a timely manner.

In order to solve the above-described problem, in the present invention, examination information associated with a patient ID is obtained, and a comparison result obtained by comparing the obtained examination information with the previous examination information stored in the examination information storage unit is obtained. It is determined whether or not it has fluctuated more than a predetermined standard, medication presence / absence information for the disease name associated with the patient ID is obtained from the patient information storage means, and whether the obtained medication presence / absence information is medication or not is determined, A short message is generated when it is determined that the comparison result has fluctuated more than a predetermined standard and it is determined that there is medication, and the generated short message is transmitted with the telephone number as a destination.

  According to this invention comprised as mentioned above, there exists an effect that the appropriate information regarding a test result can be provided to a patient timely.

It is a block diagram which shows the structural example of the information provision system 10 concerning a present Example. It is explanatory drawing which shows an example of a data structure of the patient information storage part. It is explanatory drawing which shows an example of a data structure of the test | inspection information storage part. 5 is a flowchart illustrating an information notification processing procedure executed by the information notification apparatus 100. It is explanatory drawing which shows an example of the short message transmitted to the patient's portable terminal device 200 from the information notification apparatus 100. FIG. It is explanatory drawing which shows an example of the short message transmitted to the portable terminal device 200 of a patient or a doctor in charge from the information notification apparatus 100. FIG. 4 is a flowchart illustrating an information notification processing procedure executed by the information notification device 100 and the mobile terminal device 200.

  Embodiments of the present invention will be described below with reference to the accompanying drawings. In addition, the following description is an example of embodiment and this invention is not limited to these Examples.

  FIG. 1 is a block diagram illustrating a configuration example of an information notification system 10 according to the present embodiment. The information notification system 10 includes an information notification device 100, mobile terminal devices 200-1 to 200-n, and a management server 300. The information notification device 100 and the mobile terminal devices 200-1 to 200-n are mobile communication networks or the like. The information notification apparatus 100 and the management server 300 are communicably connected to each other via a network N such as the Internet. A part or all of the network N is wired or wireless, and is a communication network such as the Internet, an intranet, a LAN (Local Area Network), and a mobile communication network.

  The information notification apparatus 100 will be described. The information notification device 100 is a normal computer installed in a medical institution or the like and operated by a doctor, an office worker, or the like, and includes a patient information storage unit 110, a test information storage unit 120, a transmission / reception unit 101, and an input / output unit. Unit 102, test value variation determination unit 103, medication determination unit 104, notification availability determination unit 105, and short message generation unit 106.

  FIG. 2 is an explanatory diagram illustrating an example of a data configuration of the patient information storage unit 110. The patient information storage unit 110 stores information related to the patient. More specifically, the patient information storage unit 110 includes a patient ID, which is information for identifying a patient, a disease name, medication information, a patient telephone number, notification availability information, a doctor name in charge, and a doctor telephone number. The transmission date and time, the reception date and time (reply), and other information are stored in association with each other. The disease name is a disease name diagnosed by the doctor by the doctor, such as “diabetes mellitus”. Even if the illness is not diagnosed as a result of a test such as a blood test, it is a term that is between normal and illness. Also good.

  The medication presence / absence information is information indicating whether or not medication according to the disease name is being performed. The patient telephone number is a telephone number of a patient obtained from a medical record or the like, and is a number of a mobile phone or the like that can receive a short message by SMS (Short Message Service). The notification propriety information is information indicating whether or not the patient is permitted in advance to transmit a short message by SMS to the patient telephone number. The name of the doctor in charge is a doctor in charge of the patient indicated by the patient ID, and may be one or more. The doctor telephone number is the telephone number of the doctor in charge of the patient, such as a mobile phone that can receive a short message by SMS. The transmission date and time is the date and time when the short message is transmitted from the information notification device 100 to the patient telephone number. The reception date and time (reply) is the date and time when a short message reply from the patient is received in response to the short message transmitted to the patient. Note that the reception date and time may be the date and time when a reply from the patient was made by telephone. A plurality of transmission dates / times and reception dates / times may be stored in time series in association with the patient ID. As other information, a patient name, family contact information, and the like may be stored.

  FIG. 3 is an explanatory diagram illustrating an example of a data configuration of the inspection information storage unit 120. The examination information storage unit 120 stores information related to examinations for each patient. More specifically, the examination information storage unit 120 stores a patient ID, examination date and time, examination information, and other information in association with each other. The examination date is the date when the patient was examined. An inspection date may be used instead of the inspection date. The test information is a test result such as a blood test, for example, a test value of HbA1c (which indicates how much glycated hemoglobin is present as a percentage (%)) that determines whether or not the patient has diabetes Other inspection values. A plurality of examination dates and examination information are stored in association with the patient ID.

  The transmission / reception unit 101 is connected to the mobile terminal device 200 via the network N and transmits / receives a short message. The transmission / reception unit 101 receives a call transmitted from the mobile terminal device 200. The transmission / reception unit 101 is connected to the management server 300 via the network N to transmit / receive data.

  The input / output unit 102 includes an input unit and an output unit. The input unit includes a keyboard, a mouse, a microphone, a USB port that is an interface for connecting a USB memory, an SD card slot into which an SD card is inserted, and an output unit. Display, speaker, etc. Other input / output devices may be used. The input / output unit 102 receives data input from a USB memory or an SD card. The input / output unit 102 displays information related to the patient stored in the patient information storage unit 110, information related to the test stored in the test information storage unit 120, and the like, and accepts operations on the information displayed on the screen.

  The test value variation determination unit 103 determines whether the test result data received by the transmission / reception unit 101 or the test result data received by the input / output unit 102 and the previous test result stored in the test information storage unit 120 for each patient. Then, the current and previous test results are compared, and it is determined whether or not the comparison result has fluctuated beyond a predetermined standard. The inspection value variation determination unit 103 determines whether or not the current inspection result is within a predetermined reference range.

  The medication determination unit 104 acquires the medication presence / absence information associated with the patient ID from the patient information storage unit 110, and determines whether or not the patient is being administered for the disease name to be notified.

  When the test value variation determination unit 103 determines that the comparison result has fluctuated beyond a predetermined standard, or when the test result determination unit 105 determines that the current test result is not within the predetermined standard range, The notification enable / disable information associated with the patient ID is acquired from the information storage unit 110, and it is determined whether or not the patient can be notified by a short message.

  The short message generation unit 106 determines that the comparison value has changed more than a predetermined reference by the inspection value variation determination unit 103 or if the current inspection result is not within a predetermined reference range, and When the notification enable / disable information is notified by the notification determination unit 105, a short message corresponding to the comparison result calculated by the test value variation determination unit 103 is generated.

  The portable terminal devices 200-1 to 200-n are one or a plurality of smartphones, tablet terminals, notebook personal computers, etc. operated by a patient or doctor who visits a medical institution, and can be carried by the patient or doctor, and at least a short message can be carried. Any device can be used as long as it can transmit and receive. You may also be able to talk. The mobile terminal devices 200-1 to 200-n display the content of the short message transmitted from the information notification device 100 on the display screen according to the user's operation.

  The management server 300 is a server operated by a person in charge at an inspection company or the like. The management server 300 is connected to one or a plurality of information notification devices 100 via a network N. The management server 300 includes an examination information storage unit (not shown) that stores a patient ID, an examination date, and an examination result in association with each other for each medical institution ID that identifies the medical institution. The management server 300 transmits the test result for each medical institution attached to an e-mail or as data via the network N according to how the medical institution requested the test accepts the data. Alternatively, test result data for each medical institution may be stored in a USB memory or an SD card and delivered to the medical institution.

  An information notification process executed by the information notification system 10 configured as described above will be described. FIG. 4 is a flowchart showing an information notification processing procedure executed by the information notification apparatus 100.

  The transmission / reception 101 receives and acquires the inspection information transmitted from the management server 300 (step S401). Instead of the transmission / reception unit 101, the inspection information stored in the USB memory connected to the USB port of the input / output unit 102 or the SD card inserted in the SD card slot may be acquired. The test value variation determination unit 103 acquires a test value for each patient ID from the test information (step S402). For example, when notifying about diabetes, the test value of “HbA1c” is acquired. The test value variation determination unit 103 acquires the previous test value associated with the patient ID from the test information storage unit 120 (step S403).

  The inspection value variation determination unit 103 compares the current inspection value with the previous inspection value (step S404). The inspection value variation determination unit 103 determines whether or not the comparison result has fluctuated beyond a predetermined reference (step S405). For example, if the change in the test value of “HbA1c” last time and this time is subject to notification of “+0.4” or more in alerting such as exercise or meal, the previous test value “6.7” and the current test value “7.2” If the comparison result is “+0.5”, it is determined that the fluctuation has exceeded the predetermined standard. In addition, regardless of the previous inspection value, when the current inspection value is the reference value “6.5” or more, it may be determined as a notification target. In the alerting of hypoglycemia seizure, when the change of the test value of “HbA1c” in the previous time and this time is “-1.0” or more, the comparison is made from the previous test value “6.9” to the current test value “5.9”. If the result is “−1.0”, it is determined that the fluctuation has exceeded the predetermined standard. Note that it may be determined whether or not the inspection value of “HbA1c” is combined with another inspection value for notification. When it is determined that the comparison result does not fluctuate beyond a predetermined reference (step S405: No), the process proceeds to step S410.

  When it is determined that the comparison result has fluctuated beyond a predetermined standard (step S405: Yes), the medication determination unit 104 determines whether the patient has medication (step S406). More specifically, the medication determination unit 104 stores a notification target disease name (for example, “diabetes” or “diabetes reserve”) in the disease name associated with the patient ID stored in the patient information storage unit 110, and Then, it is determined whether or not medication “present” is stored in the medication presence / absence information associated with the disease name. The notification availability determination unit 105 determines whether notification is possible (step S407). More specifically, the notification propriety determination unit 105 acquires notification propriety information associated with the patient ID from the patient information storage unit 110, and determines whether the notification “possible” is stored in the acquired notification propriety information. To do.

  The short message generation unit 106 generates a short message (step S408). More specifically, the short message generation unit 106 performs a short according to the comparison result of the previous test value and the current test value (or the current test value) and the presence / absence of medication when the notification possibility information of the patient is “Yes”. Generate a message. Note that if an urgent response is required, a short message may be generated even if the patient notification availability information is “impossible”. The short message includes part or all of the examination date, examination value, comment, doctor name in charge, and other information.

  FIG. 5 is an explanatory diagram illustrating an example of a short message transmitted from the information notification device 100 to the portable terminal device 200 of the patient. In the short message example (a), the examination date acquired from the examination information storage unit 120, the examination value, a comment corresponding to the comparison result, and the assigned doctor designation stored in the patient information storage unit 110 are described. The comment (a) is a comment when the test value fluctuates more than the standard for alerting exercise and meal, and promotes self-management for exercise and meal by the patient himself.

  In the short message example (b), the words “OK → Reply” are added. When the patient replies with a short message in response to such a wording, the medical institution can recognize that the patient recognizes the short message transmitted from the information notification apparatus 100. In the short message example (c), the word “OK → 054-***-****” is further added. The patient can easily call the medical institution by clicking the telephone number described in the short message, and the medical institution recognizes that the patient recognizes the short message transmitted from the information notification device 100. can do. Both the short message reply (b) and the call to the telephone number (c) may be described in the short message.

  FIG. 6 is an explanatory diagram illustrating an example of a short message transmitted from the information notification device 100 to the portable terminal device 200 of the patient or the doctor in charge. The short message example (d) is an example of a short message transmitted to a patient, and describes an examination date, a test value, a comment corresponding to a comparison result, a doctor name in charge, a telephone number of a medical institution, and the like. The comment in (d) is a comment when the test value fluctuates beyond the standard for alerting a hypoglycemic attack, and since there is a possibility that a hypoglycemic attack may occur, the importance is high and the hypoglycemic attack to the patient This alerts and prompts to visit a medical institution.

  The short message example (e) is a short message to be transmitted to the doctor in charge, and describes the patient name, examination date, examination value, previous examination date, previous examination value, comments according to the comparison result, patient telephone number, and the like. When a response is required before the next periodic diagnosis, a short message is transmitted to the doctor in charge together with the patient himself, so that the change in the test value can be appropriately handled. As a result, when an urgent response is required, a short message is sent to the doctor together with the patient. On the other hand, when an urgent response is not required, a short message is sent only to the patient and no short message is sent to the doctor. Therefore, emergency response can be filtered with a simple mechanism.

  The transmission / reception unit 101 transmits a short message with the telephone number as the destination (step S409). The examination value variation determination unit 103 stores the examination date and examination information and examination information in the examination information storage unit 120 in association with the patient ID (step S410). The inspection value variation determination unit 103 determines whether or not the processing of all inspection information has been completed (step S411). If it is determined that all the inspection information has not been processed (step S411: No), the process returns to step S402. If it is determined that all the inspection information processes have been completed (step S411: Yes), the process ends.

  In this way, each patient's test results are judged according to a predetermined standard, and if attention or urgent action in daily life is required, notification can be made when test information is obtained, so the next examination The patient and medical personnel can respond in a timely manner without waiting, and the therapeutic effect is improved. In particular, hypoglycemia seizures in diabetes may be life-threatening, and notifications for taking appropriate measures can be implemented immediately and without omission. In addition, by sending a short message via SMS, the patient can check the message content with a simpler operation compared to e-mail or a dedicated app, and the phone number may not change even if the patient changes the carrier of the mobile phone. Because there are many, there is a high possibility of reaching the patient.

  As another example, the notification destination may be stored in the patient information storage unit 110 as a notification destination not only for the patient itself but also for a patient such as a family, and a short message may be transmitted. When the patient is elderly, etc., it is possible to follow up and watch over the patient's illness by notifying relevant persons.

  Next, information notification processing (response from a patient) executed by the information notification system 10 will be described. FIG. 7 is a flowchart showing an information notification processing procedure executed by the information notification device 100 and the mobile terminal device 200.

  The mobile terminal device 200 receives the short message transmitted from the information notification device 100 (step S701). Such a short message is the short message transmitted in step S409 in FIG. The mobile terminal device 200 displays a short message (step S702). The short message displayed on the screen is, for example, a short message example (b) shown in FIG. The mobile terminal device 200 transmits a short message as a reply to the short message in response to a user operation (step S703). For example, a message such as “I saw” is transmitted.

  The transmission / reception unit 101 of the information notification device 100 receives the short message transmitted from the mobile terminal device 200 (step S704). The transmission / reception unit 101 stores the date and time when the short message is received in the patient information storage unit 110 (step S705). The short message transmitted from the information notification device 100 and the short message returned in response to the short message are transmitted from the information notification device 100 by a normal SMS function such as including identification information corresponding to each short message. The reception date and time (reply) when the short message in response to the message is received can be stored in the patient information storage unit 110.

  The input / output unit 102 acquires the patient ID, the transmission date / time, and the reception date / time stored in the patient information storage unit 110 according to the user's operation, and displays the short message transmission status and reception status for each patient on the screen. It is displayed (step S706). In addition to the transmission status and the reception status, the inspection date, the inspection value, the previous inspection date, and the previous inspection value may be acquired from the inspection information storage unit 120 and listed.

  Thus, since the response status to the short message transmitted to the portable terminal device 200 operated by the patient can be confirmed on the screen as a list, the status of the short message transmission and reception can be easily confirmed. If reception of a short message from a patient is not stored in an emergency situation, the patient can be further followed. Further, the status of short message transmission and reception may be checked every predetermined time, and an alarm may be displayed on the screen when a short message returned from the patient is not received.

  As another example, when a phone number is described in the short message as shown in the short message example (c) of FIG. 5, instead of replying by the short message, a call originated by the phone number may be used. . The information notification device 100 side acquires the incoming telephone number by the automatic response function, and stores the incoming date and time as the reception date and time in association with the acquired telephone number.

  As another example, the medication determination unit 104 determines whether or not there is a medication related to the disease name from all the medications prescribed to the patient, instead of judging from the medication presence / absence information according to the disease name. Also good. For the determination, AI (population intelligence) learned from big data obtained by collecting a lot of clinical data may be used.

  The hardware configuration of the information notification apparatus 100 according to the above-described embodiment includes a CPU (Central Processing Unit), an ROM (Read Only Memory), a RAM (Random Access Memory), an HDD (Hard Disk Drive), and other external storage devices, communication The computer is a normal computer including a control device and the like, and the above-described configuration and functions are realized by the CPU reading and operating programs stored in the ROM, RAM, HDD, and the like.

  A program that operates in the information notification apparatus 100 is stored on a computer connected to a network N such as the Internet, and is provided by being downloaded via the network N, or an installable or executable file. May be recorded and provided on a computer-readable recording medium such as a CD-ROM, a DVD, a USB memory, or an SD card. Further, the program for realizing the functions and processes described above may be provided in a usage form such as API (Application Programming Interface), SaaS (Software as a Service), or cloud computing.

  Note that the present invention is not limited to the above-described embodiments as they are, and does not necessarily have to be physically configured as illustrated. In addition, the present invention is configured to functionally or physically divide, integrate, replace, modify, or delete all or a part of the constituent elements described in the embodiments in arbitrary units according to various loads or usage conditions. Can be configured.

DESCRIPTION OF SYMBOLS 10 ... Information notification system, 100 ... Information notification apparatus, 101 ... Transmission / reception part, 102 ... Input / output part, 103 ... Examination value fluctuation | variation judgment part, 104 ... Dosing judgment part, 105 ... Notification availability judgment part, 106 ... Short message production | generation part 110 ... Patient information storage unit, 120 ... Examination information storage unit, 200 ... Portable terminal device, 300 ... Management server

Claims (9)

Patient information storage means for storing a patient ID for identifying a patient, a disease name of the patient, a telephone number, and medication information indicating whether or not medication is given for the disease name, in association with each other;
Examination information storage means for storing the patient ID, examination date, and examination information in association with each other;
Information acquisition means for acquiring examination information associated with the patient ID;
A test value fluctuation determining means for judging whether or not the comparison result obtained by comparing the test information acquired by the information acquisition means with the previous test information stored in the test information storage means has fluctuated beyond a predetermined reference; ,
A medication determination unit that acquires the medication presence / absence information for the disease name associated with the patient ID from the patient information storage unit, and determines whether the obtained medication presence / absence information is a medication;
A short message generating means for generating a short message when the test value fluctuation determining means determines that the comparison result has fluctuated more than a predetermined reference and the drug determining means determines that there is a medication ;
Short message transmitting means for transmitting the short message generated by the short message generating means with the telephone number as a destination;
An information notification apparatus comprising:
The patient information storage means further stores notification availability information associated with the patient ID,
A notification availability determination unit that acquires the notification availability information associated with the patient ID from the patient information storage unit and determines whether the acquired notification availability information is notificationable;
2. The information notification apparatus according to claim 1, wherein the short message generation unit generates a short message when it is determined that the notification is possible by the notification possibility determination unit. The patient information storage means further stores a reception date and time that is a date and time when a short message returned to the short message transmitted by the short message transmission means is received in association with the patient ID,
Receiving a short message which the patient has been returned from the portable terminal device operated, the received receiving means for storing the patient information storage means time as the reception date and time, and further comprising a claim 1, wherein Item 3. The information notification device according to Item 2 .
  Patient information that stores a patient ID that identifies a patient, a disease name of the patient, medication information indicating whether or not medication is given for the disease name, and a telephone number of a doctor in charge of the patient in association with each other. Storage means;
  Examination information storage means for storing the patient ID, examination date, and examination information in association with each other;
  Information acquisition means for acquiring examination information associated with the patient ID;
  A test value fluctuation determining means for judging whether or not the comparison result obtained by comparing the test information acquired by the information acquisition means with the previous test information stored in the test information storage means has fluctuated beyond a predetermined reference; ,
  A medication determination unit that acquires the medication presence / absence information for the disease name associated with the patient ID from the patient information storage unit, and determines whether the obtained medication presence / absence information is a medication;
  Short message generation means for generating a short message for the doctor when it is determined that the comparison result has fluctuated more than a predetermined reference by the test value fluctuation determination means, and the medication determination means determines that there is a medication. When,
  Short message transmission means for transmitting the short message generated by the short message generation means with the telephone number of the doctor as a destination;
  An information notification apparatus comprising:
The disease name is diabetes or diabetic reserve,
The inspection information is an inspection value of HbA1c,
The inspection value variation determining means determines whether or not the inspection value of HbA1c acquired by the information acquisition means has changed by +0.4 or more than the previous inspection value of HbA1c stored in the inspection information storage means. , an information notifying apparatus according to any one of claims 1-4, characterized.
The test value variation determination means determines whether or not the test value of HbA1c acquired by the information acquisition means is 6.5 or more, instead of determining whether or not the comparison result fluctuates beyond a predetermined standard. The information notification device according to claim 5 , wherein the information notification device is determined.
A patient information storage means for storing a patient ID for identifying a patient, a patient's disease name, a telephone number, and medication information indicating whether or not medication is given for the disease name, and the patient ID; And an information notification method that is executed by a computer comprising an inspection information storage unit that stores the inspection date and inspection information in association with each other,
An information acquisition step of acquiring examination information associated with the patient ID;
An inspection value variation determination step for determining whether or not the comparison result obtained by comparing the inspection information acquired by the information acquisition step and the previous inspection information stored in the inspection information storage means has changed more than a predetermined reference; ,
A medication determination step for obtaining the medication presence / absence information for the disease name associated with the patient ID from the patient information storage means, and determining whether the obtained medication presence / absence information is a medication;
A short message generating step for generating a short message when it is determined that the comparison result has fluctuated beyond a predetermined reference by the test value variation determining step, and it is determined that there is a medication by the medication determining step ;
A short message transmission step of transmitting the short message generated by the short message generation step with the telephone number as a destination;
An information notification method comprising:

  Patient information that stores a patient ID that identifies a patient, a disease name of the patient, medication information indicating whether or not medication is given for the disease name, and a telephone number of a doctor in charge of the patient in association with each other. An information notification method executed by a computer comprising storage means, the patient ID, the examination date, and examination information storage means for storing examination information in association with each other,
  An information acquisition step of acquiring examination information associated with the patient ID;
  An inspection value variation determination step for determining whether or not the comparison result obtained by comparing the inspection information acquired by the information acquisition step and the previous inspection information stored in the inspection information storage means has changed more than a predetermined reference; ,
  A medication determination step for obtaining the medication presence / absence information for the disease name associated with the patient ID from the patient information storage means, and determining whether the obtained medication presence / absence information is a medication;
  A short message generation step of generating a short message for the doctor when it is determined that the comparison result has fluctuated beyond a predetermined standard by the test value variation determination step and it is determined by the medication determination step that there is a medication. When,
  A short message transmission step of transmitting the short message generated by the short message generation step with the doctor's telephone number as a destination;
  An information notification method comprising:
A program for causing a computer to execute the information notification method according to claim 7 or 8.

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