TWI803394B - Astham management information system and its using method - Google Patents
Astham management information system and its using method Download PDFInfo
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本發明係有關一種氣喘管理資訊系統及其使用方法,尤指一種兼具候診前之準備以減少看診時間且可預先完成氣喘風險計算、指示燈設計便於快速判讀氣喘風險以減少突發狀況,及提高外出安全性之氣喘管理資訊系統及其使用方法。 The present invention relates to an asthma management information system and its use method, especially a preparation before waiting for a doctor to reduce the consultation time and complete the calculation of asthma risk in advance. And the asthma management information system and its application method to improve the safety of going out.
對社會大眾來說,活動能力、社交與戶外運動是生活不可缺少的一環;對氣喘患者亦是如此。 Mobility, social interaction and outdoor play are integral parts of life for the general public; the same is true for people with asthma.
誘發氣喘發作的危險因子包含個人疾病因素、藥物使用配合度、…,及環境因子(例如:氣候、溫度、濕度及空氣品質)等,前述任一危險因子均可能讓氣喘患者引發氣喘,降低生活品質,嚴重者甚至可能危及生命。 Risk factors that induce asthma attacks include personal disease factors, drug use compliance, ..., and environmental factors (such as climate, temperature, humidity, and air quality). In severe cases, it may even be life-threatening.
然而,一樣的危險因子對於控制良好以及肺功能較好者,風險較低,但對於控制不良者,風險變得較高。 However, for the same risk factors, the risk is lower in well-controlled individuals with better lung function, but becomes higher in poorly controlled individuals.
目前並無整合誘發氣喘發作的危險因子之資訊系統,亦無可提供氣喘患者在戶外行動前之風險評估工具。 At present, there is no information system that integrates risk factors that induce asthma attacks, nor can it provide risk assessment tools for asthmatic patients before taking outdoor activities.
有鑑於此,必須研發出可解決上述習用缺點之技術。 In view of this, must develop the technology that can solve above-mentioned conventional shortcoming.
本發明之目的,在於提供一種氣喘管理資訊系統及其使用方法,其兼具看診前預先輸入相關資訊提供就醫參考可大幅減少看診時間、指示燈設計便於快速判讀氣喘風險資訊接受度高,及風險計算可減少突發狀況提高外出安全性等 優點。特別是,本發明所欲解決之問題係在於目前並無整合誘發氣喘發作的危險因子之資訊系統,亦無可提供氣喘患者在戶外行動前之風險評估工具等問題。 The purpose of the present invention is to provide an asthma management information system and its use method, which has the advantages of pre-inputting relevant information before seeing a doctor to provide medical reference, which can greatly reduce the time of seeing a doctor, and the design of the indicator light is convenient for quick interpretation of asthma risk information. And risk calculation can reduce emergencies and improve the safety of going out, etc. advantage. In particular, the problem to be solved by the present invention is that there is currently no information system that integrates risk factors that induce asthma attacks, nor can it provide risk assessment tools for asthmatic patients before taking outdoor actions.
解決上述問題之技術手段係提供一種氣喘管理資訊系統及其使用方法,關於氣喘管理資訊系統的部分,係包括:一病患使用單元,係至少具有一病患資訊介面部及一病患資訊傳輸部;該病患資訊介面部係用以對該病患使用單元輸入一病患資訊,該病患資訊係包括氣喘控制測驗問卷、身體質量指數、定量噴霧吸入劑使用配合度及每日平均抽菸支數,該病患資訊傳輸部係供該病患使用單元對外無線連結;至少一醫療使用單元,係無線連結該病患使用單元,該醫療使用單元係至少具有一醫療資訊介面部及一醫療資訊傳輸部;該醫療資訊介面部係用以對該醫療使用單元輸入一醫療資訊,該醫療資訊係包括用力呼氣一秒量/用力肺活量(%)及共病症數量,該醫療資訊傳輸部係供該醫療使用單元無線連結該病患使用單元;一環境監控單元,係無線連結該病患使用單元及該至少一醫療使用單元,該環境監控單元係用以監控並即時輸出查詢座標之一環境資訊;該環境資訊係包括空氣品質指標、天氣溫度、天氣溫度差及天氣濕度;一氣喘資料單元,係無線連結該病患使用單元、該至少一醫療使用單元及該環境監控單元,並用以擷取該病患資訊、該醫療資訊及該環境資訊;該氣喘資料單元係具有一資訊傳輸部及一風險計算模組,該資訊傳輸部係供該氣喘資料單元無線連結該病患使用單元、該至少一醫療使用單元及該環境監控單元,該風險計算模組係用以將該病患資訊、該醫療資訊及該環境資訊並代入下列(公式1),以進行氣喘風險計算:
S=[(S1+S2+S3+S4)/ni+(S5+S6)/2+(S7+S8+S9+S10)/4]/3×100% (公式1);其中:S1係定義為μ[ACT];μ[ACT]係為氣喘控制測驗問卷之模糊歸屬函數,其係為一第一梯形曲線,該第一梯形曲線係具有一第一梯形左下頂點、一第一梯形左上頂點、一第一梯形右上頂點及一第一梯形右下頂點,前述四個頂點對應歸屬函數輸入值分別為5、5、14、25;S2係定義為μ[FEV1/FVC];μ[FEV1/FVC]係為用力呼氣一秒量/用力肺活量(%)之模糊歸屬函數,其係為一第二梯形曲線,該第二梯形曲線係具有一第二梯形左下頂點、一第二梯形左上頂點、一第二梯形右上頂點及一第二梯形右下頂點,前述四個頂點對應歸屬函數輸入值分別為0、0、70、100;S3係定義為μ[BMI];μ[BMI]係為身體質量指數之模糊歸屬函數,其係為一第三梯形曲線,該第三梯形曲線係具有一第三梯形左下頂點、一第三梯形左上頂點、一第三梯形右上頂點及一第三梯形右下頂點,前述四個頂點對應歸屬函數輸入值分別為10、28、60、60;S4係定義為μ[comb];μ[comb]係為共病症數量之模糊歸屬函數,其係為一第四梯形曲線,該第四梯形曲線係具有一第四梯形左下頂點、一第四梯形左上頂點、一第四梯形右上頂點及一第四梯形右下頂點,前述四個頂點對應歸屬函數輸入值分別為0、2、10、10;前述(公式1)中之ni係對應S1至S4之數,而介於1至4;當S1至S4其中有3數值為0,則ni為1;當S1至S4其中有2數值為0,則ni為2;當S1至S4其中有1數值為0,則ni為3;及當S1至S4其中沒有數值為0,則ni為4;
S5係定義為μ[MDI];μ[MDI]係為定量噴霧吸入劑使用配合度之模糊歸屬函數,其係為一第五梯形曲線,該第五梯形曲線係具有一第五梯形左下頂點、一第五梯形左上頂點、一第五梯形右上頂點及一第五梯形右下頂點,前述四個頂點對應歸屬函數輸入值分別為0、0、60、100;S6係定義為μ[Smoking];μ[Smoking]係為每日平均抽菸支數之模糊歸屬函數,其係為一第六梯形曲線,該第六梯形曲線係具有一第六梯形左下頂點、一第六梯形左上頂點、一第六梯形右上頂點及一第六梯形右下頂點,前述四個頂點對應歸屬函數輸入值分別為0、12、50、50;S7係定義為μ[AQI];μ[AQI]係為空氣品質指標之模糊歸屬函數,其係為一第七梯形曲線,該第七梯形曲線係具有一第七梯形左下頂點、一第七梯形左上頂點、一第七梯形右上頂點及一第七梯形右下頂點,前述四個頂點對應歸屬函數輸入值分別為0、150、500、500;S8係定義為μ[T];μ[T]係為天氣溫度之模糊歸屬函數,其係為一第八倒梯形曲線,該第八倒梯形曲線係具有一第八倒梯形左上頂點、一第八倒梯形左下頂點、一第八倒梯形右下頂點及一第八倒梯形右上頂點,前述四個頂點對應歸屬函數輸入值分別為-10、10、30、50;S9係定義為μ[△T];μ[△T]係為測量地點之天氣溫度差之模糊歸屬函數,其係為一第九梯形曲線,該第九梯形曲線係具有一第九梯形左下頂點、一第九梯形左上頂點、一第九梯形右上頂點及一第九梯形右下頂點,前述四個頂點對應歸屬函數輸入值分別為0、10、50、50;S10係定義為μ[Humidity],μ[Humidity]係為天氣濕度之模糊歸屬函數,其係為一第十倒梯形曲線,該第十倒梯形曲線係具有一第十倒梯形左上頂點、一第十倒梯形左下頂點、一第十倒梯形右下頂點及一第十倒梯形右上頂點,前述四個頂點對應歸屬函數輸入值分別為0、40、80、100;
且該風險計算模組並於計算完畢輸出一氣喘風險資訊,以供利用;及一雲端連結單元,係無線連結該病患使用單元、該醫療使用單元、該環境監控單元,及該氣喘資料單元,用以傳遞該病患資訊、該醫療資訊、該環境資訊及該氣喘風險資訊。
The technical means to solve the above problems is to provide an asthma management information system and its use method. The part about the asthma management information system includes: a patient use unit, which has at least a patient information interface and a patient information transmission Part; the patient information interface is used to input a patient information to the patient using the unit, the patient information system includes the asthma control test questionnaire, body mass index, metered spray inhaler use compliance and daily average smoking The number of cigarettes, the patient information transmission unit is used for external wireless connection of the patient use unit; at least one medical use unit is wirelessly connected to the patient use unit, and the medical use unit has at least one medical information interface part and one Medical information transmission department; the medical information interface is used to input medical information to the medical use unit, the medical information includes forced exhalation in one second/forced vital capacity (%) and the number of comorbidities, the medical information transmission department The medical unit is wirelessly connected to the patient unit; an environmental monitoring unit is wirelessly connected to the patient unit and the at least one medical unit, and the environmental monitoring unit is used to monitor and output one of the query coordinates in real time Environmental information; the environmental information includes air quality indicators, weather temperature, weather temperature difference, and weather humidity; an asthma data unit is wirelessly connected to the patient use unit, the at least one medical use unit and the environmental monitoring unit, and used to Retrieve the patient information, the medical information, and the environmental information; the asthma data unit has an information transmission unit and a risk calculation module, and the information transmission unit is for the asthma data unit to wirelessly connect to the patient use unit, For the at least one medical use unit and the environmental monitoring unit, the risk calculation module is used to substitute the patient information, the medical information and the environmental information into the following (Formula 1) to calculate the risk of asthma: S=[ (
關於使用方法的部分,係包括下列步驟:一、準備步驟;二、輸入及讀取資訊步驟;三、風險計算模組運算步驟;及四、氣喘風險資訊輸出步驟。 The part about the method of use includes the following steps: 1. Preparation step; 2. Step of inputting and reading information; 3. Operation step of risk calculation module; and 4. Step of outputting asthma risk information.
本發明之上述目的與優點,不難從下述所選用實施例之詳細說明與附圖中,獲得深入瞭解。 The above objects and advantages of the present invention can be easily understood from the detailed description of the following selected embodiments and the accompanying drawings.
茲以下列實施例並配合圖式詳細說明本發明於後: The present invention is hereafter described in detail with the following embodiments and accompanying drawings:
10:病患使用單元 10: Patient use unit
11:病患資訊介面部 11: Patient Information Interface Section
12:病患資訊傳輸部 12:Patient Information Transmission Department
20:醫療使用單元 20: Medical use unit
21:醫療資訊介面部 21:Medical Information Interface Section
22:醫療資訊傳輸部 22:Medical Information Transmission Department
30:環境監控單元 30:Environmental monitoring unit
40:氣喘資料單元 40: Asthma Information Unit
41:資訊傳輸部 41:Information Transmission Department
50:雲端連結單元 50:Cloud connection unit
M11:病患資訊 M11: Patient Information
M12:病患輔助資訊 M12: Patient Support Information
M2A:醫療資訊 M2A:Medical Information
M2B:回應醫療資訊 M2B: Responding to Medical Information
M21:個管師資訊 M21: Personal manager information
M22:醫師資訊 M22: Physician Information
M3:環境資訊 M3: Environmental information
M4:氣喘風險資訊 M4: Asthma Risk Information
S:風險計算模組 S: Risk calculation module
L1:第一梯形曲線 L1: first trapezoidal curve
L2:第二梯形曲線 L2: second trapezoidal curve
L3:第三梯形曲線 L3: third trapezoidal curve
L4:第四梯形曲線 L4: fourth trapezoidal curve
L5:第五梯形曲線 L5: fifth trapezoidal curve
L6:第六梯形曲線 L6: sixth trapezoidal curve
L7:第七梯形曲線 L7: seventh trapezoidal curve
L8:第八倒梯形曲線 L8: Eighth inverted trapezoidal curve
L9:第九梯形曲線 L9: ninth trapezoidal curve
L10:第十倒梯形曲線 L10: tenth inverted trapezoidal curve
PA1:第一梯形左下頂點 PA1: the bottom left vertex of the first trapezoid
PA2:第一梯形左上頂點 PA2: the upper left vertex of the first trapezoid
PA3:第一梯形右上頂點 PA3: the upper right vertex of the first trapezoid
PA4:第一梯形右下頂點 PA4: the bottom right vertex of the first trapezoid
PB1:第二梯形左下頂點 PB1: the bottom left vertex of the second trapezoid
PB2:第二梯形左上頂點 PB2: the upper left vertex of the second trapezoid
PB3:第二梯形右上頂點 PB3: the upper right vertex of the second trapezoid
PB4:第二梯形右下頂點 PB4: the bottom right vertex of the second trapezoid
PC1:第三梯形左下頂點 PC1: the lower left vertex of the third trapezoid
PC2:第三梯形左上頂點 PC2: the upper left vertex of the third trapezoid
PC3:第三梯形右上頂點 PC3: the upper right vertex of the third trapezoid
PC4:第三梯形右下頂點 PC4: the bottom right vertex of the third trapezoid
PD1:第四梯形左下頂點 PD1: the bottom left vertex of the fourth trapezoid
PD2:第四梯形左上頂點 PD2: the upper left vertex of the fourth trapezoid
PD3:第四梯形右上頂點 PD3: the upper right vertex of the fourth trapezoid
PD4:第四梯形右下頂點 PD4: the bottom right vertex of the fourth trapezoid
PE1:第五梯形左下頂點 PE1: the bottom left vertex of the fifth trapezoid
PE2:第五梯形左上頂點 PE2: the upper left vertex of the fifth trapezoid
PE3:第五梯形右上頂點 PE3: the upper right vertex of the fifth trapezoid
PE4:第五梯形右下頂點 PE4: the bottom right vertex of the fifth trapezoid
PF1:第六梯形左下頂點 PF1: the lower left vertex of the sixth trapezoid
PF2:第六梯形左上頂點 PF2: the upper left vertex of the sixth trapezoid
PF3:第六梯形右上頂點 PF3: the upper right vertex of the sixth trapezoid
PF4:第六梯形右下頂點 PF4: the lower right vertex of the sixth trapezoid
PG1:第七梯形左下頂點 PG1: the lower left vertex of the seventh trapezoid
PG2:第七梯形左上頂點 PG2: the upper left vertex of the seventh trapezoid
PG3:第七梯形右上頂點 PG3: the upper right vertex of the seventh trapezoid
PG4:第七梯形右下頂點 PG4: the lower right vertex of the seventh trapezoid
PH1:第八倒梯形左上頂點 PH1: The upper left vertex of the eighth inverted trapezoid
PH2:第八倒梯形左下頂點 PH2: The lower left vertex of the eighth inverted trapezoid
PH3:第八倒梯形右下頂點 PH3: The lower right vertex of the eighth inverted trapezoid
PH4:第八倒梯形右上頂點 PH4: The upper right vertex of the eighth inverted trapezoid
PI1:第九梯形左下頂點 PI1: the lower left vertex of the ninth trapezoid
PI2:第九梯形左上頂點 PI2: the upper left vertex of the ninth trapezoid
PI3:第九梯形右上頂點 PI3: the upper right vertex of the ninth trapezoid
PI4:第九梯形右下頂點 PI4: the bottom right vertex of the ninth trapezoid
PJ1:第十倒梯形左上頂點 PJ1: the top left vertex of the tenth inverted trapezoid
PJ2:第十倒梯形左下頂點 PJ2: the lower left vertex of the tenth inverted trapezoid
PJ3:第十倒梯形右下頂點 PJ3: the lower right vertex of the tenth inverted trapezoid
PJ4:第十倒梯形右上頂點 PJ4: the upper right vertex of the tenth inverted trapezoid
N1:準備步驟 N1: Preparatory steps
N2:輸入及讀取資訊步驟 N2: Input and read information steps
N3:風險計算模組運算步驟 N3: Operation steps of risk calculation module
N4:氣喘風險資訊輸出步驟 N4: Asthma risk information output steps
第1圖係本發明之裝置之示意圖。 Figure 1 is a schematic diagram of the device of the present invention.
第2圖係本發明之氣喘控制問卷(μ[ACT])之梯形曲線圖。 Fig. 2 is a trapezoidal graph of the asthma control questionnaire (μ[ACT]) of the present invention.
第3圖係本發明之用力呼氣一秒量/用力肺活量(%)(μ[FEV1/FVC])之梯形曲線圖。 Fig. 3 is a trapezoidal curve of forced exhalation in one second/forced vital capacity (%) (μ[FEV1/FVC]) according to the present invention.
第4圖係本發明之身體質量指數(μ[BMI])之梯形曲線圖。 Fig. 4 is a trapezoidal graph of the body mass index (μ [BMI]) of the present invention.
第5圖係本發明之共病症數量(μ[COMB])之梯形曲線圖。 Figure 5 is a trapezoidal graph of the number of comorbidities (μ[COMB]) of the present invention.
第6圖係本發明之定量噴霧吸入劑使用配合度(μ[MDI])之梯形曲線圖。 Fig. 6 is a trapezoidal curve diagram of the usage compatibility degree (μ [MDI]) of the metered dose spray inhaler of the present invention.
第7圖係本發明之每日平均抽菸支數(μ[Smoking])之梯形曲線圖。 Figure 7 is a trapezoidal graph of the average number of cigarettes per day (μ[Smoking]) of the present invention.
第8圖係本發明之空氣品質指標(μ[AQI])之梯形曲線圖。 Figure 8 is a trapezoidal graph of the air quality index (μ[AQI]) of the present invention.
第9圖係本發明之天氣(攝氏)溫度(μ[Temperature])之梯形曲線圖。 Fig. 9 is a trapezoidal graph of weather (Celsius) temperature (μ[Temperature]) of the present invention.
第10圖係本發明之天氣(攝氏)溫度差(μ[Temperature Change])之梯形曲線圖。 Fig. 10 is a trapezoidal graph of weather (Celsius) temperature difference (μ [Temperature Change]) of the present invention.
第11圖係本發明之天氣濕度(μ[Humidity])之梯形曲線圖。 Fig. 11 is a trapezoidal graph of weather humidity (μ [Humidity]) of the present invention.
第12圖係本發明之歸屬函數之梯形曲線圖。 Fig. 12 is a trapezoidal curve diagram of the belonging function of the present invention.
第13圖係本發明之使用方法之流程圖。 Fig. 13 is a flowchart of the method of use of the present invention.
參閱第1、第2、第3、第4、第5、第6、第7、第8、第9、第10及第11圖,本發明係為一種氣喘管理資訊系統及其使用方法,關於該氣喘管理資訊系統的部分,其係包括:一病患使用單元10,係至少具有一病患資訊介面部11及一病患資訊傳輸部12;該病患資訊介面部11係用以對該病患使用單元10輸入一病患資訊M11,該病患資訊M11係包括氣喘控制測驗問卷、身體質量指數、定量噴霧吸入劑使用配合度及每日平均抽菸支數;該病患資訊傳輸部12係供該病患使用單元10對外無線連結。
Referring to Figures 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11, the present invention is an asthma management information system and its use method. The part of the asthma management information system includes: a
至少一醫療使用單元20,係無線連結該病患使用單元10,該醫療使用單元20係至少具有一醫療資訊介面部21及一醫療資訊傳輸部22;該醫療資訊介面部21係用以對該醫療使用單元20輸入一醫療資訊M2A;該醫療資訊M2A係包括用力呼氣一秒量/用力肺活量(%)及共病症數量,該醫療資訊傳輸部22係供該醫療使用單元20無線連結該病患使用單元10。
At least one
一環境監控單元30,係無線連結該病患使用單元10及該至少一醫療使用單元20,該環境監控單元30係用以監控並即時輸出查詢座標之一環境資訊M3;該環境資訊M3係包括空氣品質指標、天氣溫度、天氣溫度差及天氣濕度。
An
一氣喘資料單元40,係無線連結該病患使用單元10、該至少一醫療使用單元20及該環境監控單元30,並用以擷取該病患資訊M11、該醫療資訊M2A及該環境資訊M3。該氣喘資料單元40係具有一資訊傳輸部41及一風險計算模組S,該資訊傳輸部41係供該氣喘資料單元40無線連結該病患使用單元10、該至
少一醫療使用單元20及該環境監控單元30,該風險計算模組S係用以將該病患資訊M11、該醫療資訊M2A及該環境資訊M3其中至少一者代入下列(公式1),以進行氣喘風險計算:S=[(S1+S2+S3+S4)/ni+(S5+S6)/2+(S7+S8+S9+S10)/4]/3×100% (公式1)。
An
首先:S1-S4係為個人健康狀態因素;S5-S6係為個人配合度因素;S7-S10係為環境風險因素;及ni係為變數。 First of all: S1- S4 series are personal health status factors; S5 - S6 series are personal cooperation factors; S7 - S10 series are environmental risk factors; and ni series are variables.
其中: in:
S1係定義為μ[ACT];ACT係為Asthma Control Test之縮寫,中文為氣喘控制測驗問卷,μ[ACT]係為氣喘控制測驗問卷之模糊歸屬函數,如第2圖所示,其可以一第一梯形曲線L1表示,該第一梯形曲線L1係具有一第一梯形左下頂點PA1、一第一梯形左上頂點PA2、一第一梯形右上頂點PA3及一第一梯形右下頂點PA4,前述四個頂點對應歸屬函數輸入值分別為5、5、14、25。 S1 is defined as μ[ACT]; ACT is the abbreviation of Asthma Control Test, the Chinese is the Asthma Control Test Questionnaire, and μ[ACT] is the fuzzy attribution function of the Asthma Control Test Questionnaire, as shown in Figure 2, which can be The first trapezoidal curve L1 represents that the first trapezoidal curve L1 has a first trapezoidal lower left vertex PA1, a first trapezoidal upper left vertex PA2, a first trapezoidal upper right vertex PA3 and a first trapezoidal lower right vertex PA4, the aforementioned four Vertices corresponding to the input values of the membership function are 5, 5, 14, 25 respectively.
S2係定義為μ[FEV1/FVC];FEV1為Forced expiratory volume in 1 second之縮寫,中文為用力呼氣一秒量;FVC為Forced vital capacity之縮寫,中文為用力肺活量,μ[FEV1/FVC]係為用力呼氣一秒量/用力肺活量(%)之模糊歸屬函數,如第3圖所示,其可以一第二梯形曲線L2表示,該第二梯形曲線L2係具有一第二梯形左下頂點PB1、一第二梯形左上頂點PB2、一第二梯形右上頂點PB3及一第二梯形右下頂點PB4,前述四個頂點對應歸屬函數輸入值分別為0、0、70、100。 S2 is defined as μ[FEV1/FVC]; FEV1 is the abbreviation of Forced expiratory volume in 1 second, which means forced expiratory volume in one second in Chinese; FVC is the abbreviation of Forced vital capacity, which is forced vital capacity in Chinese, μ[FEV1/FVC] It is the fuzzy attribution function of forced exhalation in one second/forced vital capacity (%), as shown in Fig. 3, it can be represented by a second trapezoidal curve L2, and the second trapezoidal curve L2 has a second trapezoidal lower left apex PB1, a second upper left vertex PB2 of the second trapezoid, a second upper right vertex PB3 of the second trapezoid, and a second lower right vertex PB4 of the second trapezoid.
S3係定義為μ[BMI];BMI為Body Mass Index之縮寫,中文為身體質量指數,μ[BMI]係為身體質量指數之模糊歸屬函數,如第4圖所示,其可以一第三梯 形曲線L3表示,該第三梯形曲線L3係具有一第三梯形左下頂點PC1、一第三梯形左上頂點PC2、一第三梯形右上頂點PC3及一第三梯形右下頂點PC4,前述四個頂點對應歸屬函數輸入值分別為10、28、60、60。 S3 is defined as μ[BMI]; BMI is the abbreviation of Body Mass Index, which means body mass index in Chinese, and μ[BMI] is the fuzzy attribution function of body mass index, as shown in Figure 4, which can be a third ladder Shaped curve L3 shows that this third trapezoidal curve L3 has a third trapezoidal lower left vertex PC1, a third trapezoidal upper left vertex PC2, a third trapezoidal upper right vertex PC3 and a third trapezoidal lower right vertex PC4, the aforementioned four vertices The corresponding input values of the membership function are 10, 28, 60, and 60, respectively.
S4係定義為μ[comb];comb為Comorbidity之縮寫,中文為共病症數量,μ[comb]係為共病症數量之模糊歸屬函數,如第5圖所示,其可以一第四梯形曲線L4表示,該第四梯形曲線L4係具有一第四梯形左下頂點PD1、一第四梯形左上頂點PD2、一第四梯形右上頂點PD3及一第四梯形右下頂點PD4,前述四個頂點對應歸屬函數輸入值分別為0、2、10、10。 S4 is defined as μ[comb]; comb is the abbreviation of Comorbidity, Chinese is the number of comorbidities, and μ[comb] is the fuzzy belonging function of the number of comorbidities, as shown in Figure 5, which can be a fourth trapezoidal curve L4 Indicates that the fourth trapezoidal curve L4 has a fourth trapezoidal lower left vertex PD1, a fourth trapezoidal upper left vertex PD2, a fourth trapezoidal upper right vertex PD3 and a fourth trapezoidal lower right vertex PD4, and the aforementioned four vertices correspond to the membership function The input values are 0, 2, 10, 10 respectively.
前述(公式1)中之ni係對應S1至S4之數,而介於1至4;當S1至S4其中有3數值為0,則ni為1;當S1至S4其中有2數值為0,則ni為2;當S1至S4其中有1數值為0,則ni為3;當S1至S4其中沒有數值為0,則ni為4。 The ni in the aforementioned (Formula 1) corresponds to the number of S1 to S4, and is between 1 and 4; when three of S1 to S4 have a value of 0, then ni is 1; when two of S1 to S4 have a value of 0, Then ni is 2; when one of S1 to S4 has a value of 0, then ni is 3; when none of S1 to S4 has a value of 0, then ni is 4.
補充說明,一般S1至S4其中不可能全部為0。 As a supplementary note, generally S1 to S4 cannot all be 0.
S5係定義為μ[MDI];MDI為metered-dose inhaler之縮寫,中文為定量噴霧吸入劑使用配合度,μ[MDI]係為定量噴霧吸入劑使用配合度之模糊歸屬函數,如第6圖所示,其可以一第五梯形曲線L5表示,該第五梯形曲線L5係具有一第五梯形左下頂點PE1、一第五梯形左上頂點PE2、一第五梯形右上頂點PE3及一第五梯形右下頂點PE4,前述四個頂點對應歸屬函數輸入值分別為0、0、60、100。 S5 is defined as μ[MDI]; MDI is the abbreviation of metered-dose inhaler. As shown, it can be represented by a fifth trapezoidal curve L5, which has a fifth trapezoidal lower left apex PE1, a fifth trapezoidal upper left apex PE2, a fifth trapezoidal upper right apex PE3 and a fifth trapezoidal right apex For the lower vertex PE4, the input values of the membership functions corresponding to the aforementioned four vertices are 0, 0, 60, and 100, respectively.
且前述配合度係可定義:完全不配合為0、偶而配合為60、大多配合為80、完全配合為100。 And the above-mentioned matching degree system can be defined: no matching at all is 0, occasional matching is 60, most matching is 80, and complete matching is 100.
S6係定義為μ[Smoking];Smoking定義為每日平均抽菸支數,μ[Smoking]係為每日平均抽菸支數之模糊歸屬函數,如第7圖所示,其可以一第六梯形曲 線L6表示,該第六梯形曲線L6係具有一第六梯形左下頂點PF1、一第六梯形左上頂點PF2、一第六梯形右上頂點PF3及一第六梯形右下頂點PF4,前述四個頂點對應歸屬函數輸入值分別為0、12、50、50。 S6 is defined as μ[Smoking]; Smoking is defined as the daily average number of cigarettes smoked, and μ[Smoking] is the fuzzy attribution function of the daily average number of cigarettes smoked, as shown in Figure 7, which can be a sixth Ladder Line L6 shows that this sixth trapezoidal curve L6 has a sixth trapezoidal lower left apex PF1, a sixth trapezoidal upper left apex PF2, a sixth trapezoidal upper right apex PF3 and a sixth trapezoidal lower right apex PF4, the aforementioned four vertices correspond to The input values of the membership function are 0, 12, 50, and 50, respectively.
S7係定義為μ[AQI];AQI為Air Quality Index之縮寫;中文為空氣品質指標,μ[AQI]係為空氣品質指標之模糊歸屬函數,如第8圖所示,其可以一第七梯形曲線L7表示,該第七梯形曲線L7係具有一第七梯形左下頂點PG1、一第七梯形左上頂點PG2、一第七梯形右上頂點PG3及一第七梯形右下頂點PG4,前述四個頂點對應歸屬函數輸入值分別為0、150、500、500。 S7 is defined as μ[AQI]; AQI is the abbreviation of Air Quality Index; Chinese is the air quality index, and μ[AQI] is the fuzzy belonging function of the air quality index, as shown in Figure 8, which can be a seventh trapezoid Curve L7 shows that this seventh trapezoidal curve L7 has a seventh trapezoidal lower left apex PG1, a seventh trapezoidal upper left apex PG2, a seventh trapezoidal upper right apex PG3 and a seventh trapezoidal lower right apex PG4, the aforementioned four vertices correspond to The input values of the membership function are 0, 150, 500, and 500, respectively.
S8係定義為μ[T];T為Temperature之縮寫;中文為天氣(攝氏)溫度,μ[T]係為天氣(攝氏)溫度之模糊歸屬函數,如第9圖所示,其可以一第八倒梯形曲線L8表示,該第八倒梯形曲線L8係具有一第八倒梯形左上頂點PH1、一第八倒梯形左下頂點PH2、一第八倒梯形右下頂點PH3及一第八倒梯形右上頂點PH4,前述四個頂點對應歸屬函數輸入值分別為-10、10、30、50。 S8 is defined as μ[T]; T is the abbreviation of Temperature; Chinese is weather (Celsius) temperature, and μ[T] is the fuzzy belonging function of weather (Celsius) temperature, as shown in Figure 9, it can be a The eighth inverted trapezoidal curve L8 represents that the eighth inverted trapezoidal curve L8 has an eighth inverted trapezoidal upper left vertex PH1, an eighth inverted trapezoidal lower left apex PH2, an eighth inverted trapezoidal lower right apex PH3 and an eighth inverted trapezoidal upper right For the vertex PH4, the input values of the membership functions corresponding to the aforementioned four vertices are -10, 10, 30, and 50 respectively.
S9係定義為μ[△T];△T為Temperature Change之意;中文為測量地點之天氣(攝氏)溫度差,μ[△T]係為測量地點之天氣(攝氏)溫度差之模糊歸屬函數,如第10圖所示,其可以一第九梯形曲線L9表示,該第九梯形曲線L9係具有一第九梯形左下頂點PI1、一第九梯形左上頂點PI2、一第九梯形右上頂點PI3及一第九梯形右下頂點PI4,前述四個頂點對應歸屬函數輸入值分別為0、10、50、50。 S9 is defined as μ[△T]; △T is the meaning of Temperature Change; Chinese is the weather (Celsius) temperature difference of the measurement location, and μ[△T] is the fuzzy belonging function of the weather (Celsius) temperature difference of the measurement location , as shown in Figure 10, it can be expressed by a ninth trapezoidal curve L9, which has a ninth trapezoidal lower left vertex PI1, a ninth trapezoidal upper left vertex PI2, a ninth trapezoidal upper right vertex PI3 and - The lower right vertex PI4 of the ninth trapezoid, the input values of the membership functions corresponding to the aforementioned four vertices are 0, 10, 50, 50 respectively.
S10係定義為μ[Humidity],Humidity中文為天氣濕度,μ[Humidity]係為天氣濕度之模糊歸屬函數,如第11圖所示,其可以一第十倒梯形曲線L10表示,該第十倒梯形曲線L10係具有一第十倒梯形左上頂點PJ1、一第十倒梯形左下頂點PJ2、一第十倒梯形右下頂點PJ3及一第十倒梯形右上頂點PJ4,前述四個頂點對應歸屬函數輸入值分別為0、40、80、100。 S10 is defined as μ[Humidity], Humidity is weather humidity in Chinese, and μ[Humidity] is the fuzzy belonging function of weather humidity, as shown in Figure 11, it can be represented by a tenth inverted trapezoidal curve L10, the tenth inverted The trapezoidal curve L10 has a tenth inverted trapezoidal upper left vertex PJ1, a tenth inverted trapezoidal lower left vertex PJ2, a tenth inverted trapezoidal lower right vertex PJ3, and a tenth inverted trapezoidal upper right vertex PJ4. The aforementioned four vertices correspond to the input of the membership function The values are 0, 40, 80, 100 respectively.
且該風險計算模組S並於計算完畢輸出一氣喘風險資訊M4,以供利用。 And the risk calculation module S outputs an asthma risk information M4 for use after the calculation is completed.
一雲端連結單元50,係無線連結該病患使用單元10、該醫療使用單元20、該環境監控單元30,及該氣喘資料單元40,用以傳遞該病患資訊M11、該醫療資訊M2A、該環境資訊M3及該氣喘風險資訊M4。
A
實務上,該病患使用單元10可為公知智慧型平板(公知技術,恕不贅述),而該病患資訊介面部11即為觸控式螢幕,兼具輸入、讀取及顯示功能者。
In practice, the
該病患資訊M11可包括用藥時間、就醫掃描、氣喘控制測驗問卷(英文為Asthma Control Test,簡稱ACT)、病患其他註記輸入(例如氣喘發作時間、…、高血壓等共病症數量)、註冊、求救、戶外行動規畫輸入與回饋建議等。 The patient information M11 may include medication time, medical scan, asthma control test questionnaire (Asthma Control Test in English, ACT for short), other note input of the patient (such as the time of asthma attack, ..., the number of comorbidities such as high blood pressure), registration , SOS, outdoor action planning input and feedback suggestions, etc.
該病患資訊介面部11係供病患對該病患使用單元10輸入該病患資訊M11。
The patient
該病患資訊介面部11又可供該病患使用單元10讀取一病患輔助資訊M12,該病患輔助資訊M12可包括用藥查詢指導(由個管師輸入相關之用藥資訊)及醫師註記檢視(由醫師輸入相關之醫療資訊)。
The patient
該醫療資訊介面部21係供醫療人員對該醫療使用單元20輸入該醫療資訊M2A。
The medical
該醫療資訊介面部21又可供該醫療使用單元20讀取一醫療輔助資訊M2B,該醫療輔助資訊M2B可包括:量測資料檢視(由個管師進行檢視相關之醫療量測數據,例如:以X軸為時間、Y軸為變數歷史數值)、藥物檢視(由醫師檢視相關之醫療藥物)與病患註記檢視(由醫師檢視相關之醫療註記),及個管師註記檢視。
The medical
該至少一醫療使用單元20可為公知智慧型平板(公知技術,圖面未示,合先陳明),而該醫療資訊介面部21即為觸控式螢幕,兼具輸入、讀取及顯示功能者。
The at least one
當然,該醫療資訊介面部21也可以是如第1圖所示的鍵盤與螢幕之組合。
Certainly, the medical
該至少一醫療使用單元20可為兩個,而分別供醫療人員中之個管師與醫師使用。
The at least one
進一步,該醫療資訊M2A可包括: Further, the medical information M2A may include:
[a]一個管師資訊M21:可包括定量噴霧吸入劑類型設定、用力呼氣一秒量(英文為Forced expiratory volume in 1 second,簡稱FEV1),及呼氣一氧化氮測試(英文為Exhaled Nitric Oxide,簡稱ENO)與註記提醒輸入。 [a] A manager’s information M21: It can include quantitative spray inhaler type setting, forced expiratory volume in 1 second (English is Forced expiratory volume in 1 second, referred to as FEV1), and exhaled nitric oxide test (English is Exhaled Nitric Oxide, referred to as ENO) and note reminder input.
[b]一醫師資訊M22:可包括註冊及醫師註記輸入。 [b] Physician information M22: may include registration and input of physician notes.
該環境資訊M3可為查詢座標(亦即將前往之地點)之即時的溫度、濕度、空氣品質及測量地點(亦即查詢座標)之天氣(攝氏)溫度差。 The environmental information M3 can be the real-time temperature, humidity, air quality of the query coordinates (ie, the location to be visited), and the weather (Celsius) temperature difference of the measurement location (ie, the query coordinates).
該氣喘風險資訊M4可為文字、警報音、燈號其中至少一者。 The asthma risk information M4 can be at least one of text, alarm sound, and light.
若為文字,可為戶外行動規畫風險建議,其係將查詢座標(亦即將前往之地點)之即時的空氣品質、溫度、溫度差、濕度帶入本案計算,並輸出結果以供參考。 If it is text, it can be used to plan risk recommendations for outdoor actions. It brings the real-time air quality, temperature, temperature difference, and humidity of the query coordinates (that is, the location to be visited) into the calculation of this case, and outputs the results for reference.
於本案中,該氣喘風險資訊M4係為燈號(圖面未示,合先陳明。)。舉例來講:當該氣喘風險資訊M4介於0-32之間時,為綠燈,亦即可安全出門。 In this case, the asthma risk information M4 is a light signal (not shown in the figure, it will be stated first.). For example: when the asthma risk information M4 is between 0-32, it is a green light, that is, it is safe to go out.
當該氣喘風險資訊M4介於33-65之間時,為黃燈,亦即出門有風險。 When the asthma risk information M4 is between 33-65, it is a yellow light, which means it is risky to go out.
當該氣喘風險資訊M4介於66-100之間時,為紅燈,可能為高度風險不可出門。 When the asthma risk information M4 is between 66-100, it is a red light, which may be a high risk and should not go out.
進一步,關於前述公式(1)中的S1、S3、S4、S5與S6,均可透過該病患資訊介面部11輸入該病患使用單元10。
Further, regarding S1, S3, S4, S5 and S6 in the aforementioned formula (1), all can be input into the
又,關於前述公式(1)中的S2及S4,係可透過該醫療資訊介面部21輸入該醫療使用單元20。
Also, regarding S2 and S4 in the aforementioned formula (1), they can be input into the
且,關於前述公式(1)中的S7、S8、S9及S10,均可由該氣喘資料單元40對該環境監控單元30進行擷取而獲得。
Moreover, S7, S8, S9 and S10 in the aforementioned formula (1) can all be obtained by the
參閱第13圖,關於該氣喘管理資訊系統之使用方法的部分,係包括下列步驟: Referring to Figure 13, the part about the method of using the asthma management information system includes the following steps:
一、準備步驟N1:準備一病患使用單元10、至少一醫療使用單元20、一環境監控單元30及一氣喘資料單元40,該病患使用單元10、該至少一醫療使用單元20、該環境監控單元30及該氣喘資料單元40係透過一雲端連結單元50無線連結。
1. Preparation step N1: prepare a
二、輸入及讀取資訊步驟N2:該病患使用單元10至少具有一病患資訊介面部11及一病患資訊傳輸部12;該病患資訊介面部11係用以對該病患使用單元10輸入一病患資訊M11,該病患資訊M11係包括氣喘控制測驗問卷、身體質量指數、定量噴霧吸入劑使用配合度及每日平均抽菸支數;該病患資訊傳輸部12係供該病患使用單元10無線連結該雲端連結單元50。該至少一醫療使用單元20係具有一醫療資訊介面部21及一醫療資訊傳輸部22;該醫療資訊介面部21係用以對該醫療使用單元20輸入一醫療資訊M2A,該醫療資訊M2A係包括用力呼氣一秒量/用力肺活量(%)及共病症數量;該醫療資訊傳輸部22係供該醫療使用單元20無線連結該雲端連結單元50。該環境監控單元30係用以監控並即時輸出查詢座標之一環境資訊M3,該環境資訊M3係包括空氣品質指標、天氣溫度、天氣溫度差及天氣濕度。
2. Step N2 of inputting and reading information: the
三、風險計算模組運算步驟N3:該氣喘資料單元40係具有一資訊傳輸部41及一風險計算模組S,該資訊傳輸部41係用以擷取該病患資訊M11、該醫療資訊M2A及該環境資訊M3其中至少一者。以供該風險計算模組S代入下列(公式1),進行氣喘風險計算:S=[( S1+ S2+ S3+ S4)/ ni +( S5+ S6)/2+( S7+ S8+ S9+ S10)/4]/3×100%
(公式1)。
3. Risk calculation module operation step N3: the
首先:S1-S4係為個人健康狀態因素;S5-S6係為個人配合度因素;S7-S10係為環境風險因素;及ni係為變數。 First of all: S1- S4 series are personal health status factors; S5 - S6 series are personal cooperation factors; S7 - S10 series are environmental risk factors; and ni series are variables.
其中: in:
S1係定義為μ[ACT];ACT為Asthma Control Test之縮寫,中文為氣喘控制測驗問卷,μ[ACT]係為氣喘控制測驗問卷之模糊歸屬函數,如第2圖所示,其可以一第一梯形曲線L1表示,該第一梯形曲線L1係具有一第一梯形左下頂點PA1、一第一梯形左上頂點PA2、一第一梯形右上頂點PA3及一第一梯形右下頂點PA4,前述四個頂點對應歸屬函數輸入值分別為5、5、14、25。 S1 is defined as μ[ACT]; ACT is the abbreviation of Asthma Control Test, which is the Asthma Control Test Questionnaire in Chinese, and μ[ACT] is the fuzzy attribution function of the Asthma Control Test Questionnaire, as shown in Figure 2. A trapezoidal curve L1 represents that the first trapezoidal curve L1 has a first trapezoidal lower left vertex PA1, a first trapezoidal upper left vertex PA2, a first trapezoidal upper right vertex PA3 and a first trapezoidal lower right vertex PA4, the aforementioned four The input values of the vertices corresponding to the membership function are 5, 5, 14, and 25, respectively.
S2係定義為μ[FEV1/FVC];FEV1為Forced expiratory volume in 1 second之縮寫,中文為用力呼氣一秒量;FVC為Forced vital capacity之縮寫,中文為用力肺活量,μ[FEV1/FVC]係為用力呼氣一秒量/用力肺活量(%)之模糊歸屬函數,如第3圖所示,其可以一第二梯形曲線L2表示,該第二梯形曲線L2係具有一第二梯形左下頂點PB1、一第二梯形左上頂點PB2、一第二梯形右上頂點PB3及一第二梯形右下頂點PB4,前述四個頂點對應歸屬函數輸入值分別為0、0、70、100。 S2 is defined as μ[FEV1/FVC]; FEV1 is the abbreviation of Forced expiratory volume in 1 second, which means forced expiratory volume in one second in Chinese; FVC is the abbreviation of Forced vital capacity, which is forced vital capacity in Chinese, μ[FEV1/FVC] It is the fuzzy attribution function of forced exhalation in one second/forced vital capacity (%), as shown in Fig. 3, it can be represented by a second trapezoidal curve L2, and the second trapezoidal curve L2 has a second trapezoidal lower left apex PB1, a second upper left vertex PB2 of the second trapezoid, a second upper right vertex PB3 of the second trapezoid, and a second lower right vertex PB4 of the second trapezoid.
S3係定義為μ[BMI];BMI為Body Mass Index之縮寫,中文為身體質量指數,μ[BMI]係為身體質量指數之模糊歸屬函數,如第4圖所示,其可以一第三梯形曲線L3表示,該第三梯形曲線L3係具有一第三梯形左下頂點PC1、一第三梯形左上頂點PC2、一第三梯形右上頂點PC3及一第三梯形右下頂點PC4,前述四個頂點對應歸屬函數輸入值分別為10、28、60、60。 S3 is defined as μ[BMI]; BMI is the abbreviation of Body Mass Index, which is body mass index in Chinese, and μ[BMI] is the fuzzy attribution function of body mass index, as shown in Figure 4, which can be a third trapezoid Curve L3 shows that the third trapezoidal curve L3 has a third trapezoidal lower left vertex PC1, a third trapezoidal upper left vertex PC2, a third trapezoidal upper right vertex PC3 and a third trapezoidal lower right vertex PC4, the aforementioned four vertices correspond to The input values of the membership function are 10, 28, 60, and 60, respectively.
S4係定義為μ[comb];comb為Comorbidity之縮寫,中文為共病症數量,μ[comb]係為共病症數量之模糊歸屬函數,如第5圖所示,其可以一第四梯形曲線L4表示,該第四梯形曲線L4係具有一第四梯形左下頂點PD1、一第四梯形左上頂點PD2、一第四梯形右上頂點PD3及一第四梯形右下頂點PD4,前述四個頂點對應歸屬函數輸入值分別為0、2、10、10。 S4 is defined as μ[comb]; comb is the abbreviation of Comorbidity, Chinese is the number of comorbidities, and μ[comb] is the fuzzy belonging function of the number of comorbidities, as shown in Figure 5, which can be a fourth trapezoidal curve L4 Indicates that the fourth trapezoidal curve L4 has a fourth trapezoidal lower left vertex PD1, a fourth trapezoidal upper left vertex PD2, a fourth trapezoidal upper right vertex PD3 and a fourth trapezoidal lower right vertex PD4, and the aforementioned four vertices correspond to the membership function The input values are 0, 2, 10, 10 respectively.
前述(公式1)中之ni係對應S1至S4之數,而介於1至4;當S1至S4其中有3數值為0,則ni為1;當S1至S4其中有2數值為0,則ni為2;當S1至S4其中有1數值為0,則ni為3;當S1至S4其中沒有數值為0,則ni為4。 The ni in the aforementioned (Formula 1) corresponds to the number of S1 to S4, and is between 1 and 4; when three of S1 to S4 have a value of 0, then ni is 1; when two of S1 to S4 have a value of 0, Then ni is 2; when one of S1 to S4 has a value of 0, then ni is 3; when none of S1 to S4 has a value of 0, then ni is 4.
補充說明,一般S1至S4其中不可能全部為0。 As a supplementary note, generally S1 to S4 cannot all be 0.
S5係定義為μ[MDI];MDI為metered-dose inhaler之縮寫,中文為定量噴霧吸入劑使用配合度,μ[MDI]係為定量噴霧吸入劑使用配合度之模糊歸屬函數,如第6圖所示,其可以一第五梯形曲線L5表示,該第五梯形曲線L5係具有一第五梯形左下頂點PE1、一第五梯形左上頂點PE2、一第五梯形右上頂點PE3及一第五梯形右下頂點PE4,前述四個頂點對應歸屬函數輸入值分別為0、0、60、100。 S5 is defined as μ[MDI]; MDI is the abbreviation of metered-dose inhaler. As shown, it can be represented by a fifth trapezoidal curve L5, which has a fifth trapezoidal lower left apex PE1, a fifth trapezoidal upper left apex PE2, a fifth trapezoidal upper right apex PE3 and a fifth trapezoidal right apex For the lower vertex PE4, the input values of the membership functions corresponding to the aforementioned four vertices are 0, 0, 60, and 100, respectively.
且前述配合度係可定義:完全不配合為0、偶而配合為60、大多配合為80、完全配合為100。 And the above-mentioned matching degree system can be defined: no matching at all is 0, occasional matching is 60, most matching is 80, and complete matching is 100.
S6係定義為μ[Smoking];Smoking定義為每日平均抽菸支數,μ[Smoking]係為每日平均抽菸支數之模糊歸屬函數,如第7圖所示,其可以一第六梯形曲線L6表示,該第六梯形曲線L6係具有一第六梯形左下頂點PF1、一第六梯形左上頂點PF2、一第六梯形右上頂點PF3及一第六梯形右下頂點PF4,前述四個頂點對應歸屬函數輸入值分別為0、12、50、50。 S6 is defined as μ[Smoking]; Smoking is defined as the daily average number of cigarettes smoked, and μ[Smoking] is the fuzzy attribution function of the daily average number of cigarettes smoked, as shown in Figure 7, which can be a sixth The trapezoidal curve L6 represents that the sixth trapezoidal curve L6 has a sixth trapezoidal lower left apex PF1, a sixth trapezoidal upper left apex PF2, a sixth trapezoidal upper right apex PF3 and a sixth trapezoidal lower right apex PF4, the aforementioned four vertices The corresponding input values of the membership function are 0, 12, 50, and 50, respectively.
S7係定義為μ[AQI];AQI為Air Quality Index之縮寫;中文為空氣品質指標,μ[AQI]係為空氣品質指標之模糊歸屬函數,如第8圖所示,其可以一第七梯形曲線L7表示,該第七梯形曲線L7係具有一第七梯形左下頂點PG1、一第七梯形左上頂點PG2、一第七梯形右上頂點PG3及一第七梯形右下頂點PG4,前述四個頂點對應歸屬函數輸入值分別為0、150、500、500。 S7 is defined as μ[AQI]; AQI is the abbreviation of Air Quality Index; Chinese is the air quality index, and μ[AQI] is the fuzzy belonging function of the air quality index, as shown in Figure 8, which can be a seventh trapezoid Curve L7 shows that this seventh trapezoidal curve L7 has a seventh trapezoidal lower left apex PG1, a seventh trapezoidal upper left apex PG2, a seventh trapezoidal upper right apex PG3 and a seventh trapezoidal lower right apex PG4, the aforementioned four vertices correspond to The input values of the membership function are 0, 150, 500, and 500, respectively.
S8係定義為μ[T];T為Temperature之縮寫;中文為天氣(攝氏)溫度,μ[T]係為天氣(攝氏)溫度之模糊歸屬函數,如第9圖所示,其可以一第八倒梯形曲線L8表示,該第八倒梯形曲線L8係具有一第八倒梯形左上頂點PH1、一第八倒梯形左下頂點PH2、一第八倒梯形右下頂點PH3及一第八倒梯形右上頂點PH4,前述四個頂點對應歸屬函數輸入值分別為-10、10、30、50。 S8 is defined as μ[T]; T is the abbreviation of Temperature; Chinese is weather (Celsius) temperature, and μ[T] is the fuzzy belonging function of weather (Celsius) temperature, as shown in Figure 9, it can be a The eighth inverted trapezoidal curve L8 represents that the eighth inverted trapezoidal curve L8 has an eighth inverted trapezoidal upper left vertex PH1, an eighth inverted trapezoidal lower left apex PH2, an eighth inverted trapezoidal lower right apex PH3 and an eighth inverted trapezoidal upper right For the vertex PH4, the input values of the membership functions corresponding to the aforementioned four vertices are -10, 10, 30, and 50 respectively.
S9係定義為μ[△T];△T為Temperature Change之意;中文為測量地點之天氣(攝氏)溫度差,μ[△T]係為測量地點之天氣(攝氏)溫度差之模糊歸屬函數,如第10圖所示,其可以一第九梯形曲線L9表示,該第九梯形曲線L9係具有一第九梯形左下頂點PI1、一第九梯形左上頂點PI2、一第九梯形右上頂點PI3及一第九梯形右下頂點PI4,前述四個頂點對應歸屬函數輸入值分別為0、10、50、50。 S9 is defined as μ[△T]; △T is the meaning of Temperature Change; Chinese is the weather (Celsius) temperature difference of the measurement location, and μ[△T] is the fuzzy belonging function of the weather (Celsius) temperature difference of the measurement location , as shown in Figure 10, it can be expressed by a ninth trapezoidal curve L9, which has a ninth trapezoidal lower left vertex PI1, a ninth trapezoidal upper left vertex PI2, a ninth trapezoidal upper right vertex PI3 and - The lower right vertex PI4 of the ninth trapezoid, the input values of the membership functions corresponding to the aforementioned four vertices are 0, 10, 50, 50 respectively.
S10係定義為μ[Humidity],Humidity中文為天氣濕度,μ[Humidity]係為天氣濕度之模糊歸屬函數,如第11圖所示,其可以一第十倒梯形曲線L10表示,該第十倒梯形曲線L10係具有一第十倒梯形左上頂點PJ1、一第十倒梯形左下頂點PJ2、一第十倒梯形右下頂點PJ3及一第十倒梯形右上頂點PJ4,前述四個頂點對應歸屬函數輸入值分別為0、40、80、100。 S10 is defined as μ[Humidity], Humidity is weather humidity in Chinese, and μ[Humidity] is the fuzzy belonging function of weather humidity, as shown in Figure 11, it can be represented by a tenth inverted trapezoidal curve L10, the tenth inverted The trapezoidal curve L10 has a tenth inverted trapezoidal upper left vertex PJ1, a tenth inverted trapezoidal lower left vertex PJ2, a tenth inverted trapezoidal lower right vertex PJ3, and a tenth inverted trapezoidal upper right vertex PJ4. The aforementioned four vertices correspond to the input of the membership function The values are 0, 40, 80, 100 respectively.
四、氣喘風險資訊輸出步驟N4:該風險計算模組S計算完畢,係輸出一氣喘風險資訊M4,以供利用。 4. Asthma risk information output step N4: After the calculation of the risk calculation module S is completed, an asthma risk information M4 is output for use.
實務上,該病患資訊M11可包括用藥時間、就醫掃描、氣喘控制測驗問卷(英文為Asthma Control Test,簡稱ACT)、病患其他註記輸入(例如氣喘發作時間、…、高血壓等共病症數量)、註冊、求救、戶外行動規畫輸入與回饋建議等。 In practice, the patient information M11 can include medication time, medical scan, asthma control test questionnaire (Asthma Control Test in English, ACT for short), other note input of the patient (such as the time of asthma attack, ..., the number of comorbidities such as high blood pressure) ), registration, emergency calls, outdoor action planning input and feedback suggestions, etc.
該病患資訊介面部11係供病患對該病患使用單元10輸入該病患資訊M11。
The patient
該病患資訊介面部11又可供該病患使用單元10讀取一病患輔助資訊M12,該病患輔助資訊M12可包括用藥查詢指導(由個管師輸入相關之用藥資訊)及醫師註記檢視(由醫師輸入相關之醫療資訊)。
The patient
該醫療資訊介面部21係供醫療人員對該醫療使用單元20輸入該醫療資訊M2A。
The medical
該醫療資訊介面部21又可供該醫療使用單元20讀取一醫療輔助資訊M2B,該醫療輔助資訊M2B可包括:量測資料檢視(由個管師進行檢視相關之醫療量測數據,例如:以X軸為時間、Y軸為變數歷史數值)、藥物檢視(由醫師檢視相關之醫療藥物)與病患註記檢視(由醫師檢視相關之醫療註記),及個管師註記檢視。
The medical
該至少一醫療使用單元20可為兩個,而分別供醫療人員中之個管師與醫師使用。
The at least one
進一步,該醫療資訊M2A可包括: Further, the medical information M2A may include:
[a]一個管師資訊M21:可包括定量噴霧吸入劑類型設定、用力呼氣一秒量(英文為Forced expiratory volume in 1 second,簡稱FEV1),及呼氣一氧化氮測試(英文為Exhaled Nitric Oxide,簡稱ENO)與註記提醒輸入。 [a] A manager’s information M21: It can include quantitative spray inhaler type setting, forced expiratory volume in 1 second (English is Forced expiratory volume in 1 second, referred to as FEV1), and exhaled nitric oxide test (English is Exhaled Nitric Oxide, referred to as ENO) and note reminder input.
[b]一醫師資訊M22:可包括註冊及醫師註記輸入。 [b] Physician information M22: may include registration and input of physician notes.
該環境資訊M3可為查詢座標之即時的溫度、濕度、空氣品質及測量地點(亦即查詢座標)之天氣(攝氏)溫度差。 The environmental information M3 can be the real-time temperature, humidity, air quality of the query coordinates, and the weather (Celsius) temperature difference of the measurement location (that is, the query coordinates).
該氣喘風險資訊M4可為文字、警報音、燈號其中至少一者。 The asthma risk information M4 can be at least one of text, alarm sound, and light.
若為文字,可為戶外行動規畫風險建議,其係將查詢座標(亦即將前往之地點)之即時的空氣品質、溫度、溫度差、濕度帶入本案計算,並輸出結果以供參考。 If it is text, it can be used to plan risk recommendations for outdoor actions. It brings the real-time air quality, temperature, temperature difference, and humidity of the query coordinates (that is, the location to be visited) into the calculation of this case, and outputs the results for reference.
於本案中,該氣喘風險資訊M4係為燈號。舉例來講:當該氣喘風險資訊M4介於0-32之間時,為綠燈,亦即可安全出門。 In this case, the asthma risk information M4 is a signal. For example: when the asthma risk information M4 is between 0-32, it is a green light, that is, it is safe to go out.
當該氣喘風險資訊M4介於33-65之間時,為黃燈,亦即出門有風險。 When the asthma risk information M4 is between 33-65, it is a yellow light, which means it is risky to go out.
當該氣喘風險資訊M4介於66-100之間時,為紅燈,可能為高度風險不可出門。 When the asthma risk information M4 is between 66-100, it is a red light, which may be a high risk and should not go out.
進一步,關於前述公式(1)中的S1、S3、S4、S5與S6,均可透過該病患資訊介面部11輸入該病患使用單元10。
Further, regarding S1, S3, S4, S5 and S6 in the aforementioned formula (1), all can be input into the
又,關於前述公式(1)中的S2,係可透過該醫療資訊介面部21輸入該醫療使用單元20。
Also, regarding S2 in the aforementioned formula (1), it can be input into the
且,關於前述公式(1)中的S7、S8、S9及S10,均可由該氣喘資料單元40對該環境監控單元30進行擷取而獲得。
Moreover, S7, S8, S9 and S10 in the aforementioned formula (1) can all be obtained by the
參閱第12圖,關於前述歸屬函數(membership function)(或稱隸屬函數)的部分,本案中使用到多個梯形(不論是正梯形或是倒梯形)歸屬函數,其中,若將此梯形之左下頂點、左上頂點、右上頂點及右下頂點分別定義為a、b、c、d(若是倒梯形同樣依序具有a、b、c、d四個點,只是上下位置不同而已,圖面未示,合先陳明),則當輸入為x時,則其歸屬度μ(x)(介於0至1)之定義可精確的定義如下:若x<a,則μ(x)=0;若x介於a~b,則μ(x)=(x-a)/(b-a);若x介於b~c,則μ(x)=1; 若x介於c~d,則μ(x)=(d-x)/(d-c);及若x>d,則μ(x)=0。 Refer to Figure 12, regarding the part of the aforementioned membership function (or membership function), multiple trapezoidal (whether it is a positive trapezoid or an inverted trapezoid) membership functions are used in this case, wherein, if the lower left vertex of the trapezoid , the upper left vertex, the upper right vertex and the lower right vertex are respectively defined as a, b, c, d (if an inverted trapezoid also has four points a, b, c, d in sequence, but the upper and lower positions are different, the drawing is not shown, If the input is x, then the definition of its attribution degree μ(x) (between 0 and 1) can be precisely defined as follows: if x<a, then μ(x)=0; if If x is between a~b, then μ(x)=(x-a)/(b-a); if x is between b~c, then μ(x)=1; If x is between c~d, then μ(x)=(d-x)/(d-c); and if x>d, then μ(x)=0.
關於氣喘風險計算的部分,假設某例之相關數據為:S1:μ[ACT]:20(參考第2圖);S2:μ[FEV1/FVC]:50%(參考第3圖);S3:μ[BMI]:25(參考第4圖);S4:μ[comb]:0(參考第5圖);S5:μ[MDI]:完全配合(參考第6圖);S6:μ[Smoking]:0(參考第7圖);S7:μ[AQI]:25(參考第8圖);S8:μ[T]:15(參考第9圖);S9:μ[△T]:4(參考第10圖);及S10:μ[Humidity]:50(參考第11圖)。 Regarding the calculation of asthma risk, assume that the relevant data of a certain case are: S1: μ[ACT]: 20 (refer to Figure 2); S2: μ[FEV1/FVC]: 50% (refer to Figure 3); S3: μ[BMI]: 25 (refer to Figure 4); S4: μ[comb]: 0 (refer to Figure 5); S5: μ[MDI]: full fit (refer to Figure 6); S6: μ[Smoking] : 0 (refer to Figure 7); S7: μ[AQI]: 25 (refer to Figure 8); S8: μ[T]: 15 (refer to Figure 9); S9: μ[△T]: 4 (refer to Fig. 10); and S10: μ[Humidity]: 50 (refer to Fig. 11).
則S=[( S1+ S2+ S3+ S4)/4+( S5+ S6)/2+( S7+ S8+ S9+ S10)/4]/3×100%=[(0.4+1.0+0.8+0)/3+(0+0)/2+(0.15+0+0.4+0)/4]/3×100%=[0.733+0+0.138]/3×100%=0.290×100%=29.0。
Then S =[(
則該氣喘風險資訊M4可為綠色燈號,在本案之設定中可能為:雖然肺功能異常,但空氣與溫濕度適宜,加上MDI使用正確,所以是可以安全去目的地。 Then the asthma risk information M4 can be a green light. In the setting of this case, it may be: although the lung function is abnormal, but the air and temperature and humidity are suitable, and the MDI is used correctly, so it is safe to go to the destination.
本發明之優點及功效係如下所述: Advantage and effect of the present invention are as follows:
[1]看診前預先輸入相關資訊提供就醫參考可大幅減少看診時間。本案可於看診前(例如候診時)預先輸入病患資訊、個管師資訊及醫師資訊,除可提供就醫 參考外,亦可大幅減少看診時醫師問診及評估的時間。故,看診前預先輸入相關資訊提供就醫參考可大幅減少看診時間。 [1] Pre-entering relevant information before seeing a doctor to provide medical reference can greatly reduce the time for seeing a doctor. In this case, patient information, personal manager information and physician information can be pre-entered before seeing a doctor (such as when waiting for a doctor). In addition to reference, it can also greatly reduce the time for doctor's consultation and evaluation when seeing a doctor. Therefore, pre-entering relevant information before seeing a doctor to provide medical reference can greatly reduce the time for seeing a doctor.
[2]指示燈設計便於快速判讀氣喘風險資訊接受度高。本案之氣喘風險資訊可為指示燈顯示,且只有綠燈、黃燈及紅燈,任何人均可快速判讀氣喘風險資訊,也才能提高使用系統的接受度。故,指示燈設計便於快速判讀氣喘風險資訊接受度高。 [2] The design of the indicator light is convenient for quick interpretation of asthma risk information, and the acceptance is high. The asthma risk information in this case can be displayed by the indicator light, and there are only green lights, yellow lights, and red lights. Anyone can quickly interpret the asthma risk information, which can also improve the acceptance of the system. Therefore, the design of the indicator light is convenient for quick interpretation of asthma risk information, and the acceptance rate is high.
[3]風險計算可減少突發狀況提高外出安全性。一般人可能無法隨時留意自己的氣喘狀態,也不太可能隨時去查詢自己的醫療紀錄(可能也看不懂),而本案在每次使用時,均可自動擷取病患資訊、個管師資訊及醫師資訊,進而自動進行運算後,輸出易於判讀之燈號,提供使用者作外出參考,有效減少因氣候、藥物使用、身體狀況等某因素之變化,而有突發狀況,甚至可能危及生命安全。故,風險計算可減少突發狀況提高外出安全性。 [3] Risk calculation can reduce emergencies and improve the safety of going out. Ordinary people may not be able to keep an eye on their asthma status at any time, and they may not be able to check their medical records at any time (maybe they may not be able to read them). However, this case can automatically retrieve patient information and individual management information every time it is used. And doctor information, and then automatically calculate, output easy-to-read light signals, provide users with reference when going out, effectively reduce changes in certain factors such as climate, drug use, and physical conditions, and emergencies that may even be life-threatening Safety. Therefore, risk calculation can reduce emergencies and improve the safety of going out.
以上僅是藉由較佳實施例詳細說明本發明,對於該實施例所做的任何簡單修改與變化,皆不脫離本發明之精神與範圍。 The above is only a detailed description of the present invention through preferred embodiments, and any simple modifications and changes made to the embodiments will not depart from the spirit and scope of the present invention.
10:病患使用單元 10: Patient use unit
11:病患資訊介面部 11: Patient Information Interface Section
12:病患資訊傳輸部 12:Patient Information Transmission Department
20:醫療使用單元 20: Medical use unit
21:醫療資訊介面部 21:Medical Information Interface Section
22:醫療資訊傳輸部 22:Medical Information Transmission Department
30:環境監控單元 30:Environmental monitoring unit
40:氣喘資料單元 40: Asthma Information Unit
41:資訊傳輸部 41:Information Transmission Department
50:雲端連結單元 50:Cloud connection unit
M11:病患資訊 M11: Patient Information
M12:病患輔助資訊 M12: Patient Support Information
M2A:醫療資訊 M2A:Medical Information
M2B:回應醫療資訊 M2B: Responding to Medical Information
M21:個管師資訊 M21: Personal manager information
M22:醫師資訊 M22: Physician Information
M3:環境資訊 M3: Environmental information
M4:氣喘風險資訊 M4: Asthma Risk Information
S:風險計算模組 S: Risk calculation module
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US20100099998A1 (en) * | 2008-10-22 | 2010-04-22 | Nhedti Colquitt | Asthma status scoring method and system with confidence ratings |
CN104424528A (en) * | 2013-09-05 | 2015-03-18 | 罗斯福 | Intelligent hospital bed medical management system, control device and intelligent hospital bed medical management method |
TW202133150A (en) * | 2019-12-24 | 2021-09-01 | 日商生命科學研究所股份有限公司 | Health management system, health management equipment, health management program and health management method |
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US20100099998A1 (en) * | 2008-10-22 | 2010-04-22 | Nhedti Colquitt | Asthma status scoring method and system with confidence ratings |
CN104424528A (en) * | 2013-09-05 | 2015-03-18 | 罗斯福 | Intelligent hospital bed medical management system, control device and intelligent hospital bed medical management method |
TW202133150A (en) * | 2019-12-24 | 2021-09-01 | 日商生命科學研究所股份有限公司 | Health management system, health management equipment, health management program and health management method |
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