WO2020039752A1 - Information reporting device, information reporting method, and program - Google Patents

Information reporting device, information reporting method, and program Download PDF

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Publication number
WO2020039752A1
WO2020039752A1 PCT/JP2019/026052 JP2019026052W WO2020039752A1 WO 2020039752 A1 WO2020039752 A1 WO 2020039752A1 JP 2019026052 W JP2019026052 W JP 2019026052W WO 2020039752 A1 WO2020039752 A1 WO 2020039752A1
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WIPO (PCT)
Prior art keywords
information
patient
short message
medication
test
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PCT/JP2019/026052
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French (fr)
Japanese (ja)
Inventor
康弘 鈴本
文雄 服部
賢治 石川
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康弘 鈴本
文雄 服部
賢治 石川
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Publication of WO2020039752A1 publication Critical patent/WO2020039752A1/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
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B25/00—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems
    • G08B25/01—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium
    • G08B25/04—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium using a single signalling line, e.g. in a closed loop
    • 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
    • G16H10/40—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for data related to laboratory analysis, e.g. patient specimen analysis
    • 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
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Definitions

  • the present invention relates to an information notification device, an information notification method, and a program.
  • the present invention has been made in view of the above, and an object of the present invention is to provide an information notification device, an information notification method, and a program capable of providing appropriate information on a test result to a patient in a timely manner.
  • examination information associated with a patient ID is acquired, and a comparison result obtained by comparing the acquired examination information with the previous examination information stored in the examination information storage unit is obtained. It is determined whether or not it has fluctuated more than a predetermined reference, the medication presence / absence information for the disease name associated with the patient ID is obtained from the patient information storage means, and it is determined whether or not the acquired medication presence / absence information indicates that there is medication.
  • the comparison result has fluctuated beyond a predetermined standard and when it is determined that there is medication, a short message is generated, and the generated short message is transmitted to a telephone number as a destination.
  • FIG. 1 is a block diagram illustrating a configuration example of an information providing system 10 according to the present embodiment.
  • FIG. 3 is an explanatory diagram illustrating an example of a data configuration of a patient information storage unit 110.
  • FIG. 3 is an explanatory diagram illustrating an example of a data configuration of an inspection information storage unit 120.
  • 9 is a flowchart illustrating an information notification processing procedure executed by the information notification device 100.
  • FIG. 4 is an explanatory diagram showing an example of a short message transmitted from the information notification device 100 to the patient's portable terminal device 200.
  • FIG. 3 is an explanatory diagram showing an example of a short message transmitted from the information notification device 100 to the patient or the doctor's portable terminal device 200;
  • 6 is a flowchart illustrating an information notification process performed by the information notification device 100 and the mobile terminal device 200.
  • FIG. 1 is a block diagram illustrating a configuration example of the information notification system 10 according to the present embodiment.
  • the information notification system 10 includes an information notification device 100, mobile terminal devices 200-1 to 200-n, and a management server 300.
  • the information notification device 100 and the mobile terminal devices 200-1 to 200-n are connected to a mobile communication network or the like.
  • the information notification device 100 and the management server 300 are communicably connected to each other via a network N such as the Internet.
  • the network N is partially or entirely wired or wireless, and is a communication network such as the Internet, an intranet, a LAN (Local Area Network), and a mobile communication network.
  • the information notification device 100 will be described.
  • the information notification device 100 is a normal computer installed in a medical institution or the like and operated by a doctor or a clerk.
  • the information notification device 100 includes a patient information storage unit 110, a test information storage unit 120, a transmission / reception unit 101,
  • the control unit 102 includes a unit 102, a test value change determination unit 103, a medication determination unit 104, a notification availability determination unit 105, and a short message generation unit 106.
  • FIG. 2 is an explanatory diagram showing an example of a data configuration of the patient information storage unit 110.
  • the patient information storage unit 110 stores information on a patient. More specifically, the patient information storage unit 110 stores a patient ID, which is information for identifying a patient, a disease name, medication information, a patient telephone number, notification availability information, a doctor in charge, and a doctor telephone number. , Transmission date and time, reception date and time (reply), and other information are stored in association with each other.
  • the disease name is a disease name diagnosed by a doctor of a patient, and is, for example, “diabetes”. A condition that is between normal and sick, even if the disease is not diagnosed in the test results such as a blood test. For example, in the case of diabetes, words such as "diabetes reserve army” etc. Is also good.
  • the medication presence / absence information is information indicating whether or not medication is being performed according to the disease name.
  • the patient telephone number is a telephone number of a patient obtained from a medical chart or the like, and is a number of a mobile phone or the like that can receive a short message by SMS (Short Message Service).
  • the notification permission / prohibition information is information indicating whether or not the patient has previously been allowed to transmit a short message by SMS to the patient telephone number.
  • the doctor in charge name is a doctor in charge of the patient indicated by the patient ID, and may be one or more.
  • the doctor phone number is a phone number of a doctor in charge of a patient, and is a number such as a mobile phone capable of receiving a short message by SMS.
  • the transmission date and time is the date and time when the information notification device 100 transmitted the short message to the patient telephone number.
  • the reception date / time (reply) is the date / time at which a short message reply from the patient was received in response to the short message sent to the patient.
  • the date and time of reception may be the date and time at which the patient responded by telephone.
  • a plurality of transmission date and time and reception date and time may be stored in chronological order in association with the patient ID. As other information, a patient name, family contact information, and the like may be stored.
  • FIG. 3 is an explanatory diagram showing an example of the data configuration of the test information storage unit 120.
  • the test information storage unit 120 stores information on a test for each patient. More specifically, the test information storage unit 120 stores the patient ID, the test date and time, the test information, and other information in association with each other.
  • the examination date and time is the date and time when the patient was examined. An inspection date may be used instead of the inspection date and time.
  • the test information is a test result of a blood test or the like, for example, a test value of HbA1c (indicating the percentage of glycated hemoglobin present as a percentage (%)) to determine whether or not the patient has diabetes or the like. Other test values.
  • a plurality of examination dates and times and examination information are stored in association with the patient ID.
  • the transmission / reception unit 101 is connected to the mobile terminal device 200 via the network N, and transmits / receives a short message. In addition, the transmitting / receiving unit 101 receives a call transmitted from the mobile terminal device 200.
  • the transmission / reception unit 101 is connected to the management server 300 via the network N, and transmits / receives data.
  • the input / output unit 102 includes an input unit and an output unit.
  • the input unit is a keyboard, a mouse, a microphone, a USB port as an interface for connecting a USB memory, an SD card slot for inserting an SD card, and the like.
  • Other input / output devices may be used.
  • the input / output unit 102 receives input of data from a USB memory or an SD card.
  • the input / output unit 102 displays, on a screen, information on a patient stored in the patient information storage unit 110, information on a test stored in the test information storage unit 120, and receives an operation on the information displayed on the screen.
  • the test value variation determination unit 103 is configured to determine whether the data of the test result received by the transmission / reception unit 101 or the data of the test result received by the input / output unit 102 and the previous test result stored in the test information storage unit 120 are used for each patient. Then, the current and previous inspection results are compared, and it is determined whether or not the comparison result has fluctuated beyond a predetermined reference. The inspection value fluctuation determination unit 103 determines whether the current inspection result is within a predetermined reference range.
  • the medication determination unit 104 acquires the medication presence / absence information associated with the patient ID from the patient information storage unit 110, and determines whether or not the patient has been medication for the disease name to be notified.
  • the notification propriety judging unit 105 determines whether the test result fluctuation judging unit 103 has determined that the comparison result has fluctuated above a predetermined reference, or determines that the current test result is not within the range of the predetermined reference.
  • the notification availability information associated with the patient ID is acquired from the information storage unit 110, and it is determined whether or not the patient can be notified by a short message.
  • the short message generating unit 106 determines that the comparison result has fluctuated above a predetermined reference by the test value fluctuation determining unit 103, or that the current test result does not fall within the predetermined reference range, and If the notification determination unit 105 can notify the notification permission / prohibition information, a short message is generated according to the comparison result calculated by the test value variation determination unit 103.
  • the mobile terminal devices 200-1 to 200-n are one or a plurality of smartphones, tablet terminals, notebook personal computers, or the like operated by a patient or a doctor who visits a medical institution. Any type may be used as long as it can be transmitted and received. Further, it may be possible to make a call.
  • the mobile terminal devices 200-1 to 200-n display the content of the short message transmitted from the information notification device 100 on a display screen according to a user operation.
  • the management server 300 is a server operated by a person in charge at an inspection company or the like, and the management server 300 is connected to one or more information notification devices 100 via the network N.
  • the management server 300 includes a test information storage unit (not shown) that stores a patient ID, a test date, and a test result in association with each other for each medical institution ID that identifies a medical institution.
  • the management server 300 transmits the test result for each medical institution attached to an e-mail or transmits it as data via the network N, depending on how the data is received at the medical institution that requested the test.
  • test result data for each medical institution may be stored in a USB memory or an SD card and delivered to the medical institution.
  • FIG. 4 is a flowchart illustrating an information notification process performed by the information notification device 100.
  • the transmission / reception 101 receives and acquires the inspection information transmitted from the management server 300 (Step S401). Inspection information stored in a USB memory connected to a USB port of the input / output unit 102 or an SD card inserted into an SD card slot may be obtained instead of the transmission / reception unit 101.
  • the test value variation determination unit 103 acquires a test value for each patient ID from the test information (Step S402). For example, when notifying about diabetes, a test value of “HbA1c” is obtained.
  • the test value change determination unit 103 acquires the previous test value associated with the patient ID from the test information storage unit 120 (Step S403).
  • the inspection value change determination unit 103 compares the current inspection value with the previous inspection value (Step S404).
  • the inspection value change determination unit 103 determines whether the comparison result has changed over a predetermined reference (step S405). For example, in the case of alerting of exercise or meal, when the change of the test value of “HbA1c” of the previous time and the current time is set to “+0.4” or more, the previous test value “6.7” and the current test value “7.2” If the comparison result is "+0.5", it is determined that the variation has exceeded a predetermined reference. Further, regardless of the previous inspection value, if the current inspection value is equal to or more than the reference value “6.5”, it may be determined that the notification value is to be notified.
  • step S405 determines whether or not fluctuate beyond the predetermined reference.
  • the medication determination unit 104 determines whether or not the patient has medication (step S406). More specifically, the medication determination unit 104 stores the notification target disease name (for example, “diabetes” or “diabetes reserve army”) in the disease name associated with the patient ID stored in the patient information storage unit 110, and Then, it is determined whether or not the medication “Yes” is stored in the medication presence / absence information associated with the disease name.
  • the notification permission / non-permission determination unit 105 determines whether notification is permitted (step S407). More specifically, the notification permission / inhibition determination unit 105 acquires the notification permission / inhibition information associated with the patient ID from the patient information storage unit 110, and determines whether the notification “permission” is stored in the acquired notification permission / inhibition information. I do.
  • the short message generator 106 generates a short message (Step S408). More specifically, when the notification permission / inhibition information of the patient is “OK”, the short message generation unit 106 compares the result of the comparison between the previous and current test values (or the current test value), Generate a message. When an urgent response is required, a short message may be generated even if the patient notification permission / prohibition information is “impossible”.
  • the short message includes part or all of an examination date, an examination value, a comment, a doctor in charge, and other information.
  • FIG. 5 is an explanatory diagram showing an example of a short message transmitted from the information notification device 100 to the portable terminal device 200 of the patient.
  • the examination date, the examination value, the comment according to the comparison result acquired from the examination information storage unit 120, and the nomination of the doctor in charge to be stored in the patient information storage unit 110 are described.
  • the comment (a) is a comment when the test value fluctuates more than the alert for exercise or meal, and promotes self-management for exercise and meal by the patient himself.
  • the phrase “OK ⁇ please reply” is further added.
  • the medical institution can also recognize that the patient has recognized the short message transmitted from the information notification device 100.
  • the words “OK ⁇ 054-***-****” are further added. The patient can easily call the medical institution by clicking the telephone number described in the short message, and the medical institution understands that the patient recognizes the short message transmitted from the information notification device 100. can do. Both the reply of the short message in (b) and the transmission to the telephone number in (c) may be described in the short message.
  • FIG. 6 is an explanatory diagram showing an example of a short message transmitted from the information notification device 100 to the portable terminal device 200 of the patient or the doctor in charge.
  • the short message example (d) is an example of a short message transmitted to a patient, and describes an examination date, an examination value, a comment according to a comparison result, a doctor in charge, a telephone number of a medical institution, and the like.
  • the comment (d) is a comment when the test value fluctuates more than the standard for alerting the patient to hypoglycemic attack. Since the hypoglycemic attack may occur, the comment is highly important and the hypoglycemic attack to the patient is made. It is a reminder of the warning and urgent medical consultation.
  • the short message example (e) is a short message transmitted to the doctor in charge, and describes a patient name, an examination date, an examination value, a previous examination date, a previous examination value, a comment according to a comparison result, a patient telephone number, and the like. If a response is required before the next periodic diagnosis, a short message is transmitted to the doctor in charge together with the patient, so that a change in the test value can be appropriately responded. Thereby, when an urgent response is required, a short message is transmitted to the doctor together with the patient, but when no urgent response is required, a short message is transmitted only to the patient and not transmitted to the doctor. Therefore, the emergency response can be filtered by a simple mechanism.
  • the transmission / reception unit 101 transmits a short message to the telephone number as a destination (step S409).
  • the test value change determination unit 103 stores the test date and time and the test information in the test information storage unit 120 in association with the patient ID (step S410).
  • the inspection value change determination unit 103 determines whether or not processing of all inspection information has been completed (step S411). If it is determined that the processing of all the inspection information has not been completed (step S411: No), the process returns to step S402. When it is determined that the processing of all the inspection information has been completed (step S411: Yes), the processing is completed.
  • each patient's test result is judged based on the prescribed criteria, and if attention in daily life or urgent action is necessary, it can be notified when test information is obtained, so that the next consultation Patients and medical staff can respond in a timely manner without waiting, and the therapeutic effect is improved.
  • a hypoglycemic attack in diabetes may be life-threatening, and a notification for taking an appropriate action can be promptly and without fail.
  • the patient can check the message content by simple operations compared to e-mail and dedicated application, etc., and even if the patient changes the carrier of the mobile phone, the phone number does not change. Because of the large number, the possibility of reaching the patient increases.
  • the notification destination may be stored in the patient information storage unit 110 as not only the patient himself / herself but also a related person of the patient such as a family and the short message may be transmitted.
  • the patient is elderly or the like, follow-up and monitoring of the patient's illness can be performed by notifying the related persons.
  • FIG. 7 is a flowchart illustrating an information notification process performed by the information notification device 100 and the mobile terminal device 200.
  • the mobile terminal device 200 receives the short message transmitted from the information notification device 100 (step S701). Such a short message is the short message transmitted in step S409 of FIG.
  • the mobile terminal device 200 displays the short message (Step S702).
  • the short message displayed on the screen is, for example, a short message example (b) shown in FIG.
  • the mobile terminal device 200 transmits a short message as a reply to the short message in response to a user operation (step S703). For example, a message such as “I saw” is transmitted.
  • the transmitting / receiving unit 101 of the information notification device 100 receives the short message transmitted from the mobile terminal device 200 (Step S704).
  • the transmission / reception unit 101 stores the date and time when the short message was received in the patient information storage unit 110 (Step S705).
  • the short message transmitted from the information notification device 100 and the short message that is a reply to the short message are transmitted by the normal SMS function such as including identification information corresponding to each short message.
  • the date and time (reply) of receiving the short message in response to the message can be stored in the patient information storage unit 110.
  • the input / output unit 102 acquires the patient ID, the transmission date and time, and the reception date and time stored in the patient information storage unit 110 according to the operation of the user, and displays the transmission status and the reception status of the short message for each patient on the screen. It is displayed (step S706).
  • the inspection date, the inspection value, the previous inspection date, and the previous inspection value may be acquired from the inspection information storage unit 120 and may be listed.
  • the transmission and reception status of the short message can be easily confirmed. If the reception from the patient for the short message is not stored in an emergency situation, the patient can be further followed. Alternatively, the status of the transmission and reception of the short message may be checked at predetermined time intervals, and an alarm may be displayed on the screen when the reply short message has not been received from the patient.
  • a call made using a telephone number may be used instead of replying with a short message.
  • the information notification device 100 acquires the telephone number received by the automatic answering function, and stores the date and time of arrival at the reception date and time in association with the acquired telephone number.
  • the medication determination unit 104 does not determine the presence / absence of medication related to the disease name from all medicines prescribed to the patient, instead of using the medication presence / absence information corresponding to the disease name. Is also good. For this determination, AI (artificial intelligence) learned using big data that has collected a lot of clinical data may be used.
  • AI artificial intelligence
  • the hardware configuration of the information notification device 100 includes an external storage device such as a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and a HDD (Hard Disk Drive), and a communication device.
  • This is a normal computer including a control device and the like, and realizes the above-described configuration and functions by causing a CPU to read a program stored in a ROM, a RAM, an HDD, or the like and to perform an operation.
  • the program operating on the information notification device 100 is stored on a computer connected to a network N such as the Internet, and is provided by being downloaded via the network N, or a file in an installable format or an executable format. May be recorded on a computer-readable recording medium such as a CD-ROM, a DVD, a USB memory, and an SD card and provided. Further, a program for realizing the above-described functions and processes may be provided in a usage form such as API (Application Programming Interface), SaaS (Software as a Service), or cloud computing.
  • API Application Programming Interface
  • SaaS Software as a Service
  • the present invention is not limited to the above-described embodiments as they are, and does not necessarily need to be physically configured as illustrated.
  • the present invention provides functional or physical division, integration, replacement, modification, or deletion of all or part of the components described in the embodiments in arbitrary units according to various loads and usage conditions. Can be configured.
  • DESCRIPTION OF SYMBOLS 10 ... Information notification system, 100 ... Information notification device, 101 ... Transmission / reception part, 102 ... Input / output part, 103 ... Test value fluctuation determination part, 104 ... Medication determination part, 105 ... Notification possibility determination part, 106 ... Short message generation part 110, patient information storage unit, 120, examination information storage unit, 200, portable terminal device, 300, management server

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Abstract

[Problem] To provide an information reporting device, an information reporting method, and a program which are capable of providing appropriate information about a test result to a patient. [Solution] A transmission and reception unit 101 acquires test information associated with a patient ID. A test value variation determination unit 103 determines whether or not a comparison result obtained by comparison of the acquired test information with last test information stored in a test information storage unit 120, has varied by a predetermined criterion or greater. When the comparison result is determined to have varied by a predetermined rate or greater, a short message generation unit 106 generates a short message. The transmission and reception unit 101 transmits the generated short message by using a phone number as an address thereof.

Description

情報通知装置、情報通知方法、およびプログラムInformation notification device, information notification method, and program
　本発明は、情報通知装置、情報通知方法、およびプログラムに関する。 The present invention relates to an information notification device, an information notification method, and a program.
　従来、医療機関で診察を受けた患者は、症状等に応じた血液検査等を受け、その結果を医師から説明されたうえで、検査結果に応じた医薬を処方されることが一般的である。特に糖尿病等のような慢性疾患については、処方された医薬の服用とともに、患者自身での食生活や運動等の自己管理が重要である。しかし、患者は自己管理に対するモチベーションを長期間継続・維持させることが難しいという問題があった。このような問題に対応するため、患者が入力した検査データを検索条件として検索すると、その検査データに類似した他の患者の検査データが抽出され類似部分以後の状況を含めた経過データをクライアント端末に配信する技術が開示されている（特許文献１参照）。 Conventionally, it is common that a patient examined at a medical institution receives a blood test or the like according to symptoms and the like, and after a doctor explains the result, a medicine corresponding to the test result is prescribed. . In particular, for chronic diseases such as diabetes, it is important to take the prescribed medicine and to manage the patient's own diet and exercise. However, there is a problem that it is difficult for patients to maintain and maintain their motivation for self-management for a long time. In order to cope with such a problem, when search is performed using examination data input by a patient as a search condition, examination data of another patient similar to the examination data is extracted, and progress data including the situation after the similar part is extracted from the client terminal. (See Patent Document 1).
特開2009-205456号公報JP 2009-205456 A
　しかしながら、上述した公報に記載した技術は、患者のモチベーションの維持に資するものの、他の患者の経過データを検索するという患者自身の操作が必要となるため、経過データ確認のタイミングが患者自身に委ねられ、確実に患者に情報を提示することができないという問題があった。 However, although the technique described in the above-mentioned publication contributes to maintaining the motivation of the patient, the operation of the patient himself / herself to search the history data of another patient is required, and the timing of the progress data confirmation is left to the patient himself. Therefore, there is a problem that information cannot be surely presented to the patient.
　また、既に糖尿病のような慢性疾患と診断され、継続して薬を処方されている場合には、検査結果に応じた診察や処方薬の変更が次回の診察時となることが多く、患者の病状の変化に対し対応が遅れてしまうという問題があった。 In addition, if a chronic disease such as diabetes is already diagnosed and drugs are prescribed continuously, consultation according to the test results and changes in prescription drugs are often made at the next consultation. There was a problem that the response to a change in medical condition was delayed.
　本発明は、上記に鑑みてなされたものであり、患者に対し検査結果に関する適切な情報を適時に提供することができる情報通知装置、情報通知方法、およびプログラムを提供することを目的とする。 The present invention has been made in view of the above, and an object of the present invention is to provide an information notification device, an information notification method, and a program capable of providing appropriate information on a test result to a patient in a timely manner.
　上述した課題を解決するために、本発明では、患者ＩＤに対応付けられた検査情報を取得し、取得した検査情報と、検査情報記憶手段に記憶する前回の検査情報とを対比した対比結果が所定の基準以上に変動したか否かを判断し、患者ＩＤに対応付けられた病名に対する投薬有無情報を患者情報記憶手段から取得し、取得した投薬有無情報が投薬有りか否かを判断し、対比結果が所定の基準以上に変動したと判断し、かつ、投薬有りと判断した場合に、ショートメッセージを生成し、生成したショートメッセージを電話番号を宛先として送信することを特徴とする。 In order to solve the above-described problem, in the present invention, examination information associated with a patient ID is acquired, and a comparison result obtained by comparing the acquired examination information with the previous examination information stored in the examination information storage unit is obtained. It is determined whether or not it has fluctuated more than a predetermined reference, the medication presence / absence information for the disease name associated with the patient ID is obtained from the patient information storage means, and it is determined whether or not the acquired medication presence / absence information indicates that there is medication. When it is determined that the comparison result has fluctuated beyond a predetermined standard and when it is determined that there is medication, a short message is generated, and the generated short message is transmitted to a telephone number as a destination.
　上記のように構成した本発明によれば、患者に対し検査結果に関する適切な情報を適時に提供することができるという効果を奏する。 According to the present invention configured as described above, there is an effect that appropriate information on test results can be provided to a patient in a timely manner.
本実施例にかかる情報提供システム１０の構成例を示すブロック図である。FIG. 1 is a block diagram illustrating a configuration example of an information providing system 10 according to the present embodiment. 患者情報記憶部１１０のデータ構成の一例を示す説明図である。FIG. 3 is an explanatory diagram illustrating an example of a data configuration of a patient information storage unit 110. 検査情報記憶部１２０のデータ構成の一例を示す説明図である。FIG. 3 is an explanatory diagram illustrating an example of a data configuration of an inspection information storage unit 120. 情報通知装置１００で実行する情報通知処理手順を示すフローチャートである。9 is a flowchart illustrating an information notification processing procedure executed by the information notification device 100. 情報通知装置１００から患者の携帯端末装置２００に送信するショートメッセージの一例を示す説明図である。FIG. 4 is an explanatory diagram showing an example of a short message transmitted from the information notification device 100 to the patient's portable terminal device 200. 情報通知装置１００から患者または担当医師の携帯端末装置２００に送信するショートメッセージの一例を示す説明図である。FIG. 3 is an explanatory diagram showing an example of a short message transmitted from the information notification device 100 to the patient or the doctor's portable terminal device 200; 情報通知装置１００と携帯端末装置２００で実行する情報通知処理手順を示すフローチャートである。6 is a flowchart illustrating an information notification process performed by the information notification device 100 and the mobile terminal device 200.
　以下、添付図面を参照し本発明の実施例を説明する。なお、以下の説明は、実施の形態の一例であり、本発明は、これらの実施例に限定されるものではない。 Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings. Note that the following description is an example of the embodiment, and the present invention is not limited to the example.
　図１は、本実施例にかかる情報通知システム１０の構成例を示すブロック図である。情報通知システム１０は、情報通知装置１００と、携帯端末装置２００－１～ｎと、管理サーバ３００とを備え、情報通知装置１００と携帯端末装置２００－１～ｎは、移動体通信網等のネットワークＮを介して互いに通信可能に接続し、情報通知装置１００と管理サーバ３００は、インターネット等のネットワークＮを介して互いに通信可能に接続する。ネットワークＮは、一部または全部が有線あるいは無線であり、インターネット、イントラネット、ＬＡＮ（Local Area Network）、移動体通信網等の通信ネットワークである。 FIG. 1 is a block diagram illustrating a configuration example of the information notification system 10 according to the present embodiment. The information notification system 10 includes an information notification device 100, mobile terminal devices 200-1 to 200-n, and a management server 300. The information notification device 100 and the mobile terminal devices 200-1 to 200-n are connected to a mobile communication network or the like. The information notification device 100 and the management server 300 are communicably connected to each other via a network N such as the Internet. The network N is partially or entirely wired or wireless, and is a communication network such as the Internet, an intranet, a LAN (Local Area Network), and a mobile communication network.
　情報通知装置１００について説明する。情報通知装置１００は、医療機関等に設置された、医師や事務担当者等が操作する通常のコンピュータであり、患者情報記憶部１１０と、検査情報記憶部１２０と、送受信部１０１と、入出力部１０２と、検査値変動判断部１０３と、投薬判断部１０４と、通知可否判断部１０５と、ショートメッセージ生成部１０６と、を備える。 The information notification device 100 will be described. The information notification device 100 is a normal computer installed in a medical institution or the like and operated by a doctor or a clerk. The information notification device 100 includes a patient information storage unit 110, a test information storage unit 120, a transmission / reception unit 101, The control unit 102 includes a unit 102, a test value change determination unit 103, a medication determination unit 104, a notification availability determination unit 105, and a short message generation unit 106.
　図２は、患者情報記憶部１１０のデータ構成の一例を示す説明図である。患者情報記憶部１１０は、患者に関する情報を記憶する。より具体的には、患者情報記憶部１１０は、患者を識別する情報である患者ＩＤと、病名と、投薬有無情報と、患者電話番号と、通知可否情報と、担当医師名と、医師電話番号と、送信日時と、受信日時（返信）と、その他の情報とを対応付けて記憶する。病名は、患者が医師により診断された病名であり、例えば“糖尿病”等である。血液検査等の検査結果で病気とまでは診断されていなくても、正常と病気との間であるような状態、例えば、糖尿病であれば、“糖尿病予備軍”等のような文言であってもよい。 FIG. 2 is an explanatory diagram showing an example of a data configuration of the patient information storage unit 110. The patient information storage unit 110 stores information on a patient. More specifically, the patient information storage unit 110 stores a patient ID, which is information for identifying a patient, a disease name, medication information, a patient telephone number, notification availability information, a doctor in charge, and a doctor telephone number. , Transmission date and time, reception date and time (reply), and other information are stored in association with each other. The disease name is a disease name diagnosed by a doctor of a patient, and is, for example, “diabetes”. A condition that is between normal and sick, even if the disease is not diagnosed in the test results such as a blood test. For example, in the case of diabetes, words such as "diabetes reserve army" etc. Is also good.
　投薬有無情報は、病名に応じた投薬がなされているか否かを示す情報である。患者電話番号は、カルテ等から得た患者の電話番号であり、ＳＭＳ（Short Message Service）でショートメッセージを受信できる携帯電話等の番号である。通知可否情報は、患者が予め患者電話番号に対しＳＭＳでショートメッセージを送信することを許可しているか否かを示す情報である。担当医師名は、患者ＩＤに示す患者を担当する医師であり、一人または複数であってもよい。医師電話番号は、患者を担当する医師の電話番号であり、ＳＭＳでショートメッセージを受信できる携帯電話等の番号である。送信日時は、情報通知装置１００から患者電話番号にショートメッセージを送信した日時である。受信日時（返信）は、患者に送信したショートメッセージに対し患者からのショートメッセージの返信を受信した日時である。なお受信日時は、患者から電話での返信があった日時であってもよい。送信日時と受信日時は、患者ＩＤに対応付けて時系列に複数記憶してもよい。その他の情報としては、患者名や家族連絡先等を記憶してもよい。 The medication presence / absence information is information indicating whether or not medication is being performed according to the disease name. The patient telephone number is a telephone number of a patient obtained from a medical chart or the like, and is a number of a mobile phone or the like that can receive a short message by SMS (Short Message Service). The notification permission / prohibition information is information indicating whether or not the patient has previously been allowed to transmit a short message by SMS to the patient telephone number. The doctor in charge name is a doctor in charge of the patient indicated by the patient ID, and may be one or more. The doctor phone number is a phone number of a doctor in charge of a patient, and is a number such as a mobile phone capable of receiving a short message by SMS. The transmission date and time is the date and time when the information notification device 100 transmitted the short message to the patient telephone number. The reception date / time (reply) is the date / time at which a short message reply from the patient was received in response to the short message sent to the patient. The date and time of reception may be the date and time at which the patient responded by telephone. A plurality of transmission date and time and reception date and time may be stored in chronological order in association with the patient ID. As other information, a patient name, family contact information, and the like may be stored.
　図３は、検査情報記憶部１２０のデータ構成の一例を示す説明図である。検査情報記憶部１２０は、患者ごとの検査に関する情報を記憶する。より具体的には、検査情報記憶部１２０は、患者ＩＤと、検査日時と、検査情報と、その他の情報とを対応付けて記憶する。検査日時は、患者が検査を受けた日時である。検査日時に代えて検査日であってもよい。検査情報は、血液検査等の検査結果であり、例えば糖尿病であるか否かを判断するHbA1c（糖化ヘモグロビンがどのくらいの割合で存在しているかをパーセント（％）で表したもの）の検査値やその他の検査値である。検査日時と検査情報とは、患者ＩＤに対応付けて複数記憶する。 FIG. 3 is an explanatory diagram showing an example of the data configuration of the test information storage unit 120. The test information storage unit 120 stores information on a test for each patient. More specifically, the test information storage unit 120 stores the patient ID, the test date and time, the test information, and other information in association with each other. The examination date and time is the date and time when the patient was examined. An inspection date may be used instead of the inspection date and time. The test information is a test result of a blood test or the like, for example, a test value of HbA1c (indicating the percentage of glycated hemoglobin present as a percentage (%)) to determine whether or not the patient has diabetes or the like. Other test values. A plurality of examination dates and times and examination information are stored in association with the patient ID.
　送受信部１０１は、携帯端末装置２００とネットワークＮを介して接続し、ショートメッセージを送受信する。また送受信部１０１は、携帯端末装置２００から発信された通話を受信する。送受信部１０１は、管理サーバ３００とネットワークＮを介して接続し、データを送受信する。 The transmission / reception unit 101 is connected to the mobile terminal device 200 via the network N, and transmits / receives a short message. In addition, the transmitting / receiving unit 101 receives a call transmitted from the mobile terminal device 200. The transmission / reception unit 101 is connected to the management server 300 via the network N, and transmits / receives data.
　入出力部１０２は、入力部と出力部とからなり、入力部はキーボードやマウス、マイクロフォン、ＵＳＢメモリを接続するインターフェースであるＵＳＢポート、ＳＤカードを挿入するＳＤカードスロット等であり、出力部はディスプレイ、スピーカ等である。その他の入出力装置であってもよい。入出力部１０２は、ＵＳＢメモリやＳＤカードからデータの入力を受付ける。入出力部１０２は、患者情報記憶部１１０に記憶する患者に関する情報や検査情報記憶部１２０に記憶する検査に関する情報等を画面に表示したり、画面に表示した情報に対する操作を受付ける。 The input / output unit 102 includes an input unit and an output unit. The input unit is a keyboard, a mouse, a microphone, a USB port as an interface for connecting a USB memory, an SD card slot for inserting an SD card, and the like. A display, a speaker, and the like. Other input / output devices may be used. The input / output unit 102 receives input of data from a USB memory or an SD card. The input / output unit 102 displays, on a screen, information on a patient stored in the patient information storage unit 110, information on a test stored in the test information storage unit 120, and receives an operation on the information displayed on the screen.
　検査値変動判断部１０３は、送受信部１０１によって受信した検査結果のデータ、または入出力部１０２によって入力を受付けた検査結果のデータと、検査情報記憶部１２０に記憶する前回の検査結果から患者ごとに今回と前回の検査結果を対比し、対比結果が所定の基準以上に変動したか否かを判断する。検査値変動判断部１０３は、今回の検査結果が所定の基準の範囲内か否かを判断する。 The test value variation determination unit 103 is configured to determine whether the data of the test result received by the transmission / reception unit 101 or the data of the test result received by the input / output unit 102 and the previous test result stored in the test information storage unit 120 are used for each patient. Then, the current and previous inspection results are compared, and it is determined whether or not the comparison result has fluctuated beyond a predetermined reference. The inspection value fluctuation determination unit 103 determines whether the current inspection result is within a predetermined reference range.
　投薬判断部１０４は、患者情報記憶部１１０から患者ＩＤに対応付けられた投薬有無情報を取得し、患者に対し通知対象である病名に対する投薬がされているか否かを判断する。 (4) The medication determination unit 104 acquires the medication presence / absence information associated with the patient ID from the patient information storage unit 110, and determines whether or not the patient has been medication for the disease name to be notified.
　通知可否判断部１０５は、検査値変動判断部１０３によって対比結果が所定の基準以上に変動したと判断した場合、または、今回の検査結果が所定の基準の範囲内でないと判断した場合に、患者情報記憶部１１０から患者ＩＤに対応付けられた通知可否情報を取得し、患者に対しショートメッセージによる通知可であるか否かを判断する。 The notification propriety judging unit 105 determines whether the test result fluctuation judging unit 103 has determined that the comparison result has fluctuated above a predetermined reference, or determines that the current test result is not within the range of the predetermined reference. The notification availability information associated with the patient ID is acquired from the information storage unit 110, and it is determined whether or not the patient can be notified by a short message.
　ショートメッセージ生成部１０６は、検査値変動判断部１０３によって対比結果が所定の基準以上に変動したと判断した場合、または、今回の検査結果が所定の基準の範囲内でないと判断した場合で、かつ、通知判断部１０５によって通知可否情報が通知可である場合、検査値変動判断部１０３で算出した対比結果に応じたショートメッセージを生成する。 The short message generating unit 106 determines that the comparison result has fluctuated above a predetermined reference by the test value fluctuation determining unit 103, or that the current test result does not fall within the predetermined reference range, and If the notification determination unit 105 can notify the notification permission / prohibition information, a short message is generated according to the comparison result calculated by the test value variation determination unit 103.
　携帯端末装置２００－１～ｎは、医療機関を受診する患者または医師が操作する、１または複数のスマートフォン、タブレット端末、ノート型パーソナルコンピュータ等であり、患者や医師が携帯でき、少なくともショートメッセージを送受信できれば、どのようなものであってもよい。さらに通話できてもよい。携帯端末装置２００－１～ｎは、情報通知装置１００から送信されたショートメッセージの内容を利用者の操作に応じ表示画面に表示する。 The mobile terminal devices 200-1 to 200-n are one or a plurality of smartphones, tablet terminals, notebook personal computers, or the like operated by a patient or a doctor who visits a medical institution. Any type may be used as long as it can be transmitted and received. Further, it may be possible to make a call. The mobile terminal devices 200-1 to 200-n display the content of the short message transmitted from the information notification device 100 on a display screen according to a user operation.
　管理サーバ３００は、検査会社等において担当者が操作するサーバであり、管理サーバ３００は、１または複数の情報通知装置１００とネットワークＮを介して接続する。管理サーバ３００は、医療機関を識別する医療機関ＩＤごとに、患者ＩＤと検査日と検査結果とを対応付けて記憶する、図示しない検査情報記憶部を備える。管理サーバ３００は、検査を依頼した医療機関でのデータの受け入れ方に応じ、医療機関ごとの検査結果をメールに添付して送信、またはネットワークＮを介しデータとして送信する。もしくは、医療機関ごとの検査結果のデータをＵＳＢメモリやＳＤカードに記憶し医療機関に届けてもよい。 The management server 300 is a server operated by a person in charge at an inspection company or the like, and the management server 300 is connected to one or more information notification devices 100 via the network N. The management server 300 includes a test information storage unit (not shown) that stores a patient ID, a test date, and a test result in association with each other for each medical institution ID that identifies a medical institution. The management server 300 transmits the test result for each medical institution attached to an e-mail or transmits it as data via the network N, depending on how the data is received at the medical institution that requested the test. Alternatively, test result data for each medical institution may be stored in a USB memory or an SD card and delivered to the medical institution.
　上述のように構成された情報通知システム１０で実行する情報通知処理について説明する。図４は、情報通知装置１００で実行する情報通知処理手順を示すフローチャートである。 The information notification process executed by the information notification system 10 configured as described above will be described. FIG. 4 is a flowchart illustrating an information notification process performed by the information notification device 100.
　送受信１０１は、管理サーバ３００から送信された検査情報を受信し取得する（ステップＳ４０１）。送受信部１０１に代えて入出力部１０２のＵＳＢポートに接続されたＵＳＢメモリやＳＤカードスロットに挿入されたＳＤカードに記憶した検査情報を取得してもよい。検査値変動判断部１０３は、検査情報から患者ＩＤごとの検査値を取得する（ステップＳ４０２）。例えば、糖尿病に関する通知をする場合は、“HbA1c”の検査値を取得する。検査値変動判断部１０３は、患者ＩＤに対応付けられた前回の検査値を検査情報記憶部１２０から取得する（ステップＳ４０３）。 The transmission / reception 101 receives and acquires the inspection information transmitted from the management server 300 (Step S401). Inspection information stored in a USB memory connected to a USB port of the input / output unit 102 or an SD card inserted into an SD card slot may be obtained instead of the transmission / reception unit 101. The test value variation determination unit 103 acquires a test value for each patient ID from the test information (Step S402). For example, when notifying about diabetes, a test value of “HbA1c” is obtained. The test value change determination unit 103 acquires the previous test value associated with the patient ID from the test information storage unit 120 (Step S403).
　検査値変動判断部１０３は、今回の検査値と前回の検査値を対比する（ステップＳ４０４）。検査値変動判断部１０３は、対比結果が所定の基準以上に変動したか否かを判断する（ステップＳ４０５）。例えば、運動や食事等の注意喚起において前回と今回の“HbA1c”の検査値の変動が“+0.4”以上を通知対象とする場合、前回の検査値“6.7”、今回の検査値“7.2”で、対比結果が“+0.5”であれば、所定の基準以上に変動したと判断する。また前回の検査値に関わらず、今回の検査値が基準値“6.5”以上の場合は通知対象と判断してもよい。低血糖発作の注意喚起において前回と今回の“HbA1c”の検査値の変動が“-1.0”以上を通知対象とする場合、前回の検査値“6.9”から今回の検査値“5.9”で、対比結果が“-1.0”でれば、所定の基準以上に変動したと判断する。なお、“HbA1c”の検査値と他の検査値とを組合わせて通知対象とするか否かを判断するようにしてもよい。対比結果が所定の基準以上に変動していないと判断した場合（ステップＳ４０５：Ｎｏ）、ステップＳ４１０に進む。 (4) The inspection value change determination unit 103 compares the current inspection value with the previous inspection value (Step S404). The inspection value change determination unit 103 determines whether the comparison result has changed over a predetermined reference (step S405). For example, in the case of alerting of exercise or meal, when the change of the test value of “HbA1c” of the previous time and the current time is set to “+0.4” or more, the previous test value “6.7” and the current test value “7.2” If the comparison result is "+0.5", it is determined that the variation has exceeded a predetermined reference. Further, regardless of the previous inspection value, if the current inspection value is equal to or more than the reference value “6.5”, it may be determined that the notification value is to be notified. In the case of alerting of hypoglycemic attack, if the change in the test value of the previous and current “HbA1c” is to be notified as “-1.0” or more, the comparison is made from the previous test value “6.9” to the current test value “5.9”. If the result is "-1.0", it is determined that the variation has exceeded the predetermined reference. It should be noted that a combination of the test value of “HbA1c” and another test value may be used to determine whether or not to be a notification target. When it is determined that the comparison result does not fluctuate beyond the predetermined reference (step S405: No), the process proceeds to step S410.
　対比結果が所定の基準以上に変動したと判断した場合（ステップＳ４０５：Ｙｅｓ）、投薬判断部１０４は、患者に投薬ありか否かを判断する（ステップＳ４０６）。より具体的には、投薬判断部１０４は、患者情報記憶部１１０に記憶する患者ＩＤに対応付けられた病名に通知対象病名（例えば“糖尿病”または“糖尿病予備軍”等）が格納され、かつ、当該病名に対応付けられた投薬有無情報に投薬“有”が格納されているか否かを判断する。通知可否判断部１０５は、通知可か否かを判断する（ステップＳ４０７）。より具体的には、通知可否判断部１０５は、患者ＩＤに対応付けられた通知可否情報を患者情報記憶部１１０から取得し、取得した通知可否情報に通知“可”が格納されているかを判断する。 場合 If it is determined that the comparison result has fluctuated beyond a predetermined reference (step S405: Yes), the medication determination unit 104 determines whether or not the patient has medication (step S406). More specifically, the medication determination unit 104 stores the notification target disease name (for example, “diabetes” or “diabetes reserve army”) in the disease name associated with the patient ID stored in the patient information storage unit 110, and Then, it is determined whether or not the medication “Yes” is stored in the medication presence / absence information associated with the disease name. The notification permission / non-permission determination unit 105 determines whether notification is permitted (step S407). More specifically, the notification permission / inhibition determination unit 105 acquires the notification permission / inhibition information associated with the patient ID from the patient information storage unit 110, and determines whether the notification “permission” is stored in the acquired notification permission / inhibition information. I do.
　ショートメッセージ生成部１０６は、ショートメッセージを生成する（ステップＳ４０８）。より具体的には、ショートメッセージ生成部１０６は、患者の通知可否情報が“可”に場合に、前回と今回の検査値の対比結果（または今回の検査値）、投薬の有無に応じたショートメッセージを生成する。なお、緊急の対応が必要な場合、患者の通知可否情報が“不可”であってもショートメッセージを生成するようにしてもよい。ショートメッセージは、検査日や検査値、コメント、担当医師名、その他の情報等の一部または全部を含む。 The short message generator 106 generates a short message (Step S408). More specifically, when the notification permission / inhibition information of the patient is “OK”, the short message generation unit 106 compares the result of the comparison between the previous and current test values (or the current test value), Generate a message. When an urgent response is required, a short message may be generated even if the patient notification permission / prohibition information is “impossible”. The short message includes part or all of an examination date, an examination value, a comment, a doctor in charge, and other information.
　図５は、情報通知装置１００から患者の携帯端末装置２００に送信するショートメッセージの一例を示す説明図である。ショートメッセージ例（ａ）には、検査情報記憶部１２０から取得した検査日、検査値、対比結果に応じたコメント、患者情報記憶部１１０に記憶する担当医指名を記載する。（ａ）のコメントは、運動や食事の注意喚起の基準以上に検査値が変動した場合のコメントであり、患者自身での運動や食事に対する自己管理を促すものである。 FIG. 5 is an explanatory diagram showing an example of a short message transmitted from the information notification device 100 to the portable terminal device 200 of the patient. In the example of the short message (a), the examination date, the examination value, the comment according to the comparison result acquired from the examination information storage unit 120, and the nomination of the doctor in charge to be stored in the patient information storage unit 110 are described. The comment (a) is a comment when the test value fluctuates more than the alert for exercise or meal, and promotes self-management for exercise and meal by the patient himself.
　ショートメッセージ例（ｂ）は、さらに“了解→返信してください。”の文言を加えている。このような文言に応じて患者がショートメッセージを返信した場合には、情報通知装置１００から送信されたショートメッセージを患者が認識していることを医療機関側でも把握することができる。ショートメッセージ例（ｃ）は、さらに“了解→054-***-****”の文言を加えている。患者がショートメッセージに記載された電話番号をクリックすることによって簡単に医療機関に電話することができ、医療機関側でも情報通知装置１００から送信されたショートメッセージを患者が認識していることを把握することができる。なお（ｂ）のショートメッセージの返信と（ｃ）の電話番号への発信の両方をショートメッセージに記載してもよい。 (4) In the example of the short message (b), the phrase “OK → please reply” is further added. When the patient returns a short message in response to such a word, the medical institution can also recognize that the patient has recognized the short message transmitted from the information notification device 100. In the example of the short message (c), the words “OK → 054-***-****” are further added. The patient can easily call the medical institution by clicking the telephone number described in the short message, and the medical institution understands that the patient recognizes the short message transmitted from the information notification device 100. can do. Both the reply of the short message in (b) and the transmission to the telephone number in (c) may be described in the short message.
　図６は、情報通知装置１００から患者または担当医師の携帯端末装置２００に送信するショートメッセージの一例を示す説明図である。ショートメッセージ例（ｄ）は、患者に送信するショートメッセージ例であり、検査日、検査値、対比結果に応じたコメント、担当医師名、医療機関等の電話番号等を記載する。（ｄ）のコメントは、低血糖発作の注意喚起の基準以上に検査値が変動した場合のコメントであり、低血糖発作が起きる可能性があるため、重要度が高く、患者への低血糖発作の注意喚起と至急医療機関を受診することを促すものである。 FIG. 6 is an explanatory diagram showing an example of a short message transmitted from the information notification device 100 to the portable terminal device 200 of the patient or the doctor in charge. The short message example (d) is an example of a short message transmitted to a patient, and describes an examination date, an examination value, a comment according to a comparison result, a doctor in charge, a telephone number of a medical institution, and the like. The comment (d) is a comment when the test value fluctuates more than the standard for alerting the patient to hypoglycemic attack. Since the hypoglycemic attack may occur, the comment is highly important and the hypoglycemic attack to the patient is made. It is a reminder of the warning and urgent medical consultation.
　ショートメッセージ例（ｅ）は、担当医師に送信するショートメッセージであり、患者名、検査日、検査値、前回検査日、前回検査値、対比結果に応じたコメント、患者電話番号等を記載する。次回の定期診断前に対応が必要な場合には、患者本人とともに担当医師にもショートメッセージを送信することで、検査値の変化に適切に対応することができる。これにより、緊急の対応が必要な場合は患者とともに医師にもショートメッセージが送信される一方、緊急の対応が必要でない場合には、患者のみにショートメッセージが送信され医師へのショートメッセージは送信されないので、簡易な仕組みで緊急対応をフィルタリングすることができる。 The short message example (e) is a short message transmitted to the doctor in charge, and describes a patient name, an examination date, an examination value, a previous examination date, a previous examination value, a comment according to a comparison result, a patient telephone number, and the like. If a response is required before the next periodic diagnosis, a short message is transmitted to the doctor in charge together with the patient, so that a change in the test value can be appropriately responded. Thereby, when an urgent response is required, a short message is transmitted to the doctor together with the patient, but when no urgent response is required, a short message is transmitted only to the patient and not transmitted to the doctor. Therefore, the emergency response can be filtered by a simple mechanism.
　送受信部１０１は、電話番号を宛先としてショートメッセージを送信する（ステップＳ４０９）。検査値変動判断部１０３は、患者ＩＤに対応付けて検査日時と検査情報を検査情報記憶部１２０に格納する（ステップＳ４１０）。検査値変動判断部１０３は、すべての検査情報の処理が終了したか否かを判断する（ステップＳ４１１）。すべての検査情報の処理が終了していないと判断した場合は（ステップＳ４１１：Ｎｏ）、ステップＳ４０２に戻る。すべての検査情報の処理が終了したと判断した場合は（ステップＳ４１１：Ｙｅｓ）、処理を終了する。 (4) The transmission / reception unit 101 transmits a short message to the telephone number as a destination (step S409). The test value change determination unit 103 stores the test date and time and the test information in the test information storage unit 120 in association with the patient ID (step S410). The inspection value change determination unit 103 determines whether or not processing of all inspection information has been completed (step S411). If it is determined that the processing of all the inspection information has not been completed (step S411: No), the process returns to step S402. When it is determined that the processing of all the inspection information has been completed (step S411: Yes), the processing is completed.
　このように、患者それぞれの検査結果を所定の基準で判断し、日常生活の注意や緊急な対応が必要な場合は、検査情報が得られた時点で通知することができるため、次回の診察を待たず患者自身や医療関係者がタイムリーに対応することができ、治療効果が向上する。特に糖尿病での低血糖発作は命に関わる場合もあり、適切な対応を行うための通知を早急に漏れなく実施することができる。また、ＳＭＳでショートメッセージを送信することによって、患者はメールや専用アプリ等に比べ簡便な操作でメッセージ内容を確認できるとともに、患者が携帯電話のキャリアを変更しても電話番号は変更しないことが多いため、患者本人に届く可能性が高くなる。 In this way, each patient's test result is judged based on the prescribed criteria, and if attention in daily life or urgent action is necessary, it can be notified when test information is obtained, so that the next consultation Patients and medical staff can respond in a timely manner without waiting, and the therapeutic effect is improved. In particular, a hypoglycemic attack in diabetes may be life-threatening, and a notification for taking an appropriate action can be promptly and without fail. In addition, by sending a short message by SMS, the patient can check the message content by simple operations compared to e-mail and dedicated application, etc., and even if the patient changes the carrier of the mobile phone, the phone number does not change. Because of the large number, the possibility of reaching the patient increases.
　他の実施例として、通知先を患者自身のみでなく、家族等患者の関係者を通知先として患者情報記憶部１１０に格納しショートメッセージを送信してもよい。患者が高齢等の場合は、関係者にも通知することによって患者の病気に対するフォローや見守りを実施することができる。 As another example, the notification destination may be stored in the patient information storage unit 110 as not only the patient himself / herself but also a related person of the patient such as a family and the short message may be transmitted. When the patient is elderly or the like, follow-up and monitoring of the patient's illness can be performed by notifying the related persons.
　次に、情報通知システム１０で実行する情報通知処理（患者からの応答）について説明する。図７は、情報通知装置１００と携帯端末装置２００で実行する情報通知処理手順を示すフローチャートである。 Next, information notification processing (response from a patient) executed by the information notification system 10 will be described. FIG. 7 is a flowchart illustrating an information notification process performed by the information notification device 100 and the mobile terminal device 200.
　携帯端末装置２００は、情報通知装置１００から送信されたショートメッセージを受信する（ステップＳ７０１）。かかるショートメッセージは、図４のステップＳ４０９にて送信されたショートメッセージである。携帯端末装置２００は、ショートメッセージを表示する（ステップＳ７０２）。画面に表示されるショートメッセージは、例えば図５に示すショートメッセージ例（ｂ）である。携帯端末装置２００は、利用者の操作に応じショートメッセージに対する返信としてショートメッセージを送信する（ステップＳ７０３）。例えば、“見ました”等のメッセージを送信する。 (4) The mobile terminal device 200 receives the short message transmitted from the information notification device 100 (step S701). Such a short message is the short message transmitted in step S409 of FIG. The mobile terminal device 200 displays the short message (Step S702). The short message displayed on the screen is, for example, a short message example (b) shown in FIG. The mobile terminal device 200 transmits a short message as a reply to the short message in response to a user operation (step S703). For example, a message such as “I saw” is transmitted.
　情報通知装置１００の送受信部１０１は、携帯端末装置２００から送信されたショートメッセージを受信する（ステップＳ７０４）。送受信部１０１は、ショートメッセージを受信した日時を患者情報記憶部１１０に格納する（ステップＳ７０５）。なお、情報通知装置１００から送信したショートメッセージと、そのショートメッセージに対する返信のショートメッセージは、ショートメッセージそれぞれに対応する識別情報を含める等の通常のＳＭＳの機能によって、情報通知装置１００から送信したショートメッセージに応答したショートメッセージを受信した受信日時（返信）を患者情報記憶部１１０に格納することができる。 (4) The transmitting / receiving unit 101 of the information notification device 100 receives the short message transmitted from the mobile terminal device 200 (Step S704). The transmission / reception unit 101 stores the date and time when the short message was received in the patient information storage unit 110 (Step S705). In addition, the short message transmitted from the information notification device 100 and the short message that is a reply to the short message are transmitted by the normal SMS function such as including identification information corresponding to each short message. The date and time (reply) of receiving the short message in response to the message can be stored in the patient information storage unit 110.
　入出力部１０２は、利用者の操作に応じ、患者情報記憶部１１０に記憶する患者ＩＤと、送信日時と、受信日時とを取得し、患者ごとのショートメッセージの送信状況と受信状況を画面に表示する（ステップＳ７０６）。送信状況と受信状況に加え、検査日、検査値、前回検査日、前回検査値を検査情報記憶部１２０から取得し、一覧としてもよい。 The input / output unit 102 acquires the patient ID, the transmission date and time, and the reception date and time stored in the patient information storage unit 110 according to the operation of the user, and displays the transmission status and the reception status of the short message for each patient on the screen. It is displayed (step S706). In addition to the transmission status and the reception status, the inspection date, the inspection value, the previous inspection date, and the previous inspection value may be acquired from the inspection information storage unit 120 and may be listed.
　このように、患者の操作する携帯端末装置２００に送信したショートメッセージに対する応答状況を一覧として画面で確認することができるため、ショートメッセージの送信および受信の状況を容易に確認することができる。緊急を要する状況でショートメッセージに対する患者からの受信が記憶されていない場合は、さらに、患者に対するフォローを行うことができる。また、ショートメッセージの送信および受信の状況を所定の時間ごとにチェックし、患者から返信のショートメッセージを受信していない場合に、アラームを画面に表示するようにしてもよい。 As described above, since the response status to the short message transmitted to the portable terminal device 200 operated by the patient can be confirmed on the screen as a list, the transmission and reception status of the short message can be easily confirmed. If the reception from the patient for the short message is not stored in an emergency situation, the patient can be further followed. Alternatively, the status of the transmission and reception of the short message may be checked at predetermined time intervals, and an alarm may be displayed on the screen when the reply short message has not been received from the patient.
　他の実施例として、図５のショートメッセージ例（ｃ）のように、ショートメッセージに電話番号を記載している場合、ショートメッセージによる返信に代えて、電話番号で発信した通話であってもよい。情報通知装置１００側は、自動応答機能によって着信した電話番号を取得し、取得した電話番号に対応対応付けて受信日時に着信した日時を記憶する。 As another embodiment, when a telephone number is described in a short message as in a short message example (c) in FIG. 5, a call made using a telephone number may be used instead of replying with a short message. . The information notification device 100 acquires the telephone number received by the automatic answering function, and stores the date and time of arrival at the reception date and time in association with the acquired telephone number.
　他の実施例として、投薬判断部１０４は、病名に応じた投薬有無情報で判断するのではなく、患者に処方されているすべての医薬から、病名に関連する投薬の有無を判断するようにしてもよい。その判断には、多くの臨床データを収集したビッグデータで学習したＡＩ（人口知能）を用いてもよい。 As another example, the medication determination unit 104 does not determine the presence / absence of medication related to the disease name from all medicines prescribed to the patient, instead of using the medication presence / absence information corresponding to the disease name. Is also good. For this determination, AI (artificial intelligence) learned using big data that has collected a lot of clinical data may be used.
　上述した実施例にかかる情報通知装置１００のハードウェア構成は、ＣＰＵ（Central Processing Unit）、ＲＯＭ（Read Only Memory）やＲＡＭ（Random Access Memory）、ＨＤＤ（Hard Disk Drive）等の外部記憶装置、通信制御装置等を備えた通常のコンピュータであり、ＲＯＭやＲＡＭ、ＨＤＤ等に記憶されたプログラムをＣＰＵが読み出し動作させることによって、上述した構成や機能を実現する。 The hardware configuration of the information notification device 100 according to the above-described embodiment includes an external storage device such as a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and a HDD (Hard Disk Drive), and a communication device. This is a normal computer including a control device and the like, and realizes the above-described configuration and functions by causing a CPU to read a program stored in a ROM, a RAM, an HDD, or the like and to perform an operation.
　情報通知装置１００で動作するプログラムは、インターネット等のネットワークＮに接続されたコンピュータ上に格納しておき、ネットワークＮ経由でダウンロードさせることにより提供したり、インストール可能な形式又は実行可能な形式のファイルでＣＤ－ＲＯＭ、ＤＶＤ、ＵＳＢメモリ、ＳＤカード等のコンピュータで読取り可能な記録媒体に記録し提供してもよい。また、上述した機能や処理を実現するプログラムは、ＡＰＩ（Application Programming Interface）やＳａａＳ（Software as a Service）、クラウドコンピューティングという利用形態で提供してもよい。 The program operating on the information notification device 100 is stored on a computer connected to a network N such as the Internet, and is provided by being downloaded via the network N, or a file in an installable format or an executable format. May be recorded on a computer-readable recording medium such as a CD-ROM, a DVD, a USB memory, and an SD card and provided. Further, a program for realizing the above-described functions and processes may be provided in a usage form such as API (Application Programming Interface), SaaS (Software as a Service), or cloud computing.
　なお、本発明は、上述した実施例そのままに限定されるものではなく、必ずしも物理的に図示のように構成されている必要はない。また、本発明は、実施例で説明した構成要素の全部または一部を、各種の負荷や使用状況などに応じ、任意の単位で機能的または物理的に分割、統合、入替、変形または削除して構成することができる。 Note that the present invention is not limited to the above-described embodiments as they are, and does not necessarily need to be physically configured as illustrated. In addition, the present invention provides functional or physical division, integration, replacement, modification, or deletion of all or part of the components described in the embodiments in arbitrary units according to various loads and usage conditions. Can be configured.
１０…情報通知システム、１００…情報通知装置、１０１…送受信部、１０２…入出力部、１０３…検査値変動判断部、１０４…投薬判断部、１０５…通知可否判断部、１０６…ショートメッセージ生成部、１１０…患者情報記憶部、１２０…検査情報記憶部、２００…携帯端末装置、３００…管理サーバ DESCRIPTION OF SYMBOLS 10 ... Information notification system, 100 ... Information notification device, 101 ... Transmission / reception part, 102 ... Input / output part, 103 ... Test value fluctuation determination part, 104 ... Medication determination part, 105 ... Notification possibility determination part, 106 ... Short message generation part 110, patient information storage unit, 120, examination information storage unit, 200, portable terminal device, 300, management server

Claims (9)

  1. 　患者を識別する患者ＩＤと、前記患者の病名と、電話番号と、前記病名に対する投薬がされているか否かを示す投薬有無情報と、を対応付けて記憶する患者情報記憶手段と、
    　前記患者ＩＤと、検査日と、検査情報と、を対応付けて記憶する検査情報記憶手段と、
    　前記患者ＩＤに対応付けられた検査情報を取得する情報取得手段と、
    　前記情報取得手段によって取得した前記検査情報と、前記検査情報記憶手段に記憶する前回の検査情報とを対比した対比結果が所定の基準以上に変動したか否かを判断する検査値変動判断手段と、
    　前記患者ＩＤに対応付けられた前記病名に対する前記投薬有無情報を前記患者情報記憶手段から取得し、取得した前記投薬有無情報が投薬有りか否かを判断する投薬判断手段と、
    　前記検査値変動判断手段によって前記対比結果が所定の基準以上に変動したと判断し、かつ、前記投薬判断手段によって投薬有りと判断した場合に、ショートメッセージを生成するショートメッセージ生成手段と、
    　前記ショートメッセージ生成手段によって生成した前記ショートメッセージを、前記電話番号を宛先として送信するショートメッセージ送信手段と、
    　を備えることを特徴とする情報通知装置。     Patient information storage means for storing a patient ID for identifying a patient, a disease name of the patient, a telephone number, and medication presence / absence information indicating whether or not medication for the disease name has been administered;
    Test information storage means for storing the patient ID, test date, and test information in association with each other;
    Information acquisition means for acquiring examination information associated with the patient ID;
    An inspection value variation determination unit configured to determine whether a comparison result obtained by comparing the inspection information acquired by the information acquisition unit and the previous inspection information stored in the inspection information storage unit has exceeded a predetermined reference; ,
    Medication determination means for acquiring the drug presence / absence information for the disease name associated with the patient ID from the patient information storage means, and determining whether the acquired medication presence / absence information indicates whether or not there is medication;
    Short message generating means for generating a short message, when the test result fluctuation determining means determines that the comparison result has fluctuated above a predetermined reference, and when it is determined that there is medication by the medication determining means,
    Short message transmission means for transmitting the short message generated by the short message generation means to the telephone number as a destination,
    An information notification device comprising:
  2. 　前記患者情報記憶手段は、前記患者ＩＤに対応付けた通知可否情報、をさらに記憶し、
    　前記患者ＩＤに対応付けられた前記通知可否情報を前記患者情報記憶手段から取得し、取得した前記通知可否情報が通知可であるか否かを判断する通知可否判断手段、をさらに備え、
    　前記ショートメッセージ生成手段は、前記通知可否判断手段によって通知可であると判断した場合に、ショートメッセージを生成すること、を特徴とする請求項１に記載の情報通知装置。     The patient information storage unit further stores notification availability information associated with the patient ID,
    A notification permission / non-permission determining unit configured to acquire the notification permission / non-permission information associated with the patient ID from the patient information storage unit, and determine whether the obtained notification permission / non-permission information is a notification permission;
    2. The information notification device according to claim 1, wherein the short message generation unit generates a short message when the notification availability determination unit determines that notification is possible.
  3. 　前記患者情報記憶手段は、前記患者ＩＤに対応付けて、前記ショートメッセージ送信手段によって送信された前記ショートメッセージに対し返信されたショートメッセージを受信した日時である受信日時を、さらに記憶し、
    　前記患者が操作する携帯端末装置から返信されたショートメッセージを受信し、受信した日時を前記受信日時として前記患者情報記憶手段に格納する受信手段、をさらに備えることを特徴とする請求項１または請求項２に記載の情報通知装置。     The patient information storage unit further stores, in association with the patient ID, a reception date and time that is a date and time when a short message returned in response to the short message transmitted by the short message transmission unit is received,
    The receiving device according to claim 1, further comprising: a receiving unit that receives a short message returned from a portable terminal device operated by the patient and stores the received date and time in the patient information storage unit as the received date and time. Item 3. The information notification device according to Item 2.
  4. 　患者を識別する患者ＩＤと、前記患者の病名と、前記病名に対する投薬がされているか否かを示す投薬有無情報と、前記患者を担当する医師の電話番号と、を対応付けて記憶する患者情報記憶手段と、
    　前記患者ＩＤと、検査日と、検査情報と、を対応付けて記憶する検査情報記憶手段と、
    　前記患者ＩＤに対応付けられた検査情報を取得する情報取得手段と、
    　前記情報取得手段によって取得した前記検査情報と、前記検査情報記憶手段に記憶する前回の検査情報とを対比した対比結果が所定の基準以上に変動したか否かを判断する検査値変動判断手段と、
    　前記患者ＩＤに対応付けられた前記病名に対する前記投薬有無情報を前記患者情報記憶手段から取得し、取得した前記投薬有無情報が投薬有りか否かを判断する投薬判断手段と、
    　前記検査値変動判断手段によって前記対比結果が所定の基準以上に変動したと判断し、かつ、前記投薬判断手段によって投薬有りと判断した場合に、前記医師向けのショートメッセージを生成するショートメッセージ生成手段と、
    　前記ショートメッセージ生成手段によって生成した前記ショートメッセージを、前記医師の電話番号を宛先として送信するショートメッセージ送信手段と、
    　を備えることを特徴とする情報通知装置。     Patient information for storing a patient ID for identifying a patient, a disease name of the patient, medication presence / absence information indicating whether or not medication is given for the disease name, and a telephone number of a doctor in charge of the patient in association with each other. Storage means;
    Test information storage means for storing the patient ID, test date, and test information in association with each other;
    Information acquisition means for acquiring examination information associated with the patient ID;
    An inspection value variation determination unit configured to determine whether a comparison result obtained by comparing the inspection information acquired by the information acquisition unit and the previous inspection information stored in the inspection information storage unit has exceeded a predetermined reference; ,
    Medication determination means for acquiring the drug presence / absence information for the disease name associated with the patient ID from the patient information storage means, and determining whether the acquired medication presence / absence information indicates whether or not there is medication;
    Short message generating means for generating a short message for the doctor when the test value fluctuation determining means determines that the comparison result has fluctuated above a predetermined reference, and when the medication determining means determines that there is medication. When,
    The short message generated by the short message generating means, a short message transmitting means for transmitting the phone number of the doctor as a destination,
    An information notification device comprising:
  5. 　前記病名は、糖尿病または糖尿病予備軍であり、
    　前記検査情報は、ＨｂＡ１ｃの検査値であり、
    　前記検査値変動判断手段は、前記情報取得手段によって取得したＨｂＡ１ｃの検査値が、前記検査情報記憶手段に記憶する前回のＨｂＡ１ｃの検査値より所定の値以上に変動したか否かを判断すること、と特徴とする請求項１～４のいずれか１つに記載の情報通知装置。     The disease name is diabetes or diabetes reserve army,
    The test information is a test value of HbA1c,
    The test value variation determining means determines whether the test value of HbA1c obtained by the information obtaining means has changed by a predetermined value or more from the previous test value of HbA1c stored in the test information storage means. The information notification device according to any one of claims 1 to 4, characterized in that:
  6. 　前記検査値変動判断手段は、前記対比結果が所定の基準以上に変動したいか否かの判断に代えて、前記情報取得手段によって取得したＨｂＡ１ｃの検査値が所定の値以上であるか否かを判断すること、と特徴とする請求項５に記載の情報通知装置。 The test value change determination unit determines whether the test value of HbA1c acquired by the information acquisition unit is equal to or greater than a predetermined value, instead of determining whether the comparison result fluctuates beyond a predetermined reference. 6. The information notification device according to claim 5, wherein the information notification device determines.
  7. 　患者を識別する患者ＩＤと、前記患者の病名と、電話番号と、前記病名に対する投薬がされているか否かを示す投薬有無情報と、を対応付けて記憶する患者情報記憶手段と、前記患者ＩＤと、検査日と、検査情報と、を対応付けて記憶する検査情報記憶手段と、を備えるコンピュータで実行される情報通知方法であって、
    　前記患者ＩＤに対応付けられた検査情報を取得する情報取得ステップと、
    　前記情報取得ステップによって取得した前記検査情報と、前記検査情報記憶手段に記憶する前回の検査情報とを対比した対比結果が所定の基準以上に変動したか否かを判断する検査値変動判断ステップと、
    　前記患者ＩＤに対応付けられた前記病名に対する前記投薬有無情報を前記患者情報記憶手段から取得し、取得した前記投薬有無情報が投薬有りか否かを判断する投薬判断ステップと、
    　前記検査値変動判断ステップによって前記対比結果が所定の基準以上に変動したと判断し、かつ、前記投薬判断ステップによって投薬有りと判断した場合に、ショートメッセージを生成するショートメッセージ生成ステップと、
    　前記ショートメッセージ生成ステップによって生成した前記ショートメッセージを、前記電話番号を宛先として送信するショートメッセージ送信ステップと、
    　を含むことを特徴とする情報通知方法。     A patient information storage unit for storing a patient ID for identifying a patient, a disease name of the patient, a telephone number, and medication presence / absence information indicating whether or not medication for the disease name is administered; And an examination date, and examination information, and an examination information storage unit that stores the examination information in association with each other, and an information notification method executed by a computer including:
    An information acquisition step of acquiring examination information associated with the patient ID;
    A test value variation determining step of determining whether or not a comparison result obtained by comparing the test information acquired by the information acquiring step with the previous test information stored in the test information storage unit has changed by a predetermined reference or more; ,
    A medication determination step of acquiring the medication presence / absence information for the disease name associated with the patient ID from the patient information storage means, and determining whether the acquired medication presence / absence information indicates that there is medication;
    A short message generating step of generating a short message when it is determined that the comparison result has changed by a predetermined value or more by the test value fluctuation determining step, and when it is determined that there is medication by the medication determining step,
    A short message transmission step of transmitting the short message generated by the short message generation step to the telephone number as a destination;
    An information notification method comprising:
  8. 　患者を識別する患者ＩＤと、前記患者の病名と、前記病名に対する投薬がされているか否かを示す投薬有無情報と、前記患者を担当する医師の電話番号と、を対応付けて記憶する患者情報記憶手段と、前記患者ＩＤと、検査日と、検査情報と、を対応付けて記憶する検査情報記憶手段と、を備えるコンピュータで実行される情報通知方法であって、
    　前記患者ＩＤに対応付けられた検査情報を取得する情報取得ステップと、
    　前記情報取得ステップによって取得した前記検査情報と、前記検査情報記憶手段に記憶する前回の検査情報とを対比した対比結果が所定の基準以上に変動したか否かを判断する検査値変動判断ステップと、
    　前記患者ＩＤに対応付けられた前記病名に対する前記投薬有無情報を前記患者情報記憶手段から取得し、取得した前記投薬有無情報が投薬有りか否かを判断する投薬判断ステップと、
    　前記検査値変動判断ステップによって前記対比結果が所定の基準以上に変動したと判断し、かつ、前記投薬判断ステップによって投薬有りと判断した場合に、前記医師向けのショートメッセージを生成するショートメッセージ生成ステップと、
    　前記ショートメッセージ生成ステップによって生成した前記ショートメッセージを、前記医師の電話番号を宛先として送信するショートメッセージ送信ステップと、
    　を含むことを特徴とする情報通知方法。     Patient information for storing a patient ID for identifying a patient, a disease name of the patient, medication presence / absence information indicating whether or not medication is given for the disease name, and a telephone number of a doctor in charge of the patient in association with each other. An information notification method executed by a computer including a storage unit, and an examination information storage unit that stores the patient ID, the examination date, and the examination information in association with each other,
    An information acquisition step of acquiring examination information associated with the patient ID;
    A test value variation determining step of determining whether or not a comparison result obtained by comparing the test information acquired by the information acquiring step with the previous test information stored in the test information storage unit has changed by a predetermined reference or more; ,
    A medication determination step of acquiring the medication presence / absence information for the disease name associated with the patient ID from the patient information storage means, and determining whether the acquired medication presence / absence information indicates that there is medication;
    A short message generating step of generating a short message for the doctor when it is determined by the test value fluctuation determining step that the comparison result has fluctuated above a predetermined reference, and when it is determined that there is medication in the medication determining step; When,
    The short message generated by the short message generation step, a short message transmission step of transmitting the doctor's phone number as a destination,
    An information notification method comprising:
  9. 　請求項７または前記請求項８に記載の情報通知方法をコンピュータに実行させることを特徴としたプログラム。 A program for causing a computer to execute the information notification method according to claim 7 or 8.
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