WO2021199267A1 - Animal patient diagnosis proposal system, animal patient diagnosis proposal termin al, and animal patient diagnosis proposal program - Google Patents

Animal patient diagnosis proposal system, animal patient diagnosis proposal termin al, and animal patient diagnosis proposal program Download PDF

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Publication number
WO2021199267A1
WO2021199267A1 PCT/JP2020/014789 JP2020014789W WO2021199267A1 WO 2021199267 A1 WO2021199267 A1 WO 2021199267A1 JP 2020014789 W JP2020014789 W JP 2020014789W WO 2021199267 A1 WO2021199267 A1 WO 2021199267A1
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diagnostic
information
diagnosis
animal
test result
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PCT/JP2020/014789
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French (fr)
Japanese (ja)
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岡崎　純
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株式会社Ｐｅｃｏ
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Priority to JP2021533751A priority Critical patent/JP6999996B1/en
Priority to PCT/JP2020/014789 priority patent/WO2021199267A1/en
Publication of WO2021199267A1 publication Critical patent/WO2021199267A1/en
Priority to JP2021204492A priority patent/JP2022034568A/en

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

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  • the present invention relates to a method for providing a diagnostic proposal system including information specific to an animal patient.
  • Patent Document 1 discloses a method of supporting a series of operations up to reception, pre-examination, medical examination, medical fee calculation, and accounting at medical institutions such as hospitals and clinics, nursing care facilities, and patients' homes. ..
  • Patent Document 2 and Patent Document 3 are both techniques for reducing the load of input work by predicting and displaying the content to be input in advance.
  • Patent Document 4 discloses a technique for extracting and estimating a group of patients having a relatively high risk of developing a specific disease from a plurality of patients
  • Patent Document 5 discloses a medical history and vitality.
  • a technique for estimating an abnormality (diagnosis) from data is disclosed. Both techniques attempt to prevent workers from inputting in that they display some estimation based on the input information.
  • an object of the present invention is to provide a proposal system that is simpler and more accurate and can solve problems peculiar to the field of veterinary medicine.
  • a storage means for storing animal patient information; test result information; diagnostic information; An extraction means for extracting at least one diagnosis candidate from the diagnosis information based on the animal patient information and the test result information, and a proposal means for proposing the extracted diagnosis candidate are provided.
  • a proposal system for animal patients is obtained.
  • FIG. 1 It is a functional block diagram of the veterinary hospital terminal in which the system by embodiment of this invention is executed. It is a figure which shows the structural example of the system by embodiment of this invention. This is a configuration example of an animal patient database. This is an example of a data set (table) of a diagnostic database used in the system of FIG. It is a figure which shows the construct structure of the data set of FIG. It is a figure which shows the other structural example of the data set of FIG. It is a figure which shows the processing flow in the system of FIG. It is a figure which shows the other configuration example of the system including the function of updating the evaluation value by the 2nd Embodiment of this invention. This is an example of a data set (table) of a diagnostic database used in the system of FIG.
  • FIG. It is a figure which shows the processing flow in the system of FIG.
  • This is a display example of the system according to the present embodiment.
  • This is a display example in which diagnostic candidates are recommended.
  • This is a display example in which diagnostic candidates are manually input.
  • It is a figure which shows the selection screen of the import method of the inspection result.
  • It is a figure which shows the example which takes in the inspection result by manual input.
  • It is a figure which shows the example which takes in the inspection result by manual input.
  • It is a figure which shows the example which takes in the inspection result by the image input.
  • An extraction means that refers to the diagnostic database and extracts the diagnostic candidates based on the test result information.
  • a diagnostic proposal system for animal patients comprising a display means for displaying the extracted diagnostic candidates to a user.
  • the animal patient database includes at least one of interview information, physical findings information, current medical history information, diagnosis history information, treatment history information, medication history information, and prescription history information.
  • the diagnostic database includes the diagnostic candidates associated with two or more pieces of information selected from the animal patient database, including the test result information.
  • the extraction means refers to the diagnostic database and extracts the diagnostic candidates based on the information.
  • Diagnosis proposal system for animal patients [Item 1] The diagnostic proposal system for animal patients according to item 1 or item 2. The diagnostic candidate is associated with at least the test result information together with the evaluation value. The extraction means extracts the diagnostic candidate based on the evaluation value. Diagnosis proposal system for animal patients. [Item 1] The diagnostic proposal system for animal patients according to item 3. Further provided with an evaluation value updating means for updating the evaluation value based on the selected operation of the displayed diagnosis candidate by the user. Diagnosis proposal system for animal patients. [Item 1] The diagnostic proposal system for animal patients according to item 4. The evaluation updating means also updates the evaluation value based on the selection operation by another user on another terminal.
  • Diagnosis proposal system for animal patients [Item 1] The diagnostic proposal system for animal patients according to item 3 or item 4.
  • the storage means stores the attribute information of the user, and the storage means stores the attribute information of the user. The degree of the update with respect to the evaluation value is determined based on the attribute information of the user.
  • Diagnosis proposal system for animal patients [Item 1] It is a portable diagnostic proposal terminal for animal patients.
  • a storage means in which an animal patient database containing at least test result information and a diagnostic database containing at least diagnostic candidates associated with the test result information are stored.
  • An extraction means that refers to the diagnostic database and extracts the diagnostic candidates based on the test result information.
  • a diagnosis proposal terminal for an animal patient comprising a display means for displaying the extracted diagnosis candidates to a user.
  • a portable animal patient diagnosis proposal terminal having a touch display device is made to function as an extraction means for extracting the diagnosis candidate based on the test result information by referring to the diagnosis database.
  • the diagnostic proposal system for animal patients (hereinafter referred to as "proposal system") according to the embodiment of the present invention is particularly referred to as a veterinary medical worker or other worker or an owner of an animal patient (hereinafter referred to as "user") in a veterinary hospital. It is possible to accept operations by a mobile terminal that can be operated by (.).
  • the proposed system is a person who mainly makes it possible to process three major steps of examination, diagnosis, and response (treatment, medication, prescription) performed in a veterinary hospital on the same system, and the present embodiment. Will explain the function of recommending particularly appropriate diagnostic candidates.
  • the proposed system refers to the diagnostic database described later based on the basic information of the animal patient itself, the test result information acquired / input after the visit, and the diagnosis candidates, and as a diagnosis of the animal patient. At least one suitable diagnostic candidate is extracted and provided to the user.
  • FIG. 1 is a functional block diagram of a veterinary hospital terminal 300 in which the proposed system according to the embodiment of the present invention is executed. This proposed system is displayed via a display or the like of one or more veterinary hospital terminals.
  • the animal hospital terminal 300 is an information processing device managed by the animal hospital and used by the above-mentioned user, for example, a personal computer, a tablet terminal, etc., but may be configured by a smartphone, a mobile phone, a PDA, or the like. In particular, it is preferable that the structure is portable in the hospital.
  • the input operation is possible by the voice recognition function.
  • the voice recognition function is particularly specialized in recognizing technical terms and abbreviations in the field of veterinary medicine.
  • the proposed system according to the present embodiment will be described as being completed only by the veterinary hospital terminal 300, some functions may be executed by the server device or the owner's terminal. In this case, the entire proposed system may be logically configured and executed by installing a part of the program executed in the animal hospital terminal on the server terminal or the owner's terminal.
  • the veterinary hospital terminal 300 includes a communication unit 310, a display operation unit 320, a storage unit 330, and a control unit 340.
  • the configuration is an example, and other configurations may be provided.
  • the communication unit 310 is a communication interface for communicating with other terminals via a network, and various communication protocols can be adopted.
  • the display operation unit 320 is a user interface used for the user to input an instruction and display text, an image, etc. according to the input data from the control unit 340.
  • the animal hospital terminal 300 is composed of a tablet terminal. If so, it consists of a touch panel and the like.
  • the display operation unit 320 is activated by a control program stored in the storage unit 330 and executed by a veterinary hospital terminal 300 which is a computer (electronic computer).
  • the storage unit 330 stores various control processes, programs for executing each function in the control unit 340, input data, etc., and is composed of RAM, ROM, other storage, and the like. In addition, the storage unit 330 temporarily stores the communication contents with other terminals.
  • the control unit 340 controls the entire operation of the veterinary hospital terminal 300 by executing the program stored in the storage unit 330, and is composed of a CPU, a GPU, and the like.
  • FIG. 2 is a functional block diagram showing a diagnostic recommendation module 200 in the proposed system according to the present embodiment.
  • the diagnostic recommendation module 200 constitutes a function of recommending diagnostic candidates to be examined as a diagnosis of the animal patient based on the animal patient database 204 including the input or acquired test result information 506 (see FIG. 3) and the like. Specifically, it is a module in which the storage means 202, the extraction means 208, and the display means 210 in FIG. 2 function as one.
  • the diagnostic recommendation module 200 has an animal patient database 204 and a storage means 202 including a diagnostic database 206.
  • the storage means 202 may store other information constituting the proposed system.
  • the animal patient database 204 stores the current and past information of the animal patient information managed by the proposal system according to the present embodiment.
  • the animal patient information stored in the animal patient database 204 may include information on animal patients not only in the veterinary hospital but also in other veterinary hospitals managed by the group or managed by the group.
  • the diagnostic database 206 contains diagnostic candidates (disease names) to be examined for animal patients.
  • the extraction means 208 refers to the diagnostic database 206 based on the animal patient database 204 and extracts corresponding diagnostic candidates.
  • the extracted diagnostic candidates are displayed to the user via a display means such as a touch panel, and are subjected to a selection operation or the like.
  • the display means 210 constitutes a part of the display operation unit 320 in FIG. 1, and a touch panel is adopted in the present embodiment.
  • the display means 210 displays the extracted diagnostic candidates to the user. Since the system according to the present embodiment may be used in various places such as an operating room and an examination room in a veterinary hospital, it is a visual method for providing recommendation information and other notifications to the user. It may be an auditory provision method such as a voice or a warning sound instead of a typical display. In this case, the presentation of audio or the like may be performed at the same time as or separately from the visual presentation.
  • Each animal patient information included in the animal patient database 204 includes, for example, information as shown in FIG.
  • the animal patient database 204 in the present embodiment is managed by associating the animal patient with the animal patient ID and the owner ID.
  • Medical record data for each animal patient is managed for each consultation date.
  • animal patient basic information 502 such as name, gender, type, size, etc.
  • interview information 503, physical findings information 504 current medical history information 505, test result information 506, Includes diagnosis history information 507, treatment history information 508, medication history information 509, prescription history information 510, memo 512, information 513 such as moving images / images of animal patients, and accounting information 514.
  • the input contents of the animal patient basic information 502, the interview information 503, and the information 513 such as the moving image / image of the pet may be composed of the data received from the mobile terminal.
  • animal patient information such as physical finding information 504 can be composed of data received from the veterinary hospital terminal 300, and is based on information acquired by a person in charge such as a veterinarian from the owner of the animal patient. It can be composed of the received data by inputting the data to the veterinary hospital terminal 300.
  • animal patient basic information 502 includes animal species information to which the animal patient corresponds.
  • animal species information include dogs, foxes, tanukis, phenecks, cats, hamsters, guinea pigs, honeybees, scorpions, taiwan squirrels, prairie dogs, momonga, rabbits, monkeys, mini pigs, ferret, scanks, donkeys, horses (miniature horses, farabella).
  • Questionnaire information 503 is subjective information (chief complaint) obtained from the owner. For example, “I don't eat much rice”, “I have scratches on my legs”, “I'm getting fat”, “I'm not feeling well”, “I have a runny nose”, etc. It is an observed symptom. Questionnaire information 503 may be obtained from the owner using a questionnaire or a medical inquiry terminal when visiting a veterinary hospital, or may be obtained by having the owner enter it in advance using a mobile terminal or the like owned by the owner. May be.
  • Physical finding information 504 is physical information that can be examined by a veterinarian or the like at a veterinary hospital or the like and can be expressed by an objective numerical value. For example, “body weight”, “body temperature”, “heart rate”, “respiratory rate”, etc., which are necessary information for extracting necessary tests together with the current medical history information 505 described below.
  • the current medical history information 505 is subjective information heard by a veterinarian or the like.
  • the current medical history information 505 is often the same as the above-mentioned interview information 503, but includes items that are difficult for the owner to actually confirm, such as "the throat is red”.
  • the current medical history that "bleeding from the anus” may be heard when examined by a veterinarian or the like.
  • the test result information 506 includes the result of the test that the animal patient visited and received.
  • the test results can include test results that have been received in past hospital visits, test results that have been received in medical examinations, and the like.
  • the reaction to the test (information on the acceptability / permissibility of the test itself, such as whether or not the test was disliked) may be associated and stored. This information can be an important indicator when recommending a test.
  • the test items may be categorized according to purpose, such as inflammation test, biochemical test, cardiac function test, endocrine function test, allergy test, infectious disease test, microbiological test, and morphological test, or blood.
  • characteristics of the examination such as examination, roentgen examination, ultrasonic examination, cytological examination, endoscopy (gastroscope, rectoscope), CT examination (imaging examination), and pathological examination. May be good.
  • the diagnosis history information 507 includes at least the history of diagnoses received by the animal patient in the past. Information such as the name of a specific disease or injury that has occurred in the past can be included. The diagnosis history may include information about diagnoses suspected in past visits.
  • the treatment history information 508 and the medication history information 509 include the treatment history / medication history information that the animal patient has received in the past.
  • the reaction to the response (information on the acceptability / tolerance of the treatment or the medication itself, such as whether or not the patient disliked it or whether it affected the physical condition) may be associated and stored.
  • Items include anal gland treatment, nail cutting treatment, sole treatment, ear treatment, hair removal, ophthalmic treatment, dental treatment, Elizabeth collar / abdominal band, acupuncture and moxibustion treatment, indwelling, stool removal, thread removal, disinfection, oxygen treatment, emetic treatment.
  • the prescription history information 510 includes information such as drugs prescribed by the animal patient in the past. In this case, information on the acceptability / tolerance of the treatment or the medication itself, such as whether or not the drug prescribed at home could be taken, whether or not it was disliked, and whether or not it affected the physical condition, was provided via the user's mobile terminal. You may also obtain it.
  • the diagnostic database 206 has a dataset (table) as illustrated in FIG.
  • the dataset contains pairs with one or more diagnostic candidates associated with test result information 506 and the like.
  • the data set used in this system uses at least the test result information of the animal patient.
  • the test result information is stored in the animal patient database and associated with the animal patient chart data.
  • the test result information itself used in the system according to the present embodiment may be the result of the test received on the day of the visit, the test result received on another day, or another veterinary hospital. It may be the test result received at.
  • the diagnostic database conditions related to test results and diagnostic candidates assumed when the conditions are satisfied are associated with each other.
  • the test result condition may be a plurality of conditions, or there may be a plurality of diagnostic candidates.
  • the system according to the present embodiment includes test result information and other information (for example, animal species information, interview information, physical findings information, current medical history information, diagnosis history information, treatment history information, medication history information, prescription history information). It may be one that recommends a diagnosis candidate by using two or more pieces of information.
  • the diagnostic database always includes the test result condition, and includes at least one of the animal species condition, the interview condition, the physical finding condition, the current medical history condition, the diagnosis history condition, the treatment history condition, the medication history condition, and the prescription history condition.
  • a predetermined diagnostic candidate is associated with the combination with the inclusion conditions.
  • the illustrated diagnostic candidate 1 is associated with test result conditions (blood sampling results, etc.), animal species conditions (dogs, cats, etc.), and interview conditions (information on the chief complaint, etc.). By associating diagnostic candidates with multiple conditions, more accurate recommendations become possible.
  • the conditions under which the illustrated systemic inflammatory response syndrome (SIRS) diagnostic candidate is recommended are associated with three types of information: animal species, physical findings information, and test result information. That is, a dog as an animal species, a condition related to body temperature (XXX ° C or lower or YYY ° C or higher) as physical finding information 504, a condition related to heart rate (ZZdog times / minute or more), a condition related to respiratory rate (WW times or more), and a test.
  • SIRS systemic inflammatory response syndrome
  • the condition of white blood cell count (AAAA / ⁇ L or more or BBBB / ⁇ L or less) is set as the result information 506, and if the numerical values and results obtained from the animal patient information satisfy all of these conditions, systemic inflammation A candidate for diagnosis of reaction syndrome (SIRS) is recommended.
  • SIRS systemic inflammation A candidate for diagnosis of reaction syndrome
  • the disease name associated with this case (for example, sepsis) may be further proposed. In this case, the disease name may be associated with the diagnosis candidate and stored.
  • FIG. 7 is an example of a flowchart for explaining the processing flow of the diagnostic recommendation module 200.
  • the diagnostic recommendation module 200 reads animal patient information including test result information of the animal patient (S101).
  • the diagnostic database is referred to (S102) based on the acquired information including at least the test result information, and the corresponding associated diagnostic candidates are extracted (S103).
  • a diagnostic candidate selection device is accepted from a veterinarian or the like (S105).
  • diagnostic candidates are extracted from the diagnostic database and recommended based on animal patient information including test result information. For example, as shown in FIGS. 8 to 10, a plurality of diagnostic candidates are present. May be evaluated by some evaluation value and recommended as a more probable diagnostic candidate.
  • the configuration may be such as the diagnostic recommendation module 200'in the proposed system.
  • the diagnostic recommendation module 200' recommends diagnostic candidates to be examined as a diagnosis of the animal patient based on the evaluation value based on the animal patient database 204 including the input or acquired test result information 506 (see FIG. 3) and the like. Configure the function to do.
  • the evaluation value updating means 212 for updating the evaluation value based on the fact that which of the recommended diagnostic candidates is selected is further provided.
  • a condition for recommending a diagnostic candidate called ABC specific diagnosis candidate name omitted
  • three pieces of information such as an animal species, physical finding information, and test result information are associated with each other. If the values and results obtained from the animal patient information meet all of these conditions, a diagnostic candidate for systemic inflammatory response syndrome (SIRS) is recommended with a certainty of an evaluation value of 87.
  • SIRS systemic inflammatory response syndrome
  • the diagnostic candidate XYZ is associated with the evaluation value 32
  • the diagnostic candidate PQR is associated with the evaluation value 11.
  • the diagnostic recommendation module 200 reads animal patient information including test result information of the animal patient (S201). Refer to the diagnostic database based on the acquired information, including at least the test result information (S202), identify the evaluation value of the corresponding associated diagnostic candidate (S203), and display the diagnostic candidate based on the evaluation value. (S204). A veterinarian or the like accepts a diagnostic candidate selection device for the displayed diagnostic candidate (S105).
  • the illustrated evaluation value expresses and stores the certainty of the diagnostic candidate to be recommended as an evaluation value.
  • the evaluation value is associated with each information item and the evaluation value associated with the information item. May be set in the column of evaluation values (rightmost column) shown in the figure.
  • the evaluation values may be associated with the animal species, the physical findings information, and the test result information, and when all the evaluation values are satisfied, the sum of the evaluation values may be calculated as "87" in the figure. ..
  • the content of the information item may be further weighted with an evaluation value (for example, if a specific test result is positive, it is almost certain that the test result is a diagnostic candidate.
  • the evaluation value of the condition should be increased). That is, with reference to FIGS.
  • the evaluation value obtained from each of the information items may be multiplied by an appropriate coefficient for each diagnosis candidate.
  • it can be expressed as a mathematical formula in which ⁇ to ⁇ are multiplied as arbitrary coefficients as shown below.
  • Evaluation value of diagnostic candidate ABC animal species x ⁇ + physical findings information x ⁇ + test history information x ⁇
  • the accuracy can be improved by weighting the formula for calculating the evaluation value for each of a plurality of diagnostic candidates.
  • the evaluation value updating means 212 may change / update the evaluation value included in the above-mentioned diagnosis database 206 based on the fact of the selection operation by the user of the diagnosis candidate. This can improve the accuracy of the recommendation function.
  • the evaluation value updating means 212 is a selection operation by another user on another terminal (whether it is another terminal in the same hospital or a terminal in another hospital connected to the same system). The evaluation value may be changed / updated based on the above.
  • the evaluation value can be updated by various methods. The simplest way of thinking is to use this system to increase the evaluation value of the diagnostic candidates actually selected and implemented in the same case. On the other hand, for diagnostic candidates that have been proposed but have not been selected or implemented, the evaluation value may not be changed or may be reduced.
  • the above-mentioned veterinarians and new veterinarians are associated with a predetermined index (years of experience, etc.) and memorized, and the weight according to the index is increased or decreased by the selection operation by the veterinarian. It may be attached.
  • the evaluation value updating means 212 in the present embodiment not only updates the evaluation value itself, but also indicates the weighting ( ⁇ to ⁇ ) given to the evaluation value at the time of extracting the diagnosis candidate described above, and the subject of the selection operation. Indicators (years of experience) are also subject to renewal.
  • the screen of the veterinary hospital terminal displays a medical care data display area 400 for displaying at least the medical care data generated for each consultation date and information indicating the consultation date for each target animal patient. It is composed of the date display areas 410 and 412. Further, in the area 410, it is possible to display an image of the animal patient, medical treatment status of the animal patient, for example, information such as during medical treatment, during examination, completion of medical treatment, and completion of examination. In area 412, tabs for displaying past outpatient information are displayed.
  • interview information such as status, bleeding, period, appetite, physical condition, presence / absence of vomiting, presence / absence of diarrhea, etc. 503), physical findings, medical history, examination, diagnosis, treatment & medication, prescription, memo, etc. Medical data (504 to 514) are displayed so that they can be input. Further, for each item included in the medical care data, an area in which information can be input is provided, and the medical care data is updated by the input by the person in charge of the veterinary hospital terminal 300.
  • a diagnostic candidate with "gastritis, gastric torsion, gastric dilatation, canine infectious hepatitis" in the area of diagnosis. Is recommended and displayed.
  • the recommendation function may be appropriately executed before the interview, the physical findings, and the input of the medical history are completed.
  • diagnosis may be predicted as "gastritis, gastric torsion, gastric dilatation, infectious canine hepatitis".
  • diagnosis is confirmed, the selected diagnosis name is displayed in the examination area (not shown).
  • the test result information input to the diagnostic recommendation module can be input by, for example, automatic input or manual input.
  • a blood test will be described as an example.
  • the "manual input” and “image input” selection buttons are displayed as shown in FIG.
  • a numerical input screen is displayed, for example, as shown in FIG.
  • the user inputs a numerical value as an inspection result as shown in FIG.
  • image input may be selected on the screen shown in FIG.
  • a function such as OCR recognition
  • the person in charge such as a doctor at a veterinary hospital can perform centralized work while inputting medical data.
  • the tests, diagnoses, treatments, medications and prescriptions that can be applied differ depending on the animal species and individual differences, so we provide a proposal system that reflects these. can do. This makes it possible to provide a proposal system that is simpler and more accurate and can solve problems peculiar to the field of veterinary medicine.

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Abstract

[Problem] To provide a proposal system with which it is possible to more easily and with higher precision resolve a problem unique to the field of veterinary medicine. [Solution] An animal patient proposal system according to the present invention comprises: a storage means for storing an animal patient database including at least test result information and a diagnosis database including at least diagnosis candidates associated with the test result information; an extraction means for extracting the diagnosis candidate on the basis of the test result information by referring to the diagnosis database; and a display means for displaying the extracted diagnosis candidate to the user. Especially in the case of medical care with animals as patients, unlike human medical care, the tests, diagnoses, treatments, medications and prescriptions that can be applied differ fundamentally depending on the animal species and individual differences, and therefore it is possible to provide a proposal system that reflects these differences.

Description

動物患者用診断提案システム、動物患者用診断提案端末、動物患者用診断提案プログラムAnimal patient diagnosis proposal system, animal patient diagnosis proposal terminal, animal patient diagnosis proposal program
　本発明は、動物患者固有の情報を含む診断提案システムの提供方法に関する。 The present invention relates to a method for providing a diagnostic proposal system including information specific to an animal patient.
　従来、人間患者の診察を電子化処理するソリューションは様々なものが提案されている。 Conventionally, various solutions have been proposed for digitizing medical examinations of human patients.
　例えば、特許文献１には、病院や診療所等の医療機関及び介護施設並びに患者自宅等における受付、予診、診察、診療報酬計算、及び会計までの一連の業務を支援する方法が開示されている。 For example, Patent Document 1 discloses a method of supporting a series of operations up to reception, pre-examination, medical examination, medical fee calculation, and accounting at medical institutions such as hospitals and clinics, nursing care facilities, and patients' homes. ..
　しかし、このような提案システムは、不慣れな者にとっては余計に時間がかかる場合がある。そこで、このような電子カルテの入力作業を軽減する技術が提案されている。 However, such a proposal system may take extra time for an inexperienced person. Therefore, a technique for reducing the input work of such an electronic medical record has been proposed.
　特許文献２及び特許分文献３に記載の技術は、いずれも入力しようとしている内容を予め予測して表示することにより入力作業の負荷を低減するための技術である。 The techniques described in Patent Document 2 and Patent Document 3 are both techniques for reducing the load of input work by predicting and displaying the content to be input in advance.
　また、特許文献４には、複数の患者の中から特定の疾患に対して比較的高い発症リスクを有する患者群を抽出して推定する技術が開示され、特許文献５には、既往歴とバイタルデータから異常（診断）を推定する技術が開示されている。いずれの技術も、入力された情報に基づいて何らかの推定を表示するという点で、作業者の入力不可を図ろうとするものである。 Further, Patent Document 4 discloses a technique for extracting and estimating a group of patients having a relatively high risk of developing a specific disease from a plurality of patients, and Patent Document 5 discloses a medical history and vitality. A technique for estimating an abnormality (diagnosis) from data is disclosed. Both techniques attempt to prevent workers from inputting in that they display some estimation based on the input information.
特開２０１７－１９１３８９号公報Japanese Unexamined Patent Publication No. 2017-191389 特開２００４－２１３６７８号公報Japanese Unexamined Patent Publication No. 2004-213678 特開２０１７－１６２０３７号公報Japanese Unexamined Patent Publication No. 2017-162037 特開２０１９－８６８３９号公報JP-A-2019-86839 特許６５５８７００号公報Japanese Patent No. 6558700
　しかしながら、特に動物を患者とする診療の場合、人間の診療とは異なり、動物種や個体差によって適応できる検査、診断、処置、投薬及び処方が根本的に異なることから、それらを反映した新規な提案システムの提供が期待される。 However, especially in the case of medical care using animals as patients, unlike human medical care, the tests, diagnoses, treatments, medications and prescriptions that can be applied differ depending on the animal species and individual differences. Proposal system is expected to be provided.
　そこで、本発明では、より簡易で精度が高く合わせて獣医療という分野特有の課題を解決することのできる提案システムを提供することを目的とする。 Therefore, an object of the present invention is to provide a proposal system that is simpler and more accurate and can solve problems peculiar to the field of veterinary medicine.
　本発明によれば、
　動物患者情報と；検査結果情報と；診断情報と；を記憶する記憶手段、
　前記動物患者情報と前記検査結果情報とに基づいて、前記診断情報から少なくとも一の診断候補を抽出する抽出手段、及び
　抽出された前記診断候補を提案する提案手段を備える、
動物患者用提案システム
が得られる。 According to the present invention
A storage means for storing animal patient information; test result information; diagnostic information;
An extraction means for extracting at least one diagnosis candidate from the diagnosis information based on the animal patient information and the test result information, and a proposal means for proposing the extracted diagnosis candidate are provided.
A proposal system for animal patients is obtained.
　本発明によれば、より簡易で精度が高く合わせて獣医療という分野特有の課題を解決することのできる提案システムを提供することが可能になる。 According to the present invention, it is possible to provide a proposal system that is simpler and more accurate and can solve problems peculiar to the field of veterinary medicine.
本発明の実施の形態によるシステムが実行される動物病院端末の機能ブロック図である。It is a functional block diagram of the veterinary hospital terminal in which the system by embodiment of this invention is executed. 本発明の実施の形態によるシステムの構成例を示す図である。It is a figure which shows the structural example of the system by embodiment of this invention. 動物患者データベースの構成例である。This is a configuration example of an animal patient database. 図２のシステムに用いられる診断データベースのデータセット（テーブル）の例である。This is an example of a data set (table) of a diagnostic database used in the system of FIG. 図４のデータセットの構成概念を示す図である。It is a figure which shows the construct structure of the data set of FIG. 図４のデータセットの他の構成例を示す図である。It is a figure which shows the other structural example of the data set of FIG. 図２のシステムにおける処理フローを示す図である。It is a figure which shows the processing flow in the system of FIG. 本発明の第２の実施の形態による、評価値の更新機能を含むシステムの他の構成例を示す図である。It is a figure which shows the other configuration example of the system including the function of updating the evaluation value by the 2nd Embodiment of this invention. 図６のシステムに用いられる診断データベースのデータセット（テーブル）の例である。This is an example of a data set (table) of a diagnostic database used in the system of FIG. 図６のシステムにおける処理フローを示す図である。It is a figure which shows the processing flow in the system of FIG. 本実施の形態によるシステムの表示例である。This is a display example of the system according to the present embodiment. 診断候補がレコメンドされている表示例である。This is a display example in which diagnostic candidates are recommended. 診断候補を手動で入力する表示例である。This is a display example in which diagnostic candidates are manually input. 検査結果の取り込み方法の選択画面を示す図である。It is a figure which shows the selection screen of the import method of the inspection result. 検査結果を手動入力により取り込む例を示す図である。It is a figure which shows the example which takes in the inspection result by manual input. 検査結果を手動入力により取り込む例を示す図である。It is a figure which shows the example which takes in the inspection result by manual input. 検査結果を画像入力により取り込む例を示す図である。It is a figure which shows the example which takes in the inspection result by the image input. 検査結果を画像入力により取り込む例を示す図である。It is a figure which shows the example which takes in the inspection result by the image input.
　以下、本発明の実施形態について図面を参照して説明する。なお、以下に説明する実施形態は、特許請求の範囲に記載された本発明の内容を不当に限定するものではない。また、実施形態に示される構成要素のすべてが、本発明の必須の構成要素であるとは限らない。 Hereinafter, embodiments of the present invention will be described with reference to the drawings. The embodiments described below do not unreasonably limit the content of the present invention described in the claims. Moreover, not all of the components shown in the embodiments are essential components of the present invention.
　［項目１］
　検査結果情報を少なくとも含む動物患者データベースと、少なくとも前記検査結果情報に関連付けられた診断候補を含む診断データベースとが格納されている記憶手段、
　前記診断データベースを参照し、前記検査結果情報に基づいて前記診断候補を抽出する抽出手段、
　抽出された前記診断候補をユーザに対して表示する表示手段、を備える
動物患者用診断提案システム。
　［項目１］
　項目１に記載の動物患者用診断提案システムであって、
　前記動物患者データベースは、問診情報、身体所見情報、現病歴情報、診断履歴情報、処置履歴情報、投薬歴情報又は処方履歴情報の少なくともいずれかを含んでおり、
　前記診断データベースは、前記検査結果情報を含む前記動物患者データベースから選択される二以上の情報に関連付けられた前記診断候補を含んでおり、
　前記抽出手段は、前記診断データベースを参照し、これらの情報に基づいて前記診断候補を抽出する、
動物患者用診断提案システム。
　［項目１］
　項目１又は項目２に記載の動物患者用診断提案システムであって、
　前記診断候補は、少なくとも前記検査結果情報に評価値と共に関連付けられており、
　前記抽出手段は、前記評価値に基づいて前記診断候補を抽出する、
動物患者用診断提案システム。
　［項目１］
　項目３に記載の動物患者用診断提案システムであって、
　表示した前記診断候補の前記ユーザによる選択操作に基づいて前記評価値を更新する評価値更新手段を更に備える、
動物患者用診断提案システム。
　［項目１］
　項目４に記載の動物患者用診断提案システムであって、
　前記評価更新手段は、他の端末における他のユーザによる前記選択操作に基づいても前記評価値を更新する、
動物患者用診断提案システム。
　［項目１］
　項目３又は項目４に記載の動物患者用診断提案システムであって、
　前記記憶手段は、前記ユーザの属性情報を記憶しており、
　前記評価値に対する前記更新の度合いは、前記ユーザの前記属性情報に基づいて定められる、
動物患者用診断提案システム。
　［項目１］
　携行可能な動物患者用診断提案端末であって、
　検査結果情報を少なくとも含む動物患者データベースと、少なくとも前記検査結果情報に関連付けられた診断候補を含む診断データベースとが格納されている記憶手段、
　前記診断データベースを参照し、前記検査結果情報に基づいて前記診断候補を抽出する抽出手段、
　抽出された前記診断候補をユーザに対して表示する表示手段、を備える
動物患者用診断提案端末。
　［項目１］
　検査結果情報を少なくとも含む動物患者データベースと、少なくとも前記検査結果情報に関連付けられた診断候補を含む診断データベースとが格納されている記憶手段、
　前記診断データベースを参照し、前記検査結果情報に基づいて前記診断候補を抽出する抽出手段、としてタッチディスプレイデバイスを有し携行可能な動物患者用診断提案端末を機能させる、
動物患者用診断提案プログラム。 [Item 1]
A storage means in which an animal patient database containing at least test result information and a diagnostic database containing at least diagnostic candidates associated with the test result information are stored.
An extraction means that refers to the diagnostic database and extracts the diagnostic candidates based on the test result information.
A diagnostic proposal system for animal patients, comprising a display means for displaying the extracted diagnostic candidates to a user.
[Item 1]
The diagnostic proposal system for animal patients according to item 1.
The animal patient database includes at least one of interview information, physical findings information, current medical history information, diagnosis history information, treatment history information, medication history information, and prescription history information.
The diagnostic database includes the diagnostic candidates associated with two or more pieces of information selected from the animal patient database, including the test result information.
The extraction means refers to the diagnostic database and extracts the diagnostic candidates based on the information.
Diagnosis proposal system for animal patients.
[Item 1]
The diagnostic proposal system for animal patients according to item 1 or item 2.
The diagnostic candidate is associated with at least the test result information together with the evaluation value.
The extraction means extracts the diagnostic candidate based on the evaluation value.
Diagnosis proposal system for animal patients.
[Item 1]
The diagnostic proposal system for animal patients according to item 3.
Further provided with an evaluation value updating means for updating the evaluation value based on the selected operation of the displayed diagnosis candidate by the user.
Diagnosis proposal system for animal patients.
[Item 1]
The diagnostic proposal system for animal patients according to item 4.
The evaluation updating means also updates the evaluation value based on the selection operation by another user on another terminal.
Diagnosis proposal system for animal patients.
[Item 1]
The diagnostic proposal system for animal patients according to item 3 or item 4.
The storage means stores the attribute information of the user, and the storage means stores the attribute information of the user.
The degree of the update with respect to the evaluation value is determined based on the attribute information of the user.
Diagnosis proposal system for animal patients.
[Item 1]
It is a portable diagnostic proposal terminal for animal patients.
A storage means in which an animal patient database containing at least test result information and a diagnostic database containing at least diagnostic candidates associated with the test result information are stored.
An extraction means that refers to the diagnostic database and extracts the diagnostic candidates based on the test result information.
A diagnosis proposal terminal for an animal patient, comprising a display means for displaying the extracted diagnosis candidates to a user.
[Item 1]
A storage means in which an animal patient database containing at least test result information and a diagnostic database containing at least diagnostic candidates associated with the test result information are stored.
A portable animal patient diagnosis proposal terminal having a touch display device is made to function as an extraction means for extracting the diagnosis candidate based on the test result information by referring to the diagnosis database.
Diagnosis proposal program for animal patients.
　＜概略＞
　本発明の実施の形態による動物患者用診断提案システム（以下「提案システム」という。）は、特に、動物病院内において獣医療従事者その他の作業者又は動物患者の飼い主等（以下「ユーザ」という。）によって操作可能な携帯端末による操作を受け付けることができるものである。 <Summary>
The diagnostic proposal system for animal patients (hereinafter referred to as "proposal system") according to the embodiment of the present invention is particularly referred to as a veterinary medical worker or other worker or an owner of an animal patient (hereinafter referred to as "user") in a veterinary hospital. It is possible to accept operations by a mobile terminal that can be operated by (.).
　提案システムは、主として、動物病院において行われる検査、診断、対応（処置、投薬、処方）の大きく３つのステップを同一システム上で処理することを可能とするための者であり、本実施の形態においては、特に適切な診断候補をレコメンドする機能を説明する。 The proposed system is a person who mainly makes it possible to process three major steps of examination, diagnosis, and response (treatment, medication, prescription) performed in a veterinary hospital on the same system, and the present embodiment. Will explain the function of recommending particularly appropriate diagnostic candidates.
　提案システムは、特に、基礎的な動物患者自身の情報と、来院した後に取得・入力される検査結果情報と、診断候補とに基づいて、後述する診断データベースを参照し、当該動物患者の診断として適切な少なくとも一の診断候補を抽出してユーザに提供する。 The proposed system refers to the diagnostic database described later based on the basic information of the animal patient itself, the test result information acquired / input after the visit, and the diagnosis candidates, and as a diagnosis of the animal patient. At least one suitable diagnostic candidate is extracted and provided to the user.
　＜構成＞
　図１は、本発明の実施形態に係る提案システムが実行される動物病院端末３００の機能ブロック図である。この提案システムは、一又は複数の動物病院端末のディスプレイ等を介して表示される。 <Structure>
FIG. 1 is a functional block diagram of a veterinary hospital terminal 300 in which the proposed system according to the embodiment of the present invention is executed. This proposed system is displayed via a display or the like of one or more veterinary hospital terminals.
　動物病院端末３００は、動物病院が管理し、上述したユーザが利用する、例えば、パーソナルコンピュータやタブレット端末等の情報処理装置であるが、スマートフォンや携帯電話、ＰＤＡ等により構成しても良い。特に、院内において携行可能に構成されていることが好ましい。 The animal hospital terminal 300 is an information processing device managed by the animal hospital and used by the above-mentioned user, for example, a personal computer, a tablet terminal, etc., but may be configured by a smartphone, a mobile phone, a PDA, or the like. In particular, it is preferable that the structure is portable in the hospital.
　また、音声認識機能によって入力操作が可能とされていることがなお好ましい。この場合、当該音声認識機能にあっては、特に獣医療分野における専門用語や略語等の認識に特化されていることが好ましい。 It is still preferable that the input operation is possible by the voice recognition function. In this case, it is preferable that the voice recognition function is particularly specialized in recognizing technical terms and abbreviations in the field of veterinary medicine.
　なお、本実施の形態による提案システムは、動物病院端末３００のみで完結するものを説明するが、一部の機能をサーバ装置又は飼い主の端末において実行することとしてもよい。この場合、動物病院端末において実行されるプログラムの一部を、サーバ端末又は飼い主の端末にインストールすることで、提案システム全体を論理的に構成及び実行することとしてもよい。 Although the proposed system according to the present embodiment will be described as being completed only by the veterinary hospital terminal 300, some functions may be executed by the server device or the owner's terminal. In this case, the entire proposed system may be logically configured and executed by installing a part of the program executed in the animal hospital terminal on the server terminal or the owner's terminal.
＜動物病院端末３００のハードウェア構成＞
　図１に示されるように、動物病院端末３００は、通信部３１０と、表示操作部３２０と、記憶部３３０と、制御部３４０とを備えている。なお、当該構成は一例であり、その他の構成を備えていてもよい。 <Hardware configuration of veterinary hospital terminal 300>
As shown in FIG. 1, the veterinary hospital terminal 300 includes a communication unit 310, a display operation unit 320, a storage unit 330, and a control unit 340. The configuration is an example, and other configurations may be provided.
　通信部３１０は、ネットワークを介して他の端末と通信を行うための通信インタフェースであり、種々の通信プロトコルを採用することが可能である。 The communication unit 310 is a communication interface for communicating with other terminals via a network, and various communication protocols can be adopted.
　表示操作部３２０は、ユーザが指示を入力し、制御部３４０からの入力データに応じてテキスト、画像等を表示するために用いられるユーザインターフェースであり、動物病院端末３００がタブレット端末で構成されている場合はタッチパネル等から構成される。この表示操作部３２０は、記憶部３３０に記憶されている制御プログラムにより起動されてコンピュータ（電子計算機）である動物病院端末３００により実行される。 The display operation unit 320 is a user interface used for the user to input an instruction and display text, an image, etc. according to the input data from the control unit 340. The animal hospital terminal 300 is composed of a tablet terminal. If so, it consists of a touch panel and the like. The display operation unit 320 is activated by a control program stored in the storage unit 330 and executed by a veterinary hospital terminal 300 which is a computer (electronic computer).
　記憶部３３０は、各種制御処理や制御部３４０内の各機能を実行するためのプログラム、入力データ等を記憶するものであり、ＲＡＭやＲＯＭ、その他ストレージ等から構成される。また、記憶部３３０は、他の端末との通信内容を一時的に記憶する。 The storage unit 330 stores various control processes, programs for executing each function in the control unit 340, input data, etc., and is composed of RAM, ROM, other storage, and the like. In addition, the storage unit 330 temporarily stores the communication contents with other terminals.
　制御部３４０は、記憶部３３０に記憶されているプログラムを実行することにより、動物病院端末３００の全体の動作を制御するものであり、ＣＰＵやＧＰＵ等から構成される。 The control unit 340 controls the entire operation of the veterinary hospital terminal 300 by executing the program stored in the storage unit 330, and is composed of a CPU, a GPU, and the like.
＜診断レコメンドモジュールの機能ブロック＞
　図２は、本実施の形態による提案システムにおける診断レコメンドモジュール２００を示す機能ブロック図である。診断レコメンドモジュール２００は、入力又は取得された検査結果情報５０６（図３参照）等を含む動物患者データベース２０４に基づいて、当該動物患者の診断として検討すべき診断候補をレコメンドする機能を構成する。具体的には、図２における記憶手段２０２、抽出手段２０８及び表示手段２１０が一体となって機能するモジュールである。 <Functional block of diagnostic recommendation module>
FIG. 2 is a functional block diagram showing a diagnostic recommendation module 200 in the proposed system according to the present embodiment. The diagnostic recommendation module 200 constitutes a function of recommending diagnostic candidates to be examined as a diagnosis of the animal patient based on the animal patient database 204 including the input or acquired test result information 506 (see FIG. 3) and the like. Specifically, it is a module in which the storage means 202, the extraction means 208, and the display means 210 in FIG. 2 function as one.
　図示されるように、診断レコメンドモジュール２００は、動物患者データベース２０４と、診断データベース２０６を含む記憶手段２０２を有している。なお、記憶手段２０２には、提案システムを構成する他の情報が格納されていてもよい。 As shown, the diagnostic recommendation module 200 has an animal patient database 204 and a storage means 202 including a diagnostic database 206. The storage means 202 may store other information constituting the proposed system.
　動物患者データベース２０４は、本実施の形態による提案システムが管理している動物患者情報の現在及び過去の情報を格納している。動物患者データベース２０４に格納されている動物患者の情報には、当該動物病院のみならずグループ経営やグループ管理がされている他の動物病院の動物患者の情報が含まれていてもよい。 The animal patient database 204 stores the current and past information of the animal patient information managed by the proposal system according to the present embodiment. The animal patient information stored in the animal patient database 204 may include information on animal patients not only in the veterinary hospital but also in other veterinary hospitals managed by the group or managed by the group.
　一方、診断データベース２０６は、動物患者に対して検討すべき診断候補（疾患名）が含まれている。 On the other hand, the diagnostic database 206 contains diagnostic candidates (disease names) to be examined for animal patients.
　抽出手段２０８は、動物患者データベース２０４に基づいて前記診断データベース２０６を参照し、対応する診断候補を抽出する。抽出された診断候補は、例えば、タッチパネル等の表示手段を介してユーザに表示され、選択操作等を受ける。 The extraction means 208 refers to the diagnostic database 206 based on the animal patient database 204 and extracts corresponding diagnostic candidates. The extracted diagnostic candidates are displayed to the user via a display means such as a touch panel, and are subjected to a selection operation or the like.
　表示手段２１０は、図１における表示操作部３２０の一部を構成するものであり、本実施の形態においてはタッチパネルが採用されている。表示手段２１０は、抽出された診断候補をユーザに対して表示する。なお、本実施の形態におけるシステムは、例えば、動物病院内における手術室や検査室等様々な場所において利用される可能性があることから、ユーザに対するレコメンド情報やその他の通知の提供方法としては視覚的な表示ではなく音声や警告音等の聴覚的な提供方法としてもよい。この場合、音声等の提示は、視覚的な提示と同時にはまたは別に行うこととしてもよい。 The display means 210 constitutes a part of the display operation unit 320 in FIG. 1, and a touch panel is adopted in the present embodiment. The display means 210 displays the extracted diagnostic candidates to the user. Since the system according to the present embodiment may be used in various places such as an operating room and an examination room in a veterinary hospital, it is a visual method for providing recommendation information and other notifications to the user. It may be an auditory provision method such as a voice or a warning sound instead of a typical display. In this case, the presentation of audio or the like may be performed at the same time as or separately from the visual presentation.
＜動物患者データベースの詳細＞
　動物患者データベース２０４に含まれる各動物患者情報は、例えば、図３に示されるような情報が含まれている。本実施の形態における動物患者データベース２０４は、動物患者に動物患者ＩＤと飼い主ＩＤとが関連付けて管理される。ここで同一の飼い主ＩＤに対して複数の動物患者ＩＤが関連付けられることも起こり得る。 <Details of animal patient database>
Each animal patient information included in the animal patient database 204 includes, for example, information as shown in FIG. The animal patient database 204 in the present embodiment is managed by associating the animal patient with the animal patient ID and the owner ID. Here, it is possible that a plurality of animal patient IDs are associated with the same owner ID.
　動物患者毎のカルテデータは、受診日毎に管理される。例えば、動物患者ＩＤ１０００で識別されるユーザの電子カルテデータとして、名前、性別、種別、サイズ等の動物患者基本情報５０２、問診情報５０３、身体所見情報５０４、現病歴情報５０５、検査結果情報５０６、診断履歴情報５０７、処置履歴情報５０８、投薬履歴情報５０９、処方履歴情報５１０、メモ５１２、動物患者の動画／画像等の情報５１３及び会計情報５１４が含まれる。ここで、動物患者基本情報５０２、問診情報５０３及びペットの動画／画像等の情報５１３の入力内容は、携帯端末から受信されたデータで構成されていてもよい。一方、身体所見情報５０４等それ以外の動物患者情報は動物病院端末３００から受信されたデータで構成することができ、また、獣医師等の担当者が、動物患者の飼い主から取得した情報に基づいて動物病院端末３００に入力することで受信されたデータで構成することができる。 Medical record data for each animal patient is managed for each consultation date. For example, as electronic medical record data of the user identified by the animal patient ID 1000, animal patient basic information 502 such as name, gender, type, size, etc., interview information 503, physical findings information 504, current medical history information 505, test result information 506, Includes diagnosis history information 507, treatment history information 508, medication history information 509, prescription history information 510, memo 512, information 513 such as moving images / images of animal patients, and accounting information 514. Here, the input contents of the animal patient basic information 502, the interview information 503, and the information 513 such as the moving image / image of the pet may be composed of the data received from the mobile terminal. On the other hand, other animal patient information such as physical finding information 504 can be composed of data received from the veterinary hospital terminal 300, and is based on information acquired by a person in charge such as a veterinarian from the owner of the animal patient. It can be composed of the received data by inputting the data to the veterinary hospital terminal 300.
　特に、上述した動物患者基本情報５０２には、当該動物患者が該当する動物種情報を含んでいる。動物種情報の例としては、イヌ、キツネ、タヌキ、フェネック、ネコ、ハムスター、モルモット、ハツカネズミ、シマリス、タイワンリス、プレーリードッグ、モモンガ、ウサギ、サル、ミニブタ、フェレット、スカンク、ロバ、ウマ（ミニチュアホース、ファラベラ）、九官鳥、ジュウシマツ、セキセイインコ、オカメインコ、ワカケホンセイインコ、文鳥、鳩、ミズガメ、リクガメ、ヤモリ、トカゲ、ヘビ、ワニ、カエル、サンショウウオ、金魚、錦鯉、熱帯魚、エビ、カブトムシ、クワガタムシ、スズムシ、水生昆虫、カマキリ、クモ、サソリ、サソリモドキ、ウデムシ、ヒヨケムシ、ムカデ、ヤスデなどが例示されるがこの限りではない。更に、イヌにおいても、犬種（犬の品種）等の下位概念が存在し得る。 In particular, the above-mentioned animal patient basic information 502 includes animal species information to which the animal patient corresponds. Examples of animal species information include dogs, foxes, tanukis, phenecks, cats, hamsters, guinea pigs, honeybees, scorpions, taiwan squirrels, prairie dogs, momonga, rabbits, monkeys, mini pigs, ferret, scanks, donkeys, horses (miniature horses, farabella). ), Kyukantori, Juushimatsu, Budgerigar, Cockatiel, Wakakehonseiinko, Bunko, Dove, Mizugame, Rikugame, Gecko, Lizard, Snake, Crocodile, Frog, Scorpion, Goldfish, Nishikigoi, Tropical fish, Shrimp, Beetle, Examples include, but are not limited to, aquatic insects, cockatiels, spiders, scorpions, scorpions, parakeets, miniature horses, mukade, and yasude. Furthermore, even in dogs, there may be subordinate concepts such as dog breeds (dog breeds).
　問診情報５０３は、飼い主から取得する主観的な情報（主訴）である。例えば、「ご飯をあまり食べていない」「足に擦り傷ができている」「太ってきた」「元気がない」「鼻水が出ている」等であり、飼い主が所有する動物を見たときに観察される症状である。問診情報５０３は、動物病院に来院した際に問診表や問診用端末等を利用して飼い主から取得することとしてもよいし、飼い主が所有する携帯端末等で事前に入力してもらい取得することとしてもよい。 Questionnaire information 503 is subjective information (chief complaint) obtained from the owner. For example, "I don't eat much rice", "I have scratches on my legs", "I'm getting fat", "I'm not feeling well", "I have a runny nose", etc. It is an observed symptom. Questionnaire information 503 may be obtained from the owner using a questionnaire or a medical inquiry terminal when visiting a veterinary hospital, or may be obtained by having the owner enter it in advance using a mobile terminal or the like owned by the owner. May be.
　身体所見情報５０４は、動物病院等において獣医師等が調べることができ、客観的な数値で表せる身体情報である。例えば「体重」「体温」「心拍」「呼吸数」等であり、以下に説明する現病歴情報５０５とともに必要な検査を抽出するために必要な情報である。 Physical finding information 504 is physical information that can be examined by a veterinarian or the like at a veterinary hospital or the like and can be expressed by an objective numerical value. For example, "body weight", "body temperature", "heart rate", "respiratory rate", etc., which are necessary information for extracting necessary tests together with the current medical history information 505 described below.
　現病歴情報５０５は、獣医師等が聴取した主観的な情報である。現病歴情報５０５は、上述した問診情報５０３と同一になる場合も多いが、例えば「喉が赤い」というように飼い主だけでは実際に確認するのが困難な項目も含まれている。また、問診情報５０３では「血尿が出ている」という情報が取得されたとしても、獣医師等によって診察したところ「肛門から出血している」という現病歴が聴取されることもある。 The current medical history information 505 is subjective information heard by a veterinarian or the like. The current medical history information 505 is often the same as the above-mentioned interview information 503, but includes items that are difficult for the owner to actually confirm, such as "the throat is red". In addition, even if the information that "hematuria is occurring" is obtained in the interview information 503, the current medical history that "bleeding from the anus" may be heard when examined by a veterinarian or the like.
　検査結果情報５０６は、当該動物患者が来院して受けた検査の結果を含んでいる。検査結果には、過去の通院において受けたことのある検査結果や、検診において受けたことのある検査結果などを含めることができる。また、その際に、検査に対する反応（嫌がったかどうか等、検査自体の受容性・許容性に関する情報）を関連付けて記憶することとしてもよい。当該情報は、検査をレコメンドする際の重要な指標になり得るからである。検査項目は、炎症検査、生化学検査、心機能検査、内分泌機能検査、アレルギー検査、感染症検査、微生物検査、形態学的検査と言ったように目的別にカテゴリ化されていてもよいし、血液検査、レントゲン検査、超音波検査、細胞診検査、内視鏡検査（胃カメラ、直腸鏡）、ＣＴ検査（画像検査）、病理検査のように検査の特性に応じてカテゴリ化されていることとしてもよい。 The test result information 506 includes the result of the test that the animal patient visited and received. The test results can include test results that have been received in past hospital visits, test results that have been received in medical examinations, and the like. At that time, the reaction to the test (information on the acceptability / permissibility of the test itself, such as whether or not the test was disliked) may be associated and stored. This information can be an important indicator when recommending a test. The test items may be categorized according to purpose, such as inflammation test, biochemical test, cardiac function test, endocrine function test, allergy test, infectious disease test, microbiological test, and morphological test, or blood. As being categorized according to the characteristics of the examination, such as examination, roentgen examination, ultrasonic examination, cytological examination, endoscopy (gastroscope, rectoscope), CT examination (imaging examination), and pathological examination. May be good.
　診断履歴情報５０７は、少なくとも当該動物患者が過去に受けた診断の履歴を含んでいる。過去に罹患した具体的な疾患名や怪我等の情報を含めることができる。診断履歴には、過去の通院において疑われた診断に関する情報を含めてもよい。 The diagnosis history information 507 includes at least the history of diagnoses received by the animal patient in the past. Information such as the name of a specific disease or injury that has occurred in the past can be included. The diagnosis history may include information about diagnoses suspected in past visits.
　処置履歴情報５０８及び投薬履歴情報５０９は、当該動物患者が過去に受けた処置履歴／投薬履歴情報を含んでいる。この場合においても、当該対応に対する反応（嫌がったかどうか、体調に影響を来たしたか等、処置又は投薬自体の受容性・許容性に関する情報）を関連付けて記憶することとしてもよい。項目としては、肛門腺処置、爪切処置、足裏処置、耳処置、毛抜き、眼科処置、歯科処置、エリザベスカラー・腹帯など、鍼灸処置、留置、便出し、抜糸、消毒、酸素処置、催吐処置、緊急蘇生処置、水抜き、強制給餌、洗浄、圧排、マッサージ、マイクロチップ、トリミング、カテーテル、リハビリ、手術、麻酔、入院、注射、輸血、点滴、検査、放射線治療、各種ドック、介護、衛生処置、シャンプー、しつけ、サプリメント、おやつ、避妊、去勢、ノミダニ駆除、狂犬病薬、ワクチン、フード、内用薬、点耳薬、点鼻薬、点眼薬、外用薬（軟膏・クリーム）、外用薬（消毒薬・スプレー）、外用薬、フィラリア予防などが例示できるがこの限りではない。 The treatment history information 508 and the medication history information 509 include the treatment history / medication history information that the animal patient has received in the past. In this case as well, the reaction to the response (information on the acceptability / tolerance of the treatment or the medication itself, such as whether or not the patient disliked it or whether it affected the physical condition) may be associated and stored. Items include anal gland treatment, nail cutting treatment, sole treatment, ear treatment, hair removal, ophthalmic treatment, dental treatment, Elizabeth collar / abdominal band, acupuncture and moxibustion treatment, indwelling, stool removal, thread removal, disinfection, oxygen treatment, emetic treatment. , Emergency resuscitation, drainage, forced feeding, washing, exclusion, massage, microchip, trimming, catheter, rehabilitation, surgery, anesthesia, hospitalization, injection, blood transfusion, infusion, examination, radiotherapy, various docks, nursing care, hygiene treatment , Shampoo, squeezing, supplements, snacks, contraception, neutering, flea mite extermination, mad dog disease medicine, vaccine, food, internal medicine, ear drops, nasal drops, eye drops, external medicine (ointment / cream), external medicine (disinfectant)・ Spray), topical drugs, prevention of filaria, etc. can be exemplified, but this is not the case.
　処方履歴情報５１０は、当該動物患者が過去に処方された薬剤等の情報を含んでいる。この場合、自宅にて処方された薬剤を服用できたか否か、嫌がったかどうか、体調に影響を来たしたか等、処置又は投薬自体の受容性・許容性に関する情報をユーザの携帯端末を介して取得することとしてもよい。 The prescription history information 510 includes information such as drugs prescribed by the animal patient in the past. In this case, information on the acceptability / tolerance of the treatment or the medication itself, such as whether or not the drug prescribed at home could be taken, whether or not it was disliked, and whether or not it affected the physical condition, was provided via the user's mobile terminal. You may also obtain it.
＜診断データベースの詳細＞
　図４乃至図５に示されるように、診断データベース２０６は、図６に例示されるようなデータセット（テーブル）を持っている。データセットは、検査結果情報５０６等に関連付けられた一以上の診断候補との対が含まれている。 <Details of diagnostic database>
As shown in FIGS. 4-5, the diagnostic database 206 has a dataset (table) as illustrated in FIG. The dataset contains pairs with one or more diagnostic candidates associated with test result information 506 and the like.
　図４に示されるように、本システムで使用するデータセットは、少なくとも動物患者の検査結果情報を利用する。検査結果情報は、動物患者のデータベース内に格納され、動物患者のカルテデータと関連付けられる。本実施の形態によるシステムで利用される検査結果情報自体は、来院当日に受けた検査の結果であってもよいし、別の日に受けた検査結果であってもよいし、他の動物病院で受けた検査結果であってもよい。診断データベースには、検査結果に関する条件と、当該条件を満たす場合に想定される診断候補とが関連づけられている。検査結果条件は複数の条件であってもよいし、診断候補も複数あってもよい。 As shown in FIG. 4, the data set used in this system uses at least the test result information of the animal patient. The test result information is stored in the animal patient database and associated with the animal patient chart data. The test result information itself used in the system according to the present embodiment may be the result of the test received on the day of the visit, the test result received on another day, or another veterinary hospital. It may be the test result received at. In the diagnostic database, conditions related to test results and diagnostic candidates assumed when the conditions are satisfied are associated with each other. The test result condition may be a plurality of conditions, or there may be a plurality of diagnostic candidates.
　図５を参照してさらに詳しく説明する。本実施の形態によるシステムは、検査結果情報と、その他の情報（例えば、動物種情報、問診情報、身体所見情報、現病歴情報、診断履歴情報、処置履歴情報、投薬歴情報、処方履歴情報）との２以上の情報を利用して診断候補をレコメンドするものであってもよい。この場合、診断データベースには、検査結果条件を必ず含み、動物種条件、問診条件、身体所見条件、現病歴条件、診断履歴条件、処置履歴条件、投薬歴条件、処方履歴条件の少なくともいずれかを含む条件との組み合わせに対して、所定の診断候補が関連付けられている。例えば、図示される診断候補１には、検査結果条件（採血の結果等）と、動物種条件（犬又は猫等）と、問診条件（主訴に関する情報等）が関連付けられている、このように、複数の条件に診断候補を関連付けることによって、より精度の高いレコメンドが可能となる。 A more detailed explanation will be given with reference to FIG. The system according to the present embodiment includes test result information and other information (for example, animal species information, interview information, physical findings information, current medical history information, diagnosis history information, treatment history information, medication history information, prescription history information). It may be one that recommends a diagnosis candidate by using two or more pieces of information. In this case, the diagnostic database always includes the test result condition, and includes at least one of the animal species condition, the interview condition, the physical finding condition, the current medical history condition, the diagnosis history condition, the treatment history condition, the medication history condition, and the prescription history condition. A predetermined diagnostic candidate is associated with the combination with the inclusion conditions. For example, the illustrated diagnostic candidate 1 is associated with test result conditions (blood sampling results, etc.), animal species conditions (dogs, cats, etc.), and interview conditions (information on the chief complaint, etc.). By associating diagnostic candidates with multiple conditions, more accurate recommendations become possible.
　図６に示されるように、具体的なデータセット（テーブル）には、情報種と、その内容（＝条件）、診断候補、疾患候補に関する情報が記憶されている。例えば、図示される全身性炎症反応症候群（SIRS）という診断候補がレコメンドされる条件としては、動物種と、身体所見情報と、検査結果情報との３つの情報が関連付けられている。即ち、動物種として犬、身体所見情報５０４として体温に関する条件（XXX℃以下、又はYYY℃以上）、心拍数に関する条件（ZZdog回/分以上）呼吸数に関する条件（WW回以上）、また、検査結果情報５０６として白血球数（AAAA/μL以上、又はBBBB/μL以下）という条件が設定されており、動物患者情報から得られた数値や結果がこの条件をすべて満たした場合には、全身性炎症反応症候群（SIRS）という診断候補がレコメンドされる。この際に関連付けられている疾患名（例えば、敗血症等）が更に提案されることとしてもよい。この場合、診断候補に疾患名を関連付けて記憶しておけばよい。 As shown in FIG. 6, a specific data set (table) stores information on information types, their contents (= conditions), diagnosis candidates, and disease candidates. For example, the conditions under which the illustrated systemic inflammatory response syndrome (SIRS) diagnostic candidate is recommended are associated with three types of information: animal species, physical findings information, and test result information. That is, a dog as an animal species, a condition related to body temperature (XXX ° C or lower or YYY ° C or higher) as physical finding information 504, a condition related to heart rate (ZZdog times / minute or more), a condition related to respiratory rate (WW times or more), and a test. The condition of white blood cell count (AAAA / μL or more or BBBB / μL or less) is set as the result information 506, and if the numerical values and results obtained from the animal patient information satisfy all of these conditions, systemic inflammation A candidate for diagnosis of reaction syndrome (SIRS) is recommended. The disease name associated with this case (for example, sepsis) may be further proposed. In this case, the disease name may be associated with the diagnosis candidate and stored.
＜処理のフロー＞
　図７は、診断レコメンドモジュール２００の処理の流れを説明するフローチャートの一例である。診断レコメンドモジュール２００は、動物患者の検査結果情報を含む動物患者情報を読み込む（Ｓ１０１）。少なくとも検査結果情報を含む取得した情報に基づいて診断データベースを参照して（Ｓ１０２）、対応する関連付けられた診断候補を抽出する（Ｓ１０３）。抽出した診断候補はタッチディスプレイ等の表示部に表示された後（Ｓ１０４）、獣医師等から診断候補の選択装置を受け付ける（Ｓ１０５）。 <Processing flow>
FIG. 7 is an example of a flowchart for explaining the processing flow of the diagnostic recommendation module 200. The diagnostic recommendation module 200 reads animal patient information including test result information of the animal patient (S101). The diagnostic database is referred to (S102) based on the acquired information including at least the test result information, and the corresponding associated diagnostic candidates are extracted (S103). After the extracted diagnostic candidates are displayed on a display unit such as a touch display (S104), a diagnostic candidate selection device is accepted from a veterinarian or the like (S105).
　以上説明したシステムは、検査結果情報を含む動物患者情報に基づいて診断データベースから診断候補を抽出してレコメンドすることとしていたが、例えば、図８乃至図１０に示されるように、複数の診断候補を何らかの評価値によって評価し、より確からしい診断候補としてレコメンドすることとしてもよい。 In the system described above, diagnostic candidates are extracted from the diagnostic database and recommended based on animal patient information including test result information. For example, as shown in FIGS. 8 to 10, a plurality of diagnostic candidates are present. May be evaluated by some evaluation value and recommended as a more probable diagnostic candidate.
　図８に示されるように、提案システムにおける診断レコメンドモジュール２００’のような構成としてもよい。診断レコメンドモジュール２００’は、入力又は取得された検査結果情報５０６（図３参照）等を含む動物患者データベース２０４に基づいて、当該動物患者の診断として検討すべき診断候補を評価値に基づいてレコメンドする機能を構成する。また、本実施の形態においては、レコメンドされた診断候補のいずれの候補が選択されたかという事実に基づいて当該評価値を更新する評価値更新手段２１２を更に備えている。 As shown in FIG. 8, the configuration may be such as the diagnostic recommendation module 200'in the proposed system. The diagnostic recommendation module 200'recommends diagnostic candidates to be examined as a diagnosis of the animal patient based on the evaluation value based on the animal patient database 204 including the input or acquired test result information 506 (see FIG. 3) and the like. Configure the function to do. Further, in the present embodiment, the evaluation value updating means 212 for updating the evaluation value based on the fact that which of the recommended diagnostic candidates is selected is further provided.
　図９に示されるように、本実施の形態による具体的なデータセット（テーブル）には、情報種と、その内容（＝条件）、診断候補、疾患候補、評価値に関する情報が記憶されている。例えば、図示されるＡＢＣ（具体的な診断候補名は省略）という診断候補がレコメンドされる条件としては、動物種と、身体所見情報と、検査結果情報との３つの情報が関連付けられている。動物患者情報から得られた数値や結果がこの条件をすべて満たした場合には、全身性炎症反応症候群（SIRS）という診断候補が評価値８７という確からしさによってレコメンドされる。一方で、図示されるように、診断候補ＸＹＺには評価値３２が関連付けられており、また診断候補ＰＱＲには評価値１１が関連付けられている。 As shown in FIG. 9, the specific data set (table) according to the present embodiment stores information on the information type, its contents (= conditions), diagnosis candidates, disease candidates, and evaluation values. .. For example, as a condition for recommending a diagnostic candidate called ABC (specific diagnosis candidate name omitted) shown in the figure, three pieces of information such as an animal species, physical finding information, and test result information are associated with each other. If the values and results obtained from the animal patient information meet all of these conditions, a diagnostic candidate for systemic inflammatory response syndrome (SIRS) is recommended with a certainty of an evaluation value of 87. On the other hand, as shown in the figure, the diagnostic candidate XYZ is associated with the evaluation value 32, and the diagnostic candidate PQR is associated with the evaluation value 11.
　図１０に示されるように、システムのフローとして、診断レコメンドモジュール２００’は、動物患者の検査結果情報を含む動物患者情報を読み込む（Ｓ２０１）。少なくとも検査結果情報を含む取得した情報に基づいて診断データベースを参照して（Ｓ２０２）、対応する関連付けられた診断候補の評価値を特定して（Ｓ２０３）、評価値に基づいて診断候補を表示する（Ｓ２０４）。表示した診断候補に対して、獣医師等から診断候補の選択装置を受け付ける（Ｓ１０５）。 As shown in FIG. 10, as a system flow, the diagnostic recommendation module 200'reads animal patient information including test result information of the animal patient (S201). Refer to the diagnostic database based on the acquired information, including at least the test result information (S202), identify the evaluation value of the corresponding associated diagnostic candidate (S203), and display the diagnostic candidate based on the evaluation value. (S204). A veterinarian or the like accepts a diagnostic candidate selection device for the displayed diagnostic candidate (S105).
　図示される評価値は、レコメンドすべき診断候補の確からしさを評価値として表現し記憶するものであったが、例えば、情報項目のそれぞれに評価値を関連付けておき情報項目に関連付けられた評価値を合算したものを図示される評価値の列（右端の列）に設定することとしてもよい。例えば、動物種と、身体所見情報と、検査結果情報とに評価値を関連づけておき、全て満たした場合にそれぞれの評価値を合算したものが図の「８７」と算出されることとしてもよい。この場合、更に、情報項目の内容に評価値の重みづけをすることとしてもよい（たとえば、ある特定の検査結果が陽性であればほぼ確実にある診断候補であるという場合には当該検査結果の条件の評価値を高めておけばよい）。即ち、図５及び図９を参照して、診断候補毎に、各情報項目のそれぞれから得られる評価値にそれぞれ適切な係数を乗じることとすればよい。例えば、以下のようにα～γが任意の係数として乗じられた数式として表現することができる。
　診断候補ＡＢＣの評価値＝動物種×α＋身体所見情報×β＋検査履歴情報×γ The illustrated evaluation value expresses and stores the certainty of the diagnostic candidate to be recommended as an evaluation value. For example, the evaluation value is associated with each information item and the evaluation value associated with the information item. May be set in the column of evaluation values (rightmost column) shown in the figure. For example, the evaluation values may be associated with the animal species, the physical findings information, and the test result information, and when all the evaluation values are satisfied, the sum of the evaluation values may be calculated as "87" in the figure. .. In this case, the content of the information item may be further weighted with an evaluation value (for example, if a specific test result is positive, it is almost certain that the test result is a diagnostic candidate. The evaluation value of the condition should be increased). That is, with reference to FIGS. 5 and 9, the evaluation value obtained from each of the information items may be multiplied by an appropriate coefficient for each diagnosis candidate. For example, it can be expressed as a mathematical formula in which α to γ are multiplied as arbitrary coefficients as shown below.
Evaluation value of diagnostic candidate ABC = animal species x α + physical findings information x β + test history information x γ
　このように、複数の診断候補毎に評価値を算出する式を重みづけすることにより精度を高めることができる。 In this way, the accuracy can be improved by weighting the formula for calculating the evaluation value for each of a plurality of diagnostic candidates.
　以上説明したように、このような客観的な診断候補のレコメンドを行うこととすれば、診断候補の入力作業を省力化できると共に、検討すべき診断候補から漏れを防止できる。特に、経験年数が多い者や実績が高いと評価された者（「ベテラン獣医師等」と呼ぶ）と、経験年数が少ない者や実績が高くないと評価された者（「新人獣医師等」と呼ぶ）の間における、判断スキルの偏りを是正し、標準化することができる。 As explained above, if such an objective diagnosis candidate is recommended, the labor for inputting the diagnosis candidate can be saved and omission from the diagnosis candidate to be examined can be prevented. In particular, those who have many years of experience and are evaluated as having high achievements (called "experienced veterinarians"), those who have few years of experience and those who are evaluated as not having high achievements ("new veterinarians, etc."" It is possible to correct and standardize the bias of judgment skills between (called).
＜評価値の更新＞
　図８に示されるように、評価値更新手段２１２は、上述した診断データベース２０６に含まれる評価値を、診断候補のユーザによる選択操作の事実に基づいて変更・更新することとしてもよい。これによりレコメンド機能の正確性を向上させることができる。 <Update of evaluation value>
As shown in FIG. 8, the evaluation value updating means 212 may change / update the evaluation value included in the above-mentioned diagnosis database 206 based on the fact of the selection operation by the user of the diagnosis candidate. This can improve the accuracy of the recommendation function.
　また、評価値更新手段２１２は、他の端末（同一病院内の別の端末であるか、同一システムに接続された他の病院内の端末であるかを問わない）における他のユーザによる選択操作に基づいても評価値を変更・更新することとしてもよい。 Further, the evaluation value updating means 212 is a selection operation by another user on another terminal (whether it is another terminal in the same hospital or a terminal in another hospital connected to the same system). The evaluation value may be changed / updated based on the above.
　評価値の更新方法は、種々の方法により行うことができる。もっとも簡便な考え方としては、本システムを利用して同一事例において実際に選択され実施された診断候補について評価値を増加させる方法が考えられる。一方、提案されたものの選択されず実施もされなかった診断候補については評価値を変動させない又は減少させればよい。 The evaluation value can be updated by various methods. The simplest way of thinking is to use this system to increase the evaluation value of the diagnostic candidates actually selected and implemented in the same case. On the other hand, for diagnostic candidates that have been proposed but have not been selected or implemented, the evaluation value may not be changed or may be reduced.
　上述したベテラン獣医師等や新人獣医師等に所定の指標（経験年数等）を関連付けて利用して記憶しておき、ベテラン獣医師等による選択操作による評価値の増減に当該指標に応じた重みづけをすることとしてもよい。 The above-mentioned veterinarians and new veterinarians are associated with a predetermined index (years of experience, etc.) and memorized, and the weight according to the index is increased or decreased by the selection operation by the veterinarian. It may be attached.
　本実施の形態における評価値更新手段２１２は、評価値自体の更新のみならず、上述した診断候補の抽出の際に評価値に付与する重みづけ（α～δ）や、選択操作の主体を示す指標（経験年数）もまた更新の対象とする。 The evaluation value updating means 212 in the present embodiment not only updates the evaluation value itself, but also indicates the weighting (α to δ) given to the evaluation value at the time of extracting the diagnosis candidate described above, and the subject of the selection operation. Indicators (years of experience) are also subject to renewal.
＜表示例＞
　続いて、提案システムの表示例を説明する。図１１に示されるように、動物病院端末の画面は、対象とする動物患者毎に、少なくとも、受診日毎に生成された診療データを表示する診療データ表示領域４００と、受診日を示す情報を表示する日付表示領域４１０、４１２とで構成される。また、領域４１０には、動物患者の画像、動物患者の診療ステータス例えば、診療中、検査中、診療終了、検査完了等の情報を表示することができる。領域４１２には、過去の通院情報を表示するためのタブが表示される。 <Display example>
Next, a display example of the proposed system will be described. As shown in FIG. 11, the screen of the veterinary hospital terminal displays a medical care data display area 400 for displaying at least the medical care data generated for each consultation date and information indicating the consultation date for each target animal patient. It is composed of the date display areas 410 and 412. Further, in the area 410, it is possible to display an image of the animal patient, medical treatment status of the animal patient, for example, information such as during medical treatment, during examination, completion of medical treatment, and completion of examination. In area 412, tabs for displaying past outpatient information are displayed.
　診療データ表示領域４００には、状況、出血、期間、食欲、体調、嘔吐の有無、下痢の有無等の問診情報５０３）、身体所見、病歴、検査、診断、処理＆投薬、処方、メモ等の診療データ（５０４～５１４）がそれぞれ入力可能に表示される。また、診療データに含まれる各々の項目について、情報を入力可能な領域が設けられ、動物病院端末３００の担当者による入力によって診療データが更新される。 In the medical data display area 400, interview information such as status, bleeding, period, appetite, physical condition, presence / absence of vomiting, presence / absence of diarrhea, etc. 503), physical findings, medical history, examination, diagnosis, treatment & medication, prescription, memo, etc. Medical data (504 to 514) are displayed so that they can be input. Further, for each item included in the medical care data, an area in which information can be input is provided, and the medical care data is updated by the input by the person in charge of the veterinary hospital terminal 300.
　図１２に示されるように、問診、身体所見、病歴の入力が終わり、所定の検査を受け終わると、診断の領域に「胃炎、胃捻転、胃拡張、犬伝染性肝炎」と言った診断候補がレコメンドされ表示される。表示のタイミングとしては、問診、身体所見、病歴の入力が終わる前に適宜レコメンド機能が実行されていてもよい。 As shown in FIG. 12, after the interview, physical findings, and medical history have been entered and the prescribed examination has been completed, a diagnostic candidate with "gastritis, gastric torsion, gastric dilatation, canine infectious hepatitis" in the area of diagnosis. Is recommended and displayed. As the timing of the display, the recommendation function may be appropriately executed before the interview, the physical findings, and the input of the medical history are completed.
　図１３に示されるように、診断を入力することも可能である。この場合、「い」と入力すると「胃炎、胃捻転、胃拡張、イヌ伝染性肝炎」というように診断の予測がされていてもよい。診断を確定すると、検査領域に選択した診断名が表示される（図示せず）。 It is also possible to enter a diagnosis as shown in FIG. In this case, if "i" is input, the diagnosis may be predicted as "gastritis, gastric torsion, gastric dilatation, infectious canine hepatitis". When the diagnosis is confirmed, the selected diagnosis name is displayed in the examination area (not shown).
　図１４乃至図１８に示されるように、診断レコメンドモジュールに入力される検査結果情報は、例えば、自動入力又は手動入力によって入力可能である。以下、血液検査を例に説明する。 As shown in FIGS. 14 to 18, the test result information input to the diagnostic recommendation module can be input by, for example, automatic input or manual input. Hereinafter, a blood test will be described as an example.
　検査結果情報の入力を選択すると（図示せず）、図１４に示されるように「手入力」及び「画像入力」の選択ボタンが表示される。「手入力」を選択すると、例えば図１５に示されるように数値入力の画面が表示される。ここで、ユーザは、図１６に示されるように、検査結果として数値を入力する。 When the input of inspection result information is selected (not shown), the "manual input" and "image input" selection buttons are displayed as shown in FIG. When "manual input" is selected, a numerical input screen is displayed, for example, as shown in FIG. Here, the user inputs a numerical value as an inspection result as shown in FIG.
　一方、動物病院端末３００にカメラ機能が備わっている場合には、図１４に示される画面において「画像入力」を選択することとすればよい。この場合図１７に示されるように血液検査結果の結果票をカメラで撮影し、図１８に示されるように登録することによってＯＣＲ認識等の機能によって数値を自動で取り込むことが可能である。 On the other hand, when the veterinary hospital terminal 300 is equipped with a camera function, "image input" may be selected on the screen shown in FIG. In this case, by taking a picture of the blood test result result sheet with a camera as shown in FIG. 17 and registering it as shown in FIG. 18, it is possible to automatically capture the numerical value by a function such as OCR recognition.
　以上のようなユーザインターフェースを含む提案システムを提供することにより、動物病院の医師等の担当者は、診療データの入力とともに一元的な作業を行うことができる。特に動物を患者とする診療の場合、人間の診療とは異なり、動物種や個体差によって適応できる検査、診断、処置、投薬及び処方が根本的に異なることから、それらを反映した提案システムを提供することができる。これにより、より簡易で精度が高く合わせて獣医療という分野特有の課題を解決することのできる提案システムを提供することができる。 By providing a proposal system that includes the above user interface, the person in charge such as a doctor at a veterinary hospital can perform centralized work while inputting medical data. Especially in the case of medical care using animals as patients, unlike human medical care, the tests, diagnoses, treatments, medications and prescriptions that can be applied differ depending on the animal species and individual differences, so we provide a proposal system that reflects these. can do. This makes it possible to provide a proposal system that is simpler and more accurate and can solve problems peculiar to the field of veterinary medicine.
　以上、開示に係る実施形態について説明したが、これらはその他の様々な形態で実施することが可能であり、種々の省略、置換および変更を行なって実施することが出来る。これらの実施形態および変形例ならびに省略、置換および変更を行なったものは、特許請求の範囲の技術的範囲とその均等の範囲に含まれる。 Although the embodiments related to the disclosure have been described above, these can be implemented in various other embodiments, and can be implemented by making various omissions, replacements, and changes. These embodiments and modifications, as well as those omitted, replaced and modified, are included in the technical scope of the claims and the equivalent scope thereof.
　２００　診断レコメンドモジュール
　２０２　記憶手段
　２０４　動物患者データベース
　２０６　検査データベース
　２０８　抽出手段
　２１０　表示手段
　３００　動物病院端末
  200 Diagnostic Recommendation Module 202 Storage Means 204 Animal Patient Database 206 Examination Database 208 Extraction Means 210 Display Means 300 Animal Hospital Terminal

Claims (8)

  1. 　検査結果情報を少なくとも含む動物患者データベースと、少なくとも前記検査結果情報に関連付けられた診断候補を含む診断データベースとが格納されている記憶手段、
    　前記診断データベースを参照し、前記検査結果情報に基づいて前記診断候補を抽出する抽出手段、
    　抽出された前記診断候補をユーザに対して表示する表示手段、を備える
    動物患者用診断提案システム。     A storage means in which an animal patient database containing at least test result information and a diagnostic database containing at least diagnostic candidates associated with the test result information are stored.
    An extraction means that refers to the diagnostic database and extracts the diagnostic candidates based on the test result information.
    A diagnostic proposal system for animal patients, comprising a display means for displaying the extracted diagnostic candidates to a user.
  2. 　請求項１に記載の動物患者用診断提案システムであって、
    　前記動物患者データベースは、問診情報、身体所見情報、現病歴情報、診断履歴情報、処置履歴情報、投薬歴情報又は処方履歴情報の少なくともいずれかを含んでおり、
    　前記診断データベースは、前記検査結果情報を含む前記動物患者データベースから選択される二以上の情報に関連付けられた前記診断候補を含んでおり、
    　前記抽出手段は、前記診断データベースを参照し、これらの情報に基づいて前記診断候補を抽出する、
    動物患者用診断提案システム。     The diagnostic proposal system for animal patients according to claim 1.
    The animal patient database includes at least one of interview information, physical findings information, current medical history information, diagnosis history information, treatment history information, medication history information, and prescription history information.
    The diagnostic database includes the diagnostic candidates associated with two or more pieces of information selected from the animal patient database, including the test result information.
    The extraction means refers to the diagnostic database and extracts the diagnostic candidates based on the information.
    Diagnosis proposal system for animal patients.
  3. 　請求項１又は請求項２に記載の動物患者用診断提案システムであって、
    　前記診断候補は、少なくとも前記検査結果情報に評価値と共に関連付けられており、
    　前記抽出手段は、前記評価値に基づいて前記診断候補を抽出する、
    動物患者用診断提案システム。     The animal patient diagnostic proposal system according to claim 1 or 2.
    The diagnostic candidate is associated with at least the test result information together with the evaluation value.
    The extraction means extracts the diagnostic candidate based on the evaluation value.
    Diagnosis proposal system for animal patients.
  4. 　請求項３に記載の動物患者用診断提案システムであって、
    　表示した前記診断候補の前記ユーザによる選択操作に基づいて前記評価値を更新する評価値更新手段を更に備える、
    動物患者用診断提案システム。     The diagnostic proposal system for animal patients according to claim 3.
    Further provided with an evaluation value updating means for updating the evaluation value based on the selected operation of the displayed diagnosis candidate by the user.
    Diagnosis proposal system for animal patients.
  5. 　請求項４に記載の動物患者用診断提案システムであって、
    　前記評価更新手段は、他の端末における他のユーザによる前記選択操作に基づいても前記評価値を更新する、
    動物患者用診断提案システム。     The diagnostic proposal system for animal patients according to claim 4.
    The evaluation updating means also updates the evaluation value based on the selection operation by another user on another terminal.
    Diagnosis proposal system for animal patients.
  6. 　請求項４又は請求項５に記載の動物患者用診断提案システムであって、
    　前記記憶手段は、前記ユーザの属性情報を記憶しており、
    　前記評価値に対する前記更新の度合いは、前記ユーザの前記属性情報に基づいて定められる、
    動物患者用診断提案システム。     The animal patient diagnostic proposal system according to claim 4 or 5.
    The storage means stores the attribute information of the user, and the storage means stores the attribute information of the user.
    The degree of the update with respect to the evaluation value is determined based on the attribute information of the user.
    Diagnosis proposal system for animal patients.
  7. 　携行可能な動物患者用診断提案端末であって、
    　検査結果情報を少なくとも含む動物患者データベースと、少なくとも前記検査結果情報に関連付けられた診断候補を含む診断データベースとが格納されている記憶手段、
    　前記診断データベースを参照し、前記検査結果情報に基づいて前記診断候補を抽出する抽出手段、
    　抽出された前記診断候補をユーザに対して表示する表示手段、を備える
    動物患者用診断提案端末。     It is a portable diagnostic proposal terminal for animal patients.
    A storage means in which an animal patient database containing at least test result information and a diagnostic database containing at least diagnostic candidates associated with the test result information are stored.
    An extraction means that refers to the diagnostic database and extracts the diagnostic candidates based on the test result information.
    A diagnosis proposal terminal for an animal patient, comprising a display means for displaying the extracted diagnosis candidates to a user.
  8. 　検査結果情報を少なくとも含む動物患者データベースと、少なくとも前記検査結果情報に関連付けられた診断候補を含む診断データベースとが格納されている記憶手段、
    　前記診断データベースを参照し、前記検査結果情報に基づいて前記診断候補を抽出する抽出手段、としてタッチディスプレイデバイスを有し携行可能な動物患者用診断提案端末を機能させる、
    動物患者用診断提案プログラム。     A storage means in which an animal patient database containing at least test result information and a diagnostic database containing at least diagnostic candidates associated with the test result information are stored.
    A portable animal patient diagnosis proposal terminal having a touch display device is made to function as an extraction means for extracting the diagnosis candidate based on the test result information by referring to the diagnosis database.
    Diagnosis proposal program for animal patients.
PCT/JP2020/014789 2020-03-31 2020-03-31 Animal patient diagnosis proposal system, animal patient diagnosis proposal termin al, and animal patient diagnosis proposal program WO2021199267A1 (en)

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Citations (4)

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JP2003006329A (en) * 2001-06-26 2003-01-10 Hitachi Ltd System for supporting diagnosis
US20040143403A1 (en) * 2002-11-14 2004-07-22 Brandon Richard Bruce Status determination
JP2009238038A (en) * 2008-03-27 2009-10-15 Fujifilm Corp Medical report system, medical report browse device, medical report program, and method of browsing medical report
JP2019197500A (en) * 2018-05-11 2019-11-14 富士フイルム株式会社 Diagnosis support device, diagnosis support system, display control device, diagnosis support method, and diagnosis support program

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JP5645761B2 (en) * 2011-06-23 2014-12-24 登史夫 小林 Medical data analysis method, medical data analysis device, and program

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JP2003006329A (en) * 2001-06-26 2003-01-10 Hitachi Ltd System for supporting diagnosis
US20040143403A1 (en) * 2002-11-14 2004-07-22 Brandon Richard Bruce Status determination
JP2009238038A (en) * 2008-03-27 2009-10-15 Fujifilm Corp Medical report system, medical report browse device, medical report program, and method of browsing medical report
JP2019197500A (en) * 2018-05-11 2019-11-14 富士フイルム株式会社 Diagnosis support device, diagnosis support system, display control device, diagnosis support method, and diagnosis support program

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