WO2021199268A1 - 動物患者用対応提案システム、動物患者用対応提案端末及び動物患者用対応提案プログラム - Google Patents

動物患者用対応提案システム、動物患者用対応提案端末及び動物患者用対応提案プログラム Download PDF

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WO2021199268A1
WO2021199268A1 PCT/JP2020/014790 JP2020014790W WO2021199268A1 WO 2021199268 A1 WO2021199268 A1 WO 2021199268A1 JP 2020014790 W JP2020014790 W JP 2020014790W WO 2021199268 A1 WO2021199268 A1 WO 2021199268A1
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information
animal patient
animal
correspondence
database
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PCT/JP2020/014790
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English (en)
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 PCT/JP2020/014790 priority Critical patent/WO2021199268A1/ja
Priority to JP2021533749A priority patent/JP6999995B1/ja
Publication of WO2021199268A1 publication Critical patent/WO2021199268A1/ja
Priority to JP2021204493A priority patent/JP2022027956A/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
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A40/00—Adaptation technologies in agriculture, forestry, livestock or agroalimentary production
    • Y02A40/70—Adaptation technologies in agriculture, forestry, livestock or agroalimentary production in livestock or poultry

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  • the present invention relates to an animal patient response proposal system, an animal patient response proposal terminal, and an animal patient response proposal program.
  • Patent Document 1 describes a method of using an electronic medical record to support 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. Is disclosed.
  • 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 the operator from inputting in that some estimation is displayed 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 correspondence candidate from the diagnosis information based on the animal patient information and the test result information, and a proposal means for proposing the extracted correspondence candidate are provided.
  • a response proposal system for animal patients is obtained.
  • FIG. 5 is a functional block diagram of a veterinary hospital terminal in which the proposed system according to the embodiment of the present invention is executed. It is a figure which shows the configuration example of the corresponding recommendation module in the proposed system by embodiment of this invention. This is a configuration example of an animal patient database. It is an image diagram of the recommendation database. It is a figure which shows the processing flow of the proposal system. It is an image diagram explaining the combination of information used for recommendation. It is a figure which shows the structural example of the corresponding recommendation module by the modification of this invention. It is a figure which shows the processing flow of the proposal system by the modification of FIG. .. It is an image diagram of the recommendation database of the proposal system by the modification of FIG. 7. This is a display example for displaying correspondence candidates.
  • An extraction means that refers to the corresponding database and extracts the corresponding candidate based on the diagnosis result information.
  • An output means that outputs information about the selected correspondence candidate, Proposal system for animal patients equipped with.
  • the animal patient database includes any of interview information, physical findings information, current medical history information, examination history information, treatment history information, medication history information, and prescription history information.
  • the correspondence database includes said correspondence candidates associated with two or more selection information selected from the animal patient database.
  • the extraction means refers to the corresponding database and extracts the corresponding candidate based on the selected information.
  • Proposal system for animal patients [Item 3] The animal patient response proposal system described in item 2.
  • the animal patient database has weight information of the animal patient as the physical finding information, and has the weight information of the animal patient.
  • the correspondence database is used in a response proposal system for animal patients, which includes drug candidates associated with dosage parameters that vary based on the body weight information as the correspondence candidates. Further including an updating means for updating the dosage parameter based on the body weight information when the extracting means extracts the drug.
  • the display means displays the extracted drug and the updated dosage parameter.
  • Proposal system for animal patients [Item 4] The animal patient response proposal system according to any one of items 1 to 3.
  • the corresponding candidate is associated with the diagnosis result information together with the evaluation value, and is associated with the diagnosis result information.
  • the extraction means extracts the corresponding candidate based on the evaluation value.
  • Proposal system for animal patients [Item 5] The animal patient response proposal system according to item 4.
  • the evaluation value updating means for updating the evaluation value based on the selection operation by the user of the displayed corresponding candidate is further provided. Proposal system for animal patients.
  • the evaluation updating means also updates the evaluation value based on the selection operation by another user on another terminal. Proposal system for animal patients.
  • 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.
  • Proposal system for animal patients [Item 8] It is a portable animal patient support proposal terminal, A storage means in which an animal patient database containing diagnosis result information for an animal patient and a correspondence database including correspondence candidates associated with the diagnosis result information are stored. An extraction means that refers to the corresponding database and extracts the corresponding candidate based on the diagnosis result information, and A display means for displaying the extracted corresponding candidates so that the user can perform a selection operation. An output means for outputting information on the selected correspondence candidate, and Proposal terminal for animal patients equipped with.
  • a storage means in which an animal patient database containing at least diagnosis result information for an animal patient and a correspondence database including at least correspondence candidates associated with the diagnosis result information are stored.
  • An extraction means that refers to the corresponding database and extracts the corresponding candidate based on the diagnosis result information.
  • a display means for displaying the extracted corresponding candidates so that the user can perform a selection operation.
  • As an output means for outputting information on the selected correspondence candidate a portable animal patient correspondence proposal terminal having a touch display device is made to function. Proposal program for animal patients.
  • the animal patient response proposal system (hereinafter referred to as "proposal system”) is particularly referred to as a veterinary medical worker or other worker or an animal patient owner (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 mainly makes it possible to process three major steps of examination, diagnosis, and response performed in a veterinary hospital on the same system, and in the present embodiment, in particular, a confirmed diagnosis result.
  • the function of recommending an appropriate response candidate will be described based on.
  • the proposal system refers to the correspondence database described later based on the basic information of the animal patient himself and the diagnosis result information acquired / input after the visit, and selects an appropriate response candidate for the diagnosis of the animal patient. Extract and provide 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 100 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 100, 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 100 includes a communication unit 110, a display operation unit 120, a storage unit 130, and a control unit 140.
  • the configuration is an example, and other configurations may be provided.
  • the communication unit 110 is a communication interface for communicating with a server terminal as needed via a network.
  • the display operation unit 120 is a user interface used for the user to input an instruction and display text, an image, or the like according to the input data from the control unit 140.
  • the animal hospital terminal 100 is composed of a tablet terminal. If so, it consists of a touch panel and the like.
  • the display operation unit 120 is activated by a control program stored in the storage unit 130 and executed by a veterinary hospital terminal 100 which is a computer (electronic computer).
  • the storage unit 130 stores various control processes, programs for executing each function in the control unit 140, input data, and the like, and is composed of a RAM, a ROM, and the like. In addition, the storage unit 130 temporarily stores the communication content with the server terminal.
  • the control unit 140 controls the entire operation of the veterinary hospital terminal 100 by executing the program stored in the storage unit 130, and is composed of a CPU, a GPU, and the like.
  • FIG. 2 is a corresponding recommendation module 200 in the proposed system according to the present embodiment.
  • the response recommendation module 200 has a function of recommending response candidates to be considered as responses to treatment, medication, prescription, etc. for the animal patient based on the animal patient database including the input or acquired diagnosis result information and the like.
  • the corresponding recommendation module 200 is logically composed of the storage means 202 realized by the storage unit 130 shown in FIG. 1, the extraction means 208 realized by the control unit 140, and the display means 210 realized by the display operation unit 120. It is composed of.
  • the corresponding recommendation module 200 has an animal patient database 204 and a storage means 202 including the corresponding database 206.
  • the storage means 202 may store other information constituting the proposed system according to the present embodiment.
  • 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 includes all or part of the animal patient information of not only the veterinary hospital but also other veterinary hospitals managed or managed by the group. You may.
  • Correspondence database 206 contains response candidates to be considered for animal patients. Three types of response candidates are categorized: "treatment” such as surgery and injection, "medication” such as drugs and vaccines, and “prescription” for administering medication at home, and these are stored.
  • the extraction means 208 refers to the corresponding database 206 based on the animal patient database 204 and extracts the corresponding corresponding candidates.
  • the extracted correspondence candidates are displayed to the user via a display means 210 such as a touch panel, and receive a selection operation or the like.
  • the display means 210 constitutes a part of the display operation unit 120 in FIG. 1, and a touch panel is adopted in the present embodiment.
  • the display means 210 displays the extracted correspondence candidates to the user. Since the proposed system in the present embodiment may be used in various places such as an operating room and an examination room in a veterinary hospital, it can be used as a method of providing recommendation information and other notifications to users. It may be an auditory provision method such as a voice or a warning sound instead of a visual 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, the information 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 such as moving images / images of animal patients 513, 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 owned by the user.
  • animal patient information such as physical finding information 504 can be composed of data received from the veterinary hospital terminal 100, 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 it to the veterinary hospital terminal 100.
  • the above-mentioned type information includes the 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 may be obtained from the owner using a questionnaire or a medical inquiry terminal when visiting a veterinary hospital, or it may be obtained by having the owner enter it in advance using a mobile terminal or the like owned by the owner. May be good.
  • 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 508 and 509 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 stored in association with the memory.
  • 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.
  • Corresponding database 206 has a dataset (table) illustrated in FIG. Specifically, datasets are stored in association with diagnosis (results), treatments, medications, and prescriptions. For example, when a diagnosis of acute pancreatitis is made, it is recommended to prescribe a procedure called subcutaneous injection, a medication called an antiemetic drug, and a drug called an anti-inflammatory agent for the acute phase of pancreatitis.
  • the number of correspondence candidates associated with one diagnosis result may be one or a plurality. For example, as in the case of being diagnosed with XXX in FIG. 4, there may be only two possible response candidates recommended when associated with a certain diagnosis: dosing and prescribing.
  • treatment, medication, and prescription of the data set the same items as the items included in the treatment history information 508 and the medication history information 509 described above can be used.
  • FIG. 5 is an example of a flowchart for explaining the processing flow of the corresponding recommendation module 200.
  • the corresponding recommendation module 200 reads the animal patient information including the diagnosis result information of the animal patient (S101). Based on the acquired information including the diagnosis result information, the correspondence database is referred to (S102), and the correspondence candidates associated with the diagnosis result information are extracted (S103). After the extracted correspondence candidates are displayed on the display means 210 such as a touch display (S104), the selection operation of the correspondence candidates is accepted from the veterinarian or the like (S105). Display examples and the like will be described later.
  • the system includes diagnosis result information and other information (for example, animal species information, interview information, physical findings information, current medical history information, examination history information, treatment history information, etc. It recommends correspondence candidates by using two or more pieces of information including medication history information and prescription history information).
  • the corresponding database always includes the diagnosis result condition, and at least one of the animal species condition, the interview condition, the physical finding condition, the current medical history condition, the examination history condition, the treatment history condition, the medication history condition, and the prescription history condition.
  • a predetermined correspondence candidate is associated with the combination with the inclusion condition.
  • the diagnosis result condition (result of voting, etc.), the animal species condition (dog, cat, etc.), and the interview condition (information about the chief complaint, etc.) are associated with each other.
  • the diagnosis result condition (result of voting, etc.)
  • the animal species condition dog, cat, etc.
  • the interview condition information about the chief complaint, etc.
  • ⁇ Modification example> In the system described above, it was decided to extract and recommend correspondence candidates from the correspondence database based on animal patient information including diagnosis result information, but multiple correspondence candidates are evaluated by some evaluation value, and more probable correspondence candidates are evaluated. May be recommended as.
  • the corresponding recommendation module may be configured as the corresponding recommendation module 200'in the proposed system.
  • the correspondence recommendation module 200' consists a function of recommending correspondence 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 diagnosis result information and the like.
  • the evaluation value updating means 212 for updating the evaluation value based on the fact that which of the recommended corresponding candidates is selected is further provided. Since other configurations are the same as those of the corresponding recommendation module 200 shown in FIG. 2, the same reference numerals are given and the description thereof will be omitted.
  • the corresponding recommendation module 200 reads the animal patient information including the diagnosis result information of the animal patient (S201).
  • the correspondence database is referred to based on the acquired information including the diagnosis result information (S202), the evaluation value of the associated correspondence candidate corresponding to the diagnosis result information is specified (S203), and the correspondence candidate is displayed based on the evaluation value. It is displayed on the means 210 (S204). For the displayed correspondence candidate, the selection operation of the correspondence candidate is accepted from the veterinarian or the like (S205).
  • the evaluation value expresses and stores the certainty of the response candidate to be recommended as the evaluation value.
  • the evaluation value is associated with each information (physical finding information, test result, etc.) and used as the information.
  • the sum of the associated evaluation values may be set.
  • the evaluation value may be associated with the animal species and the physical finding information, and the total evaluation value of each information may be calculated. In this case, the content of the information may be further weighted with an evaluation value.
  • the accuracy can be improved by weighting the formula for calculating the evaluation value for each of a plurality of corresponding candidates.
  • the evaluation value updating means 212 of FIG. 6 may change / update the evaluation value included in the corresponding database 206 described above based on the fact of the selection operation by the user of the corresponding 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 for the response candidates that were actually selected and implemented in the same case. On the other hand, the evaluation value may not be changed or reduced for the proposed response candidates that have not been selected or implemented.
  • 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 weights the evaluation value when extracting the corresponding candidates described above, and an index (years of experience) indicating the subject of the selection operation. Is also subject to update.
  • ⁇ Display example> Next, a display example of the proposed system will be described. As shown in FIG. 10, the screen of the veterinary hospital terminal is managed in association with the medical examination information generated for each medical examination date for each target animal patient.
  • the diagnostic recommendation area 802 on the right side of the screen display example three diagnostic candidates are proposed by the diagnostic recommendation function.
  • the veterinarian has identified acute pancreatitis from the three recommended diagnostic candidates, and the diagnostic results are displayed in the diagnostic result display area 804.
  • the confirmation button 806 is slid to indicate that the diagnosis has been confirmed.
  • the necessary correspondence candidates are displayed in the correspondence recommendation area 810.
  • subcutaneous injection is selected for region 811.
  • the names of the drugs (Sol F, 4 kinds of vitamins, pp, pre, Buscopan) that compose the subcutaneous injection are displayed in the drug display area 812, and the compounding amount of the drug is displayed in the compounding area 814.
  • an appropriate dose is calculated according to the body weight of the animal patient.
  • a dose per 1 kg of body weight is associated with each drug in advance for each animal species, and the drug and its dose are displayed based on the body weight information measured on the day.
  • the blending amount of each drug contained therein is automatically calculated.
  • 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/JP2020/014790 2020-03-31 2020-03-31 動物患者用対応提案システム、動物患者用対応提案端末及び動物患者用対応提案プログラム WO2021199268A1 (ja)

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PCT/JP2020/014790 WO2021199268A1 (ja) 2020-03-31 2020-03-31 動物患者用対応提案システム、動物患者用対応提案端末及び動物患者用対応提案プログラム
JP2021533749A JP6999995B1 (ja) 2020-03-31 2020-03-31 動物患者用対応提案システム、動物患者用対応提案端末及び動物患者用対応提案プログラム
JP2021204493A JP2022027956A (ja) 2020-03-31 2021-12-16 動物患者用対応提案システム、動物患者用対応提案端末及び動物患者用対応提案プログラム

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