WO2011016447A1

WO2011016447A1 - Automatic medical-inquiry system, automatic medical-inquiry program, and automatic medical-inquiry method

Info

Publication number: WO2011016447A1
Application number: PCT/JP2010/063084
Authority: WO
Inventors: 敦松永; 礼征藤原
Original assignee: 株式会社キャメッド
Priority date: 2009-08-06
Filing date: 2010-08-03
Publication date: 2011-02-10
Also published as: JPWO2011016447A1; JP4897937B2

Abstract

Provided is an automatic medical-inquiry system that promotes the convenience of people subject to medical-inquiries, and a quicker face-to-face medical examination-treatment by doctors, and furthermore, makes medical-care in general more efficient. This automatic medical-inquiry system divides medical-inquiry data into three hierarchies, and transmits medical-inquiry sheets to mobile phones successively, in order to narrow down the symptoms to be assessed in the medical-inquiries. When receiving data inputted with respect to a third medical-inquiry sheet, the automatic medical-inquiry system will read out malady-name / subject-name of medical examination-treatment" data corresponding to this inputted data, and generate medical-inquiry result data based on this malady-name / subject-name of medical examination-treatment" data that was read-out.

Description

Automatic inquiry system, automatic inquiry program and automatic inquiry method

The present invention relates to an automatic inquiry system, an automatic inquiry program, and an automatic inquiry method in which an inquiry is automatically made from a communication terminal via a communication network.

In recent years, various services using this communication terminal have been proposed along with the enhancement of functions of mobile communication terminals such as mobile phones. Also in the medical field, many systems have been proposed in which an inquiry is made with the communication terminal via a communication line network such as the Internet network. In such a system, an inquiry request is received from the communication terminal via the Internet network, an inquiry form is displayed on the communication terminal, and based on input data input by the communication terminal for the inquiry form, There is provided a server that generates inquiry result data and displays the inquiry result data on the communication terminal.

For example, based on a search request from a user terminal device, an inquiry table is sent to the user terminal device, and when a completed inquiry table is received, it is analyzed to find the nearest medical institution that meets the user's symptoms. A medical institution reservation system that transmits a search result to a user terminal device and makes a medical appointment in the terminal device of the medical institution based on a medical appointment instruction from the user terminal device has been proposed (Patent Document 1: Patent Document 1: No. 2003-30325). According to this patent document, the user can reserve the nearest medical institution that suits his / her symptoms from the terminal device.

In addition, when there is an input of subjective symptoms from the user terminal, the medical subject is searched based on the input subjective symptoms, the searched medical subject and the hospital where the user can be examined are extracted, and this hospital or the medical subject is extracted. A hospital introduction system that transmits information to be specified to the user terminal has been proposed (Patent Document 2: Japanese Patent Laid-Open No. 2003-256580). According to this patent document, since a hospital having a medical subject suitable for the user's subjective symptoms is specified and information is provided, efficient consultation and diagnosis are possible for both the user side and the hospital side.

Further, each question in the first question group is read from the database, and there is a possibility of being affected by referring to the first relational value in the database in accordance with the diagnosis subject's answer to each question in the first question group Identify one or more illnesses, read each question in the second question group from the database, and refer to a second relational value based on an answer to each question in the second question group, the identified A diagnostic apparatus for calculating a score indicating the morbidity of each disease has been proposed (Patent Document 3: Japanese Patent Application Laid-Open No. 2004-126981). According to this patent document, it is possible to quantitatively analyze and accurately specify a disease that is considered to be affected by the diagnosis subject.

JP 2003-30325 A JP 2003-256580 A JP 2004-126981 A

In each of the above prior arts, none of the contents of the inquiry conducted via the communication network is systematized, and the inquiry result obtained using each of the conventional techniques is not necessarily effective for the doctor who actually diagnoses. It may not be a thing.

That is, according to Patent Document 1, it is described that the user analyzes a completed questionnaire and searches for the nearest medical institution that matches the user's symptoms. There is no specific description on how to analyze it.

According to Patent Document 2, a plurality of question items are included (according to the description of the embodiment of the invention, paragraph number 0023, about 10 to 20 question items). Instead of asking for it, it is only necessary to determine the medical subject. " However, the specific system of the interview is not shown.

According to Patent Document 3, questions to be interrogated can be divided into two groups, and gradually transferred from the first question group to the second question group, and finally the morbidity can be quantified. However, since the specific contents of each question group need to finally reach a level to be dropped as a numerical value as described in the embodiment of the invention, paragraph number 0052, etc., depending on the symptom, There is a possibility that the number becomes large, and there is a possibility that a troublesome operation may be forced for the person to be diagnosed.

In the technical field to which the present invention belongs, there is a premise that the person to be interviewed responds to the inquiry using a communication terminal such as a mobile phone, so the screen size is limited and the operability and convenience of input are compared. It must be considered that the environment is low. Furthermore, troublesome operations are a problem that must first be avoided for elderly people who are unfamiliar with input operations and users who are unwell in the first place. However, in the prior art, the point related to the input operation is not always considered.

On the other hand, even with a simple inquiry system, if the initial action is mistaken at the “entrance” of medical practice, there is a possibility of causing a serious medical error due to a delay in treatment. Doing so may damage the nature of the inquiry system. In addition, if there is no medical support in the inquiry system, it is highly likely that even after introducing multiple clinical subjects and hospitals, it will effectively give only the so-called doctor shopping index. There was a risk of adverse effects such as waste of money and loss of reliability with doctors.

By the way, generally, when a doctor makes an inquiry to a patient for the first time (hereinafter referred to as “initial inquiry”), there is a boundary region called “gray zone” for a disease determined as an inquiry result. That is, there is a probability (sensitivity) that is accurately judged positive for a certain disease and a probability (specificity) that is judged negative exactly, and about 90% of the disease names that are judged in the first inquiry It is said that it should be possible to judge within a range of ˜96%. About 2% to 5% before and after this range (parts that deviate from sensitivity are called “false positives” and parts that deviate from specificity are called “false negatives”). However, the possibility that it is actually positive cannot be denied. In this area, it is not possible to specify only by a single examination, in other words, it is an area that cannot be determined only by the initial inquiry. Therefore, if an interview system that reflects the essence of the initial interview is established rather than improving the accuracy of the interview, the doctor can reduce or reduce the time and effort of the interview in face-to-face medical care. Can be made more efficient.

The present invention is based on the essence of the initial inquiry and the limitations of the inquiry, and is intended to speed up the convenience of the person being interviewed and the face-to-face medical care by the doctor, and to improve the efficiency of the whole medical care, automatic inquiry The purpose is to provide a program and an automatic inquiry method.

The automatic inquiry system according to the present invention receives an inquiry request from a communication terminal via a communication line network, displays an inquiry form on the communication terminal, and inputs data inputted by the communication terminal to the inquiry form. Based on this, an automatic inquiry system including a server that generates inquiry result data and displays the inquiry result data on the communication terminal. The server includes first interrogation data storage means storing a part on the body or upper symptom, and symptoms observed at each part of the first interrogation data storage means or intermediate symptom corresponding to the upper symptom. Stored second inquiry data storage means, third inquiry data storage means for storing lower symptoms obtained by subdividing each symptom of the second inquiry data storage means, and the first to third inquiry data storage means The medical questionnaire generating means for reading out the medical interview data and generating the medical questionnaire, a disease name / medical subject data storage means that associates a disease name with a medical subject name that can be examined for the disease name, It includes an inquiry result generating means for reading out a disease name / medical subject name corresponding to the input data from the disease name / medical subject data storage means and generating inquiry result data. The interview form generating means reads out the interview data from the first interview data storage means to generate a first interview form, and corresponds to the first input data for the first interview form from the second interview data storage means. The medical data is read to generate a second medical questionnaire, and the medical data corresponding to the second input data for the second medical questionnaire is read from the third medical data storage means to generate the third medical questionnaire. The inquiry result generation means reads the disease name / medical subject name based on the third input data for the third questionnaire.

The inquiry data of this system is composed of 3 layers. Usually, the initial interview in face-to-face medical care performed by a doctor is also carried out by sequentially performing three levels of interviews. Therefore, for the doctor, the routine interview is completed before the face-to-face medical care by using this system. In addition, for the person to be examined, the response to the inquiry performed via the communication terminal may be performed by responding to the three questions in the three layers. *

In addition, when a plurality of disease names are listed as candidates, a weight may be given to each disease name according to the content of the third input data. At this time, when there are a plurality of the input data, the coefficients may be added. In addition, the disease name and medical subject name displayed as the inquiry result may be equal to or greater than a predetermined threshold. Further, the attribute data may be digitized to increase or decrease the coefficient to increase the weighting accuracy.

As the inquiry result data, hospital information capable of medical treatment corresponding to the medical subject name may be displayed in correspondence with the displayed medical subject name. In addition, reservation input form data may be included in the hospital information so that a reservation can be made through the communication terminal from the displayed hospital information. When a plurality of disease names are displayed as the inquiry result data, the disease names and the corresponding hospital information may be displayed in descending order of the coefficients. On the other hand, when a plurality of hospital information is displayed for one disease name, these hospital information may be rearranged according to a predetermined sort condition. This sort condition includes, for example, narrowing down and displaying only hospital information including matching information with a keyword input from the communication terminal.

When making a reservation for a hospital from the reservation input form data, if there is a hospital that has already been consulted among the hospital information displayed in the inquiry result data, the diagnosis result data of the hospital that has been consulted is transmitted along with the transmission of the reservation data. May be transferred.

A feedback processing function for calculating a matching rate between a disease name displayed in the inquiry result data and a disease name finally diagnosed with the diagnosis result data, and adding the matching rate to each disease name data together with the coefficient It is also possible to add.

The inquiry result data may be output including product or service information related to the read disease name / clinical subject data. This product / service information includes purchase / application input form data for transmitting product purchase data and service application data via the communication line network from the communication terminal on which the product / service information is displayed. It may be included. In addition, for the disease name data less than the predetermined threshold value, the inquiry result data may be generated based on related product or service information.

A program that causes a computer to function as each of the above servers is also included in the scope of the present invention.

The automatic inquiry method according to the present invention accepts an inquiry request from a communication terminal via a communication line network, displays an inquiry form on the communication terminal, and inputs data input by the communication terminal to the inquiry form. This is an automatic inquiry method in which inquiry result data is generated and this inquiry result data is displayed on the communication terminal. In the automatic inquiry method, when there is the inquiry request, a step of generating a first inquiry sheet in which a part on the body or a higher-order symptom is listed and transmitting it to the communication terminal; Receiving the first input data selected from the body part or higher-order symptom at the communication terminal; and the symptom recognized at the body part corresponding to the received first input data or the higher-order symptom Generating a second questionnaire that enumerates intermediate symptoms corresponding to the above, and transmitting the second questionnaire to the communication terminal, and a symptom that is recognized at a site on the body at the communication terminal with respect to the second questionnaire or Receiving a second input data selected from the intermediate symptoms, and generating a third questionnaire that enumerates subordinate symptoms obtained by subdividing each symptom corresponding to the received second input data. And Transmitting to the terminal, receiving the third input data selected from the lower symptom at the communication terminal with respect to the third questionnaire, and the previously listed third questionnaire Stores the disease name and medical subject name data corresponding to the lower symptom, reads the disease name and medical subject name corresponding to the third input data, and inquires about the read disease name and medical subject name And transmitting to the communication terminal as result data. The disease name is weighted with a coefficient indicating the possibility of morbidity for each third input data, and when the disease name and the subject name are read, the coefficient is also read and included in the inquiry result data. .

When a plurality of coefficients are added to the read disease name by the third input data in which a plurality of selections are made from the lower symptom, the coefficients may be added to each coefficient and displayed in the inquiry result data. Good. In addition, a predetermined threshold may be provided for the coefficient, and the inquiry result data may be displayed only when the read coefficient or the added coefficient is equal to or greater than the predetermined threshold.

According to the present invention, the input operation is normally performed by narrowing down to the contents of the initial inquiry level in face-to-face medical care performed by a doctor, and collecting and classifying the inquiry items to be inputted by the person to be examined in three layers. This simplifies and improves convenience, and reduces the time required for doctors' interrogation, thereby speeding up face-to-face medical treatment by doctors and improving the efficiency of medical treatment in general.

Also, by providing related product and service information in addition to hospital information, it is possible to provide a wider range of information, which has the effect of contributing to improved convenience.

Furthermore, by providing data that can be handled by the subject (or patient), the appropriate behavior of the subject can be advised. There is also an effect that shopping can be avoided.

FIG. 1 is a block diagram of an automatic inquiry system according to the present invention. FIG. 2 is a block diagram of the server according to the first embodiment. FIG. 3 is a view showing a display example of the first to third questionnaires. FIG. 4 is a diagram showing a display example of an inquiry result. FIG. 5 is a block diagram of a server according to the second embodiment. FIG. 6A is a diagram showing a coefficient table, and FIG. 6B is a diagram showing a coefficient calculation table. FIG. 7 is a diagram showing a display example of an inquiry result with a coefficient. FIG. 8 is a diagram showing a processing flow for generating an inquiry result. FIG. 9 is a block diagram of a server according to the third embodiment. FIG. 10 is a diagram showing a display example of an inquiry result with a hospital list. FIG. 11 is a diagram showing a display example of a hospital reservation form. FIG. 12 is a diagram showing a display example of a screen for sorting the hospital list. FIG. 13 is a block diagram of a server according to the fourth embodiment. FIG. 14 is a diagram showing an outline of the feedback processing step. FIG. 15 is a block diagram of a server according to the fifth embodiment. FIG. 16 is a diagram showing a display example of an inquiry result accompanied with product / service information.

[First Embodiment]
With reference to FIG. 1, the automatic inquiry system concerning this invention is demonstrated. The server 1 of the automatic inquiry system is communicably connected to a plurality of communication terminals (three mobile phones m1 to m3 in this embodiment) via a communication line network (in this embodiment, the Internet network N). ing. In this embodiment, for convenience of explanation, an example using a mobile phone is described, but the communication terminal is not limited to this. Further, the number of communication terminals is not limited to three. As will be described later, the server 1 and the portable terminals m1 to m3 are connected to a communication terminal h of a predetermined hospital and a communication terminal s of a store that sells products and accepts services through a network N. ing.

In this system, when an inquiry request signal is transmitted from the mobile phones m1 to m3 (hereinafter collectively referred to as “mobile phone M”) to the server 1 via the Internet N, an inquiry form is transmitted from the server 1 to the mobile phone. M is displayed, and a response to the inquiry form is input, so that the inquiry result is displayed on the mobile phone M from the server 1. This inquiry result also includes information on the hospital or store, and data communication between the mobile phone M, the hospital communication terminal h, and the store communication terminal s is also possible.

FIG. 2 is a block diagram of the server 1. Hereinafter, each function of the server 1 described in the first to fifth embodiments is executed by control, calculation, processing, and the like by a CPU (not shown) and a memory (not shown).

The inquiry request from the mobile phone M is received by the transmission / reception unit 101 of the server 1 via the Internet N, and the inquiry form generation unit 102 is requested to generate an inquiry form. In response to the request for generating the medical questionnaire, the medical questionnaire generating unit 102 first reads out the medical data from the first medical data storage unit 103 to generate and generate the first medical questionnaire me1 (FIG. 3). One questionnaire form me1 is transmitted from the transmission / reception unit 101 to the mobile phone M via the Internet N and displayed. When the first input data for the first questionnaire me1 is input from the mobile phone M, the first input data is received by the transmission / reception unit 101 via the Internet N.

In the questionnaire form generation unit 102, the second inquiry data corresponding to the received first input data is read from the second inquiry data storage unit 104, the second inquiry form me 2 (FIG. 3) is generated, and the generated second inquiry The vote me2 is transmitted from the transmission / reception unit 101 to the mobile phone M via the Internet network N and displayed. When the second input data for the second questionnaire me2 is input from the mobile phone M, the second input data is received by the transmission / reception unit 101 via the Internet N.

In the questionnaire form generation unit 102, the third inquiry data corresponding to the received second input data is read from the third inquiry data storage unit 105, the third inquiry form me3 (FIG. 3) is generated, and the generated third inquiry form is generated. The vote me3 is transmitted from the transmission / reception unit 101 to the mobile phone M via the Internet N and displayed. When third input data for the third questionnaire me3 is input from the mobile phone M, the third input data is received by the transmission / reception unit 101 via the Internet N. The disease name and medical subject name corresponding to the received third input data are read from the disease name / medical subject name data storage unit 107, and the inquiry result generation unit 106 performs an inquiry based on the read disease name and medical subject name. Result data is generated. This inquiry result data is transmitted from the transmission / reception unit 101 to the mobile phone M via the Internet N and displayed.

FIG. 3 shows a display example of the first inquiry form me1, the second inquiry form me2, and the third inquiry form me3. The first questionnaire me1 is a list in which each part on the body or higher-level symptoms can be selected on the screen. That is, in response to the question me11, “What is the bad part / symptom?”, The head, face, chest, belly, back, waist / butt, arms, and feet are listed as <part> me12. <Symptoms> of me13 include anemia, hot flashes, subfever, coldness, nausea, heartburn, palpitation / shortness of breath, abnormal digestion / appetite, obesity / overweight, sleep disorder, fatigue / malaise, mental distress, mental disorder It is enumerated. Since each part and symptom is provided with a radio button r, one part or symptom that is not suitable for the person to be examined is selected from the input key of the mobile phone M. In the present embodiment, the “head” is selected as a bad condition.

In the second medical questionnaire me2, the symptoms observed at the site selected in the first medical questionnaire me1 or the middle symptoms corresponding to the upper symptom are listed. In the present embodiment, an inquiry form listing the symptoms corresponding to the region “head” selected on the first inquiry form me1 is generated. That is, “Head” is displayed at the beginning of the part me21, and when the question me22 is “What is the symptom?”, The symptoms (headache, disturbance of consciousness, dizziness… muscle abnormality, etc.) that are recognized at this part are selected on the screen Each can be listed in a form with a radio button r attached. Then, as with the first questionnaire form me1, one symptom of the unwell part of the person to be examined may be selected from the input key of the mobile phone M. In the present embodiment, “headache” is selected as a symptom.

In the third questionnaire me3, subordinate symptoms obtained by subdividing each symptom of the second questionnaire me2 by degree are listed. In the present embodiment, “headache” selected as the second input data is displayed as the symptom me31 of the region at the beginning, and “there was a headache that suddenly hit the head” as the subordinate symptom me32 Symptoms such as “a headache occurs regularly”, “a headache continues for a long time”, and “the headache has become stronger for a while” are displayed. In the third medical inquiry me3, unlike the first medical inquiry me1 and the second medical inquiry me2, a plurality of answers are possible, so a check box c is attached to each symptom.

In the present invention, as shown in FIG. 3, the person to be examined needs to be able to perform simple operations by simply selecting ones corresponding to the subjective symptoms from the three levels of questions (questions). It is easy to use and highly convenient for elderly people who are not familiar with it and those who are unwell. Furthermore, this three-level inquiry is generally the same as the inquiry procedure performed by the doctor during face-to-face medical care. Therefore, it is possible for the doctor to save or at least reduce the trouble of the initial inquiry. Interview results obtained through this three-level systematic interview are about 90% to 96% sensitivity or specificity, but are specified by a single test to increase the accuracy beyond that. Because it becomes a level that can not be, it will be a level that is not familiar with the initial interview. Therefore, in the present invention, in order to improve the operability and convenience of the interviewed person, speed up the face-to-face medical care of the doctor, and improve the efficiency of the overall medical care, rather than raising the accuracy of the inquiry more than necessary. The contents of the interview were organized into the above three levels.

FIG. 4 shows a display example of the inquiry result sheet rs1 generated by the inquiry result generation unit 106 described in FIG. 2 and displayed on the mobile phone M based on the third input data for the third inquiry sheet me3. Yes. First, in the opening column rs11, the contents of each input data with respect to the above-mentioned three levels of inquiry are displayed. In other words, the display “site: head, symptom: headache, degree: headache suddenly hitting the head, headache occurring at a fixed time in the night” is displayed. Next, the disease name and medical subject name to be judged are read from the input data from the disease name / medical subject name data storage unit 107 described with reference to FIG. 2 and displayed. In the present embodiment, two cause columns rs12 and rs13 are displayed, and in each cause column, disease name rs121 “Δ × syndrome”, rs131 “ΔΔ disease”, clinical course name rs122 “XXX department”, rs132 “□□□ 科” is displayed.

[Second Embodiment]
FIG. 5 is a block diagram of the server 1 according to the second embodiment. The same components as those of the server 1 in the first embodiment are denoted by the same reference numerals, and detailed description thereof is omitted. The automatic inquiry system of FIG. 1 is also used in the second embodiment.

In the first embodiment, a plurality of cause columns are provided, and each disease name and clinical course name are described. In this embodiment, each disease name can be estimated from the input data. The sex is shown quantitatively.

Each disease name data read from the disease name / clinical subject name data storage unit 107 by the inquiry result generation unit 106 is given a coefficient indicating the possibility of morbidity corresponding to the symptom of the third input data, as will be described later. Yes. That is, as described above, a table with a predetermined coefficient weighted by the possibility of affliction of each disease name data is provided for each third inquiry data with a check box and a selection formula, and the disease name / Medical subject name data and this coefficient data are stored in association with disease name data. Therefore, this coefficient is also read and displayed in the inquiry result data generated by the inquiry result generation unit 106.

Here, when a plurality of third input data are selected and input, a plurality of coefficient data is attached to one disease name data. Therefore, in order to display the plurality of coefficient data as a coefficient for the symptom inputted by selecting a plurality of third input data, a calculation unit 108 for adding the plurality of read coefficients is provided.

By the way, since the coefficient indicating the morbidity is a determination based on the symptom of the third input data, for example, when the person to be examined is a man, a disease name specific to a woman is displayed, or the person to be examined There is also a possibility that a disease name related to a site (for example, cecum) is displayed as a history. On the other hand, in general, even if the coefficient of the disease name determined from the third input data is low, there are some that have to be given a high coefficient for those who have a specific constitution or history. Therefore, in order to improve the reliability of the coefficient data from the attributes of the person being examined, the attribute data can be input from the mobile phone M, and this data is registered in the attribute data registration unit 109, and the calculation unit 108 calculates the coefficient. When the addition is performed, the attribute data of the subject to be examined may be read from the attribute data registration unit 109, and a predetermined numerical value may be increased or decreased with respect to the coefficient data. The numerical value to be increased or decreased may be set for each disease name in advance for predetermined attribute data. The registered attribute data and the third input data that is the basis for reading / adding the coefficient are, for example, when the person to be examined inputs a name, ID, etc. when making an inquiry request from the mobile phone M. If the data is linked via the input data, it can be read out.

6A shows a coefficient table t1, and FIG. 6B shows a coefficient calculation table t2. The coefficient table t1 has a third inquiry data column on the horizontal axis (for convenience, the third inquiry data is represented by

numbers

1, 2, 3, 4, 5,... N), and a disease name data column on the vertical axis. The coefficient value for each third inquiry data is described in the data. The coefficient value is obtained by quantifying the probability of suffering from the disease from the symptom of the third inquiry data, and the coefficient value is “0” when there is no causal relationship between the symptom and the disease. Actually, it is desirable that at least the third inquiry data includes about 1000 items and the disease name data includes about 500 items.

In the coefficient calculation table t2, the coefficient value calculation expression column and the calculation result column correspond to the disease name data. For example, when a check is entered in the check boxes for 1, 4 and 5 in the third inquiry data in the coefficient table t1, the calculation formula for OO is the coefficient 10 of 1 and the

coefficients

0 and 5 of 4 The sum of the coefficients is 10 (that is, 10 + 0 + 10), and the calculation result is 20. Similarly, the arithmetic expression of the disease name ◯ × symptom is 0 + 0 + 0, the arithmetic result is 0, the arithmetic expression of the illness name ΔΔ symptom is 0 + 30 + 0, the arithmetic result is 30, and the arithmetic expression of the illness name Δ × symptom is 20 + 10 + 10. And the calculation result is 40. Each calculation result is a coefficient for each disease name.

FIG. 7 shows a display example of the inquiry result rs2 with the above coefficient. The same items as those described in FIG. 4 are denoted by the same reference numerals, and detailed description thereof is omitted. Hereinafter, the same applies to the third to fifth embodiments. When attribute data is used for generating an inquiry result, attribute data rs21 is displayed below the beginning rs11. In addition, in the cause columns rs12 and rs13, a coefficient “40” is displayed in addition to the disease name rs121 “Δ × syndrome” and the clinical course name rs122 “XXX department”, and the disease name rs131 “ΔΔ disease” A coefficient “30” is displayed in addition to the subject name rs132 “□□□ family”.

FIG. 8 is a diagram showing a processing flow for generating an inquiry result including the coefficient. Hereinafter, description will be made with reference to FIGS. 1 to 7 as appropriate. When the server 1 receives an inquiry request from the mobile phone M (S1), the server 1 transmits a first inquiry form me1 to the mobile phone M (S2). The radio button of the part / higher symptom where the subjective symptom of the person to be examined appears on the first inquiry form me1 is selected by the mobile phone M, and the first input data is transmitted to the server 1. When the server 1 receives the first input data (S3), the server 1 generates a second questionnaire me2 corresponding to the first input data and transmits it to the mobile phone M (S4). With the mobile phone M, the radio button of the middle symptom corresponding to the person to be examined is selected for the second medical questionnaire me2, and the second input data is transmitted to the server 1. When the server 1 receives the second input data (S5), the server 1 generates a third questionnaire me3 corresponding to the second input data and transmits it to the mobile phone M (S6). The check box of the lower symptom corresponding to the person to be examined is selected for the third inquiry form me3 by the mobile phone M, and the third input data is transmitted to the server 1. When the server 1 receives the third input data (S7), it reads the disease name, medical subject name, and coefficient corresponding to the selected third input data (S8). At this time, when a plurality of third input data are selected, a plurality of coefficients corresponding to each third input data are read. Therefore, it is determined whether or not a plurality of disease names and corresponding coefficients are read (S9). If there are a plurality of coefficients (No in S9), the sum of each coefficient is calculated (S10). On the other hand, when the read coefficient is single (Yes in S9), the process proceeds to the next step. Whether the coefficient is singular or plural, the presence / absence of attribute data of the person to be examined is determined (S11). If there is attribute data (No in S11), the numerical value of the attribute data to be reflected on the coefficient Is calculated (S12). If there is no attribute data (Yes in S11), the process proceeds to the next step.

By the way, when the coefficient is very small, that is, when the possibility of morbidity is extremely low, it is not necessary to display a disease name as an inquiry result. Therefore, a threshold value to be displayed (the calculated coefficient is a level value to be displayed as a disease) may be provided, and it may be determined whether or not the calculated coefficient is equal to or greater than this threshold value (S13). . If the coefficient is less than the threshold value (No in S13), it is determined that the level of display as a disease has not been reached, the inquiry result data indicates that there is no relevant disease, and the mobile phone M is displayed. Transmit (S15). On the other hand, when the coefficient is equal to or greater than the threshold (Yes in S13), the disease name and the medical subject name are specified (S14), and the inquiry result data includes the specified disease name and the medical subject name together with the coefficient. It is displayed and transmitted to the mobile phone M (S15).

[Third Embodiment]
FIG. 9 is a block diagram of the server 1 according to the third embodiment. The same components as those of the server 1 in the first embodiment are denoted by the same reference numerals, and detailed description thereof is omitted. The automatic inquiry system of FIG. 1 is also used in the third embodiment. In the present embodiment, a function of listing hospitals capable of performing medical treatment corresponding to the medical treatment subject name displayed in the inquiry result is added. That is, the server 1 has a hospital information storage unit 110 that stores hospital information classified for each medical subject name, and in order to generate the inquiry result data in the inquiry result generation unit 106, the disease name / medical subject name The disease name / clinical subject name data is read from the data storage unit 107, and the hospital information related to the hospital capable of performing medical treatment corresponding to the read disease name / clinical subject name data is read from the hospital information storage unit 110. This hospital information includes hospital information such as the hospital name, location, and contact information.

FIG. 10 is a view showing a display example of the inquiry result rs3 with the hospital list. The same items as those described in FIG. 4 are denoted by the same reference numerals, and detailed description thereof is omitted. The form image is different from the above rs1 and rs2, but this is in the form of a table due to an increase in the number of items to be written. In the display examples of rs1, rs2, rs3, and other inquiry results described later, It is sufficient that the description items are covered, and the present invention is not limited to the form image shown in each embodiment. For each cause column rs12, rs13, a hospital name is displayed together with a disease name, a medical subject name, and a coefficient. That is, the hospital name rs31 corresponding to the cause column rs12 and the hospital name rs32 corresponding to the cause column rs13 are described.

The order in which the cause columns rs12 and rs13 are displayed may be random, but as shown in FIG. 10, it is preferable to pay attention to the coefficients 221 and 231 and display them in descending order of the coefficients. That is, if the disease name, medical subject name, and hospital name are displayed in descending order of the coefficients, the person being examined is displayed, for example, in the order of the most likely morbidity from the displayed disease names. It is possible to avoid useless doctor shopping because it is only necessary to go to the hospital where the hospital is located. In addition, since the list is displayed by the operation led by the person to be examined, the patient can be convinced to receive a medical examination.

By the way, it is convenient if the hospital information displayed as the result of the inquiry can make a medical appointment directly from the mobile phone M. Therefore, FIG. 11 shows an example in which a hospital reservation form is displayed from the inquiry result displayed on the mobile phone M. In the inquiry result rs4 shown in FIG. 11, hospital names rs31 and rs32 are displayed in a hyperlinkable manner. When this hyperlink is designated, the screen changes to a screen on which the reservation form rf1 is displayed. In the inquiry reservation form, for example, there are columns for filling in the name, e-mail address, contact information, and desired date and time of the consultation. Moreover, you may make it describe an inquiry result. The reservation form data may be included in the hospital information. The filled reservation form data may be transmitted directly to the hospital communication terminal h (see FIG. 1) by pressing the transmission button. In addition, the same code | symbol is attached | subjected about the matter same as the matter demonstrated in FIG. 4, and detailed description is abbreviate | omitted.

When consulting at multiple hospitals listed in the interview result rs4, if there is a hospital that has already been consulted, the diagnostic result data of this hospital that has been consulted can be sent together with the appointment of the next hospital to be consulted Also good. In the reservation form rf1 in FIG. 11, the attachment of the diagnosis result of the hospital that has already been consulted can be selected below. As described above, since the consultation history can be referred to at the next hospital, the burden on the doctor performing the face-to-face medical care is reduced, and prompt medical care is realized. Further, the diagnosis result data may be automatically added to the attribute data registration unit 109 described with reference to FIG. 5 as the past history of the person to be examined. The diagnosis result data may be received from the hospital communication terminal h via the server 1.

FIG. 12 is a diagram showing a display example of a screen for sorting the hospital list. As an inquiry result, a plurality of hospital information may be read out for one cause column (namely, disease name). In this case, not only the hospitals may be displayed at random, but also rearranged from the mobile phone M according to a predetermined sorting condition. In the present embodiment, the hospital name rs31 and rs32 are displayed as “multiple” in the inquiry result rs5, and when this is designated by the mobile phone M, the sort screen st1 is displayed. As this sort condition, in addition to selecting a predetermined condition, a keyword may be input from a search form to list matching items. In the present embodiment, the one having both sort conditions is shown. By using these sort conditions individually or in combination, the reservation form described in FIG. 11 may be displayed from the listed hospital names. The same items as those described in FIG. 4 are denoted by the same reference numerals, and detailed description thereof is omitted.

The sort condition includes a list of neighboring hospitals based on the current location information using the GPS function, a list of hospitals adopting the reservation function provided in the system, and the system. Various things are possible, such as displaying hospitals that advertise in the form of tie-ups on the use of the Internet. Note that the price of this advertisement may be changed in an auction format depending on the department and region.

In the present embodiment, only the hospital name that can correspond to the read medical subject name is displayed as the hospital information. For example, when the hospital name is clicked, more detailed hospital information is displayed, You may make it jump to a homepage etc. Also, a bulletin board for patients and doctors and a word-of-mouth information registration function for hospitals may be provided.

[Fourth Embodiment]
FIG. 13 is a block diagram of the server 1 according to the fourth embodiment. The same components as those of the server 1 in the first embodiment are denoted by the same reference numerals, and detailed description thereof is omitted. The automatic inquiry system of FIG. 1 is also used in the fourth embodiment. In the present embodiment, the diagnosis result data relating to the finally diagnosed disease name is received by the server 1, and this is compared with the disease name displayed in the inquiry result data to calculate the coincidence rate. A function of adding a matching rate to each disease name data together with the coefficient is added. The feedback processing unit 111 performs the process of calculating the coincidence rate from the reception of the diagnosis result data and assigning it to the disease name data in the disease name / clinical subject name data storage unit 107.

FIG. 14 is a diagram showing an outline of processing steps performed in the feedback processing unit 111. The feedback processing unit 111 reads out the inquiry result data generated by the inquiry result generation unit 106 (S101) and receives final diagnosis result data (S102). The diagnosis result data may be received and received by the transmission / reception unit 101 from the hospital communication terminal h together with, for example, an indication that the final diagnosis result has been made. From both data, it is processed whether or not the disease names match (S103). At this time, not only whether the diagnosis result data and the diagnosis result data coincide with each other, but also the disease name finally determined by the diagnosis result data is displayed in descending order of the coefficients in the diagnosis result data. The matching rate is calculated by multiplying a predetermined coefficient depending on the number of the disease name that has been matched. For example, if the disease name displayed first in the descending order matches the disease name determined by the diagnosis result data, it is calculated as a match rate of 100%. However, the disease name displayed after the second descending order is diagnosed. If the disease data matches the disease name determined by the result data, the predetermined coefficient may be set so as to be 90%, 80%, etc. in order. When the coincidence rate is calculated, the coincidence rate may be stored so as to be displayed together with the coefficient of the disease name data in the disease name / clinical subject name data storage unit 107 (S104). Therefore, when the inquiry result data is generated next under the same conditions, the matching rate is also displayed. If the matching rate is extremely low or a new type of influenza, etc., the matching rate is regularly monitored and the coefficient is changed to improve the matching rate. A high system can be constructed.

[Fifth Embodiment]
FIG. 15 is a block diagram of the server 1 according to the fifth embodiment. The same components as those of the server 1 in the first embodiment are denoted by the same reference numerals, and detailed description thereof is omitted. The automatic inquiry system of FIG. 1 is also used in the fifth embodiment. In the present embodiment, a function for displaying the product and service information related to the symptom from the inquiry result data together with or separately from the disease name, medical subject name, coefficient, and hospital information is added. The server 1 has a product / service information storage unit 112. When disease name / clinical subject name data is read from the disease name / clinical subject name data storage unit 107, the product / service related data related to the disease name / clinical subject name data / The service information is read from the product / service information storage unit 112 and the inquiry result data is output including the read product / service information. The product / service information to be read out may be associated with the disease name / clinical subject name data by the disease name data.

FIG. 16 is a diagram showing a display example of an inquiry result accompanied with product / service information. The product / service information includes the hospital information and product information such as commercially available medicines, health foods, health goods, shiatsu services, yuji hot springs, health-oriented dishes, etc. Service information such as sports gyms may be provided. Further, as described in S13 of FIG. 8, in the case of a symptom whose coefficient is less than the threshold (so-called non-disease), even if the name of the disease in the interview result is “not applicable”, for providing some care information The products / services useful for improving the symptoms may be displayed. In the inquiry result rs6 of FIG. 16, the product / service information is displayed when there is no corresponding cause as the latter disease name. The same items as those described in FIG. 4 are denoted by the same reference numerals, and detailed description thereof is omitted. Although not shown, the product / service information included in the inquiry result data includes product purchase data and service application data via the Internet N from the mobile phone M on which the product / service information is displayed. Purchase / application input form data for transmission may be included. In this case, if the purchase / application input form is entered by the mobile phone M, the input data may be transmitted directly to the communication terminal s (see FIG. 1) of the store.

[Sixth Embodiment]
A program that causes a computer to function as the server 1 described in any of the above embodiments is also included in the scope of the present invention.

1: Server 101: Transmission / reception unit 102: Questionnaire slip generation unit 103: First interview data storage unit 104: Second interview data storage unit 105: Third interview data storage unit 106: Interview result generation unit 107: Disease name / clinical subject Name data storage unit 108: operation unit 109: attribute data registration unit 110: hospital information storage unit 111: feedback processing unit 112: product / service information storage unit

Claims

An interrogation request is received from a communication terminal via a communication line network, an interrogation form is displayed on the communication terminal, and interrogation result data is generated based on input data input by the communication terminal for the interrogation form. , An automatic inquiry system comprising a server for displaying the inquiry result data on the communication terminal,
The server
First interrogation data storage means storing a part on the body or a higher symptom;
Second interrogation data storage means storing a symptom recognized at each part of the first interrogation data storage means or a middle symptom corresponding to the higher symptom;
Third interrogation data storage means for storing subordinate symptoms obtained by subdividing each symptom of the second interrogation data storage means according to degree;
An inquiry form generating means for reading the inquiry data from the first to third inquiry data storage means and generating the inquiry form;
A disease name / medical subject data storage means that associates a disease name with a medical subject name that can be examined for the disease name;
An interrogation result generating means for reading out the disease name / clinical subject name corresponding to the input data from the disease name / clinical subject data storage means and generating interrogation result data;
The interview form generating means reads out the interview data from the first interview data storage means to generate a first interview form, and corresponds to the first input data for the first interview form from the second interview data storage means. Reading out the inquiry data to generate a second inquiry form, reading out the inquiry data corresponding to the second input data for the second inquiry form from the third inquiry data storage means to generate a third inquiry form, and generating the inquiry A result generating means reads out the disease name / medical subject name based on the third input data for the third inquiry form.
The disease name / clinical subject data storage means has one or more disease name data corresponding to the third inquiry data, and each disease name data is a predetermined coefficient for the morbidity estimated from the third inquiry data. The interrogation result generation means reads out the coefficient from the disease name / clinical subject data storage means together with the disease name / clinical subject name from the disease name / clinical subject data, and reads the coefficient. The automatic inquiry system according to claim 1, wherein inquiry result data is generated from the disease name / medical subject name and the coefficient.
When the plurality of third input data is input from the third inquiry data corresponding to the single disease name data, the inquiry result generation means adds each coefficient given by the input third inquiry data. 3. The automatic inquiry system according to claim 2, further comprising a calculation means for obtaining a coefficient for the single disease name data.
4. The automatic diagnosis apparatus according to claim 2, wherein the inquiry result generation unit reads a disease name having a coefficient that matches disease name data having a predetermined threshold value or more from a disease name / medical subject data storage unit. Interview system.
The attribute data of the person to be examined is included in the input data, and the calculation means increases or decreases a predetermined numerical value with respect to the coefficient based on the input attribute data. The automatic inquiry system according to any one of 4 to 4.
The server has attribute data registration means for registering the attribute data, and the calculation means reads the attribute data of the person to be examined who has inputted the third input data from the attribute data registration means, and uses it as the coefficient. 6. The automatic inquiry system according to claim 5, wherein the predetermined numerical value is increased or decreased based on the attribute data read out.
The server has hospital information storage means, and the inquiry result generation means reads hospital information about a hospital capable of medical treatment corresponding to the read disease name / clinical subject data from the hospital information storage means, The automatic inquiry system according to any one of claims 1 to 6, wherein the automatic inquiry system is included in the inquiry result data.
8. The automatic information according to claim 7, wherein the hospital information includes reservation input form data capable of making a reservation for a hospital through the communication line network from the communication terminal displaying the hospital information. Interview system.
When different hospital information data are read from the hospital information storage unit for a plurality of disease names, the inquiry result generation unit rearranges the disease names in the descending order of the coefficients and sorts the disease names. 9. The automatic inquiry system according to claim 7, wherein each hospital information is generated in correspondence with a name.
When the plurality of hospital information is read for the same disease name from the hospital information storage unit, the inquiry result generation unit is configured to send a plurality of hospital information displayed by the inquiry result data from the communication terminal to the communication line. 9. The automatic inquiry system according to claim 7 or 8, wherein the automatic inquiry system is generated by rearranging according to a predetermined sort condition specified through the system.
The inquiry result generation means includes search means for searching for hospital information including information that matches the keyword input from the communication terminal among the read hospital information, and the hospital information narrowed down by the search The automatic inquiry system according to claim 9 or 10, wherein the rearrangement is performed based on data.
When making a reservation for a hospital from the reservation input form data, if there is a hospital that has already been consulted among the hospital information displayed in the inquiry result data, the diagnosis result data of the hospital that has been consulted is transmitted along with the transmission of the reservation data. The automatic inquiry system according to any one of claims 8 to 11, wherein:
13. The automatic inquiry system according to claim 12, wherein the diagnosis result data is added to attribute data registration means as a history of the attribute data.
Feedback processing means for calculating a coincidence rate between a disease name displayed in the inquiry result data and a disease name finally diagnosed in the diagnosis result data; The automatic diagnosis system according to claim 12, wherein the automatic diagnosis system is provided.
The server includes a product / service information storage unit, and the inquiry result generation unit reads a product or service information related to the read disease name / medical subject data from the product / service information storage unit. The automatic inquiry system according to any one of claims 1 to 14, wherein the read product or service information is included in the inquiry result data and output.
The product / service information included in the inquiry result data includes a purchase for transmitting product purchase data and service application data via the communication line network from the communication terminal on which the product / service information is displayed. The automatic inquiry system according to claim 15, further comprising: application input form data.
The inquiry result generation means reads related product or service information from the product / service information storage means for the disease name data less than the predetermined threshold, and the inquiry result is based on the read product or service information. The automatic inquiry system according to claim 15 or 16, wherein data is generated.
A program that causes a computer to function as the server according to any one of claims 1 to 17.
An inquiry request is received from a communication terminal via a communication line network, an inquiry form is displayed on the communication terminal, and an inquiry result data is generated based on input data input by the communication terminal for the inquiry form, An automatic inquiry method for displaying the inquiry result data on the communication terminal,
When there is the inquiry request, a step of generating a first inquiry form in which a part on the body or a higher-order symptom is listed and transmitting to the communication terminal;
Receiving the first input data selected from a part on the body or a higher symptom on the communication terminal for the first questionnaire;
Generating a second questionnaire listing symptom recognized at a site on the body corresponding to the received first input data or intermediate symptom corresponding to the higher-order symptom, and transmitting to the communication terminal;
Receiving the second input data selected from the symptom recognized at the site on the body or the intermediate symptom at the communication terminal for the second questionnaire;
Generating a third questionnaire that enumerates subordinate symptoms obtained by subdividing each symptom corresponding to the received second input data according to a degree, and transmitting to the communication terminal;
Receiving the third input data selected from the subordinate symptoms at the communication terminal with respect to the third questionnaire;
Storing the disease name and medical subject name data corresponding to the lower symptom listed in the third questionnaire beforehand, and reading the disease name and medical subject name corresponding to the third input data;
Transmitting the read disease name and medical subject name as inquiry result data to the communication terminal,
The disease name is weighted with a coefficient indicating the likelihood of being affected for each third inquiry data, and when the disease name and the subject name are read, the coefficient is also read and included in the inquiry result data. An automatic interview method characterized by that.
In the case where a plurality of coefficients are added to the disease name read by the third input data in which a plurality of selections are made from the lower symptom, the coefficients are added to form a coefficient to be displayed in the inquiry result data. The automatic inquiry method according to claim 19, wherein:
A predetermined threshold is provided for the coefficient, and when the read coefficient or the added coefficient is equal to or greater than the predetermined threshold, the disease name and the medical subject name are displayed together with the coefficient in the inquiry result data. 21. The automatic inquiry method according to claim 19 or 20, wherein if it is less than the threshold value, it is displayed that there is no disease name to be displayed as the inquiry result data.