JP7144249B2 - Evaluation system and evaluation program - Google Patents

Description

The present invention relates to an evaluation system and an evaluation program.

In general, childhood is a time of many changes, and if developmental problems such as growth disorders and obesity are not discovered late, the symptoms may rapidly worsen or spread to other problems. had been In particular, the role of educational institutions that watch over children on a daily basis is important. For example, in order to manage the development of children, elementary school health examinations were conducted and physical conditions of children were measured regularly.

Therefore, as a device for managing the state of development of children in educational institutions, a school management device (for example, see Patent Document 1) has been proposed that records and utilizes information about the growth of children. Educational institutions have used devices such as this school management device to record information about the development of children, and to evaluate the developmental conditions of children based on the recorded information.

JP-A-6-83843

However, regarding the evaluation of children's developmental conditions conducted by educational institutions, specialist doctors (for example, school doctors) visually check the information on each child recorded in the school management device, and use their own experiences. Since it was conducted based on the rules, it took a relatively long time (for example, about 1.5 to 2 minutes per person). There was a possibility of lacking the objectivity of

SUMMARY OF THE INVENTION The present invention has been made in view of the above problems, and an object of the present invention is to provide an evaluation system and an evaluation program capable of quickly and objectively evaluating the condition of a subject.

In order to solve the above-described problems and achieve the object, the evaluation system according to claim 1 is an evaluation system for evaluating the condition of a subject, wherein information about the physical condition of the subject over time is used. a first acquisition means for acquiring certain first physical information; and estimation information for evaluation used for evaluating the physical condition of the subject based on the first physical information acquired by the first acquisition means. estimation means for estimating; evaluation means for evaluating the state of the subject based on the estimation information for evaluation estimated by the estimation means; and state output means for outputting the state of the subject evaluated by the evaluation means and second acquisition means for acquiring a plurality of pieces of the second physical information, which are pieces of second physical information that serve as a reference for estimating the estimated information for evaluation and that are chronological information relating to a physical condition, wherein The estimating means selects one of the plurality of second physical information based on the first physical information acquired by the first acquiring means and the plurality of second physical information acquired by the second acquiring means. The second physical information is selected, and the estimation information for evaluation is estimated based on the selected one second physical information.

The evaluation system according to claim 2 is the evaluation system according to claim 1 , wherein the estimation means includes the first physical information acquired by the first acquisition means and the physical information acquired by the second acquisition means. One piece of the second physical information is selected from the plurality of the second physical information based on differences from the plurality of the second physical information.

Further, the evaluation system according to claim 3 is the evaluation system according to claim 1 or 2 , further comprising generating means for generating the second physical information based on the reference physical information, and the second acquiring means acquires the second physical information generated by the generating means.

Further, the evaluation system according to claim 4 is the evaluation system according to any one of claims 1 to 3 , wherein the first acquisition means obtains the information specifying the growth rate with respect to the age of the subject. Obtained as first physical information, the estimation means estimates the age at which the subject's growth rate peaks as the estimation information for evaluation.

Further, the evaluation system according to claim 5 is the evaluation system according to any one of claims 1 to 3 , wherein the first acquisition means obtains the information specifying the growth rate with respect to the age of the subject. Acquired as the first physical information, the estimation means estimates, as the estimation information for evaluation, a phenomenon in which the subject's growth rate starts to increase or an age at which the phenomenon occurs.

The evaluation system according to claim 6 is the evaluation system according to any one of claims 1 to 5 , wherein the evaluation means compares the estimation information for evaluation estimated by the estimation means with a threshold value. and evaluate the subject's condition based on the comparison result.

Further, the evaluation program according to claim 7 is an evaluation program for evaluating the condition of a subject, the evaluation program for evaluating the condition of the subject, wherein the computer performs a first acquisition means for acquiring first physical information, which is general information; and an evaluation used for evaluating the physical condition of the subject based on the first physical information acquired by the first acquisition means. estimating means for estimating estimated information for evaluation; evaluating means for evaluating the state of the subject based on the estimated information for evaluation estimated by the estimating means; and outputting the state of the subject evaluated by the evaluating means. a second acquiring means for acquiring a plurality of the second physical information, which is a reference for estimating the estimated information for evaluation and is chronological information related to the physical condition; and the estimating means calculates a plurality of the second physical information based on the first physical information acquired by the first acquiring means and the plurality of second physical information acquired by the second acquiring means A piece of the second physical information is selected from the information, and the estimation information for evaluation is estimated based on the selected piece of the second physical information .

According to the evaluation system of claim 1, by evaluating the condition of the subject based on the estimation information for evaluation used for evaluating the physical condition of the subject, for example, Evaluation can be performed quickly and objectively.
Further, by selecting one second physical information from among a plurality of second physical information and estimating estimated information for evaluation based on the selected one second physical information, for example, the second physical information Since the estimation information for evaluation can be estimated based on the information, the estimation accuracy of the estimation information for evaluation can be improved, and the accuracy of evaluating the condition of the subject can be improved.

According to the evaluation system of claim 2 , based on the difference between the first physical information and the second physical information, by selecting one second physical information out of the plurality of second physical information, For example, the second physical information can be selected by performing a relatively simple process of finding the difference, so it is possible to quickly evaluate the condition of the subject.

According to the evaluation system of claim 3 , by generating the second physical information, for example, a situation other than a situation where all the second physical information exists (that is, a situation where the second physical information does not exist, Alternatively, the second physical information can be used even in a situation where the number of second physical information is relatively small, etc.), so the physical condition of the subject can be evaluated in various situations, and versatility is improved. becomes possible.

According to the evaluation system of claim 4 , by estimating the age at which the growth rate peaks as the estimation information for evaluation, for example, it is useful for evaluating the condition of the subject (for example, the growth condition). Since the evaluation can be made using the relevant information, it is possible to improve the evaluation accuracy of the subject's condition.

According to the evaluation system of claim 5 , by estimating the phenomenon in which the subject's growth rate begins to increase or the age at which the phenomenon occurs as the estimation information for evaluation, for example, the state of the subject (as an example can be evaluated using useful and characteristic information for evaluation of the developmental state), it is possible to improve the evaluation accuracy of the subject's state.

According to the evaluation system of claim 6 , the estimation information for evaluation is compared with the threshold, and the condition of the subject is evaluated based on the comparison result. For example, the estimation information for evaluation and the threshold are compared. Since the condition of the subject can be evaluated by performing a relatively simple process of performing the evaluation, it is possible to quickly evaluate the condition of the subject.

According to the evaluation program of claim 7 , by evaluating the condition of the subject based on the estimation information for evaluation used for evaluating the condition of the subject's body, for example, Evaluation can be performed quickly and objectively.
Further, by selecting one second physical information from among a plurality of second physical information and estimating estimated information for evaluation based on the selected one second physical information, for example, the second physical information Since the estimation information for evaluation can be estimated based on the information, the estimation accuracy of the estimation information for evaluation can be improved, and the accuracy of evaluating the condition of the subject can be improved.

1 is a block diagram of an evaluation device according to an embodiment; FIG. FIG. 4 is a diagram illustrating anthropometric information; It is an example of a display of a judgment support screen. FIG. 4 is a diagram showing an index value area in FIG. 3; FIG. 4 is a diagram showing the plot area of FIG. 3; FIG. FIG. 4 is a diagram showing a decision support area in FIG. 3; It is a figure for demonstrating the information of a judgment support area, etc. FIG. FIG. 4 illustrates a risk assessment area of FIG. 3; It is a flow chart of the start estimated age-related processing. FIG. 4 is a diagram illustrating a graph of a growth rate curve; FIG. 4 is a diagram illustrating a graph of a growth rate curve; FIG. 4 is a diagram illustrating a graph of a growth rate curve; FIG. 4 is a diagram illustrating a graph of a growth rate curve; FIG. 4 is a diagram illustrating a graph of a growth rate curve;

BEST MODE FOR CARRYING OUT THE INVENTION An embodiment of an evaluation system according to the present invention will be described in detail below with reference to the drawings. In addition, this invention is not limited by this embodiment.

[Basic concept of the embodiment]
First, the basic concept of the embodiment will be explained. Embodiments generally relate to rating systems.

Here, the "evaluation system" is a system that evaluates the condition of a subject, for example, a system that evaluates the developmental state of a subject. and status output means, and optionally second obtaining means and generating means. This evaluation system includes, for example, a general-purpose system provided with the above-mentioned means, or a dedicated system equipped with each means for evaluating the subject's condition. is.

In addition, "subject" is a person to be evaluated, specifically, a person who is evaluated using an evaluation system, for example, includes children, adults, elderly people, men, women, etc. It is a concept. "Subject's condition" is the state of the subject to be evaluated, specifically, the state of the subject to be evaluated using the evaluation system. It is a concept that includes the state of ability, the state of aging, the state of cognitive ability, and the like.

Also, the “first acquisition means” is means for acquiring first physical information, which is chronological information regarding the subject's physical condition. The 'estimating means' is means for estimating estimation information for evaluation used for evaluating the physical condition of the subject based on the first physical information acquired by the first acquiring means. Selecting and selecting one piece of second physical information from among the plurality of second physical information based on the first physical information acquired by the acquiring means and the plurality of second physical information acquired by the second acquiring means It is a concept including means for estimating estimated information for evaluation based on one piece of second physical information acquired by the first physical information acquired by the first acquisition means, and a plurality of pieces of physical information acquired by the second acquisition means. It is a concept that includes means for selecting one piece of second physical information from a plurality of second physical information based on the difference from the second physical information, and the subject's growth rate peaks. A concept that includes means for estimating age as estimated information for evaluation, and a concept that includes means for estimating the phenomenon in which the subject's growth rate begins to increase, or the age at which this phenomenon occurs, as estimated information for evaluation. is.

In addition, "estimated information for evaluation" is information used for evaluating the condition of a subject, and is information to be estimated. and information that can be estimated from the first physical information, for example, the age at which the subject's growth rate peaks, the phenomenon that the subject's growth rate begins to increase, or the phenomenon occurs This information includes age and the like. “Growth speed” is the speed at which a subject grows, and is a concept including, for example, the speed at which the height of the subject increases, or the speed at which the weight of the subject increases. is the "speed at which the subject's height increases" will be described as an example.

Also, the “age at which the growth rate peaks” is a concept including, for example, the age of the subject at which the growth rate reaches the maximum. "Phenomenon in which the subject's growth rate begins to increase" is a phenomenon in which the growth rate begins to accelerate. It is a concept that includes the phenomenon that (the curve of the graph plotting the growth rate against the age of the subject) spurts (rises). "The growth rate begins to accelerate" means, for example, that the acceleration of the growth rate begins to increase by a predetermined value or more, or that there is a sign that the acceleration of the growth rate begins to increase by a predetermined value or more (that is, the acceleration of the growth speed is about to start increasing by a predetermined value or more).

In addition, the "evaluation means" is a means for evaluating the state of the subject based on the estimation information for evaluation estimated by the estimation means. , means for evaluating the subject's condition based on the comparison results. Also, the 'state output means' is means for outputting the subject's state evaluated by the evaluation means. "Outputting the state of the subject" is a concept that includes, for example, displaying and outputting the state of the subject, outputting the state by voice, or printing and outputting the state. .

Further, the "second acquiring means" is means for acquiring a plurality of pieces of the second physical information, which is the second physical information that serves as a reference for estimating the estimation information for evaluation, and that is chronological information regarding the state of the body. , for example, a concept including means for acquiring the second physical information generated by the generating means.

In addition, the above-mentioned "first physical information" is information about the physical condition of the subject over time, specifically information related to the physical condition of the subject, specifically: It is information that exists in two or more pieces with the passage of time, and is, for example, information that corresponds to arbitrary timing (for example, every few years, every semester, or every week). "First physical information" is, for example, information specifying height, weight, eyesight, hearing, grip strength, back muscle strength, blood pressure, blood sugar level, etc., or arbitrary information calculated from each of these information (for example, is a concept including growth rate, etc. (the same applies to "second physical information" described later).

In addition, the “second physical information” is information that serves as a reference for estimating the estimated information for evaluation, and is chronological information regarding the state of the body. Specifically, it is compared with the first physical information. Information, for example, information corresponding to any timing (for example, every few years, every semester, or every week), and any method (for example, information based on academic papers is used as it is method, method of partially editing the information, method derived by simulation or experiment, or method using information generated by generating means, etc.), for example, a growth rate curve It is a concept that includes information that identifies the

Also, the 'generating means' is means for generating the second physical information based on the reference physical information. "Reference physical information" is information that serves as a reference for the second physical information. etc., and also includes information publicly known in academic papers or other media. Any information can be used as "reference physical information", but here, for example, the average growth rate curve of a plurality of children (hereinafter also referred to as "reference growth rate curve"), the reference growth rate curve Growth rate curves corresponding to growth rates of ±1 SD and ±2 SD based on each growth rate (that is, four growth rate curves) (hereinafter also referred to as "deviation growth rate curves"), and the reference growth rate curve When using information, etc. that specifies each peak value (coordinate value of age and growth speed) of the growth speed curve of ±1SD and ±2SD based on the peak value (maximum value) of the deviation growth speed curve, etc. will be described as an example. In addition, as this "reference physical information", together with information specifying the above-mentioned reference growth rate curve, deviation growth rate curve, coordinate values of age and growth rate, etc., or instead of each information, a plurality of children's A curve that specifies a standard height (hereinafter also referred to as a "reference height curve"), a curve corresponding to the weight of ±1SD, ±2SD based on each weight of the reference height curve (hereinafter also referred to as a "deviation height curve") ), a curve that specifies the standard weight of a plurality of children (hereinafter also referred to as "reference weight curve"), ± 1 SD, ± 2 SD curves corresponding to the weight of each weight of the reference weight curve (hereinafter, " Information that identifies a weight deviation curve, etc., may also be used. In addition, "SD" is a concept which specifies a standard deviation (Standard Deviation), for example. Also, each of these pieces of information may be common to each gender (that is, male or female), or may be separated by gender.

In the following embodiments, a case will be described in which the 'subject' is a child (especially a child) and the 'state of the subject' is a developmental state.

[Specific contents of the embodiment]
Next, specific contents of the embodiment will be described.

(Constitution)
First, the configuration of the evaluation apparatus according to this embodiment will be described. FIG. 1 is a block diagram of an evaluation device according to this embodiment.

The evaluation device 100 shown in FIG. 1 is an evaluation system, and more specifically, it evaluates the developmental state of elementary school children. A communication unit 11 , an operation unit 12 , a display unit 13 , a recording unit 14 and a control unit 15 are provided.

(Configuration - communication unit)
The communication unit 11 is communication means for communicating with other devices via a network. It should be noted that "another device" is any device other than the evaluation device 100, and is a concept including, for example, a stationary computer device provided inside or outside the school, or a portable mobile terminal. . Although the specific type and configuration of this communication unit 11 are arbitrary, for example, it can be configured by including a known communication circuit or the like.

(Configuration - operation unit)
The operation unit 12 is a reception unit that receives various operation inputs from the user through operations by the user. Although the specific type and configuration of this operation unit 12 are arbitrary, for example, it can be configured to include a known input device such as a mouse or keyboard.

(Configuration - display unit)
The display unit 13 is display means for displaying various information under the control of the control unit 15 . Although the specific type and configuration of the display unit 13 are arbitrary, for example, the display unit 13 can be configured by including a flat panel display such as a known liquid crystal display or organic EL display.

(Configuration - recording unit)
The recording unit 14 is recording means for recording programs and various data necessary for the operation of the evaluation apparatus 100, and is configured using, for example, a hard disk (not shown) as an external recording device. However, instead of or together with hard disks, magnetic recording media such as magnetic disks, optical recording media such as DVDs and Blu-ray discs, or electrical recording media such as Flash, ROM, USB memory, SD cards, etc. any recording medium can be used.

The recording unit 14 also includes, for example, a physical measurement information database 141 (hereinafter the database will be referred to as “DB”) and a reference information DB 142 .

(Configuration-Recording Unit-Physical Measurement Information DB)
The physical measurement information DB 141 is physical measurement information storage means. Here, the "physical measurement information" is information on which the aforementioned first physical information is based. FIG. 2 is a diagram illustrating physical measurement information. It should be noted that "..." in FIG. 2 indicates that specific information is actually stored, but is omitted for convenience of explanation (also shown in each figure shown below for convenience). abbreviated as "..."). As shown in FIG. 2, the physical measurement information includes an item "identification information", an item "name information", an item "date of birth information", an item "gender information", an item "term information", and an item "height information". , and the item “weight information”, and information corresponding to each item are associated with each other.

Here, the information corresponding to the item "identification information" is the identification information that uniquely identifies the child ("ID1", etc. in FIG. 2). Information corresponding to the item "name information" is name information specifying the name of the child ("AA AA", etc. in FIG. 2). Information corresponding to the item "date of birth information" is date of birth information specifying the date of birth of the child (in FIG. 2, "20050412" specifying April 12, 2005, etc.). Information corresponding to the item "gender information" is gender information specifying the sex of the child (in FIG. 2, "male" specifying boys, or "female" specifying girls, although not shown). Information corresponding to the item "term information" is term information specifying the grade and term of the child (in FIG. 2, "1st grade 1st term" specifying the first term of the first grade, etc.). Information corresponding to the item "height information" is height information specifying the height of the child (in FIG. 2, the unit is cm, such as "104.4" specifying 104.4 cm). Information corresponding to the item "weight information" is weight information specifying the weight of the child (in FIG. 2, the unit is kg, such as "18.6" specifying 18.6 kg).

Any method can be used to record such physical measurement information. ) is recorded by inputting via the operation unit 12 .

(Configuration-Recording Unit-Reference Information DB)
The reference information DB 142 is reference information storage means for storing reference information. Here, the "reference information" is information specifying the reference in various processes performed by the evaluation device 100, and the specific contents will be described later.

(Configuration - control unit)
The control unit 15 in FIG. 1 is control means for controlling the evaluation apparatus 100. Specifically, the control unit 15 includes a CPU, various programs interpreted and executed on the CPU (a basic control program such as an OS, and a and an internal memory such as a RAM for storing programs and various data. In particular, the control program according to the embodiment substantially configures each part of the evaluation device 100 by being installed in the evaluation device 100 via any recording medium or network.

The control unit 15 functionally conceptually includes a first acquisition unit 151 , a second acquisition unit 152 , a generation unit 153 , an estimation unit 154 , an evaluation unit 155 and an output unit 156 . The first acquisition unit 151 is a first acquisition unit that acquires first physical information that is chronological information about the physical condition of the subject. The second acquiring unit 152 is second acquiring means for acquiring a plurality of pieces of second physical information, which are pieces of second physical information that serve as a reference for estimating the estimation information for evaluation and that are chronological information related to physical conditions. The generating unit 153 is generating means for generating second physical information based on the reference physical information. The estimating unit 154 is estimating means for estimating evaluation estimation information used for evaluating the physical condition of the subject based on the first physical information acquired by the first acquiring means. The evaluation unit 155 is evaluation means for evaluating the subject's condition based on the estimation information for evaluation estimated by the estimation means. The output unit 156 is state output means for outputting the subject's state evaluated by the evaluation means. Processing performed by each section of the control section 15 will be described later.

(process)
Next, processing executed by the evaluation device 100 configured in this manner will be described. Specifically, the judgment support screen output process will be described. The “judgment support screen output process” is a process of generating a judgment support screen and outputting the generated judgment support screen.

Here, the "judgment support screen" is a screen for supporting the judgment when a doctor (for example, a school doctor, etc.) judges the developmental state of the child who is the subject. For example, it is a screen generated by the control unit 15 and displayed on the display unit 13 by the control unit 15 . FIG. 3 is a display example of a judgment support screen. As shown in FIG. 3, the "judgment support screen" includes an index value area 21, a plot area 22, a judgment support area 23, a risk evaluation area 24, and a judgment result input area 25, for example.

The information of each of these areas is generated and output by executing the judgment support screen output process. The judgment support screen output process includes, for example, index value area output process, plot area output process, It includes a judgment support area output process, a risk evaluation area output process, and a judgment result input area output process, and will be described separately for each process.

(Processing - Index value area output processing)
First, the index value area output process will be described. The “index value area output process” is a part of the judgment support screen output process, and for example, the process of generating and outputting the information of the index value area 21 in FIG. Although the timing of executing this "index value area output process" is arbitrary, for example, a predetermined operation (an operation of specifying one of the children in FIG. 2 and starting the process) via the operation unit 12 is performed. Assuming that it is started and executed when it is accepted, the description will start from the point where it is started (the same applies to other processes). It should be noted that here, for example, after each information of the area to be output by executing the process is described, the "name information" in FIG. The contents of processing when the corresponding child is designated and started will be described (the same applies to other processing). In addition, since conventional processing can be applied to the index value area output processing, only the outline will be described (the same applies to the risk evaluation area output processing).

(Processing - Index value area output processing - Index value area)
First, the index value area 21 will be described. FIG. 4 is a diagram showing index value areas in FIG. As shown in FIG. 4, the index value area 21 is an area displaying various index values, and includes, for example, a time display field 211, a name display field 212, and an information display field 213. FIG.

(Processing-Index value area output processing-Index value area-Time display column)
The time display column 211 is a portion where the time of each index value is displayed. For example, an item specifying the child's grade "1st grade" and an item specifying the semester "1st semester" etc. are displayed. part.

(Processing-Index value area output processing-Index value area-Name display column)
The name display column 212 is a portion where the name of the index value is displayed. Specifically, it is a portion where the name of the index value displayed at the corresponding position is displayed. ”, item “age”, item “height”, item “weight”, item “height SD value”, item “growth speed (one-year growth)”, item “growth speed SD value”, item “body weight change”, The item "body weight SD value", the item "obesity level", the item "obesity level determination", the item "standard weight", and the item "comprehensive determination history" are displayed.

The item "date" specifies the date. The item "age" specifies the age of the child. The item "height" specifies the height of the child. The item "Weight" identifies the child's weight.

The item "Height SD value" specifies the SD score for the child's height. In addition, the "SD score for height" is, for example, a value that specifies the height of a child who is a child in the population, considering the variation in height of children of the same age who are the population. For example, it is a value obtained by the formula: ("height of the target child" - "standard height in the population") ÷ "standard deviation of height in the population" "SD score" and "child weight SD score").

The item "growth rate (one-year growth)" specifies the child's growth rate. Note that the "child's growth rate" is a value that specifies the height of a child that has grown in one year. The item "growth speed SD value" specifies the SD score for the child's growth speed. The item "weight change" identifies the change in the child's weight. It should be noted that the "child's weight change" is a value that specifies the weight that has changed with reference to the previous weight. The item "weight SD value" specifies the child's weight SD score. The item "obesity degree" specifies the degree of obesity of the child. In addition, the "child obesity degree" is the degree of obesity, for example, ("weight of the target child" - "standard weight in the population") ÷ "standard weight in the population" × 100 formula It is a value obtained by

The item "determination of degree of obesity" specifies the determination result of the degree of obesity of the child. In addition, the "judgment result of the degree of obesity of a child" is information that specifies a guideline for the degree of obesity, such as "normal", "thin", "slightly obese", "obesity", etc. As an example, any obesity criteria (for example, less than -10.0 is "thin", -10.0 or more to less than 10.0 is "standard", 10.0 or more to less than 20.0 is "mild obesity" and 20.0 or more is "obesity") is recorded as part of the reference information in the reference information DB 142 of FIG. It is determined by the degree determination criteria and the information corresponding to the item "obesity degree".

The item "standard weight" specifies the standard weight. Here, with regard to the "standard weight", in the age group of the target children (for example, children nationwide, children by prefecture), an arbitrary thing that has been calculated in advance by an arbitrary method, It is assumed that this information is recorded as part of the reference information in the reference information DB 142 of FIG. 1, and this information is displayed. The item "comprehensive judgment history" specifies the history of comprehensive judgment results regarding the child's development.

(Processing-Index value area output processing-Index value area-Information display column)
The information display column 213 is a portion in which index value information corresponding to the period display column 211 and the name display column 212 is displayed.

(Processing-Index value area output processing-Specific processing)
Next, specific processing of the index value area output processing will be described. First, the control unit 15 refers to the body measurement information of FIG. 2 and acquires information corresponding to the child specified by the predetermined operation accepted at the time of activation. Next, the control unit 15 performs various processes on the acquired information corresponding to the time display field 211 and the name display field 212 to generate information to be displayed in the information display field 213, and then generates Display information.

Here, for example, first, the control unit 15 acquires physical measurement information specifically illustrated in FIG. 2 (that is, information corresponding to “name information”=“AA AA” in FIG. 2). Next, an arbitrary method (for example, physical measurement is predetermined for each semester as a school event, and the predetermined date is recorded in the recording unit 141, and this date is referred to and specified method, etc.), and information corresponding to the specified date is displayed in the portion corresponding to the item "date" in FIG. etc). Next, referring to the date of birth information in FIG. 2, the age at the date displayed above is calculated, and the calculated age is displayed in the portion corresponding to the item "age" in FIG. Then, "6 years and 11 months" etc.). Next, the height information and weight information acquired from the height information and weight information in FIG. 2 are displayed in the portions corresponding to the items "height" and "weight" in FIG. 4 ("104.4 cm" in FIG. and "18.6 kg" etc.). Next, the SD score for height is calculated based on the height information in FIG. 2, and the calculated SD score for height is displayed in the portion corresponding to the item "height SD value" in FIG. , "-2.9", etc.). Next, the growth speed of the child is calculated based on the height information in FIG. Then, "6.8 cm" which is the difference between "111.2 cm" which is the height of the second graders in the first semester and "104.4 cm" which is the height of the first graders in the first semester). As for the part corresponding to the item "first grader" in the item "growth speed (one year's growth)" in FIG. It has become. Next, based on the calculated growth speed, the SD score for the growth speed is calculated, and the calculated SD score is displayed in the portion corresponding to the item "growth speed SD value" in FIG. "1.5", etc.). Next, based on the weight information in FIG. 2, weight change, weight SD score, and degree of obesity are calculated. It is displayed in the portion corresponding to the "obesity level" ("2.4 kg", "0.7", "18.1%", etc. in FIG. 4). Next, with reference to the obesity degree determination criteria recorded in the reference information DB 142 of FIG. It is displayed in a portion corresponding to "determination of obesity" (eg, "standard" in FIG. 4). Next, the standard weight recorded in the reference information DB 142 in FIG. 1 is obtained, and the obtained standard weight is displayed in the portion corresponding to the item "standard weight" in FIG. etc). Processing of information corresponding to the item "total determination history" in FIG. 4 will be described later.

(Processing - Plot area output processing)
Next, plot area output processing will be described. The "plot area output process" is a part of the judgment support screen output process, and for example, the process of generating and outputting the information of the plot area 22 in FIG.

(Processing - Plot Area Output Processing - Plot Area)
First, the plot area 22 will be explained. 5 is a diagram showing the plot area of FIG. 3. FIG. As shown in FIG. 5, the plot area 22 is an area displaying various graphs, including a height/weight graph 221, a growth speed graph 222, and an obesity degree graph 223, for example.

(Processing-Plot Area Output Processing-Plot Area-Height Weight Graph)
The height and weight graph 221 is a graph that specifies changes in height with respect to age and changes in weight with respect to age. A plot (bottom of the drawing) is included.

For the curves or plots identifying the progression of height, the curve corresponding to the aforementioned reference height curve (third solid line from the top of the upper group of drawings) and the aforementioned deviation height curve (upper group of drawings) 1st, 2nd, 4th, and 5th solid lines from the top), the judgment threshold curve (two dashed-dotted lines in the drawing), and the plot that specifies the height of the child (the circled plot in the drawing). include. A "height judgment threshold curve" is a curve of a threshold referred to for judging a child's developmental state. be. "Medical management required" will be described later.

For curves or plots identifying weight transitions, the curve corresponding to the aforementioned baseline weight curve (the third solid line from the top in the lower group of drawings) and the aforementioned deviation weight curve (upper group of drawings). 1st, 2nd, 4th, 5th solid lines from the top) and a plot identifying the child's weight (rectangular plots in the drawing).

(Processing-Plot area output processing-Plot area-Growth speed graph)
The growth rate graph 222 is a graph specifying transition of growth rate with respect to age, and includes, for example, a curve or plot specifying transition of growth rate.

Curves, plots, or the like specifying changes in the growth rate include a reference growth rate curve group 31, an estimated growth rate curve 32, and plots (rectangular plots in the drawing) that specify the child's growth rate. The "standard growth rate curve group" 31 is a group of curves corresponding to the aforementioned standard growth rate curve and deviation growth rate curve, and the "estimated growth rate curve" 32 is a child's growth rate curve. It is a curve assumed to exist. Further, in the growth rate graph 222, a "growth rate determination threshold straight line" is illustrated from the left side to the right side of the drawing when the growth rate is between "2" and "6". This "growth speed judgment threshold straight line" is used for the same purpose as the growth speed judgment threshold curve described above, and is indicated by the one-dot chain line in FIG.

(Processing - plot area output processing - plot area - obesity graph)
The obesity level graph 223 is a graph that specifies changes in obesity levels with respect to age, and includes, for example, a lot that specifies changes in obesity levels (rectangular plots in the drawing) and a "line for judging obesity levels." . The "obesity degree determination threshold line" is used for the same purpose as the growth rate determination threshold curve described above, and is indicated by the one-dot chain line in FIG.

(Processing-Plot area output processing-Specific processing)
Next, specific processing of the plot area output processing will be described. First, the control unit 15 refers to the body measurement information of FIG. 2 and acquires information corresponding to the child specified by the predetermined operation accepted at the time of activation. Next, the control unit 15 acquires height information and weight information from the acquired information, and displays a plot corresponding to the acquired height information and weight information on the height/weight graph 221 in FIG. In addition, based on the acquired height information and weight information, the control unit 15 calculates the growth rate and degree of obesity at each age in the same manner as in the above-described “index value area output process”, The velocity is plotted on the growth rate graph 222 of FIG. 5, and the calculated obesity degree is plotted on the obesity degree graph 223 of FIG.

The display method of information other than the plot in each graph is arbitrary, but for example, for information other than the estimated growth rate curve 32 of the growth rate graph 222, the above-mentioned reference physical information (for example, reference growth rate curve, deviation Information specifying the growth rate curve, coordinate values between age and growth rate, reference height curve, deviation height curve, reference weight curve, and deviation weight curve), and information specifying each threshold (for example, height judgment threshold curve, Information specifying the growth rate judgment threshold line and the obesity degree judgment threshold line) is recorded as part of the reference information in the reference information DB 142 of FIG. This is displayed on the height/weight graph 221 in FIG. A method of displaying the estimated growth rate curve 32 of the growth rate graph 222 will be described later.

(Processing - Judgment support area output processing)
Next, the judgment support area output process will be described. The “judgment support area output process” is a part of the judgment support screen output process, and is, for example, a process of generating and outputting the information of the judgment support area 23 in FIG.

(Processing - Judgment Support Area Output Processing - Judgment Support Area)
First, the judgment support area 23 will be described. FIG. 6 is a diagram showing the judgment support area of FIG. As shown in FIG. 6, the judgment support area 23 is an area that displays information necessary for judging the child's developmental status. (For example, it is an area where information specifying the determination result (evaluation result) as to whether or not there is a possibility of an abnormality in the developmental state, or information that is the basis for the determination (evaluation), etc.) is displayed. For example, it includes a height-related area 231 that displays information about height, and a weight-related area 232 that displays information about weight.

FIG. 7 is a diagram for explaining information and the like of the judgment support area. This FIG. 7 describes parameters processed by the control unit 15 and determination logics for the parameters for each item in the determination support area 23 of FIG. It is assumed that it is recorded and mounted in the internal memory of the control unit 15 . Specifically, regarding FIG. 7, the items "judgment support item", item "number", item "parameter", item "calculation formula", and item "logic" and information corresponding to each item are associated with each other. It is Information corresponding to the item "judgment support item" (for example, "height" of "latest data" of "input error", etc.) is information corresponding to the name of each item in FIG. information corresponding to the item "latest" in "height input error"). The information corresponding to the item "number" is illustrated for convenience of explanation in order to specify the information corresponding to the item "parameter". Information corresponding to the item "parameter" is information specifying parameters used in the judgment support area output process (for example, "latest difference (height)", etc.). The information corresponding to the item "calculation formula" is information specifying the definition of the information corresponding to the item "parameter" or the formula for calculating the information (latest measured value (height) - previous measurement value (height)). The information corresponding to the item "logic" is information specifying the determination logic for determining the information corresponding to the item "parameter" (for example, if applicable, the condition for determining the possibility of abnormality, "latest difference (height) ≤ -1 cm or 5 cm ≤ latest difference (height)", etc.).

(Processing-Judgment Support Area Output Processing-Specific Processing)
Next, specific processing of the judgment support area output processing will be described. First, the control unit 15 refers to the body measurement information of FIG. 2 and acquires information corresponding to the child specified by the predetermined operation accepted at the time of activation. Next, the control unit 15 performs processing corresponding to each item in FIG. 6 based on the logic in FIG. Display in the part corresponding to each item.

Here, for example, for the information corresponding to the item "latest" of the item "input error of height" in FIG. , Calculated based on the calculation formula of the item "calculation formula", determine whether the calculated "latest difference (height)" corresponds to the conditions of the item "logic", and if it is determined to be applicable , After determining that there is a possibility of an abnormality, a circle mark is added to the part corresponding to the item "latest" of the item "input error of height" in FIG. , it is determined that there is no possibility of abnormality, and the portion corresponding to the item "latest" in the item "input error of height" in FIG. 6 is hidden (not circled).

Further, for example, for the information corresponding to the item "past" in the item "input error of height" in FIG. 6, a parameter corresponding to the item "number"="3" in FIG. The same processing as in the case of the information corresponding to the item "immediate" of "misses" is performed.

Further, for example, with regard to the information corresponding to the item "growth obstacle" in FIG. If it is, it is determined that there is a possibility of abnormality, and "Suspicious" is displayed, and if the information is less than "2", it is determined that it is normal, and on the other hand, " -" is displayed.

Further, for example, for the information corresponding to the item "estimated age of onset", the item "individual difference?", and the item "early onset?" of the item "puberty" in FIG. to determine whether the child is in the 5th or 6th grade, the 2nd to 4th grade, or the 1st grade. Next, when it is determined that the person is in the fifth or sixth grade, the estimated starting age-related processing is started. ”, and perform the same processing as in the case of information corresponding to the item “latest” of the item “input error of height” (In this case, the item “estimated age at start” and the item “individual difference ?” is hidden), and if it is determined that the child is in the first grade, the growth speed cannot be calculated, so the information corresponding to each item of the item “puberty” is hidden. . Note that the estimated starting age-related processing will be described later.

Also, for example, information corresponding to the item "latest" and item "past" of the item "height growth" in FIG. A parameter corresponding to the item "number" = "8" to "11" is calculated, and the same processing as in the case of the information corresponding to the item "latest" of the item "input error of height" is performed.

Further, for example, for the information corresponding to the item "latest" and the item "past" of the item "weight input error" in FIG. is calculated, and the same processing as in the case of the information corresponding to the item "latest" of the item "input error of height" is performed.

Also, for example, for the information corresponding to the item "obesity" in FIG. The same processing as in the case of information to be performed is performed.

Also, for example, it corresponds to the item "severe obesity requiring consultation", the item "symptomatic obesity", the item "continuous obesity tendency", the item "tendency to recover from slimming", and the item "increase near normal" in FIG. 7 item "number" = "12" to "14", "15" to "18", "19" to "20", "21" to "23", "24" to " 26”, and performs the same processing as in the case of the information corresponding to the item “latest” of the item “input error of height”.

Further, for example, for the information corresponding to the item "thinness" in FIG. Perform the same processing as for information.

Also, for example, information corresponding to the item "severe weight loss requiring consultation", item "continuous slimming tendency", item "recovery tendency from obesity", and item "decrease near normal" in FIG. item "Number" = "27" to "29", "30" to "31", "32" to "34", "35" to "37". The same processing as in the case of the information corresponding to the item "immediate" of "misses" is performed.

(Processing - Risk assessment area output processing)
Next, the risk assessment area output process will be described. “Risk evaluation area output processing” is a part of the judgment support screen output processing, and is, for example, processing for generating and outputting information on the risk evaluation area 24 in FIG.

(Processing-Risk Evaluation Area Output Processing-Risk Evaluation Area)
First, the risk assessment area output process will be described. FIG. 8 is a diagram showing the risk assessment area of FIG. 3; As shown in FIG. 8, the risk evaluation area 24 is an area displaying information about the risk of child development. Specifically, each predetermined item and information about each item are displayed. For example, it includes a detailed information related area 241 displaying detailed information about the risk and a comprehensive information related area 242 displaying comprehensive information about the risk.

(Processing-Risk Assessment Area Output Processing-Risk Assessment Area-Detailed Information Related Area)
In the detailed information related area 241, the items “Physical findings”, the item “Risk item”, the item “Measurement item”, the item “Measurement value”, and the item “Risk level” are associated with information corresponding to each item. are displayed. The information corresponding to the item "physical findings" is predetermined information, and is information that displays the classification of the information corresponding to the item "measurement value". The information corresponding to the item "risk item" is predetermined information, and is information that displays the risk of development that can be grasped from the information corresponding to the item "measurement value". Information corresponding to the item "measurement item" is predetermined information, and is information defining information corresponding to the item "measurement value". Information corresponding to the item “measured value” is information calculated by the control unit 15 . Information corresponding to the item “risk level” is information specifying the level of risk related to development, and is information determined by the control unit 15 .

(Processing-Risk Assessment Area Output Processing-Risk Assessment Area-Detailed Information Related Area)
The general information related area 242 corresponds to the item "growth disorder", the item "obesity tendency", the item "thin tendency", the item "physical evaluation value", and the item "comprehensive judgment", and the information corresponding to each item. attached and displayed. Information corresponding to the item "growth disorder" is information specifying the degree of risk of growth disorder, for example, "0" to "3" (the higher the number, the higher the degree of the risk). is numerical information in four stages. The information corresponding to the item "obesity tendency" is information specifying the degree of risk of obesity tendency, and is, for example, numerical information of four levels similar to the information corresponding to the item "growth disorder". The information corresponding to the item "thinness tendency" is information specifying the degree of risk of the thinness tendency, and is, for example, numerical information of four levels similar to the information corresponding to the item "thinness tendency". The information corresponding to the item “physical evaluation value” is information specifying the evaluation of the physical shape, and for example, any calculation regarding the information corresponding to the items “growth disorder”, the item “obesity tendency”, and the item “thin tendency” (For example, it is information specifying the result of (growth failure + 2) x (large numerical value of obese or lean tendency + 1)). The information corresponding to the item "comprehensive judgment" is information specifying the result of comprehensive judgment on the development of the child. It is information corresponding to any one of "none".

It should be noted that "medical management required" is, for example, information specifying that it is necessary to medically determine whether or not to consult a medical institution. “Analysis required” is, for example, information specifying that there is no need to make a medical judgment as to whether or not to visit a medical institution, and that careful follow-up should be continued. "Caution required" is, for example, information specifying that there is no need to make a medical judgment as to whether or not to visit a medical institution, and that continued follow-up is necessary. "Caution required" is, for example, information specifying that it is sufficient to continue follow-up because there are no problems related to growth.

(Processing-Risk Assessment Area Output Processing-Specific Processing)
Next, specific processing of the risk assessment area output processing will be described. Logic for obtaining information corresponding to the items "calculated value" and "risk level" in the detailed information related area 241 and the items in the general information related area 242 in FIG. shall be recorded and implemented in First, the control unit 15 refers to the body measurement information of FIG. 2 and acquires information corresponding to the child specified by the predetermined operation accepted at the time of activation. Next, the control unit 15 calculates information corresponding to the item "calculated value" in the detailed information related area 241 in FIG. Information corresponding to the item "risk level" is determined based on the calculated information, and information corresponding to each item in the general information related area 242 based on the determined information (information other than information corresponding to the item "comprehensive judgment" ) is determined, and based on the determined information, information corresponding to the item “total determination” is determined (determined). Then, for example, each information is displayed as shown in FIG.

The control unit 15 also displays the result of this determination as information corresponding to the item "total determination history" in FIG. may record past judgment results and display the recorded information in order to display it as a history for each grade, or correspond to the item "comprehensive judgment" in FIG. 8 above for each grade The process of obtaining the information to be displayed may be repeatedly performed and displayed.

(Processing-judgment result input area output processing)
Next, the determination result input area output process will be described. The “judgment result input area output process” is a part of the judgment support screen output process, for example, the process of generating and outputting the information of the judgment result input area 25 in FIG.

(Processing - Judgment Result Input Area Output Processing - Judgment Result Input Area)
First, the determination result input area 25 will be described. As shown in FIG. 3, the judgment result input area 25 is an area for inputting and displaying the judgment result of the doctor regarding the child's developmental state. Input field corresponding to "examination judgment", input field corresponding to the item "comment field", display field corresponding to the item "completion check", send button ("Enter judgment result, next" is displayed button), and a check button (a button labeled "check").

The input field corresponding to the item "input error determination" is a portion for inputting information specifying whether or not there is a measurement or input error in the physical measurement information. When clicked, "with error" and "without error" are displayed as input candidates, and any information can be selected and input, and the input information is displayed.

The input field corresponding to the item "consultation judgment" is a part for inputting the result of medical judgment as to whether or not to consult a medical institution. , "consultation required (overlapping)", "consultation required (growth failure)", "consultation required (obesity)", "consultation required (thinning)", "follow-up", and "no problem" This is a portion that is displayed, allows selection and input of any information, and displays the input information. An input field corresponding to the item “comment field” is a portion where arbitrary information is freely input via the operation unit 12 and the input information is displayed. The display column corresponding to the item "Completion Check" is a column that displays the number of remaining children to be evaluated. As for the "send button", when it is clicked via the operation unit 12, it records the information entered in each input field and performs various processes (various processes described above) for the next child. button. The “check button” is a button for displaying the number of remaining children to be evaluated when clicked through the operation unit 12 .

(Processing-judgment result input area output processing-specific processing)
Next, specific processing of the determination result input area output processing will be described. For example, when the control unit 15 receives a click on the input field corresponding to the item “input error determination”, it displays “mistake” and “no error”, and when selection of any of the displayed information is received. , enter and display the received information. It should be noted that the control unit 15 performs the same processing when, for example, a click on the input field corresponding to the item "examination determination" is received. Further, for example, when the click of the forward button is received, the control unit 15 acquires the information entered in each of the input fields described above, and records the acquired information in the recording unit 14 . Although the recording format here is arbitrary, for example, it may be recorded in association with the physical measurement information in FIG. Further, for example, when a click of a check button is received, the control unit 15 refers to the physical measurement information in FIG. " is displayed in the display column corresponding to ".

(Processing - Estimated starting age related processing)
Next, the estimated starting age-related processing will be described. FIG. 9 is a flowchart of the estimated start age-related processing (steps are abbreviated as "S" in the following description of each processing). The "estimated starting age related process" is a process of estimating the estimated starting age and then evaluating the developmental state of the child. The timing of executing this "estimated start age related process" is arbitrary. When it is determined that the child specified by the predetermined operation (hereinafter also referred to as "target child") is in the fifth grade or the sixth grade, the estimated start age related processing is started and executed. I will explain from where.

In particular, as described above, at least the information specifying the reference growth rate curve (hereinafter also referred to as “reference growth rate curve specifying information”) and ±1 SD based on the peak value (maximum value) of the reference growth rate curve , ±2SD of the growth rate curves of ages (coordinate values of age and growth rate). It will be described as being recorded as Also, for each of these information, two types of information for men and information for women are recorded.

10 to 14 are diagrams illustrating graphs of growth rate curves. In particular, FIG. 10 is a diagram showing a reference growth rate curve and peak values, FIG. 11 is a diagram showing interpolated states between peak values, and FIG. 12 is a candidate growth rate curve. FIG. 13 is a diagram showing a candidate growth rate curve and the growth rate of a target child, and FIG. 14 is a diagram showing an estimated peak age and an estimated starting age. In addition, the "estimated peak age" is, for example, the age at which the target child's growth rate is estimated to peak, and the "estimated start age" is the above-mentioned estimated information for evaluation, for example , is the estimated age at which the growth rate of the target child begins to increase.

At SA1 in FIG. 9, the second acquisition unit 152 acquires candidate growth rate curve information. The “candidate growth rate curve information” is information used to generate a candidate growth rate curve, and is, for example, information corresponding to the aforementioned reference growth rate curve specification information and peak value specification information. . Also, the “candidate growth rate curve” is a curve that is a candidate for the estimated growth rate curve described above, and is, for example, a plurality of curves. Specifically, SA1 is arbitrary, but for example, referring to the body measurement information in FIG. 2, identifying the gender information of the target child, referring to the reference information DB 142 in FIG. Acquire the reference growth rate curve identification information and the peak value identification information to be used.

Here, for example, for the target child of "AA AA" in FIG. 10) and peak value specifying information (information specifying the peak value in FIG. 10).

At SA2 in FIG. 9, the generation unit 153 generates a candidate growth rate curve (second physical information). Specifically, it is optional, but for example, based on the reference growth rate curve specifying information (reference physical information) and peak value specifying information (reference physical information) acquired in SA1, the reference growth rate curve and the reference growth rate curve Generate each peak value of the growth rate curve of ± 1 SD and ± 2 SD age based on the peak value of , and interpolate the generated peak values (including the peak value of the reference growth rate curve) mutually by any interpolation method (for example , linear interpolation). Next, focusing on the age of the generated peak value, the peak value with the lowest age and the peak value with the maximum age are specified, and a predetermined age interval (for example, 0.25 years old), and shift the generated standard growth rate curve based on the peak value of the standard growth rate curve for each calculated age along the above-mentioned interpolated peak value. The standard growth rate curve (including the standard growth rate curve before shifting) is used as a candidate growth rate curve.

Here, for example, based on the reference growth rate curve specifying information and the peak value specifying information acquired in SA1, the reference growth rate curve and each peak value in FIG. values) are mutually interpolated by an arbitrary interpolation method (for example, linear interpolation) as indicated by the dashed line in FIG. Next, focusing on the age of the generated peak values, the lowest peak value (for example, the peak value corresponding to 9 years old) and the highest age peak value (for example, the peak value corresponding to 14.75 years old) ) is specified, the age of a predetermined age interval (for example, 0.25 years old) is calculated between the ages of the specified peak values, and the peak value of the reference growth rate curve generated above is calculated. As a reference, the calculated age is shifted along the above-described interpolated peak value, and the shifted reference growth rate curve (including the reference growth rate curve before shifting) is used as a candidate growth rate curve as shown in FIG. Let it be a velocity curve. Although four or more candidate growth rate curves are actually generated, only some of them are shown in FIG. 12 and the like for convenience of explanation.

At SA3 in FIG. 9, the first acquiring unit 151 acquires the growth speed (first physical information) of the target child. Specifically, although it is arbitrary, for example, the height information of the target child is specified by referring to the physical measurement information in FIG. 2, and the growth speed of the target child is calculated based on the specified height information. Get growth rate. The method of calculating the growth rate here is arbitrary, but for example, in the same manner as when displaying the portion corresponding to the item "growth rate (one-year growth)" in FIG. A method of calculating the growth rate of height in one year by referring to the height information is used.

Here, for example, referring to the physical measurement information in FIG. "110.8" for "3rd semester of year" and "111.2" for "1st semester of 2nd year", etc. are specified, and based on the specified height information, the growth rate of the target child is determined as "1st semester of 2nd year". Calculate "6.8" (the difference between "111.2" and "104.4"), etc., and acquire the calculated growth rate is also calculated and obtained).

At SA4 in FIG. 9, the control unit 15 selects a candidate growth rate curve. Specifically, it is arbitrary, but for example, the second acquiring unit 152 acquires the plurality of candidate growth rate curves generated in SA2, and the estimating unit 154 acquires the plurality of candidate growth rate curves acquired by the second acquiring unit 152. The speed curve is compared with the growth speed of the target child obtained in SA3 to identify one candidate growth speed curve that best matches the growth speed obtained in SA3 among the plurality of candidate growth speed curves. and select one identified candidate growth rate curve. The method for identifying the best matching (that is, the closest) candidate growth rate curve here is arbitrary, but for example, a method corresponding to the so-called least square sum is used, that is, , a method of specifying based on the difference between each of a plurality of candidate growth rate curves and the growth rate of the target child.

Specifically, for the method of specifying one candidate growth rate curve, first, one candidate growth rate curve is obtained from the plurality of candidate growth rate curves generated in SA2. Next, acquire one growth speed (hereinafter referred to as "target child's side growth rate") from the target child's growth rate acquired in SA3, and specify the age (age in months) of the acquired "target child's side growth rate". , the growth speed corresponding to the specified age (hereinafter referred to as “candidate side growth speed”) is specified in the one candidate growth speed curve obtained above, and the specified “candidate side growth speed” and “target child side The difference from the growth rate” is calculated, and the calculated difference is squared (hereinafter, “processing for calculating the circumstances of the difference”). Note that the age (age in months) of the "target child's growth rate" may be specified using the method described in the processing of the portion corresponding to the item "age" in FIG. Next, by performing this "process for calculating the circumstances of the difference" for all the growth speeds of the target children acquired in SA3, a plurality of "values obtained by squaring the differences" (the number of growth speeds of the target children ), and calculate the total value of a plurality of calculated “values obtained by squaring the differences” (hereinafter referred to as “processing for calculating the total value”). Then, for all of the plurality of candidate growth rate curves generated in SA2, the total value for each of the plurality of candidate growth rate curves is calculated by performing the "processing for calculating the circumstances of the difference" and the "processing for calculating the total value". A candidate growth rate curve with the lowest calculated sum is identified. Here, the case of using a method corresponding to the least sum of squares is exemplified, but the present invention is not limited to this, and one candidate growth rate curve is specified using other methods including known approximation methods or matching methods. may

Here, for example, a plurality of candidate growth rate curves (solid and dashed curves) in FIG. 13 generated in SA2 are compared with the growth rate of the target child acquired in SA3, The candidate growth rate curve indicated by the solid line in FIG. 13 is specified as one candidate growth rate curve that best matches the growth rate acquired in SA3 of 1, and the specified candidate growth rate curve is selected.

At SA5 in FIG. 9, the estimation unit 154 estimates the estimated starting age. Specifically, although it is arbitrary, for example, the age of the peak value of the candidate growth rate curve selected in SA4 is specified as the peak estimated age, and the estimated start age is estimated based on the specified peak estimated age. Although the method of estimating the estimated start age here is arbitrary, for example, the age obtained by subtracting a predetermined age (for example, "3 years old" for boys and "2 years old" for girls) from the peak estimated age Estimated as estimated age of onset.

Here, for example, "13.75 years old", which is the age of the peak value of the candidate growth rate curve in FIG. Estimate the estimated age of onset based on the identified peak estimated age. As described above, since the target child is a boy, the calculation of "13.75 years old" - "3 years old" is performed to estimate "10.75 years old" as the estimated start age.

At SA6 in FIG. 9, the evaluation unit 155 evaluates the developmental state of the target child. Specifically, it is arbitrary, but for example, a judgment threshold (threshold) based on academic papers or doctors' experience is recorded as part of the reference information in the reference information DB 142 in FIG. A threshold is acquired, and the estimated age of initiation estimated in SA5 is acquired, and the acquired determination threshold and the estimated age of initiation are compared, and evaluation is performed based on the comparison result. The “determination threshold value” is information that serves as a standard for evaluating the developmental state of the target child. For example, the determination threshold for boys is “9 years old” and the determination threshold for girls is “7.5 years old”. Then, if the estimated age of onset is less than the judgment threshold, it is evaluated that there is a possibility of precocious puberty. Evaluate as individual differences.

Here, for example, "9 years old", which is the determination threshold for boys, is acquired, "10.75 years old", which is the estimated starting age estimated in SA5, is acquired, and "10.75 years old", which is the estimated starting age, is acquired. When the "age" is "9 years" or more, which is the determination threshold, there is no possibility of precocious puberty, and it is evaluated as an individual difference.

At SA7 in FIG. 9, the output unit 156 outputs the evaluation result. Specifically, it is arbitrary, but for example, the evaluation result in SA6 is acquired, and the acquired evaluation result is added to the item "individual difference?" Premature onset?” is output. Specifically, when it is evaluated that there is a possibility of precocious puberty in SA6, the part corresponding to the item "individual difference?" The possibility of precocious puberty is displayed and output with a mark. On the other hand, when there is no possibility of precocious puberty in SA6 and it is evaluated as an individual difference, the item "individual difference? ” and by hiding the portion corresponding to the item “Early onset?” do. In addition, as a basis for this evaluation, the estimated start age estimated in SA5 is acquired, and the acquired estimated start age is used as the part corresponding to the item "estimated start age" of the item "adolescence" in the height-related area 231 in FIG. output to display. In this case, the growth rate acquired in SA3 is plotted in the growth rate graph 222 of FIG. 5, the candidate growth rate curve selected in SA4 is displayed as the estimated growth rate curve 32, and the reference information DB 142 of FIG. A growth rate graph 222 is displayed by performing processing such as displaying the reference growth rate curve and the deviation growth rate curve recorded as reference information in , as a reference growth rate curve group 31 .

Here, for example, in SA6, there is no possibility of precocious puberty for the target child, and it is evaluated as being an individual difference, and the estimated age of onset is "10.75", so the item " Adolescence” is displayed and output as shown in the portion corresponding to the “puberty”. With this, the estimated starting age-related processing ends.

(Effect of Embodiment)
As described above, according to the present embodiment, by evaluating the developmental state of the target child based on the estimated start age, which is the estimation information for evaluation used to evaluate the developmental state of the target child, It is possible to quickly and objectively evaluate the child's growth condition.

Further, by selecting one candidate growth rate curve from among a plurality of candidate growth rate curves and estimating the estimated starting age based on the selected one candidate growth rate curve, for example, the candidate growth rate curve Since the estimated starting age can be estimated based on , the estimation accuracy of the estimated starting age can be improved, and the evaluation accuracy of the developmental state of the target child can be improved.

Also, based on the difference between the target child's growth rate and the candidate growth rate curve, by selecting one candidate growth rate curve from a plurality of candidate growth rate curves, for example, the difference is relatively simple. Since the candidate growth rate curve can be selected by performing such processing, it is possible to quickly evaluate the developmental state of the target child.

In addition, by generating the candidate growth rate curve, for example, the candidate growth rate curve can be used in a situation other than the situation where all the candidate growth rate curves are present, so that the subject's physical condition can be improved in various situations. can be evaluated, and versatility can be improved.

In addition, by estimating the age at which the phenomenon of the subject child's growth rate starting to increase occurs as the estimated start age, for example, useful and characteristic information for evaluating the subject's condition (for example, the developmental state) can be obtained. Therefore, it is possible to improve the accuracy of evaluation of the developmental state of the target child.

In addition, by comparing the estimated age of initiation with the determination threshold and evaluating the developmental state of the target child based on the comparison result, for example, a relatively simple process of comparing the estimated age of initiation with the determination threshold is performed. As a result, the developmental state of the target child can be evaluated, so that the developmental state of the target child can be evaluated quickly.

[Modification to Embodiment]
Although the embodiments according to the present invention have been described above, the specific configuration and means of the present invention can be arbitrarily modified and improved within the scope of the technical ideas of each invention described in the claims. can be done. Such modifications will be described below.

(Problem to be solved and effect of invention)
First, the problems to be solved by the invention and the effects of the invention are not limited to the contents described above, and may differ depending on the details of the implementation environment and configuration of the invention. or only part of the effects described above.

(Regarding decentralization and integration)
Moreover, the configuration described above is functionally conceptual, and does not necessarily have to be physically configured as illustrated. That is, the specific form of distribution or integration of each part is not limited to the illustrated one, and all or part of them can be functionally or physically distributed or integrated in arbitrary units. A "system" in the present application is not limited to a system configured by a plurality of devices, and includes a system configured by a single device. In addition, the term "device" in the present application is not limited to one configured by a single device, but includes one configured by a plurality of devices. Also, the data structure and recording destination of recorded information may be changed arbitrarily.

(Evaluation of growth status)
Further, in the above embodiment, the case of evaluating whether there is a possibility of precocious puberty or whether there is an individual difference in SA6 of FIG. 9 has been described, but the present invention is not limited to this. For example, additionally or alternatively, the possibility of delayed puberty may be assessed. The specific method in this case is arbitrary, but for example, a judgment threshold for delayed puberty is provided as a criterion for evaluating delayed puberty, and this judgment threshold is compared with the estimated age of onset and the judgment threshold. Then, if the estimated age of onset is less than the judgment threshold, it may be evaluated as not having delayed puberty, and if the estimated age of onset is greater than or equal to the judgment threshold, it may be evaluated as having delayed puberty. .

Also, for example, peak estimated age may be used to assess developmental status. In this case, the estimated peak age corresponds to the "estimated information for evaluation". In this case, a threshold may be arbitrarily set, the threshold may be compared with the estimated peak age, and the developmental state may be evaluated based on the comparison result. When configured in this way, by estimating the age at which the growth rate peaks as the estimation information for evaluation, for example, useful and characteristic information can be used to evaluate the condition of the target child (for example, the developmental condition). Therefore, it is possible to improve the accuracy of evaluation of the developmental state of the target child.

(About Candidate Growth Velocity Curve)
Also, in the above embodiment, the case where candidate growth rate curves are generated in SA2 of FIG. 9 has been described, but the present invention is not limited to this. For example, a plurality of candidate growth rate curves may be recorded in advance, and the recorded candidate growth rate curves may be selected in SA4, that is, SA2 may be omitted.

(Regarding the application of estimated starting age-related processing)
Further, in the above embodiment, the case where the estimated starting age-related processing is applied only to children in the 5th and 6th grades is exemplified. Estimated age related processing may be applied.

(About screening)
Also, the estimated starting age-related processing of the above embodiment may be applied only to screened children. That is, for example, focusing on the information corresponding to the item "comprehensive judgment" in FIG. Estimated age-on-start related processing may be applied only to children corresponding to .

(Regarding the estimated starting age)
Moreover, in the above-described embodiment, the case of estimating the estimated starting age is illustrated by selecting the candidate growth rate curve, but the present invention is not limited to this. For example, the estimated starting age may be estimated by any method from the child's growth rate without using the candidate growth rate curve. In this case, for example, regarding the growth rate that changes with age, the age at which the growth rate increased compared to the previous growth rate is set as the provisional start estimated age, and if the growth rate immediately after this increases further, the provisional start estimate described above is used. Age may be estimated as an estimated age of onset. Also, this technique may be applied to the case of estimating the peak estimated age. That is, for example, the age at which the growth rate changes from increasing to decreasing may be set as the provisional peak estimated age, and if the growth rate immediately thereafter decreases further, the provisional peak estimated age may be used as the estimated peak age.

(About features)
Moreover, the features of the embodiment and the features of the modifications may be combined arbitrarily.

(Appendix)
The evaluation system of Supplementary Note 1 is an evaluation system that evaluates the condition of a subject, and includes first acquisition means for acquiring first physical information that is chronological information regarding the physical condition of the subject; estimating means for estimating estimated information for evaluation used for evaluating the physical condition of the subject based on the first physical information acquired by the acquiring means; and the estimated information for evaluation estimated by the estimating means. and a state output means for outputting the state of the subject evaluated by the evaluation means.

The evaluation system according to Appendix 2 is the evaluation system according to Appendix 1, wherein the second physical information that serves as a reference for estimating the estimated information for evaluation is the second physical information that is chronological information regarding the state of the body. wherein the estimating means is based on the first physical information acquired by the first acquiring means and the plurality of second physical information acquired by the second acquiring means to select one piece of the second physical information from among the plurality of pieces of the second physical information, and estimate the estimated information for evaluation based on the selected piece of the second physical information.

The evaluation system of Supplementary note 3 is the evaluation system of Supplementary note 2, wherein the estimation means includes the first physical information acquired by the first acquisition means and the plurality of second physical information acquired by the second acquisition means. One piece of the second physical information is selected from the plurality of pieces of the second physical information based on the difference from the information.

The evaluation system of Supplementary note 4 is the evaluation system of Supplementary note 2 or 3, further comprising generating means for generating the second physical information based on the reference physical information, and the second acquiring means is configured such that the generating means Acquiring the generated second physical information.

The evaluation system of Supplementary Note 5 is the evaluation system according to any one of Supplementary Notes 1 to 4, wherein the first acquisition means acquires, as the first physical information, information specifying a growth rate with respect to the age of the subject. The estimating means estimates, as the estimation information for evaluation, an age at which the subject's growth rate peaks.

The evaluation system according to appendix 6 is the evaluation system according to any one of appendices 1 to 4, wherein the first obtaining means obtains, as the first physical information, information specifying a growth rate with respect to the age of the subject. The estimating means estimates, as the estimation information for evaluation, the phenomenon in which the subject's growth rate starts to increase or the age at which the phenomenon occurs.

The evaluation system of Supplementary Note 7 is the evaluation system according to any one of Supplementary Notes 1 to 6, wherein the evaluation means compares the estimation information for evaluation estimated by the estimation means with a threshold, and based on the comparison result to assess the subject's condition.

The evaluation program of Supplementary Note 8 is an evaluation program for evaluating the condition of a subject, comprising a computer, a first acquisition means for acquiring first physical information that is chronological information regarding the physical condition of the subject; estimating means for estimating estimated information for evaluation used for evaluating the physical condition of the subject based on the first physical information acquired by the first acquiring means; and the evaluation estimated by the estimating means. Based on the estimated information for use, it functions as evaluation means for evaluating the subject's condition, and state output means for outputting the subject's condition evaluated by the evaluation means.

(Effect of Supplementary Note)
According to the evaluation system described in Supplementary Note 1, by evaluating the subject's condition based on the evaluation estimation information used to evaluate the subject's physical condition, for example, evaluating the subject's condition can be performed quickly and objectively.

According to the evaluation system described in Supplementary Note 2, one second physical information is selected from a plurality of second physical information, and estimated evaluation information is estimated based on the selected one second physical information. By doing so, for example, the estimation information for evaluation can be estimated based on the second physical information, so the estimation accuracy of the estimation information for evaluation can be improved, and the accuracy of evaluating the condition of the subject can be improved. becomes possible.

According to the evaluation system described in Supplementary Note 3, by selecting one piece of the second physical information from the plurality of second physical information based on the difference between the first physical information and the second physical information, for example Since the second physical information can be selected by performing a relatively simple process of obtaining the difference, it is possible to quickly evaluate the condition of the subject.

According to the evaluation system described in appendix 4, by generating the second physical information, for example, a situation other than a situation where all the second physical information exists (that is, a situation where the second physical information does not exist, or , situations where the number of second physical information is relatively small, etc.), the physical condition of the subject can be evaluated in various situations, and versatility can be improved. It becomes possible.

According to the evaluation system described in Supplementary Note 5, by estimating the age at which the growth rate peaks as the estimation information for evaluation, for example, it is useful and characteristic for evaluating the condition of the subject (for example, the growth condition) Since the evaluation can be performed using such information, it is possible to improve the evaluation accuracy of the subject's condition.

According to the evaluation system described in appendix 6, by estimating the phenomenon in which the subject's growth rate begins to increase or the age at which the phenomenon occurs as evaluation estimation information, for example, the state of the subject (for example, , developmental state) can be evaluated using useful and characteristic information, so it is possible to improve the accuracy of evaluating the subject's condition.

According to the evaluation system described in Supplementary Note 7, the estimation information for evaluation and the threshold are compared, and the condition of the subject is evaluated based on the comparison result, for example, the estimation information for evaluation and the threshold are compared. Since the subject's condition can be evaluated by performing the relatively simple process of , it is possible to quickly evaluate the subject's condition.

According to the evaluation program described in Supplementary Note 8, by evaluating the condition of the subject based on the estimation information for evaluation used to evaluate the condition of the subject's body, for example, the evaluation of the subject's condition can be performed quickly and objectively.

11 communication unit 12 operation unit 13 display unit 14 recording unit 15 control unit 21 index value area 22 plot area 23 judgment support area 24 risk evaluation area 25 judgment result input area 31 standard growth rate curve group 32 estimated growth rate curve 100 evaluation device 141 Body measurement information DB
142 Reference information DB
151 First acquisition unit 152 Second acquisition unit 153 Generation unit 154 Estimation unit 155 Evaluation unit 156 Output unit 211 Time display column 212 Name display column 213 Information display column 221 Height and weight graph 222 Growth speed graph 223 Obesity graph 231 Height-related area 232 weight related area 241 detailed information related area 242 general information related area

Claims (7)

An evaluation system for evaluating the condition of a subject, comprising:
a first acquisition means for acquiring first physical information that is chronological information about the subject's physical condition;
estimating means for estimating estimation information for evaluation used for evaluating the physical condition of the subject based on the first physical information acquired by the first acquiring means;
evaluation means for evaluating the state of the subject based on the estimation information for evaluation estimated by the estimation means;
a state output means for outputting the subject's state evaluated by the evaluation means;
a second acquisition means for acquiring a plurality of second physical information that is a reference for estimating the estimated evaluation information and that is chronological information related to a physical condition;
The estimating means, based on the first physical information acquired by the first acquiring means and the plurality of second physical information acquired by the second acquiring means, determines which of the plurality of second physical information selecting one piece of the second physical information, and estimating the estimated information for evaluation based on the selected piece of the second physical information;
rating system. The estimation means calculates a plurality of the second physical information based on the difference between the first physical information acquired by the first acquisition means and the plurality of second physical information acquired by the second acquisition means. selecting one of said second physical information;
The evaluation system according to claim 1 . generating means for generating the second physical information based on the reference physical information;
the second acquisition means acquires the second physical information generated by the generation means;
The evaluation system according to claim 1 or 2 . The first acquisition means acquires, as the first physical information, information specifying a growth rate with respect to the age of the subject,
The estimation means estimates, as the estimation information for evaluation, an age at which the growth rate of the subject peaks.
The evaluation system according to any one of claims 1 to 3 . The first acquisition means acquires, as the first physical information, information specifying a growth rate with respect to the age of the subject,
The estimation means estimates a phenomenon in which the subject's growth rate begins to increase, or an age at which the phenomenon occurs, as the estimation information for evaluation.
The evaluation system according to any one of claims 1 to 3 . The evaluation means compares the estimation information for evaluation estimated by the estimation means with a threshold, and evaluates the condition of the subject based on the comparison result.
Evaluation system according to any one of claims 1 to 5 . An assessment program for assessing the condition of a subject, comprising:
the computer,
a first acquisition means for acquiring first physical information that is chronological information about the subject's physical condition;
estimating means for estimating estimation information for evaluation used for evaluating the physical condition of the subject based on the first physical information acquired by the first acquiring means;
evaluation means for evaluating the state of the subject based on the estimation information for evaluation estimated by the estimation means;
a state output means for outputting the subject's state evaluated by the evaluation means;
functioning as second acquisition means for acquiring a plurality of the second physical information that is a reference for estimating the estimated information for evaluation and that is chronological information related to a physical condition;
The estimating means, based on the first physical information acquired by the first acquiring means and the plurality of second physical information acquired by the second acquiring means, determines which of the plurality of second physical information selecting one piece of the second physical information, and estimating the estimated information for evaluation based on the selected piece of the second physical information;
evaluation program.

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