WO2021205956A1 - Life function evaluation system, life function evaluation program, and life function evaluation method - Google Patents

Abstract

This life function evaluation system is provided with: an acquisition unit which acquires a response to a question pertaining to a life function of a test subject; a selection unit which, on the basis of a response acquired by the acquisition unit, selects problematic elements that pose problems for the test subject to execute respective activities regarding life items categorized by focusing on daily activities, for the respective life items corresponding to the problematic elements; an identification unit which identifies, for each of the problematic elements selected by the selection unit, a disincentive that discourages the test subject from accomplishing the problematic element; and an output unit which outputs information pertaining to the disincentive identified by the identification unit.

Description

Living function evaluation system, living function evaluation program and living function evaluation method

The present invention relates to a living function evaluation system, a living function evaluation program, and a living function evaluation method.

The long-term care supporter interviews the target person, analyzes the living situation, extracts mental and physical problems, and overcomes the problem so that the target person such as the elderly can live independently. Advice is given for this. Further, the long-term care service support device disclosed in Japanese Patent Application Laid-Open No. 11-53455 provides information on a service provider that meets the needs of the person requiring support based on the input of information on the person requiring support requiring support. ..

In the above-mentioned long-term care service, the long-term care supporter identifies the obstacles that cause the problem from the extracted problems and plans measures to overcome the problem. Through such long-term care services, the living functions of the target people, such as the elderly, will be maintained and improved, and independence will be promoted. In order to provide long-term care services that maintain and improve the living functions of the target person, it is important to formulate a long-term care plan that meets the wishes of the target person. It is especially important to properly grasp the situation and to identify the living problems of the subject and the obstacles that cause the problems. Assessment is the collection and analysis of information on the user's living conditions such as physical, nutritional, oral condition, and social participation status from a multifaceted perspective by the long-term care supporter. Is to analyze the possibility of.

Since the method of analyzing and evaluating the problems in the life of the subject and the factors thereof is left to the inspector who is the worker who performs the analysis and evaluation, the analysis and evaluation results may vary. There is.

In other words, such assessment requires specialized knowledge and experience, and the amount and detail of information that can be collected, the systematization of the collected information, and the systematization of the collected information are based on the experience and skills of inspectors such as long-term care supporters who carry out the assessment. Analysis may vary.

Further, in the technique described in JP-A-11-53455 described above, the thinking of an expert is ruled and inference based on the rule is used so that even an inexperienced inspector can carry out a certain level of assessment. ing. However, according to the expert rules disclosed here, only the judgment results for the needs are associated, and the inspector understands the grounds and thinking process that led to the judgment results. I don't get it. Therefore, it is difficult to properly analyze the problems in the lives of the elderly and the essential factors that cause the problems, and it is also difficult for an inexperienced inspector to perform appropriate analysis and evaluation.

The present invention has been made to solve such a problem, and it is possible to appropriately analyze and evaluate problems and their factors in the life of a subject without depending on the skill of the examiner. It provides a living function evaluation system and the like.

The living function evaluation system according to the first aspect of the present invention was classified by focusing on the activities of daily living based on the acquisition unit that acquires the answer to the question regarding the living function of the subject and the answer acquired by the acquisition unit. A selection unit that selects a task element that is a task for the subject to perform each movement of the life item for each life item corresponding to the task element, and a task element for each task element selected by the selection unit. It includes a specific unit that identifies an obstructive factor that prevents the examiner from achieving it, and an output unit that outputs information about the obstructive factor specified by the specific unit. With such a configuration, it is possible to appropriately analyze and evaluate the problems and their factors in the life of the subject without depending on the skill of the inspector who performs the analysis / evaluation.

The above-mentioned life function evaluation system is provided with a reception unit that accepts input of an obstructive factor different from that specified by the specific unit from the inspector for each problem element selected by the selection unit. The output unit may output information on the obstructive factors received by the reception unit. In this way, by judging both the obstructive factors that are automatically derived from the specific part and the obstructive factors that are input in consideration of the circumstances and circumstances of the subject at the reception department, important obstructive factors for the subject are determined. Can be manifested.

In the above-mentioned living function evaluation system, the reception unit may execute a standardization process for standardizing the obstacles received from the inspector. There are various expressions of individual circumstances that are input, and as they are, they do not match the expressions of the obstacles that were input for other problem elements, and even if they are common factors, they cannot be extracted as such. In some cases. However, if the standardization process is performed in this way, the extraction unit can extract these as common factors even if the input expressions do not match to some extent.

Further, the above-mentioned living function evaluation system may include a presentation unit that presents the personal information accumulated about the subject when the reception unit accepts the input of the obstructive factor from the inspector. By presenting the personal information in this way, the inspector can correctly recognize the individual circumstances of the subject and input an obstructive factor peculiar to the subject. At this time, the presenting unit may make the personal information to be presented different based on the living item to be input by the inspector. The inspector can efficiently grasp the individual circumstances by presenting the target living items without information that is not relevant.

In addition, the above-mentioned living function evaluation system includes an extraction unit that extracts common obstacle factors for a plurality of problem elements as common factors, and the output unit outputs information on the common factors extracted by the extraction unit. good. By outputting information on common factors in this way, factors that are more important to the subject can be clarified. In addition, a plurality of obstructive factors are associated with each of the plurality of task elements associated with the living items, and the number increases according to the number of living items and the number of task elements. However, since some of the obstructive factors are common to the problem elements, if they are extracted, the factors that are more important to the subject can be clarified as described above, and the inspector can efficiently analyze the factors. Contribute to doing well.

The living function evaluation program according to the second aspect of the present invention was classified by focusing on the living behavior based on the acquisition step of acquiring the answer to the question regarding the living function of the subject and the answer acquired in the acquisition step. A selection step that selects a task element that is a task for the subject to perform each action of the life item for each life item corresponding to the task element, and a task element for each task element selected in the selection step. Have the computer perform a specific step to identify the obstructive factors that prevent the examiner from achieving it, and an output step to output information about the obstructive factors identified in the specific step.

The living function evaluation method according to the third aspect of the present invention is a living function evaluation method using a living function evaluation system, and includes an acquisition step in which the acquisition unit acquires an answer to a question regarding the living function of the subject. Based on the answers obtained in the acquisition step, the selection unit sets the task elements that are issues for the subject in order to perform each action of the life items classified by focusing on the activities of daily living, and the life corresponding to the task elements. The selection step selected for each item, the specific step for identifying the obstacles that prevent the subject from achieving the task element for each task element selected by the specific unit, and the specific step for the output unit. It has an output step that outputs information about the inhibitory factor identified in.

Even in such a second aspect and a third aspect, problems and their factors in the life of the subject are appropriately analyzed and evaluated without depending on the skill of the inspector performing the analysis / evaluation. be able to.

INDUSTRIAL APPLICABILITY According to the present invention, it is possible to provide a living function evaluation system or the like capable of appropriately analyzing and evaluating problems and their factors in the life of a subject without depending on the skill of the examiner.

It is a figure which shows the state that the living function evaluation system which concerns on this embodiment is used. It is a main hardware configuration diagram of the living function evaluation server. It is a main hardware configuration diagram of a tablet terminal. This is an example of a user interface screen that accepts answers to basic questions related to daily life. This is an example of a user interface screen that accepts answers to basic questions related to daily life. This is an example of a user interface screen that accepts answers to physical movement questions. This is an example of a user interface screen that accepts answers to cognitive function questions. This is an example of a user interface screen that accepts the selection of task elements for each life item. This is an example of a user interface screen that specifies when the selected task element becomes applicable. It is a figure which shows a part of the analysis table of a problem element and an inhibitory factor. This is an example of a user interface screen for personal factor analysis. This is an example of a user interface screen that accepts input of obstructive factors caused by the individual circumstances of the subject. This is an example of a user interface screen on which an information window for presenting the personal information of the subject is superimposed. This is an example of a user interface screen in which an obstacle due to individual circumstances is added to the analysis of individual factors. It is a flow chart which shows the flow of a series of life function evaluation processing.

Hereinafter, the present invention will be described through embodiments of the invention, but the invention according to the claims is not limited to the following embodiments. Moreover, not all of the configurations described in the embodiments are indispensable as means for solving the problem.

FIG. 1 is a diagram showing how the living function evaluation system according to the present embodiment is used. The living function evaluation system according to the present embodiment is realized by the living function evaluation server 100. The living function evaluation server 100 is connected to a network 900 such as the Internet, and exchanges information and instruction commands with the inspector's tablet terminal 300 via the network 900 and the wireless unit 910. The wireless unit 910 is a wireless communication facility installed in an environment in which the tablet terminal 300 is used, and is, for example, a wireless LAN (Local Area Network) device.

In this embodiment, the living function is defined by the ICF (International Classification of Functioning, Disability and Health: International Classification of Functioning, Health), and indicates the entire function necessary for a person to live. Specifically, the ICF classifies living functions into three categories: mental and physical functions / body structure, activities, and participation. The mental and physical functions are the organizing functions (including psychological functions) of the body meter. The body structure is the anatomical part of the body such as organs, limbs and their constituent parts. An activity is a concrete act consisting of a series of actions having a purpose in life, that is, a living act. For example, movements in daily life. Participation means engaging in and playing a role in the home and society. In addition, the living functions defined by the ICF include medical history information such as the subject's disease / trauma, information on characteristics such as the subject's interests / interests and individual factors of living conditions, and houses that affect the subject's life. Information on environmental factors such as the physical environment such as the environment of the living area and the human environment such as family members may be a factor in the deterioration of living functions, and this information is also necessary for evaluating living functions. It becomes. In the living function evaluation system according to the present embodiment, as described above, by acquiring various information on the living function of the subject, problems in the life of the user and their factors are identified.

The inspector interviews the subject according to the question shown on the tablet terminal 300, and inputs the answer and the state of the answer to the tablet terminal 300. The inspector can be assumed to be a care supporter, a physiotherapist, a care manager, a nurse, or any other person who has specialized knowledge regarding the evaluation of a person's living function. The subject may be an elderly person, a person with a disability, or other person who is anxious about living independently in daily life. In the living function evaluation system according to the present embodiment, it is assumed that the inspector operates the tablet terminal 300 in order to realize the objective evaluation, but the inspector himself becomes the inspector. You can also operate the tablet terminal 300. When the subject himself / herself becomes the inspector and operates the tablet terminal 300 while asking himself / herself, the subject can confirm the guideline for the evaluation of his / her own living function.

Activities of daily living are ADL (Activities of Daily Living), which is the minimum necessary life movement, and IADL (Instrumental Activities of Daily Living: Means of Daily Living), which is a more complicated and advanced life movement. It is known to be classified into (operation). ADL includes, for example, walking, excretion, eating, bathing, changing clothes, and IADL includes, for example, cleaning, washing, shopping, cooking. The living function evaluation system according to the present embodiment evaluates the subject for both ADL and IADL, but may evaluate either one of them or according to another index. In any case, the life function evaluation system according to the present embodiment is classified by focusing on the activities of daily living required for a person to lead an independent life in order to evaluate the life function of the subject. For each living item (in the above example, meal, bathing, cleaning, etc.), the subject's problems and their factors are identified.

The living function evaluation server 100 sequentially supplies questions related to the living function of the subject to the tablet terminal 300, and sequentially acquires the answers input by the inspector. Then, the task elements corresponding to the obtained answers are selected for each target living item by referring to the analysis table. Here, the task element is a subdivided task related to cognition and movement, which can be a barrier when carrying out the target life item. The task elements are associated with the living items and are defined in advance in the analysis table.

The life function evaluation server 100 further determines the factors that prevent the subject from achieving the selected task elements (hereinafter referred to as “inhibitory factors”) for each target task element with reference to the analysis table. Identify. That is, in the analysis table, not only the task elements are associated with the living items, but also one or more obstructive factors are associated with each task element, and the living function evaluation server 100 uses the analysis table. By searching for the correspondence in, the hindrance factor is derived.

The inspector can input to the tablet terminal 300 the obstacles related to the individual circumstances of the subject for each problem element to be dealt with. When such an obstructive factor is input to the tablet terminal 300, the living function evaluation server 100 receives the obstructive factor via the network 900. Then, among the inhibitory factors identified by the user and the inhibitory factors received from the tablet terminal 300, the inhibitory factors common to the plurality of problem elements are extracted as common factors. The living function evaluation server 100 transmits the common factors extracted in this way to the tablet terminal 300 and displays them. The inspector sees the common factors displayed on the tablet terminal 300, gives advice for improvement to the subject, and plans a future improvement program.

Next, the hardware configuration for realizing the processing described with reference to FIG. 2, the specific user interface screen, the processing procedure, and the like will be described in detail. FIG. 2 is a main hardware configuration diagram of the living function evaluation server 100. The living function evaluation server 100 is mainly composed of a system control unit 110, a storage unit 140, and a communication unit 150. In the present embodiment, the display monitor 120 and the input device 130 are also provided so that the user can directly perform operations such as information input and program update to the life function evaluation server 100.

The system control unit 110 is a processor (CPU: Central Processing Unit) that controls the life function evaluation server 100 and executes a program. The processor may be configured to cooperate with an arithmetic processing chip such as an ASIC or a GPU. The system control unit 110 reads out the life function evaluation program stored in the storage unit 140 and executes various processes related to the life function evaluation of the subject. The display monitor 120 is, for example, a monitor provided with a liquid crystal panel, and for example, personal information of a subject and evaluation results are visually displayed. The input device 130 is, for example, a keyboard or a mouse, and receives, for example, input for comprehensively managing personal information of a plurality of subjects.

The storage unit 140 is a non-volatile storage medium, and is composed of, for example, an HDD (Hard Disk Drive). The storage unit 140 stores various parameter values, functions, lookup tables, etc. used for control and calculation, in addition to a program that executes control and processing of the life function evaluation server 100. The storage unit 140 stores, in particular, the question table 141, the analysis table 142, and the subject information DB 143. The question table 141 is a look-up table in which questions asked by the inspector to the subject and questions asked by the inspector asking the result of observing the subject are aggregated in association with various classifications described later. The analysis table 142 is a look-up table in which the task elements associated with each life item and the obstructive factors associated with each task element are aggregated by, for example, a tree structure. The subject information DB 143 is a database that stores information on the subject registered as a user. The storage unit 140 does not have to be composed of a single piece of hardware. For example, the storage medium for storing the look-up table and the storage medium for storing the database may be composed of separate hardware.

The communication unit 150 is responsible for connecting to the network 900 and exchanging data with the tablet terminal 300, and is configured by, for example, a LAN. The communication unit 150 exchanges instruction commands and information with and from the network 900 under the control of the system control unit 110. The communication unit 150 functions as an output unit that outputs various information in cooperation with the system control unit 110.

The system control unit 110 also plays a role as a function calculation unit that executes various calculations according to the processing instructed by the life function evaluation program. The system control unit 110 can function as an acquisition unit 111, a selection unit 112, a specific unit 113, a reception unit 114, an extraction unit 115, and a presentation unit 116 according to the processing procedure. The specific arithmetic processing of these functional arithmetic units will be described later.

FIG. 3 is a main hardware configuration diagram of the tablet terminal 300. The tablet terminal 300 is mainly composed of a terminal control unit 310, a display panel 320, a touch panel 330, a storage unit 340, and a communication unit 350. The terminal control unit 310 is a processor (CPU) that controls the tablet terminal 300 and executes a program. The processor may be configured to be an arithmetic processing chip such as an ASIC (Application Specific Integrated Circuit) or a GPU (Graphics Processing Unit). The terminal control unit 310 executes various processes related to the living function evaluation of the subject according to the instructions and inputs of the inspector and the information and instruction commands sent from the living function evaluation server 100.

The display panel 320 includes, for example, a liquid crystal display panel, and visually displays a user interface screen generated by the terminal control unit 310, a moving image explaining how to use the screen, and the like. The touch panel 330 is an input device superimposed on the display panel 320, and generates an input signal according to the position and operation of the fingertips in contact with the touch panel 330. For example, it accepts operations such as tapping, swiping, and pinching.

The storage unit 340 is a non-volatile storage medium, and for example, a solid state drive is used. The storage unit 340 stores various parameter values and the like used for control and calculation in addition to a program for executing control and processing of the tablet terminal 300. In particular, the questions in the question table 141 and the subject information in the subject information DB 143 downloaded from the living function evaluation server 100 according to the target subject are temporarily stored.

The communication unit 350 is responsible for connecting to the network 900 and exchanging data with the living function evaluation server 100, and is configured by, for example, a wireless LAN. The communication unit 350 exchanges instruction commands and information with and from the wireless unit 910 connected to the network 900 under the control of the terminal control unit 310.

The living function evaluation server 100 in the present embodiment cooperates with the tablet terminal 300 to clarify problems that hinder daily life for the subject and factors that cause those problems. Hereinafter, the specific processing of the life function evaluation server 100 will be described step by step through the user interface screen displayed on the display panel 320 of the tablet terminal 300.

FIG. 4 is an example of a user interface screen that accepts answers to basic questions related to daily life. When the subject is identified and the living function evaluation server 100 receives an instruction to start a series of examinations, the living function evaluation server 100 first transmits the questions of the basic checklist described in the question table 141 to the tablet terminal 300. The terminal control unit 310 of the tablet terminal 300 shapes the received question and displays it on the display panel 320.

Specifically, as shown in FIG. 4, the title 510 of the "basic checklist" is displayed at the upper part of the screen, and a plurality of questions 520 and options 530 corresponding to each question are arranged under the title 510. Is displayed. In the example of the figure, the question group of "motor function" prepared as the second item in the basic checklist is displayed. For example, as question 520, "06 Can you climb the stairs without connecting the railing or the wall?" And "Climb", "Slightly", and "Cannot climb" are displayed side by side as the option 530. The basic checklist is a form recommended by the Ministry of Health, Labor and Welfare for local governments and businesses to grasp and check the daily life of the target person. However, the questions adopted in this embodiment are not limited to the items of the basic checklist described in the form.

The inspector confirms the displayed question, asks the subject the question so that the subject can easily answer it, and listens to it. That is, the inspector paraphrases the question or adjusts the tone according to the characteristics of the subject. The inspector taps any of the options 530 depending on what is heard. The terminal control unit 310 acquires the tapped position signal from the touch panel 330, stores the options corresponding to the position in the storage unit 340, and displays the answer index 540 superimposed on the selected options. The response index 540 is, for example, a rectangle surrounding an option as shown in the figure, but if the inspector can visually recognize that the option has been selected by distinguishing it from other options, the other index, the marker, or the option can be used. It may be a mode in which the character string is enlarged and emphasized. The figure shows that the inspector is tapping the option "Slightly" of the question "09 Have you ever fallen in the past year?"

At the bottom of the screen, a promotion index 550 indicating that the questions will continue and prompting the screen to be updated is displayed. The inspector can transition the screen to the next question group by tapping the propulsion index 550. Of course, the propulsion index may be another display index such as a scroll bar in the vertical direction as long as it recognizes that the question group continues.

FIG. 5 is the following example of a user interface screen that accepts answers to basic questions related to daily life. In the example of FIG. 4, a plurality of options are displayed side by side for the question, and the inspector selects one of them. The questions prepared in the question table 141 are not limited to questions of this type. For example, in the basic checklist, the question group of "nutrition improvement" prepared as the third item includes a question asking the height and weight of the subject. For such a question in which a large number of input candidates exist, a selection box 560 is displayed as an option 530. When the inspector taps the selection box 560, a selection wheel 570 appears in which input candidates are shown in order in a manner that gives a visual effect as printed on the surface of the cylinder. The inspector selects a specific candidate by flicking the selection wheel 570. In the example of the figure, it is shown that "62.5" kg is selected as the body weight.

The questions in the basic checklist can be set in various ways. For example, the questions regarding nutrition and oral cavity of the subject may be enriched, or the questions regarding diseases and medication may be asked in detail. This information is used when selecting a task element or identifying an inhibitory factor as described later, and may be accumulated as personal information of the subject.

FIG. 6 is an example of a user interface screen that accepts answers to body movement questions. Following the questions in the basic checklist, the living function evaluation server 100 transmits to the tablet terminal 300 the questions in the basic movement check related to physical movements described in the question table 141. The terminal control unit 310 of the tablet terminal 300 shapes the received question and displays it on the display panel 320. Specifically, as shown in FIG. 6, the title 510 of "basic operation check" is displayed at the upper part of the screen, and a plurality of questions 520 and options 530 corresponding to each question are arranged under the title 510. Is displayed.

The basic movement check is an assessment of the subject's physical movements, and the question asks the subject's basic physical functions. For example, when the inspector tries to answer "01 duration" of "1. Standing on one leg", he asks the subject to stand on one leg and actually measures the duration of standing on one leg of the subject. Then tap the option corresponding to the result (for example, "10 seconds or more"). If you want to answer "01 Kyphosis" in "2. Sitting posture", observe the sitting posture of the subject and tap the option (for example, "None") corresponding to the result. In other words, the examiner not only asks the subject verbally, but also encourages the subject to take action and observes the situation, so that the examiner answers the objective facts about the subject's body as a tablet. It may be input to the terminal 300.

FIG. 7 is an example of a user interface screen that accepts answers to cognitive function questions. Following the basic operation check question, the living function evaluation server 100 transmits the cognitive function check question described in the question table 141 to the tablet terminal 300. The terminal control unit 310 of the tablet terminal 300 shapes the received question and displays it on the display panel 320. Specifically, as shown in FIG. 7, the title 510 of "cognitive function check" is displayed at the upper part of the screen, and a plurality of questions 520 and options 530 corresponding to each question are arranged under the title 510. Is displayed.

The cognitive function check question asks the basic cognitive function of the subject. For example, it includes a question about the difference between a fact about a subject and the subject's response to a question about that fact. It also includes questions about how the subject responds to such questions.

Specifically, when the date of birth of the subject's child is accumulated as the subject's personal information in the subject information DB 143, the life function evaluation server 100 uses the prepared "child's birth year" in advance. A question such as "Please tell me the date" is displayed on the tablet terminal 300, and the inspector is urged to ask the subject. That is, the system control unit 110 of the life function evaluation server 100 confirms the personal information of the subject information DB 143, selects such a question and the question corresponding to the question from the question table 141, and answers the question correctly. Is transmitted to the tablet terminal 300 together with. The terminal control unit 310 of the tablet terminal 300 shapes them and displays them on the display panel 320.

The inspector asks the subject "Please tell me the date of birth of your child" and confirms the content and state of the subject's response to it. Specifically, when "01 Difference from the correct answer" is prepared as a question, the difference between the fact, for example, "January 24, 1973" and the date answered by the subject is confirmed. If they match, tap "None" in the options, tap "Minor" if there is a slight difference, and tap "Large / No response" if you make a big mistake or cannot answer. .. If "02 Time to respond" is prepared as a question, tap the option according to the actual time it took for the subject to respond. The question regarding the state of the response is not limited to the time until the response, and may be whether the answer is confident.

FIG. 8 is an example of a user interface screen that accepts selection of task elements for each living item. Following the cognitive function check question, the living function evaluation server 100 transmits the task elements for each living item described in the analysis table 142 to the tablet terminal 300 as a question for the living task process analysis. Life task process analysis is an assessment that confirms the elements that are issues in order to carry out each movement for each life item. The inspector identifies the problem in each movement while having the subject actually perform each movement for each life item. For example, regarding "bathing", which is one of the daily life items, "moving" to the dressing room, "putting on and taking off clothes", "moving to the bathroom", "kake-yu", "matagi", etc. There are several behaviors. While having the subject actually perform each movement up to bathing, we will confirm the elements that are issues to perform each movement. It should be noted that the operation and the order of the operations up to "bathing" given in the example here are not limited to the above example. Specifically, the living function evaluation server 100 was obtained by the system control unit 110 by the basic checklist, the basic operation check, and the cognitive function check among the task elements associated with each living item in the analysis table 142. Send by omitting what is judged unnecessary based on the answer. Alternatively, as described in the analysis table 142, all the task elements associated with each living item may be transmitted once.

The terminal control unit 310 of the tablet terminal 300 shapes the received question and displays it on the display panel 320. Specifically, as shown in FIG. 8, the title 510 of "Life task process analysis" is displayed at the upper part of the screen, and a plurality of questions 520 and check boxes 580 corresponding to each question are arranged under the title 510. Is displayed.

The question of life task process analysis asks whether or not the subject corresponds to each task element associated with each classified life item. For example, for "bathing", which is one of the daily life items, problem elements such as "I cannot understand the condition of the scaffolding" and "I cannot confirm the temperature of the hot water" are displayed as questions. The inspector may ask the subject directly, "Do you understand the condition of the scaffolding when taking a bath?" Or indirectly, "I check if my feet are slippery when taking a bath." You may ask the question by replacing it with something like "?" In addition, the inspector may ask the subject to actually perform the operation shown in the question, observe the situation, determine whether or not the question corresponds to the question, and answer.

The inspector taps the check box 580 when he / she determines that the subject corresponds to the task element. When the terminal control unit 310 detects that the inspector has tapped the check box 580, the terminal control unit 310 superimposes the check box 580 on the check box 580 and displays a selection index 590 indicating that the check box 580 has been selected. Further, when the check box 580 is selected, a reminder button 610 for prompting the input of when the task element started is displayed.

FIG. 9 is an example of a user interface screen for specifying the time when the selected task element becomes applicable. When the inspector taps the reminder button 610, the selection wheel 620 appears. Similar to the selection wheel 570, the selection wheel 620 displays the year and month as input candidates in a manner that gives a visual effect as if printed on the surface of the cylinder. The inspector selects a particular candidate by flicking the selection wheel 620. In the example of the figure, "September 2018" is selected. Through such input by the inspector, the answer is that the subject cannot sit in the bathtub, for example, and that the time when such a state occurred is "September 2018". Is remembered in. The selection wheel type input format is excellent in the user's operability when inputting quantitative items, and is suitable for collecting appropriate data. In particular, it is useful from the viewpoint of not allowing an ambiguous answer to be input. For example, if you receive the answer "I can't sit in the bathtub recently", the interpretation may differ depending on the person who specifically means "recently". However, if the input format is such a selection, it is possible to reject the input of such an ambiguous answer and to determine a specific time and amount that are meaningful as information. In addition, even if the subject gives an ambiguous answer, the inspector can re-question the specific timing and amount while checking the available options.

When the corresponding start time is associated with the problem element in this way, it can be referred to in identifying the obstacle factor for the problem element. For example, if the start time is recent, chronic factors can be excluded from the inhibitory factors. In addition, if the corresponding start time is described as one item of personal information, the inspector can refer to it as the information of the subject as described later, which is a reference when considering the factors that hinder individual circumstances.

FIG. 10 is a diagram showing a part of the analysis table 142 of the problem elements and the inhibiting factors. As described above, the analysis table 142 is a look-up table in which the task elements associated with each living item such as meals, bathing, and cleaning, and the obstructive factors associated with each task element are aggregated.

FIG. 10 cuts out and shows some of the problem elements and hindrance factors associated with the daily life item “bathing”. For example, the problem elements of "maintaining balance in the sitting position and not straddling the bathtub" are associated with three factors that hinder its realization: "lower limb muscle weakness," "undernutrition," and "insufficient oral care." You can see that it is done. Similarly, the problem elements of "cannot sit in the bathtub" are associated with four inhibitory factors: "lower limb muscle weakness," "upper limb muscle weakness," "undernutrition," and "insufficient oral care." Recognize.

The system control unit 110 refers to such an analysis table 142 and transmits each of the problem elements to the tablet terminal 300 as a question of the life problem process analysis. As described above, when considering the answers obtained from the basic checklist, basic movement check, and cognitive function check and the personal information entered, some of the task elements are omitted and sent. In other words, based on the answers obtained so far, items that are not problem elements in the first place are not transmitted to the tablet terminal 300. For example, there are three factors that hinder "I cannot understand the condition of the scaffolding" in the analysis table 142: "decreased cognitive function", "herniated disc", and "backache". If it is clear from the answers obtained so far that there is no deterioration in cognitive function and that the function around the waist is normal, this task element is excluded from the subject of the question.

The terminal control unit 310 of the tablet terminal 300 sequentially or once stores the answers received to the questions in the storage unit 340 and then sequentially transmits them to the living function evaluation server 100. The acquisition unit 111 of the living function evaluation server 100 acquires the response transmitted in this way via the communication unit 150. In particular, the answer of the life task process analysis serves as a direct material for the selection unit 112 to select the task element for the subject for each life item. As a general rule, the selection unit 112 selects a task element in which the selection index 590 is attached to the check box 580 in the life task process analysis as the task element held by the subject. In addition, even if it is not selected in the life task process analysis, a task element that is judged to be highly likely to be applicable may be selected from the answers obtained in the basic checklist, the basic motion check, and the cognitive function check.

Next, the specific unit 113 specifies an obstructive factor that prevents the subject from achieving the task element selected by the selection unit 112 for each target task element. In the present embodiment, the specific unit 113 selects one or more obstructive factors associated with the target problem element by referring to the analysis table 142. Furthermore, among the inhibitory factors selected with reference to the analysis table 142, the specific inhibitory factors are taken into consideration in consideration of the answers obtained in the basic checklist, the basic motion check, and the cognitive function check up to that point and the personal information entered. Factors may be excluded. For example, if spinal stenosis does not exist in the pre-existing condition entered as personal information, even if "lower limb muscle weakness due to spinal stenosis" is associated with the analysis table 142 as an inhibitory factor, this inhibitory factor is excluded. .. Not limited to the case of referring to the look-up table, for example, the subject 113 uses a trained model in which the answer to the question and the obstacles that may be applicable to the answer are machine-learned by the specific unit 113. It may be configured to specify an obstructive factor for the problem element of.

After the specific unit 113 identifies the hindrance factor for the problem element, the extraction unit 115 extracts the hindrance factor common to the plurality of problem elements as a common factor. When the life items, problem elements, obstructive factors, and common factors are gathered in this way, the system control unit 110 transmits these information as personal factor analysis information to the tablet terminal 300 via the communication unit 150.

FIG. 11 is an example of a user interface screen for personal factor analysis. When the terminal control unit 310 of the tablet terminal 300 receives the personal factor analysis information from the living function evaluation server 100, the terminal control unit 310 organizes the information and displays it on the display panel 320. Specifically, as shown in FIG. 11, the title 510 of "individual factor analysis" is displayed at the upper part of the screen, and the living items, the problem elements, the obstructive factors, and the common factors are in order from left to right at the lower part of the title 510. It is displayed aligned.

Explaining with the example of the figure, "I can't check the temperature of the hot water" and "I can't sit in the bathtub" correspond to the subject's task elements for the daily life item "bathing", and yet another corresponding task element. The propulsion index 550 indicates that there is. The propulsion index may be another display index such as a scroll bar in the vertical direction as long as it recognizes the existence of another problem element.

For the problem element of "cannot confirm the temperature of hot water", four inhibitory factors of "decreased cognitive function", "weakness of lower limbs", "undernutrition" and "insufficient oral care" are arranged in the display box 630. It is shown. Similarly, for the task element of "cannot sit in the bathtub", four inhibitory factors of "lower limb muscle weakness", "upper limb muscle weakness", "undernutrition", and "insufficient oral care" are displayed in the display box 630. Shown side by side.

Common factors are also shown side by side in the display box 730. For each of the inhibiting factors shown as a common factor, an overlapping index 731 indicating multiple multiples is shown side by side. For example, as shown in the figure, "lower limb muscle weakness" is juxtaposed with an overlapping index 731 circled with "4" indicating that it has been identified as an inhibitory factor for four task elements. The aspect of the overlap index 731 is not limited to this, and may include, for example, other decorations.

An additional button 640 for starting input of an inhibitory factor other than the inhibitory factor specified by the specific unit 113 is superimposed on the peripheral portion of the display box 630 indicating the inhibitory factor. The inspector taps the add button 640 when he wants to add an inhibitor.

FIG. 12 is an example of a user interface screen that accepts input of an obstructive factor caused by the individual circumstances of the subject. That is, it is an example of a user interface screen that transitions when the inspector taps the add button 640.

As described above, the inhibitory factor specified by the specific unit 113 is automatically derived for the selected task element by referring to the analysis table 142 or using the trained model. However, some factors that prevent the subject from performing the selected task element can be found from the circumstances peculiar to the subject and the appearance of the subject that the examiner notices by observing. Therefore, the living function evaluation server 100 in the present embodiment also uses such individual obstacles as a material for judgment. By considering such individual inhibitory factors, it is possible to clarify the important inhibitory factors for the subject. The inspector can confirm such an inhibitory factor, give advice for improvement to the subject, and formulate a future improvement program. In addition, the subject can improve his / her activities of daily living and offer an appropriate request for support by facing the obstacles that have become apparent in this way.

When the terminal control unit 310 detects that the additional button 640 is tapped, the input window 650 and the soft keyboard 660 are displayed side by side. The input window 650 displays, for example, an input box 651, an OK button 652, and a cancel button 653, along with the text "Enter a possible impediment." The inspector inputs an inhibitory factor peculiar to the subject into the input box 651 by tapping the soft keyboard 660. Then, when the input is completed, tap the OK button 652, and to cancel the input, tap the cancel button 653. The inspector can call up the personal information of the subject by tapping the reference button 670 when he / she wants to confirm the circumstances peculiar to the subject.

FIG. 13 is an example of a user interface screen on which the information window 680 that presents the personal information of the subject is superimposed. As shown in the figure, the information window 680 that presents the personal information of the subject is displayed superimposed on the input window 650 and the soft keyboard 660. Personal information may include various information belonging to an individual. For example, it includes information indicating the past or present state of the subject's living function collected by analysis of the living function. Here, information that can be used as a reference when analyzing and evaluating living functions is presented as personal information. Specifically, information indicating the sex, age, medical history, medication, evaluation result of physical function, nutritional status, and oral function status of the subject is presented.

When the terminal control unit 310 detects that the reference button 670 has been tapped, it transmits a request signal requesting the presentation of personal information to the living function evaluation server 100. Upon receiving the request signal, the presentation unit 116 of the living function evaluation server 100 extracts the personal information accumulated about the subject from the subject information DB 143 and transmits it to the terminal control unit 310. In this way, by providing the personal information of the subject by the presenting unit 116, the examiner can correctly recognize the individual circumstances of the subject and input the obstructive factor peculiar to the subject.

The terminal control unit 310 may include in the request signal information as to which living item the obstructive factor that the inspector was trying to input is associated with. For example, as shown in FIG. 10, when the inspector intends to input an inhibitory factor corresponding to a task element associated with "bathing", the life item information of "bathing" is added to the request signal.

When the presentation unit 116 recognizes that the request signal includes the life item information, the presentation unit 116 extracts the personal information related to the life item from the subject information DB 143 and transmits it to the tablet terminal 300. For example, when it is recognized that the life item information of "bathing" is included, only the personal information that can affect bathing is extracted. Specifically, health / medication information that affects bathing behavior and equipment information related to bathtubs are extracted. In this way, by differentiating the personal information provided by the presenting unit 116 based on the living item for which the inspector inputs the obstructive factor, information that is not relevant to the target living item is omitted. The inspector can efficiently grasp the individual circumstances.

In the example of FIG. 13, the information window 680 displays "health / medication" information as subject information. Specifically, regarding health and medication, the name of the disease, the time of illness, the course, and medication information are shown. By presenting such subject information, the examiner recognizes a history of "gonarthrosis" instead of "rheumatoid arthritis" as an inhibitory factor for the problem element of "not being able to sit in the bathtub". be able to.

The example of FIG. 13 shows how the reference button 670 is tapped to present the personal information of the subject when the input of the obstructive factor due to the individual circumstances of the subject is accepted. The form is not necessarily limited to this form, and other forms may be used as long as the inspector can correctly recognize the individual circumstances of the subject and input an inhibitory factor peculiar to the subject. For example, on the personal factor analysis screen shown in FIG. 11, when the reference button 670 is tapped, the personal information regarding the living function of the subject acquired so far may be presented. The inspector can decide other obstacles to be added by looking at the personal factor analysis screen and the personal information about the living function acquired so far. In addition, the inspector can efficiently identify the individual factor by tapping the add button 640 only when there is another inhibitory factor to be added. Therefore, the inspector taps the reference button 670 to check the subject's personal information, and if there is no particular personal factor to be added, the inspector can move to the next screen or a series of screens without tapping the add button 640. You may finish the work.

FIG. 14 is an example of a user interface screen in which an obstructive factor due to individual circumstances is added to the individual factor analysis. As shown in the figure, an inhibitory factor input via the input box 651 is added to the display box 630. The added inhibitory factor may be highlighted, for example, by marker display as illustrated.

Specifically, when the terminal control unit 310 opens the input window 650 and accepts the input of the inspector, the input character information is transmitted to the living function evaluation server 100 together with the information of the target task element. The reception unit 114 of the living function evaluation server 100 receives the character information as an added obstructive factor via the communication unit 150. When the reception unit 114 receives the added inhibitory factor, the extraction unit 115 adds the inhibitory factor accepted by the reception unit 114 to the inhibitory factor specified by the specific unit 113, and adds the inhibitory factor common to the plurality of problem elements. Re-extract as a common factor. The system control unit 110 transmits the personal factor analysis information including the common factors extracted in this way to the tablet terminal 300.

When the terminal control unit 310 newly receives the personal factor analysis information, the terminal control unit 310 updates the display of the personal factor analysis. In the example of FIG. 14, "gonarthrosis", which is an inhibitory factor input for "cannot sit in the bathtub", is not input for other task elements. Therefore, it is shown that it is not extracted as a common factor.

By the way, the expressions of individual circumstances input by the inspector are diverse, and as they are, they do not match the expressions of the obstructive factors input for other problem elements, and even if they are common factors, such expressions are used. It may not be possible to extract it as a new item. Therefore, the reception unit 114 may execute a standardization process for standardizing the obstructive factors received by the input of the inspector. The standardization process is a process for classifying and grouping substantially the same inhibitory factors as common inhibitory factors even if the input expressions are different. Various methods can be adopted for the standardization process. Simply, it is possible to adopt a method in which an inspector selects and assigns tag information prepared in advance to the input character information. The tag information is attribute information for classifying the character information that can be input, and for example, "previous disease of the knee joint" is prepared as the attribute information. If such attribute information is added to the input character information, the extraction unit 115 determines whether the added inhibitory factor constitutes a common factor together with other inhibitory factors depending on whether the assigned tag information is common. It is possible to judge whether or not. By performing the standardization process in this way, the extraction unit 115 can extract these as common obstructive factors even if the input expressions do not match to some extent.

As a process similar to this, the extraction unit 115 may perform a process of extracting a common event from at least a part of a plurality of obstructive factors received from the inspector and using it as one of the common factors. For example, the extraction unit 115 linguistically analyzes a plurality of input character information by a text corpus to find a common meaning, and extracts an obstructive factor sharing the meaning as a common factor. Alternatively, the similarity between the input texts may be determined by using a method such as word2vec, and those having the similarity exceeding the threshold value may be grouped and used as a common factor. By performing such a process, the extraction unit 115 can extract a common obstructive factor regardless of a slight difference in the input expression.

Even if the system control unit 110 continues processing such as proposing training for improving or overcoming each of the extracted common factors of the tablet terminal 300, or encouraging the use of auxiliary equipment. good. For example, the system control unit 110 creates a long-term care plan and an improvement program. The inspector can see such information displayed on the tablet terminal 300 to give advice to the subject and formulate a future action plan.

Next, a series of flow of the living function evaluation process by the living function evaluation server 100 using the tablet terminal 300 will be described. FIG. 15 is a flow chart showing a flow of a series of living function evaluation processes. The flow starts when the life function evaluation server 100 receives a series of inspection start instructions from the tablet terminal 300.

In step S101, the acquisition unit 111 acquires the subject information transmitted together with the start instruction received from the tablet terminal 300. The subject information is, for example, a name or an ID number. Then, personal information about the subject is extracted from the subject information DB 143.

In step S102, the system control unit 110 refers to the question table 141 and supplies the questions to the tablet terminal 300 in a preset order. At this time, the questions described in the question table 141 may be modified or omitted by referring to the personal information of the subject. For example, if the subject is young, the question for the elderly is omitted.

In step S103, the acquisition unit 111 acquires an answer to the question transmitted from the tablet terminal 300. The tablet terminal 300 may be transmitted to the living function evaluation server 100 each time an answer is input by the inspector, or may be collectively transmitted to the living function evaluation server 100 when the answers to a certain question group are accumulated. good.

The system control unit 110 confirms in step S104 whether there are any questions to be transmitted to the tablet terminal 300. If it remains, the process returns to step S102, and the supply of questions (step S102) and the acquisition of answers (step S103) are repeated. If there are no remaining, the process proceeds to step S105.

Proceeding to step S105, the selection unit 112 selects the task element of the subject for each target living item from the acquired answers. Subsequently, in step S106, the specifying unit 113 identifies, for each target task element, an obstructive factor that prevents the subject from achieving the task element based on the task element selected by the selection unit 112. Further, in step S107, the extraction unit 115 extracts the inhibitory factors common to the plurality of problem elements among the inhibitory factors specified by the specific unit 113 as common factors. The system control unit 110 aggregates information on life items, problem elements, obstructive factors, and common factors and transmits the information as personal factor analysis information to the tablet terminal 300.

In step S108, the reception unit 114 confirms whether or not there is an additional request instruction or information transmission from the tablet terminal 300. If there is, the process proceeds to step S109, and if not, the series of processes is terminated.

Proceeding to step S109, the reception unit 114 receives the character information input as an obstructive factor due to individual circumstances together with the information of the target problem element. When the request signal requesting the presentation of personal information is received from the tablet terminal 300, the presentation unit 116 extracts the personal information of the subject from the subject information DB 143 and transmits it to the tablet terminal 300.

In step S110, the extraction unit 115 extracts, among the inhibitory factors specified by the specific unit 113 and the inhibitory factors received by the reception unit 114, the inhibitory factors common to a plurality of problem elements as common factors, and extracts the common factors. Update. The system control unit 110 transmits the personal factor analysis information including the updated common factors to the tablet terminal 300, and updates the display on the tablet terminal 300. When the above processing is completed, a series of processing is completed.

In the present embodiment, the example in which the tablet terminal 300 is connected to the network 900 via the wireless unit 910 has been described, but the tablet terminal 300 may be connected to each other by wire.
Further, although the example of the tablet terminal 300 has been described as the terminal used by the inspector, a terminal such as a smartphone or a notebook PC may be used. Further, in the present embodiment, an example in which the living function evaluation system is realized by the living function evaluation server 100 has been described. For example, the living function evaluation server 100 and the tablet terminal 300 include elements constituting the living function evaluation system. You may share it. Further, the number of servers is not limited to one, and elements may be shared by a plurality of servers. In such a case, the living function evaluation system is constructed by the whole of the distributed devices.

Further, each user interface screen described above is an example, and various display modes and visual effects can be adopted. For example, the inspector may be able to select a format in which a plurality of pieces of information are displayed in parallel on one screen and a format in which the screens are switched and displayed. The user interface screen may be different depending on the display screen size and display performance of the terminal to be used.
Further, the information is not limited to the case of presenting on the display screen, and may be presented by using sound or vibration.

Here, the main configurations of the living function evaluation system, the living function evaluation program, and the living function evaluation method described above are summarized.
[Appendix 1]
The acquisition department (111), which obtains answers to questions related to the living functions of the subject,
Based on the answer acquired by the acquisition unit (111), the task element that is a problem for the subject in order to perform each action of the life item classified by focusing on the life action is set as the task element. A selection unit (112) that selects each of the corresponding living items, and
For each of the task elements selected by the selection section (112), a specific section (113) that identifies an obstructive factor that prevents the subject from achieving the task element, and a specific section (113).
A living function evaluation system (100) including an output unit (110, 150) that outputs information about the obstructive factor specified by the specific unit (113).
[Appendix 2]
A reception unit that accepts an input of an inhibitory factor different from that specified by the specific unit (113) from the inspector for each target element of the problem element selected by the selection unit (112). (114)
The living function evaluation system (100) according to claim 1, wherein the output units (110, 150) output information regarding the inhibitory factor received by the reception unit (114).
[Appendix 3]
The living function evaluation system (100) according to claim 2, wherein the reception unit (114) executes a standardization process for standardizing the inhibitory factor received from the inspector.
[Appendix 4]
The life according to claim 2 or 3, further comprising a presentation unit (116) that presents personal information accumulated about the subject when the reception unit (114) receives an input of the obstructive factor from the inspector. Function evaluation system (100).
[Appendix 5]
The living function evaluation system (100) according to claim 4, wherein the presenting unit (116) makes the personal information presented based on the living item to be input by the inspector different from the personal information.
[Appendix 6]
The extraction unit (115) for extracting the hindrance factor common to the plurality of problem elements as a common factor is provided.
The living function evaluation system (100) according to any one of claims 1 to 5, wherein the output unit (110, 150) outputs information about the common factor extracted by the extraction unit (115).
[Appendix 7]
The acquisition step to obtain the answer to the question about the subject's living function,
Based on the answer acquired in the acquisition step, the task element corresponding to the task element is the task element that is a problem for the subject in order to perform each movement of the life item classified by focusing on the daily living. Selection steps to select for each life item,
For each of the task elements selected in the selection step, a specific step for identifying an obstructive factor that prevents the subject from achieving the task element, and a specific step.
A living function evaluation program that causes a computer to execute an output step that outputs information about the obstructive factor specified in the specific step.
[Appendix 8]
It is a living function evaluation method using the living function evaluation system (100).
The acquisition step in which the acquisition department acquires answers to questions related to the living function of the subject,
Based on the answer acquired in the acquisition step, the selection unit (112) sets a task element that is a problem for the subject in order to perform each operation of the life item classified by focusing on the activity of daily living. A selection step to be selected for each living item corresponding to the task element, and
For each of the task elements selected in the selection step, the specific unit (113) identifies a specific step that prevents the subject from achieving the task element, and a specific step.
A living function evaluation method in which an output unit (110, 150) has an output step for outputting information on the inhibitory factor specified in the specific step.
[Appendix 9]
The extraction unit (115) extracts common events from at least a part of the plurality of inhibitory factors received by the reception unit (114) from the inspector and sets them as one of the common factors. Living function evaluation system (100).
[Appendix 10]
The living function evaluation system (100) according to any one of Supplementary note 1 to 6, wherein the question includes a question regarding a difference between a fact about the subject and the response of the subject to a question to the fact.
[Appendix 11]
The living function evaluation system (100) according to any one of Appendix 1 to 7, wherein the question includes a question regarding the state of the subject's response to the question.

100 ... Life function evaluation server, 110 ... System control unit, 111 ... Acquisition unit, 112 ... Selection unit, 113 ... Specific unit, 114 ... Reception unit, 115 ... Extraction unit, 116 ... Presentation unit, 120 ... Display monitor, 130 ... Input device, 140 ... storage unit, 141 ... question table, 142 ... analysis table, 143 ... subject information DB, 150 ... communication unit, 300 ... tablet terminal,
310 ... Terminal control unit, 320 ... Display panel, 330 ... Touch panel, 340 ... Storage unit, 350 ... Communication unit, 510 ... Title, 520 ... Question, 530 ... Choice, 540 ... Answer index, 550 ... Promotion index, 560 ... Selection Box, 570 ... selection wheel, 580 ... check box, 590 ... selection index, 610 ... prompt button, 620 ... selection wheel, 630 ... display box, 640 ... add button, 650 ... input window, 651 ... input box, 652 ... OK Button, 653 ... Cancel button, 660 ... Soft keyboard, 670 ... Reference button, 680 ... Information window, 730 ... Display box, 731 ... Duplicate index, 900 ... Network, 910 ... Wireless unit

Claims (8)

1. The acquisition department that obtains answers to questions about the living function of the subject,
   Based on the answer acquired by the acquisition unit, the task element that is a problem for the subject in order to perform each movement of the life item classified by focusing on the life movement is the problem element corresponding to the problem element. A selection section to select for each living item,
   For each of the task elements selected by the selection section, a specific section that identifies an obstructive factor that prevents the subject from achieving the task element, and a specific section.
   A living function evaluation system including an output unit that outputs information about the obstructive factor specified by the specific unit.
2. For the task element selected by the selection unit, a reception unit is provided for receiving input of the obstructive factor different from that specified by the specific unit from the inspector for each target task element.
   The living function evaluation system according to claim 1, wherein the output unit outputs information regarding the obstructive factor received by the reception unit.
3. The living function evaluation system according to claim 2, wherein the reception unit executes a standardization process for standardizing the obstructive factors received from the inspector.
4. The living function evaluation system according to claim 2 or 3, further comprising a presentation unit that presents personal information accumulated about the subject when the reception unit receives an input of the obstructive factor from the inspector.
5. The living function evaluation system according to claim 4, wherein the presenting unit makes the personal information presented based on the living item to be input by the inspector different from the personal information.
6. It is provided with an extraction unit that extracts the hindrance factor common to a plurality of the problem elements as a common factor.
   The living function evaluation system according to any one of claims 1 to 5, wherein the output unit outputs information about the common factor extracted by the extraction unit.
7. The acquisition step to obtain the answer to the question about the subject's living function,
   Based on the answer acquired in the acquisition step, the task element corresponding to the task element is the task element that is a problem for the subject in order to perform each movement of the life item classified by focusing on the daily living. Selection steps to select for each life item,
   For each of the task elements selected in the selection step, a specific step for identifying an obstructive factor that prevents the subject from achieving the task element, and a specific step.
   A living function evaluation program that causes a computer to execute an output step that outputs information about the obstructive factor specified in the specific step.
8. It is a living function evaluation method using the living function evaluation system.
   The acquisition step in which the acquisition department acquires answers to questions related to the living function of the subject,
   Based on the answer acquired in the acquisition step, the task element is a task element that is a problem for the subject in order to perform each motion of the life item classified by focusing on the activity of daily living. The selection step to select for each of the above-mentioned living items corresponding to
   For each of the task elements selected by the specific unit in the selection step, a specific step of identifying an obstructive factor that prevents the subject from achieving the task element, and a specific step.
   A living function evaluation method in which an output unit has an output step for outputting information on the inhibitory factor specified in the specific step.

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