JP7199135B1 - program, method, information processing device, system - Google Patents

Abstract

Kind Code: A1 A patient's anxiety is alleviated by enabling the patient to easily check information regarding his/her medical care. A program is executed by a computer having a processor and a memory. The program causes the processor to store in the storage unit information relating to the patient's medical care provided by the medical institution; and a step of transmitting to a terminal used by the patient. [Selection drawing] Fig. 11

Description

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

A control system has been proposed that can be implemented to improve the effectiveness of treatments administered by health care providers (see US Pat. In WO 2005/010000, one or more mobile processing devices operated by a patient can alert and remind the patient to perform elements of a treatment plan according to a defined schedule, and provide feedback to a control system. to provide confirmation of task completion as

Japanese Patent Publication No. 2020-509514

However, Patent Literature 1 does not describe a user interface that allows a patient to easily check information related to his or her medical care, such as clinical pathways and explanatory materials about diseases.

An object of the present disclosure is to reduce patient anxiety by enabling patients to easily check information regarding their own medical care.

A program to be executed by a computer having a processor and a memory. The program causes the processor to store, in a storage unit, information relating to the patient's medical care provided by the medical institution, and information associated with the current day from the information relating to the patient's schedule included in the medical care information. and a step of transmitting to a terminal used by the patient.

According to the present disclosure, the patient's anxiety can be reduced by enabling the patient to easily confirm information regarding his or her own medical care.

1 is a block diagram showing an example of the overall configuration of system 1; FIG. 2 is a block diagram showing a configuration example of a terminal device 10 shown in FIG. 1; FIG. 3 is a diagram illustrating an example of a functional configuration of a first server 20; FIG. FIG. 11 shows the data structure of a user information table 2021; It is a figure which shows the data structure of the medical institution table 2022. FIG. It is a figure which shows the data structure of the chart information table 2023. FIG. FIG. 10 is a diagram showing the data structure of a clinical path table 2024; It is a figure which shows the data structure of the prescription drug information table 2025. FIG. FIG. 11 shows the data structure of a related document information table 2026. FIG. It is a figure which shows the data structure of the rehabilitation management table 2027. FIG. It is a mimetic diagram showing an example of composition of system 1 concerning this embodiment. 12 is a flow chart showing an example of the operation of the first server 20 when the user who operates the terminal device 10 shown in FIG. 11 registers the medical institution that the user attends. FIG. 12 is a diagram for explaining an example of the operation of the terminal device 10 and the first server 20 when performing a push notification of information required by a user to the terminal device 10 shown in FIG. 11; 4 is a schematic diagram showing an example of a push notification displayed on the terminal device 10. FIG. FIG. 3 is a schematic diagram showing an example of a screen for confirming taking of medicine displayed on the terminal device 10. FIG. FIG. 4 is a diagram for explaining an example of operations of the terminal device 10 and the first server 20 when displaying information on medical care on the terminal device 10 in response to a request from a user; FIG. 4 is a schematic diagram showing an example of a screen displaying information about a medical institution selected by a user; FIG. 18 is a schematic diagram showing an example of a screen when one of the clinical departments displayed in area 1418 is selected in FIG. 17. FIG. FIG. 14 is a schematic diagram showing an example of a screen when a clinical path icon 1414 is selected; FIG. FIG. 14 is a schematic diagram showing an example of a screen when a related document icon 1415 is selected; FIG. 14 is a schematic diagram showing an example of a screen when an other icon 1416 is selected; FIG. FIG. 3 is a diagram for explaining an example of operations of the terminal device 10 and the first server 20 when managing rehabilitation; FIG. 10 is a schematic diagram of when the terminal device 10 captures an exercise for rehabilitation. 2 is a block diagram showing the basic hardware configuration of computer 90. FIG.

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

<Overview>
The system according to this embodiment holds information about medical care stored in a medical institution, and provides information required by a patient to a terminal owned by the patient at the timing required by the patient. Since the patient can easily check the information that he/she desires, the anxiety about the medical treatment can be suppressed.

In this embodiment, the information on medical care includes, for example, information on medical care schedules and information on medical care documents. In this embodiment, the information about the medical treatment schedule includes, for example, the clinical path. A clinical path represents, for example, a plan summarizing examination and treatment schedules. In the clinical path, for example, the contents and cautions that occur in medical care are classified into predetermined items and arranged in chronological order. Items include, for example, goal, treatment, treatment, examination, injection, drip, medication, activity, rest, rehabilitation, meal, nutrition, cleanliness, excretion, explanation, guidance, precautions, and the like. A clinical pathway may represent, for example, an inpatient schedule. A clinical pathway may represent a schedule for preoperative training, for example, if a patient undergoes surgery. A clinical pathway may represent a schedule of post-operative treatment or rehabilitation, for example, if a patient undergoes surgery.

In this embodiment, the information related to the medical treatment document includes, for example, information in which the distributed medical treatment document is filed in a format in which the layout of the contents is maintained. The information filed in a format in which the arrangement of contents is maintained includes, for example, information in PDF (registered trademark) format. Information on documents related to medical treatment includes invoices, statements, reports on prescribed examinations, nursing care plans, materials used to explain medical care, consent forms, rehabilitation implementation plans, and comprehensive rehabilitation implementation plans. , or include an oath, etc.

Further, the information about medical care may include information about images taken in medical care. Information about medical care may include information about electronic medical records, information about orders, or information about accounting.

In addition, the system according to the present embodiment presents predetermined information to the patient based on schedule information, for example, regardless of the patient's request. This makes it possible to present to the patient information that should not be forgotten among the information that the patient does not grasp.

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

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

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

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

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

A terminal device 10 shown in FIG. 1 is an information processing device operated by a patient or a person having a predetermined relationship with the patient. The terminal device 10 is implemented by, for example, a mobile terminal such as a smart phone or a tablet. The terminal device 10 may be a stationary PC (Personal Computer) or a laptop PC. The terminal device 10 may be a wearable terminal such as an HMD (Head Mount Display) or a wristwatch type terminal.

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

The first server 20, for example, receives information from the hospital system 30 via a network and stores the received information. The first server 20 accepts a connection from the terminal device 10 used by the patient and provides the patient with information to be stored.

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

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

The second server 31 is an information processing device that manages information on medical care within the medical institution. For example, the second server 31 includes information on electronic charts, information on orders, information on accounting, information on images, information on schedules of medical care, information on documents related to medical care, etc., as information on medical care.

In addition, in FIG. 1, although the case where the 2nd server 31 is one unit|set is shown as an example, it is not limited to this. The second server 31 may be a collection of multiple devices. For example, information about electronic medical charts may be managed by a server that constructs an electronic medical chart system. Information about orders may be managed by a server that builds an ordering system. Accounting information may be managed by a server that constructs a medical accounting system. The electronic chart system, ordering system, and medical accounting system may be constructed as a hospital information system (HIS).

Information about schedules and information about documents may be managed, for example, by a predetermined server associated with an electronic medical record system or the like. The predetermined server is, for example, a server for accumulating information provided in a medical department. The server for accumulating information may store information on schedules, information on documents, and information on moving images for explaining precautions and the like to patients. Information about images may be managed, for example, by a server for accumulating images.

The terminal device 32 is an information processing device used by, for example, a doctor, a nurse, a pharmacist, or the like to access a system, a server, or the like connected to the hospital LAN. The terminal device 32 is realized by, for example, a stationary PC, a laptop PC, or the like. The terminal device 32 may be implemented by, for example, a mobile terminal such as a smart phone or a tablet. The terminal device 32 may be a wearable terminal such as an HMD or a wristwatch type terminal. A doctor or nurse may use multiple terminals 32 .

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

<1.1 Configuration of terminal device>
FIG. 2 is a block diagram showing a configuration example of the terminal device 10 shown in FIG. As shown in FIG. 2, the terminal device 10 includes a communication unit 120, an input device 13, an output device 14, an audio processing unit 17, a microphone 171, a speaker 172, a camera 160, and a position information sensor 150. , a storage unit 180 and a control unit 190 . Each block included in the terminal device 10 is electrically connected by, for example, a bus.

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

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

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

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

The camera 160 is a device for receiving light with a light receiving element and outputting it as a photographing signal.

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

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

The user information 181 includes, for example, information on users who use the terminal device 10 . The information about the user includes, for example, the user's name, age, address, date of birth, contact information, medical institution information, sharer, and the like. The medical institution information includes, for example, the name of the medical institution, the patient ID at the medical institution, and the like. A sharer is a person with whom the user's medical care information is shared, and includes, for example, the user's parents, children, caregivers, and the like.

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

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

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

The transmitting/receiving unit 192 performs processing for the terminal device 10 to transmit/receive data to/from an external device such as the first server 20 according to a communication protocol. Specifically, for example, the transmission/reception unit 192 transmits information input by the user or instructions from the user to the first server 20 . Also, the transmission/reception unit 192 receives information provided by the first server 20 .

The rehabilitation management unit 193 manages rehabilitation by users. Specifically, for example, the rehabilitation management unit 193 activates the camera 160 when the user instructs to start rehabilitation. The rehabilitation management unit 193 presents an explanation of the placement position from the speaker 172 or the display 141 so that the terminal device 10 is placed at a position where the user's exercise can be captured by the camera 160 . The position suitable for photographing exercise differs depending on the content of rehabilitation. The rehabilitation management unit 193 is set with various parameters suitable for photographing exercise for rehabilitation set by the user. The user places the terminal device 10 so that the camera 160 captures an image of the part to be exercised, and adjusts the angle of view of the user himself/herself.

The rehabilitation management unit 193 presents guidance on exercise content from the speaker 172 or the display 141 so that the user can exercise. Guidance on exercise content differs according to the content of rehabilitation. The rehabilitation management unit 193 is set with an explanation suitable for instructing exercise for the rehabilitation set for the user. The rehabilitation management unit 193 may instruct exercise based on the captured image.

The rehabilitation management unit 193 photographs the user's exercise with the camera 160 . The rehabilitation management unit 193 transmits to the first server 20 information indicating that the user has performed rehabilitation and image data related to the captured image.

The presentation control unit 194 controls the output device 14 to present the information provided by the first server 20 to the user. Specifically, for example, the presentation control unit 194 causes the display 141 to display information about medical care transmitted from the first server 20 . The presentation control unit 194 also causes the speaker 172 to output information transmitted from the first server 20 .

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

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

The storage unit 202 includes, for example, a user information table 2021, a medical institution table 2022, a chart information table 2023, a clinical path table 2024, a prescription drug information table 2025, a related document information table 2026, and a rehabilitation management table 2027. , a trained model 2028, and the like. The tables stored in storage unit 202 are not limited to these. The storage unit 202 may store, for example, a table for storing information on accounting and a table for storing information on images.

The user information table 2021 is a table that stores information about users. Details will be described later.

The medical institution table 2022 is a table that stores information about medical institutions. Details will be described later.

The medical record information table 2023 is a table that stores information on electronic medical records of patients. The electronic medical chart information stored in the medical chart information table 2023 is, for example, at least part of the electronic medical chart managed by the hospital system 30 . Information relating to electronic medical records stored in the medical record information table 2023 is updated based on information managed by the hospital system 30 at a predetermined timing. For example, the predetermined timing is as follows.
・Predetermined period ・Predetermined time ・When the information on the electronic medical record of the predetermined patient is updated in the hospital system 30

The clinical path table 2024 is a table that stores information about patient's medical treatment schedule. The information about the schedule stored in the clinical path table 2024 is, for example, at least part of the schedule managed by the hospital system 30 . The information about the schedule stored in the clinical path table 2024 is updated based on the information managed by the hospital system 30 at a predetermined timing. For example, the predetermined timing is as follows.
・Predetermined cycle ・Predetermined time ・When information on a predetermined patient's schedule is updated in the hospital system 30

The prescription drug information table 2025 is a table that stores information on drugs prescribed to patients. The information stored in the prescription drug information table 2025 is, for example, at least part of the information managed by the hospital system 30 . The drug-related information stored in the prescription drug information table 2025 is updated based on the information managed by the hospital system 30 at a predetermined timing. For example, the predetermined timing is as follows.
・Predetermined cycle ・Predetermined time ・When medicine is prescribed to a predetermined patient in the hospital system 30

The related document information table 2026 is a table that stores information on documents distributed to patients. The document-related information stored in the related document information table 2026 is, for example, at least part of the document-related information managed by the hospital system 30 . The information about documents stored in the related document information table 2026 is updated based on the information managed by the hospital system 30 at a predetermined timing. For example, the predetermined timing is as follows.
・Predetermined period ・Predetermined time ・When the information on the document about the predetermined patient is updated in the hospital system 30

The rehabilitation management table 2027 is a table that stores information on rehabilitation performed by patients. Details will be described later.

The trained model 2028 is, for example, a model for recognizing motions of a patient undergoing rehabilitation. The trained model 2028 is pre-stored, for example, when the service is provided from the first server 20 .

A trained model 2028 is generated by causing a machine learning model to perform machine learning according to a model learning program. The trained model 2028 is, for example, a parameterized composite function obtained by combining multiple functions. A parameterized composite function is defined by a combination of multiple adjustable functions and parameters. A trained model according to this embodiment may be any parameterized composite function that satisfies the above requirements.

For example, if the trained model 2028 is generated using a forward propagating multi-layered network, the parameterized combination function may be, for example, a linear relationship between each layer using a weight matrix, a non-linear defined as a combination of a relationship (or linear relationship) and a bias. Weighting matrices and biases are called parameters of the multilayered network. A parameterized composite function changes its form as a function depending on how the parameters are chosen. In a multi-layered network, by appropriately setting the constituent parameters, it is possible to define a function capable of outputting favorable results from the output layer.

As the multi-layered network according to the present embodiment, for example, a deep neural network (DNN), which is a multi-layered neural network targeted for deep learning, can be used. As the DNN, for example, a convolution neural network (CNN) targeting images may be used.

The trained model 2028 is trained, for example, to output a skeletal model of an input human image. At this time, learning data for training the learned model 2028 is, for example, a human image as input data and a skeletal model for the input human image as correct output data.

The learned model 2028 may be generated for each part to be rehabilitation-targeted. For example, the trained model 2028 may have been trained to output a skeletal model suitable for hand (shoulder, elbow, wrist, etc.) rehabilitation. At this time, the learned model 2028 outputs, for example, a skeletal model around the joints of the hand. Also, for example, the trained model 2028 may be trained to output a skeletal model suitable for foot (hip, knee, ankle, etc.) rehabilitation. At this time, the learned model 2028 outputs, for example, a skeletal model around the joints of the foot. In this way, by switching the learned model 2028 according to the part of the rehabilitation, it becomes unnecessary to calculate the motions of parts other than the necessary part, so it is possible to suppress the amount of calculation.

The control unit 203 is implemented by the processor 29 reading a program stored in the storage unit 202 and executing instructions included in the program. The control unit 203 operates according to a program to implement a reception control module 2031, a transmission control module 2032, a storage module 2033, a registration module 2034, an extraction module 2035, a notification module 2036, a rehabilitation management module 2037, and a presentation control module 2038. function.

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

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

The storage module 2033 stores information acquired from the hospital system 30 in the storage unit 202 . Specifically, for example, various information stored in the hospital system 30 is output at a predetermined cycle, for example, once a day for purposes such as backup. The storage module 2033 acquires information output from the hospital system 30 and stores the acquired information in each table of the storage unit 202 . The storage module 2033 stores information in the table of the storage unit 202 so that it can be extracted using medical institutions and patients as keys.

Registration module 2034 controls the registration of information about users. Specifically, for example, when a new user requests to use this service, the registration module 2034 stores information about the user in the user information table 2021 . The registration module 2034 stores information on the requested medical institution in the user information table 2021 when there is a registration request for the medical institution to be used. The registration module 2034 stores, in the user information table 2021, the information on the person whose registration is requested when there is a request to register a person who shares the information on the user. A person who shares information about the user is, for example, a person who nurses or cares for the patient, for example, a blood relative.

The extraction module 2035 extracts information from the storage unit 202 to be provided to the patient or information sharer. Specifically, for example, when the provision of information is requested by a patient or an information sharer, the extraction module 2035 reads the requested information from the storage unit 202, and uses the read information as the requested information. Present to patient or sharer.

The notification module 2036 notifies the patient or sharer of information required by the patient at predetermined times. For example, the notification module 2036 notifies the patient or sharer of the associated information at times defined by the scheduling information for a given patient. Specifically, for example, the notification module 2036 notifies information associated with the date when a predetermined date defined in the clinical pathway is reached. For example, the predetermined days are as follows.
・On the day of the inspection (before and after the inspection)
・The day before the examination ・The day after the examination ・On the day of surgery (before and after surgery)
・Day before surgery ・X days before surgery ・X days to Y days before surgery ・X days after surgery ・X days to Y days after surgery

For example, the information associated with the predetermined date is as follows.
・It is a predetermined day (for example, the day of examination, the day of surgery, etc.) ・There is an examination or surgery ・Description of goals for each day (for each period) ・Details of treatment for each day (for each period) ・For each day (for each period) ) treatment details Daily (every period) examination details Daily (every period) injection details Daily (every period) infusion details Daily (every period) medication details Daily (every period) ) activity (rest) ・Details of daily (per period) rehabilitation ・Details of daily (per period) meals (nutrition to be taken) ・Details of daily (per period) availability of bathing, etc. ・Daily Details of restrictions on excretion (for each period) ・Explanation of precautions and remarks for each day (for each period) ・Explanation and guidance from the person in charge on the corresponding day (period) ・Corresponding day (period) that there is explanatory material in

Notification module 2036 may notify the scheduled time along with the associated information.

Also, for example, the notification module 2036 notifies the patient or sharer of the updated information when the information about a given patient is updated. For example, the information to be updated is as follows.
・Update clinical path ・Update document data (examination report, consent form, rehabilitation implementation plan, comprehensive rehabilitation implementation plan, etc.) ・Update treatment costs

Rehabilitation management module 2037 manages rehabilitation performed by the patient. For example, the rehabilitation management module 2037 receives information about rehabilitation performed by the patient from the terminal device 10 and stores the received information in the rehabilitation management table 2027. The rehabilitation management module 2037 uses the transmission control module 2032 to transmit information to be stored in the rehabilitation management table 2027 to the hospital system 30 at a predetermined timing.

The rehabilitation management module 2037 evaluates exercise in rehabilitation performed by the patient based on information transmitted from the terminal device 10 . Specifically, for example, the rehabilitation management module 2037 analyzes image data transmitted from the terminal device 10 . More specifically, for example, the rehabilitation management module 2037 inputs the image data into the learned model 2028 and acquires the patient's skeleton model included in the image data. The rehabilitation management module 2037 quantifies the patient's motion based on the motion of the skeleton model linked to the patient's motion. The rehabilitation management module 2037 measures, for example, the range of motion, the direction of motion, the number of repetitions, etc. from the motion of the skeletal model. The rehabilitation management module 2037 stores the measured values in the rehabilitation management table 2027. The rehabilitation management module 2037 acquires goals set for exercise on the corresponding day from, for example, the rehabilitation plan stored in the chart information table 2023 or the clinical path stored in the clinical path table 2024. Rehabilitation management module 2037 compares the measurement results with goals to evaluate rehabilitation for the corresponding days. For example, when the measurement result reaches the target, the rehabilitation management module 2037 determines that the rehabilitation on the corresponding day was appropriately performed. On the other hand, if the measurement result does not reach the target, the rehabilitation management module 2037 determines that the rehabilitation on the corresponding day could not be performed appropriately.

The rehabilitation management module 2037 proposes, for example, a doctor to change the rehabilitation plan according to the degree of achievement of the goal. Specifically, for example, if the number of times the target was achieved in a predetermined period is greater than a predetermined number (that is, if there is a predetermined number of times or more that the rehabilitation was properly implemented in a predetermined period), or the measurement result is In cases such as when the goal continues to be greatly exceeded, the rehabilitation management module 2037 proposes to the doctor to raise the goal. Rehabilitation management module 2037 also suggests to the doctor to increase the goal and shorten the rehabilitation period.

In addition, when the number of times the target was achieved in a predetermined period is less than the predetermined number (that is, when it is determined that the rehabilitation was properly implemented in the predetermined period less than the predetermined number of times), or when the measurement result falls far below the target. , etc., the rehabilitation management module 2037 suggests to the doctor to lower the goal. Rehabilitation management module 2037 also suggests to the physician to lower the goal and lengthen the rehabilitation period.

In addition, the rehabilitation management module 2037 proposes, for example, a doctor to change the rehabilitation plan according to the degree of functional recovery. Specifically, for example, if the recovery of function is faster than expected in a given period of time, the rehabilitation management module 2037 suggests to the doctor to raise the goal. Rehabilitation management module 2037 also suggests to the doctor to increase the goal and shorten the rehabilitation period. Also, for example, if recovery of function is slower than expected in a given period of time, the rehabilitation management module 2037 suggests lower goals to the physician. Rehabilitation management module 2037 also suggests to the physician to lower the goal and lengthen the rehabilitation period.

The rehabilitation management module 2037 may accept comments from patients undergoing rehabilitation. The rehabilitation management module 2037 stores comments from patients in the rehabilitation management table 2027.

Rehabilitation management module 2037 manages training as well as rehabilitation if the patient is pre-operative. This makes it possible to encourage exercise for gaining physical strength before surgery.

The presentation control module 2038 presents the information extracted from the storage unit 202 to the patient or sharer.

<2 Data structure>
4 to 10 are diagrams showing data structures of tables stored by the first server 20. FIG. Note that FIGS. 4 to 10 are examples, and do not exclude data that are not described. Moreover, even data described in the same table may be stored in separate storage areas in the storage unit 202 .

FIG. 4 is a diagram showing the data structure of the user information table 2021. As shown in FIG. The user information table 2021 shown in FIG. 4 is a table having columns of name, age, sex, date of birth, contact information, medical institution information, and co-owner, with user ID as a key.

User ID is an item that stores an identifier for uniquely identifying a user. The name is an item that stores the user's name. Age is an item that stores the age of the user. Gender is an item that stores the gender of the user. The date of birth is an item for storing the date of birth of the user. The contact information is an item that stores the contact information (for example, telephone number, email address, etc.) of the terminal device 10 owned by the user. The medical institution information is an item that stores information about registered medical institutions. The medical institution information includes, for example, the name of the medical institution and the user's patient ID at the medical institution. A sharer is an item that stores information about a person who is permitted to share medical information about the user. For the sharer, for example, the name, user ID, etc. of a person who is permitted as a sharer are stored.

FIG. 5 is a diagram showing the data structure of the medical institution table 2022. As shown in FIG. The medical institution table 2022 shown in FIG. 5 is a table having a medical institution name column with a medical institution ID as a key.

The medical institution ID is an item that stores an identifier for uniquely identifying a medical institution. The medical institution name is an item that stores the name of the medical institution.

FIG. 6 is a diagram showing the data structure of the chart information table 2023. As shown in FIG. The chart information table 2023 shown in FIG. 6 is a table having columns of chart data with medical institution ID and patient ID as keys.

The medical chart data is an item that stores medical chart data. The chart data may store reference information (paths) to chart data files located elsewhere. The chart data includes, for example, information such as disease name, inspection items, inspection values, attending physician, and medical history. The disease name represents the name of the disease diagnosed for the patient. The test item indicates the name of the test item measured for the patient. An inspection value represents the value measured by the inspection about each inspection item. The doctor in charge indicates the name of the doctor in charge of medical care of the patient. Medical history refers to the names of past illnesses that are currently cured.

FIG. 7 is a diagram showing the data structure of the clinical path table 2024. As shown in FIG. The clinical pathway table 2024 shown in FIG. 7 is a table having columns such as clinical pathway ID, creation date, clinical pathway data, and creator, with medical institution ID and patient ID as keys.

The clinical path ID is an item that stores an identifier for uniquely identifying a clinical path. The creation date is an item that stores the date when the clinical pathway was created. The clinical path data is an item for storing clinical path data. The clinical pathway data may store references (paths) to clinical pathway data files located elsewhere. Creator is an item that stores the person who created the clinical pathway.

FIG. 8 is a diagram showing the data structure of the prescription drug information table 2025. As shown in FIG. The prescription drug information table 2025 shown in FIG. 8 is a table having columns of prescription drug ID, prescription date, and drug data, with medical institution ID and patient ID as keys.

The prescription drug ID is an item that stores an identifier for uniquely identifying (an order for) a prescription drug. The prescription date is an item that stores the date when the medicine was prescribed. Medicine data is an item for storing medicine data. Medication data may store references (paths) to medication data files located elsewhere.

FIG. 9 is a diagram showing the data structure of the related document information table 2026. As shown in FIG. The related document information table 2026 shown in FIG. 9 is a table having columns of document ID, date of distribution, and document data, with medical institution ID and patient ID as keys.

Document ID is an item that stores an identifier for uniquely identifying a document. The distribution date is an item for storing the date when the document was distributed. Document data is an item for storing document data. Document data may store reference information (paths) to document data files located elsewhere.

FIG. 10 is a diagram showing the data structure of the rehabilitation management table 2027. As shown in FIG. The rehabilitation management table 2027 shown in FIG. 10 is a table having columns of start date/time, measurement result, evaluation, comment from patient, and comment from administrator, with medical institution ID and patient ID as keys.

The start date and time is an item for storing the date and time when rehabilitation was started. The measurement result is an item that stores values obtained by measuring exercise in rehabilitation. Evaluation is an item that stores an evaluation based on the degree of achievement of a set target for the exercise performed. The comment from the patient is an item that stores comments on rehabilitation input by the patient during rehabilitation. The comment from the administrator is an item that stores comments directed to the patient from, for example, doctors, persons in charge of rehabilitation, etc., who manage rehabilitation.

<3 Operation>
The operation of the terminal device 10 and the first server 20 when providing information required by a patient will be described.

FIG. 11 is a schematic diagram showing an example of the configuration of the system 1 according to this embodiment. In the following description, the first server 20 stores information received from the hospital system 30, as shown in FIG. The first server 20 presents the requested information to the terminal device 10 in response to a request from the patient operating the terminal device 10 . The first server 20 also pushes the information required by the patient to the terminal device 10 .

(Registration processing of medical institutions)
FIG. 12 is a flow chart showing an example of the operation of the first server 20 when the user operating the terminal device 10 shown in FIG. 11 registers the medical institution that the user attends.

The user operates the terminal device 10 and takes a picture of the patient registration card of the medical institution that the user visits. The terminal device 10 analyzes the captured image of the patient registration card and obtains the information written on the patient registration card. The information written on the patient registration card includes, for example, the name of the medical institution, the registration number, the patient's name, the patient's date of birth, and the patient's sex. The terminal device 10 transmits the acquired information to the first server 20 .

In step S<b>11 , the control unit 203 of the first server 20 receives the information described in the patient registration card transmitted from the terminal device 10 by the reception control module 2031 .

In step S12, the control unit 203 causes the registration module 2034 to associate the received information with the user. Specifically, the registration module 2034 compares the patient's name, sex, and date of birth included in the received information with the user's name, sex, and date of birth stored in the user information table 2021, , the medical institution name and registration number are stored in the item "medical institution information". The registration module 2034 can register multiple medical institution information for each user.

The registration module 2034 may determine whether the acquired medical institution name is stored in the medical institution table 2022 when registering the medical institution information. If the acquired medical institution name is included in the medical institution table 2022 , the registration module 2034 stores the medical institution name and registration number in the user information table 2021 .

(Push notification of medical treatment information)
FIG. 13 is a diagram for explaining an example of the operation of the terminal device 10 and the first server 20 when performing push notification of information required by the user to the terminal device 10 shown in FIG.

In step S21, the terminal device 10 executes an application for displaying information about medical care to the user. The display of information regarding medical care may be performed via a web browser. For example, the user operates the terminal device 10 to select an application for checking information about medical care, and causes the terminal device 10 to execute the application. When the terminal device 10 executes the application, the control unit 190 causes the display 141 to display a login screen for authenticating the user.

The user enters, for example, a login ID and password on the login screen. Information that the user inputs on the login screen is not limited to the login ID and password. You may log in by inputting biometric information or the like.

In step S22, when the user authentication is completed, the control unit 190 connects to the first server 20 in association with the user ID.

In step S23, the first server 20 acquires information required by the user. Specifically, for example, the control unit 203 uses the notification module 2036 to acquire the last connection date and time based on the received user ID. The notification module 2036 determines whether or not information related to the medical institution name and patient ID stored in the storage unit 202 and associated with the user ID has been updated since the last connection date and time. If there is information that has been updated since the last connection date and time, the notification module 2036 obtains that there is updated information.

Also, for example, the notification module 2036 determines whether or not information associated with the date of connection is stored in the storage unit 202 based on information on the schedule of the medical institution name and patient ID associated with the user ID. determine whether If there is associated information, the notification module 2036 acquires the associated information from a predetermined table in the storage unit 202, for example, the clinical path table 2024.

In step S24, the notification module 2036 notifies the terminal device 10 of the acquired information. Specifically, for example, the notification module 2036 notifies the terminal device 10 that there is information updated since the last connection date and time. At this time, the notification module 2036 may notify the terminal device 10 of the date and time when the information was updated, or may notify the terminal device 10 of the update. The notification module 2036 may also discernably notify the medical institution that there is updated information.

The notification module 2036 also notifies the terminal device 10 of information associated with the date of connection. At this time, if a scheduled time is set for the information, the notification module 2036 may also notify the terminal device 10 of the set time. Also, the notification module 2036 may notify the medical institution of information associated with the date of connection so that the medical institution can be identified.

In step S<b>25 , the control unit 190 receives information transmitted from the first server 20 by the transmission/reception unit 192 . The control unit 190 presents the received information to the user through the presentation control unit 194 . Specifically, for example, the presentation control unit 194 causes the display 141 to display that there is information updated after the last connection date and time. In addition, the presentation control unit 194 causes the display 141 to display information associated with the date of connection.

FIG. 14 is a schematic diagram showing an example of a push notification displayed on the terminal device 10. As shown in FIG. FIG. 14 shows a case where the screen representing push notification is set as the home screen of the application. The screen shown in FIG. 14 includes an area 1411 that displays information updated after the last connection date and time. In FIG. 14, an area 1411 displays, as updated information, that documents have been received, that the nursing care plan table has been updated, and that treatment costs have been updated. Note that the contents displayed in the area 1411 are not limited to these. In addition, the information displayed in the area 1411 may include information about the medical institution so that the user can recognize which medical institution the information is about.

The screen shown in FIG. 14 also includes an area 1412 that displays information associated with the date of connection. In FIG. 14, an area 1412 displays, as information associated with the date of connection, confirmation of dinner, presence of an intravenous drip, presence of temperature measurement, and confirmation of lunch. Confirmation of lunch is checked as confirmed.

Area 1412 displays a button 14121 for confirming medication. When the user presses button 14121, a screen for confirming medication is displayed.

FIG. 15 is a schematic diagram showing an example of a screen displayed on the terminal device 10 for confirming medication. On the screen shown in FIG. 15, a content prompting the user to take the prescribed medicine is displayed. The screen shown in FIG. 15 displays a button 14122 for inputting that the patient has taken the medicine. The user presses the button 14122 when taking the prescribed medicine. When the user presses the button 14122, the terminal device 10 notifies the medical institution or the like that the user has taken the prescribed medicine.

Note that the content displayed in area 1412 in FIG. 14 is not limited to these. For example, any one of the information associated with the predetermined date described above may be displayed. In addition, the content displayed in area 1412 may include information about the medical institution. Further, on the screen shown in FIG. 14, in addition to the information on the date of connection by the user, information prior to the date of connection may also be viewable. For example, by sliding the screen shown in FIG. 14 upward, past information is also displayed.

(Information display processing according to user request)
FIG. 16 is a diagram for explaining an example of operations of the terminal device 10 and the first server 20 when displaying information on medical care on the terminal device 10 in response to a request from the user.

In step S31, the terminal device 10 receives a designation of a desired medical institution from the user. The user designates a medical institution whose medical care information is to be checked, among the medical institutions that have registered the patient registration card. Specifically, for example, the user presses the patient registration card icon 1413 shown in FIG. When the patient registration card icon 1413 is pressed, the control unit 190 causes the presentation control unit 194 to display a screen for accepting the selection of the medical institution on the display 141 . The presentation control unit 194 displays, for example, a list of selectable medical institutions. The user selects a medical institution from among the displayed medical institutions for which information on medical treatment is desired.

In step S<b>32 , the control unit 190 uses the transmission/reception unit 192 to notify the first server 20 of the medical institution selected by the user.

At step S<b>33 , the control unit 203 of the first server 20 uses the extraction module 2035 to extract user information about the specified medical institution. Specifically, for example, the extraction module 2035 extracts information from the chart information table 2023, the clinical path table 2024, the prescription drug information table 2025, and the related document information table 2026 using the medical institution ID and patient ID as keys.

In step S<b>34 , the control unit 203 presents the extracted information to the user using the presentation control module 2038 . For example, the control unit 203 uses the transmission control 2032 to transmit information for displaying the extracted information to the terminal device 10 .

In step S<b>35 , the control unit 190 causes the presentation control unit 194 to display information provided by the first server 20 , that is, information about the medical institution selected by the user on the display 141 .

FIG. 17 is a schematic diagram showing an example of a screen displaying information about a medical institution selected by the user. The screen shown in Figure 17 includes an area 1417 representing a medical institution. Area 1417 displays the medical institution name and patient ID. Also, in the area 1417, an area 14171 representing an icon for inputting the user's request is displayed. Icons displayed in area 14171 include an icon for making a reservation for a medical examination at a corresponding medical institution, an icon for making a phone call to the corresponding medical institution, an icon for accessing the homepage of the corresponding medical institution, and an icon for accessing the corresponding medical institution website. It includes icons and the like for setting a person (sharer) who shares information about the medical institution. Information for contacting a medical institution is based on information stored in the medical institution table 2022, for example. The icon for reserving a medical examination may be an icon for checking the status of a medical examination reservation.

When the user taps an icon for setting a sharer of information, the control unit 190 receives designation of the sharer. A user can set a sharer for each medical institution, for example. As a result, the set sharer can browse the information about the corresponding medical institution among the information about the medical treatment of the user from this application. Also, the user can set a sharer for each clinical department, for example. As a result, the set sharer can browse the medical information about the corresponding medical department among the information related to the user's medical care from this application. By enabling a sharer to be set for each medical institution or each department, users can share appropriate information while maintaining privacy.

The screen shown in FIG. 17 includes an area 1418 that represents the clinical department that is being examined at the medical institution. In area 1418, the clinical departments receiving medical examination are displayed, for example, arranged in a list. The display of each clinical department in area 1418 includes the name of the clinical department, attending physician, most recently set schedule, current status in the clinical path, and the like. These pieces of information are based on information stored in, for example, the chart information table 2023, the clinical path table 2024, and the like.

In step S36, the terminal device 10 receives designation of desired information from the user. For example, the user designates a clinical department for which information on medical treatment is to be confirmed, among the clinical departments displayed in area 1418 . Also, for example, the user designates the clinical path icon 1414 when he wants to check the currently set clinical path. Further, for example, if the user has a document that he/she wants to check among the distributed documents, the user designates the related document icon 1415 .

In step S<b>37 , the control unit 190 notifies the first server 20 of the information desired by the user through the transmission/reception unit 192 .

In step S<b>38 , the control unit 203 causes the extraction module 2035 to extract information desired by the user from the storage unit 202 . Specifically, for example, the extraction module 2035 uses the medical institution ID and the patient ID as keys to extract information desired by the user from the chart information table 2023, the clinical path table 2024, the prescription drug information table 2025, and the related document information table 2026. to extract

In step S<b>39 , the control unit 203 presents the extracted information to the user using the presentation control module 2038 . For example, the control unit 203 causes the transmission control module 2032 to transmit information for displaying the extracted information to the terminal device 10 .

In step S<b>310 , the control unit 190 causes the presentation control unit 194 to display the information provided by the first server 20 , that is, the information desired by the user on the display 141 .

FIG. 18 is a schematic diagram showing an example of a screen when one of the clinical departments displayed in area 1418 is selected in FIG. The screen shown in FIG. 18 includes an area 14181 from which the user can select items. In area 14181, items of "medical information", "meal", and "medicine" can be selected.

The screen shown in FIG. 18 also includes an area 14182 in which a small item corresponding to the area 14181 can be selected. In an area 14182, it is possible to select "blood test" and "temperature measurement" which are sub-items for "medical information". Although not shown, "injection" and "dosing" can be selected as sub-items for "medicine". The items and sub-items are not limited to the above, and can be arbitrarily set based on the information specified in the clinical pathway.

In addition, the screen shown in FIG. 18 includes an area 14183 in which information corresponding to the selected item or selected minor item is displayed. On the screen shown in FIG. 17, in area 14183, measured values for the sub-item "blood test" are displayed.

FIG. 19 is a schematic diagram showing an example of the screen when the clinical path icon 1414 is selected. The screen shown in FIG. 19 includes an area 14141 that displays the schedule set for the user. Area 14141 displays the schedule defined by the clinical path. Each schedule is represented by a band having a width corresponding to the duration based on the clinical path. The bands representing the applicable period are arranged in the vertical direction for each target item. When the user taps the band, the presentation control unit 194 launches a window 141411 displaying detailed information.

The screen shown in FIG. 19 includes an area 14142 for switching the scale of the schedule. In area 14142, "day", "week", and "month" can be selected.

FIG. 20 is a schematic diagram showing an example of the screen when the related document icon 1415 is selected. On the screen shown in FIG. 20, documents and images in a predetermined file format are displayed in a list. When the user taps any document or image, the presentation control unit 194 acquires the tapped document or image from the storage unit 202 and causes the display 141 to display the acquired document or image. The storage unit 202 may store moving images for explaining precautions and the like to the patient. At this time, on the screen shown in FIG. 20, for example, moving images are displayed in a list. When the user taps any moving image, the presentation control unit 194 acquires the tapped moving image from the storage unit 202 and causes the display 141 to display the acquired moving image.

FIG. 21 is a schematic diagram showing an example of the screen when the other icon 1416 is selected. The screen shown in FIG. 21 includes an icon 14161 for starting online medical care, an icon 14162 for starting chatting with medical personnel, an icon 14163 for connecting to the store site, and an icon 14163 for recording with the camera 160. An icon 14164 is included. When icon 14164 is pressed by the user, camera 160 is activated. A user operates the camera 160 to photograph an affected area, for example. The control unit 190 transmits the image captured by the camera 160 to the first server 20 . The first server 20 stores the received image in the storage unit 202 and transmits it to the hospital system 30 at a predetermined timing.

(Management of rehabilitation)
FIG. 22 is a diagram for explaining an example of operations of the terminal device 10 and the first server 20 when managing rehabilitation.

In step S41, the terminal device 10 receives an instruction to start rehabilitation from the user. Specifically, for example, the user operates the terminal device 10 and checks the home screen of the application. The home screen displays information, for example, in a form as shown in FIG. 14, and "Implement rehabilitation" is displayed in an area 1412 together with the scheduled implementation time. When the displayed time arrives, the user taps, for example, “perform rehabilitation” displayed in area 1412 . When the user taps “perform rehabilitation”, the presentation control unit 194 causes the display 141 to display a screen for accepting the start of rehabilitation. The user instructs the start of rehabilitation on the screen.

The scheduled rehabilitation time is set, for example, in the rehabilitation plan stored in the medical record information table 2023, the clinical path stored in the clinical path table 2024, or the like. A rehabilitation plan or a clinical path may not set a scheduled rehabilitation implementation time and may only set a rehabilitation implementation date. At this time, the user may register in the terminal device 10 the time at which the rehabilitation is to be performed. In addition, the indication to remind the user of the implementation of rehabilitation, that is, the display of “Implementing rehabilitation” displayed in area 1412 does not display the scheduled implementation time, and only presents that rehabilitation will be implemented on that day. may By notifying the user that it is necessary to perform rehabilitation on the corresponding day, it is possible to prompt the user to perform rehabilitation.

In step S42, the control unit 190 causes the rehabilitation management unit 193 to cause the user to exercise. Specifically, for example, the rehabilitation management unit 193 activates the camera 160 when the user instructs to start rehabilitation. The rehabilitation management unit 193 presents an explanation about the placement position of the terminal device 10 from the speaker 172 or the display 141 so that the terminal device 10 is placed at a position where the user's exercise can be captured by the camera 160 .

The user places the terminal device 10 so that the camera 160 captures an image of the part to be exercised. For example, in the case of exercise involving movement such as walking training, the user places the terminal device 10 at a position where the state of movement is captured. A mark for walking training may be prepared and the position of the terminal device 10 may be adjusted so that the mark is included in the angle of view of the camera 160 .

FIG. 23 shows a schematic diagram when the terminal device 10 captures an exercise for rehabilitation. In FIG. 23 , a patient A who is exercising is imaged by the terminal device 10 and the imaged image is displayed on the display 141 of the terminal device 10 .

When the terminal device 10 is placed in an appropriate position, the rehabilitation management unit 193 presents instructions on exercise content from the speaker 172 or the display 141 so that the user can exercise. The user exercises according to the instructions. The rehabilitation management unit 193 uses the camera 160 to photograph the user exercising. Further, for example, the rehabilitation management unit 193 may instruct the user to exercise based on the captured image. Specifically, for example, the rehabilitation management unit 193 stores information such as correct posture related to rehabilitation. The rehabilitation management unit 193 also stores information based on goals set for the user. Goal-based information is, for example, range of motion, direction of motion, number of repetitions. For example, the rehabilitation management unit 193 compares the result of image analysis of the captured image with this information, and instructs the user to perform exercise suitable for rehabilitation.

In step S<b>43 , the transmitting/receiving unit 192 transmits to the first server 20 information indicating that the user has performed rehabilitation, information indicating the start time, and image data regarding the captured image.

If the user does not perform the scheduled rehabilitation, the rehabilitation management unit 193 notifies the user that the rehabilitation has not been performed. Specifically, for example, if the rehabilitation management unit 193 does not instruct to start rehabilitation even after a predetermined time has elapsed from the scheduled time, the rehabilitation management unit 193 notifies the user that the scheduled time for rehabilitation has passed. . Further, when the scheduled time for rehabilitation is not set, the rehabilitation management unit 193 determines whether or not the rehabilitation has been performed by a predetermined time on the day when the rehabilitation is scheduled to be performed. If rehabilitation has not been performed by the predetermined time, the rehabilitation management unit 193 notifies the user that rehabilitation has not been performed. When the rehabilitation is not continuously implemented, the rehabilitation management unit 193 may notify the user that the rehabilitation is not being implemented and present a problem caused by not continuing the rehabilitation.
For example, if the day ends without rehabilitation being performed, the rehabilitation management unit 193 notifies the first server 20 that no rehabilitation was performed on that day.

In step S<b>44 , the control unit 203 uses the rehabilitation management module 2037 to manage rehabilitation by the user. For example, the rehabilitation management module 2037 stores information received from the terminal device 10 in the rehabilitation management table 2027. The rehabilitation management module 2037 uses the transmission control module 2032 to transmit information to be stored in the rehabilitation management table 2027 to the hospital system 30 at a predetermined timing. The predetermined timing is, for example, the timing of backing up information once a day. This enables an administrator such as a doctor to grasp the rehabilitation state of the patient. Also, if there is a comment from the patient, the administrator confirms the comment. The administrator may reply to the comments or modify the schedule. This enables communication between the patient and the administrator based on actual data related to rehabilitation, and clears doubts about rehabilitation, enabling proper rehabilitation to be carried out. becomes. In addition, since the patient feels that the administrator will always cooperate, the patient's motivation to carry out rehabilitation is maintained.

The extraction module 2035 may extract information stored in the rehabilitation management table 2027 and provide it to the patient or sharer of the information. Specifically, for example, when a patient or an information sharer requests viewing of information related to rehabilitation, the extraction module 2035 reads the requested information from the rehabilitation management table 2027, and sends the read information to the requester. provide to

Rehabilitation management module 2037 also evaluates rehabilitation performed by the user. For example, the rehabilitation management module 2037 inputs the image data transmitted from the terminal device 10 to the learned model 2028 and acquires the patient's skeleton model included in the image data. The learned model 2028 may be prepared for each part targeted for rehabilitation. In this case, the image data is attached with, for example, identification information representing the rehabilitation target. Rehabilitation management module 2037 selects a trained model 2028 suitable for the user based on the identifying information. The rehabilitation management module 2037 quantifies the patient's motion based on the motion of the skeleton model linked to the patient's motion. The rehabilitation management module 2037 stores the measurement results in the rehabilitation management table 2027.

The rehabilitation management module 2037 acquires goals set for exercise on the corresponding day from, for example, the rehabilitation plan stored in the chart information table 2023 or the clinical path stored in the clinical path table 2024. Rehabilitation management module 2037 compares the measurement results with goals to evaluate rehabilitation for the corresponding days. For example, when the measurement result reaches the target, the rehabilitation management module 2037 determines that the rehabilitation on the corresponding day was appropriately performed. On the other hand, if the measurement result does not reach the target, the rehabilitation management module 2037 determines that the rehabilitation on the corresponding day could not be performed appropriately.

Rehabilitation management module 2037 may advise the user's exercise to reach the obtained goal based on the measurement results. For example, if the range of motion is narrower than the target, the rehabilitation management module 2037 presents information for assisting exercise so that the range of motion is in line with the target. Also, if there is room for improvement in the direction of movement, the rehabilitation management module 2037 presents information for assisting exercise so that the direction of movement is correct. Also, if the number of repetitions is less than the target, the rehabilitation management module 2037 encourages exercise so that the number of repetitions reaches the target.

In step S45, the rehabilitation management module 2037 proposes, for example, a doctor to change the rehabilitation plan according to the degree of achievement of the goal.

As described above, in the above-described embodiment, the control unit 203 causes the storage module 2033 to store in the storage unit 202 the information regarding the medical treatment of the patient provided by the medical institution. The control unit 203 uses the notification module 2036 to transmit information associated with the current day from the patient's schedule information included in the medical treatment information to the terminal used by the patient. As a result, the first server 20 can notify the patient of information required by the patient by push in accordance with the patient's clinical path (information about the schedule).

Therefore, according to this embodiment, the patient can easily check the information about his/her own medical treatment, so that the patient's anxiety can be alleviated.

Also, in the above embodiment, the notification module 2036 associates the information associated with the current day with the time associated with the information. As a result, the patient can grasp the time at which the event corresponding to the displayed information will be performed or the time at which the patient will perform the event, and the first server 20 stores the information that the patient is associated with the current day. It is possible to prevent the information from being forgotten.

Further, in the above embodiment, the notification module 2036 associates the information associated with the current day with the information of the medical institution related to the information. As a result, even if there are a plurality of registered medical institutions, the patient can grasp at a glance which medical institution the information pertains to. For this reason, convenience is improved when checking information on medical care.

Also, in the above embodiment, the notification module 2036 transmits information associated with the current day to the patient without a request from the patient. As a result, the first server 20 can notify the patient of important information that the patient does not know without a request from the patient.

Also, in the above embodiments, the notification module 2036 sends to the patient that there is information that has been updated since the last presentation of the information. As a result, the first server 20 can notify the patient of the update information that the patient does not know without a request from the patient.

In the above embodiment, the control unit 203 uses the extraction module 2035 to extract information on electronic medical records, information on orders, information on accounting, information on images, information on schedules of medical care, information on documents related to medical care, or any of these information. It accepts specification of information desired by the patient from information on medical care including a combination of at least two of them. The extraction module 2035 transmits information specified by the patient to the terminal used by the patient. This enables the first server 20 to provide the patient with detailed information on medical treatment together with information on the schedule.

Further, in the above-described embodiment, the control unit 203 uses the reception control module 2031 to receive information about medical care from the medical institution at predetermined intervals. The control unit 203 causes the storage module 2033 to store the received information about medical care in the storage unit 202 . This enables the first server 20 to accumulate the latest information stored in the medical institution.

Further, in the above embodiment, the control unit 203 allows the registration module 2034 to transmit information to a terminal used by a person other than the patient. The presentation control module 2038, at the request of the authorized person, transmits information regarding patient care to the terminal used by the authorized person. This makes it possible to share information about the patient's care with those involved with the patient.

Also, in the above embodiment, the registration module 2034 permits transmission of information for each medical institution or each department. As a result, the range of information sharing can be set as required, so that the patient's privacy can be appropriately protected.

<Modification>
Although the first server 20 evaluates the user's exercise in rehabilitation in the above-described embodiment, it is not limited to the first server 20 to evaluate the user's exercise. The terminal device 10 may evaluate the user's exercise.

For example, the control unit 190 may have a function of evaluating the user's exercise by analyzing images. For example, the control unit 190 analyzes an exercise image captured by the camera 160, recognizes the user included in the image, and quantifies the exercise performed by the recognized user. Specifically, for example, the storage unit 180 stores a learned model for creating a skeleton model of the user based on the image of the user. This trained model is, for example, a model similar to the trained model 2028 stored in the storage unit 202 .

The learned model stored in the storage unit 180 may be a model according to the user's rehabilitation plan. For example, the part to be exercised in rehabilitation differs depending on the disease. The learned model is trained to output a skeletal model corresponding to each part, for example. A trained model can be downloaded from the first server 20, for example, when rehabilitation is started. Since the trained model outputs a skeletal model corresponding to the disease, it is possible to reduce the amount of calculation in the terminal device 10 .

The control unit 190 transmits to the first server 20 the result of digitizing the patient's motion.

The controller 190 evaluates the patient's motion based on the measurement results. For example, the control unit 190 acquires the goal set for the exercise of the corresponding day from the rehabilitation plan stored in the chart information table 2023, the clinical path stored in the clinical path table 2024, or the like. The control unit 190 compares the measurement result with the target and evaluates the rehabilitation on the corresponding day. The control unit 190 transmits the evaluation result to the first server 20 .

When the control unit 190 transmits the result of digitizing the patient's exercise, the evaluation result of the exercise, or both of them to the first server 20, for example, the terminal device 10 sends an image of the exercise related to rehabilitation to the first server. It does not have to be sent to the server 20 . This reduces the amount of communication between the terminal device 10 and the first server 20 .

Further, in the above-described embodiment, a case has been described in which the content that makes the user aware of the implementation of rehabilitation is displayed in the area 1412 of the display 141 of the terminal device 10 . However, the time required for rehabilitation may be displayed together with the content that makes the user aware of the implementation of rehabilitation. In addition, in the area 1412, the content that makes the user aware of the implementation of the training may be displayed, and the content that makes the user aware of the implementation of the training may be displayed together with the time required for the training.

Also, in the above embodiment, the rehabilitation management module 2037 proposes a change in the rehabilitation plan to the doctor according to the degree of achievement of the goal. However, the rehab management module 2037's suggestion of a change to the rehabilitation plan is not limited to the degree of achievement against a goal. The first server 20 can acquire information about the life of the user via the terminal device 10 . For example, the terminal device 10 acquires predetermined sensing information acquired when the user lives. Predetermined sensing information includes, for example, information acquired by a wearable device, information acquired by a device provided in the terminal device 10, and the like. In addition, the terminal device 10 acquires predetermined information in the user's life from input by the user himself/herself. The predetermined information includes, for example, the floor plan of the user's house, the living environment, the user's movement environment (car, train, etc.), family composition, and the like. The rehabilitation management module 2037 proposes changes to the rehabilitation plan to the doctor based on the information about the user's life acquired from the terminal device 10 . The rehabilitation management module 2037, for example, grasps inadequate exercise in daily life, and proposes to the doctor to add exercise corresponding to the exercise estimated to be inadequate. In addition, the rehabilitation management module 2037, for example, grasps exercise that is sufficient in daily life, and proposes to the doctor to reduce exercise that is estimated to be omitted.

<4 Basic hardware configuration of computer>
FIG. 24 is a block diagram showing the basic hardware configuration of computer 90. As shown in FIG. The computer 90 includes at least a processor 91, a main storage device 92, an auxiliary storage device 93, and a communication IF 99 (interface). These are electrically connected to each other by a bus.

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

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

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

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

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

<Basic Functional Configuration of Computer 90>
A functional configuration of the computer realized by the basic hardware configuration of the computer 90 shown in FIG. 24 will be described. The computer includes at least functional units of a control section, a storage section, and a communication section.

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

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

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

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

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

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

<Appendix>
The items described in the above embodiments will be added below.
(Appendix 1)
A program to be executed by a computer comprising a processor and a memory, the program comprising a step of storing, in a storage unit, information relating to medical treatment of a patient provided by a medical institution in the processor; a step of transmitting information associated with the current day to a terminal used by the patient from the information on the patient's schedule, which is received by the patient.
(Appendix 2)
The program according to (Appendix 1), wherein in the transmitting step, the information associated with the current day is associated with the time associated with the information.
(Appendix 3)
The program according to (Appendix 1) or (Appendix 2), wherein in the transmitting step, the information associated with the current day is associated with the information of the medical institution related to the information.
(Appendix 4)
The program according to any one of (Appendix 1) to (Appendix 3), wherein in the sending step, the information associated with the current day is sent to the patient without a request from the patient.
(Appendix 5)
The program according to any one of (Appendix 1) to (Appendix 4), wherein, in the transmitting step, information updated since the presentation of the previous information exists to the patient.
(Appendix 6)
Information requested by the patient from information related to medical care, including information related to electronic medical records, information related to orders, information related to accounting, information related to images, information related to schedules of medical care, information related to written medical care, or a combination of at least two of these. and sending the information specified by the patient to the terminal used by the patient.
(Appendix 7)
The program according to any one of (Appendix 1) to (Appendix 6), causing a processor to execute a step of receiving information on medical treatment from a medical institution at a predetermined cycle and a step of storing the received information on medical treatment.
(Appendix 8)
causing a processor to perform the steps of authorizing transmission of information to a terminal used by a person other than the patient; and transmitting information relating to patient care to a terminal used by the authorized person in response to a request from the authorized person. The program according to any one of (Appendix 1) to (Appendix 7).
(Appendix 9)
The program according to (Appendix 8), wherein, in the step of permitting transmission of information to a patient, transmission of information is permitted for each medical institution or each department.
(Appendix 10)
A computer-implemented method comprising a processor and a memory, wherein the processor performs the steps of any one of (Appendix 1) to (Appendix 9).
(Appendix 11)
An information processing apparatus comprising a control unit and a storage unit, wherein the control unit executes the steps according to any one of (Appendix 1) to (Appendix 9).
(Appendix 12)
A system comprising means for performing the steps of any one of (1) to (9).

DESCRIPTION OF SYMBOLS 1... System 10... Terminal device 120... Communication part 13... Input device 131... Touch sensitive device 14... Output device 15... Memory 16... Storage 19... Processor 20... First server 22... Communication IF
23 input/output IF
25... Memory 26... Storage 29... Processor

Claims (12)

A program to be executed by a computer comprising a processor and a memory, the program comprising:
a step of storing in a storage unit information regarding the medical treatment of the patient provided by the medical institution;
From the information about the contents that may occur in the medical treatment for the patient and the information about the schedule in which the precautions are summarized in chronological order, which are included in the information about the medical treatment, the patient can determine the contents or the precautions that are associated with the day. A program that causes a step to be sent to the terminal to be used. 2. The program according to claim 1, wherein, in said transmitting step, the content or caution associated with said current day is associated with a time related to said content or caution . 2. The program according to claim 1, wherein, in said transmitting step, information of a medical institution related to said contents or notes is associated with said contents or notes associated with said day. 2. The program according to claim 1, wherein in the transmitting step, the contents or notes associated with the current day are transmitted to the patient without a request from the patient. Information on electronic medical records, information on orders, information on accounting, information on images, information on schedules in which contents and precautions that may occur in medical care for the patient are summarized in chronological order, information on documents related to medical care, or a step of receiving designation of information desired by the patient from medical care information including a combination of at least two of these;
2. The program according to claim 1, causing the processor to execute a step of transmitting information specified by the patient to a terminal used by the patient. 6. The program according to claim 5, causing the processor to perform the step of notifying that there is updated information when the information regarding medical care is updated. a step of receiving information on the medical care from a medical institution at a predetermined cycle;
2. The program according to claim 1, causing the processor to execute a step of accumulating the received information regarding the medical care. allowing transmission of information to a terminal used by a person other than the patient;
2. The program according to claim 1, causing the processor to execute a step of transmitting information regarding medical treatment of the patient to a terminal used by the authorized person in response to a request from the person. 9. The program according to claim 8, wherein in the step of permitting transmission of information to said person, transmission of information is permitted for each medical institution or each department. 10. A computer-implemented method comprising a processor and a memory, said processor performing the steps of any of claims 1-9. An information processing apparatus comprising a control section and a storage section, wherein the control section executes the steps according to any one of claims 1 to 9. A system comprising means for performing the steps of any of claims 1-9.

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