Source: https://patents.google.com/patent/JP5172377B2/en
Timestamp: 2020-04-06 21:49:45
Document Index: 591716256

Matched Legal Cases: ['art 13', 'art 14', 'art 13', 'art 14', 'art 14', 'art 14', 'art 14', 'art 14', 'art 12', 'art 13', 'art 13', 'art 13', 'art 13', 'art 13', 'art 14', 'art 14']

JP5172377B2 - Health checkup result display device and health checkup result display program - Google Patents
Health checkup result display device and health checkup result display program Download PDF
JP5172377B2
JP5172377B2 JP2008036463A JP2008036463A JP5172377B2 JP 5172377 B2 JP5172377 B2 JP 5172377B2 JP 2008036463 A JP2008036463 A JP 2008036463A JP 2008036463 A JP2008036463 A JP 2008036463A JP 5172377 B2 JP5172377 B2 JP 5172377B2
JP2008036463A
JP2009193539A (en
稔 八木
文彰 手島
2008-02-18 Application filed by 株式会社東芝, 東芝メディカルシステムズ株式会社 filed Critical 株式会社東芝
2008-02-18 Priority to JP2008036463A priority Critical patent/JP5172377B2/en
2009-08-27 Publication of JP2009193539A publication Critical patent/JP2009193539A/en
2013-03-27 Publication of JP5172377B2 publication Critical patent/JP5172377B2/en
The present invention relates to a health check result display device and a health check result display program.
Traditionally, the purpose of health checkups is to manage and improve the health status of patients by linking diagnosis results based on the results of various tests to disease prevention, early detection of diseases, and early treatment of diseases. It is done.
In addition, in recent years, lifestyle-related diseases such as diabetes, hyperlipidemia, hypertension, hyperuricemia, etc., and visceral fat type obesity Since the number of patients with metabolic syndrome that is likely to induce lifestyle-related diseases is increasing, the importance of medical examination is increasing.
The diagnosis result of the health check is explained to the examinee by the doctor (or nurse or public health nurse) while referring to the test results over a number of items. Here, in Patent Document 1, an organ (tissue) diagnosed as having an abnormality based on a test result is color-coded in a human body model diagram and displayed on a monitor, whereby a diagnosis result by a doctor (or nurse or public health nurse) is displayed. A technique for improving the understanding of the examinee by making it easy to understand is disclosed.
JP-A-9-73495
By the way, the above-mentioned conventional technique raises the understanding of the examinee about what kind of influence is caused on the entire body by the abnormality of the tissue (hereinafter referred to as direct tissue) directly related to the test result. There was a problem that it was not possible.
For example, when it is diagnosed that there is a high possibility of diabetes because the blood glucose level is high in the test result, the above-described conventional technique displays the pancreas that secretes insulin as a tissue directly, and thus functions of the pancreas Can increase the understanding of the patient about the disability.
However, by not changing the current lifestyle habits, pancreatic dysfunction will progress and diabetes will worsen, which may increase the burden on the kidneys that filter the blood and cause cataracts to cause eye damage With regard to functional degradation and disability of other organizations that are derived directly from organizational dysfunction, such as increased in nature, the conventional technology described above cannot enhance the understanding of the examinee, It is left to oral explanations by explainers (doctors, nurses, public health nurses, etc.).
Therefore, the present invention has been made to solve the above-described problems of the prior art, and the health check result that can enhance the understanding of the examinee about the influence of the tissue diagnosed as abnormal by the test result An object is to provide a display device and a health check result display program.
In order to solve the above-described problems and achieve the object, the present invention provides a health check result display device that displays a result of a health check on a predetermined display unit, and includes a test result for each check item in the health check. For each inspection item, direct tissue information storage means for storing direct tissue information in which a direct tissue that is directly related to each inspection item is associated, and for each direct tissue In the inspection result stored in the inspection result storage means, there is an abnormality Direct tissue extraction means for extracting the direct tissue corresponding to the test item of the test result diagnosed as "direct tissue information" stored in the direct tissue information storage means, and the direct tissue Indirect tissue extraction means for extracting the indirect tissue corresponding to the direct tissue extracted by the output means from the derivation relation information stored in the derivation relation information storage means, and the direct organization extracted by the direct tissue extraction means And a display control means for controlling the indirect tissue extracted by the indirect tissue extracting means to be displayed on the predetermined display unit using a human body model diagram.
The present invention is also a health diagnosis result display program for causing a computer to execute a health check result display method for displaying a result of a health check on a predetermined display unit, and for each test item in the health check, the test result is displayed. The direct storage information stored in the second storage unit is directly stored in the second storage unit in association with the inspection result storage procedure stored in the first storage unit and the direct tissue that is a human tissue directly related to each inspection item for each inspection item. Derived relationship information storage that stores, in the third storage unit, derived relationship information that associates an organization information storage procedure with an indirect organization that is a human tissue that is indirectly affected by an abnormality of each direct organization for each direct organization In the test result stored in the first storage unit, the second storage unit stores the direct tissue corresponding to the test item of the test result diagnosed as abnormal. A direct tissue extraction procedure extracted from the direct tissue information, and an indirect organization corresponding to the direct tissue extracted by the direct tissue extraction procedure is extracted indirectly from the derivative relationship information stored in the third storage unit. Along with the tissue extraction procedure and the direct tissue extracted by the direct tissue extraction procedure, the indirect tissue extracted by the indirect tissue extraction procedure is displayed on the predetermined display unit using a human body model diagram A display control procedure to be controlled is executed by a computer.
ADVANTAGE OF THE INVENTION According to this invention, it becomes possible to raise a patient's understanding about the influence which the structure diagnosed as abnormality by the test result of a medical examination has.
Exemplary embodiments of a medical examination result display device and a medical examination result display program according to the present invention will be described below in detail with reference to the accompanying drawings.
First, the configuration of the health check result display device according to the first embodiment will be described. FIG. 1 is a diagram illustrating a configuration of a health check result display device according to the first embodiment. As shown in FIG. 1, the health check result display device 10 in the first embodiment includes a communication control unit 11, an input / output control I / F unit 12, a storage unit 13, and a processing unit 14, and further includes a network. 20 is connected to the terminal 30. Note that the terminal 30 is installed in, for example, an interview room in a hospital where the results of a health examination are performed, and the explanation about the results of the health examination is given to a doctor (or a nurse or a health officer) using the terminal 30. Performed by the teacher).
Here, the medical examination result display device 10 according to the first embodiment outlines that the result of the medical examination is displayed on a monitor provided in the terminal 30 based on a request from a doctor who operates the terminal 30. The main feature is to raise the understanding of the examinee about the effect of the tissue diagnosed as abnormal based on the test results. Hereinafter, this main feature will be described with reference to FIGS. Here, FIG. 2 is a diagram for explaining the examination result storage unit, FIG. 3 is a diagram for explaining the organization information storage unit directly, and FIG. 4 is a diagram for explaining the derivation relationship information storage unit. FIG. 5 is a diagram for explaining the indirect influence evaluation unit in the first embodiment, and FIGS. 6 and 7 are diagrams for explaining the display control unit in the first embodiment.
The communication control unit 11 controls transfer of data transmitted / received to / from the terminal 30 through the network 20. Specifically, a “health check result display request” input by a doctor explaining the result of the checkup is received from the terminal 30 via the network 20, or based on the control of the display control unit 14d described later. The configured “health check result display” is transmitted to the terminal 30 via the network 20.
The input / output control I / F unit 12 controls data transfer among the communication control unit 11, the storage unit 13, and the processing unit 14.
The storage unit 13 stores data used for various types of processing by the processing unit 14, and particularly as closely related to the present invention, as shown in FIG. 1, an examination result storage unit 13a and a direct tissue information storage unit 13b. And a derivation relationship information storage unit 13c and a health information storage unit 13d.
The inspection result storage unit 13a stores the inspection result in association with the inspection item for each examinee. That is, the test result storage unit 13a is a database that stores test results performed in the health checkup. Specifically, for each examinee of the health checkup, the “test item”, “standard value”, “ “Examination results” and “diagnosis results” are stored in association with each other. Here, the “standard value” indicates the range of the numerical value of the “inspection result” in which the diagnosis result is diagnosed as normal, and when the numerical value of the “inspection result” is within the range of the “standard value”, The “diagnosis result” is “normal”, and if it is outside the range of the “standard value”, the “diagnosis result” is “abnormal”.
For example, as shown in FIG. 2, the test result storage unit 13 a displays the test results of the health check-up “Mr. A” as “test item: blood glucose level” and “standard value: 70 to 110 mg / dl”. , “Test result: 130 mg / dl” and “diagnosis result: hyperglycemia (abnormal)” are stored in association with each other. Here, since “test result: 130 mg / dl” in “test item: blood glucose level” of the examinee “Mr. A” is outside the range of “standard value: 70 to 110 mg / dl”, “diagnosis result: high Blood sugar (abnormal).
The direct tissue information storage unit 13b stores, for each examination item, direct organization information in which a direct organization that is a human tissue directly related to each examination item is associated. For example, as shown in FIG. 3, the direct tissue information storage unit 13b sets the direct tissue of “test item: blood glucose level” as “pancreas”, an organ that secretes insulin, and directly of “test item: uric acid level”. Direct tissue information that stores the tissue as “kidney”, an organ that excretes uric acid, is stored.
The derivation relationship information storage unit 13c stores, for each direct organization, derivation relationship information in which an indirect organization that is a human tissue that is indirectly affected by an abnormality of each direct organization is associated. For example, when blood sugar increases due to a decrease in pancreatic function, the load on the kidney that filters blood increases, so that abnormalities in the pancreas are derived and the kidney is indirectly affected. In addition, since hyperglycemia causes cataracts, abnormalities in the pancreas are derived and indirectly affect the eyeball. In addition, a decrease in kidney function causes poor retinal blood circulation and causes cataracts, so abnormalities in the kidney also indirectly affect the eyeball. For this reason, as shown in FIG. 4, the derivation relationship information storage unit 13c sets the indirect tissue of “direct tissue: pancreas” as “kidney” and “eyeball”, and the indirect tissue of “direct tissue: kidney”. Derived relationship information “eyeball” is stored.
The health information storage unit 13d stores health information including a disease history of a medical examinee who has undergone a medical examination and a disease history of a relative of the medical examinee. For example, the health information storage unit 13d stores the test result history (the test result of the examinee) in the past medical examination of the examinee as the history of the disease of the examinee, and the medical examination is performed at an inquiry performed before the examination of the medical examination. The information about the illness of the relatives heard from the person is stored as the relative illness history of the examinee. For example, the health information of the examinee “Mr. A” includes “examined test result history: blood glucose level abnormal” and “relative disease history: no kidney disease”, “examined test result history: no visual loss” and “ “Relative disease history: Cataract” is stored.
The processing unit 14 executes various processes based on the data transferred from the input / output control I / F unit 12, and particularly as closely related to the present invention, as shown in FIG. And an indirect tissue extraction unit 14b, an indirect influence evaluation unit 14c, and a display control unit 14d.
The direct tissue extraction unit 14a extracts, from the direct tissue information stored in the direct tissue information storage unit 13b, the direct tissue corresponding to the test item of the test result diagnosed as abnormal in the test result stored in the test result storage unit 13a. To do. For example, in the case where “a request to display the result of a medical checkup that the patient“ Mr. A ”has visited” is received from the terminal 30, the direct tissue extraction unit 14 a determines that the test result of the patient “Mr. A” illustrated in FIG. Since “diagnosis result” of “test item: blood glucose level” is “hyperglycemia (abnormal)”, referring to the direct tissue information shown in FIG. 3, “direct tissue corresponding to“ test item: blood glucose level ” : Pancreas "is extracted.
The indirect tissue extraction unit 14b extracts the indirect tissue corresponding to the direct tissue extracted by the direct tissue extraction unit 14a from the derivation relationship information stored in the derivation relationship information storage unit 13c. For example, when “direct tissue: pancreas” is extracted by the direct tissue extraction unit 14a, the indirect tissue extraction unit 14b refers to the derivation relationship information illustrated in FIG. 4 and corresponds to “direct tissue: pancreas”. As “kidney” and “eyeball”.
The indirect influence evaluation unit 14c is an indirect tissue in which abnormalities of the direct tissue extracted by the direct tissue extraction unit 14a are extracted by the indirect tissue extraction unit 14b based on the health information of the examinee stored in the health information storage unit 13d. The evaluation value for evaluating the degree of influence on the is determined. For example, as illustrated in FIG. 5, the indirect influence evaluation unit 14 c uses the evaluation rules set in association with the health information and the evaluation value for each indirect organization to be evaluated by the indirect tissue extraction unit 14 b. The evaluation value of the extracted indirect tissue is determined.
For example, as shown in FIG. 5, the indirect influence evaluation unit 14 c indicates that “inspection target indirect tissue: kidney” is “visitor test result history: no blood glucose level abnormality” and “relative disease history: no kidney disease”. “Evaluation value” is determined as “0”, and “Evaluation value” is determined as “1” if “Examiner test result history: no blood glucose level abnormality” and “Relative disease history: Kidney disease”, If the result history: blood glucose level abnormal and the relative disease history: no kidney disease, the evaluation value is determined as “2”, and the “examined test result history: blood glucose level abnormal” and the relative disease history: kidney If there is a disease, the “evaluation value” is determined as “3”. In addition, as shown in FIG. 5, the indirect effect evaluation unit 14 c has an “evaluation value” in “inspection target indirect tissue: eyeball” and “examined test result history: no visual loss” and “relative disease history: no cataract”. ”Is determined as“ 0 ”, and“ evaluation value ”is determined as“ 1 ”if“ examined test result history: no visual loss ”and“ relative disease history: cataract ”, and“ examined test result history: visual acuity ” “Evaluation value” is determined as “2” if “decreased” and “relative disease history: no cataract”, and “evaluation value” if “examined test result history: vision loss” and “relative disease history: cataract” Is determined as “3”.
Here, since the health information of the examinee “Mr. A” is “diagnosis test result history: blood glucose level abnormality” and “relative disease history: no kidney disease”, the indirect influence evaluation unit 14c The evaluation value of “indirect tissue: kidney” extracted by the extraction unit 14b is determined as “2”. Further, since the health information of the examinee “Mr. A” is “diagnosis test result history: no visual loss” and “relative disease history: cataract”, the indirect influence evaluation unit 14 c has the indirect tissue extraction unit 14 b. The evaluation value of “indirect tissue: eyeball” extracted by is determined as “1”.
The display control unit 14d displays the indirect tissue extracted by the indirect tissue extraction unit 14b together with the direct tissue extracted by the direct tissue extraction unit 14a on a monitor provided in the terminal 30 using a human body model diagram. The evaluation value determined by the indirect influence evaluation unit 14c is also controlled to be displayed on the monitor.
For example, as shown in FIG. 6, the display control unit 14 d displays “direct tissue: pancreas”, “indirect tissue: kidney”, and “indirect tissue: eyeball” together with the test result of the examinee “Mr. A”. In order to be able to identify the human body model diagram with a pattern based on the evaluation value, the terminal 30 is controlled to display on the monitor. That is, the display control unit 14d displays “direct tissue: pancreas” in a pattern corresponding to “evaluation value: 4” in the human body model diagram together with the examination result table of the examinee “Mr. A”, and “indirect tissue: “Kidney” is displayed in a pattern corresponding to “evaluation value: 2” determined by the indirect effect evaluation unit 14c, and “indirect tissue: eyeball” corresponds to “evaluation value: 1” determined by the indirect effect evaluation unit 14c. Control to display in a pattern.
Further, the display control unit 14d may perform control so that the evaluation value is superimposed and displayed when there is an influence from a plurality of direct tissues in the indirect tissue. In a health examination, examinations are usually performed on a plurality of items. For example, when blood sugar level and uric acid level are examined, “eyeball” is “direct tissue: pancreas” of “test item: blood sugar level”. And an indirect tissue corresponding to “direct tissue: kidney” of “test item: uric acid level” (see FIG. 4).
Here, the test result of the health examination recipient “Mr. A” is “test item: blood glucose level, standard value: 70 to 110 mg / dl, test result: 130 mg / dl, diagnosis result: hyperglycemia (abnormal)”. In addition, when “test item: uric acid level, standard value: 7.0 mg / dl or less, test result: 10.0 mg / dl, diagnosis result: high uric acid level (abnormal)”, the indirect effect evaluation unit 14c As an evaluation value of “indirect tissue: eyeball”, referring to the health information of the patient “Mr. A”, “evaluation value: 1” indicating the degree of influence by “direct tissue: pancreas” and “direct tissue: kidney” “Evaluation value: 2” is added by adding “Evaluation value: 1” indicating the degree of influence of the above. Then, as shown in FIG. 7, the display control unit 14 d sets “direct tissue: pancreas” and “direct tissue: kidney” to “evaluation value: 4 ", and control is performed so that" indirect tissue: eyeball "is displayed in a pattern corresponding to" evaluation value: 2 "determined by addition by the indirect influence evaluation unit 14c.
In this embodiment, the evaluation value of the direct tissue is uniformly set to “4”. For example, “direct tissue: pancreas” or “direct tissue: kidney” is a pattern corresponding to “evaluation value: 4”. Although the case of displaying is described, the present invention is not limited to this. For example, if the test result of “test item: blood glucose level” is “111 to 120 mg / dl”, the evaluation value is “1”, 121. The evaluation value of the direct tissue is determined based on a predetermined numerical range, such as “2” when the evaluation value is ˜130 mg / dl, and the direct tissue is displayed in a pattern corresponding to the determined evaluation value. It may be the case.
For this reason, the health check result display device 10 according to the first embodiment displays the indirect tissue whose influence is derived from the direct tissue abnormality as well as the direct tissue diagnosed as abnormal on the monitor of the terminal 30. Thus, as shown in the main feature described above, it becomes possible to enhance the understanding of the examinee about the influence of the tissue diagnosed as abnormal by the examination result of the health examination.
In addition, although the present Example demonstrated the case where the test result memory | storage part 13a which is a database which memorize | stores the test result implemented in the medical examination was integrated in the medical examination result display apparatus 10, this invention is limited to this. For example, when the test result storage unit 13a is installed in the health check center, and the health check result display device 10 acquires the test result via the network 20 and executes the above-described processing. Also good.
Further, in the present embodiment, the case where the health information storage unit 13d stores the medical examination result history and the relative disease history as health information has been described, but the present invention is not limited to this, for example, In this case, the health information storage unit 13d stores the patient's own disease history, which was heard from the examinee in the interview conducted before the medical examination, together with the patient's examination result history as the patient's disease history. Also good. Further, the health information storage unit 13d stores only the kinship disease history, and the indirect influence evaluation unit 14c receives the “past test result” of the corresponding examinee in the test result stored in the test result storage unit 13a. It may be a case where it is used as an inspection result history.
In the present embodiment, the case where the indirect tissue is emphasized by controlling the display control unit 14d to display in a pattern corresponding to the evaluation value has been described. However, the present invention is not limited to this. For example, in the human body model diagram, the indirect tissue can be controlled by controlling the display so that the outline is thickened, displayed with a shadow, or displayed in three dimensions. Emphasizing and displaying the determined evaluation value in the vicinity of the indirect tissue (displaying numerical values) may be used. In addition, when the evaluation value determination process by the indirect influence evaluation unit 14c is not performed, for example, the display control unit 14d performs control so that the contour lines of the direct tissue and the indirect tissue are displayed thick in the human body model diagram. It may be.
Next, processing of the health check result display device 10 according to the first embodiment will be described with reference to FIG. FIG. 8 is a diagram for explaining processing of the health check result display device according to the first embodiment.
As illustrated in FIG. 8, the health check result display device 10 according to the first embodiment accepts a “health check result display request” input from a terminal 30 via the network 20 by a doctor who explains the result of the checkup. (Yes in step S801), the direct tissue extraction unit 14a selects the direct tissue corresponding to the test item of the test result diagnosed as abnormal in the test result stored in the test result storage unit 13a. Extracted from the stored direct tissue information (step S802). For example, since the “diagnosis result” of “test item: blood glucose level” is “hyperglycemia (abnormal)” in the test result of the person “Mr. A” shown in FIG. With reference to the direct tissue information shown in FIG. 3, “direct tissue: pancreas” corresponding to “test item: blood glucose level” is extracted.
Then, the indirect tissue extraction unit 14b extracts the indirect tissue corresponding to the direct tissue extracted by the direct tissue extraction unit 14a from the derivation relationship information stored in the derivation relationship information storage unit 13c (Step S803). For example, when “direct tissue: pancreas” is extracted by the direct tissue extraction unit 14a, the indirect tissue extraction unit 14b refers to the derivation relationship information illustrated in FIG. 4 and corresponds to “direct tissue: pancreas”. As “kidney” and “eyeball”.
Subsequently, the indirect influence evaluator 14c extracts the abnormality of the direct tissue extracted by the direct tissue extractor 14a based on the health information of the examinee stored in the health information storage unit 13d by the indirect tissue extractor 14b. An evaluation value for evaluating the degree of influence on the indirect tissue is determined (step S804). For example, the indirect influence evaluation unit 14c uses the evaluation rule shown in FIG. 5 to determine the evaluation value of “indirect tissue: kidney” as “2” and the evaluation value of “indirect tissue: eyeball” as “1”. decide.
Thereafter, the display control unit 14d uses the human body model diagram to determine the direct tissue extracted by the direct tissue extraction unit 14a and the indirect tissue extracted by the indirect tissue extraction unit 14b by the indirect influence evaluation unit 14c. Control is performed so as to display on the monitor provided in the terminal 30 with a pattern corresponding to the evaluation value (step S805), and the process is terminated.
For example, as shown in FIG. 6, the display control unit 14 d has a pattern corresponding to “evaluation value: 4” in “direct tissue: pancreas” in the human body model diagram together with the examination result table of the examinee “Mr. A”. “Indirect tissue: kidney” is displayed in a pattern corresponding to “Evaluation value: 2” determined by the indirect effect evaluation unit 14c, and “Indirect tissue: eyeball” is determined by the indirect effect evaluation unit 14c. Control is performed so that a pattern corresponding to “evaluation value: 1” is displayed. Note that the doctor explains the patient “Mr. A” using the result of the health check displayed on the monitor of the terminal 30 by this process.
As described above, according to the first embodiment, the direct tissue extraction unit 14a directly selects the direct tissue corresponding to the test item of the test result diagnosed as abnormal in the test result stored in the test result storage unit 13a. Extracted from the direct organization information stored in the organization information storage unit 13b, the indirect organization extraction unit 14b is a derivation in which the derivation relationship information storage unit 13c stores the indirect organization corresponding to the direct organization extracted by the direct organization extraction unit 14a. Based on the health information of the examinee stored in the health information storage unit 13d, the indirect influence evaluator 14c extracts from the relationship information, and the direct tissue abnormality extracted by the direct tissue extractor 14a is detected by the indirect tissue extractor 14b. The evaluation value for evaluating the degree of influence on the indirect tissue extracted by the method is determined. Then, the display control unit 14d uses the human body model diagram to evaluate the direct tissue extracted by the direct tissue extraction unit 14a and the indirect tissue extracted by the indirect tissue extraction unit 14b by the indirect influence evaluation unit 14c. Since the control is performed so that the value is displayed on the monitor of the terminal 30 together with the value, it is possible to enhance the understanding of the examinee about the influence of the tissue diagnosed as abnormal by the examination result of the health examination. That is, it is possible to make the examinee recognize what kind of influence occurs when the current lifestyle is not changed.
Further, according to the first embodiment, by referring to the indirect tissue displayed in the human body model diagram, it is possible to guarantee that the indirect tissue is explained by an instructor such as a doctor. It is possible to enhance the understanding of the examinee about the effect of the tissue diagnosed as abnormal based on the test results. That is, it is possible to avoid the explanation of the influence caused by the abnormality of the tissue directly when the explainer explains a lot of test results.
Further, according to the first embodiment, an organization that should be particularly noted in accordance with the health information of the individual can be highlighted and displayed using the evaluation value, and a diagnosis result according to the characteristics of the individual of the examinee is presented. It becomes possible.
In the second embodiment, the case where the weighting of health information is changed and an evaluation value for evaluating the degree of influence on the indirect tissue due to the abnormality of the direct tissue is determined will be described with reference to FIG. Here, FIG. 9 is a diagram for explaining the indirect influence evaluation unit in the second embodiment.
The health check result display device 10 according to the second embodiment has the same configuration as the health check result display device 10 according to the first embodiment shown in FIG. 1, but the contents of the process performed by the indirect influence evaluation unit 14 c in the second embodiment are as follows. Different. Hereinafter, this will be mainly described.
Indirect influence evaluation part 14c in Example 2 changes the weighting among the health information of the examinee stored in health information storage part 13d, and determines an evaluation value for evaluating the degree of influence on the indirect tissue.
For example, the indirect influence evaluation unit 14c according to the second embodiment determines the evaluation value as a score from “0 points to 100 points”. Specifically, as illustrated in FIG. 9, the indirect influence evaluation unit 14 c in the second embodiment has an “inspection target history: kidney” in which “visitor test result history” in the health information is “abnormal blood glucose level”. "30 points" is assigned, and in the "relative disease history" in the health information, "30 points" is assigned if "relatives within the second degree of relative have kidney disease" and "other relatives have kidney disease" Then, “10 points” is assigned.
Here, the indirect influence evaluation unit 14c in Example 2 indicates that the health information of the examinee “Mr. A” is “visitor test result history: (in the past) blood glucose level abnormal”, If there is a disease, the evaluation value is determined as “30 points + 30 points = 60 points”. Further, in the health information of the patient “Mr. A”, “30 points + 10 points = 40” if the “tester test result history: (in the past) blood glucose level abnormality” and “the uncle has kidney disease” The evaluation value is determined as a “point”. That is, even for the same relative's disease history, the weight is changed between health information so that the score is higher as the blood relationship with the examinee is closer, and the score is lowered as the blood relationship is farther away. Determine the evaluation value.
The display control unit 14d according to the second embodiment displays “direct tissue: pancreas” in a pattern corresponding to, for example, “evaluation value: 100 points” in the human body model diagram together with the examination result table of the examinee “Mr. A”. Then, control is performed so that “indirect tissue: kidney” is displayed in a pattern corresponding to “evaluation value: 60 points” determined by the indirect influence evaluation unit 14c.
In addition, the process of the medical examination result display apparatus 10 in Example 2 is an evaluation value by the indirect influence evaluation part 14c in step S804 among the processes of the medical examination result display apparatus 10 in Example 1 demonstrated using FIG. Since the determination process and the display control process performed by the display control unit 14d in step S805 are the same as those described in the first embodiment except for the above-described contents, the description thereof will be omitted.
As described above, according to the second embodiment, the evaluation value of the indirect tissue can be determined more finely, so that the examinee further understands the influence of the tissue diagnosed as abnormal by the examination result of the health examination. It becomes possible to raise.
In the third embodiment, a second example different from the first embodiment in the indirect tissue display control process will be described with reference to FIG. Here, FIG. 10 is a diagram for explaining the display control unit according to the third embodiment.
The health check result display device 10 according to the third embodiment has the same configuration as the health check result display device 10 according to the first embodiment shown in FIG. 1, but the contents of the processing performed by the display control unit 14d are different in the third embodiment. . Hereinafter, this will be mainly described.
In the human body model diagram, the display control unit 14d according to the third embodiment displays all of the direct tissue extracted by the direct tissue extraction unit 14a and the indirect tissue extracted by the indirect tissue extraction unit 14b on a monitor included in the terminal 30. To be controlled. For example, as shown in FIG. 6, in Example 1, a part of the pancreas extracted as a direct tissue or left and right kidneys extracted as an indirect tissue are displayed on the left side when the human body model diagram is viewed from the front. Although a certain kidney is hidden by the stomach and large intestine, the display control unit 14d in the third embodiment removes the stomach and large intestine from the human body model diagram as shown in FIG. Are controlled so as to be displayed on a monitor provided in the terminal 30.
In addition, the process of the medical examination result display apparatus 10 in Example 3 is the display control process by the display control part 14d in step S805 among the processes of the medical examination result display apparatus 10 in Example 1 demonstrated using FIG. Since it is the same as that of Example 1 except having been changed into the content mentioned above, description is abbreviate | omitted.
As described above, according to the third embodiment, the direct tissue and the indirect tissue can always be displayed in the human body model diagram. Can be further enhanced.
In Example 4, a third example in the indirect tissue display control process will be described with reference to FIG. Here, FIG. 11 is a diagram for explaining the display control unit according to the fourth embodiment.
The health check result display device 10 in the fourth embodiment has the same configuration as the health check result display device 10 in the first embodiment shown in FIG. 1, but the contents of the processing performed by the display control unit 14d are different in the fourth embodiment. . Hereinafter, this will be mainly described.
In the human body model diagram, the display control unit 14d according to the fourth embodiment displays, in a moving image, how the influence is derived from the direct tissue extracted by the direct tissue extraction unit 14a to the indirect tissue extracted by the indirect tissue extraction unit 14b. It controls so that it may be displayed on the monitor with which 30 is equipped. For example, as shown in FIG. 11A, the display control unit 14d according to the fourth embodiment displays the “pancreas”, which is a direct tissue, using a pattern corresponding to “evaluation value: 4”, and then displays a predetermined time. When the time has elapsed, control is performed so that “kidney” as an indirect tissue is displayed in a pattern corresponding to “evaluation value: 2” and “eyeball” as an indirect tissue is displayed in a pattern corresponding to “evaluation value: 1”. Emphasize the impact on indirect organizations. In the present embodiment, as shown in FIG. 11A, the case has been described where control is performed so that all indirect tissues are displayed at once. However, the present invention is not limited to this, and indirect It may be a case where control is performed so as to display at regular intervals for each tissue.
Alternatively, as shown in FIG. 11B, the display control unit 14 d according to the fourth embodiment performs “directly” in order to emphasize “indirect tissue: eyeball” that is separated from the “pancreas” that is a direct tissue. The display may be controlled so that the arrow moves from “tissue: pancreas” to “indirect tissue: eyeball”. In addition to the movement of the arrow, it is a case where control is performed so as to display a video that attracts the interest of the examinee regarding the indirect tissue that is separated from the direct tissue, such as the illustration of the dog moving. Also good.
In addition, the process of the medical examination result display apparatus 10 in Example 4 is the display control process by the display control part 14d in step S805 among the processes of the medical examination result display apparatus 10 in Example 1 demonstrated using FIG. Since it is the same as that of Example 1 except having been changed into the content mentioned above, description is abbreviate | omitted.
As described above, according to the fourth embodiment, it is possible to highlight and display that the indirect tissue is affected by using the moving image, and the influence exerted by the tissue diagnosed as abnormal by the health checkup test result. It is possible to further enhance the understanding of the patient.
In Example 5, a fourth example in the indirect tissue display control process will be described with reference to FIGS. Here, FIG. 12 is a diagram illustrating a configuration of the health check result display device according to the fifth embodiment, FIG. 13 is a diagram for explaining an influence probability calculating unit, and FIG. 14 is a display according to the fifth embodiment. It is a figure for demonstrating a control part.
Compared with the health checkup result display device 10 in the first embodiment shown in FIG. 1, the health checkup result display device 10 in the fifth embodiment has a new influence probability calculation unit 14 e as shown in FIG. 12, The contents of the display control process by the display control unit 14d are different. Hereinafter, these will be mainly described.
The influence probability calculation unit 14e calculates an influence probability that is a probability that the indirect organization is affected. That is, the influence probability calculation unit 14e calculates an influence probability that is likely to have an influence on the indirect tissue extracted by the indirect tissue extraction unit 14b in the future using the examination result stored in the examination result storage unit 13a. .
For example, as shown in FIG. 13A, the influence probability calculation unit 14e refers to the test result stored in the test result storage unit 13a and reads “directly extracted (directly extracted by the tissue extraction unit 14a). By acquiring “the number of persons with disabilities” and “the number of persons with disabilities in the direct and indirect tissues” and multiplying these ratios by “100”, In the indirect organization, the impact probability that is likely to have an impact in the future is calculated in percent format.
Alternatively, as shown in FIG. 13B, the influence probability calculation unit 14e refers to the test results stored in the test result storage unit 13a, and “the number of examinees who have an abnormality in the test results” By acquiring “the number of examinees who have abnormalities in test results and indirect tissue disorders” and multiplying these ratios by “100”, not only direct organizations that are derived from indirect organizations, The probability of influence, which is a possibility that the indirect organization will be affected in the future due to an abnormality in another organization, is calculated in a percentage format.
The display control unit 14d according to the fifth embodiment performs control so that the influence probability calculated by the influence probability calculation unit 14e is further displayed on a monitor provided in the terminal 30. For example, as illustrated in FIG. 14, the display control unit 14 d according to the fifth embodiment displays “pancreas” that is a direct tissue using a pattern corresponding to “evaluation value: 4”, and “kidney” that is an indirect tissue. In the pattern corresponding to “evaluation value: 2” and “eyeball” which is an indirect tissue is controlled to be displayed in a pattern corresponding to “evaluation value: 1” and calculated in “indirect tissue: kidney” Control is performed to display “influence probability: 24%” and “influence probability: 16%” calculated in “indirect tissue: eyeball”.
Next, processing of the health check result display device 10 according to the fifth embodiment will be described with reference to FIG. FIG. 15 is a diagram for explaining processing of the health check result display apparatus according to the fifth embodiment.
Here, the processing contents of steps S1501 to S1504 shown in FIG. 15 are the same as the processing contents of steps S801 to S804 described with reference to FIG.
After the process of step S1504, the influence probability calculation unit 14e calculates an influence probability that is a probability that the indirect tissue extracted by the indirect tissue extraction unit 14b is affected (step S1505). For example, the influence probability calculation unit 14e calculates the influence probability using the formula shown in FIG. 13A or FIG. 13B using data acquired from the inspection result stored in the inspection result storage unit 13a. .
After that, the display control unit 14d uses the human body model diagram to display the direct tissue and the indirect tissue in a pattern corresponding to the evaluation value, and control to display the influence probability calculated by the influence probability calculation unit 14e. Then (step S1506, see FIG. 14), the process ends.
As described above, according to Example 5, since it is possible for the examinee to recognize that the extracted indirect tissue may be damaged in the future, it was diagnosed as abnormal based on the examination result of the medical examination. It is possible to further enhance the understanding of the examinee about the influence of the organization. For example, by using the test results of the residents in the area where the health check-up examinees live, patients with hypertension can be diagnosed in a medical history that is characteristic of the area (for example, in areas that are characterized by ingesting a salty diet). The probability of influence reflecting a large number) can be calculated, and it is possible to present a diagnosis result according to the characteristics of the area where the examinee lives.
In Example 6, a fifth example in the indirect tissue display control process will be described with reference to FIG. Here, FIG. 16 is a diagram for explaining the display control unit according to the sixth embodiment.
The health check result display device 10 according to the sixth embodiment has the same configuration as the health check result display device 10 according to the first embodiment shown in FIG. 1, but the contents of the processing performed by the display control unit 14d are different in the sixth embodiment. . Hereinafter, this will be mainly described.
The display control unit 14d in the sixth embodiment affects the display of the indirect tissue extracted by the indirect tissue extraction unit 14b or the indirect tissue extracted by the indirect tissue extraction unit 14b from the direct tissue extracted by the direct tissue extraction unit 14a. Is controlled to be executed at a predetermined time.
For example, in the fourth embodiment, as shown in FIG. 11A, the display control unit 14d displays “pancreas” that is a direct tissue, and when a certain time has elapsed, “kidney” that is an indirect tissue. As described above, the display control unit 14d according to the sixth embodiment is provided in the terminal 30 by a doctor who has an interview with the examinee as shown in FIG. When the mouse is placed on the “pancreas” which is the direct tissue displayed on the monitor, the “kidney” which is the indirect tissue is the pattern corresponding to “evaluation value: 2” in the indirect tissue. A certain “eyeball” is controlled to be displayed in a pattern corresponding to “evaluation value: 1”.
Alternatively, the display control unit 14d according to the sixth embodiment displays the movement display of the arrow described with reference to FIG. 11B in the fourth embodiment and all direct and indirect tissues described in the third embodiment. Display control processing such as organization deletion display and display of the influence probability described in the fifth embodiment may be executed when the cursor is directly placed on the organization.
Further, in the examination result table displayed together with the human body model diagram on the monitor, the time point when the doctor selects the examination item using the mouse and the voice explained by the doctor are acquired through the microphone provided in the terminal 30. When the specific keyword is recognized, the display control process as described above may be executed. For example, when “keyword: blood glucose level” is recognized, “direct tissue: pancreas” “indirect tissue: kidney and eyeball” may be controlled to be displayed in a pattern corresponding to the evaluation value.
In addition, the process of the medical examination result display apparatus 10 in Example 6 is the display control process by the display control part 14d in step S805 demonstrated using FIG. 8, and the display control part 14d in step S1506 demonstrated using FIG. Since the display control process according to is the same as that described above except that it has been changed to the above-described content, the description thereof will be omitted.
As described above, according to the sixth embodiment, the presenter can explain the diagnosis result after performing the display highlighting the indirect tissue at the timing intended by the examiner. It is possible to further enhance the understanding of the examinee about the influence of the tissue diagnosed as abnormal.
In the first to sixth embodiments described above, the case where the result of the health check is displayed on the monitor provided in the terminal 30 based on the display control process by the health check result display device 10 has been described. Even if it is a case where the medical examination result display apparatus 10 is installed in the interview room in the hospital and the medical examination result display apparatus 10 displays the result of the medical examination on a monitor provided as a display unit, it is not limited. Good.
As described above, the medical examination result display device and the medical examination result display program according to the present invention are useful when displaying the result of the medical examination on a predetermined display unit, and in particular, are diagnosed as abnormal based on the examination result. It is suitable for raising the understanding of the examinee about the effects of the organization.
It is a figure which shows the structure of the health-diagnosis result display apparatus in Example 1. FIG. It is a figure for demonstrating a test result memory | storage part. It is a figure for demonstrating a direct organization information storage part. It is a figure for demonstrating the derivation relationship information storage part. It is a figure for demonstrating the indirect influence evaluation part in Example 1. FIG. FIG. 6 is a diagram for explaining a display control unit according to the first embodiment. FIG. 6 is a diagram for explaining a display control unit according to the first embodiment. It is a figure for demonstrating the process of the health-diagnosis result display apparatus in Example 1. FIG. It is a figure for demonstrating the indirect influence evaluation part in Example 2. FIG. FIG. 10 is a diagram for explaining a display control unit according to a third embodiment. FIG. 10 is a diagram for explaining a display control unit according to a fourth embodiment. It is a figure which shows the structure of the health-diagnosis result display apparatus in Example 5. FIG. It is a figure for demonstrating an influence probability calculation part. FIG. 10 is a diagram for explaining a display control unit according to a fifth embodiment. It is a figure for demonstrating the process of the health-diagnosis result display apparatus in Example 5. FIG. FIG. 10 is a diagram for explaining a display control unit according to a sixth embodiment.
DESCRIPTION OF SYMBOLS 10 Health-diagnosis result display apparatus 11 Communication control part 12 Input / output control I / F part 13 Storage part 13a Test result storage part 13b Direct tissue information storage part 13c Derived relation information storage part 13d Health information storage part 14 Processing part 14a Direct tissue extraction 14b Indirect tissue extraction unit 14c Indirect influence evaluation unit 14d Display control unit 20 Network 30 Terminal
A medical examination result display device for displaying a result of a medical examination on a predetermined display unit,
Test result storage means for storing a test result for each test item in the health check,
Direct tissue information storage means for storing direct tissue information that associates a direct tissue that is a human tissue directly related to each test item for each test item;
Derivation relationship information storage means for storing, for each direct organization, derivation relationship information that associates an indirect organization that is a human tissue that is indirectly affected by an abnormality of each direct organization;
Direct tissue extraction means for extracting, from the direct tissue information stored in the direct tissue information storage means, the direct tissue corresponding to the test item of the test result diagnosed as abnormal in the test results stored in the test result storage means When,
An indirect organization extracting unit that extracts an indirect organization corresponding to the direct organization extracted by the direct organization extracting unit from the derivation relationship information stored in the derivation relationship information storage unit;
Wherein said direct tissue abnormalities of extracted by direct tissue extraction means, the display mode in accordance with the degree of influence exerted to the indirect tissue extracted by the indirect tissue extracting means, together with the tissue directly, the indirect tissue Display control means for controlling to display on the predetermined display unit using a human body model diagram;
A medical examination result display device characterized by comprising:
Health information storage means for storing health information consisting of at least one of a disease history of the examinee who has undergone the medical examination and a disease history of a relative of the examinee;
Wherein based on the health information of the examinee health information storage means stores, before and indirect impact assessment means for assessing the Kikage Hibiki degree, further comprising a
2. The health check result display apparatus according to claim 1, wherein the display control unit controls the degree of influence evaluated by the indirect influence evaluation unit to be displayed on the predetermined display unit.
The health examination according to claim 2, wherein the indirect influence evaluation means changes the weighting between the health information of the examinees stored in the health information storage means and evaluates the degree of influence. Result display device.
In the human body model diagram, the display control unit displays all of the direct tissue extracted by the direct tissue extraction unit and the indirect tissue extracted by the indirect tissue extraction unit on the predetermined display unit. The health check result display device according to any one of claims 1 to 3, wherein the health check result display device is controlled.
In the human body model diagram, the display control means shows how the influence is derived from the direct tissue extracted by the direct tissue extraction means to the indirect tissue extracted by the indirect tissue extraction means. The health check result display device according to any one of claims 1 to 3, wherein the health check result display device is controlled so as to display.
Further comprising an influence probability calculating means for calculating an influence probability which is a probability that the indirect tissue is affected;
The said display control means controls to display the said influence probability calculated by the said influence probability calculation means on the said predetermined | prescribed display part, The Claim 1 characterized by the above-mentioned. Health check result display device.
The display control unit has an influence on the display of the indirect tissue extracted by the indirect tissue extraction unit or the indirect tissue extracted by the indirect tissue extraction unit from the direct tissue extracted by the direct tissue extraction unit. The health diagnosis result display device according to any one of claims 1 to 6, wherein the display of the derived state is controlled to be executed at a predetermined time.
A health diagnosis result display program for causing a computer to execute a health check result display method for displaying a result of a health check on a predetermined display unit,
For each test item in the health checkup, a test result storage procedure for storing a test result in the first storage unit,
Direct tissue information storage procedure for storing, in the second storage unit, direct tissue information that associates a direct tissue that is a human tissue directly related to each inspection item for each inspection item;
Derived relationship information storage procedure for storing, in a third storage unit, derived relationship information that associates an indirect tissue that is a human tissue that is indirectly affected by an abnormality of each direct tissue for each direct tissue;
The direct tissue extraction that extracts the direct tissue corresponding to the inspection item of the inspection result diagnosed as abnormal in the inspection result stored in the first storage unit from the direct tissue information stored in the second storage unit Procedure and
An indirect tissue extraction procedure for extracting an indirect tissue corresponding to the direct tissue extracted by the direct tissue extraction procedure from the derivation relationship information stored in the third storage unit;
Abnormality of the tissue directly extracted by the direct tissue extraction procedure, the display mode according to the degree of influence exerted to the indirect tissue extracted by the indirect tissue extraction procedures, together with the tissue directly, the indirect tissue A display control procedure for controlling to display on the predetermined display unit using a human body model diagram;
A medical examination result display program characterized by causing a computer to execute.
JP2008036463A 2008-02-18 2008-02-18 Health checkup result display device and health checkup result display program Expired - Fee Related JP5172377B2 (en)
JP2008036463A JP5172377B2 (en) 2008-02-18 2008-02-18 Health checkup result display device and health checkup result display program
JP2009193539A JP2009193539A (en) 2009-08-27
JP5172377B2 true JP5172377B2 (en) 2013-03-27
ID=41075466
JP2008036463A Expired - Fee Related JP5172377B2 (en) 2008-02-18 2008-02-18 Health checkup result display device and health checkup result display program
JP (1) JP5172377B2 (en)
JPH0639469U (en) * 1992-11-05 1994-05-27 株式会社リードコンピューター Display method of clinical various inspection judgment findings
JP3840481B2 (en) * 2003-05-15 2006-11-01 剛 上甲 Clinical trial management system and method using case database
2008-02-18 JP JP2008036463A patent/JP5172377B2/en not_active Expired - Fee Related
JP2009193539A (en) 2009-08-27
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