WO2020059794A1 - Information processing method, information processing device, and program - Google Patents

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

Info

Publication number
WO2020059794A1
WO2020059794A1 PCT/JP2019/036745 JP2019036745W WO2020059794A1 WO 2020059794 A1 WO2020059794 A1 WO 2020059794A1 JP 2019036745 W JP2019036745 W JP 2019036745W WO 2020059794 A1 WO2020059794 A1 WO 2020059794A1
Authority
WO
WIPO (PCT)
Prior art keywords
user
information
self
task
input
Prior art date
Application number
PCT/JP2019/036745
Other languages
French (fr)
Japanese (ja)
Inventor
慎一郎 ▲徳▼渕
亜美 寺尾
奈保子 安部
敏郎 榊
俊弘 保坂
裕子 西村
Original Assignee
株式会社ハビタスケア
田辺三菱製薬株式会社
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 株式会社ハビタスケア, 田辺三菱製薬株式会社 filed Critical 株式会社ハビタスケア
Priority to SG11202102134XA priority Critical patent/SG11202102134XA/en
Priority to JP2020548593A priority patent/JP7384362B2/en
Publication of WO2020059794A1 publication Critical patent/WO2020059794A1/en
Priority to JP2023186669A priority patent/JP2023181403A/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/60ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to nutrition control, e.g. diets

Definitions

  • the present invention relates to an information processing method, an information processing device, and a program.
  • Patent Literature 1 only diagnoses a lifestyle-related disease, and the subject himself / herself for improvement or prevention of the lifestyle-related disease, that is, support of self-care or treatment of a lifestyle-related disease patient. Have not been able to assist medical professionals.
  • an object is to provide an information processing method or the like that can appropriately provide support for lifestyle-related diseases.
  • the information processing method acquires inquiry information indicating a user's answer to an inquiry related to a lifestyle-related disease, acquires biological information of the user, and, based on the inquiry information and the biological information, Outputs recommended information on the self-management guidance target for improving or preventing the problem, sets a task action to be imposed on the user according to the guidance goal, and outputs the set task behavior to the user terminal device. It is characterized by causing a computer to execute processing.
  • FIG. 3 is a block diagram illustrating a configuration example of a server and a user terminal.
  • FIG. 4 is an explanatory diagram illustrating an example of a record layout of a user DB and an assignment table. It is explanatory drawing regarding the target setting process at the time of a first consultation. It is explanatory drawing which shows an example of an inquiry screen. It is an explanatory view showing an example of a home screen.
  • FIG. 4 is an explanatory diagram illustrating an example of character display.
  • FIG. 4 is an explanatory diagram illustrating an example of character display.
  • FIG. 9 is an explanatory diagram illustrating an example of a log registration screen.
  • FIG. 1 is a schematic diagram illustrating a configuration example of a self-care system.
  • a self-care system that supports self-care of a lifestyle-related disease patient, specifically, a diabetic patient will be described.
  • the target user is not limited to a diabetic patient, and may be a patient with a lifestyle-related disease, a person who works on prevention of a lifestyle-related disease, or a person who works on improvement of a lifestyle.
  • the lifestyle-related disease is not particularly limited as long as the lifestyle is considered to be deeply involved in the onset of the disease. For example, in addition to diabetes, dyslipidemia, hypertension, hyperuricemia And the like.
  • the self-care system includes an information processing device 1, a user terminal 2, and a medical technician terminal 3. Each device is connected to a network N such as the Internet.
  • the information processing apparatus 1 is an information processing apparatus capable of performing various types of information processing and information transmission and reception, such as a server apparatus and a personal computer.
  • the information processing apparatus 1 is a server apparatus, and in the following description, the information processing apparatus 1 will be replaced with the server 1 for simplicity.
  • the server 1 is provided for a user who is a diabetic patient who regularly visits a hospital (medical institution) to examine the user's HbA1c (hemoglobin A1c), blood pressure, triglyceride, etc., And manages the inquiry information obtained by performing an inquiry related to diabetes, and identifies a problem for improving diabetes from each data.
  • HbA1c hemoglobin A1c
  • the server 1 sets a goal for solving the specified task, and presents a specific task action (referred to as “try” in this embodiment) to the user to achieve the set goal.
  • the user performs the trial presented from the server 1 to improve diabetes.
  • the server 1 supports the self-care of the user.
  • the user is described as a patient who has already suffered from a lifestyle-related disease, but the target user of the present system may be expanded to general users who work on prevention of lifestyle-related disease. . That is, the user may be any person who works on self-care for improving or preventing lifestyle-related diseases, and is not limited to patients.
  • the user terminal 2 is a terminal device used by a user who uses the present system, and is an information processing device such as a smartphone, a personal computer, and a tablet terminal.
  • An application program for realizing a service according to the present system is installed in the user terminal 2, and the user terminal 2 executes a later-described process by executing the application program.
  • the user terminal 2 receives input of inquiry information and the like on a display screen to be described later and transmits it to the server 1, and receives and displays data such as a self-care target and a trial.
  • the user performs a trial displayed on the user terminal 2 to improve diabetes, and inputs (records) information on daily diet, exercise, medication, and the like to the user terminal 2 as log data.
  • the user terminal 2 transmits log data and the like to the server 1, and stores information related to self-care in a database.
  • the server 1 not only supports the self-care of the user by sharing the log data and the like stored in the database with the hospital where the user goes to the hospital, but also supports the efficiency of the work of a medical person who examines the user.
  • the medical technician terminal 3 is an information processing device operated by a doctor, staff, or the like of a hospital to which a user goes to a hospital, and is, for example, a personal computer.
  • the medical technician terminal 3 receives and displays the user's biological information, medical inquiry information, log data, and the like from the server 1, displays the user's problem identified by the server 1 from the biological information, and solves the problem.
  • Receive recommendations for instructional goals A medical technician who actually treats the user determines a medical policy with reference to the recommendations presented from the server 1 and sets a target imposed on the user. The user will work on a trial to ultimately achieve the goal approved by the healthcare professional.
  • FIG. 2 is a block diagram illustrating a configuration example of the server 1 and the user terminal 2.
  • the server 1 includes a control unit 11, a main storage unit 12, a communication unit 13, and an auxiliary storage unit 14.
  • the control unit 11 includes an arithmetic processing device such as one or a plurality of CPUs (Central Processing Units), MPUs (Micro-Processing Units), and GPUs (Graphics Processing Units), and stores the program P1 stored in the auxiliary storage unit 14. By reading and executing, various types of information processing and control processing relating to the server 1 are performed.
  • CPUs Central Processing Units
  • MPUs Micro-Processing Units
  • GPUs Graphics Processing Units
  • the main storage unit 12 is a temporary storage area such as a static random access memory (SRAM), a dynamic random access memory (DRAM), or a flash memory, and temporarily stores data necessary for the control unit 11 to execute arithmetic processing.
  • the communication unit 13 includes a processing circuit and the like for performing processing related to communication, and transmits and receives information to and from the outside.
  • the auxiliary storage unit 14 is a large-capacity memory, a hard disk, or the like, and stores the program P1 and other data necessary for the control unit 11 to execute processing.
  • the auxiliary storage unit 14 stores a user DB 141 and an assignment table 142.
  • the user DB 141 is a database that stores information on users who use the present system.
  • the assignment table 142 is a table that defines an assignment for improving diabetes.
  • the auxiliary storage unit 14 may be an external storage device connected to the server 1. Further, the server 1 may be a multi-computer including a plurality of computers, or may be a virtual machine virtually constructed by software.
  • the server 1 is not limited to the above-described configuration, and may include, for example, a reading unit that reads information stored in a portable storage medium, an input unit that receives an operation input, a display unit that displays an image, and the like. .
  • the user terminal 2 includes a control unit 21, a main storage unit 22, a communication unit 23, a display unit 24, an input unit 25, an imaging unit 26, and an auxiliary storage unit 27.
  • the control unit 21 includes one or more CPUs, an arithmetic processing unit such as an MPU, and reads and executes the program P2 stored in the auxiliary storage unit 27 to perform various types of information processing and control related to the user terminal 2. Processing is performed.
  • the main storage unit 22 is a temporary storage area such as a RAM, and temporarily stores data necessary for the control unit 21 to execute arithmetic processing.
  • the communication unit 23 includes an antenna for performing communication, a processing circuit, and the like, and transmits and receives information to and from the outside.
  • the display unit 24 is a display device such as a liquid crystal display or an organic EL (Electro Luminescence) display, and displays an image given from the control unit 21.
  • the input unit 25 is an operation interface such as a touch panel and a mechanical key, and inputs operation contents to the control unit 21.
  • the imaging unit 26 is an imaging mechanism having an imaging element such as a complementary metal-oxide semiconductor (CMOS) image sensor and a charge coupled device (CCD) image sensor, and captures an image according to an operation input by a user.
  • CMOS complementary metal-oxide semiconductor
  • CCD charge coupled device
  • the auxiliary storage unit 27 is a non-volatile storage area such as a ROM (Read Only Memory), and stores a program P2 and other data necessary for the control unit 21 to execute a process.
  • FIG. 3 is an explanatory diagram showing an example of a record layout of the user DB 141 and the assignment table 142.
  • the user DB 141 includes a user ID column, a name column, an inquiry information column, a biological information column, a log data column, and a self-care column.
  • the user ID column stores an ID for identifying each user.
  • the name column stores the name of each user in association with the user ID.
  • the interview information string stores answer data of the interview performed for the user in association with the user ID.
  • the questionnaire is, for example, a questionnaire for asking the user's age, gender, past history, height, weight, subjective symptoms, eating habits, exercise habits, smoking habits, and the like, and is a questionnaire on the user's lifestyle habits.
  • the interview information includes an answer to a questionnaire regarding a behavior change level, an answer to a psychological burden related to medical treatment, and personality type information.
  • the behavior change level evaluates the behavior change state of lifestyle, and is divided into five behavior change levels. I think that the more the stage progresses, the more the behavior changes and the lifestyle changes.
  • the server 1 performs a questionnaire for determining which behavior change level the user belongs to, and determines the behavior change level to which the user belongs according to the answer.
  • Psychological burden for medical care is based on a questionnaire for estimating the psychological burden of patients working on diabetes.
  • measures such as dietary control, exercise, and pharmacotherapy.However, there is a risk that the psychological burden on the patient will increase due to these measures.
  • the personality type information is information relating to the personality of the user, particularly personality information relating to the continuation of self-care. To be more specific, if it is classified into multiple personality types and shows an example of personality type, it is motivated by specific numerical goals to continue self-care, and motivated by competing with others And the like, but are not limited thereto.
  • the personality type is classified according to a response to the personality determination questionnaire, but data may be acquired from outside.
  • the biometric information string stores biometric information obtained by examining a user's biometrics in association with the user ID.
  • the biological information is a test result obtained by a user at a hospital.
  • the biological information includes, for example, test values of HbA1c, blood pressure (BP; Blood @ Pressure), triglyceride (TG), and cholesterol (Chole; Cholesterol).
  • the biological information is not limited to the above, and may include, for example, a blood sugar level, a urine sugar level, a blood insulin concentration, and the like.
  • the log data string stores the log data of the user input to the user terminal 2 in association with the user ID.
  • the log data is data of a user's daily life related to self-care, and includes, for example, a meal menu, exercise performed, medication status, weight measured at home, blood pressure, blood sugar level, change in physical condition, and the like. Note that the log data is not limited to the above, and may include, for example, all kinds of living information such as smoking status.
  • the self-care column stores information on self-care performed by the user in association with the user ID column.
  • the information stored in the self-care column includes, for example, information on medicines prescribed by a healthcare professional, information on self-care goals imposed by the healthcare professional, and information on trials registered to achieve the goal.
  • the assignment table 142 includes an assignment number column, a category column, a target column for each assignment, and a trie column.
  • the assignment number column stores numbers assigned to a plurality of assignments that are considered as the main assignments of the diabetic patient.
  • the category column stores the category to which each assignment belongs in association with the assignment number.
  • the target column for each task stores the target for each task in association with the task number.
  • the trie row stores task behavior (trie) imposed on the user to achieve the task-specific goal in association with the task number.
  • a plurality of tries may be stored in the assignment table 142 in association with one goal. In that case, the server 1 may impose one or more tries on the user among a plurality of tries corresponding to the target set for the user, and cause the user to execute the try.
  • FIG. 4 is an explanatory diagram relating to the target setting processing at the time of the first consultation.
  • FIG. 4 conceptually illustrates a process for starting the diabetes treatment, that is, a process at the time of the first consultation.
  • the application program related to the present service has already been installed in the user terminal 2 at the time of the first consultation.
  • the input of the biological information and the like may be performed at the hospital (for example, the medical technician terminal 3).
  • the user terminal 2 displays predetermined inquiry items related to diabetes and receives an input of an answer from the user.
  • Interviews include basic items such as height, weight, etc. for calculating age, gender, medical history, family composition, BMI (Body Mass Index), and lifestyle habits such as eating habits, exercise habits, and smoking habits. This is a questionnaire.
  • FIG. 5 is an explanatory view showing an example of the inquiry screen.
  • the medical consultation information may be input not only by the user but also by a medical technician.
  • FIG. 5 the case where the user inputs is shown, and an inquiry screen for asking the user's usual meal size is shown. ing.
  • the user terminal 2 transfers the input answer to the server 1.
  • the user terminal 2 displays an inquiry screen similar to that shown in FIG. 5 for each of a plurality of predetermined inquiry items and accepts input of an answer.
  • the user terminal 2 inputs answers on the amount of various nutrients such as carbohydrates, proteins, and lipids, the intake ratio, the number of meals per day, and the speed of meals in addition to the amount of meals. Accept.
  • the user terminal 2 similarly displays an inquiry screen for age, gender, medical history, family structure, BMI, exercise habits, smoking habits, and accepts input of an answer.
  • the user terminal 2 may make an inquiry about, for example, sleep habits in addition to exercise habits, smoking habits, and the like, and may give medical treatment guidance as described later.
  • the user terminal 2 accepts the answer to the questionnaire related to diabetes as described above, displays a questionnaire on the behavior change level on a questionnaire screen (not shown), and displays the answer to the questionnaire on the behavior change level.
  • Accept input is a questionnaire for determining the user's willingness to perform self-care for each task.
  • the user terminal 2 displays a questionnaire for grasping the user's willingness to perform for each task specified in the task table 142, and accepts input of a response in five steps.
  • the answer obtained from the user corresponds to the behavior change level described above.
  • the user terminal 2 displays the question and receives a selection input for selecting one of a plurality of answers to the question.
  • the server 1 determines which behavior change level the user belongs to for each task by receiving an input of an answer for each task via the user terminal 2.
  • the user terminal 2 only needs to be able to determine the user's willingness to perform by a questionnaire (interview), and the contents of the questionnaire are not limited to those depending on the behavior change level.
  • the user terminal 2 displays a question related to the psychological burden related to medical treatment, and accepts input of an answer to the question.
  • the question relating to the psychological burden related to medical treatment is a questionnaire for estimating the psychological burden of the user as described above.
  • the user terminal 2 displays a question for each of a plurality of matters related to diabetes, and receives an input of an answer for each question.
  • the server 1 determines the degree of the psychological burden on the user based on the answer input for each question via the user terminal 2.
  • the user terminal 2 displays a questionnaire on personality type classification and receives an input of a response to the questionnaire on personality type classification.
  • the questionnaire regarding the personality type classification is a questionnaire for determining the user's personality regarding the continuation of self-care, and the server 1 determines the user's personality type based on the answer input to each questionnaire via the user terminal 2. I do.
  • the personality types to be classified include the following classifications, but are not particularly limited thereto. Motivated to achieve a clear goal A type that motivates you when you turn on A type that motivates you when you focus on growing
  • the server 1 acquires each medical questionnaire and the contents of the answer to the questionnaire, that is, the medical inquiry information, which are input in the user terminal 2.
  • the server 1 obtains a result of a test on HbA1C, blood pressure, triglyceride, etc., received by the user at the hospital in connection with diabetes, that is, the user's biological information.
  • the user terminal 2 accepts a numerical input for each test result and transfers the result to the server 1.
  • the server 1 may obtain various types of biological information from a medical system that manages patient data on the hospital side instead of from the user terminal 2. Further, for example, the server 1 may acquire the user's biometric information from an external testing institution for examining biometric information other than a medical institution such as a hospital to which the user goes to hospital. Thus, the acquisition route of the biological information is not particularly limited.
  • the server 1 specifies the user's problem related to diabetes based on the inquiry information and the biological information acquired as described above, selects a self-care target for solving the problem, and recommends it to a medical professional.
  • a description will be given mainly of a process of identifying a problem in a diet and selecting a target.
  • the server 1 specifies test values to be noted by a medical technician from test values (biological information) related to HbA1C, blood pressure, neutral fat, and the like.
  • test values biological information
  • the inspection value specified here is hereinafter referred to as a “careful inspection value”.
  • the server 1 compares various test values such as HbA1C, blood pressure, and neutral fat with a predetermined normal value, and specifies a test value indicating an abnormal value.
  • the server 1 determines the dietary and nutritional amount suitable for the user based on the BMI, age, daily exercise amount, past medical history, and the like included in the medical inquiry information, in addition to the test values to be noted as specified above. Calculate the indicated nutrient amount to be indicated to the user. For example, the server 1 calculates, in addition to the total amount of meals (total calories), the ratio of carbohydrates in the meals, the energy distribution of lipids, proteins, vegetables, and the like other than carbohydrates, and the recommended numerical values of the intake limits of protein and salt. I do.
  • the server 1 outputs the test value to be noted and the indicated nutrient amount specified above to the medical technician terminal 3, and presents the test value to be noted in the test result and the nutrition amount suitable for the user to the medical person.
  • the server 1 outputs a registration screen conceptually illustrated in FIG. On the registration screen, the medical practitioner confirms and confirms the test values to be careful and the indicated nutrient amount as necessary.
  • the server 1 compares the set indicated nutrient amount with a result of an inquiry on meals (inquiry information) input via the inquiry screen on the user terminal 2 and identifies a problem with the user's diet. For example, the server 1 compares the usual amount of meal of the user estimated from the inquiry result illustrated in FIG. 5 with the indicated nutrient amount (meal amount) set via the registration screen, and determines the amount of meal of the user. It is determined whether there is an excess. In the same manner, the server 1 compares the set distribution of various nutrients with the result of the inquiry to determine whether the user has excessive intake of various nutrients.
  • the server 1 also determines the presence or absence of an exercise habit, smoking habit, etc. from the results of the medical interview. Then, the server 1 outputs the identified user's problem to the medical technician terminal 3 for each lifestyle such as eating habits, exercise habits, and smoking habits. For example, the server 1 generates and displays a “lifestyle summary” of the medical treatment guidance screen shown in FIG. In the lifestyle habit summary, an alert item is displayed in a color-coded manner or the like, and presented to a medical professional. Note that in FIG. 4, for convenience of illustration, the task items are shown in bold underlined letters.
  • the server 1 determines the user's acceptance attitude to the medical intervention by the medical practitioner, that is, the psychological state, according to the user's answer to the psychological burden related to medical treatment. Specifically, the server 1 quantifies the user's psychological state regarding the importance of self-care according to the user's answer to each question of the psychological burden related to medical treatment. The server 1 makes a determination by comparing the parameter of each item quantified with a predetermined threshold.
  • the server 1 outputs the above determination result to the medical technician terminal 3.
  • the medical technician terminal 3 displays the determination result in the “intervention acceptance state” column of the medical treatment guidance screen.
  • the medical technician terminal 3 displays a determination result regarding the user's psychological state, displays a psychological approach accompanying treatment intervention, a distribution booklet (shown as “designated medium” in FIG. 4), and the like. Recommend healthcare professionals about medical interventions.
  • the server 1 further selects a self-care instruction target to be imposed on the user and outputs the self-care instruction target to the medical technician terminal 3 according to the tasks such as the eating habit, exercise habit, and smoking habit specified above. For example, as illustrated in FIG. 4, the medical technician terminal 3 displays a self-care target in the column of “recommended target category”.
  • the server 1 refers to the task table 142 and reads out the self-care goal corresponding to the task of the user specified from the inquiry information and the biological information in the user DB 141. For example, when the total amount of meal is specified as the task, the “meal amount” is read as the target. Subsequently, the server 1 refers to the user's response to the behavior change level questionnaire and determines a target level (difficulty level) to be set for the user with respect to the task. For example, the server 1 determines the behavior change level of the user in five stages according to the user's answer to the question. Then, the server 1 determines a target level to be imposed on the user according to the determined behavior change level.
  • a target level to be imposed on the user according to the determined behavior change level.
  • the server 1 determines, for each task the user has, from the response to the questionnaire on the behavior change level, and determines the target level imposed on the user. Then, the server 1 outputs the target at the level determined above, which corresponds to each of one or a plurality of tasks that the user has, to the medical technician terminal 3 as a candidate of a target to be imposed on the user, and Recommend to a health care professional to impose.
  • the server 1 determines, for each task the user has, from the response to the questionnaire on the behavior change level, and determines the target level imposed on the user. Then, the server 1 outputs the target at the level determined above, which corresponds to each of one or a plurality of tasks that the user has, to the medical technician terminal 3 as a candidate of a target to be imposed on the user, and Recommend to a health care professional to impose.
  • FIG. 4 for simplicity, only the target is shown, and the level and the like are not shown.
  • the medical physician consults the user with reference to the lifestyle summary and the intervention acceptance state displayed on the medical treatment guidance screen. Then, the doctor and a medical person other than the doctor who received the doctor's instruction set (select) a self-care goal to be imposed on the user based on the recommended self-care goal. It should be noted that the medical technician may set another goal by his / her own judgment irrespective of the goal recommended by the server 1. Further, the self-care goal to be set is not limited to a single one, but may be plural, and may be modified by a medical professional such as a quantitative modification of a target level.
  • the server 1 registers the self-care target of the user set and input via the medical technician terminal 3 in the user DB 141 in association with the user ID as described above.
  • the server 1 outputs a recommendation relating to a medical treatment policy for diabetes to the medical staff terminal 3 and presents it to the medical staff.
  • the recommendation regarding the medical policy is, for example, a recommendation or a non-recommendation regarding a prescription drug such as a type of a drug to be prescribed, a prescription amount, and a change and a change timing thereof.
  • the server 1 determines the type and amount of a prescription drug according to the level of the test value (biological information) such as HbA1c and weight, generates a recommendation for the prescription drug, and outputs it to the medical technician terminal 3. .
  • the medical technician terminal 3 transits to a medical guidance screen (not shown) and displays a recommendation regarding a medical treatment policy.
  • the server 1 accepts, via the user terminal 2, the medical technician terminal 3, and the like, a setting input of information on prescription drugs prescribed to the user.
  • the information on the prescription drug may include, for example, information such as the time of taking the drug, in addition to the type and prescription amount of the prescription drug.
  • the server 1 accepts the registration of the reservation date on which the user will consult (re-examine) the next time.
  • the server 1 stores information such as a prescription drug and an appointment date in the user DB 141.
  • the server 1 analyzes the problem of the user's lifestyle, the psychological state, and the like from the inquiry information and the biological information and presents it to the medical physician, and recommends the goal of self-care and the treatment policy of diabetes.
  • the server 1 accepts a setting input of a self-care target until the next examination, that is, a re-examination, from a medical doctor who has examined the user.
  • the user performs self-care to achieve the set goal. Specifically, as described below, the user performs a try in accordance with the set goal to achieve the goal.
  • the target is set by the medical person who instructs the self-care, but the target may be set by the user himself.
  • the server 1 may automatically select a self-care target.
  • FIG. 6 is an explanatory diagram showing an example of the home screen.
  • FIG. 6 illustrates an example of a home screen of an application program according to the present system, which is displayed by the user terminal 2.
  • a description will be given of the processing performed by the user terminal 2 during the period from when the user receives a medical examination at a hospital to when the user receives the next medical examination (hereinafter, referred to as a “self-care period”).
  • the home screen includes a step count display field 41, a task confirmation button 42, an item acquisition button 43, a try display field 44, a goal confirmation button 45, a log registration button 46, and a log confirmation button 47.
  • the step number display field 41 is a display field for displaying the number of steps measured by an acceleration sensor (not shown) built in the user terminal 2 or the like.
  • the task confirmation button 42 is an object for transitioning to a log registration screen (see FIG. 8).
  • the item acquisition button 43 is an object for receiving items on the application distributed according to the achievement status of the user's goal, try, and the like, as described later.
  • the server 1 stores a plurality of tries in the assignment table 142 in association with one goal.
  • the server 1 outputs a plurality of tries associated with the target in the assignment table 142 as candidates to a later-described try setting screen (see FIG. 10A) in accordance with the target set at the first consultation.
  • the user terminal 2 accepts a selection input for selecting one or a plurality of tries to be performed by the user from the plurality of try candidates, and performs setting registration.
  • the user terminal 2 displays the set try in the try display field 44.
  • the try display field 44 includes a change button 441 or an evaluation button 442.
  • the change button 441 is an object for changing the setting of the try
  • the evaluation button 442 is an object for performing a self-evaluation on the achievement status of the try.
  • the execution period of each trial is set to one week.
  • the change button 441 becomes active and is changed to the evaluation button 442.
  • the trial period is not limited to one week. Further, a user, a medical professional, and the like may be able to change the implementation period.
  • the user terminal 2 transitions to a try setting screen (see FIG. 10A), and receives a setting input for changing or adding a trial being performed.
  • the user terminal 2 transitions to a try evaluation screen (FIG. 11A), and receives an input of a self-evaluation by the user regarding the achievement status of the performed try.
  • the target confirmation button 45 is an object for transiting to a try setting screen (see FIG. 10A) for setting a try in addition to a display screen (not shown) for displaying the set self-care goal.
  • the log registration button 46 is an object for transitioning to a log registration screen (see FIG. 8).
  • the log confirmation button 47 is an object for transitioning to a log confirmation screen (see FIG. 9).
  • the user terminal 2 displays the various objects described above on the home screen, and also displays a predetermined character object on the home screen as shown in FIG.
  • the character object is an example of an object displayed for the purpose of continuing self-care by the user, and presents self-care advice, support comments, and the like to the user.
  • FIGS. 7A and 7B are explanatory diagrams showing an example of character display.
  • FIGS. 7A and 7B show how the effect display of the character is performed according to the goal, the achievement status of the try and the like, the input status of the log data, and the like.
  • parameters related to the relationship between the user and the character such as the favorable sensibility of the character to the user, are set.
  • This parameter fluctuates in accordance with various types of information input to the user terminal 2 in connection with self-care, such as a goal and trial achievement status described below, a log data input status, and the like. For example, when the user has achieved the goal of self-care, the parameters are changed so that the evaluation of the character is improved. On the other hand, for example, when log data to be input by the user has not been input, the parameters are changed so that the evaluation of the character is reduced.
  • the user terminal 2 controls the character and the related screen display according to each parameter. If the content to be controlled is related to the character, it includes not only screen display but also effects such as voice reproduction that can be performed by the terminal. For example, as shown in FIG. 7A, when the user has achieved the goal, the user terminal 2 performs an effect display in which the character praises the user. In addition, as shown in FIG. 7B, when the user has not input the log data, the user terminal 2 performs an effect display in which the character scolds the user. Further, for example, the server 1 may increase or decrease the number of dialogues displayed in the balloon according to the change in the parameter.
  • the effect of the character may be controlled in consideration of the personality type information of the user. It is possible to reflect a way of communicating that is expected to be highly effective according to the character of the user, such as praising) or negatively speaking (speaking) in the dialogue of the character.
  • the one obtained first may be used as it is, may be used periodically, or may be used by changing the personality type based on the user's reaction or evaluation. You may.
  • the server 1 distributes items and the like related to the character on the application to the user terminal 2 according to the user's goal and the achievement status of the try.
  • the item is, for example, a character's clothing item, a room decoration item, or the like.
  • the item is not limited to this, and may be, for example, an additional character or the like.
  • the user terminal 2 acquires the item in response to an operation input to the item acquisition button 43 on the home screen in FIG.
  • the effect of the character, the distribution of items, and the like are performed according to the self-care situation. This allows the user to not only perform self-care monotonously, but also to engage in self-care while having fun, and to provide an incentive to continue self-care.
  • the effect of the character, the distribution of the item, and the like are changed according to the achievement state of the try, the input state of the log data, and the like.
  • the scenario in which the character moves may be changed.
  • the action relating to the character can be changed according to the achievement status of the try, and the processing content is not particularly limited.
  • FIG. 8 is an explanatory diagram showing an example of the log registration screen.
  • the user terminal 2 transitions to a log registration screen in response to an operation input to the task confirmation button 42 or the log registration button 46.
  • the log registration screen is a screen for inputting various log data related to diabetes, and is a screen for recording data relating to the behavior and state of the user during the self-care period.
  • the log registration screen includes a meal tab 51, a medication tab 52, an exercise tab 53, and a home measurement tab 54.
  • the user terminal 2 switches the screen according to the operation input to each tab, and accepts registration of various log data.
  • the user terminal 2 has seven types of meals taken by the user, exercises performed by the user, prescription drug taking status, weight, blood pressure, blood sugar level (HbA1C value), and physical condition measured by the user. The information is registered as log data.
  • the user terminal 2 when registration of a meal is received, the user terminal 2 captures an image of a meal scene in accordance with an imaging operation performed by the user, and uploads the captured image to the server 1. In addition, the user terminal 2 accepts the text input of the meal menu and uploads the same.
  • the server 1 stores the uploaded log data in the user DB 141 in association with the user ID.
  • log data is not limited to the above information, and may include other information such as, for example, an amount of alcohol consumed, a smoking situation, a triglyceride level, and a cholesterol level. Further, for example, log data is not limited to data manually input by the user, and may be data that can be automatically acquired by the user terminal 2 such as the number of steps described above.
  • FIG. 9 is an explanatory diagram showing an example of the log confirmation screen.
  • the user terminal 2 transits to a log confirmation screen in response to an operation input to the log confirmation button 47 on the home screen in FIG.
  • the log confirmation screen is a screen for editing and displaying log data input on the log registration screen, and is a screen for displaying a summary (actual information) indicating the results of self-care performed by the user.
  • FIG. 9 illustrates a log confirmation screen that displays the weight, exercise status, and calorie intake of the user as an example of the log confirmation screen.
  • a graph showing the time-series change in weight is displayed on the upper side
  • an icon indicating the most frequent exercise is displayed in the center
  • a graph showing the time-series change in the calorie intake and the number of steps are displayed on the lower side.
  • the user terminal 2 refers to the log data stored in the user DB 141 and displays the above various data as a summary.
  • the user terminal 2 transits the log confirmation screen in response to an operation input from the user, and displays a summary of other log data.
  • the user terminal 2 displays a graph showing time-series changes of test values of HbA1C, blood pressure, triglyceride, etc., which were inspected at the hospital in each month, and a meal menu input on the log registration screen of FIG.
  • a graph showing the breakdown of each nutrient such as carbohydrate, protein, lipid and the like is displayed.
  • the display mode of the summary is not limited to a graph or an icon, and may be, for example, a table format. Further, the display method of the log confirmation screen may be changed according to the personality type.
  • a rank may be displayed for a type that is motivated by competing with another person, and an achievement rate to a target value may be displayed for a type that is motivated if there is a specific numerical goal.
  • the user can check the log data on the log check screen, reflect on his / her own behavior and state, and obtain an incentive to continue self-care.
  • FIGS. 10A and 10B are explanatory diagrams showing an example of the try setting screen.
  • the user terminal 2 transits to the try setting screen shown in FIG. 10A.
  • the try setting screen is a screen for setting a try to be performed by the user.
  • the user terminal 2 communicates with the server 1 and displays a plurality of tries associated with the target imposed on the user in the assignment table 142 on the try setting screen as candidates for a try to be performed by the user. For example, when the user's goal is “meal size”, various tries such as “let's record meals”, “let's measure weight”, and “let's record snacks” are displayed.
  • the user terminal 2 receives a selection input for selecting one or a plurality of tries to be performed by the user from a plurality of try candidates displayed on the try setting screen. After accepting the selection input of the try, the user terminal 2 transits to the try setting screen of FIG. 10B, and can receive detailed condition settings for the selected try. For example, in a case where it is set as a try not to put food near the user, the user terminal 2 further receives an input as to where to change the place to put food. In this way, by making it possible to set a try customized for each user, the action to be actually performed for the user is clarified, and more appropriate self-care can be performed.
  • FIGS. 11A and 11B are explanatory diagrams showing an example of the try evaluation screen.
  • the try evaluation screen is a screen for accepting an input of a user's self-evaluation regarding the achievement status of the try.
  • the user terminal 2 accepts an input of a self-evaluation in a plurality of stages on the try evaluation screen of FIG.
  • input of whether or not the achievement is possible is received in two stages, but input of self-evaluation may be received in three or more stages.
  • the user terminal 2 receives an input regarding the user's intention to continue whether or not the user has performed the self-evaluation, that is, the executed trial, whether or not the user has an intention to continue the trial. For example, after completing the self-evaluation of the achievement status for all the tries, the user terminal 2 transits to the try evaluation screen of FIG. 11B. The user terminal 2 accepts a selection input on the screen as to whether or not the user terminal 2 is willing to continue the try. It should be noted that the user's intention to continue the try is not limited to the input method of course.
  • the user terminal 2 After completing the self-evaluation of the try, the user terminal 2 changes the priority based on the user's achievement of the try, changes in various parameters, and the like, and reflects the priority in the next try setting.
  • the user terminal 2 determines and recommends the priority of the try candidates in accordance with the achievement status of the try and the user's intention to continue, and accepts the setting input of the try performed by the user. As a result, a try to be performed next by the user is set, and the user works on the try. By setting a try in consideration of not only the achievement or non-achievement of the try but also the intention of the user, it is possible to prevent a decrease in the motivation for self-care.
  • the user records the log data on the daily habits on the user terminal 2 and performs a trial displayed on the user terminal 2 to improve diabetes.
  • the user terminal 2 gives a notification at a predetermined timing to take the prescription drug according to the data of the prescription drug registered at the time of the first consultation. Then, the user inputs the degree of achievement as to whether or not the self-care goal has been achieved before the appointment date of the next consultation as described below, and looks back on the self-care.
  • FIG. 12 is an explanatory diagram showing an example of the target evaluation screen.
  • the goal evaluation screen is an input screen for the user to perform a self-evaluation on the achievement status of the self-care goal.
  • the user terminal 2 displays a target evaluation screen a predetermined period (for example, a few days before) from the reconfirmation appointment date, and receives a user's self-evaluation input indicating how much the target has been achieved during the one-month self-care period.
  • the user terminal 2 receives an evaluation input of the degree of achievement of the target in ten steps.
  • FIG. 13 is an explanatory diagram relating to the target setting process at the time of re-examination.
  • FIG. 13 conceptually illustrates the process at the time of re-examination. The outline of the process at the time of re-examination will be described with reference to FIG.
  • the user terminal 2 accepts the input of the degree of achievement of the goal described with reference to FIG. 12 before the appointment day, and also performs a re-examination on diabetes for the user and acquires the inquiry information again. Although not shown, the user terminal 2 displays an inquiry screen similar to that of FIG. 5 and accepts input of an answer.
  • the user terminal 2 may perform a re-inquiry on all the inquiry items such as eating habits, exercise habits, and smoking habits in the same manner as in the first consultation. However, in order to simplify the input operation of the user, the tasks specified in the first consultation It is also possible to carry out a re-examination only for an inquiry item related to.
  • the user terminal 2 displays a questionnaire on the behavior change level for the target set at the previous time (at the first consultation), that is, the current target.
  • the user terminal 2 accepts an input of a response in five steps as in the case of the first consultation.
  • the user terminal 2 displays a questionnaire of the behavior change level inquiring about other goals to be worked on in addition to the currently set goals.
  • the user terminal 2 receives an input of an answer for another goal that the user wants to work on, that is, another goal that is motivated to perform.
  • the user sequentially performs input of log data, confirmation of a trial, self-evaluation, and the like, input of the degree of achievement of the goal, and input of interview information related to the re-interview before the appointment of the re-examination.
  • Various information input at the user terminal 2 is transferred to the server 1 and stored in the user DB 141.
  • the server 1 outputs the log data, the inquiry information, and the like stored in the user DB 141 to the medical technician terminal 3 a predetermined period before the appointment date (for example, the day before the appointment day), and pre-shares information related to self-care to the medical technician. I do.
  • the server 1 Similar to the log confirmation screen in FIG. 9, the server 1 generates a summary in which log data during the self-care period is totaled, such as a graph in which weight and calorie intake are totaled, and outputs the summary to the medical technician terminal 3. Further, the server 1 outputs the re-examination result and the like to the medical technician terminal 3. Thereby, the medical technician can grasp the current state of the user before consultation.
  • the user visits the hospital on the appointment day and receives a re-examination. For example, the user undergoes various tests such as HbA1C and blood pressure as in the first consultation.
  • the server 1 acquires the biological information at the time of the re-examination via the user terminal 2, the medical technician terminal 3, and the like.
  • the user may be subjected to an examination in advance at an external examination organization or the like, and the server 1 may acquire the biological information before re-examination.
  • the biological information can be shared in advance with the hospital.
  • the server 1 specifies the user's task based on the re-examination result (inquiry information) input in the user terminal 2 in advance, the biological information at the time of the re-examination, and outputs the problem to the medical technician terminal 3. Since the specific processing content is the same as that at the time of the first consultation, detailed description of the technique for identifying the task is omitted.
  • the medical technician terminal 3 displays the problem specified from the re-examination result, the test result at the re-examination, and the like in the “Summary of lifestyle” on the medical treatment guidance screen.
  • the server 1 outputs to the medical technician terminal 3 the goal that the user has self-evaluated and the achievement status of the trial. Specifically, as shown in FIG. 13, the medical technician terminal 3 displays the achievement level of the goal input by the user and the achievement of each try performed by the user in addition to the goal (the time of the first consultation) and the behavior change level. Or display the unachieved on the medical treatment guidance screen.
  • the server 1 determines the HbA1C value inspected at the re-examination, the degree of achievement of the previous goal self-evaluated by the user, the level of the previously set goal, the motivation to execute the previous goal acquired as a response to the re-examination Identify goals to be set next according to other goals to be addressed, etc., and recommend them to medical professionals. Specifically, the server 1 specifies one or more goals to be imposed next according to various types of information, determines the priority of each of the one or more goals, and presents the priority to the medical staff.
  • the server 1 continues or updates the previously set goal based on the biological information such as HbA1C, the achievement status of the self-care action goal, the achievement status of the trial, the behavior change level, the inquiry result, and other life information that can be obtained on the application ( (Change) or, in the case of update, recommendation to the medical physician or user including the priority order.
  • the server 1 receives, via the medical technician terminal 3 or the like, a setting input of a target to be worked on by the user in the next self-care period.
  • the medical physician and the user may follow the recommendation from the server 1 or may set their own goals without following the recommendation.
  • the server 1 Based on the biological information and the like acquired at the time of re-examination, the server 1 generates a recommendation regarding a medical treatment policy for the user and re-outputs the recommendation to the medical technician terminal 3. Specifically, the server 1 determines the improvement tendency of diabetes based on the change over time from the previous consultation with respect to the test values such as HbA1c and weight, and recommends a medical treatment policy. For example, the server 1 determines the improvement tendency of diabetes according to the increase or decrease of each test value, and determines whether the medicine to be prescribed should be changed or should be increased according to the determined improvement tendency. A recommended plan and a non-recommended plan are generated and output to the medical technician terminal 3.
  • FIG. 14 is a flowchart illustrating an example of a processing procedure executed by the self-care system.
  • the processing procedure executed by the self-care system is not limited to the flowchart illustrated in FIG. 14, and the flowchart illustrated in FIG. 14 is, of course, only an example.
  • the control unit 11 of the server 1 obtains, via, for example, the user terminal 2, medical inquiry information on a user's lifestyle-related medical inquiry (step S ⁇ b> 11).
  • the questionnaire information includes, in addition to answers to general questionnaires related to diabetes such as the age, gender, and past history of the user, a questionnaire regarding a behavior change level, a questionnaire asking a psychological burden regarding medical treatment, and the like.
  • the control unit 11 acquires biological information obtained by examining the living body of the user (step S12).
  • the biological information is, for example, a test value inspected in a hospital and includes test values such as HbA1c, blood pressure, and neutral fat.
  • the control unit 11 identifies a lifestyle problem of the user based on the medical inquiry information acquired in step S11 and the biological information acquired in step S12, and relates to a self-care guidance target and a medical treatment policy for lifestyle-related diseases.
  • a recommendation processing subroutine for generating recommended information and outputting the generated recommended information to the medical technician terminal 3 is executed (step S13).
  • the control unit 11 outputs a plurality of guidance target candidates to the medical technician terminal 3 and presents them to a medical physician who instructs self-care.
  • the control unit 11 generates a recommendation regarding a prescription drug and the like based on the biological information of the user and presents the recommendation to a medical professional.
  • the control unit 11 receives a setting input for setting a guidance target for the user via the medical technician terminal 3 (step S14). Specifically, the control unit 11 receives a selection input from a plurality of guidance target candidates output as described above. The control unit 11 stores (registers) the set target in the user DB 141.
  • the control unit 11 outputs the try (task action) set in accordance with the guidance target set in step S14 to the user terminal 2, and executes a self-care subroutine that prompts the user to perform the try (step S15).
  • the control unit 11 sets a self-care target for the user, and determines whether a predetermined period has elapsed since the start of the self-care (step S16). When it is determined that the predetermined period has not elapsed (S16: NO), the control unit 11 returns the process to step S15.
  • the control unit 11 obtains, via the user terminal 2, self-evaluation on the achievement status of the guidance target, inquiry information on the re-interview about lifestyle, and the like (Ste S17).
  • the inquiry information acquired in step S17 includes, for example, the contents of the inquiry similar to that in step S11, the will to perform for the currently set guidance target (behavior change level), and the implementation for the target other than the currently set guidance target. Includes responses to questionnaire on behavior change level to determine motivation.
  • the control unit 11 outputs the summary (actual information) of the log data during the self-care period acquired in the subroutine of step S15, the inquiry information related to the re-examination acquired in step S17 to the medical technician terminal 3, and before the re-examination.
  • the information is shared with the medical staff (step S18), and the process returns to step S12.
  • FIG. 15 is a flowchart illustrating a processing procedure of a subroutine of the recommendation processing.
  • the processing content of the subroutine of step S13 will be described with reference to FIG.
  • the control unit 11 of the server 1 specifies a test value (biological information) to be noted indicating an abnormal value that deviates from a preset normal value from the biological information acquired in step S12 (step S31).
  • the control unit 11 calculates the nutrient amount of the meal to be instructed to the user based on the specified test value to be noted, the result of the inquiry about the eating habits, and the like, outputs the calculated nutrient to the medical technician terminal 3, and recommends the medical technician. (Step S32). For example, the control unit 11 calculates a meal amount (total amount), energy distribution of various nutrients, and the like, and outputs the calculated amount to the medical technician terminal 3.
  • the control unit 11 receives the setting input of the indicated nutrient amount via the medical technician terminal 3 (Step S33).
  • the control unit 11 specifies the user's problem related to diabetes based on the indicated nutrient amount set in step S33, the exercise habit, the smoking habit inquiry result included in the inquiry information, and the like (step S34).
  • the control unit 11 determines the level (difficulty) of the guidance target to be imposed on the user based on the answer result (interview information) of the questionnaire for determining the user's willingness to perform self-care (step S35). For example, the control unit 11 determines the behavior change level (willingness to perform) to which the user belongs from the response result to the questionnaire regarding the behavior change level, and determines the level of the guidance target according to the determined behavior change level. The control unit 11 recommends the guidance target corresponding to the task specified in step S34, the guidance target at the level determined in step S35, and the medical treatment policy according to the test values (biological information) such as HbA1c and weight. The information is output to the medical technician terminal 3 and recommended to the medical technician (step S36). The control unit 11 returns the subroutine.
  • biological information biological information
  • FIG. 16 is a flowchart showing a processing procedure of a subroutine of self-care.
  • the processing content of the subroutine of step S15 will be described with reference to FIG.
  • the control unit 21 of the user terminal 2 accepts a setting input of a character that guides the user to various information related to self-care (step S51). For example, the control unit 21 receives a setting input regarding the appearance, character, costume, and the like of the character. If the setting has already been made, the control unit 21 skips step S51. In addition, the setting can be skipped particularly when the user does not want the setting.
  • the control unit 21 displays a home screen including a try (task action) according to the instruction target (step S52).
  • the home screen includes a log registration button 46 for transitioning to a log registration screen, in addition to one or more tries to be currently performed by the user.
  • the control unit 21 displays various information on the home screen, displays the character set in step S51, and presents advice, support comments, and the like via the character.
  • the control unit 21 transits to the log registration screen and accepts input of log data (recording information) relating to the user's action or state during the self-care period (step S53).
  • the log data is a record related to a meal, exercise, medication, and the like, and is a self-management record of a user related to diabetes.
  • the control unit 21 transmits the input log data to the server 1 and stores the log data in the user DB 141.
  • the control unit 21 displays a plurality of trials associated with the guidance target imposed on the user as candidates (step S54).
  • the control unit 21 receives a selection input for selecting a trial to be executed from the displayed plurality of trial candidates (step S55).
  • the control unit 21 transitions to a log confirmation screen and displays a summary (actual information) of the log data indicating the actual result of the self-care. (Step S56). For example, the control unit 21 displays a graph or the like in which various types of log data are totaled.
  • the control unit 21 receives an input of the user's self-evaluation regarding the achievement status of the trial being executed (step S57).
  • the control unit 21 performs a try resetting process of displaying the candidate of the next try to be tackled in accordance with the achievement status of the try input in step S57, accepting a selection input from the user, and setting the next try ( Step S58).
  • Control unit 21 returns the subroutine.
  • the explanation has been given on the assumption that the user (patient) receives guidance (diagnosis) from a medical technician.
  • the determination may be made including the necessity of guidance from a medical technician. For example, if no test value (abnormal value) to be noted is extracted from the biological information of the user, the server 1 determines that guidance by a medical technician is unnecessary. In this case, the server 1 notifies the user terminal 2 and the medical technician terminal 3 that guidance is unnecessary. As a result, it is possible to filter the users who should give priority to the treatment, and reduce the burden on both.
  • a guidance target for self-care is determined based on medical inquiry information and biological information, and a specific task action (trial) for achieving the guidance target is presented to the user.
  • a specific task action (trial) for achieving the guidance target is presented to the user.
  • the user is caused to select a trial to be actually performed from a plurality of trial candidates.
  • the user is allowed to set the details of the selected try and to specify specific action details.
  • the user can select a try according to the user's intention.
  • the next try is set in accordance with the self-evaluation regarding the achievement status of the try, whether or not the try has been achieved.
  • the priority order is determined for each of the plurality of try candidates, and the user is recommended to select in order from the try to be prioritized. By selecting the next try depending on whether or not the try has been achieved, appropriate self-care can be performed.
  • the next try is set in consideration of not only the possibility of achieving the try but also the intention of the user to continue. Thereby, the intention of the user himself can be appropriately considered.
  • a re-examination is performed after a lapse of a predetermined period from the start of self-care after setting a guidance target.
  • the server 1 can continuously support the implementation of self-care by setting the next target based on the result of the re-examination and the biological information obtained by re-examining the user's living body.
  • the user is caused to make a self-evaluation on the achievement status (achievement degree) of the goal, and the next goal is set according to the user's self-evaluation.
  • This makes it possible to appropriately set the next goal, such as whether to continue the same goal or perform a goal with a similar task, in consideration of the feeling of achievement of the user who has worked on self-care.
  • the medical staff when recommending the next guidance target candidate at the re-examination, priorities are set and the target is recommended.
  • the medical staff can easily determine what kind of guidance should be given to the user, and the medical staff can improve the work efficiency.
  • the user records log data (recording information) regarding the behavior or state of the user during the self-care period, and generates a summary (actual information) that summarizes the log data by summing up the log data.
  • log data recording information
  • summary actual information
  • the summary is shared with the medical profession after a lapse of a predetermined period from the start of self-care after setting the instructional goal, such as a day before an appointment for a reexamination.
  • the time required for a medical professional to perform an inquiry at a medical institution such as a hospital can be reduced, and work efficiency can be improved.
  • the display control of the character is performed in accordance with the input content, and advice and support comments are provided to the user. Present. This can give the user an incentive to continue self-care.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Molecular Biology (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Nutrition Science (AREA)
  • Biophysics (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

This information processing method is characterized by causing a computer to perform processing comprising: acquiring inquiry information indicating user's answers to inquiries relating to lifestyle-related diseases; acquiring user's biological information; outputting, on the basis of the inquiry information and the biological information, recommendation information regarding a target guidance on a self-management for improving or preventing lifestyle-related diseases; setting a task action to be presented to the user in accordance with the target guidance; and outputting the set task action to the user's terminal device.

Description

情報処理方法、情報処理装置及びプログラムInformation processing method, information processing apparatus and program
 本発明は、情報処理方法、情報処理装置及びプログラムに関する。 The present invention relates to an information processing method, an information processing device, and a program.
 生活習慣病の改善又は予防のため、患者本人、あるいは患者に関わる医師及びメディカルスタッフ(以下、「医療者」とも称する。)を支援する種々のシステムが提案されている。例えば特許文献1では、対象者の生体情報に基づいて生活習慣病の進行度合いを推定し、対象者が生活習慣病を罹患するリスク、あるいは既に罹患している生活習慣病のリスクを提示する生活習慣病予防装置等が開示されている。 改善 Various systems have been proposed to support patients themselves or doctors and medical staff (hereinafter, also referred to as “medical personnel”) related to the patients themselves in order to improve or prevent lifestyle-related diseases. For example, in Patent Literature 1, the degree of progress of lifestyle-related diseases is estimated based on the biological information of a subject, and the life of the subject is presented with a risk of having a lifestyle-related disease or a risk of a lifestyle-related disease that is already suffering. An apparatus for preventing a habitual disease is disclosed.
特開2010-231308号公報JP 2010-231308 A
 しかしながら、特許文献1に係る発明は生活習慣病の診断を行っているのみで、生活習慣病の改善又は予防のための対象者自らの取り組み、すなわちセルフケアの支援や、あるいは生活習慣病患者を治療する医療者の支援をするに至っていない。 However, the invention according to Patent Literature 1 only diagnoses a lifestyle-related disease, and the subject himself / herself for improvement or prevention of the lifestyle-related disease, that is, support of self-care or treatment of a lifestyle-related disease patient. Have not been able to assist medical professionals.
 一つの側面では、生活習慣病に関わる支援を適切に行うことができる情報処理方法等を提供することを目的とする。 で は In one aspect, an object is to provide an information processing method or the like that can appropriately provide support for lifestyle-related diseases.
 一つの側面では、情報処理方法は、生活習慣病に関連した問診に対するユーザの回答を示す問診情報を取得し、前記ユーザの生体情報を取得し、前記問診情報及び生体情報に基づき、生活習慣病を改善又は予防するための自己管理の指導目標に関する推奨情報を出力し、前記指導目標に応じて、前記ユーザに課す課題行動を設定し、設定した前記課題行動を前記ユーザの端末装置に出力する処理をコンピュータに実行させることを特徴とする。 In one aspect, the information processing method acquires inquiry information indicating a user's answer to an inquiry related to a lifestyle-related disease, acquires biological information of the user, and, based on the inquiry information and the biological information, Outputs recommended information on the self-management guidance target for improving or preventing the problem, sets a task action to be imposed on the user according to the guidance goal, and outputs the set task behavior to the user terminal device. It is characterized by causing a computer to execute processing.
 一つの側面では、生活習慣病に関わる支援を適切に行うことができる。 で は In one aspect, we can provide appropriate support for lifestyle-related diseases.
セルフケアシステムの構成例を示す模式図である。It is a schematic diagram which shows the example of a structure of a self-care system. サーバ及びユーザ端末の構成例を示すブロック図である。FIG. 3 is a block diagram illustrating a configuration example of a server and a user terminal. ユーザDB及び課題テーブルのレコードレイアウトの一例を示す説明図である。FIG. 4 is an explanatory diagram illustrating an example of a record layout of a user DB and an assignment table. 初診時の目標設定処理に関する説明図である。It is explanatory drawing regarding the target setting process at the time of a first consultation. 問診画面の一例を示す説明図である。It is explanatory drawing which shows an example of an inquiry screen. ホーム画面の一例を示す説明図である。It is an explanatory view showing an example of a home screen. キャラクタ表示の一例を示す説明図である。FIG. 4 is an explanatory diagram illustrating an example of character display. キャラクタ表示の一例を示す説明図である。FIG. 4 is an explanatory diagram illustrating an example of character display. ログ登録画面の一例を示す説明図である。FIG. 9 is an explanatory diagram illustrating an example of a log registration screen. ログ確認画面の一例を示す説明図である。It is an explanatory view showing an example of a log check screen. トライ設定画面の一例を示す説明図である。It is an explanatory view showing an example of a try setting screen. トライ設定画面の一例を示す説明図である。It is an explanatory view showing an example of a try setting screen. トライ評価画面の一例を示す説明図である。It is an explanatory view showing an example of a try evaluation screen. トライ評価画面の一例を示す説明図である。It is an explanatory view showing an example of a try evaluation screen. 目標評価画面の一例を示す説明図である。It is an explanatory view showing an example of a target evaluation screen. 再診時の目標設定処理に関する説明図である。It is explanatory drawing regarding the target setting process at the time of re-examination. セルフケアシステムが実行する処理手順の一例を示すフローチャートである。It is a flowchart which shows an example of the processing procedure which a self-care system performs. リコメンド処理のサブルーチンの処理手順を示すフローチャートである。It is a flowchart which shows the processing procedure of the subroutine of recommendation processing. セルフケアのサブルーチンの処理手順を示すフローチャートである。It is a flowchart which shows the processing procedure of the subroutine of self-care.
 以下、本発明をその実施の形態を示す図面に基づいて詳述する。
(実施の形態)
 図1は、セルフケアシステムの構成例を示す模式図である。本実施の形態では、生活習慣病患者、具体的には糖尿病患者のセルフケアを支援するセルフケアシステムについて説明する。なお、対象ユーザは糖尿病患者に限定されず、生活習慣病患者、生活習慣病の予防に取り組む者、生活習慣の改善に取り組む者何れであってもよい。本発明において生活習慣病とは、生活習慣が発症原因に深く関与していると考えられている疾患であれば特に限定されず、例えば、糖尿病の他、脂質異常症、高血圧、高尿酸血症などが挙げられる。セルフケアシステムは、情報処理装置1、ユーザ端末2、医療者端末3を有する。各装置は、インターネット等のネットワークNに接続されている。
Hereinafter, the present invention will be described in detail with reference to the drawings showing the embodiments.
(Embodiment)
FIG. 1 is a schematic diagram illustrating a configuration example of a self-care system. In the present embodiment, a self-care system that supports self-care of a lifestyle-related disease patient, specifically, a diabetic patient will be described. The target user is not limited to a diabetic patient, and may be a patient with a lifestyle-related disease, a person who works on prevention of a lifestyle-related disease, or a person who works on improvement of a lifestyle. In the present invention, the lifestyle-related disease is not particularly limited as long as the lifestyle is considered to be deeply involved in the onset of the disease. For example, in addition to diabetes, dyslipidemia, hypertension, hyperuricemia And the like. The self-care system includes an information processing device 1, a user terminal 2, and a medical technician terminal 3. Each device is connected to a network N such as the Internet.
 情報処理装置1は、種々の情報処理、情報の送受信が可能な情報処理装置であり、例えばサーバ装置、パーソナルコンピュータ等である。本実施の形態では情報処理装置1がサーバ装置であるものとし、以下の説明では簡潔のためサーバ1と読み替える。サーバ1は、定期的に病院(医療機関)に通院する糖尿病患者であるユーザを対象として、ユーザのHbA1c(ヘモグロビンA1c)、血圧、中性脂肪等を検査して得た生体情報、ユーザに対して糖尿病に関連する問診を行って得た問診情報などを管理し、各データから糖尿病改善のための課題を特定する。そしてサーバ1は、特定した課題を解決するための目標を設定し、設定した目標を達成するための具体的な課題行動(本実施の形態では「トライ」と呼ぶ)をユーザに提示する。ユーザは、サーバ1から提示されたトライを実施し、糖尿病の改善を図る。これによりサーバ1は、ユーザのセルフケアを支援する。 The information processing apparatus 1 is an information processing apparatus capable of performing various types of information processing and information transmission and reception, such as a server apparatus and a personal computer. In the present embodiment, it is assumed that the information processing apparatus 1 is a server apparatus, and in the following description, the information processing apparatus 1 will be replaced with the server 1 for simplicity. The server 1 is provided for a user who is a diabetic patient who regularly visits a hospital (medical institution) to examine the user's HbA1c (hemoglobin A1c), blood pressure, triglyceride, etc., And manages the inquiry information obtained by performing an inquiry related to diabetes, and identifies a problem for improving diabetes from each data. Then, the server 1 sets a goal for solving the specified task, and presents a specific task action (referred to as “try” in this embodiment) to the user to achieve the set goal. The user performs the trial presented from the server 1 to improve diabetes. Thereby, the server 1 supports the self-care of the user.
 なお、本実施の形態ではユーザが生活習慣病を既に罹患している患者であるものとして説明するが、本システムの対象とするユーザを生活習慣病の予防に取り組む一般ユーザまで拡大してもよい。すなわち、ユーザは生活習慣病の改善又は予防のためのセルフケアに取り組む人物であればよく、患者に限定されない。 In the present embodiment, the user is described as a patient who has already suffered from a lifestyle-related disease, but the target user of the present system may be expanded to general users who work on prevention of lifestyle-related disease. . That is, the user may be any person who works on self-care for improving or preventing lifestyle-related diseases, and is not limited to patients.
 ユーザ端末2は、本システムを利用するユーザが使用する端末装置であり、スマートフォン、パーソナルコンピュータ、タブレット端末等の情報処理装置である。ユーザ端末2には本システムに係るサービスを実現するためのアプリケーションプログラムがインストールされており、ユーザ端末2はアプリケーションプログラムを実行することで後述の処理を行う。ユーザ端末2は、後述する表示画面上で問診情報等の入力を受け付けてサーバ1に送信し、セルフケアの目標、トライ等のデータ配信を受けて表示する。ユーザは、ユーザ端末2に表示されるトライを実施して糖尿病の改善を図ると共に、日々の食事、運動、服薬等に関する情報をログデータとしてユーザ端末2に入力(記録)する。ユーザ端末2はログデータ等をサーバ1に送信し、セルフケアに関連する情報をデータベースに蓄積する。サーバ1は、データベースに蓄積されたログデータ等をユーザが通院する病院と共有することで、ユーザ本人のセルフケアを支援するのみならず、ユーザを診察する医療者の業務効率化を支援する。 The user terminal 2 is a terminal device used by a user who uses the present system, and is an information processing device such as a smartphone, a personal computer, and a tablet terminal. An application program for realizing a service according to the present system is installed in the user terminal 2, and the user terminal 2 executes a later-described process by executing the application program. The user terminal 2 receives input of inquiry information and the like on a display screen to be described later and transmits it to the server 1, and receives and displays data such as a self-care target and a trial. The user performs a trial displayed on the user terminal 2 to improve diabetes, and inputs (records) information on daily diet, exercise, medication, and the like to the user terminal 2 as log data. The user terminal 2 transmits log data and the like to the server 1, and stores information related to self-care in a database. The server 1 not only supports the self-care of the user by sharing the log data and the like stored in the database with the hospital where the user goes to the hospital, but also supports the efficiency of the work of a medical person who examines the user.
 医療者端末3は、ユーザが通院する病院の医師、スタッフ等が操作する情報処理装置であり、例えばパーソナルコンピュータである。医療者端末3は、ユーザの生体情報、問診情報、ログデータ等をサーバ1から受信して表示すると共に、生体情報等からサーバ1が特定したユーザの課題を表示し、課題を解決するための指導目標のリコメンドを受ける。実際にユーザを診療する医療者は、サーバ1から提示されたリコメンドを参考に医療方針を定め、ユーザに課す目標を設定する。ユーザは、最終的に医療者が承認した目標を達成するべくトライに取り組む。 The medical technician terminal 3 is an information processing device operated by a doctor, staff, or the like of a hospital to which a user goes to a hospital, and is, for example, a personal computer. The medical technician terminal 3 receives and displays the user's biological information, medical inquiry information, log data, and the like from the server 1, displays the user's problem identified by the server 1 from the biological information, and solves the problem. Receive recommendations for instructional goals. A medical technician who actually treats the user determines a medical policy with reference to the recommendations presented from the server 1 and sets a target imposed on the user. The user will work on a trial to ultimately achieve the goal approved by the healthcare professional.
 図2は、サーバ1及びユーザ端末2の構成例を示すブロック図である。サーバ1は、制御部11、主記憶部12、通信部13、補助記憶部14を備える。
 制御部11は、一又は複数のCPU(Central Processing Unit)、MPU(Micro-Processing Unit)、GPU(Graphics Processing Unit)等の演算処理装置を有し、補助記憶部14に記憶されたプログラムP1を読み出して実行することにより、サーバ1に係る種々の情報処理、制御処理等を行う。主記憶部12は、SRAM(Static Random Access Memory)、DRAM(Dynamic Random Access Memory)、フラッシュメモリ等の一時記憶領域であり、制御部11が演算処理を実行するために必要なデータを一時的に記憶する。通信部13は、通信に関する処理を行うための処理回路等を含み、外部と情報の送受信を行う。
FIG. 2 is a block diagram illustrating a configuration example of the server 1 and the user terminal 2. The server 1 includes a control unit 11, a main storage unit 12, a communication unit 13, and an auxiliary storage unit 14.
The control unit 11 includes an arithmetic processing device such as one or a plurality of CPUs (Central Processing Units), MPUs (Micro-Processing Units), and GPUs (Graphics Processing Units), and stores the program P1 stored in the auxiliary storage unit 14. By reading and executing, various types of information processing and control processing relating to the server 1 are performed. The main storage unit 12 is a temporary storage area such as a static random access memory (SRAM), a dynamic random access memory (DRAM), or a flash memory, and temporarily stores data necessary for the control unit 11 to execute arithmetic processing. Remember. The communication unit 13 includes a processing circuit and the like for performing processing related to communication, and transmits and receives information to and from the outside.
 補助記憶部14は大容量メモリ、ハードディスク等であり、制御部11が処理を実行するために必要なプログラムP1、その他のデータを記憶している。また、補助記憶部14は、ユーザDB141及び課題テーブル142を記憶している。ユーザDB141は、本システムを利用するユーザの情報を格納するデータベースである。課題テーブル142は、糖尿病改善のための課題を規定するテーブルである。 The auxiliary storage unit 14 is a large-capacity memory, a hard disk, or the like, and stores the program P1 and other data necessary for the control unit 11 to execute processing. The auxiliary storage unit 14 stores a user DB 141 and an assignment table 142. The user DB 141 is a database that stores information on users who use the present system. The assignment table 142 is a table that defines an assignment for improving diabetes.
 なお、補助記憶部14はサーバ1に接続された外部記憶装置であってもよい。また、サーバ1は複数のコンピュータからなるマルチコンピュータであってもよく、ソフトウェアによって仮想的に構築された仮想マシンであってもよい。 The auxiliary storage unit 14 may be an external storage device connected to the server 1. Further, the server 1 may be a multi-computer including a plurality of computers, or may be a virtual machine virtually constructed by software.
 また、本実施の形態においてサーバ1は上記の構成に限られず、例えば可搬型記憶媒体に記憶された情報を読み取る読取部、操作入力を受け付ける入力部、画像を表示する表示部等を含んでもよい。 In the present embodiment, the server 1 is not limited to the above-described configuration, and may include, for example, a reading unit that reads information stored in a portable storage medium, an input unit that receives an operation input, a display unit that displays an image, and the like. .
 ユーザ端末2は、制御部21、主記憶部22、通信部23、表示部24、入力部25、撮像部26、補助記憶部27を備える。
 制御部21は、一又は複数のCPU、MPU等の演算処理装置を有し、補助記憶部27に記憶されたプログラムP2を読み出して実行することにより、ユーザ端末2に係る種々の情報処理、制御処理等を行う。主記憶部22は、RAM等の一時記憶領域であり、制御部21が演算処理を実行するために必要なデータを一時的に記憶する。通信部23は、通信を行うためのアンテナ、処理回路等を含み、外部と情報の送受信を行う。表示部24は、液晶ディスプレイ、有機EL(Electro Luminescence)ディスプレイ等の表示装置であり、制御部21から与えられた画像を表示する。入力部25は、タッチパネル、メカニカルキー等の操作インターフェイスであり、操作内容を制御部21に入力する。撮像部26は、CMOS(Complementary Metal-Oxide-Semiconductor)イメージセンサ、CCD(Charge Coupled Device)イメージセンサ等の撮像素子を有する撮像機構であり、ユーザによる操作入力に従って画像を撮像する。補助記憶部27はROM(Read Only Memory)等の不揮発性記憶領域であり、制御部21が処理を実行するために必要なプログラムP2、その他のデータを記憶している。
The user terminal 2 includes a control unit 21, a main storage unit 22, a communication unit 23, a display unit 24, an input unit 25, an imaging unit 26, and an auxiliary storage unit 27.
The control unit 21 includes one or more CPUs, an arithmetic processing unit such as an MPU, and reads and executes the program P2 stored in the auxiliary storage unit 27 to perform various types of information processing and control related to the user terminal 2. Processing is performed. The main storage unit 22 is a temporary storage area such as a RAM, and temporarily stores data necessary for the control unit 21 to execute arithmetic processing. The communication unit 23 includes an antenna for performing communication, a processing circuit, and the like, and transmits and receives information to and from the outside. The display unit 24 is a display device such as a liquid crystal display or an organic EL (Electro Luminescence) display, and displays an image given from the control unit 21. The input unit 25 is an operation interface such as a touch panel and a mechanical key, and inputs operation contents to the control unit 21. The imaging unit 26 is an imaging mechanism having an imaging element such as a complementary metal-oxide semiconductor (CMOS) image sensor and a charge coupled device (CCD) image sensor, and captures an image according to an operation input by a user. The auxiliary storage unit 27 is a non-volatile storage area such as a ROM (Read Only Memory), and stores a program P2 and other data necessary for the control unit 21 to execute a process.
 図3は、ユーザDB141及び課題テーブル142のレコードレイアウトの一例を示す説明図である。ユーザDB141は、ユーザID列、氏名列、問診情報列、生体情報列、ログデータ列、セルフケア列を含む。ユーザID列は、各ユーザを識別するためのIDを記憶している。氏名列は、ユーザIDと対応付けて、各ユーザの氏名を記憶している。 FIG. 3 is an explanatory diagram showing an example of a record layout of the user DB 141 and the assignment table 142. The user DB 141 includes a user ID column, a name column, an inquiry information column, a biological information column, a log data column, and a self-care column. The user ID column stores an ID for identifying each user. The name column stores the name of each user in association with the user ID.
 問診情報列は、ユーザIDと対応付けて、ユーザに対して行った問診の回答データを記憶している。問診は、例えばユーザの年齢、性別、既往歴、身長、体重、自覚症状、食習慣、運動習慣、喫煙習慣等を問う問診票であり、ユーザの生活習慣に関するアンケートである。また、本実施の形態において問診情報には、行動変容レベルに関するアンケートへの回答、診療に関する心理的負担への回答、及び性格タイプ情報などを含む。 The interview information string stores answer data of the interview performed for the user in association with the user ID. The questionnaire is, for example, a questionnaire for asking the user's age, gender, past history, height, weight, subjective symptoms, eating habits, exercise habits, smoking habits, and the like, and is a questionnaire on the user's lifestyle habits. In addition, in the present embodiment, the interview information includes an answer to a questionnaire regarding a behavior change level, an answer to a psychological burden related to medical treatment, and personality type information.
 行動変容レベルは、生活習慣の行動変容状態を評価するものであり、5つの行動変容レベルに分ける。ステージが進むほど行動が変容し、生活習慣が改められると考える。サーバ1は、ユーザがいずれの行動変容レベルに属するかを判定するためのアンケートを実施し、回答に応じてユーザが属する行動変容レベルを判定する。 (4) The behavior change level evaluates the behavior change state of lifestyle, and is divided into five behavior change levels. I think that the more the stage progresses, the more the behavior changes and the lifestyle changes. The server 1 performs a questionnaire for determining which behavior change level the user belongs to, and determines the behavior change level to which the user belongs according to the answer.
 診療に関する心理的負担とは、糖尿病の治療に取り組む患者の心理的負担を推定するための質問票に基づいている。糖尿病治療のためには食事の節制、運動、薬物療法等に取り組む必要があるが、これらに取り組むことで患者の心理的負担が増大するリスクがあるためであり、アンケートへの回答に応じてユーザの心理的負担を推定する。 Psychological burden for medical care is based on a questionnaire for estimating the psychological burden of patients working on diabetes. In order to treat diabetes, it is necessary to take measures such as dietary control, exercise, and pharmacotherapy.However, there is a risk that the psychological burden on the patient will increase due to these measures. Estimate the psychological burden of
 性格タイプ情報は、ユーザの性格に関する情報であり、とりわけセルフケアの継続に関わる性格情報である。具体的には、複数の性格タイプに分類され、性格タイプの一例を示すとすれば、セルフケアの継続にあたり、具体的な数値目標があればやる気が出るタイプ、他人と競争することによりやる気が出るタイプ、などがあげられるがこれに限定されない。性格タイプは、性格判定用アンケートへの回答により分類されるが、外部からデータ取得してもよい。 The personality type information is information relating to the personality of the user, particularly personality information relating to the continuation of self-care. To be more specific, if it is classified into multiple personality types and shows an example of personality type, it is motivated by specific numerical goals to continue self-care, and motivated by competing with others And the like, but are not limited thereto. The personality type is classified according to a response to the personality determination questionnaire, but data may be acquired from outside.
 生体情報列は、ユーザIDと対応付けて、ユーザの生体を検査して得られた生体情報を記憶している。例えば生体情報は、ユーザが病院で受けた検査結果である。生体情報は、例えばHbA1c、血圧(BP;Blood Pressure)、中性脂肪(TG;Triglyceride)、コレステロール(Cho;Cholesterol)等の検査値を含む。なお、生体情報は上記に限定されず、例えば血糖値、尿糖値、血中インスリン濃度等を含み得る。 The biometric information string stores biometric information obtained by examining a user's biometrics in association with the user ID. For example, the biological information is a test result obtained by a user at a hospital. The biological information includes, for example, test values of HbA1c, blood pressure (BP; Blood @ Pressure), triglyceride (TG), and cholesterol (Chole; Cholesterol). The biological information is not limited to the above, and may include, for example, a blood sugar level, a urine sugar level, a blood insulin concentration, and the like.
 ログデータ列は、ユーザIDと対応付けて、ユーザ端末2に入力されたユーザのログデータを記憶している。ログデータは、セルフケアに関連したユーザの日々の生活のデータであって、例えば食事のメニュー、行った運動、服薬状況、自宅で測定した体重、血圧、血糖値、体調の変化等を含む。なお、ログデータは上記に限定されず、例えば喫煙状況をはじめとしたあらゆる生活情報等を含み得る。 The log data string stores the log data of the user input to the user terminal 2 in association with the user ID. The log data is data of a user's daily life related to self-care, and includes, for example, a meal menu, exercise performed, medication status, weight measured at home, blood pressure, blood sugar level, change in physical condition, and the like. Note that the log data is not limited to the above, and may include, for example, all kinds of living information such as smoking status.
 セルフケア列は、ユーザID列と対応付けて、ユーザが行うセルフケアに関する情報を記憶している。セルフケア列に格納される情報は、例えば医療者から処方された薬の情報のほか、医療者から課されたセルフケアの目標、及び目標を達成するために登録したトライの情報を含む。 The self-care column stores information on self-care performed by the user in association with the user ID column. The information stored in the self-care column includes, for example, information on medicines prescribed by a healthcare professional, information on self-care goals imposed by the healthcare professional, and information on trials registered to achieve the goal.
 課題テーブル142は、課題番号列、カテゴリ列、課題別目標列、トライ列を含む。課題番号列は、糖尿病患者の主たる課題として考えられる複数の課題それぞれに割り当てられた番号を記憶している。カテゴリ列は、課題番号と対応付けて、各課題が属するカテゴリを記憶している。課題別目標列は、課題番号と対応付けて、課題別の目標を記憶している。トライ列は、課題番号と対応付けて、課題別目標を達成するためにユーザに課す課題行動(トライ)を記憶している。本実施の形態において課題テーブル142には、一の目標に対して複数のトライが対応付けて格納されていてもよい。その場合、サーバ1は、ユーザに対して設定された目標に対応する複数のトライのうち、一又は複数のトライをユーザに課して実施させることもできる。 The assignment table 142 includes an assignment number column, a category column, a target column for each assignment, and a trie column. The assignment number column stores numbers assigned to a plurality of assignments that are considered as the main assignments of the diabetic patient. The category column stores the category to which each assignment belongs in association with the assignment number. The target column for each task stores the target for each task in association with the task number. The trie row stores task behavior (trie) imposed on the user to achieve the task-specific goal in association with the task number. In the present embodiment, a plurality of tries may be stored in the assignment table 142 in association with one goal. In that case, the server 1 may impose one or more tries on the user among a plurality of tries corresponding to the target set for the user, and cause the user to execute the try.
 図4は、初診時の目標設定処理に関する説明図である。以下では本実施の形態の概要について説明する。図4では、糖尿病治療を開始する場合の処理、つまり初診時の処理について概念的に図示している。なお、以下の説明では便宜上、初診時には既に本サービスに係るアプリケーションプログラムがユーザ端末2にインストール済みであるものとするが、初診後に本アプリケーションをユーザ端末2にインストールするものとして、以下の問診情報、生体情報等の入力は病院側(例えば医療者端末3)で行うものとしてもよい。 FIG. 4 is an explanatory diagram relating to the target setting processing at the time of the first consultation. Hereinafter, an outline of the present embodiment will be described. FIG. 4 conceptually illustrates a process for starting the diabetes treatment, that is, a process at the time of the first consultation. In the following description, for the sake of convenience, it is assumed that the application program related to the present service has already been installed in the user terminal 2 at the time of the first consultation. The input of the biological information and the like may be performed at the hospital (for example, the medical technician terminal 3).
 ユーザ端末2は初診時、糖尿病に関連する所定の問診項目を表示し、ユーザから回答の入力を受け付ける。問診は、例えば年齢、性別、既往歴、家族構成、BMI(Body Mass Index)を計算するための身長、体重等の基本的な項目の他に、食習慣、運動習慣、喫煙習慣などの生活習慣を問う問診票である。 (4) At the time of the first consultation, the user terminal 2 displays predetermined inquiry items related to diabetes and receives an input of an answer from the user. Interviews include basic items such as height, weight, etc. for calculating age, gender, medical history, family composition, BMI (Body Mass Index), and lifestyle habits such as eating habits, exercise habits, and smoking habits. This is a questionnaire.
 図5は、問診画面の一例を示す説明図である。問診情報については、ユーザが入力する場合だけでなく、医療者が入力することもあるが、図5では、ユーザが入力する場合を想定し、ユーザの普段の食事量を問う問診画面を図示している。図5の問診画面では、三食の食事のサンプル画像等を表示し、サンプル画像をユーザの食事量と比較した回答の入力を受け付ける。ユーザ端末2は、入力された回答をサーバ1に転送する。 FIG. 5 is an explanatory view showing an example of the inquiry screen. The medical consultation information may be input not only by the user but also by a medical technician. In FIG. 5, the case where the user inputs is shown, and an inquiry screen for asking the user's usual meal size is shown. ing. On the inquiry screen of FIG. 5, a sample image of three meals and the like are displayed, and an input of an answer in which the sample image is compared with the amount of meal of the user is accepted. The user terminal 2 transfers the input answer to the server 1.
 ユーザ端末2は、予め定められた複数の問診項目それぞれについて、図5と同様の問診画面を表示して回答の入力を受け付ける。食習慣に関する問診を行う場合、例えばユーザ端末2は、食事量のほかに炭水化物、タンパク質、脂質などの各種栄養素の摂取量、摂取割合、一日の食事回数、食事の早さなどについて回答の入力を受け付ける。ユーザ端末2は年齢、性別、既往歴、家族構成、BMI、運動習慣、喫煙習慣などについても同様に問診画面を表示し、回答の入力を受け付ける。なお、ユーザ端末2は運動習慣、喫煙習慣などの他に、例えば睡眠習慣などについても問診を行い、後述の如く療養指導を行ってもよい。 (5) The user terminal 2 displays an inquiry screen similar to that shown in FIG. 5 for each of a plurality of predetermined inquiry items and accepts input of an answer. When conducting an inquiry about eating habits, for example, the user terminal 2 inputs answers on the amount of various nutrients such as carbohydrates, proteins, and lipids, the intake ratio, the number of meals per day, and the speed of meals in addition to the amount of meals. Accept. The user terminal 2 similarly displays an inquiry screen for age, gender, medical history, family structure, BMI, exercise habits, smoking habits, and accepts input of an answer. In addition, the user terminal 2 may make an inquiry about, for example, sleep habits in addition to exercise habits, smoking habits, and the like, and may give medical treatment guidance as described later.
 図4に戻って、ユーザ端末2は、上記のように糖尿病に関連する問診への回答を受け付けるほか、不図示の問診画面で行動変容レベルに関するアンケートを表示し、行動変容レベルのアンケートに対する回答の入力を受け付ける。行動変容レベルのアンケートは、セルフケアに対するユーザの実施意欲を課題毎に判定するためのアンケートである。 Returning to FIG. 4, the user terminal 2 accepts the answer to the questionnaire related to diabetes as described above, displays a questionnaire on the behavior change level on a questionnaire screen (not shown), and displays the answer to the questionnaire on the behavior change level. Accept input. The behavior change level questionnaire is a questionnaire for determining the user's willingness to perform self-care for each task.
 例えばユーザ端末2は、課題テーブル142に規定される課題毎に、ユーザの実施意欲を把握するためのアンケートを表示し、5段階で回答の入力を受け付ける。ユーザから得られる回答は、上述の行動変容レベルに対応する。ユーザ端末2は質問を表示し、当該質問に対して複数の回答からいずれかを選択する選択入力を受け付ける。サーバ1は、ユーザ端末2を介して各課題について回答の入力を受け付けることで、課題毎にユーザがいずれの行動変容レベルに属するか、判定を行う。 For example, the user terminal 2 displays a questionnaire for grasping the user's willingness to perform for each task specified in the task table 142, and accepts input of a response in five steps. The answer obtained from the user corresponds to the behavior change level described above. The user terminal 2 displays the question and receives a selection input for selecting one of a plurality of answers to the question. The server 1 determines which behavior change level the user belongs to for each task by receiving an input of an answer for each task via the user terminal 2.
 なお、ユーザ端末2はアンケート(問診)によってユーザの実施意欲を判定可能であればよく、アンケート内容は行動変容レベルに依るものに限定されない。 ユ ー ザ Note that the user terminal 2 only needs to be able to determine the user's willingness to perform by a questionnaire (interview), and the contents of the questionnaire are not limited to those depending on the behavior change level.
 また、ユーザ端末2は、診療に関する心理的負担に係る質問を表示し、質問に対する回答の入力を受け付ける。診療に関する心理的負担に係る質問は、上述の如くユーザの心理的負担を推定するための質問票である。ユーザ端末2は、糖尿病に関連する複数の事柄それぞれについて質問を表示し、各質問について回答の入力を受け付ける。サーバ1は、ユーザ端末2を介して各質問に対し入力された回答に基づき、ユーザの心理的負担の度合いを判定する。 ユ ー ザ In addition, the user terminal 2 displays a question related to the psychological burden related to medical treatment, and accepts input of an answer to the question. The question relating to the psychological burden related to medical treatment is a questionnaire for estimating the psychological burden of the user as described above. The user terminal 2 displays a question for each of a plurality of matters related to diabetes, and receives an input of an answer for each question. The server 1 determines the degree of the psychological burden on the user based on the answer input for each question via the user terminal 2.
ユーザ端末2は、性格タイプ分けに関するアンケートを表示し、性格タイプ分けに関するアンケートに対する回答の入力を受け付ける。性格タイプ分けに関するアンケートは、セルフケアの継続に関するユーザの性格を判定するためのアンケートであり、サーバ1は、ユーザ端末2を介して各アンケートに対し入力された回答に基づき、ユーザの性格タイプを判定する。分類される性格タイプとしては、下記のような分類が挙げられるが、特にこれに限定されない。
明確な目標の達成に意識を向けるとやる気が出るタイプ
明確な目標を下回らないことに意識を向けるとやる気が出るタイプ
誰かに勝つことに意識を向けるとやる気が出るタイプ
誰かに負けないことに意識を向けるとやる気が出るタイプ
自身が成長することに意識を向けるとやる気が出るタイプ
自身が衰えないことに意識を向けるとやる気が出るタイプ
The user terminal 2 displays a questionnaire on personality type classification and receives an input of a response to the questionnaire on personality type classification. The questionnaire regarding the personality type classification is a questionnaire for determining the user's personality regarding the continuation of self-care, and the server 1 determines the user's personality type based on the answer input to each questionnaire via the user terminal 2. I do. The personality types to be classified include the following classifications, but are not particularly limited thereto.
Motivated to achieve a clear goal A type that motivates you when you turn on A type that motivates you when you focus on growing
 サーバ1は、ユーザ端末2において入力された各問診票、アンケートに対する回答内容、つまり問診情報を取得する。 The server 1 acquires each medical questionnaire and the contents of the answer to the questionnaire, that is, the medical inquiry information, which are input in the user terminal 2.
 また、サーバ1は、糖尿病に関連してユーザが病院で受けたHbA1C、血圧、中性脂肪等に関する検査の結果、すなわちユーザの生体情報を取得する。例えばユーザ端末2が各検査結果について数値入力を受け付け、サーバ1へ転送する。 {Circle around (1)} The server 1 obtains a result of a test on HbA1C, blood pressure, triglyceride, etc., received by the user at the hospital in connection with diabetes, that is, the user's biological information. For example, the user terminal 2 accepts a numerical input for each test result and transfers the result to the server 1.
 なお、サーバ1はユーザ端末2からではなく、病院側で患者のデータを管理する医療システムから各種生体情報を取得するようにしてもよい。また、例えばサーバ1は、ユーザが通院する病院等の医療機関以外に、生体情報を検査する外部の検査機関からユーザの生体情報を取得するようにしてもよい。このように、生体情報の取得経路は特に問わない。 The server 1 may obtain various types of biological information from a medical system that manages patient data on the hospital side instead of from the user terminal 2. Further, for example, the server 1 may acquire the user's biometric information from an external testing institution for examining biometric information other than a medical institution such as a hospital to which the user goes to hospital. Thus, the acquisition route of the biological information is not particularly limited.
 サーバ1は、上述の如く取得した問診情報及び生体情報に基づき、糖尿病に関するユーザの課題を特定し、課題を解決するためのセルフケアの目標を選択して医療者にリコメンドする。以下では一例として、食生活の課題を特定して目標を選択する処理過程を主に説明する。 The server 1 specifies the user's problem related to diabetes based on the inquiry information and the biological information acquired as described above, selects a self-care target for solving the problem, and recommends it to a medical professional. Hereinafter, as an example, a description will be given mainly of a process of identifying a problem in a diet and selecting a target.
 まずサーバ1は、HbA1C、血圧、中性脂肪等に係る各検査値(生体情報)から、医療者が注意すべき検査値を特定する。なお、ここで特定する検査値を、以下では「注意すべき検査値」と呼ぶ。例えばサーバ1は、HbA1C、血圧、中性脂肪等の各種検査値を、予め定められた正常値と比較し、異常値を示す検査値を特定する。 {Circle around (1)} First, the server 1 specifies test values to be noted by a medical technician from test values (biological information) related to HbA1C, blood pressure, neutral fat, and the like. Note that the inspection value specified here is hereinafter referred to as a “careful inspection value”. For example, the server 1 compares various test values such as HbA1C, blood pressure, and neutral fat with a predetermined normal value, and specifies a test value indicating an abnormal value.
 次にサーバ1は、上記で特定した注意すべき検査値のほか、問診情報に含まれるBMI、年齢、普段の運動量、既往歴等から、ユーザに適した食事栄養量であって、医療者がユーザに指示すべき指示栄養量を算出する。例えばサーバ1は、食事の総量(総カロリー)のほかに、食事に占める炭水化物の比率、炭水化物以外の脂質、タンパク質、野菜等のエネルギー配分、並びにタンパク質及び塩分の摂取限度量のリコメンド数値などを算出する。 Next, the server 1 determines the dietary and nutritional amount suitable for the user based on the BMI, age, daily exercise amount, past medical history, and the like included in the medical inquiry information, in addition to the test values to be noted as specified above. Calculate the indicated nutrient amount to be indicated to the user. For example, the server 1 calculates, in addition to the total amount of meals (total calories), the ratio of carbohydrates in the meals, the energy distribution of lipids, proteins, vegetables, and the like other than carbohydrates, and the recommended numerical values of the intake limits of protein and salt. I do.
 サーバ1は、上記で特定した注意すべき検査値、及び指示栄養量を医療者端末3に出力し、検査結果で注意すべき検査値、及びユーザに適した栄養量を医療者に提示する。例えばサーバ1は、図4に概念的に図示する登録画面を出力する。医療者は登録画面上で、必要に応じて注意すべき検査値や指示栄養量の確認と確定を行う。 The server 1 outputs the test value to be noted and the indicated nutrient amount specified above to the medical technician terminal 3, and presents the test value to be noted in the test result and the nutrition amount suitable for the user to the medical person. For example, the server 1 outputs a registration screen conceptually illustrated in FIG. On the registration screen, the medical practitioner confirms and confirms the test values to be careful and the indicated nutrient amount as necessary.
 サーバ1は、設定された指示栄養量と、ユーザ端末2において問診画面を介して入力された食事に関する問診結果(問診情報)とを比較し、ユーザの食生活について課題を特定する。例えばサーバ1は、図5で例示した問診結果から推定されるユーザの普段の食事量と、登録画面を介して設定された指示栄養量(食事量)とを比較して、ユーザの食事量が過多であるか否かを判定する。サーバ1は同様にして、設定された各種栄養素の配分と問診結果とを比較し、ユーザが各種栄養素の摂取過多であるか否かを判定する。 The server 1 compares the set indicated nutrient amount with a result of an inquiry on meals (inquiry information) input via the inquiry screen on the user terminal 2 and identifies a problem with the user's diet. For example, the server 1 compares the usual amount of meal of the user estimated from the inquiry result illustrated in FIG. 5 with the indicated nutrient amount (meal amount) set via the registration screen, and determines the amount of meal of the user. It is determined whether there is an excess. In the same manner, the server 1 compares the set distribution of various nutrients with the result of the inquiry to determine whether the user has excessive intake of various nutrients.
 サーバ1は運動習慣、喫煙習慣等についても問診結果から課題の有無を判定する。そしてサーバ1は、食習慣、運動習慣、喫煙習慣等の各生活習慣について、特定したユーザの課題を医療者端末3に出力する。例えばサーバ1は、図4に図示する療養指導画面の「生活習慣サマリ」を生成して表示させる。生活習慣サマリでは、課題となる項目が色分け等によりアラート表示され、医療者に提示される。なお、図4では図示の便宜上、課題項目を下線付きの太字で図示している。 The server 1 also determines the presence or absence of an exercise habit, smoking habit, etc. from the results of the medical interview. Then, the server 1 outputs the identified user's problem to the medical technician terminal 3 for each lifestyle such as eating habits, exercise habits, and smoking habits. For example, the server 1 generates and displays a “lifestyle summary” of the medical treatment guidance screen shown in FIG. In the lifestyle habit summary, an alert item is displayed in a color-coded manner or the like, and presented to a medical professional. Note that in FIG. 4, for convenience of illustration, the task items are shown in bold underlined letters.
 次にサーバ1は、診療に関する心理的負担に対するユーザの回答に応じて、医療者の治療介入に対するユーザの受け入れ態度、すなわち心理状態を判定する。具体的には、サーバ1は、診療に関する心理的負担の各質問に対するユーザの回答に応じて、セルフケアの重要性に対するユーザの心理状態を数値化する。サーバ1は、数値化した各項目のパラメータを所定の閾値と比較し、判定を行う。 {Circle around (2)} The server 1 determines the user's acceptance attitude to the medical intervention by the medical practitioner, that is, the psychological state, according to the user's answer to the psychological burden related to medical treatment. Specifically, the server 1 quantifies the user's psychological state regarding the importance of self-care according to the user's answer to each question of the psychological burden related to medical treatment. The server 1 makes a determination by comparing the parameter of each item quantified with a predetermined threshold.
 サーバ1は、上記の判定結果を医療者端末3に出力する。例えば図4に図示するように、医療者端末3は、療養指導画面の「介入受け入れ状態」の欄に判定結果を表示する。例えば医療者端末3は、ユーザの心理状態に関する判定結果を表示すると共に、治療介入に伴う心理面からのアプローチ方法、配布冊子(図4では「指定媒体」と図示)等を表示し、ユーザに対する医療介入方法について、医療者にリコメンドを行う。 The server 1 outputs the above determination result to the medical technician terminal 3. For example, as illustrated in FIG. 4, the medical technician terminal 3 displays the determination result in the “intervention acceptance state” column of the medical treatment guidance screen. For example, the medical technician terminal 3 displays a determination result regarding the user's psychological state, displays a psychological approach accompanying treatment intervention, a distribution booklet (shown as “designated medium” in FIG. 4), and the like. Recommend healthcare professionals about medical interventions.
 さらにサーバ1は、上記で特定した食習慣、運動習慣、喫煙習慣等の課題に応じて、ユーザに課すべきセルフケアの指導目標を選択して医療者端末3に出力する。例えば図4に図示するように、医療者端末3は、「おすすめの目標カテゴリ」の欄にセルフケアの目標を表示する。 {Circle around (4)} The server 1 further selects a self-care instruction target to be imposed on the user and outputs the self-care instruction target to the medical technician terminal 3 according to the tasks such as the eating habit, exercise habit, and smoking habit specified above. For example, as illustrated in FIG. 4, the medical technician terminal 3 displays a self-care target in the column of “recommended target category”.
 例えばサーバ1は、課題テーブル142を参照して、ユーザDB141中の問診情報及び生体情報から特定したユーザの課題に対応するセルフケアの目標を読み出す。例えば食事の総量を課題として特定した場合、「食事量」を目標として読み出す。続いてサーバ1は、行動変容レベルのアンケートに対するユーザの回答を参照して、当該課題についてユーザに課すべき目標のレベル(難易度)を決定する。例えばサーバ1は、質問に対するユーザの回答に応じて、ユーザの行動変容レベルを5段階で判定する。そしてサーバ1は、判定した行動変容レベルに応じて、ユーザに課すべき目標のレベルを判定する。 For example, the server 1 refers to the task table 142 and reads out the self-care goal corresponding to the task of the user specified from the inquiry information and the biological information in the user DB 141. For example, when the total amount of meal is specified as the task, the “meal amount” is read as the target. Subsequently, the server 1 refers to the user's response to the behavior change level questionnaire and determines a target level (difficulty level) to be set for the user with respect to the task. For example, the server 1 determines the behavior change level of the user in five stages according to the user's answer to the question. Then, the server 1 determines a target level to be imposed on the user according to the determined behavior change level.
 サーバ1は、ユーザが有する課題毎に、行動変容レベルのアンケートに対する回答から判定し、ユーザに課す目標のレベルを決定する。そしてサーバ1は、上記で決定したレベルの目標であって、ユーザが有する一又は複数の課題それぞれに対応する目標を、ユーザに課すべき目標の候補として医療者端末3に出力し、当該目標を課すよう医療者にリコメンドする。なお、図4では簡潔のため、目標のみを図示し、レベル等は図示していない。    The server 1 determines, for each task the user has, from the response to the questionnaire on the behavior change level, and determines the target level imposed on the user. Then, the server 1 outputs the target at the level determined above, which corresponds to each of one or a plurality of tasks that the user has, to the medical technician terminal 3 as a candidate of a target to be imposed on the user, and Recommend to a health care professional to impose. In FIG. 4, for simplicity, only the target is shown, and the level and the like are not shown.
 医療者は療養指導画面に表示される生活習慣サマリ、介入受け入れ状態等を参考にユーザの診察を行う。そして医師及び医師の指示を受けた医師以外の医療者は、リコメンドされたセルフケアの目標から、ユーザに対して課すセルフケアの目標を設定(選択)する。なお、医療者はサーバ1がリコメンドした目標に関わらず、自らの判断で他の目標を設定してもよい。また、設定するセルフケアの目標は単一に限定されず、複数であってもよく、定量的な目標レベルの修正等の、医療者による修正を加えてもよい。サーバ1は、上述の如く医療者端末3を介して設定入力されたユーザのセルフケアの目標を、ユーザIDと対応付けてユーザDB141に登録する。 (4) The medical physician consults the user with reference to the lifestyle summary and the intervention acceptance state displayed on the medical treatment guidance screen. Then, the doctor and a medical person other than the doctor who received the doctor's instruction set (select) a self-care goal to be imposed on the user based on the recommended self-care goal. It should be noted that the medical technician may set another goal by his / her own judgment irrespective of the goal recommended by the server 1. Further, the self-care goal to be set is not limited to a single one, but may be plural, and may be modified by a medical professional such as a quantitative modification of a target level. The server 1 registers the self-care target of the user set and input via the medical technician terminal 3 in the user DB 141 in association with the user ID as described above.
 また、サーバ1はセルフケアの目標以外に、糖尿病の診療方針に関するリコメンドを医療者端末3に出力し、医療者に提示する。医療方針に関するリコメンドは、例えば処方すべき薬の種類、処方量などの処方薬、およびその変更や変更タイミングに関する推奨案及び非推奨案である。例えばサーバ1は、HbA1c、体重等の検査値(生体情報)の高低に応じて、処方薬の種類、処方量等を判定し、処方薬の推奨案を生成して医療者端末3に出力する。 {Circle around (4)} In addition to the goal of self-care, the server 1 outputs a recommendation relating to a medical treatment policy for diabetes to the medical staff terminal 3 and presents it to the medical staff. The recommendation regarding the medical policy is, for example, a recommendation or a non-recommendation regarding a prescription drug such as a type of a drug to be prescribed, a prescription amount, and a change and a change timing thereof. For example, the server 1 determines the type and amount of a prescription drug according to the level of the test value (biological information) such as HbA1c and weight, generates a recommendation for the prescription drug, and outputs it to the medical technician terminal 3. .
 例えば医療者端末3は、不図示の医療指導画面に遷移して診療方針に関するリコメンドを表示する。サーバ1は、ユーザ端末2、医療者端末3等を介して、ユーザに処方される処方薬に関する情報の設定入力を受け付ける。なお、処方薬に関する情報は、例えば処方薬の種類、処方量等のほかに、服用する時間などの情報を含み得る。また、サーバ1は同様にして、次回にユーザが診察(再診)を受ける予約日の登録を受け付ける。サーバ1は、処方薬、予約日等の情報をユーザDB141に記憶する。 For example, the medical technician terminal 3 transits to a medical guidance screen (not shown) and displays a recommendation regarding a medical treatment policy. The server 1 accepts, via the user terminal 2, the medical technician terminal 3, and the like, a setting input of information on prescription drugs prescribed to the user. Note that the information on the prescription drug may include, for example, information such as the time of taking the drug, in addition to the type and prescription amount of the prescription drug. Similarly, the server 1 accepts the registration of the reservation date on which the user will consult (re-examine) the next time. The server 1 stores information such as a prescription drug and an appointment date in the user DB 141.
 上述の如く、初診時にサーバ1は、問診情報及び生体情報からユーザの生活習慣の課題、心理状態等を分析して医療者に提示すると共に、セルフケアの目標及び糖尿病の診療方針をリコメンドする。サーバ1は、ユーザを診察した医療者から、次回診察時、すなわち再診時までのセルフケアの目標の設定入力を受け付ける。ユーザは、設定された目標を達成するべくセルフケアを実施する。具体的には下記の通り、ユーザは設定された目標に応じたトライを実施し、目標達成を図る。 As described above, at the time of the first consultation, the server 1 analyzes the problem of the user's lifestyle, the psychological state, and the like from the inquiry information and the biological information and presents it to the medical physician, and recommends the goal of self-care and the treatment policy of diabetes. The server 1 accepts a setting input of a self-care target until the next examination, that is, a re-examination, from a medical doctor who has examined the user. The user performs self-care to achieve the set goal. Specifically, as described below, the user performs a try in accordance with the set goal to achieve the goal.
 なお、上記ではセルフケアを指導する医療者が目標を設定するものとしたが、ユーザ本人が目標を設定するものとしてもよい。あるいは、サーバ1がセルフケアの目標を自動選択するようにしてもよい。 In the above description, it is assumed that the target is set by the medical person who instructs the self-care, but the target may be set by the user himself. Alternatively, the server 1 may automatically select a self-care target.
 図6は、ホーム画面の一例を示す説明図である。図6では、ユーザ端末2が表示する、本システムに係るアプリケーションプログラムのホーム画面の一例を図示している。以下では、ユーザが病院で診察を受けてから次回の診察を受けるまでの期間(以下では「セルフケア期間」と呼ぶ)における、ユーザ端末2での処理内容について説明する。 FIG. 6 is an explanatory diagram showing an example of the home screen. FIG. 6 illustrates an example of a home screen of an application program according to the present system, which is displayed by the user terminal 2. In the following, a description will be given of the processing performed by the user terminal 2 during the period from when the user receives a medical examination at a hospital to when the user receives the next medical examination (hereinafter, referred to as a “self-care period”).
 ホーム画面は、歩数表示欄41、タスク確認ボタン42、アイテム取得ボタン43、トライ表示欄44、目標確認ボタン45、ログ登録ボタン46、ログ確認ボタン47を含む。歩数表示欄41は、ユーザ端末2に内蔵された加速度センサ(不図示)等で計測された歩数を表示する表示欄である。タスク確認ボタン42は、ログ登録画面(図8参照)に遷移するためのオブジェクトである。アイテム取得ボタン43は、後述するように、ユーザによる目標、トライ等の達成状況に応じて配布される本アプリケーション上のアイテムを受け取るためのオブジェクトである。 The home screen includes a step count display field 41, a task confirmation button 42, an item acquisition button 43, a try display field 44, a goal confirmation button 45, a log registration button 46, and a log confirmation button 47. The step number display field 41 is a display field for displaying the number of steps measured by an acceleration sensor (not shown) built in the user terminal 2 or the like. The task confirmation button 42 is an object for transitioning to a log registration screen (see FIG. 8). The item acquisition button 43 is an object for receiving items on the application distributed according to the achievement status of the user's goal, try, and the like, as described later.
 トライ表示欄44は、ユーザに課された目標に応じて設定されるトライ(課題行動)を表示する表示欄である。ユーザ端末2はホーム画面上で、ユーザが実施すべきトライ(課題行動)をトライ表示欄44に表示する。トライは、セルフケアの目標を達成させるためにユーザに課す具体的な指示であり、セルフケアとしてユーザが日々取り組むべき行動のメニューである。上記の例に則して述べると、ユーザの目標が食事量の減量である場合、自分の体型を振り返る等がトライとして課される。 The try display field 44 is a display field for displaying a try (task action) set in accordance with a target imposed on the user. The user terminal 2 displays a try (task action) to be performed by the user on the home screen in the try display field 44. The try is a specific instruction given to the user in order to achieve the goal of self-care, and is a menu of actions that the user should work on a daily basis as self-care. According to the above example, when the user's goal is to reduce the amount of meal, looking back on his or her body shape is imposed as a try.
 サーバ1は、一の目標に対応付けて複数のトライを課題テーブル142に格納してある。サーバ1は、初診時に設定された目標に応じて、課題テーブル142で当該目標に対応付けられた複数のトライを候補として後述のトライ設定画面(図10A参照)に出力する。ユーザ端末2は、当該複数のトライの候補から、ユーザが実施する一又は複数のトライを選択する選択入力を受け付け、設定登録を行う。ユーザ端末2は、設定されたトライをトライ表示欄44に表示する。 The server 1 stores a plurality of tries in the assignment table 142 in association with one goal. The server 1 outputs a plurality of tries associated with the target in the assignment table 142 as candidates to a later-described try setting screen (see FIG. 10A) in accordance with the target set at the first consultation. The user terminal 2 accepts a selection input for selecting one or a plurality of tries to be performed by the user from the plurality of try candidates, and performs setting registration. The user terminal 2 displays the set try in the try display field 44.
 トライ表示欄44は、変更ボタン441又は評価ボタン442を含む。変更ボタン441はトライの設定変更を行うためのオブジェクトであり、評価ボタン442はトライの達成状況について自己評価を行うためのオブジェクトである。本実施の形態では各トライの実施期間が1週間に設定されている。トライが設定されてから1週間後に変更ボタン441がアクティブとなり、評価ボタン442に変更される。なお、トライの実施期間は1週間に限定されない。また、ユーザ、医療者等が実施期間を変更可能としてもよい。 The try display field 44 includes a change button 441 or an evaluation button 442. The change button 441 is an object for changing the setting of the try, and the evaluation button 442 is an object for performing a self-evaluation on the achievement status of the try. In the present embodiment, the execution period of each trial is set to one week. One week after the trial is set, the change button 441 becomes active and is changed to the evaluation button 442. Note that the trial period is not limited to one week. Further, a user, a medical professional, and the like may be able to change the implementation period.
 変更ボタン441への操作入力を受け付けた場合、ユーザ端末2はトライ設定画面(図10A参照)に遷移し、実施中のトライを変更、又は追加する設定入力を受け付ける。また、評価ボタン442への操作入力を受け付けた場合、ユーザ端末2はトライ評価画面(図11A)に遷移し、実施したトライの達成状況について、ユーザによる自己評価の入力を受け付ける。 When the operation input to the change button 441 is received, the user terminal 2 transitions to a try setting screen (see FIG. 10A), and receives a setting input for changing or adding a trial being performed. When the operation input to the evaluation button 442 is received, the user terminal 2 transitions to a try evaluation screen (FIG. 11A), and receives an input of a self-evaluation by the user regarding the achievement status of the performed try.
 目標確認ボタン45は、設定されているセルフケアの目標を表示する表示画面(不図示)のほか、トライを設定するためのトライ設定画面(図10A参照)に遷移するためのオブジェクトである。ログ登録ボタン46は、ログ登録画面(図8参照)に遷移するためのオブジェクトである。ログ確認ボタン47は、ログ確認画面(図9参照)に遷移するためのオブジェクトである。 The target confirmation button 45 is an object for transiting to a try setting screen (see FIG. 10A) for setting a try in addition to a display screen (not shown) for displaying the set self-care goal. The log registration button 46 is an object for transitioning to a log registration screen (see FIG. 8). The log confirmation button 47 is an object for transitioning to a log confirmation screen (see FIG. 9).
 ユーザ端末2は上記の各種オブジェクトをホーム画面に表示するほか、図6に示すように、所定のキャラクタオブジェクトをホーム画面に表示する。当該キャラクタオブジェクトは、ユーザによるセルフケアを継続する目的で表示されるオブジェクトの一例であり、ユーザに対してセルフケアのアドバイス、応援コメント等を提示するものである。 The user terminal 2 displays the various objects described above on the home screen, and also displays a predetermined character object on the home screen as shown in FIG. The character object is an example of an object displayed for the purpose of continuing self-care by the user, and presents self-care advice, support comments, and the like to the user.
 図7A、Bは、キャラクタ表示の一例を示す説明図である。図7A、Bでは、目標、トライ等の達成状況、ログデータの入力状況などに応じてキャラクタの演出表示が行われる様子を図示している。 FIGS. 7A and 7B are explanatory diagrams showing an example of character display. FIGS. 7A and 7B show how the effect display of the character is performed according to the goal, the achievement status of the try and the like, the input status of the log data, and the like.
 本アプリケーションでは、ユーザに対するキャラクタの好感度等、ユーザとキャラクタの関係等に関するパラメータが設定される。このパラメータは、後述の目標及びトライの達成状況、ログデータの入力状況など、セルフケアに関連してユーザ端末2に入力される各種情報に従い変動する。例えばユーザがセルフケアの目標を達成した場合、キャラクタの評価が向上するようにパラメータが変動する。一方、例えばユーザが入力すべきログデータを未入力である場合、キャラクタの評価が低下するようにパラメータが変動する。 ア プ リ ケ ー シ ョ ン In this application, parameters related to the relationship between the user and the character, such as the favorable sensibility of the character to the user, are set. This parameter fluctuates in accordance with various types of information input to the user terminal 2 in connection with self-care, such as a goal and trial achievement status described below, a log data input status, and the like. For example, when the user has achieved the goal of self-care, the parameters are changed so that the evaluation of the character is improved. On the other hand, for example, when log data to be input by the user has not been input, the parameters are changed so that the evaluation of the character is reduced.
 ユーザ端末2は、各パラメータに応じてキャラクタ及び関連する画面表示を制御する。制御する内容はキャラクタに関係しているものであれば、画面表示だけでなく音声再生などの端末で実施可能な演出を含む。例えば図7Aに示すように、ユーザが目標を達成した場合、ユーザ端末2は、キャラクタがユーザを褒める演出表示を行う。また、図7Bに示すように、ユーザがログデータを未入力である場合、ユーザ端末2は、キャラクタがユーザを叱る演出表示を行う。また、例えばサーバ1は、パラメータの変化に伴って、吹き出しに表示されるセリフ数を増加あるいは減少させてもよい。 The user terminal 2 controls the character and the related screen display according to each parameter. If the content to be controlled is related to the character, it includes not only screen display but also effects such as voice reproduction that can be performed by the terminal. For example, as shown in FIG. 7A, when the user has achieved the goal, the user terminal 2 performs an effect display in which the character praises the user. In addition, as shown in FIG. 7B, when the user has not input the log data, the user terminal 2 performs an effect display in which the character scolds the user. Further, for example, the server 1 may increase or decrease the number of dialogues displayed in the balloon according to the change in the parameter.
 また、ユーザから取得した問診情報のうち、ユーザの性格タイプ情報も考慮してキャラクタの演出(目標達成のための励ましや、セリフなど)が制御されてもよく、これにより、ポジティブに伝えるか(ほめる)、ネガティブに伝えるか(叱咤する)など、ユーザの性格に合致し、効果が高いと想定される伝え方をキャラクタのセリフなどに反映することができる。 Further, of the interview information obtained from the user, the effect of the character (encouragement for achieving the goal, dialogue, etc.) may be controlled in consideration of the personality type information of the user. It is possible to reflect a way of communicating that is expected to be highly effective according to the character of the user, such as praising) or negatively speaking (speaking) in the dialogue of the character.
 なお、ユーザの性格タイプ情報は、最初に取得したものをそのまま使用してもよいし、定期的に取得し直したり、ユーザの反応や評価をもとに性格タイプを変更したりして使用してもよい。 As for the user's personality type information, the one obtained first may be used as it is, may be used periodically, or may be used by changing the personality type based on the user's reaction or evaluation. You may.
 また、ユーザによる目標及びトライの達成状況に応じて、サーバ1はキャラクタに関連する本アプリケーション上のアイテム等をユーザ端末2に配信する。アイテムは、例えばキャラクタの服装アイテム、部屋の模様替えアイテムなどである。なお、アイテムはこれに限定されず、例えば追加キャラクタ等であってもよい。例えばユーザ端末2は、図6のホーム画面のアイテム取得ボタン43への操作入力に応じて、当該アイテムを取得する。 {Circle around (2)} The server 1 distributes items and the like related to the character on the application to the user terminal 2 according to the user's goal and the achievement status of the try. The item is, for example, a character's clothing item, a room decoration item, or the like. The item is not limited to this, and may be, for example, an additional character or the like. For example, the user terminal 2 acquires the item in response to an operation input to the item acquisition button 43 on the home screen in FIG.
 上述の如く、セルフケアの状況に応じてキャラクタの演出、アイテムの配信等が行われる。これにより、ユーザはセルフケアを単調に行うだけでなく、楽しみながらセルフケアに取り組むことができ、セルフケアを継続するインセンティブを与えることができる。 キ ャ ラ ク タ As described above, the effect of the character, the distribution of items, and the like are performed according to the self-care situation. This allows the user to not only perform self-care monotonously, but also to engage in self-care while having fun, and to provide an incentive to continue self-care.
 なお、上記ではトライの達成状況、ログデータの入力状況等に応じてキャラクタの演出、アイテムの配信等を変えることにしたが、キャラクタが動作するシナリオを変化させるなどしてもよい。すなわち、トライの達成状況等に応じてキャラクタに関する動作を変更可能であればよく、その処理内容は特に限定されない。 In the above description, the effect of the character, the distribution of the item, and the like are changed according to the achievement state of the try, the input state of the log data, and the like. However, the scenario in which the character moves may be changed. In other words, it is only necessary that the action relating to the character can be changed according to the achievement status of the try, and the processing content is not particularly limited.
 図8は、ログ登録画面の一例を示す説明図である。ユーザ端末2は、タスク確認ボタン42又はログ登録ボタン46への操作入力に応じて、ログ登録画面に遷移する。ログ登録画面は、糖尿病に関連する各種ログデータを入力するための画面であり、セルフケア期間中のユーザの行動及び状態に関するデータを記録するための画面である。 FIG. 8 is an explanatory diagram showing an example of the log registration screen. The user terminal 2 transitions to a log registration screen in response to an operation input to the task confirmation button 42 or the log registration button 46. The log registration screen is a screen for inputting various log data related to diabetes, and is a screen for recording data relating to the behavior and state of the user during the self-care period.
 例えばログ登録画面は食事タブ51、服薬タブ52、運動タブ53、及び自宅測定タブ54を含む。ユーザ端末2は、各タブへの操作入力に応じて画面を切り換え、各種ログデータの登録を受け付ける。本実施の形態でユーザ端末2は、ユーザが摂取した食事、ユーザが行った運動、処方薬の服薬状況、ユーザが自ら測定した体重、血圧、血糖値(HbA1C値)、及び体調の7種類の情報について、ログデータとして登録を受け付ける。 For example, the log registration screen includes a meal tab 51, a medication tab 52, an exercise tab 53, and a home measurement tab 54. The user terminal 2 switches the screen according to the operation input to each tab, and accepts registration of various log data. In the present embodiment, the user terminal 2 has seven types of meals taken by the user, exercises performed by the user, prescription drug taking status, weight, blood pressure, blood sugar level (HbA1C value), and physical condition measured by the user. The information is registered as log data.
 例えば食事について登録を受け付ける場合、ユーザ端末2はユーザによる撮像操作に従って食事風景を撮像し、撮像画像をサーバ1にアップロードする。また、ユーザ端末2は食事メニューのテキスト入力を受け付け、同様にアップロードする。サーバ1は、アップロードされたログデータをユーザIDと対応付けてユーザDB141に記憶する。 For example, when registration of a meal is received, the user terminal 2 captures an image of a meal scene in accordance with an imaging operation performed by the user, and uploads the captured image to the server 1. In addition, the user terminal 2 accepts the text input of the meal menu and uploads the same. The server 1 stores the uploaded log data in the user DB 141 in association with the user ID.
 なお、ログデータは上記の情報に限定されず、例えば飲酒量、喫煙状況、中性脂肪値、コレステロール値等、その他の情報を含んでもよい。また、例えばログデータはユーザが手動入力するものに限定されず、例えば上記の歩数のように、ユーザ端末2が自動取得可能なものであってもよい。 Note that the log data is not limited to the above information, and may include other information such as, for example, an amount of alcohol consumed, a smoking situation, a triglyceride level, and a cholesterol level. Further, for example, log data is not limited to data manually input by the user, and may be data that can be automatically acquired by the user terminal 2 such as the number of steps described above.
 図9は、ログ確認画面の一例を示す説明図である。ユーザ端末2は、図6のホーム画面のログ確認ボタン47への操作入力に応じて、ログ確認画面に遷移する。ログ確認画面は、ログ登録画面で入力されたログデータを編集して表示する画面であり、ユーザによるセルフケアの実績を示すサマリ(実績情報)を表示する画面である。 FIG. 9 is an explanatory diagram showing an example of the log confirmation screen. The user terminal 2 transits to a log confirmation screen in response to an operation input to the log confirmation button 47 on the home screen in FIG. The log confirmation screen is a screen for editing and displaying log data input on the log registration screen, and is a screen for displaying a summary (actual information) indicating the results of self-care performed by the user.
 図9ではログ確認画面の一例として、ユーザの体重、運動状況、及び摂取カロリーを表示するログ確認画面を図示している。図9のログ確認画面では、上側に体重の時系列変化を示すグラフを、中央に最も頻度が高かった運動を示すアイコンを、下側に摂取カロリー及び歩数の時系列変化を示すグラフを表示する。ユーザ端末2は、ユーザDB141に格納されているログデータを参照して、上記の各種データをサマリとして表示する。 FIG. 9 illustrates a log confirmation screen that displays the weight, exercise status, and calorie intake of the user as an example of the log confirmation screen. In the log confirmation screen of FIG. 9, a graph showing the time-series change in weight is displayed on the upper side, an icon indicating the most frequent exercise is displayed in the center, and a graph showing the time-series change in the calorie intake and the number of steps are displayed on the lower side. . The user terminal 2 refers to the log data stored in the user DB 141 and displays the above various data as a summary.
 ユーザ端末2は、ユーザからの操作入力に応じてログ確認画面を遷移し、他のログデータに関してもサマリを表示する。図示は省略するが、例えばユーザ端末2は、各月に病院で検査したHbA1C、血圧、中性脂肪等の検査値の時系列変化を示すグラフ、図8のログ登録画面で入力した食事メニューにおける炭水化物、タンパク質、脂質等の各栄養素の内訳を示すグラフ等を表示する。なお、サマリの表示態様はグラフやアイコンに限定されず、例えば表形式などであってもよい。さらに、ログ確認画面は性格タイプに応じて、表示方法を変えてもよい。例えば、他人と競争することによりやる気が出るタイプには順位を表示、具体的な数値目標があればやる気が出るタイプには目標値に対する到達率を表示してもよい。このように、ユーザはログ確認画面においてログデータを確認し、自らの行動及び状態について振り返ることができ、セルフケアを継続するインセンティブを得ることもできる。 (4) The user terminal 2 transits the log confirmation screen in response to an operation input from the user, and displays a summary of other log data. Although illustration is omitted, for example, the user terminal 2 displays a graph showing time-series changes of test values of HbA1C, blood pressure, triglyceride, etc., which were inspected at the hospital in each month, and a meal menu input on the log registration screen of FIG. A graph showing the breakdown of each nutrient such as carbohydrate, protein, lipid and the like is displayed. The display mode of the summary is not limited to a graph or an icon, and may be, for example, a table format. Further, the display method of the log confirmation screen may be changed according to the personality type. For example, a rank may be displayed for a type that is motivated by competing with another person, and an achievement rate to a target value may be displayed for a type that is motivated if there is a specific numerical goal. As described above, the user can check the log data on the log check screen, reflect on his / her own behavior and state, and obtain an incentive to continue self-care.
 図10A、Bは、トライ設定画面の一例を示す説明図である。ホーム画面で目標確認ボタン45又は変更ボタン441への操作入力を受け付けた場合、ユーザ端末2は、図10Aに示すトライ設定画面に遷移する。トライ設定画面は、ユーザが実施するトライを設定するための画面である。 FIGS. 10A and 10B are explanatory diagrams showing an example of the try setting screen. When the operation input to the target confirmation button 45 or the change button 441 is received on the home screen, the user terminal 2 transits to the try setting screen shown in FIG. 10A. The try setting screen is a screen for setting a try to be performed by the user.
 ユーザ端末2はサーバ1と通信を行い、課題テーブル142において、ユーザに課された目標に対応付けられている複数のトライを、ユーザが実施するトライの候補としてトライ設定画面に表示する。例えばユーザの目標が「食事量」である場合、「食事を記録しよう」、「体重を測ってみよう」、「間食を記録しよう」などの各種トライが表示される。 (4) The user terminal 2 communicates with the server 1 and displays a plurality of tries associated with the target imposed on the user in the assignment table 142 on the try setting screen as candidates for a try to be performed by the user. For example, when the user's goal is “meal size”, various tries such as “let's record meals”, “let's measure weight”, and “let's record snacks” are displayed.
 ユーザ端末2は、トライ設定画面に表示した複数のトライの候補から、ユーザが実施する一又は複数のトライを選択する選択入力を受け付ける。トライの選択入力を受け付けた後、ユーザ端末2は図10Bのトライ設定画面に遷移し、選択されたトライについて、詳細な条件設定を受け付けることができる。例えば自分の付近に食べ物を置かないことがトライとして設定された場合、さらにユーザ端末2は、食べ物の置き場所をどこに変更するか入力を受け付ける。このように、ユーザ毎にカスタマイズしたトライを設定可能にすることで、ユーザにとって実際に行うべき行動が明確化され、より適切なセルフケアを実施可能となる。 The user terminal 2 receives a selection input for selecting one or a plurality of tries to be performed by the user from a plurality of try candidates displayed on the try setting screen. After accepting the selection input of the try, the user terminal 2 transits to the try setting screen of FIG. 10B, and can receive detailed condition settings for the selected try. For example, in a case where it is set as a try not to put food near the user, the user terminal 2 further receives an input as to where to change the place to put food. In this way, by making it possible to set a try customized for each user, the action to be actually performed for the user is clarified, and more appropriate self-care can be performed.
 図11A、Bは、トライ評価画面の一例を示す説明図である。ホーム画面で評価ボタン442への操作入力を受け付けた場合、ユーザ端末2はトライ評価画面に遷移する。トライ評価画面は、トライの達成状況に関するユーザの自己評価の入力を受け付けるための画面である。 FIGS. 11A and 11B are explanatory diagrams showing an example of the try evaluation screen. When an operation input to the evaluation button 442 is received on the home screen, the user terminal 2 transits to a try evaluation screen. The try evaluation screen is a screen for accepting an input of a user's self-evaluation regarding the achievement status of the try.
 例えばユーザ端末2は、図11Aのトライ評価画面において、トライを達成したか否か、複数段階で自己評価の入力を受け付ける。なお、図11Aでは達成の可否について二段階で入力を受け付けているが、三段階以上で自己評価の入力を受け付けるようにしてもよい。 {For example, the user terminal 2 accepts an input of a self-evaluation in a plurality of stages on the try evaluation screen of FIG. In FIG. 11A, input of whether or not the achievement is possible is received in two stages, but input of self-evaluation may be received in three or more stages.
 さらにユーザ端末2は、自己評価を行ったトライ、つまり実施済みのトライに関して、当該トライを継続する意思があるか否か、ユーザの継続意思に関する入力を受け付ける。例えばユーザ端末2は、全てのトライについて達成状況の自己評価を完了後、図11Bのトライ評価画面に遷移する。ユーザ端末2は当該画面上で、トライを継続する意欲があるか否か、二者択一で選択入力を受け付ける。なお、ユーザのトライ継続意思に関しても、入力手法は二者択一に限定されないことは勿論である。 Furthermore, the user terminal 2 receives an input regarding the user's intention to continue whether or not the user has performed the self-evaluation, that is, the executed trial, whether or not the user has an intention to continue the trial. For example, after completing the self-evaluation of the achievement status for all the tries, the user terminal 2 transits to the try evaluation screen of FIG. 11B. The user terminal 2 accepts a selection input on the screen as to whether or not the user terminal 2 is willing to continue the try. It should be noted that the user's intention to continue the try is not limited to the input method of course.
 トライの自己評価を完了後、ユーザ端末2は、ユーザのトライの達成状況、各種パラメータの変化等に基づいて、優先順位を変え、次のトライ設定に反映させる。 (4) After completing the self-evaluation of the try, the user terminal 2 changes the priority based on the user's achievement of the try, changes in various parameters, and the like, and reflects the priority in the next try setting.
 ユーザ端末2は、トライの達成状況やユーザの継続意思に応じてトライ候補の優先順位を決定してリコメンドし、ユーザが実施するトライの設定入力を受け付ける。これにより、ユーザが次に取り組むトライが設定され、ユーザは当該トライに取り組むことになる。単にトライの達成又は未達成だけでなく、ユーザの意思も考慮してトライを設定していくことで、セルフケアへの意欲低下を防止することができる。 The user terminal 2 determines and recommends the priority of the try candidates in accordance with the achievement status of the try and the user's intention to continue, and accepts the setting input of the try performed by the user. As a result, a try to be performed next by the user is set, and the user works on the try. By setting a try in consideration of not only the achievement or non-achievement of the try but also the intention of the user, it is possible to prevent a decrease in the motivation for self-care.
 このように、ユーザは日々の生活習慣に関するログデータをユーザ端末2に記録すると共に、ユーザ端末2に表示されたトライを実施して糖尿病の改善を図る。その他に、ユーザ端末2は初診時に登録された処方薬のデータに従い、処方薬を服薬するよう所定のタイミングで通知を行う。そしてユーザは、以下のように次回の診察の予約日前にセルフケアの目標を達成できたかどうか達成度を入力し、セルフケアの振り返りを行う。 As described above, the user records the log data on the daily habits on the user terminal 2 and performs a trial displayed on the user terminal 2 to improve diabetes. In addition, the user terminal 2 gives a notification at a predetermined timing to take the prescription drug according to the data of the prescription drug registered at the time of the first consultation. Then, the user inputs the degree of achievement as to whether or not the self-care goal has been achieved before the appointment date of the next consultation as described below, and looks back on the self-care.
 図12は、目標評価画面の一例を示す説明図である。目標評価画面は、セルフケアの目標の達成状況に関してユーザが自己評価を行うための入力画面である。例えばユーザ端末2は、再診予約日から所定期間前(例えば数日前)に目標評価画面を表示し、一ヶ月のセルフケア期間で目標をどの程度達成したか、ユーザによる自己評価の入力を受け付ける。例えば図12に示すように、ユーザ端末2は10段階で目標の達成度の評価入力を受け付ける。 FIG. 12 is an explanatory diagram showing an example of the target evaluation screen. The goal evaluation screen is an input screen for the user to perform a self-evaluation on the achievement status of the self-care goal. For example, the user terminal 2 displays a target evaluation screen a predetermined period (for example, a few days before) from the reconfirmation appointment date, and receives a user's self-evaluation input indicating how much the target has been achieved during the one-month self-care period. For example, as shown in FIG. 12, the user terminal 2 receives an evaluation input of the degree of achievement of the target in ten steps.
 図13は、再診時の目標設定処理に関する説明図である。図13では、再診時の処理を概念的に図示している。図13に基づき、再診時の処理の概要を説明する。
 ユーザ端末2は予約日前に、図12で説明した目標の達成度の入力を受け付けるほかに、ユーザに対して糖尿病に関する再問診を行い、問診情報を再取得する。図示は省略するが、ユーザ端末2は図5と同様の問診画面を表示し、回答の入力を受け付ける。ユーザ端末2は、初診時と同様に食習慣、運動習慣、喫煙習慣等の全ての問診項目について再問診を行ってもよいが、ユーザの入力作業を簡略化するため、初診時に特定された課題に関連する問診項目についてのみ再問診を行うこともできる。
FIG. 13 is an explanatory diagram relating to the target setting process at the time of re-examination. FIG. 13 conceptually illustrates the process at the time of re-examination. The outline of the process at the time of re-examination will be described with reference to FIG.
The user terminal 2 accepts the input of the degree of achievement of the goal described with reference to FIG. 12 before the appointment day, and also performs a re-examination on diabetes for the user and acquires the inquiry information again. Although not shown, the user terminal 2 displays an inquiry screen similar to that of FIG. 5 and accepts input of an answer. The user terminal 2 may perform a re-inquiry on all the inquiry items such as eating habits, exercise habits, and smoking habits in the same manner as in the first consultation. However, in order to simplify the input operation of the user, the tasks specified in the first consultation It is also possible to carry out a re-examination only for an inquiry item related to.
 また、ユーザ端末2は、前回(初診時)設定された目標、すなわち現在の目標について行動変容レベルに関するアンケートを表示する。ユーザ端末2は、初診時と同じく5段階で回答の入力を受け付ける。 {Circle around (2)} The user terminal 2 displays a questionnaire on the behavior change level for the target set at the previous time (at the first consultation), that is, the current target. The user terminal 2 accepts an input of a response in five steps as in the case of the first consultation.
 また、ユーザ端末2は、現在設定されている目標以外に、取り組みたい他の目標を問う行動変容レベルのアンケートを表示する。ユーザ端末2は、取り組みたい他の目標、すなわち実施意欲を有する他の目標について回答の入力を受け付ける。 {Circle around (4)} The user terminal 2 displays a questionnaire of the behavior change level inquiring about other goals to be worked on in addition to the currently set goals. The user terminal 2 receives an input of an answer for another goal that the user wants to work on, that is, another goal that is motivated to perform.
 上述の如く、ユーザはセルフケア期間中にログデータの入力、トライの確認、自己評価などを順次行い、再診の予約日前に目標達成度の入力、再問診に係る問診情報の入力を行う。ユーザ端末2において入力された各種情報はサーバ1に転送され、ユーザDB141に格納される。 As described above, during the self-care period, the user sequentially performs input of log data, confirmation of a trial, self-evaluation, and the like, input of the degree of achievement of the goal, and input of interview information related to the re-interview before the appointment of the re-examination. Various information input at the user terminal 2 is transferred to the server 1 and stored in the user DB 141.
 サーバ1は、予約日から所定期間前(例えば予約日前日)に、ユーザDB141に格納されたログデータ、問診情報等を医療者端末3に出力し、セルフケアに関連する情報を医療者に事前共有する。例えばサーバ1は、図9のログ確認画面と同様に、体重、摂取カロリーを集計したグラフ等、セルフケア期間中のログデータを集計等したサマリを生成して医療者端末3に出力する。また、サーバ1は、再問診結果などを医療者端末3に出力する。これにより、医療者は診察前にユーザの現状を把握可能となる。 The server 1 outputs the log data, the inquiry information, and the like stored in the user DB 141 to the medical technician terminal 3 a predetermined period before the appointment date (for example, the day before the appointment day), and pre-shares information related to self-care to the medical technician. I do. For example, similar to the log confirmation screen in FIG. 9, the server 1 generates a summary in which log data during the self-care period is totaled, such as a graph in which weight and calorie intake are totaled, and outputs the summary to the medical technician terminal 3. Further, the server 1 outputs the re-examination result and the like to the medical technician terminal 3. Thereby, the medical technician can grasp the current state of the user before consultation.
 予約日にユーザは病院へ来院し、再診を受ける。例えば初診時と同じく、ユーザはHbA1C、血圧等の各種検査を受ける。初診時と同じく、サーバ1はユーザ端末2、医療者端末3等を介して再診時の生体情報を取得する。 ユ ー ザ The user visits the hospital on the appointment day and receives a re-examination. For example, the user undergoes various tests such as HbA1C and blood pressure as in the first consultation. As at the time of the first consultation, the server 1 acquires the biological information at the time of the re-examination via the user terminal 2, the medical technician terminal 3, and the like.
 なお、例えばユーザは外部の検査機関等で事前に検査を受け、サーバ1は再診前に生体情報を取得するようにしてもよい。これにより、生体情報についても病院側に事前共有が可能となる。 Note that, for example, the user may be subjected to an examination in advance at an external examination organization or the like, and the server 1 may acquire the biological information before re-examination. As a result, the biological information can be shared in advance with the hospital.
 サーバ1は、ユーザ端末2において事前に入力された再問診結果(問診情報)、及び再診時の生体情報等に基づいてユーザの課題を特定し、医療者端末3に出力する。具体的な処理内容は初診時と同様なので、課題の特定手法については詳細な説明は省略する。医療者端末3は、再問診結果、再診時の検査結果等から特定した課題を療養指導画面の「生活習慣サマリ」に表示する。 The server 1 specifies the user's task based on the re-examination result (inquiry information) input in the user terminal 2 in advance, the biological information at the time of the re-examination, and outputs the problem to the medical technician terminal 3. Since the specific processing content is the same as that at the time of the first consultation, detailed description of the technique for identifying the task is omitted. The medical technician terminal 3 displays the problem specified from the re-examination result, the test result at the re-examination, and the like in the “Summary of lifestyle” on the medical treatment guidance screen.
 また、サーバ1は上記の情報のほかに、ユーザが自己評価した目標及びトライの達成状況を医療者端末3に出力する。具体的には図13に示すように、医療者端末3は、前回(初診時)の目標、行動変容レベルのほかに、ユーザが入力した目標の達成度、及びユーが実施した各トライの達成又は未達成を療養指導画面に表示する。 {Circle around (1)} In addition to the above information, the server 1 outputs to the medical technician terminal 3 the goal that the user has self-evaluated and the achievement status of the trial. Specifically, as shown in FIG. 13, the medical technician terminal 3 displays the achievement level of the goal input by the user and the achievement of each try performed by the user in addition to the goal (the time of the first consultation) and the behavior change level. Or display the unachieved on the medical treatment guidance screen.
 次に、指導目標の再設定処理について説明する。本実施の形態においてサーバ1は、再診時に検査したHbA1C値、ユーザが自己評価した前回の目標の達成度、前回設定された目標のレベル、再問診の回答として取得した前回の目標に対する実施意欲、他に取り組みたい目標等に応じて、次に課すべき目標を特定し、医療者にリコメンドする。具体的には、サーバ1は各種情報に応じて次に課すべき一又は複数の目標を特定すると共に、当該一又は複数の目標それぞれの優先順位を決定し、医療者に提示する。 (5) Next, the guidance target resetting process will be described. In the present embodiment, the server 1 determines the HbA1C value inspected at the re-examination, the degree of achievement of the previous goal self-evaluated by the user, the level of the previously set goal, the motivation to execute the previous goal acquired as a response to the re-examination Identify goals to be set next according to other goals to be addressed, etc., and recommend them to medical professionals. Specifically, the server 1 specifies one or more goals to be imposed next according to various types of information, determines the priority of each of the one or more goals, and presents the priority to the medical staff.
 サーバ1は、HbA1C等の生体情報、セルフケア行動目標の達成状況、トライの達成状況、行動変容レベル、問診結果、その他アプリケーション上で取得可能な生活情報に基づき、前回設定した目標の継続か更新(変更)か、更新の場合はその優先順位も含めて医療者又はユーザにリコメンドする。サーバ1は医療者端末3等を介して、ユーザが次のセルフケア期間において取り組む目標の設定入力を受け付ける。なお、医療者及びユーザはサーバ1からのリコメンドに従ってもよいし、従わずに独自に目標設定することもできる。 The server 1 continues or updates the previously set goal based on the biological information such as HbA1C, the achievement status of the self-care action goal, the achievement status of the trial, the behavior change level, the inquiry result, and other life information that can be obtained on the application ( (Change) or, in the case of update, recommendation to the medical physician or user including the priority order. The server 1 receives, via the medical technician terminal 3 or the like, a setting input of a target to be worked on by the user in the next self-care period. The medical physician and the user may follow the recommendation from the server 1 or may set their own goals without following the recommendation.
 また、サーバ1は、再診時に取得した生体情報等に基づき、ユーザへの診療方針に関するリコメンドを生成して医療者端末3に再出力する。具体的には、サーバ1は、HbA1c、体重等の検査値について、前回診察時からの経時的変化に基づいて糖尿病の改善傾向を判定し、診療方針をリコメンドする。例えばサーバ1は、各検査値の増減に応じて糖尿病の改善傾向を判定し、判定した改善傾向に応じて、処方すべき薬を変更すべきか否か、増量すべきか否かなど、処方薬に関する推奨案及び非推奨案を生成して医療者端末3に出力する。 {Circle around (1)} Based on the biological information and the like acquired at the time of re-examination, the server 1 generates a recommendation regarding a medical treatment policy for the user and re-outputs the recommendation to the medical technician terminal 3. Specifically, the server 1 determines the improvement tendency of diabetes based on the change over time from the previous consultation with respect to the test values such as HbA1c and weight, and recommends a medical treatment policy. For example, the server 1 determines the improvement tendency of diabetes according to the increase or decrease of each test value, and determines whether the medicine to be prescribed should be changed or should be increased according to the determined improvement tendency. A recommended plan and a non-recommended plan are generated and output to the medical technician terminal 3.
 以上より、再診時に前もってユーザのログデータ、再問診結果等を共有することで、糖尿病の定期健診に伴う医療者の業務効率化を図ることができる。また、前回からのHbA1C値の変動、ユーザが自己評価した目標の達成度等に応じて次のセルフケアの目標をリコメンドすることで、医療者は適切な目標を容易に設定可能となり、さらなる効率化を図ることができる。 From the above, by sharing the log data of the user, the result of the re-examination, etc. in advance at the time of the re-examination, it is possible to improve the work efficiency of the medical staff associated with the periodic medical examination for diabetes. In addition, by recommending the next self-care target according to the fluctuation of the HbA1C value from the previous time, the achievement level of the user's self-evaluated target, etc., the medical physician can easily set an appropriate target and further improve efficiency. Can be achieved.
 図14は、セルフケアシステムが実行する処理手順の一例を示すフローチャートである。なお、セルフケアシステムが実行する処理手順は図14に示すフローチャートに限定されるものではなく、図14に示すフローチャートは一例に過ぎないことは勿論である。ここでは、図14に基づき、セルフケアシステムが実行する処理内容について説明する。
 サーバ1の制御部11は、例えばユーザ端末2を介して、ユーザに対して生活習慣に関する問診を行った問診情報を取得する(ステップS11)。問診情報は、ユーザの年齢、性別、既往歴等の糖尿病に関連した一般的な問診の回答に加え、行動変容レベルに係るアンケート、診療に関する心理的負担感等を問うアンケートの回答を含む。
FIG. 14 is a flowchart illustrating an example of a processing procedure executed by the self-care system. Note that the processing procedure executed by the self-care system is not limited to the flowchart illustrated in FIG. 14, and the flowchart illustrated in FIG. 14 is, of course, only an example. Here, based on FIG. 14, the contents of processing executed by the self-care system will be described.
The control unit 11 of the server 1 obtains, via, for example, the user terminal 2, medical inquiry information on a user's lifestyle-related medical inquiry (step S <b> 11). The questionnaire information includes, in addition to answers to general questionnaires related to diabetes such as the age, gender, and past history of the user, a questionnaire regarding a behavior change level, a questionnaire asking a psychological burden regarding medical treatment, and the like.
 制御部11は、ユーザの生体を検査した生体情報を取得する(ステップS12)。生体情報は、例えば病院で検査した検査値であり、HbA1c、血圧、中性脂肪等の検査値を含む。制御部11は、ステップS11で取得した問診情報と、ステップS12で取得した生体情報とに基づき、ユーザの生活習慣の課題を特定して、セルフケアの指導目標と、生活習慣病の診療方針とに関する推奨情報を生成して医療者端末3に出力するリコメンド処理のサブルーチンを実行する(ステップS13)。例えば制御部11は、複数の指導目標の候補を医療者端末3に出力し、セルフケアを指導する医療者に対して提示する。また、制御部11は、ユーザの生体情報等に基づき、処方薬等に関するリコメンドを生成して、医療者に対して提示する。 The control unit 11 acquires biological information obtained by examining the living body of the user (step S12). The biological information is, for example, a test value inspected in a hospital and includes test values such as HbA1c, blood pressure, and neutral fat. The control unit 11 identifies a lifestyle problem of the user based on the medical inquiry information acquired in step S11 and the biological information acquired in step S12, and relates to a self-care guidance target and a medical treatment policy for lifestyle-related diseases. A recommendation processing subroutine for generating recommended information and outputting the generated recommended information to the medical technician terminal 3 is executed (step S13). For example, the control unit 11 outputs a plurality of guidance target candidates to the medical technician terminal 3 and presents them to a medical physician who instructs self-care. In addition, the control unit 11 generates a recommendation regarding a prescription drug and the like based on the biological information of the user and presents the recommendation to a medical professional.
 制御部11は医療者端末3を介して、ユーザに対する指導目標を設定する設定入力を受け付ける(ステップS14)。具体的には、制御部11は上記で出力した複数の指導目標の候補から選択入力を受け付ける。制御部11は、設定された目標をユーザDB141に格納(登録)する。 The control unit 11 receives a setting input for setting a guidance target for the user via the medical technician terminal 3 (step S14). Specifically, the control unit 11 receives a selection input from a plurality of guidance target candidates output as described above. The control unit 11 stores (registers) the set target in the user DB 141.
 制御部11は、ステップS14で設定した指導目標に応じて設定されたトライ(課題行動)をユーザ端末2に出力し、トライの実施をユーザに促すセルフケアのサブルーチンを実行する(ステップS15)。制御部11は、ユーザに対してセルフケアの目標を設定し、セルフケアを開始してから所定期間が経過したか否かを判定する(ステップS16)。所定期間が経過していないと判定した場合(S16:NO)、制御部11は処理をステップS15に戻す。 The control unit 11 outputs the try (task action) set in accordance with the guidance target set in step S14 to the user terminal 2, and executes a self-care subroutine that prompts the user to perform the try (step S15). The control unit 11 sets a self-care target for the user, and determines whether a predetermined period has elapsed since the start of the self-care (step S16). When it is determined that the predetermined period has not elapsed (S16: NO), the control unit 11 returns the process to step S15.
 所定期間が経過したと判定した場合(S16:YES)、制御部11は、ユーザ端末2を介して、指導目標の達成状況に関する自己評価、生活習慣に関する再問診に係る問診情報等を取得する(ステップS17)。ステップS17で行う取得する問診情報は、例えばステップS11と同様の問診内容のほか、現在設定されている指導目標に対する実施意欲(行動変容レベル)、及び現在設定されている指導目標以外の目標に対する実施意欲を判定するための行動変容レベルのアンケートへの回答を含む。制御部11は、ステップS15のサブルーチンで取得するセルフケア期間中のログデータのサマリ(実績情報)、ステップS17で取得した再問診に係る問診情報等を医療者端末3に出力して再診前に医療者に共有し(ステップS18)、処理をステップS12に戻す。 When it is determined that the predetermined period has elapsed (S16: YES), the control unit 11 obtains, via the user terminal 2, self-evaluation on the achievement status of the guidance target, inquiry information on the re-interview about lifestyle, and the like ( Step S17). The inquiry information acquired in step S17 includes, for example, the contents of the inquiry similar to that in step S11, the will to perform for the currently set guidance target (behavior change level), and the implementation for the target other than the currently set guidance target. Includes responses to questionnaire on behavior change level to determine motivation. The control unit 11 outputs the summary (actual information) of the log data during the self-care period acquired in the subroutine of step S15, the inquiry information related to the re-examination acquired in step S17 to the medical technician terminal 3, and before the re-examination. The information is shared with the medical staff (step S18), and the process returns to step S12.
 図15は、リコメンド処理のサブルーチンの処理手順を示すフローチャートである。図15に基づき、ステップS13のサブルーチンの処理内容について説明する。
 サーバ1の制御部11は、ステップS12で取得した生体情報から、予め設定された正常値を外れた異常値を示す注意すべき検査値(生体情報)を特定する(ステップS31)。制御部11は、特定した注意すべき検査値のほか、食習慣に関する問診結果などに基づき、ユーザに指示すべき食事の栄養量を算出して医療者端末3に出力し、医療者にリコメンドする(ステップS32)。例えば制御部11は、食事量(総量)、各種栄養素のエネルギー配分等を算出し、医療者端末3に出力する。
FIG. 15 is a flowchart illustrating a processing procedure of a subroutine of the recommendation processing. The processing content of the subroutine of step S13 will be described with reference to FIG.
The control unit 11 of the server 1 specifies a test value (biological information) to be noted indicating an abnormal value that deviates from a preset normal value from the biological information acquired in step S12 (step S31). The control unit 11 calculates the nutrient amount of the meal to be instructed to the user based on the specified test value to be noted, the result of the inquiry about the eating habits, and the like, outputs the calculated nutrient to the medical technician terminal 3, and recommends the medical technician. (Step S32). For example, the control unit 11 calculates a meal amount (total amount), energy distribution of various nutrients, and the like, and outputs the calculated amount to the medical technician terminal 3.
 制御部11は、医療者端末3を介して指示栄養量の設定入力を受け付ける(ステップS33)。制御部11は、ステップS33で設定された指示栄養量、及び問診情報に含まれる運動習慣、喫煙習慣の問診結果などに基づき、糖尿病に関するユーザの課題を特定する(ステップS34)。 The control unit 11 receives the setting input of the indicated nutrient amount via the medical technician terminal 3 (Step S33). The control unit 11 specifies the user's problem related to diabetes based on the indicated nutrient amount set in step S33, the exercise habit, the smoking habit inquiry result included in the inquiry information, and the like (step S34).
 制御部11は、セルフケアに対するユーザの実施意欲を判定するためのアンケートの回答結果(問診情報)に基づき、ユーザに課す指導目標のレベル(難易度)を決定する(ステップS35)。例えば制御部11は、行動変容レベルに係るアンケートへの回答結果からユーザが属する行動変容レベル(実施意欲)を判定し、判定した行動変容レベルに応じて指導目標のレベルを決定する。制御部11は、ステップS34で特定した課題に対応する指導目標であって、ステップS35で決定したレベルの指導目標と、HbA1c、体重等の検査値(生体情報)に応じた診療方針とに関する推奨情報を医療者端末3に出力し、医療者にリコメンドする(ステップS36)。制御部11はサブルーチンをリターンする。 The control unit 11 determines the level (difficulty) of the guidance target to be imposed on the user based on the answer result (interview information) of the questionnaire for determining the user's willingness to perform self-care (step S35). For example, the control unit 11 determines the behavior change level (willingness to perform) to which the user belongs from the response result to the questionnaire regarding the behavior change level, and determines the level of the guidance target according to the determined behavior change level. The control unit 11 recommends the guidance target corresponding to the task specified in step S34, the guidance target at the level determined in step S35, and the medical treatment policy according to the test values (biological information) such as HbA1c and weight. The information is output to the medical technician terminal 3 and recommended to the medical technician (step S36). The control unit 11 returns the subroutine.
 図16は、セルフケアのサブルーチンの処理手順を示すフローチャートである。図16に基づき、ステップS15のサブルーチンの処理内容について説明する。
 ユーザ端末2の制御部21は、セルフケアに関する種々の情報をユーザに案内するキャラクタの設定入力を受け付ける(ステップS51)。例えば制御部21は、キャラクタの容姿、性格、衣装等について設定入力を受け付ける。なお、すでに設定済みである場合、制御部21はステップS51をスキップする。また、特にユーザが設定を希望しない場合は設定をスキップすることもできる。
FIG. 16 is a flowchart showing a processing procedure of a subroutine of self-care. The processing content of the subroutine of step S15 will be described with reference to FIG.
The control unit 21 of the user terminal 2 accepts a setting input of a character that guides the user to various information related to self-care (step S51). For example, the control unit 21 receives a setting input regarding the appearance, character, costume, and the like of the character. If the setting has already been made, the control unit 21 skips step S51. In addition, the setting can be skipped particularly when the user does not want the setting.
 制御部21は、指導目標に応じたトライ(課題行動)を含むホーム画面を表示する(ステップS52)。ホーム画面は、ユーザが現在実施すべき一又は複数のトライのほか、ログ登録画面へ遷移するためのログ登録ボタン46等を含む。制御部21はホーム画面に各種情報を表示すると共に、ステップS51で設定されたキャラクタを表示し、当該キャラクタを介してアドバイス、応援コメント等を提示する。 (4) The control unit 21 displays a home screen including a try (task action) according to the instruction target (step S52). The home screen includes a log registration button 46 for transitioning to a log registration screen, in addition to one or more tries to be currently performed by the user. The control unit 21 displays various information on the home screen, displays the character set in step S51, and presents advice, support comments, and the like via the character.
 制御部21はログ登録画面に遷移し、セルフケア期間中のユーザの行動又は状態に関するログデータ(記録情報)の入力を受け付ける(ステップS53)。ログデータは、食事、運動、服薬状況等に関する記録であり、糖尿病に関連するユーザの自己管理記録である。制御部21は、入力されたログデータをサーバ1に送信してユーザDB141に記憶させる。 The control unit 21 transits to the log registration screen and accepts input of log data (recording information) relating to the user's action or state during the self-care period (step S53). The log data is a record related to a meal, exercise, medication, and the like, and is a self-management record of a user related to diabetes. The control unit 21 transmits the input log data to the server 1 and stores the log data in the user DB 141.
 制御部21は、ユーザに課された指導目標に対応付けられた複数のトライを候補として表示する(ステップS54)。制御部21は、表示した複数のトライ候補から実施するトライを選択する選択入力を受け付ける(ステップS55)。 The control unit 21 displays a plurality of trials associated with the guidance target imposed on the user as candidates (step S54). The control unit 21 receives a selection input for selecting a trial to be executed from the displayed plurality of trial candidates (step S55).
 制御部21はログ確認画面に遷移し、セルフケアの実績を示すログデータのサマリ(実績情報)を表示する。(ステップS56)。例えば制御部21は、各種ログデータを集計したグラフ等を表示する。 (4) The control unit 21 transitions to a log confirmation screen and displays a summary (actual information) of the log data indicating the actual result of the self-care. (Step S56). For example, the control unit 21 displays a graph or the like in which various types of log data are totaled.
 制御部21は、実施中のトライの達成状況に関してユーザの自己評価の入力を受け付ける(ステップS57)。制御部21は、ステップS57で入力されたトライの達成状況に応じて、次に取り組むべきトライの候補を表示し、ユーザから選択入力を受け付けて次のトライを設定するトライ再設定処理を行う(ステップS58)。制御部21は、サブルーチンをリターンする。 The control unit 21 receives an input of the user's self-evaluation regarding the achievement status of the trial being executed (step S57). The control unit 21 performs a try resetting process of displaying the candidate of the next try to be tackled in accordance with the achievement status of the try input in step S57, accepting a selection input from the user, and setting the next try ( Step S58). Control unit 21 returns the subroutine.
 なお、本実施の形態ではユーザ(患者)が医療者の指導(診断)を受けることを前提に説明を行ったが、医療者による指導の要否も含めて判定を行うようにしてもよい。例えばサーバ1は、ユーザの生体情報から注意すべき検査値(異常値)が抽出されなかった場合、医療者による指導は不要と判定する。この場合、サーバ1は指導不要の旨をユーザ端末2及び医療者端末3に通知する。これにより、治療を優先すべきユーザをフィルタリングすることができ、両者の負担を軽減することができる。 In the present embodiment, the explanation has been given on the assumption that the user (patient) receives guidance (diagnosis) from a medical technician. However, the determination may be made including the necessity of guidance from a medical technician. For example, if no test value (abnormal value) to be noted is extracted from the biological information of the user, the server 1 determines that guidance by a medical technician is unnecessary. In this case, the server 1 notifies the user terminal 2 and the medical technician terminal 3 that guidance is unnecessary. As a result, it is possible to filter the users who should give priority to the treatment, and reduce the burden on both.
 以上より、本実施の形態によれば、問診情報及び生体情報に基づいてセルフケアの指導目標を定め、指導目標を達成するための具体的な課題行動(トライ)をユーザに提示する。これにより、生活習慣病の改善又は予防のためのセルフケア(自己管理)に取り組むユーザを支援することができる。 As described above, according to the present embodiment, a guidance target for self-care is determined based on medical inquiry information and biological information, and a specific task action (trial) for achieving the guidance target is presented to the user. Thereby, it is possible to support a user who works on self-care (self-management) for improving or preventing lifestyle-related diseases.
 また、本実施の形態によれば、複数のトライの候補から実際に行うトライをユーザに選択させる。好適には、選択したトライの詳細をユーザに設定させ、具体的な行動内容を規定させると良い。ユーザは、ユーザ本人の意向により、トライを選択することができる。 According to the present embodiment, the user is caused to select a trial to be actually performed from a plurality of trial candidates. Preferably, the user is allowed to set the details of the selected try and to specify specific action details. The user can select a try according to the user's intention.
 また、本実施の形態によれば、トライを達成したか否か、トライの達成状況に関する自己評価に応じて次のトライを設定する。好適には、複数のトライの候補それぞれに対して優先順位を定め、優先すべきトライから順にユーザにリコメンドして選択させると良い。トライを達成したか否かに応じて次のトライを選択することで、適切なセルフケアの実施を図ることができる。 According to the present embodiment, the next try is set in accordance with the self-evaluation regarding the achievement status of the try, whether or not the try has been achieved. Preferably, the priority order is determined for each of the plurality of try candidates, and the user is recommended to select in order from the try to be prioritized. By selecting the next try depending on whether or not the try has been achieved, appropriate self-care can be performed.
 また、本実施の形態によれば、トライの達成の可否だけでなく、ユーザ本人の継続意思も考慮して次のトライを設定する。これにより、ユーザ本人の意向を適切に考慮することができる。 According to the present embodiment, the next try is set in consideration of not only the possibility of achieving the try but also the intention of the user to continue. Thereby, the intention of the user himself can be appropriately considered.
 また、本実施の形態によれば、例えば再診の予約日前のように、指導目標を設定してセルフケアを取り組み始めてから所定期間経過後に再問診を行う。サーバ1は、再問診の結果と、ユーザ生体を再検査した生体情報とに基づいて次の目標を設定することで、セルフケアの実施を持続的に支援することができる。 According to the present embodiment, for example, as in the day before the appointment of a re-examination, a re-examination is performed after a lapse of a predetermined period from the start of self-care after setting a guidance target. The server 1 can continuously support the implementation of self-care by setting the next target based on the result of the re-examination and the biological information obtained by re-examining the user's living body.
 また、本実施の形態によれば、ユーザに目標の達成状況(達成度)の自己評価を行わせ、ユーザの自己評価に応じて次の目標を設定する。これにより、セルフケアに取り組んだユーザ本人の達成感も考慮して、同じ目標を継続させるか、課題が類似する目標を行わせるか等、次の目標を適切に設定することができる。 According to the present embodiment, the user is caused to make a self-evaluation on the achievement status (achievement degree) of the goal, and the next goal is set according to the user's self-evaluation. This makes it possible to appropriately set the next goal, such as whether to continue the same goal or perform a goal with a similar task, in consideration of the feeling of achievement of the user who has worked on self-care.
 また、本実施の形態によれば、再診時に次の指導目標の候補をリコメンドする際に、優先順位を付けて目標をリコメンドする。これにより、医療者はユーザに対してどのような指導を行ったら良いか容易に判断することができ、医療者の業務効率化を図ることができる。 According to the present embodiment, when recommending the next guidance target candidate at the re-examination, priorities are set and the target is recommended. Thus, the medical staff can easily determine what kind of guidance should be given to the user, and the medical staff can improve the work efficiency.
 また、本実施の形態によれば、セルフケア期間中のユーザの行動又は状態に関してログデータ(記録情報)をユーザに記録させ、ログデータを集計等してまとめたサマリ(実績情報)を生成してユーザらに提示する。これにより、セルフケアの履歴を適切に管理することができると共に、セルフケアの推移を容易に把握可能となる。 Further, according to the present embodiment, the user records log data (recording information) regarding the behavior or state of the user during the self-care period, and generates a summary (actual information) that summarizes the log data by summing up the log data. Present to users. This makes it possible to appropriately manage the history of self-care and easily grasp the transition of self-care.
 また、本実施の形態によれば、再診の予約日前のように、指導目標を設定してセルフケアを取り組み始めてから所定期間経過後にサマリを医療者と共有する。これにより、病院等の医療機関で医療者自らが問診等を行う時間が削減され、業務効率化を図ることができる。 According to the present embodiment, the summary is shared with the medical profession after a lapse of a predetermined period from the start of self-care after setting the instructional goal, such as a day before an appointment for a reexamination. As a result, the time required for a medical professional to perform an inquiry at a medical institution such as a hospital can be reduced, and work efficiency can be improved.
 また、本実施の形態によれば、本アプリケーション上で目標及びトライの達成状況やログデータに関する入力を受け付けた場合、入力内容に応じてキャラクタの表示制御を行い、アドバイスや応援コメント等をユーザに提示する。これにより、セルフケアを継続するインセンティブをユーザに与えることができる。 Further, according to the present embodiment, when an input regarding the achievement status of the goal and the try and the log data is received on the application, the display control of the character is performed in accordance with the input content, and advice and support comments are provided to the user. Present. This can give the user an incentive to continue self-care.
 今回開示された実施の形態はすべての点で例示であって、制限的なものではないと考えられるべきである。本発明の範囲は、上記した意味ではなく、特許請求の範囲によって示され、特許請求の範囲と均等の意味及び範囲内でのすべての変更が含まれることが意図される。 実 施 The embodiments disclosed this time are illustrative in all aspects and should not be construed as limiting. The scope of the present invention is defined by the terms of the claims, rather than the description above, and is intended to include any modifications within the scope and meaning equivalent to the terms of the claims.
 1   サーバ(情報処理装置)
 11  制御部
 12  主記憶部
 13  通信部
 14  補助記憶部
 P1  プログラム
 141 ユーザDB
 142 課題テーブル
 2   ユーザ端末
 21  制御部
 22  主記憶部
 23  通信部
 24  表示部
 25  入力部
 26  撮像部
 27  補助記憶部
 P2  プログラム
 3   医療者端末
1 server (information processing device)
Reference Signs List 11 control unit 12 main storage unit 13 communication unit 14 auxiliary storage unit P1 program 141 user DB
142 assignment table 2 user terminal 21 control unit 22 main storage unit 23 communication unit 24 display unit 25 input unit 26 imaging unit 27 auxiliary storage unit P2 program 3 medical staff terminal

Claims (15)

  1.  生活習慣病に関連した問診に対するユーザの回答を示す問診情報を取得し、
     前記ユーザの生体情報を取得し、
     前記問診情報及び生体情報に基づき、生活習慣病を改善又は予防するための自己管理の指導目標に関する推奨情報を出力し、
     前記指導目標に応じて、前記ユーザに課す課題行動を設定し、
     設定した前記課題行動を前記ユーザの端末装置に出力する
     処理をコンピュータに実行させることを特徴とする情報処理方法。
    Acquisition of interview information indicating the user's answer to the interview related to lifestyle-related diseases,
    Acquiring the biological information of the user,
    Based on the interview information and biological information, to output recommended information on self-management guidance objectives to improve or prevent lifestyle-related diseases,
    According to the guidance goal, set a task behavior to be imposed on the user,
    An information processing method comprising: causing a computer to execute a process of outputting the set task behavior to a terminal device of the user.
  2.  前記指導目標に応じて、前記ユーザに課す前記課題行動の候補を前記端末装置に複数出力し、
     前記端末装置を介して、複数の前記課題行動の候補から前記ユーザが行う前記課題行動を選択する選択入力を受け付ける
     ことを特徴とする請求項1に記載の情報処理方法。
    According to the guidance target, a plurality of candidates for the task behavior to be imposed on the user are output to the terminal device,
    The information processing method according to claim 1, wherein a selection input for selecting the task action performed by the user from a plurality of the task action candidates is received via the terminal device.
  3.  前記端末装置を介して、前記課題行動の達成状況に関する情報を取得し、
     前記課題行動の達成状況に応じて、前記ユーザに次に課す前記課題行動を設定する
     ことを特徴とする請求項1又は2に記載の情報処理方法。
    Through the terminal device, to obtain information on the achievement status of the task behavior,
    The information processing method according to claim 1, wherein the task action to be imposed next on the user is set according to the achievement status of the task action.
  4.  前記端末装置を介して、前記課題行動の達成状況に関する情報と、前記ユーザが該課題行動を継続する継続意思を有するか否かを示す情報とを取得し、
     前記課題行動の達成状況及び継続意思に応じて、次に課す前記課題行動を設定する
     ことを特徴とする請求項3に記載の情報処理方法。
    Via the terminal device, information about the achievement status of the task action, and information indicating whether the user has a continuation intention to continue the task action,
    The information processing method according to claim 3, wherein the task action to be imposed next is set according to the achievement status and the intention to continue the task action.
  5.  前記問診情報は、前記自己管理の実施意欲を判定するための問診項目を含み、
     前記問診情報から判定される実施意欲に基づき、前記指導目標の難易度を決定し、
     決定した前記指導目標の難易度に応じて前記課題行動を設定する
     ことを特徴とする請求項1~4のいずれか1項に記載の情報処理方法。
    The interview information includes an interview item for determining a willingness to perform the self-management,
    Based on the willingness to be determined from the interview information, determine the difficulty of the guidance target,
    The information processing method according to any one of claims 1 to 4, wherein the task behavior is set according to the determined difficulty level of the guidance target.
  6.  前記指導目標を設定してから所定期間が経過後、再問診に対する前記ユーザの回答を示す前記問診情報を取得し、
     前記生体情報を再取得し、
     前記問診情報及び生体情報に基づき、前記推奨情報を再出力する
     ことを特徴とする請求項1~5のいずれか1項に記載の情報処理方法。
    After a predetermined period has elapsed since the guidance target was set, the inquiry information indicating the user's response to the re-interview was acquired,
    Reacquire the biological information,
    The information processing method according to any one of claims 1 to 5, wherein the recommended information is re-output based on the inquiry information and the biological information.
  7.  前記所定期間が経過後、前記端末装置を介して、前記指導目標の達成状況に関する前記ユーザの自己評価を取得し、
     取得した前記自己評価に応じて、前記推奨情報を再出力する
     ことを特徴とする請求項6に記載の情報処理方法。
    After the elapse of the predetermined period, via the terminal device, the self-evaluation of the user regarding the achievement status of the guidance target is acquired,
    The information processing method according to claim 6, wherein the recommended information is re-output in accordance with the obtained self-evaluation.
  8.  前記問診情報及び生体情報に基づき、一又は複数の前記指導目標の候補を示す前記推奨情報を、前記自己管理の指導を行う医療者に対して出力し、
     前記医療者から前記指導目標の設定入力を受け付け、
     前記所定期間の経過後に取得した前記問診情報及び生体情報に基づき、一又は複数の前記指導目標の候補それぞれの優先順位を決定し、
     決定した優先順位に応じて、一又は複数の前記指導目標の候補を示す前記推奨情報を前記医療者に対して出力する
     ことを特徴とする請求項6又は7に記載の情報処理方法。
    Based on the interview information and the biological information, the recommended information indicating one or more candidates for the guidance target, output to a healthcare professional who provides guidance for the self-management,
    Accepting the guidance target setting input from the medical profession,
    Based on the inquiry information and biological information acquired after the elapse of the predetermined period, determine the priority of each of the one or more guidance target candidates,
    The information processing method according to claim 6, wherein the recommendation information indicating one or a plurality of the guidance target candidates is output to the medical profession according to the determined priority.
  9.  前記端末装置を介して、前記ユーザの行動又は状態を記録した記録情報を取得し、
     前記記録情報に基づき、前記自己管理の実績を示す実績情報を生成し、
     生成した前記実績情報を出力する
     ことを特徴とする請求項1~8のいずれか1項に記載の情報処理方法。
    Through the terminal device, to obtain record information that records the action or state of the user,
    Based on the record information, generates performance information indicating the performance of the self-management,
    The information processing method according to any one of claims 1 to 8, wherein the generated result information is output.
  10.  前記問診情報及び生体情報に基づき、前記指導目標と、生活習慣病の診療方針とに関する前記推奨情報を出力する
      ことを特徴とする請求項1~9のいずれか1項に記載の情報処理方法。
    The information processing method according to any one of claims 1 to 9, wherein the recommended information relating to the guidance target and a medical treatment policy for lifestyle-related diseases is output based on the inquiry information and the biological information.
  11.  生活習慣病に関連した問診に対するユーザの回答を示す問診情報を取得する第1取得部と、
     前記ユーザの生体情報を取得する第2取得部と、
     前記問診情報及び生体情報に基づき、生活習慣病を改善又は予防するための自己管理の指導目標に関する推奨情報を出力する第1出力部と、
     前記指導目標に応じて、前記ユーザに課す課題行動を設定する設定部と、
     設定した前記課題行動を前記ユーザの端末装置に出力する第2出力部と
     を備えることを特徴とする情報処理装置。
    A first acquisition unit that acquires inquiry information indicating a user's answer to an inquiry related to lifestyle-related diseases,
    A second acquisition unit that acquires the biological information of the user;
    A first output unit that outputs recommendation information on a self-management guidance target for improving or preventing lifestyle-related diseases based on the inquiry information and the biological information;
    A setting unit configured to set a task action to be imposed on the user according to the instruction target;
    A second output unit configured to output the set task behavior to the terminal device of the user.
  12.  ユーザから、生活習慣病に関連する問診に対する回答である問診情報の入力を受け付け、
     入力された前記問診情報を出力し、
     生活習慣病の改善又は予防のために課される課題行動であって、前記問診情報に基づき設定された課題行動を取得し、
     取得した前記課題行動を表示部に表示する
     処理をコンピュータに実行させることを特徴とするプログラム。
    The user receives input of interview information that is an answer to an interview related to lifestyle-related diseases,
    Outputting the input interview information,
    It is a task behavior imposed for improvement or prevention of lifestyle-related diseases, and acquires a task behavior set based on the inquiry information,
    A program for causing a computer to execute a process of displaying the acquired task behavior on a display unit.
  13.  生活習慣病を改善又は予防するための自己管理に関連した情報の入力を前記ユーザから受け付け、
     前記自己管理に関連した情報に応じて、予め設定されたオブジェクトを表示する
     ことを特徴とする請求項12に記載のプログラム。
    Receiving input of information related to self-management for improving or preventing lifestyle-related diseases from the user,
    The program according to claim 12, wherein a preset object is displayed according to the information related to the self-management.
  14.  前記課題行動の達成状況を示す情報を出力し、
     前記課題行動の達成状況に応じて再設定された前記課題行動を取得し、
     再設定された前記課題行動を表示する
     ことを特徴とする請求項13に記載のプログラム。
    Outputting information indicating the achievement status of the task action,
    Acquiring the task behavior reset according to the achievement status of the task behavior,
    The program according to claim 13, wherein the re-set task behavior is displayed.
  15.  前記自己管理に関連した情報は、前記ユーザの行動又は状態を記録する記録情報であり、
     前記記録情報の入力状況に応じて、前記オブジェクトの表示を制御する
     ことを特徴とする請求項13又は14に記載のプログラム。
    The information related to the self-management is recording information for recording the user's action or state,
    The program according to claim 13, wherein display of the object is controlled according to an input state of the recording information.
PCT/JP2019/036745 2018-09-19 2019-09-19 Information processing method, information processing device, and program WO2020059794A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
SG11202102134XA SG11202102134XA (en) 2018-09-19 2019-09-19 Information processing method, information processing apparatus, and program.
JP2020548593A JP7384362B2 (en) 2018-09-19 2019-09-19 Information processing method and information processing device
JP2023186669A JP2023181403A (en) 2018-09-19 2023-10-31 Information processing method, information processing device, and program

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2018-175232 2018-09-19
JP2018175232 2018-09-19

Publications (1)

Publication Number Publication Date
WO2020059794A1 true WO2020059794A1 (en) 2020-03-26

Family

ID=69888450

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2019/036745 WO2020059794A1 (en) 2018-09-19 2019-09-19 Information processing method, information processing device, and program

Country Status (3)

Country Link
JP (2) JP7384362B2 (en)
SG (1) SG11202102134XA (en)
WO (1) WO2020059794A1 (en)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP6912128B1 (en) * 2020-10-27 2021-07-28 株式会社メディカルフォレスト Interview system, interview method and interview program
WO2022024861A1 (en) * 2020-07-27 2022-02-03 株式会社Save Medical Information processing device, information processing method, and program
US20220208361A1 (en) * 2019-05-20 2022-06-30 Shelpa Co. Ltd. Care support system, care support information registration system, care support method, and care support information registration method
US20220375569A1 (en) * 2019-11-07 2022-11-24 A10 Lab Inc. Method for providing lifestyle improvement
KR20230014958A (en) * 2021-07-22 2023-01-31 주식회사 유비케어 Method and system for providing health prescription service for pediatric patients in home
WO2023058378A1 (en) * 2021-10-07 2023-04-13 株式会社Cureapp Information processing device, information processing method, and information processing program
JP7456471B1 (en) 2022-10-19 2024-03-27 沖電気工業株式会社 Information processing device, program, and information processing method
JP7492857B2 (en) 2020-05-14 2024-05-30 DeSCヘルスケア株式会社 System, method, and program for assisting user in managing their health

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2005011329A (en) * 2003-05-29 2005-01-13 Sanyo Electric Co Ltd Health management support apparatus, health management support system, health management support method, and health management support program
JP2005327218A (en) * 2004-05-17 2005-11-24 Morioh Co Ltd System, program, and method for lifestyle related disease instruction support
JP2007072540A (en) * 2005-09-05 2007-03-22 It Products:Kk Life-style related diseases medical treatment support apparatus which raises patient's will
JP2016081519A (en) * 2014-10-15 2016-05-16 オムロン株式会社 Characteristics evaluation apparatus, characteristics evaluation system, characteristics evaluation method and characteristics evaluation program

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004290525A (en) 2003-03-27 2004-10-21 Osaka Gas Co Ltd Medical examination support system
JP5297672B2 (en) 2008-03-25 2013-09-25 シスメックス株式会社 Lifestyle improvement proposal device, computer program and lifestyle improvement proposal system
JP6408240B2 (en) 2013-06-18 2018-10-17 Phcホールディングス株式会社 Lifestyle-related disease improvement support device and lifestyle-related disease improvement support system using it

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2005011329A (en) * 2003-05-29 2005-01-13 Sanyo Electric Co Ltd Health management support apparatus, health management support system, health management support method, and health management support program
JP2005327218A (en) * 2004-05-17 2005-11-24 Morioh Co Ltd System, program, and method for lifestyle related disease instruction support
JP2007072540A (en) * 2005-09-05 2007-03-22 It Products:Kk Life-style related diseases medical treatment support apparatus which raises patient's will
JP2016081519A (en) * 2014-10-15 2016-05-16 オムロン株式会社 Characteristics evaluation apparatus, characteristics evaluation system, characteristics evaluation method and characteristics evaluation program

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20220208361A1 (en) * 2019-05-20 2022-06-30 Shelpa Co. Ltd. Care support system, care support information registration system, care support method, and care support information registration method
US20220375569A1 (en) * 2019-11-07 2022-11-24 A10 Lab Inc. Method for providing lifestyle improvement
JP7492857B2 (en) 2020-05-14 2024-05-30 DeSCヘルスケア株式会社 System, method, and program for assisting user in managing their health
WO2022024861A1 (en) * 2020-07-27 2022-02-03 株式会社Save Medical Information processing device, information processing method, and program
JP2022023454A (en) * 2020-07-27 2022-02-08 株式会社Save Medical Information processing apparatus, information processing method and program
JP6912128B1 (en) * 2020-10-27 2021-07-28 株式会社メディカルフォレスト Interview system, interview method and interview program
JP2022070437A (en) * 2020-10-27 2022-05-13 株式会社メディカルフォレスト Medical interview system, method for medical interview, and medical interview program
KR20230014958A (en) * 2021-07-22 2023-01-31 주식회사 유비케어 Method and system for providing health prescription service for pediatric patients in home
KR102642207B1 (en) * 2021-07-22 2024-03-04 주식회사 유비케어 Method and system for providing health prescription service for pediatric patients in home
WO2023058378A1 (en) * 2021-10-07 2023-04-13 株式会社Cureapp Information processing device, information processing method, and information processing program
JP7456471B1 (en) 2022-10-19 2024-03-27 沖電気工業株式会社 Information processing device, program, and information processing method

Also Published As

Publication number Publication date
SG11202102134XA (en) 2021-04-29
JP7384362B2 (en) 2023-11-21
JPWO2020059794A1 (en) 2021-11-25
JP2023181403A (en) 2023-12-21

Similar Documents

Publication Publication Date Title
WO2020059794A1 (en) Information processing method, information processing device, and program
JP6440808B2 (en) Personal management and monitoring of medical conditions
Chao et al. Enhanced self-efficacy and behavioral changes among patients with diabetes: cloud-based mobile health platform and mobile app service
JP5926517B2 (en) System for managing personal health and wellness and non-transitory computer-readable storage medium storing a computer program containing instructions thereof
Koenig et al. Religion, spirituality, and acute care hospitalization and long-term care use by older patients
Welch et al. Comprehensive diabetes management program for poorly controlled Hispanic type 2 patients at a community health center
KR101141425B1 (en) Method of personalized health care and treatment using on-line information processing system and server device for online health care and medical service
US20160371998A1 (en) Health-based incentive plans and systems and methods for implementing health-based incentive transactions
JP6612788B2 (en) Systems and methods using shared patient-centric decision support tools to assist patients and clinicians
JP2017519303A5 (en)
JPWO2005091195A1 (en) Health management system
US20080126123A1 (en) Customizing healthcare information
US20030167185A1 (en) System and method for integrating data with guidelines to generate displays containing the guidelines and data
JPH09103413A (en) Health management supporting device
US20180108433A1 (en) System and computer program for analyzing and managing health, fitness and nutritional wellness
JP2014140521A (en) Evaluation screen generation system
Seto et al. Prediction of personal cardiovascular risk using machine learning for smartphone applications
CN110753970A (en) Distributed user monitoring system
JP2002049697A (en) Management system for supporting staying health and its program
KR20210147746A (en) Apparatus for managing atopic dermatitis based on learning model and method thereof
Elkefi Supporting patients’ workload through wearable devices and mobile health applications, a systematic literature review
WO2022163826A1 (en) Health assistance apparatus, health assistance system, and health assistance method
JP7214174B1 (en) MEDICAL SUPPORT DEVICE, OPERATION METHOD OF MEDICAL SUPPORT DEVICE, AND PROGRAM
WO2023007593A1 (en) Information collection method, information collection device, and information sharing method for mobile terminal
WO2022244265A1 (en) Examination guide service server and examination guide method

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 19863281

Country of ref document: EP

Kind code of ref document: A1

ENP Entry into the national phase

Ref document number: 2020548593

Country of ref document: JP

Kind code of ref document: A

WWE Wipo information: entry into national phase

Ref document number: 2101001592

Country of ref document: TH

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 19863281

Country of ref document: EP

Kind code of ref document: A1