WO2021199267A1 - 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 - Google Patents

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 Download PDF

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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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Prior art keywords
diagnostic
information
diagnosis
animal
test result
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English (en)
French (fr)
Japanese (ja)
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岡崎　純
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Peco Inc
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Peco Inc
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Priority to JP2021533751A priority Critical patent/JP6999996B1/ja
Priority to PCT/JP2020/014789 priority patent/WO2021199267A1/ja
Publication of WO2021199267A1 publication Critical patent/WO2021199267A1/ja
Priority to JP2021204492A priority patent/JP2022034568A/ja
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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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PCT/JP2020/014789 2020-03-31 2020-03-31 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 Ceased WO2021199267A1 (ja)

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JP2021533751A JP6999996B1 (ja) 2020-03-31 2020-03-31 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
PCT/JP2020/014789 WO2021199267A1 (ja) 2020-03-31 2020-03-31 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
JP2021204492A JP2022034568A (ja) 2020-03-31 2021-12-16 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

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