WO2013136611A1 - Biometric information display method, biometric information display image data creation device and program for same - Google Patents

Biometric information display method, biometric information display image data creation device and program for same Download PDF

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Publication number
WO2013136611A1
WO2013136611A1 PCT/JP2012/081952 JP2012081952W WO2013136611A1 WO 2013136611 A1 WO2013136611 A1 WO 2013136611A1 JP 2012081952 W JP2012081952 W JP 2012081952W WO 2013136611 A1 WO2013136611 A1 WO 2013136611A1
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WO
WIPO (PCT)
Prior art keywords
biological information
patient
biometric information
server
data
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PCT/JP2012/081952
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French (fr)
Japanese (ja)
Inventor
小川　浩司
康行 手塚
誠二 河野
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オムロンヘルスケア株式会社
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Publication of WO2013136611A1 publication Critical patent/WO2013136611A1/en

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14532—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD

Definitions

  • the present invention relates to a biometric information display method using a server, a server and a program for creating display image data thereof in a medical support system in which an expert such as a doctor can share biometric information such as a patient's blood pressure and blood glucose level.
  • Patent Document 1 discloses a “health management support system” in which a “user terminal”, a “health management support system server”, and a “medical staff terminal” are connected via the Internet or the like.
  • the present invention was made in consideration of the above points, and when an expert such as a doctor confirms the patient's biological information data stored in the server, the expert performs a more accurate diagnosis, It is an object of the present invention to provide a biological information display method, a biological information display image data creation device, and a program therefor that enable more accurate treatment.
  • the biological information display method of the present invention includes a biological information measuring device capable of measuring and transmitting a patient's biological information, an expert terminal having a display unit, and receiving the biological information transmitted from the biological information measuring device. And a biometric information data table associated with the biometric information measurement date, a server that receives the examination date transmitted from the expert terminal and stores it as the examination date table associated with the patient via a network. Used in medical support systems connected to each other. Then, the server receives the patient identification information and the transfer request of the biological information data from the expert terminal, and refers to the examination date table corresponding to the received identification information, the examination date and the previous date.
  • a step of obtaining a medical examination date, a step of obtaining biometric information data for display after at least the previous medical examination date with reference to the biometric information data table corresponding to the received identification information, and the obtained biometric information data for display A step of creating first biometric information display image data expressed in time series and shown together with the previous examination date and the previous examination date, and a step of transmitting the created first biometric information display image data to the expert terminal Have.
  • the biological information display image data creation device of the present invention includes a biological information measuring device capable of measuring and transmitting a patient's biological information, an expert terminal having a display unit, and biological information transmitted from the biological information measuring device.
  • Receive and store as a biometric information data table associated with the patient and biometric information measurement date receive the exam date transmitted from the expert terminal, and store it as the exam date table associated with the patient
  • the server is constructed in the server. Then, means for receiving patient identification information and the transfer request of the biometric information data from the expert terminal, and referring to the examination date table corresponding to the received identification information, obtain the previous examination date and the previous examination date.
  • the server may be physically composed of one computer or a plurality of computers.
  • the biological information display image data creation device is constructed in the server.
  • the biological information display image data creation device may be constructed in software inside a server that is physically constituted by one computer.
  • the server may be constructed from one or a plurality of servers composed of a plurality of computers.
  • the program of the present invention causes a computer to function as the biometric information display image data creation device.
  • biometric information display image data creation device or program of the present invention
  • a specialist such as a doctor to grasp the transition of biometric data and past medical examinations at a glance, and has higher accuracy. It is possible to obtain an effect that a diagnosis can be performed and a more accurate treatment can be performed.
  • FIG. 1 is an overall configuration diagram of a medical support system according to an embodiment of the present invention. It is a block diagram of the blood pressure meter (biological information measuring device) of one Embodiment of this invention. It is a block diagram of the patient card of one Embodiment of this invention. It is a block diagram of the server of one Embodiment of this invention. It is a block diagram of the expert terminal of one Embodiment of this invention. It is a block diagram of the patient terminal of one Embodiment of this invention. It is a figure which shows the structure of the patient table of one Embodiment of this invention. It is a figure which shows the structure of the blood-pressure data table of one Embodiment of this invention.
  • SBP morning and evening average and morning and evening difference
  • the biological information is blood pressure and the expert who operates the expert terminal is a doctor.
  • FIG. 1 is a diagram showing an overall configuration of an embodiment of a medical support system as a premise of the present invention.
  • a sphygmomanometer (biological information measuring device) 12 capable of measuring and transmitting a patient's blood pressure
  • an expert terminal 15 used by a doctor a patient terminal 16 used by a patient
  • a server 14 are connected via the Internet 11.
  • the server receives the blood pressure of the patient from the sphygmomanometer and stores it as a blood pressure data table associated with the patient and the measurement date.
  • the server receives the examination date from the expert terminal, and stores it as an examination date table associated with the expert and the patient.
  • each patient has a card 13 to which unique card identification information associated with the patient is assigned.
  • the method of using this medical support system is as follows, for example. Patients measure blood pressure at home in the morning and evening every day. The measured data is transmitted from the sphygmomanometer to the server for storage and accumulation. When a patient visits a hospital regularly (for example, once a month) and receives a doctor's examination, the doctor can check the blood pressure data stored in the server with an expert terminal, and perform a diagnosis based on this data. It can be carried out.
  • FIG. 2 is a diagram showing a configuration of the sphygmomanometer 12 of the present embodiment.
  • the sphygmomanometer 12 includes a control unit 21, a communication unit 22, an input unit 23, a display unit 24, a storage unit 25, and a measurement unit 26.
  • the control unit 21 controls the entire sphygmomanometer 12.
  • the input unit 23 receives instructions from the patient such as measurement start and data transmission.
  • the measurement unit 26 measures a patient's blood pressure (maximum blood pressure and minimum blood pressure) and a pulse (hereinafter, collectively referred to as “blood pressure data”).
  • the measured blood pressure data is displayed on the display unit 24 and temporarily stored in the storage unit 25 together with the measurement time.
  • the blood pressure data is transmitted to the server 14 via the communication unit 22.
  • the communication unit 22 can use a mobile communication system, for example. If the transmission cannot be completed for some reason, the data is continuously stored in the storage unit 25 until the next transmission is performed and the transmission is completed.
  • a unique measuring instrument identification symbol is electromagnetically recorded on the sphygmomanometer.
  • the mobile number can be used as a measuring instrument identification symbol.
  • the sphygmomanometer transmits a measuring instrument identification symbol and a set (record) of measurement date and blood pressure data stored in the storage unit to the server.
  • buttons may be provided on the sphygmomanometer, and each button may be associated with each patient.
  • the sphygmomanometer stores the blood pressure data together with the number of the pressed button (hereinafter also referred to as “extended symbol”).
  • extended symbol When the sphygmomanometer transmits blood pressure data to the server, the sphygmomanometer transmits a combination of a telephone number and an extended symbol to the server as a measuring instrument identification symbol.
  • the patient and the sphygmomanometer can be made to correspond one-to-one, and the configuration of the entire medical support system is simplified. be able to.
  • FIG. 3 is a diagram showing the configuration of the card 13 possessed by the patient.
  • the card 13 includes a control unit 31, a communication unit 32, and a storage unit 33.
  • the control unit 31 controls the entire card 13.
  • a card identification symbol uniquely assigned to the card is electromagnetically recorded.
  • the communication unit 32 transmits a card identification symbol to a later-described card reading unit provided in the expert terminal 15.
  • a non-contact type IC card can be used as the card 13, and an ID number unique to the IC chip can be used as the card identification symbol.
  • the individual patient, the card identification symbol of the card 13 possessed by the patient, and the measuring instrument identification symbol (mobile phone number and expansion symbol) of the sphygmomanometer 12 are associated in advance when the sphygmomanometer is sold to the patient, for example.
  • This can be stored in the server 14 as a patient table.
  • FIG. 7 is an example of such a patient table.
  • the patient table consists of multiple patient records, and each patient record is uniquely assigned to each patient; instrument identification number; card identification number; personal information such as name / address / phone number; Login name / password; other information.
  • FIG. 4 is a diagram showing the configuration of the server 14.
  • the server 14 includes a control unit 41, a communication unit 42, a biological information analysis unit 43, a biological information display image data generation unit 44, and a storage unit 45.
  • the control unit 41 controls the entire server 14.
  • the communication unit 42 performs various communications with the sphygmomanometer 12, the expert terminal 15, the patient terminal 16, and the like.
  • the biological information analysis unit 43 performs various analyzes of blood pressure data.
  • the biological information display image data generation unit 44 generates image data representing the blood pressure data and the analysis result in a graph.
  • the storage unit 45 stores various data such as blood pressure data and doctor information in addition to the patient table.
  • the server When the server receives the measuring instrument identification symbol and blood pressure data from the sphygmomanometer, the server refers to the patient table and acquires the patient ID corresponding to the measuring instrument identification symbol. Next, blood pressure data is recorded in the blood pressure data table corresponding to the patient ID.
  • FIG. 8 shows an example of such a blood pressure data table
  • FIG. 11 shows the flow of the above processing.
  • the server receives a request from an expert terminal or a patient terminal, the server confirms the transmission source, performs processing according to the content of the transmission source and the request, and transmits necessary data to the terminal. Details of the server operation will be described later.
  • the server may be composed of a single computer or a plurality of computers.
  • it consists of a plurality of computers physically or virtually, and storage of patient information and biological information, analysis of biological information and generation of biological information display image data performed in response to a request from an expert terminal are separate.
  • it is performed by a computer. This is because it is possible to flexibly cope with changes in processing contents and addition of functions by replacing / adding physical devices or programs.
  • FIG. 5 is a diagram showing a configuration of the expert terminal 15 of the present embodiment.
  • the expert terminal 15 includes a control unit 51, a communication unit 52, an input unit 53, a display unit 54, a card reading unit 55, and a storage unit 56.
  • a normal personal computer or the like can be used as the expert terminal 15.
  • storage part 56 can use the thing of a normal personal computer as it is.
  • the card reader 56 of the expert terminal is for reading the card identification symbol of the card 13 held by the patient, and can be used by connecting to an external terminal such as a USB of a personal computer.
  • this card reading unit 55 is not an essential requirement of the present invention, it is possible to obtain the advantages described later by providing the card reading unit 55 like the expert terminal of the present embodiment.
  • FIG. 6 is a diagram showing a configuration of the patient terminal 16 of the present embodiment.
  • the patient terminal 16 includes a control unit 61, a communication unit 62, an input unit 63, a display unit 64, and a storage unit 65.
  • a normal personal computer or the like can be used for the patient terminal 16.
  • the patient terminal is used by the patient to check his / her past blood pressure data and the like, and to change patient information. The patient can perform these operations by logging into the server using a normal personal computer or the like.
  • FIG. 9 is an example of a doctor table.
  • the doctor table includes a plurality of doctor records, and each doctor record includes a doctor ID uniquely assigned to each doctor; doctor information such as a name, address, and telephone number; a login name and a password when using an expert terminal; It consists of initial settings related to examination contents; other information.
  • FIG. 10 is an example of an examination date table.
  • the examination date table is created for each combination of a specific doctor and a specific patient, and includes a doctor ID; a patient ID; an initial setting for each doctor-patient regarding the contents of the examination; a list of past examination dates; and other information. Is done.
  • the server since the examination date table is created when the doctor first examines the patient, the server may determine whether or not the patient has been examined by the doctor depending on the presence or absence of the examination date table. it can.
  • the doctor logs in to the server 14 from the expert terminal 15.
  • a known method such as a method using a login name and a password can be used.
  • the server stores a doctor table in which a doctor ID uniquely assigned to each doctor is associated with a login name / password, and the doctor ID is obtained by referring to the doctor table when the doctor logs in. Further, when various types of information are subsequently received from the expert terminal, it can be determined that the transmission is from a doctor having the doctor ID.
  • setting items include a blood pressure data selection method, a default display item of a blood pressure information display screen, a screen design, and the like.
  • the expert terminal transmits such setting items / contents to the server.
  • the server that has received this records the setting contents in the doctor table stored in the storage unit 45 in association with the doctor ID of the transmission source doctor.
  • FIG. 13 shows an example of the menu screen after logging in the expert terminal.
  • the doctor is prompted to make various initial settings for each patient.
  • the doctor selects patient search from the menu of FIG. 13 and inputs the name of the patient.
  • the expert terminal 15 transmits this to the server 14.
  • the server obtains the patient ID by referring to the patient table, confirms that there is no examination date table corresponding to the doctor ID and the patient ID of the transmission source, and then creates a new examination date table in the storage unit.
  • various initial setting items and contents to be set for each combination of patients are transmitted to the expert terminal.
  • the setting items include which time zone of blood pressure data of the day is used as a basis for examination according to the patient's life pattern, and the patient's medical chart number.
  • setting items numerical values (hereinafter referred to as “comparison reference values”) that doctors want to compare for determining the quality of blood pressure data, such as normal values of blood pressure according to the gender and age of patients, improvement target values for the patients, etc. ) Can also be set.
  • the expert terminal transmits such setting items / contents to the server.
  • the server that has received this records the setting contents in the examination date table.
  • the doctor can select an individual patient from the patient list in the menu of FIG.
  • the expert terminal 15 transmits a patient list transfer request to the server 14, and the server 14 refers to an examination date table, which will be described later, linked to the doctor ID of the transmission source, A list of patient names who have been examined by the doctor is transmitted to the expert terminal 15. Therefore, the expert terminal can transmit a transfer request for blood pressure data of the patient to the server using the item number of the patient name list received from the server as patient identification information.
  • the above processing can be simplified by causing the card reading unit of the expert terminal to read the card received from the patient.
  • the expert terminal 15 of the present embodiment transmits a card identification symbol to the server 14 when the card reading unit 55 reads the card.
  • the card identification symbol functions as patient identification information.
  • the server receives the card identification symbol, the server refers to the patient table and acquires the patient ID corresponding to the card identification symbol. Further, the server regards that day as an examination date, and can register it in the examination date table corresponding to the doctor ID and the patient ID of the transmission source. Further, when the server receives the card ID, the server can regard it as a biometric information transfer request, and can start analysis of biometric information and creation of biometric information display image data, which will be described later.
  • the server When the server receives the blood pressure data transfer request from the expert terminal, the server performs predetermined processing and transmits the graph display image data to the expert terminal.
  • FIG. 14 is an example of an image displayed on the expert terminal.
  • FIG. 14A shows the transition of the systolic blood pressure and the systolic blood pressure in the morning and evening for 60 days including the previous examination day and the previous examination day (hereinafter referred to as “transition graph”).
  • FIG. 14A also shows the display date of the previous examination date and the previous examination date, and the improvement target values for the systolic blood pressure and the diastolic blood pressure set by the doctor.
  • FIG. 12 is a diagram showing a flow of biometric information display image data creation by the server of this embodiment.
  • the server receives the patient's card ID (the patient's identification information and the biometric information data transfer request at the same time) from the expert terminal, the server performs the following processing. First, the patient ID corresponding to the received card ID is acquired with reference to the patient table. Next, referring to the doctor table, an initial setting value for each doctor corresponding to the doctor ID of the transmission source is acquired. Next, referring to the examination date table corresponding to the doctor ID and the patient ID, the previous examination date and the previous examination date, and the initial setting value for each doctor-patient are acquired.
  • a period for displaying blood pressure data (hereinafter sometimes referred to as “display period”) is determined.
  • This display period includes at least a period from the previous medical examination date to the date on which the biometric information data transfer request is received (hereinafter referred to as “current medical examination date”).
  • blood pressure data for the display period is acquired from the blood pressure data table corresponding to the patient ID.
  • a graph (transition graph) representing the acquired blood pressure data in time series is created, and display image data is also created.
  • display image data is created so that the previous examination date and the previous examination date are displayed together in the graph. Further, the display image data may be created so that the comparison reference value is displayed together in the graph.
  • the server transmits this to the expert terminal.
  • doctors can confirm the transition of biometric information data after the previous medical examination date, and more accurately understand the relationship with the diagnosis, treatment, treatment, prescription of medicine, etc. performed on each past medical examination date be able to.
  • the initial setting value for each doctor and the initial setting value for each doctor-patient are used as follows, for example. In general, it is recommended that blood pressure be measured three times in 10 minutes, but there are various ways of determining which value of the three measured values is used for diagnosis. For example, using only the first time, using only the second time, using the average of the first and second times, using the average of the second and third times, using the average of the first and third times, using the lowest value, and using the lowest two For example, the average of values is used.
  • a method adopted by each doctor as a standard is set, and the server creates a transition graph from the blood pressure data acquired from the blood pressure data table according to the method.
  • the comparison reference value is a numerical value set by the doctor for each patient, and is stored as an initial setting value for each doctor-patient in the examination date table.
  • the start point and end point of the display period can simply be the previous examination date and the current examination date.
  • the server stores a plurality of predetermined standard days, selects the shortest standard day including the previous examination date, acquires blood pressure data for the number of days from the blood pressure table, It is preferable to use to create a transition graph.
  • the standard days are set to 30 days, 60 days, 90 days, 180 days, and 365 days, and the shortest standard days larger than the days from the previous examination date to the current examination date are selected.
  • the scale of the time series axis of the transition graph may be changed afterwards according to a request from the expert terminal.
  • FIG. 15 shows a display screen for making such a posteriori change.
  • FIG. 14B (upper left in FIG. 14) displays the average values of the systolic blood pressure and the diastolic blood pressure in the morning and evening periods of the period from the previous examination date to the previous examination day and the period from the previous examination date to the current examination date ( Hereinafter referred to as “average graph”).
  • the server calculates an average value of blood pressure data in the period from the previous examination date to the previous examination date and the period from the previous examination date to the transfer request reception date, and displays the image Create data and send it to the expert terminal.
  • FIGS. 14C and D display the results of analyzing blood pressure data (hereinafter referred to as “analysis graph”).
  • the analysis graph shows the result of the server performing various analyzes of blood pressure data.
  • the analysis graph displayed on the screen of the expert terminal may be selectable from a plurality.
  • FIG. 16 shows a display screen for such selection. Based on a list of analysis graphs transmitted from the server to the expert terminal, analysis graphs that can be selected by a pull-down menu method are displayed on the expert terminal.
  • the analysis graph to be displayed first can be set to the initial setting for each doctor or the initial setting for each doctor-patient.
  • the server When the server receives the patient identification symbol and the biometric information data transfer request from the expert terminal, the blood pressure data is analyzed by various preset analysis methods in the process of creating the transition graph, and the result is displayed. Create image data and send it to the expert terminal.
  • each analysis result shows a tendency to improve or deteriorate blood pressure data.
  • evaluation mark After analyzing the blood pressure data, the server evaluates whether the result indicates a tendency to improve or deteriorate the biological information, and an image of an evaluation mark for each analysis result along with a list of selectable analysis graphs Data can be sent to expert terminals.
  • the doctor can grasp the quality of each analysis result simply by looking at the evaluation mark before confirming all of the plurality of analysis results, Among the analysis results, important ones can be discriminated.
  • a biological information analysis result presentation method is also beneficial for the patient.
  • the patient When a doctor or the like views an analysis result on an expert terminal while examining the patient, the patient also sees the analysis result at the same time. In that case, if the analysis result is bad, some patients may be depressed, and their willingness to measure biological information daily or receive treatment may be reduced. Or, if the analysis result is good, it may be neglected to keep up with daily measurement of living body information or improvement of lifestyle habits depending on the patient.
  • an expert such as a doctor can select and display a more appropriate analysis result in consideration of the patient's personality and medical condition.
  • the server In order to display the list of analysis graphs that can be selected by the expert terminal with an evaluation mark, the server is selected as a transition graph and an initial setting when a biometric data transfer request is received. In addition to the analysis graph, it is necessary to perform all the selectable analyzes, evaluate them, and send an evaluation mark to the expert terminal.
  • the “measured days per week” shown in FIG. 17 includes a period from the previous examination date to the previous examination day (hereinafter referred to as “current period”) and a period from the previous examination date to the current examination date (hereinafter referred to as “current period”). ) Shows the average number of measurement days per week for each morning and evening. For example, when the previous period is compared with the present period and increased from less than 3 times to 3 times or more, the evaluation is positive, and in the opposite case, the evaluation is negative.
  • the “measurement frequency by day of the week” shown in FIG. 18 indicates the number of measurement days per day of the week in the morning and evening in the previous period and the current period. Comparing the previous period with the present period, for example, a positive evaluation is made when the number of days of the week on which the measurement has been performed one or more times is increased, and a negative evaluation is made in the opposite case.
  • the “change in morning / night average / morning / night difference (SBP)” shown in FIG. 19 indicates the difference between the average of the highest blood pressure (systolic blood pressure, SBP) in the morning and evening, and the highest blood pressure in the morning and evening, in the previous period and the current period. Is. Comparing the previous period with the present period, for example, a positive evaluation is made when both the morning and evening average and the morning and evening difference are reduced, and a negative evaluation is made in the opposite case.
  • the “occurrence status of tachycardia / bradycardia” shown in FIG. 20 indicates the number of times the pulse was 100 times / minute or more and the number of times less than 40 times / minute in the morning and evening in the previous period and the current period. Is. Since this analysis item alerts the physician that tachycardia / bradycardia has occurred, for example, when tachycardia / bradycardia is measured more than once during this period, negative analysis can be performed. .
  • “Change in blood pressure level from the first time” shown in FIG. 21 indicates changes in the highest blood pressure and the lowest blood pressure (diastolic blood pressure, DBP) in the morning and evening in all periods from the first time including the previous period and the current period. Is. Comparing the previous period with the present period, for example, when both the systolic blood pressure and the diastolic blood pressure decrease, the evaluation is positive, and when the converse is the opposite, the evaluation is negative.
  • the “average blood pressure value (by day of the week)” shown in FIG. 22 indicates the average values of the highest blood pressure and the lowest blood pressure in the morning and evening in the previous period and the current period. For example, a positive evaluation can be made when the systolic blood pressure and the diastolic blood pressure fall below the antihypertensive target on all days of the current period. In addition, for example, regarding either the maximum blood pressure or the minimum blood pressure, a negative evaluation can be made when the difference between the average of the highest day on the second day of blood pressure and the average of the other five days is 10 mmHg or more.
  • the “change in blood pressure distribution (SBP)” shown in FIG. 23 indicates the distribution of the highest blood pressure in the morning and evening in the previous period and the current period.
  • SBP blood pressure distribution
  • the ratio is shown separately when the difference from the target step-down value is 20 mmHg or less and the target step-down value is higher than 20 mmHg.
  • each may be color-coded green, yellow, red, etc. to facilitate visual reading.
  • the “change in blood pressure distribution (DBP)” shown in FIG. 24 performs analysis similar to the change in blood pressure distribution (SBP) for the minimum blood pressure.
  • the ratio is shown separately when the difference from the step-down target value is 10 mmHg or less and the step-down target value is higher than 10 mmHg.
  • each may be color-coded green, yellow, red, etc. to facilitate visual reading.
  • the “blood pressure average value (by time zone)” shown in FIG. 25 indicates the average of the highest blood pressure and the lowest blood pressure by the measured time zone.
  • the analysis period can be selected as appropriate, for example, only the current period, the previous period and the current period, and all after the first time.
  • the “average blood pressure value (by month)” shown in FIG. 26 indicates the average of the highest blood pressure and the lowest blood pressure by month for all periods after the first time.
  • biometric information was demonstrated as a blood pressure value and the expert was demonstrated as a doctor, it is not restricted to this.
  • the biological information may be various types of biological information that doctors need for diagnosis, such as blood glucose levels, measured daily.
  • the specialist may be a medical worker other than the doctor or other specialists.

Abstract

In a medical assistance system (10) in which a biometric information measuring device (12), a specialist terminal (15), and a server (14) are connected via a network (11), the present invention is a biometric information display method having steps in which a server (14): receives a transfer request for identification information and biometric information data for a patient from the specialist terminal (15); references a visit day table corresponding to the received identification information in order to acquire the next-to-last visit day and the last visit day; references a biometric information data table corresponding to the received identification information in order to acquire display-use biometric information data for at least the next-to-last visit day and afterwards; creating first biometric information display image data which represents the acquired display-use biometric information data chronologically so as to indicate the same together with the next-to-last visit day and the last visit day; and transmitting the created first biometric information display image data to the specialist terminal (15).

Description

生体情報表示方法、生体情報表示画像データ作成装置およびそのためのプログラムBiological information display method, biometric information display image data creation device, and program therefor
　本発明は、患者の血圧や血糖値などの生体情報を医師などの専門家が共有できる医療支援システムにおける、サーバを用いた生体情報の表示方法、その表示画像データを作成するサーバおよびプログラムに関する。 The present invention relates to a biometric information display method using a server, a server and a program for creating display image data thereof in a medical support system in which an expert such as a doctor can share biometric information such as a patient's blood pressure and blood glucose level.
　自宅等で測定された血圧などの生体情報をインターネット等のネットワークに接続されたサーバ上に保存し、必要に応じてそのデータを医師等の専門家が端末で閲覧できる仕組みが提案されている。例えば、特許文献１には、「利用者端末」と「健康管理支援システムサーバー」と「医療スタッフ用端末」がインターネット等を通じて接続された「健康管理支援システム」が開示されている。 A mechanism has been proposed in which biological information such as blood pressure measured at home or the like is stored on a server connected to a network such as the Internet, and specialists such as doctors can view the data on a terminal as necessary. For example, Patent Document 1 discloses a “health management support system” in which a “user terminal”, a “health management support system server”, and a “medical staff terminal” are connected via the Internet or the like.
特開２００８－２２５５８５号公報JP 2008-225585 A
　しかし、医師等の専門家が生体情報データを確認する場合に、単に時系列に並べられたデータを確認しても、生体情報データの推移と過去の診察結果との関係が一見して把握することが難しいという問題があった。 However, when specialists such as doctors check biometric data, they can grasp the relationship between the transition of biometric data and past examination results at a glance, even if they simply check data arranged in time series. There was a problem that it was difficult.
　本発明は、以上の点を考慮してなされたものであり、サーバに保存された患者の生体情報データを医師等の専門家が確認する場合に、専門家がより精度の高い診断を行い、より的確な処置を行うことを可能とする生体情報表示方法、生体情報表示画像データ作成装置およびそのためのプログラムを提供することを目的とする。 The present invention was made in consideration of the above points, and when an expert such as a doctor confirms the patient's biological information data stored in the server, the expert performs a more accurate diagnosis, It is an object of the present invention to provide a biological information display method, a biological information display image data creation device, and a program therefor that enable more accurate treatment.
　本発明の生体情報表示方法は、患者の生体情報を測定して送信可能な生体情報測定器と、表示部を有する専門家端末と、生体情報測定器から送信された生体情報を受信して患者および生体情報測定日と対応付けられた生体情報データテーブルとして記憶し、専門家端末から送信された診察日を受信して患者と対応付けられた診察日テーブルとして記憶するサーバとが、ネットワークを介して接続された医療支援システムにおいて用いられる。そして、前記サーバが、前記専門家端末から患者の識別情報と前記生体情報データの転送要求を受信する工程と、受信した識別情報に対応する前記診察日テーブルを参照して前々診察日および前診察日を取得する工程と、受信した識別情報に対応する前記生体情報データテーブルを参照して少なくとも前々診察日以降の表示用生体情報データを取得する工程と、取得した表示用生体情報データを時系列で表し、前々診察日および前診察日とともに示す第１の生体情報表示画像データを作成する工程と、作成した第１の生体情報表示画像データを前記専門家端末に送信する工程とを有する。 The biological information display method of the present invention includes a biological information measuring device capable of measuring and transmitting a patient's biological information, an expert terminal having a display unit, and receiving the biological information transmitted from the biological information measuring device. And a biometric information data table associated with the biometric information measurement date, a server that receives the examination date transmitted from the expert terminal and stores it as the examination date table associated with the patient via a network. Used in medical support systems connected to each other. Then, the server receives the patient identification information and the transfer request of the biological information data from the expert terminal, and refers to the examination date table corresponding to the received identification information, the examination date and the previous date. A step of obtaining a medical examination date, a step of obtaining biometric information data for display after at least the previous medical examination date with reference to the biometric information data table corresponding to the received identification information, and the obtained biometric information data for display A step of creating first biometric information display image data expressed in time series and shown together with the previous examination date and the previous examination date, and a step of transmitting the created first biometric information display image data to the expert terminal Have.
　この構成により、医師等の専門家に対して、前々診察日以降の生体情報を時系列で、かつ前々診察日および前診察日とともに示すことができる。専門家にとっては、前々診察日以降の生体情報データの推移を確認するとともに、過去の各診察日に行った診断、処置、治療、薬の処方等との関係を把握しやすくなるという効果が得られる。 With this configuration, it is possible to show the biometric information after the date of the previous examination to the specialists such as doctors in time series, together with the date of the previous examination and the date of the previous examination. For specialists, it is possible to confirm the transition of biometric information data after the previous examination date, and to easily understand the relationship with the diagnosis, treatment, treatment, prescription of medicine, etc. performed on each past examination date. can get.
　本発明の生体情報表示画像データ作成装置は、患者の生体情報を測定して送信可能な生体情報測定器と、表示部を有する専門家端末と、前記生体情報測定器から送信された生体情報を受信して、患者および生体情報測定日と対応付けられた生体情報データテーブルとして記憶し、前記専門家端末から送信された診察日を受信して、患者と対応付けられた診察日テーブルとして記憶するサーバとがネットワークを介して接続された医療支援システムにおいて、前記サーバ内に構築される。そして、前記専門家端末から患者の識別情報と前記生体情報データの転送要求を受信する手段と、受信した識別情報に対応する前記診察日テーブルを参照して前々診察日および前診察日を取得する手段と、受信した識別情報に対応する前記生体情報データテーブルを参照して少なくとも前々診察日以降の表示用生体情報データを取得する手段と、取得した表示用生体情報データを時系列で表して前々診察日および前診察日とともに示す生体情報表示画像データを作成する手段と、作成した生体情報表示画像データを前記専門家端末に送信する手段とを有する。 The biological information display image data creation device of the present invention includes a biological information measuring device capable of measuring and transmitting a patient's biological information, an expert terminal having a display unit, and biological information transmitted from the biological information measuring device. Receive and store as a biometric information data table associated with the patient and biometric information measurement date, receive the exam date transmitted from the expert terminal, and store it as the exam date table associated with the patient In a medical support system in which a server is connected via a network, the server is constructed in the server. Then, means for receiving patient identification information and the transfer request of the biometric information data from the expert terminal, and referring to the examination date table corresponding to the received identification information, obtain the previous examination date and the previous examination date. Means for referring to the biological information data table corresponding to the received identification information, acquiring biological information data for display at least after the previous examination date, and representing the acquired biological information data for display in time series Means for creating the biometric information display image data shown together with the previous examination date and the pre-examination date, and means for transmitting the created biometric information display image data to the expert terminal.
　ここで、前記サーバは物理的に１個のコンピュータで構成されていても、複数のコンピュータで構成されていてもよい。生体情報表示画像データ作成装置がサーバ内に構築されるとは、前記生体情報表示画像データ作成装置が、物理的に１個のコンピュータで構成されるサーバ内部にソフトウェア的に構築されていてもよく、複数のコンピュータで構成されるサーバの内の１台または複数台から構築されていてもよい。 Here, the server may be physically composed of one computer or a plurality of computers. The biological information display image data creation device is constructed in the server. The biological information display image data creation device may be constructed in software inside a server that is physically constituted by one computer. The server may be constructed from one or a plurality of servers composed of a plurality of computers.
　この構成により、医師等の専門家に対して、前々診察日以降の生体情報を時系列で、かつ前々診察日および前診察日とともに示すことができる。専門家にとっては、前々診察日以降の生体情報データの推移を確認するとともに、過去の各診察日に行った診断、処置、治療、薬の処方等との関係を把握しやすくなるという効果が得られる。 With this configuration, it is possible to show the biometric information after the date of the previous examination to the specialists such as doctors in time series, together with the date of the previous examination and the date of the previous examination. For specialists, it is possible to confirm the transition of biometric information data after the previous examination date, and to easily understand the relationship with the diagnosis, treatment, treatment, prescription of medicine, etc. performed on each past examination date. can get.
　本発明のプログラムは、コンピュータを上記生体情報表示画像データ作成装置として機能させるものである。 The program of the present invention causes a computer to function as the biometric information display image data creation device.
　本発明の生体情報表示方法、生体情報表示画像データ作成装置またはプログラムによれば、医師等の専門家が、生体情報データの推移と過去の診察関係を一見して把握しやすく、より精度の高い診断を行い、より的確な処置を行えるという効果が得られる。 According to the biometric information display method, biometric information display image data creation device, or program of the present invention, it is easy for a specialist such as a doctor to grasp the transition of biometric data and past medical examinations at a glance, and has higher accuracy. It is possible to obtain an effect that a diagnosis can be performed and a more accurate treatment can be performed.
本発明の一実施形態の医療支援システムの全体構成図である。1 is an overall configuration diagram of a medical support system according to an embodiment of the present invention. 本発明の一実施形態の血圧計（生体情報測定器）の構成図である。It is a block diagram of the blood pressure meter (biological information measuring device) of one Embodiment of this invention. 本発明の一実施形態の患者カードの構成図である。It is a block diagram of the patient card of one Embodiment of this invention. 本発明の一実施形態のサーバの構成図である。It is a block diagram of the server of one Embodiment of this invention. 本発明の一実施形態の専門家端末の構成図である。It is a block diagram of the expert terminal of one Embodiment of this invention. 本発明の一実施形態の患者端末の構成図である。It is a block diagram of the patient terminal of one Embodiment of this invention. 本発明の一実施形態の患者テーブルの構成を示す図である。It is a figure which shows the structure of the patient table of one Embodiment of this invention. 本発明の一実施形態の血圧データテーブルの構成を示す図である。It is a figure which shows the structure of the blood-pressure data table of one Embodiment of this invention. 本発明の一実施形態の医師テーブルの構成を示す図である。It is a figure which shows the structure of the doctor table of one Embodiment of this invention. 本発明の一実施形態の診察日テーブルの構成を示す図である。It is a figure which shows the structure of the examination date table of one Embodiment of this invention. 本発明の一実施形態の血圧データ記憶処理のフローを示す図である。It is a figure which shows the flow of the blood-pressure data storage process of one Embodiment of this invention. 本発明の一実施形態の生体情報表示画像データ作成のフローを示す図である。It is a figure which shows the flow of biometric information display image data creation of one Embodiment of this invention. 本発明の一実施形態の専門家端末のログイン画面を示す図である。It is a figure which shows the login screen of the expert terminal of one Embodiment of this invention. 本発明の一実施形態の専門家端末に表示される生体情報表示画像の例である。It is an example of the biometric information display image displayed on the expert terminal of one Embodiment of this invention. 本発明の一実施形態の専門家端末に表示される推移グラフの表示期間変更操作を示す図である。It is a figure which shows the display period change operation of the transition graph displayed on the expert terminal of one Embodiment of this invention. 本発明の一実施形態の専門家端末に表示される生体情報解析グラフの種類を選択する操作を示す図である。It is a figure which shows operation which selects the kind of biometric information analysis graph displayed on the expert terminal of one Embodiment of this invention. 生体情報解析グラフの一例である「週あたりの測定日数」を示す図である。It is a figure which shows "the number of measurement days per week" which is an example of a biometric information analysis graph. 生体情報解析グラフの一例である「曜日別測定頻度」を示す図である。It is a figure which shows "the measurement frequency classified by day of the week" which is an example of a biometric information analysis graph. 生体情報解析グラフの一例である「朝晩平均・朝晩差の変化（ＳＢＰ）」を示す図である。It is a figure which shows the "change of morning and evening average and morning and evening difference (SBP)" which is an example of a biometric information analysis graph. 生体情報解析グラフの一例である「頻脈・徐脈の発生状況」を示す図である。It is a figure which shows the "occurrence status of tachycardia / bradycardia" which is an example of a biological information analysis graph. 生体情報解析グラフの一例である「初回からの血圧レベルの変化」を示す図である。It is a figure which shows "the change of the blood pressure level from the first time" which is an example of a biometric information analysis graph. 生体情報解析グラフの一例である「血圧平均値（曜日別）」を示す図である。It is a figure which shows "blood pressure average value (according to a day of the week)" which is an example of a biometric information analysis graph. 生体情報解析グラフの一例である「血圧分布の変化（ＳＢＰ）」を示す図である。It is a figure which shows "change of blood pressure distribution (SBP)" which is an example of a biometric information analysis graph. 生体情報解析グラフの一例である「血圧分布の変化（ＤＢＰ）」を示す図である。It is a figure showing "change of blood pressure distribution (DBP)" which is an example of a living body information analysis graph. 生体情報解析グラフの一例である「血圧平均値（時間帯別）」を示す図である。It is a figure which shows "blood pressure average value (according to time zone)" which is an example of a biometric information analysis graph. 生体情報解析グラフの一例である「血圧平均値（月別）」を示す図である。It is a figure which shows "blood pressure average value (monthly)" which is an example of a biometric information analysis graph.
　以下に、生体情報が血圧であり、専門家端末を操作する専門家が医師である場合について、本発明の実施の形態を説明する。 Hereinafter, an embodiment of the present invention will be described in the case where the biological information is blood pressure and the expert who operates the expert terminal is a doctor.
　図１は、本発明の前提となる医療支援システムの一実施形態の全体構成を示す図である。本実施形態の医療支援システム１０では、患者の血圧を測定して送信可能な血圧計（生体情報測定器）１２、医師が利用する専門家端末１５、患者が利用する患者端末１６、およびサーバ１４がインターネット１１を介して接続されている。サーバは、血圧計から患者の血圧を受信して、患者および測定日時と対応付けられた血圧データテーブルとして記憶する。また、サーバは、専門家端末から診察日を受信して、専門家および患者と対応付けられた診察日テーブルとして記憶する。さらに、各患者は、患者と対応付けられた一意のカード識別情報が割り当てられたカード１３を所持している。 FIG. 1 is a diagram showing an overall configuration of an embodiment of a medical support system as a premise of the present invention. In the medical support system 10 of the present embodiment, a sphygmomanometer (biological information measuring device) 12 capable of measuring and transmitting a patient's blood pressure, an expert terminal 15 used by a doctor, a patient terminal 16 used by a patient, and a server 14 Are connected via the Internet 11. The server receives the blood pressure of the patient from the sphygmomanometer and stores it as a blood pressure data table associated with the patient and the measurement date. Further, the server receives the examination date from the expert terminal, and stores it as an examination date table associated with the expert and the patient. Further, each patient has a card 13 to which unique card identification information associated with the patient is assigned.
　この医療支援システムを利用する方法は、例えば次のとおりである。患者は日々、朝夕に自宅で血圧を測定する。測定されたデータは血圧計からサーバに送信されて保存、蓄積される。患者が定期的に（例えば毎月１回）病院を訪れて医師の診察を受ける場合、医師は、サーバに蓄積された血圧データを専門家端末で確認することができ、このデータに基づいて診察を行うことができる。 The method of using this medical support system is as follows, for example. Patients measure blood pressure at home in the morning and evening every day. The measured data is transmitted from the sphygmomanometer to the server for storage and accumulation. When a patient visits a hospital regularly (for example, once a month) and receives a doctor's examination, the doctor can check the blood pressure data stored in the server with an expert terminal, and perform a diagnosis based on this data. It can be carried out.
　図２は、本実施形態の血圧計１２の構成を示す図である。血圧計１２は、制御部２１、通信部２２、入力部２３、表示部２４、記憶部２５、測定部２６を有する。制御部２１は血圧計１２全体を制御する。入力部２３は測定開始、データ送信等の患者からの指示を受け取る。測定部２６は患者の血圧（最高血圧および最低血圧）と脈拍を測定する（以下、まとめて「血圧データ」ということがある）。測定された血圧データは表示部２４に表示され、測定時刻とともに記憶部２５に一旦記憶される。測定が完了すると、血圧データは通信部２２を介してサーバ１４に送信される。通信部２２は、例えば移動通信システムを利用することができる。何らかの理由により送信が完了できなかった場合には、次に送信が行われて送信が完了するまで、データは引き続き記憶部２５に保存される。 FIG. 2 is a diagram showing a configuration of the sphygmomanometer 12 of the present embodiment. The sphygmomanometer 12 includes a control unit 21, a communication unit 22, an input unit 23, a display unit 24, a storage unit 25, and a measurement unit 26. The control unit 21 controls the entire sphygmomanometer 12. The input unit 23 receives instructions from the patient such as measurement start and data transmission. The measurement unit 26 measures a patient's blood pressure (maximum blood pressure and minimum blood pressure) and a pulse (hereinafter, collectively referred to as “blood pressure data”). The measured blood pressure data is displayed on the display unit 24 and temporarily stored in the storage unit 25 together with the measurement time. When the measurement is completed, the blood pressure data is transmitted to the server 14 via the communication unit 22. The communication unit 22 can use a mobile communication system, for example. If the transmission cannot be completed for some reason, the data is continuously stored in the storage unit 25 until the next transmission is performed and the transmission is completed.
　血圧計には一意の測定器識別記号が電磁的に記録されている。例えば、通信部として第３世代（３Ｇ）携帯電話機能を用いる場合には、その携帯番号を測定器識別記号とすることができる。血圧計はサーバへ、測定器識別記号、記憶部に記憶されている測定日時と血圧データの組（レコード）を送信する。 A unique measuring instrument identification symbol is electromagnetically recorded on the sphygmomanometer. For example, when the third generation (3G) mobile phone function is used as the communication unit, the mobile number can be used as a measuring instrument identification symbol. The sphygmomanometer transmits a measuring instrument identification symbol and a set (record) of measurement date and blood pressure data stored in the storage unit to the server.
　また、複数の患者が同一の血圧計を利用する場合には、例えば、血圧計に複数のボタンを設け、個々のボタンを患者一人ずつに対応づけておけばよい。患者が血圧データを測定する際に自身に対応したボタンを押すと、血圧計は、血圧データを押されたボタンの番号（以下、「拡張記号」ともいう）とともに記憶する。血圧計は、サーバに血圧データを送信する際に、電話番号と拡張記号の組み合わせを測定器識別記号としてサーバに送信する。このように、物理的に１台の血圧計を仮想的に複数の血圧計として取り扱うことにより、患者と血圧計を１対１に対応させることができ、医療支援システム全体の構成を単純化することができる。 Also, when a plurality of patients use the same sphygmomanometer, for example, a plurality of buttons may be provided on the sphygmomanometer, and each button may be associated with each patient. When a patient presses a button corresponding to himself / herself when measuring blood pressure data, the sphygmomanometer stores the blood pressure data together with the number of the pressed button (hereinafter also referred to as “extended symbol”). When the sphygmomanometer transmits blood pressure data to the server, the sphygmomanometer transmits a combination of a telephone number and an extended symbol to the server as a measuring instrument identification symbol. Thus, by physically handling one sphygmomanometer as a plurality of sphygmomanometers, the patient and the sphygmomanometer can be made to correspond one-to-one, and the configuration of the entire medical support system is simplified. be able to.
　図３は、患者が所持するカード１３の構成を示す図である。カード１３は、制御部３１、通信部３２、記憶部３３を有する。制御部３１はカード１３全体を制御する。記憶部３３には、当該カードに一意に割り当てられたカード識別記号が電磁的に記録されている。通信部３２は、専門家端末１５に設けられた後述するカード読取部へカード識別記号を送信する。カード１３としては、例えば非接触型のＩＣカードを用いることができ、カード識別記号としては、ＩＣチップ固有のＩＤ番号を用いることができる。 FIG. 3 is a diagram showing the configuration of the card 13 possessed by the patient. The card 13 includes a control unit 31, a communication unit 32, and a storage unit 33. The control unit 31 controls the entire card 13. In the storage unit 33, a card identification symbol uniquely assigned to the card is electromagnetically recorded. The communication unit 32 transmits a card identification symbol to a later-described card reading unit provided in the expert terminal 15. For example, a non-contact type IC card can be used as the card 13, and an ID number unique to the IC chip can be used as the card identification symbol.
　個々の患者と、患者が所持するカード１３のカード識別記号と、血圧計１２の測定器識別記号（携帯電話番号および拡張記号）は、例えば血圧計が患者に販売される際に予め対応付けておき、これを患者テーブルとして、サーバ１４に記憶させておくことができる。図７は、そのような患者テーブルの一例である。患者テーブルは複数の患者レコードからなり、各患者レコードは、各患者に一意に割り当てられた患者ＩＤ；測定器識別番号；カード識別番号；氏名・住所・電話番号等の個人情報；患者端末を利用するときのログイン名・パスワード；その他の情報；とから構成される。 The individual patient, the card identification symbol of the card 13 possessed by the patient, and the measuring instrument identification symbol (mobile phone number and expansion symbol) of the sphygmomanometer 12 are associated in advance when the sphygmomanometer is sold to the patient, for example. This can be stored in the server 14 as a patient table. FIG. 7 is an example of such a patient table. The patient table consists of multiple patient records, and each patient record is uniquely assigned to each patient; instrument identification number; card identification number; personal information such as name / address / phone number; Login name / password; other information.
　図４は、サーバ１４の構成を示す図である。サーバ１４は、制御部４１、通信部４２、生体情報解析部４３、生体情報表示画像データ生成部４４、記憶部４５を有する。制御部４１はサーバ１４全体を制御する。通信部４２は、血圧計１２、専門家端末１５、患者端末１６等と各種の通信を行う。生体情報解析部４３は、血圧データの各種解析を行う。生体情報表示画像データ生成部４４は、血圧データやその解析結果をグラフに表した画像データを生成する。記憶部４５は、前記患者テーブルの他、血圧データ、医師情報など各種のデータを記憶する。 FIG. 4 is a diagram showing the configuration of the server 14. The server 14 includes a control unit 41, a communication unit 42, a biological information analysis unit 43, a biological information display image data generation unit 44, and a storage unit 45. The control unit 41 controls the entire server 14. The communication unit 42 performs various communications with the sphygmomanometer 12, the expert terminal 15, the patient terminal 16, and the like. The biological information analysis unit 43 performs various analyzes of blood pressure data. The biological information display image data generation unit 44 generates image data representing the blood pressure data and the analysis result in a graph. The storage unit 45 stores various data such as blood pressure data and doctor information in addition to the patient table.
　サーバは、血圧計から測定器識別記号と血圧データを受信すると、患者テーブルを参照して、測定器識別記号に対応する患者ＩＤを取得する。ついで、患者ＩＤに対応する血圧データテーブルに血圧データを記録する。図８はそのような血圧データテーブルの一例であり、図１１は上記処理の流れを示している。また、サーバは、専門家端末や患者端末から要求を受信すると、送信元を確認して、送信元と要求の内容に応じて処理を行い、必要なデータを端末に送信する。サーバの動作の詳細は後述する。 When the server receives the measuring instrument identification symbol and blood pressure data from the sphygmomanometer, the server refers to the patient table and acquires the patient ID corresponding to the measuring instrument identification symbol. Next, blood pressure data is recorded in the blood pressure data table corresponding to the patient ID. FIG. 8 shows an example of such a blood pressure data table, and FIG. 11 shows the flow of the above processing. When the server receives a request from an expert terminal or a patient terminal, the server confirms the transmission source, performs processing according to the content of the transmission source and the request, and transmits necessary data to the terminal. Details of the server operation will be described later.
　サーバは、単一のコンピュータからなるものであっても、複数のコンピュータからなるものであってもよい。好ましくは、物理的または仮想的に複数のコンピュータからなり、患者情報や生体情報の記憶と、専門家端末からの要求に応じて行う生体情報の解析および生体情報表示画像データの作成が、別体のコンピュータによって行われることが好ましい。その方が、処理内容の変更や機能の追加に対して、物理的な装置またはプログラムの置換・追加によって、柔軟に対応することができるからである。 The server may be composed of a single computer or a plurality of computers. Preferably, it consists of a plurality of computers physically or virtually, and storage of patient information and biological information, analysis of biological information and generation of biological information display image data performed in response to a request from an expert terminal are separate. Preferably, it is performed by a computer. This is because it is possible to flexibly cope with changes in processing contents and addition of functions by replacing / adding physical devices or programs.
　図５は、本実施形態の専門家端末１５の構成を示す図である。専門家端末１５は、制御部５１、通信部５２、入力部５３、表示部５４、カード読取部５５、記憶部５６を有する。専門家端末１５には、通常のパーソナルコンピュータ等を用いることができる。その場合、制御部５１、通信部５２、入力部５３、表示部５４、記憶部５６は、通常のパーソナルコンピュータのものをそのまま利用することができる。専門家端末のカード読取部５６は、前述の患者が所持するカード１３のカード識別記号を読み取るためのもので、パーソナルコンピュータのＵＳＢ等外部端子に接続して用いることができる。このカード読取部５５は、本発明の必須要件ではないが、本実施形態の専門家端末のようにこれを備えることで、後述する利点が得られる。 FIG. 5 is a diagram showing a configuration of the expert terminal 15 of the present embodiment. The expert terminal 15 includes a control unit 51, a communication unit 52, an input unit 53, a display unit 54, a card reading unit 55, and a storage unit 56. As the expert terminal 15, a normal personal computer or the like can be used. In that case, the control part 51, the communication part 52, the input part 53, the display part 54, and the memory | storage part 56 can use the thing of a normal personal computer as it is. The card reader 56 of the expert terminal is for reading the card identification symbol of the card 13 held by the patient, and can be used by connecting to an external terminal such as a USB of a personal computer. Although this card reading unit 55 is not an essential requirement of the present invention, it is possible to obtain the advantages described later by providing the card reading unit 55 like the expert terminal of the present embodiment.
　図６は、本実施形態の患者端末１６の構成を示す図である。患者端末１６は、制御部６１、通信部６２、入力部６３、表示部６４、記憶部６５を有する。患者端末１６には、通常のパーソナルコンピュータ等を用いることができる。患者端末は、患者が自身の過去の血圧データ等を確認するため、患者情報の変更を行うためなどに用いるものである。患者は、通常のパーソナルコンピュータ等を用い、サーバにログインすることによって、これらの作業を行うことができる。 FIG. 6 is a diagram showing a configuration of the patient terminal 16 of the present embodiment. The patient terminal 16 includes a control unit 61, a communication unit 62, an input unit 63, a display unit 64, and a storage unit 65. A normal personal computer or the like can be used for the patient terminal 16. The patient terminal is used by the patient to check his / her past blood pressure data and the like, and to change patient information. The patient can perform these operations by logging into the server using a normal personal computer or the like.
　次に、上記のシステムにおいて、専門家端末１５に血圧データ（生体情報）を表示する方法について、より詳細に説明する。 Next, a method for displaying blood pressure data (biological information) on the expert terminal 15 in the above system will be described in more detail.
　本実施形態の医療支援システムを利用する医師は、予め医師テーブルに登録され、サーバ１４の記憶部４５に記憶されている。図９は、医師テーブルの一例である。医師テーブルは複数の医師レコードからなり、各医師レコードは、各医師に一意に割り当てられた医師ＩＤ；氏名・住所・電話番号等の医師情報；専門家端末を利用するときのログイン名・パスワード；診察内容に関する初期設定；その他の情報；とから構成される。 Physicians who use the medical support system of this embodiment are registered in advance in the doctor table and stored in the storage unit 45 of the server 14. FIG. 9 is an example of a doctor table. The doctor table includes a plurality of doctor records, and each doctor record includes a doctor ID uniquely assigned to each doctor; doctor information such as a name, address, and telephone number; a login name and a password when using an expert terminal; It consists of initial settings related to examination contents; other information.
　また、医師が患者を診察した日は、診察日テーブルとして、サーバ１４の記憶部４５に記憶される。図１０は診察日テーブルの一例である。診察日テーブルは、特定の医師と特定の患者の組み合わせ毎に作成され、医師ＩＤ；患者ＩＤ；診察内容に関する医師－患者毎の初期設定；過去の診察日の一覧；その他の情報；とから構成される。なお、診察日テーブルは医師が患者を初めて診察したときに作成されるので、サーバは、診察日テーブルの有無によって、その患者がその医師の診察を受けたことがあるかないかを判断することができる。 Further, the date when the doctor examines the patient is stored in the storage unit 45 of the server 14 as an examination date table. FIG. 10 is an example of an examination date table. The examination date table is created for each combination of a specific doctor and a specific patient, and includes a doctor ID; a patient ID; an initial setting for each doctor-patient regarding the contents of the examination; a list of past examination dates; and other information. Is done. In addition, since the examination date table is created when the doctor first examines the patient, the server may determine whether or not the patient has been examined by the doctor depending on the presence or absence of the examination date table. it can.
　医師は、専門家端末１５からサーバ１４にログインする。このとき、認証手段としては、ログイン名とパスワードによる方法など、公知の方法を用いることができる。サーバは、各医師に一意に割り当てられた医師ＩＤとログイン名・パスワード等とを対応づけた医師テーブルを記憶しており、医師がログインすると医師テーブルを参照して医師ＩＤを取得する。また、その後に専門家端末から各種情報を受信したときに、その医師ＩＤを持つ医師からの送信であると判断することができる。 The doctor logs in to the server 14 from the expert terminal 15. At this time, as the authentication means, a known method such as a method using a login name and a password can be used. The server stores a doctor table in which a doctor ID uniquely assigned to each doctor is associated with a login name / password, and the doctor ID is obtained by referring to the doctor table when the doctor logs in. Further, when various types of information are subsequently received from the expert terminal, it can be determined that the transmission is from a doctor having the doctor ID.
　医師がこの医療支援システム１０を初めて利用する場合は、専門家端末１５からサーバ１４にログインしたときに、医師毎に適用される各種初期設定を行うよう促される。設定項目としては、例えば、血圧データの選択方法、血圧情報表示画面の省略時表示項目、画面デザインなどが挙げられる。専門家端末は、このような設定項目・内容をサーバに送信する。これを受信したサーバは、送信元の医師の医師ＩＤと対応させて、記憶部４５に記憶されている医師テーブルに設定内容を記録する。 When a doctor uses the medical support system 10 for the first time, when the user logs in to the server 14 from the expert terminal 15, the user is prompted to perform various initial settings applied to each doctor. Examples of setting items include a blood pressure data selection method, a default display item of a blood pressure information display screen, a screen design, and the like. The expert terminal transmits such setting items / contents to the server. The server that has received this records the setting contents in the doctor table stored in the storage unit 45 in association with the doctor ID of the transmission source doctor.
　図１３は、専門家端末のログイン後のメニュー画面の例を示している。患者が初めてその医師の診察を受ける場合には、医師は患者毎の各種初期設定を行うように促される。医師は図１３のメニューから患者検索を選択して、当該患者の氏名等を入力する。専門家端末１５はこれをサーバ１４に送信する。サーバは、患者テーブルを参照して患者ＩＤを取得し、送信元の医師ＩＤと患者ＩＤとに対応する診察日テーブルがないことを確認した後、診察日テーブルを新しく記憶部に作成し、医師と患者の組み合わせ毎に設定されるべき各種初期設定の項目と内容を専門家端末に送信する。設定項目としては、患者の生活パターンに応じて一日のどの時間帯の血圧データを診察の基礎とするか、患者のカルテ番号などが挙げられる。また、設定項目として、患者の性別・年齢等に応じた血圧の正常値、当該患者に対する改善目標値などの、医師が血圧データの良否判断のために比較したい数値（以下「比較基準値」という）を設定することもできる。専門家端末は、このような設定項目・内容をサーバに送信する。これを受信したサーバは、前記診察日テーブルに設定内容を記録する。 FIG. 13 shows an example of the menu screen after logging in the expert terminal. When a patient first sees the doctor, the doctor is prompted to make various initial settings for each patient. The doctor selects patient search from the menu of FIG. 13 and inputs the name of the patient. The expert terminal 15 transmits this to the server 14. The server obtains the patient ID by referring to the patient table, confirms that there is no examination date table corresponding to the doctor ID and the patient ID of the transmission source, and then creates a new examination date table in the storage unit. And various initial setting items and contents to be set for each combination of patients are transmitted to the expert terminal. The setting items include which time zone of blood pressure data of the day is used as a basis for examination according to the patient's life pattern, and the patient's medical chart number. In addition, as setting items, numerical values (hereinafter referred to as “comparison reference values”) that doctors want to compare for determining the quality of blood pressure data, such as normal values of blood pressure according to the gender and age of patients, improvement target values for the patients, etc. ) Can also be set. The expert terminal transmits such setting items / contents to the server. The server that has received this records the setting contents in the examination date table.
　患者がすでにその医師の診察を受けたことがある場合には、医師は図１３のメニューの患者一覧から個別の患者を選択することができる。医師がメニューから患者一覧を選択すると、専門家端末１５はサーバ１４に患者一覧転送要求を送信し、サーバ１４は、送信元の医師ＩＤに紐付けられた後述する診察日テーブルを参照して、その医師の診察を受けたことがある患者名のリストを専門家端末１５に送信する。そこで専門家端末は、サーバから受信した患者名リストの項目番号などを患者の識別情報として、その患者の血圧データの転送要求をサーバに送信することができる。 If the patient has already been examined by the doctor, the doctor can select an individual patient from the patient list in the menu of FIG. When the doctor selects the patient list from the menu, the expert terminal 15 transmits a patient list transfer request to the server 14, and the server 14 refers to an examination date table, which will be described later, linked to the doctor ID of the transmission source, A list of patient names who have been examined by the doctor is transmitted to the expert terminal 15. Therefore, the expert terminal can transmit a transfer request for blood pressure data of the patient to the server using the item number of the patient name list received from the server as patient identification information.
　また、医師が、カード１３を持参した患者を診察する場合には、患者から受け取ったカードを専門家端末のカード読取部に読み取らせることで、上記処理を簡略化できる。本実施形態の専門家端末１５は、カード読取部５５でカードを読み取ると、サーバ１４にカード識別記号を送信する。このとき、カード識別記号が患者の識別情報として機能する。サーバは、カード識別記号を受信すると、患者テーブルを参照してカード識別記号に対応する患者ＩＤを取得する。さらに、サーバは、その日を診察日とみなして、送信元の医師ＩＤと患者ＩＤに対応する診察日テーブルに登録することができる。さらに、サーバは、カードＩＤを受信すると、それを生体情報転送要求をみなして、後述する生体情報の解析および生体情報表示画像データの作成を開始することができる。 Also, when the doctor examines the patient who brought the card 13, the above processing can be simplified by causing the card reading unit of the expert terminal to read the card received from the patient. The expert terminal 15 of the present embodiment transmits a card identification symbol to the server 14 when the card reading unit 55 reads the card. At this time, the card identification symbol functions as patient identification information. When the server receives the card identification symbol, the server refers to the patient table and acquires the patient ID corresponding to the card identification symbol. Further, the server regards that day as an examination date, and can register it in the examination date table corresponding to the doctor ID and the patient ID of the transmission source. Further, when the server receives the card ID, the server can regard it as a biometric information transfer request, and can start analysis of biometric information and creation of biometric information display image data, which will be described later.
　サーバは、専門家端末から血圧データの転送要求を受信すると、所定の処理を行い、グラフ表示用画像データを専門家端末に送信する。図１４は、専門家端末に表示される画像の例である。 When the server receives the blood pressure data transfer request from the expert terminal, the server performs predetermined processing and transmits the graph display image data to the expert terminal. FIG. 14 is an example of an image displayed on the expert terminal.
　図１４Ａ（図１４下部）は、朝夕それぞれの最高血圧および最低血圧の推移を、前々診察日および前診察日を含めて６０日分表示している（以下「推移グラフ」という）。図１４Ａには、合わせて、前々診察日および前診察日の表示、ならびに医師が設定した最高血圧および最低血圧の改善目標値が示されている。 FIG. 14A (lower part of FIG. 14) shows the transition of the systolic blood pressure and the systolic blood pressure in the morning and evening for 60 days including the previous examination day and the previous examination day (hereinafter referred to as “transition graph”). FIG. 14A also shows the display date of the previous examination date and the previous examination date, and the improvement target values for the systolic blood pressure and the diastolic blood pressure set by the doctor.
　図１２は、本実施形態のサーバによる生体情報表示画像データ作成のフローを示す図である。サーバは、専門家端末から患者のカードＩＤ（患者の識別情報であり、同時に生体情報データ転送要求である）を受信すると、以下の処理を行う。まず、患者テーブルを参照して、受信したカードＩＤに対応する患者ＩＤを取得する。次に、医師テーブルを参照して、送信元の医師ＩＤに対応する医師毎の初期設定値を取得する。次に、医師ＩＤと患者ＩＤに対応する診察日テーブルを参照して、前々診察日および前診察日、ならびに医師－患者毎初期設定値を取得する。次に、取得した前々診察日を考慮して、血圧データを表示すべき期間（以下、「表示期間」ということがある）を決定する。この表示期間は、少なくとも前々診察日から生体情報データ転送要求を受診した日（以下、「今診察日」という）までの期間を含む。次に、患者ＩＤに対応する血圧データテーブルから、当該表示期間の血圧データを取得する。次に、取得した血圧データを時系列で表したグラフ（推移グラフ）を作成し、合わせて表示用画像データを作成する。このとき、前々診察日および前診察日がグラフ中に併せて表示されるように、表示画像データを作成する。また、比較基準値がグラフ中に併せて表示されるように、表示画像データを作成してもよい。このように推移グラフの画像データが作成すると、サーバは、これを前記専門家端末に送信する。このグラフにより、医師は、前々診察日以降の生体情報データの推移を確認できるとともに、過去の各診察日に行った診断、処置、治療、薬の処方等との関係をより的確に把握することができる。 FIG. 12 is a diagram showing a flow of biometric information display image data creation by the server of this embodiment. When the server receives the patient's card ID (the patient's identification information and the biometric information data transfer request at the same time) from the expert terminal, the server performs the following processing. First, the patient ID corresponding to the received card ID is acquired with reference to the patient table. Next, referring to the doctor table, an initial setting value for each doctor corresponding to the doctor ID of the transmission source is acquired. Next, referring to the examination date table corresponding to the doctor ID and the patient ID, the previous examination date and the previous examination date, and the initial setting value for each doctor-patient are acquired. Next, in consideration of the acquired previous examination date, a period for displaying blood pressure data (hereinafter sometimes referred to as “display period”) is determined. This display period includes at least a period from the previous medical examination date to the date on which the biometric information data transfer request is received (hereinafter referred to as “current medical examination date”). Next, blood pressure data for the display period is acquired from the blood pressure data table corresponding to the patient ID. Next, a graph (transition graph) representing the acquired blood pressure data in time series is created, and display image data is also created. At this time, display image data is created so that the previous examination date and the previous examination date are displayed together in the graph. Further, the display image data may be created so that the comparison reference value is displayed together in the graph. When the image data of the transition graph is created in this way, the server transmits this to the expert terminal. Using this graph, doctors can confirm the transition of biometric information data after the previous medical examination date, and more accurately understand the relationship with the diagnosis, treatment, treatment, prescription of medicine, etc. performed on each past medical examination date be able to.
　上記推移グラフを作成するときに、医師毎初期設定値および医師－患者毎初期設定値は例えば、次のように使用される。一般に血圧は１０分間に３回の測定を行うことが推奨されているが、３回の測定値のうちどの値を診断に用いるかには様々な考え方がある。例えば、１回目のみを用いる、２回目のみを用いる、１～２回目の平均を用いる、２～３回目の平均を用いる、１～３回目の平均を用いる、最も低い値を用いる、低い２つの値の平均を用いるなどである。医師毎初期設定には各医師が標準として採用する方法が設定されており、サーバは、その方法にしたがって、血圧データテーブルから取得した血圧データから推移グラフを作成する。また、上記比較基準値は、医師が各患者毎に設定した数値であり、診察日テーブルに医師－患者毎初期設定値として記憶されている。 When creating the transition graph, the initial setting value for each doctor and the initial setting value for each doctor-patient are used as follows, for example. In general, it is recommended that blood pressure be measured three times in 10 minutes, but there are various ways of determining which value of the three measured values is used for diagnosis. For example, using only the first time, using only the second time, using the average of the first and second times, using the average of the second and third times, using the average of the first and third times, using the lowest value, and using the lowest two For example, the average of values is used. In the initial setting for each doctor, a method adopted by each doctor as a standard is set, and the server creates a transition graph from the blood pressure data acquired from the blood pressure data table according to the method. The comparison reference value is a numerical value set by the doctor for each patient, and is stored as an initial setting value for each doctor-patient in the examination date table.
　前記表示期間の始点および終点、すなわち推移グラフの両端は、単純に前々診察日および今診察日とすることができる。しかし、推移グラフの両端が常に前々診察日と今診察日であると、グラフの時系列軸の縮尺が都度異なることになり、かえって経時的な変化の程度が理解しづらいことがある。そこで、サーバが、予め定められた複数の標準日数を記憶しておき、そのうちで前々診察日を含む最短の標準日数を選択し、血圧テーブルからその日数分の血圧データを取得し、これを用いて推移グラフを作成するのが好ましい。例えば、標準日数を３０日、６０日、９０日、１８０日、３６５日と定めておき、前々診察日から今診察日までの日数よりも大きい最短の標準日数を選択するのである。なお、推移グラフの時系列軸の縮尺は、専門家端末からの要求によって、事後的に変更するようにしてもよい。図１５は、かかる事後的な変更を行うための表示画面を示している。 The start point and end point of the display period, that is, both ends of the transition graph, can simply be the previous examination date and the current examination date. However, if the two ends of the transition graph are always the previous examination date and the current examination date, the scale of the time series axis of the graph will be different each time, and it may be difficult to understand the degree of change over time. Therefore, the server stores a plurality of predetermined standard days, selects the shortest standard day including the previous examination date, acquires blood pressure data for the number of days from the blood pressure table, It is preferable to use to create a transition graph. For example, the standard days are set to 30 days, 60 days, 90 days, 180 days, and 365 days, and the shortest standard days larger than the days from the previous examination date to the current examination date are selected. Note that the scale of the time series axis of the transition graph may be changed afterwards according to a request from the expert terminal. FIG. 15 shows a display screen for making such a posteriori change.
　図１４Ｂ（図１４上方左）は、前々診察日から前診察日までの期間および前診察日から今診察日までの期間の朝夕それぞれの最高血圧および最低血圧の平均値を表示している（以下「平均グラフ」という）。 FIG. 14B (upper left in FIG. 14) displays the average values of the systolic blood pressure and the diastolic blood pressure in the morning and evening periods of the period from the previous examination date to the previous examination day and the period from the previous examination date to the current examination date ( Hereinafter referred to as “average graph”).
　サーバは、上記推移グラフの作成過程において、前々診察日から前診察日までの期間および前診察日から前記転送要求受信日までの期間における血圧データの平均値を算出し、これを表示する画像データを作成し、これを専門家端末に送信する。 In the process of creating the transition graph, the server calculates an average value of blood pressure data in the period from the previous examination date to the previous examination date and the period from the previous examination date to the transfer request reception date, and displays the image Create data and send it to the expert terminal.
　図１４ＣおよびＤ（図１４上方中央と右）は、血圧データを解析した結果が表示されている（以下「解析グラフ」という）。解析グラフは、サーバが血圧データの各種解析を行った結果を示すものである。専門家端末の画面上に表示する解析グラフは、複数の内から選択可能としてもよい。図１６はかかる選択のための表示画面を示しており、サーバが専門家端末に送信した解析グラフのリストに基づいて、専門家端末にプルダウンメニュー方式で選択可能な解析グラフが表示されている。また、最初に表示する解析グラフは、医師毎初期設定または医師－患者毎初期設定に設定しておくことができる。 FIGS. 14C and D (upper center and right in FIG. 14) display the results of analyzing blood pressure data (hereinafter referred to as “analysis graph”). The analysis graph shows the result of the server performing various analyzes of blood pressure data. The analysis graph displayed on the screen of the expert terminal may be selectable from a plurality. FIG. 16 shows a display screen for such selection. Based on a list of analysis graphs transmitted from the server to the expert terminal, analysis graphs that can be selected by a pull-down menu method are displayed on the expert terminal. The analysis graph to be displayed first can be set to the initial setting for each doctor or the initial setting for each doctor-patient.
　サーバは、専門家端末から患者の識別記号と生体情報データ転送要求を受信すると、上記推移グラフの作成過程において、血圧データを、予め設定された各種解析方法で解析して、その結果を表示する画像データを作成し、これを専門家端末に送信する。 When the server receives the patient identification symbol and the biometric information data transfer request from the expert terminal, the blood pressure data is analyzed by various preset analysis methods in the process of creating the transition graph, and the result is displayed. Create image data and send it to the expert terminal.
　さらに、図１６では、各解析グラフ名の左側に丸や三角の記号が付されているが、これは、各解析結果が血圧データの良化傾向を示すものか悪化傾向を示すものかを表したものである（以下、「評価マーク」という）。サーバは、血圧データを解析した後、その結果が生体情報の良化傾向を示すものか悪化傾向を示すものかを評価して、選択可能な解析グラフのリストとともに各解析結果の評価マークの画像データを専門家端末に送信することができる。 Further, in FIG. 16, a circle or a triangle symbol is added to the left side of each analysis graph name. This indicates whether each analysis result shows a tendency to improve or deteriorate blood pressure data. (Hereinafter referred to as “evaluation mark”). After analyzing the blood pressure data, the server evaluates whether the result indicates a tendency to improve or deteriorate the biological information, and an image of an evaluation mark for each analysis result along with a list of selectable analysis graphs Data can be sent to expert terminals.
　このような方法で生体情報解析結果を提示することによって、医師にとっては、複数の解析結果のすべてを確認する前に評価マークを見るだけで、各解析結果の良否を把握することができるし、解析結果のうちで重要なものを判別することができる。また、このような生体情報解析結果提示方法は、患者にとってもメリットがある。医師等が患者を診察しながら専門家端末で解析結果を閲覧するときには、患者も同時に解析結果を見ることになる。その場合、解析結果が悪いと、患者によっては意気消沈して、生体情報を日々測定することや治療を受けることの意欲が減退することがあり得る。あるいは、解析結果が良いと、患者によっては油断して、生体情報を日々測定することや生活習慣の改善を続けることがおろそかになることがあり得る。これに対して、本実施形態の生体情報解析結果提示方法によれば、医師等の専門家が、患者の性格や病状を勘案してより適切な解析結果を選択して表示させることができる。 By presenting the biological information analysis results in this way, the doctor can grasp the quality of each analysis result simply by looking at the evaluation mark before confirming all of the plurality of analysis results, Among the analysis results, important ones can be discriminated. Moreover, such a biological information analysis result presentation method is also beneficial for the patient. When a doctor or the like views an analysis result on an expert terminal while examining the patient, the patient also sees the analysis result at the same time. In that case, if the analysis result is bad, some patients may be depressed, and their willingness to measure biological information daily or receive treatment may be reduced. Or, if the analysis result is good, it may be neglected to keep up with daily measurement of living body information or improvement of lifestyle habits depending on the patient. On the other hand, according to the biological information analysis result presentation method of the present embodiment, an expert such as a doctor can select and display a more appropriate analysis result in consideration of the patient's personality and medical condition.
　なお、専門家端末が選択可能な解析グラフのリストに評価マークを付して表示可能とするためには、サーバは、生体情報データ転送要求を受診した時点で、推移グラフ、初期設定で選択された解析グラフ以外に、選択可能なすべての解析を行い、その評価を行って、専門家端末に評価マークを送信する必要がある。 In order to display the list of analysis graphs that can be selected by the expert terminal with an evaluation mark, the server is selected as a transition graph and an initial setting when a biometric data transfer request is received. In addition to the analysis graph, it is necessary to perform all the selectable analyzes, evaluate them, and send an evaluation mark to the expert terminal.
　以下に、解析項目・グラフの例を、図１７～２６に基づいて説明する。 Hereinafter, examples of analysis items and graphs will be described with reference to FIGS.
　図１７に示す「週あたりの測定日数」は、前々診察日から前診察日までの期間（以下「今期間」という）および前診察日から今診察日までの期間（以下「今期間」という）において、朝晩それぞれの、週あたりの測定日数の平均を示すものである。前期間と今期間を比較して、例えば、３回未満から３回以上に増加したときはポジティブ、逆の場合はネガティブな評価とする。 The “measured days per week” shown in FIG. 17 includes a period from the previous examination date to the previous examination day (hereinafter referred to as “current period”) and a period from the previous examination date to the current examination date (hereinafter referred to as “current period”). ) Shows the average number of measurement days per week for each morning and evening. For example, when the previous period is compared with the present period and increased from less than 3 times to 3 times or more, the evaluation is positive, and in the opposite case, the evaluation is negative.
　図１８に示す「曜日別測定頻度」は、前期間と今期間において、朝晩それぞれの、曜日あたりの測定日数を示すものである。前期間と今期間を比較して、例えば、測定を１回以上行った曜日の数が増加したときはポジティブ、逆の場合はネガティブな評価とする。 The “measurement frequency by day of the week” shown in FIG. 18 indicates the number of measurement days per day of the week in the morning and evening in the previous period and the current period. Comparing the previous period with the present period, for example, a positive evaluation is made when the number of days of the week on which the measurement has been performed one or more times is increased, and a negative evaluation is made in the opposite case.
　図１９に示す「朝晩平均・朝晩差の変化（ＳＢＰ）」は、前期間と今期間における、朝晩すべての最高血圧（収縮期血圧、ＳＢＰ）の平均と、朝晩それぞれの最高血圧の差を示すものである。前期間と今期間を比較して、例えば、朝晩平均および朝晩差がいずれも減少したときはポジティブ、逆の場合はネガティブな評価とする。 The “change in morning / night average / morning / night difference (SBP)” shown in FIG. 19 indicates the difference between the average of the highest blood pressure (systolic blood pressure, SBP) in the morning and evening, and the highest blood pressure in the morning and evening, in the previous period and the current period. Is. Comparing the previous period with the present period, for example, a positive evaluation is made when both the morning and evening average and the morning and evening difference are reduced, and a negative evaluation is made in the opposite case.
　図２０に示す「頻脈・徐脈の発生状況」は、前期間と今期間において、朝晩それぞれの、脈拍が１００回／分以上であった回数と４０回／分未満であった回数を示すものである。この解析項目は、頻脈・徐脈が発生したことを医師に注意喚起するため、例えば、今期間に頻脈・徐脈が１回以上測定されている場合にネガティブな評価とすることができる。 The “occurrence status of tachycardia / bradycardia” shown in FIG. 20 indicates the number of times the pulse was 100 times / minute or more and the number of times less than 40 times / minute in the morning and evening in the previous period and the current period. Is. Since this analysis item alerts the physician that tachycardia / bradycardia has occurred, for example, when tachycardia / bradycardia is measured more than once during this period, negative analysis can be performed. .
　図２１に示す「初回からの血圧レベルの変化」は、前期間と今期間を含め初回からのすべての期間における、朝晩それぞれの、最高血圧と最低血圧（拡張期血圧、ＤＢＰ）の変化を示すものである。前期間と今期間を比較して、例えば、最高血圧と最低血圧ががいずれも減少したときはポジティブ、逆の場合はネガティブな評価とする。 “Change in blood pressure level from the first time” shown in FIG. 21 indicates changes in the highest blood pressure and the lowest blood pressure (diastolic blood pressure, DBP) in the morning and evening in all periods from the first time including the previous period and the current period. Is. Comparing the previous period with the present period, for example, when both the systolic blood pressure and the diastolic blood pressure decrease, the evaluation is positive, and when the converse is the opposite, the evaluation is negative.
　図２２に示す「血圧平均値（曜日別）」は、前期間と今期間において、朝晩それぞれの、最高血圧および最低血圧の平均値を示すものである。例えば、今期間のすべての曜日で最高血圧および最低血圧が降圧目標を下回ったときにはポジティブな評価とすることができる。また、例えば、最高血圧または最低血圧のいずれかについて、最も血圧平均が高い２曜日の平均と、他の５曜日の平均との差が１０ｍｍＨｇ以上あるときはネガティブな評価とすることができる。 The “average blood pressure value (by day of the week)” shown in FIG. 22 indicates the average values of the highest blood pressure and the lowest blood pressure in the morning and evening in the previous period and the current period. For example, a positive evaluation can be made when the systolic blood pressure and the diastolic blood pressure fall below the antihypertensive target on all days of the current period. In addition, for example, regarding either the maximum blood pressure or the minimum blood pressure, a negative evaluation can be made when the difference between the average of the highest day on the second day of blood pressure and the average of the other five days is 10 mmHg or more.
　図２３に示す「血圧分布の変化（ＳＢＰ）」は、前期間と今期間において、朝晩それぞれの、最高血圧の分布を示すものである。例えば、降圧目標値以下の場合、降圧目標値より高く降圧目標との差が２０ｍｍＨｇ以下の場合、降圧目標値＋２０ｍｍＨｇより高い場合に分けて、その割合を示す。また、それぞれを緑、黄、赤などに色分けして、視覚的に読み取りやすくしてもよい。前期間と今期間を比較して、例えば、降圧目標値以下の場合の割合が２０％以上増加したときや降圧目標値＋２０ｍｍＨｇより高い場合の割合が２０％以上減少したときはポジティブ、逆の場合はネガティブな評価とする。 The “change in blood pressure distribution (SBP)” shown in FIG. 23 indicates the distribution of the highest blood pressure in the morning and evening in the previous period and the current period. For example, in the case where the target pressure is not more than the target step-down value, the ratio is shown separately when the difference from the target step-down value is 20 mmHg or less and the target step-down value is higher than 20 mmHg. In addition, each may be color-coded green, yellow, red, etc. to facilitate visual reading. When comparing the previous period with the current period, for example, when the ratio is below 20% or lower, or when the ratio is higher than the target pressure + 20mmHg and is decreased by 20% or more, it is positive and vice versa Is negative.
　図２４に示す「血圧分布の変化（ＤＢＰ）」は、最低血圧について、血圧分布の変化（ＳＢＰ）と同様の解析を行うものである。例えば、降圧目標値以下の場合、降圧目標値より高く降圧目標との差が１０ｍｍＨｇ以下の場合、降圧目標値＋１０ｍｍＨｇより高い場合に分けて、その割合を示す。また、それぞれを緑、黄、赤などに色分けして、視覚的に読み取りやすくしてもよい。前期間と今期間を比較して、例えば、降圧目標値以下の場合の割合が２０％以上増加したときや降圧目標値＋１０ｍｍＨｇより高い場合の割合が２０％以上減少したときはポジティブ、逆の場合はネガティブな評価とする。 The “change in blood pressure distribution (DBP)” shown in FIG. 24 performs analysis similar to the change in blood pressure distribution (SBP) for the minimum blood pressure. For example, in the case of the step-down target value or less, the ratio is shown separately when the difference from the step-down target value is 10 mmHg or less and the step-down target value is higher than 10 mmHg. In addition, each may be color-coded green, yellow, red, etc. to facilitate visual reading. When comparing the previous period with the current period, for example, when the ratio is below 20% or more, or when the ratio is more than 20% or more when the ratio is higher than the target value + 10mmHg, it is positive and vice versa Is negative.
　図２５に示す「血圧平均値（時間帯別）」は、測定した時間帯別に最高血圧および最低血圧の平均を示すものである。解析期間は例えば、今期間のみ、前期間および今期間、初回以降すべて、など適宜選択できる。 The “blood pressure average value (by time zone)” shown in FIG. 25 indicates the average of the highest blood pressure and the lowest blood pressure by the measured time zone. The analysis period can be selected as appropriate, for example, only the current period, the previous period and the current period, and all after the first time.
　図２６に示す「血圧平均値（月別）」は、初回以降すべての期間について、月別に最高血圧および最低血圧の平均を示すものである。 The “average blood pressure value (by month)” shown in FIG. 26 indicates the average of the highest blood pressure and the lowest blood pressure by month for all periods after the first time.
　本発明は上記実施形態に限定されるものではない。上記実施形態では、生体情報を血圧値として、専門家を医師として説明したが、これには限られない。生体情報は、血圧以外に、血糖値など、患者が日々測定した生体情報を医師が診断に必要とする各種生体情報であってもよい。また、専門家は、医師以外の医療従事者その他の専門家であってもよい。 The present invention is not limited to the above embodiment. In the said embodiment, although biometric information was demonstrated as a blood pressure value and the expert was demonstrated as a doctor, it is not restricted to this. In addition to blood pressure, the biological information may be various types of biological information that doctors need for diagnosis, such as blood glucose levels, measured daily. The specialist may be a medical worker other than the doctor or other specialists.

Claims (10)

  1. 　患者の生体情報を測定して送信可能な生体情報測定器と、
    　表示部を有する専門家端末と、
    　前記生体情報測定器から送信された生体情報を受信して、患者および生体情報測定日と対応付けられた生体情報データテーブルとして記憶し、前記専門家端末から送信された診察日を受信して、患者と対応付けられた診察日テーブルとして記憶するサーバと
    がネットワークを介して接続された医療支援システムにおける生体情報表示方法であって、
    　前記サーバが、
    　前記専門家端末から患者の識別情報と前記生体情報データの転送要求を受信する工程と、
    　受信した識別情報に対応する前記診察日テーブルを参照して前々診察日および前診察日を取得する工程と、
    　受信した識別情報に対応する前記生体情報データテーブルを参照して、少なくとも前々診察日以降の表示用生体情報データを取得する工程と、
    　取得した表示用生体情報データを時系列で表し、前々診察日および前診察日とともに示す第１の生体情報表示画像データを作成する工程と、
    　作成した第１の生体情報表示画像データを前記専門家端末に送信する工程と
    を有する生体情報表示方法。     A biological information measuring device capable of measuring and transmitting the biological information of the patient;
    An expert terminal having a display unit;
    Receiving the biological information transmitted from the biological information measuring device, storing it as a biological information data table associated with the patient and biological information measurement date, receiving the examination date transmitted from the expert terminal, A biometric information display method in a medical support system in which a server for storing as a consultation date table associated with a patient is connected via a network,
    The server is
    Receiving the patient identification information and the biometric information data transfer request from the expert terminal;
    Referring to the examination date table corresponding to the received identification information, obtaining the previous examination date and the previous examination date;
    Referring to the biometric information data table corresponding to the received identification information, obtaining biometric data for display at least after the date of previous examination;
    Representing the acquired biometric information data for display in chronological order, and creating first biometric information display image data shown together with the previous examination date and the previous examination date;
    And a step of transmitting the created first biological information display image data to the expert terminal.
  2. 　前記医療支援システムは、患者と対応付けられた一意のカード識別記号が割り当てられたカードをさらに有し、
    　前記専門家端末は、カード読み取り部をさらに有し、カード読み取り部が前記カードを読み取るとカード識別記号を前記サーバに送信するように構成されており、
    　前記患者の識別情報がカード識別番号である
    請求項１に記載の生体情報表示方法。     The medical support system further includes a card to which a unique card identification symbol associated with a patient is assigned,
    The expert terminal further includes a card reading unit, and is configured to transmit a card identification symbol to the server when the card reading unit reads the card,
    The biological information display method according to claim 1, wherein the patient identification information is a card identification number.
  3. 　前記サーバが電気通信回線で接続された複数のコンピュータからなり、
    　少なくとも前記生体情報データテーブルの記録と前記生体情報表示画像データの作成が別体のコンピュータによって行われる
    請求項１または２に記載の生体情報表示方法。     The server comprises a plurality of computers connected by a telecommunication line,
    The biometric information display method according to claim 1 or 2, wherein at least recording of the biometric information data table and creation of the biometric information display image data are performed by a separate computer.
  4. 　前記サーバは、表示される前記生体情報の期間として、予め定められた複数の標準日数を記憶しており、
    　前記表示用生体情報データを取得する工程において、前々測定日を含む最短の標準日数分の生体情報データを取得する
    請求項１～３のいずれか一項に記載の生体情報表示方法。     The server stores a plurality of predetermined standard days as a period of the biological information to be displayed,
    The biological information display method according to any one of claims 1 to 3, wherein in the step of acquiring the biological information data for display, the biological information data for the shortest standard number of days including the previous measurement date is acquired.
  5. 　前記サーバが、
    　前々診察日から前診察日までの期間および前診察日から前記転送要求受信日までの期間における前記生体情報データの平均値を算出する工程と、
    　前記２つの平均値を表示するための第２の生体情報表示画像データを作成する工程と、
    　作成した第２の生体情報画像データを前記専門家端末に送信する工程と
    をさらに有する請求項１～４のいずれか一項に記載の生体情報表示方法。     The server is
    Calculating an average value of the biological information data in a period from the previous examination date to the previous examination date and a period from the previous examination date to the transfer request reception date;
    Creating second biological information display image data for displaying the two average values;
    The biometric information display method according to any one of claims 1 to 4, further comprising a step of transmitting the created second biometric information image data to the expert terminal.
  6. 　前記サーバが、
    　前々診察日以降の前記生体情報データを解析する工程と、
    　解析結果を表示するための第３の生体情報表示画像データを作成する工程と、
    　作成した第３の生体情報画像データを前記専門家端末に送信する工程と
    をさらに有する請求項１～５のいずれか一項に記載の生体情報表示方法。     The server is
    A step of analyzing the biometric data after the examination date
    Creating third biological information display image data for displaying the analysis result;
    The biological information display method according to any one of claims 1 to 5, further comprising a step of transmitting the created third biological information image data to the expert terminal.
  7. 　前記サーバは、
    　前記専門家端末から、前記患者に対する前記生体情報の比較基準値を受信して、受信した患者と比較基準値を対応付けて比較基準値テーブルとして記憶しておき、
    　前記比較基準値データを前記生体情報データ、平均値または解析結果とともに示す第１ないし第３の生体情報表示画像データを作成する
    請求項６に記載の生体情報表示方法。     The server
    From the expert terminal, the comparison reference value of the biological information for the patient is received, the received patient and the comparison reference value are associated with each other and stored as a comparison reference value table,
    The biological information display method according to claim 6, wherein first to third biological information display image data indicating the comparison reference value data together with the biological information data, an average value, or an analysis result is created.
  8. 　前記生体情報が患者の血圧、血糖値のいずれかである
    請求項１～７のいずれか一項に記載の生体情報表示方法。     The biological information display method according to any one of claims 1 to 7, wherein the biological information is one of a patient's blood pressure and blood glucose level.
  9. 　患者の生体情報を測定して送信可能な生体情報測定器と、
    　表示部を有する専門家端末と、
    　前記生体情報測定器から送信された生体情報を受信して、患者および生体情報測定日と対応付けられた生体情報データテーブルとして記憶し、前記専門家端末から送信された診察日を受信して、患者と対応付けられた診察日テーブルとして記憶するサーバと
    がネットワークを介して接続された医療支援システムにおいて、前記サーバ内に構築された生体情報表示画像データ作成装置であって、
    　前記専門家端末から患者の識別情報と前記生体情報データの転送要求を受信する手段と、
    　受信した識別情報に対応する前記診察日テーブルを参照して前々診察日および前診察日を取得する手段と、
    　受信した識別情報に対応する前記生体情報データテーブルを参照して、少なくとも前々診察日以降の表示用生体情報データを取得する手段と、
    　取得した表示用生体情報データを時系列で表し、前々診察日および前診察日とともに示す生体情報表示画像データを作成する手段と、
    　作成した生体情報表示画像データを前記専門家端末に送信する手段と
    を有する生体情報表示画像データ作成装置。     A biological information measuring device capable of measuring and transmitting the biological information of the patient;
    An expert terminal having a display unit;
    Receiving the biological information transmitted from the biological information measuring device, storing it as a biological information data table associated with the patient and biological information measurement date, receiving the examination date transmitted from the expert terminal, In a medical support system connected via a network to a server that stores as an examination date table associated with a patient, the biometric information display image data creation device constructed in the server,
    Means for receiving patient identification information and the transfer request of the biometric information data from the expert terminal;
    Means for referring to the examination date table corresponding to the received identification information and obtaining the previous examination date and the previous examination date;
    Means for obtaining biometric information data for display after at least the previous examination date with reference to the biometric information data table corresponding to the received identification information;
    Means for generating the biometric information display image data representing the acquired biometric information data for display in time series, and showing the medical examination information and the previous medical examination date,
    A biometric information display image data creation device comprising means for transmitting the created biometric information display image data to the expert terminal.
  10. 　コンピュータを請求項９に記載の生体情報表示画像データ作成装置として機能させるためのプログラム。 A program for causing a computer to function as the biometric information display image data creation device according to claim 9.
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