JP7602754B2 - Interview System - Google Patents

Description

The present invention relates to a system for processing medical information.

In order for medical professionals (doctors, pharmacists, etc.) to correctly diagnose a patient's condition, they need to obtain information from the patient or their family, such as medical history, which is material for diagnosis. This process of obtaining information is called a medical interview, but it is not easy for medical professionals to obtain all the necessary information during a medical interview.

Technologies to assist with medical interviews have been proposed. For example, Patent Document 1 describes a medical interview system with a learning function that sequentially includes a symptom input step, a symptom input step, a medical interview item step, and a medical interview result display step, with a step of "explaining diagnostic points related to symptoms" between the symptom input step and the symptom input step, and a step of "explanation related to medical interview items" between the symptom input step and the medical interview item step. The medical interview system with a learning function described in Patent Document 1 allows medical professionals to learn information required when interviewing patients, when needed.

JP 2017-158754 A

In many medical institutions (hospitals, pharmacies, etc.), medical interviews are conducted by the patient answering questions listed on a standardized medical interview form. In such medical interviews that follow a standardized medical interview form, subsequent questions do not change depending on the answers given to previous questions. This creates the problem that questions that are actually necessary depending on the patient's condition may be overlooked.

In view of the above background, the present invention aims to provide a technology that ensures that all necessary questions are asked during a medical interview.

In order to solve the above-mentioned problems, the present invention provides a storage means for storing a database that stores, for each of a plurality of questions related to a plurality of symptoms, question data indicating the question, answer option data indicating a plurality of answer options for the question, and necessity condition data indicating conditions for determining whether or not the question indicated by the question data is necessary based on the user's answers to questions other than the question indicated by the question data, and stores answer content data indicating the content of the answer of the option indicated by the answer option data for each of the plurality of answer option data, an acquisition means for acquiring symptom data indicating a symptom input by a user, and a display instruction means for displaying, on a display device, the question indicated by the question data corresponding to the symptom indicated by the symptom data and the answer options indicated by the plurality of answer option data corresponding to the question data, among the question data stored in the database, The acquisition means sequentially acquires answer data indicating an answer selected by the user from among the answer options displayed on the display device, the storage means sequentially stores the answer data sequentially acquired by the acquisition means, and the display instruction means, when new answer data is stored in the storage means, determines the necessity of each question that has not been answered by the user among the questions indicated by the question data corresponding to the symptoms indicated by the symptom data based on the conditions indicated by the necessity condition data stored in the database and the answers indicated by the answer data stored in the storage means, extracts questions determined to be necessary, displays the extracted questions and answer options corresponding to the questions on the display device, and provides an output means for outputting answer content data corresponding to the answer data to an external device for each of the multiple answer data stored in the storage means.

According to the medical interview system of the first aspect described above, if the appropriate data is stored in the database, all necessary questions are asked during the medical interview.

In the medical interview system according to the first aspect described above, a second aspect may be adopted in which the database stores question explanation data indicating an explanation for a question indicated by each of the stored multiple question data, and the display instruction means causes the display device to display an explanation indicated by the question explanation data corresponding to the question data indicating the question being displayed on the display device.

The medical interview system according to the second aspect described above allows, for example, medical personnel to obtain information such as the significance of questions and effective ways of asking questions.

In the medical interview system according to the first or second aspect described above, a third aspect may be adopted in which the database stores one or more pieces of urgency determination condition data indicating conditions for determining the urgency of treatment for a disease based on answers indicated by answer data, and the display instruction means causes the display device to display the urgency of treatment for a disease determined based on the conditions indicated by the urgency determination condition data stored in the database and the answers indicated by the answer data stored in the storage means.

According to the medical interview system of the third aspect described above, for example, a patient can determine whether or not he or she should go to a medical institution to receive medical treatment.

In the medical interview system according to any one of the first to third aspects described above, a fourth aspect may be adopted in which the database stores urgency explanation data indicating an explanation regarding the urgency determined by the conditions indicated by the urgency determination condition data for each of the one or more stored urgency determination condition data, and the display instruction means causes the display device to display an explanation indicated by the urgency explanation data corresponding to the urgency determination condition data used to determine the urgency displayed on the display device.

The interview system according to the fourth aspect described above allows, for example, medical personnel to know the points that should be given priority when diagnosing a patient's illness.

In the medical interview system according to any one of the first to fourth aspects, the following configuration may be adopted as a fifth aspect: each of the plurality of question data stored in the database includes language-specific question data indicating text in which the question indicated by the question data is expressed in the language for each of the plurality of languages; each of the plurality of answer option data stored in the database includes language-specific answer option data indicating text in which the answer option indicated by the answer option data is expressed in the language for each of the plurality of languages; the acquisition means acquires language data indicating a language selected by a user from the plurality of languages; and the display instruction means, when displaying the question indicated by the question data and the answer options indicated by the plurality of answer option data corresponding to the question data on the display device, displays on the display device the text indicated by the language-specific question data corresponding to the language indicated by the language data among the plurality of language-specific question data included in the question data, and the text indicated by the language-specific answer option data corresponding to the language indicated by the language data among the plurality of language-specific answer option data included in each of the plurality of answer option data.

According to the medical interview system of the fifth aspect described above, by preparing text in multiple languages only for the questions and answer options, a medical interview can be conducted even if the patient and medical staff speak different languages.

In the medical interview system according to any one of the first to fifth aspects described above, the acquisition means acquires medical institution condition data indicating conditions related to the medical institution specified by the user, the acquisition means acquires appointment time slot data indicating the time slots during which appointments can be made at each medical institution that satisfies the conditions indicated by the medical institution condition data, the display instruction means causes the display device to display the time slots during which appointments can be made at each medical institution indicated by the appointment time slot data, the acquisition means acquires appointment data indicating the time slots during which appointments can be made at a medical institution selected by the user from the time slots during which appointments can be made at each medical institution displayed on the display device, and a notification means is provided for notifying the medical institution indicated by the appointment data that an appointment has been made for the time slot indicated by the appointment data.

According to the medical interview system relating to the sixth aspect described above, when a patient wishes to visit a medical institution to receive medical treatment, the patient can easily make a reservation to receive treatment at a medical institution that meets the desired conditions at a desired time period.

In the medical interview system according to any one of the first to sixth aspects above, a seventh aspect may be adopted in which the output means outputs answer content data about patients receiving treatment at a medical institution to a device that stores electronic medical records managed by the medical institution.

According to the medical interview system of the seventh aspect described above, medical institutions can view the results of medical interviews of patients who visit the institution.

The present invention also provides a process for storing in a computer a database that stores, for each of a plurality of questions relating to a plurality of symptoms, question data indicating the question, answer option data indicating a plurality of answer options for the question, and necessity condition data indicating conditions for determining whether or not the question indicated by the question data is necessary based on a user's answer to a question other than the question indicated by the question data, and that stores answer content data indicating the content of the answer of the option indicated by the answer option data for each of the plurality of answer option data, a process for acquiring symptom data indicating a symptom input by a user, and a process for displaying, on a display device, the question indicated by question data corresponding to the symptom indicated by the symptom data and the answer options indicated by the plurality of answer option data corresponding to the question data, among the question data stored in the database. a process of sequentially acquiring answer data indicating an answer selected by a user from among answer options displayed on the display device; a process of sequentially storing the sequentially acquired answer data; when new answer data is stored in the storing process, a process of determining the necessity of each of the questions indicated by the question data corresponding to the symptoms indicated by the symptom data that have not been answered by the user based on the conditions indicated by the necessity condition data stored in the database and the answers indicated by the stored answer data, extracting questions determined to be necessary, displaying the extracted questions and answer options corresponding to the questions on the display device; and a process of outputting answer content data corresponding to the answer data for each of the multiple stored answer data to an external device.

The present invention also relates to a process for storing in a computer a database for storing, for each of a plurality of questions relating to a plurality of symptoms, question data indicating the question, answer option data indicating a plurality of answer options for the question, and necessity condition data indicating conditions for determining whether or not the question indicated by the question data is necessary based on a user's answer to a question other than the question indicated by the question data, and for storing answer content data indicating the content of the answer of the option indicated by the answer option data for each of the plurality of answer option data, a process for acquiring symptom data indicating a symptom input by a user, a process for displaying on a display device the question indicated by question data corresponding to the symptom indicated by the symptom data and the answer options indicated by the plurality of answer option data corresponding to the question data, among the question data stored in the database, and a process for displaying the answers displayed on the display device. A ninth aspect of the present invention provides a non-volatile recording medium that continuously records in a computer-readable state a program for executing the following processes: sequentially acquiring answer data indicating an answer selected by a user from among the options; sequentially storing the sequentially acquired answer data; when new answer data is stored in the storing process, judging the necessity of each of the questions not answered by the user among the questions indicated by the question data corresponding to the symptoms indicated by the symptom data based on the conditions indicated by the necessity condition data stored in the database and the answers indicated by the stored answer data, extracting the questions judged to be necessary, displaying the extracted questions and answer options corresponding to the questions on the display device; and outputting answer content data corresponding to the answer data for each of the stored multiple answer data to an external device.

According to the program according to the eighth aspect or the recording medium according to the ninth aspect, the medical interview system according to the first aspect is realized by a computer.

FIG. 1 is a diagram showing a configuration of a medical inquiry system according to an embodiment. FIG. 4 is a diagram showing a data configuration of a medical interview table according to an embodiment. FIG. 4 is a diagram showing a data configuration of an urgency table according to an embodiment. FIG. 4 is a diagram showing a data configuration of a user table according to an embodiment. FIG. 4 is a diagram illustrating a data configuration of a hospital table according to an embodiment. FIG. 13 is a diagram showing a data configuration of an answer table according to an embodiment. FIG. 4 is a diagram showing a data configuration of a reservation table according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment. 11 is a diagram illustrating a screen displayed on a terminal device according to an embodiment.

[Embodiment]
An interview system 1 according to an embodiment of the present invention will be described below. The interview system 1 is a system that supports interviewing a patient. Fig. 1 is a diagram showing the configuration of the interview system 1. The interview system 1 includes a server device 11 managed by a business operator that operates the interview system 1, a terminal device 12 used by a patient, a server device 13 managed by a medical institution, and a terminal device 14 used by a staff member of the medical institution.

In FIG. 1, server device 11 is shown as a single device, but server device 11 may be configured as a group of multiple devices that operate in conjunction with server device 11. In FIG. 1, only one terminal device 12 is shown, but in reality, the number of terminal devices 12 varies depending on the number of patients using medical interview system 1. In FIG. 1, only one server device 13 is shown, but in reality, the number of server devices 13 varies depending on the number of medical institutions using medical interview system 1. In FIG. 1, only one terminal device 14 is shown, but in reality, the number of terminal devices 14 varies depending on the number of medical institution employees using medical interview system 1.

Terminal device 12 performs data communication with server device 11. Server device 13 performs data communication with server device 11. Terminal device 14 performs data communication with server device 11 and server device 13.

In this embodiment, server device 11, terminal device 12, server device 13, and terminal device 14 are realized by a computer executing a program according to this embodiment. The computer for realizing server device 11 and server device 13 includes a memory, a processor that processes data according to the program stored in the memory, and a communication interface that communicates data with external devices.

The computer for realizing the terminal device 12 and the terminal device 14 includes a memory, a processor that processes data according to a program stored in the memory, a communication interface that performs data communication with external devices, a display device such as a liquid crystal display that displays various information to the user, and an operation device such as a keyboard that accepts user operations. However, instead of including a display device and an operation device, the computer for realizing the terminal device 12 and the terminal device 14 may include an input/output interface that inputs and outputs data to and from the display device and the operation device, and these devices may be connected to the computer via the input/output interface.

The memory of the server device 11 (an example of a storage means) stores a medical interview database, a user table, and a hospital table. In addition, the memory of the server device 11 stores an answer table that stores the results of the answer to a medical interview each time a patient answers the interview.

The medical interview database includes a medical interview table for each symptom and an urgency table. Figure 2 shows the data structure of the medical interview table. A medical interview table is prepared for each of a number of symptoms, and records corresponding to each of a number of questions corresponding to the corresponding symptom are stored in the order in which they should be asked. Records in the medical interview table include the fields [Question ID], [Necessity condition], [Necessity flag], [Question], [Answer options], [Question explanation], and [Answer content]. [Question] and [Answer options] include subfields such as [Japanese] and [English] corresponding to each of a number of languages.

The field [Question ID] stores data indicating an identifier (Identifier) that identifies the question. The field [Necessity condition] stores necessity condition data that indicates the condition for determining whether a question corresponding to that record is necessary based on the patient's answer to a question corresponding to another record. The condition indicated by the necessity condition data is, for example, a condition such as "if the answer to the question corresponding to question ID XX is XX, then the question is necessary."

The field [Necessity Flag] stores a flag indicating whether the question corresponding to the record is necessary. For questions that are required by default, the field [Necessity Flag] is pre-stored with, for example, a "1" indicating that the question is necessary. For questions that are not required by default, the field [Necessity Flag] is pre-stored with, for example, a "0" indicating that the question is not required.

The field [Question] stores question data indicating a question. The subfields corresponding to each of the multiple languages contained in the field [Question] store language-specific question data indicating text expressing the question in the corresponding language.

The field [Answer Choices] stores answer choice data indicating multiple answer choices to the question indicated by the question data stored in the field [Question] of the same record. The subfields corresponding to each of the multiple languages contained in the field [Answer Choices] store language-specific answer choice data indicating text expressing the answer choices in the corresponding language.

The field [Question explanation] stores question explanation data that indicates an explanation for the question indicated by the question data stored in the field [Question] of the same record. An explanation for a question is, for example, an explanation of the significance of the question or how to ask an effective question.

The field [Answer Content] stores data for each answer option stored in the field [Answer Options] of the same record that indicates the answer content of that option in terms that are easy for medical professionals to understand (for example, expressions using technical terms and expressions that form a question and its answer into one sentence).

Figure 3 shows the data structure of the urgency table. The urgency table stores records corresponding to each of the conditions for determining the urgency of treatment for a patient's illness based on the patient's answers to questions.

A record in the urgency table contains the fields [Urgency Determination Condition], [Urgency], and [Urgency Explanation]. The field [Urgency Determination Condition] stores urgency determination condition data indicating the conditions for determining the urgency of treatment for a patient's illness based on the patient's answer to a question. An example of the condition indicated by the urgency determination condition data is a condition such as "the answer to the question corresponding to question ID XX is XX, and the answer to the question corresponding to question ID XX is XX."

The field [urgency] stores data indicating the urgency of treatment for a patient's illness when the conditions indicated by the urgency determination condition data stored in the field [urgency determination condition] of the same record are satisfied. In this embodiment, the urgency indicates one of three levels: "high," "medium," or "low," for example.

The field [urgency explanation] stores urgency explanation data that indicates an explanation of the urgency determined by the conditions indicated by the urgency determination condition data stored in the field [urgency determination condition] of the same record. The explanation of the urgency is, for example, the reason why the urgency is determined to be high (e.g., "high" or "medium") when the urgency is determined to be high.

Figure 4 shows the data structure of the user table. The user table stores records for each user of the medical interview system 1 (general users who may become patients). Records in the user table include the following fields: [User ID], [Password], [User name], [Date of birth], [Gender], [Health insurance card information], [Address], [Telephone number], and [Location].

Each field in the user table stores data corresponding to the field name. The data stored in the field [Location] is data that indicates the latitude and longitude corresponding to the user's address (home).

Figure 5 shows the data structure of the hospital table. The hospital table stores records corresponding to each medical institution (hereafter referred to as "hospital" for convenience) that uses the medical interview system 1. Records in the hospital table include the following fields: [Hospital ID], [Password], [Hospital name], [Department], [Address], [Telephone number], [Location], [Appointment table URL], and [Medical record database URL].

In each field of the hospital table, data corresponding to the name of the field is stored. The data stored in the field [Location] is data indicating the latitude and longitude corresponding to the hospital's address. The data stored in the field [Appointment Table URL] is data indicating the URL (Uniform Resource Locator) of the appointment table (described later) stored in the server device 13. The data stored in the field [Medical Record Database URL] is data indicating the URL (Uniform Resource Locator) of the medical record database (described later) stored in the server device 13.

Figure 6 shows the data structure of the answer table. The answer table is a table that is generated each time a medical interview is conducted, and is stored in the memory of the server device 11 in association with the user ID of the patient who answered the medical interview and data indicating the time the medical interview was conducted (e.g., the start time of the medical interview).

The answer table stores records for each question answered by the patient. Records in the answer table contain the fields [Question ID] and [Answer].

The field [Question ID] stores data indicating an identifier that identifies the question answered by the patient. The field [Answer] stores data indicating the answer that the patient selected from multiple options to the question.

The memory of the server device 13 stores an appointment table and a medical record database. Figure 7 shows the data structure of the appointment table. The appointment table is a table that is generated according to each business day of the hospital, and is stored in the memory of the server device 13 in association with data indicating the dates of business days.

The appointment table stores records corresponding to the time slots for accepting appointments for medical treatment. Records in the appointment table contain the fields [Time Slot], [User Name], [Health Insurance Card Information], and [Phone Number]. Each field in the appointment table stores data corresponding to the name of the field. Note that for records of time slots for which no appointments have yet been made, no data is stored in the fields [User Name], [Health Insurance Card Information], and [Phone Number].

The medical record database is a database that stores the electronic medical record data used by the hospital.

The following describes the operation of the medical interview system 1 when a patient uses the medical interview system 1 to answer questions.

For example, a patient user inputs the URL of the login page of the medical interview system 1 into a web browser running on the server device 11, and inputs a user ID, password, and language to be used on the displayed login page to open the web page of the medical interview site provided by the server device 11. Figure 8 shows the top screen of the medical interview site displayed on the display of the terminal device 12. Note that on the web page of the medical interview site, the questions and answer options are displayed in the language input by the patient on the login page.

The patient selects one or more of his/her symptoms on the screen of FIG. 8 and clicks the "Start medical interview" button, etc. In response to this operation, symptom data indicating the symptoms selected by the patient is transmitted from the terminal device 12 to the server device 11.

When the server device 11 receives symptom data from the terminal device 12, it generates a new empty response table (Figure 6) by associating it with the patient's user ID and data indicating the current time, and stores it in memory. In addition, the server device 11 generates a copy of the interview table corresponding to the symptoms indicated by the received symptom data, from among the multiple interview tables (Figure 2) stored in the interview database, as a working interview table (hereinafter simply referred to as the "interview table"), and stores it in memory.

Then, the server device 11 extracts records in which the data stored in the field [Necessity Flag] of the medical interview table indicates that a question is necessary, and transmits data to the terminal device 12 instructing the terminal device 12 to display the question and answer options indicated by the extracted record. The terminal device 12 displays a medical interview screen in accordance with the data received from the server device 11. Figure 9 is an example of the medical interview screen. Note that the medical interview screen may display questions one at a time, or multiple questions may be displayed simultaneously.

When a patient selects an appropriate answer from among multiple answer options for one question on the medical interview screen, the terminal device 12 transmits answer data indicating the selected answer to the server device 11. When the server device 11 receives the answer data, it associates the received answer data with the question ID of the question corresponding to the answer data and stores it in the answer table.

Next, the server device 11 determines whether or not questions that have not been answered by the patient among the questions indicated by the question data included in the interview table are necessary, based on the conditions indicated by the necessity condition data stored in the interview table corresponding to the symptoms indicated by the symptom data received from the terminal device 12 and the answers indicated by the answer data stored in the answer table at that time, and updates the data stored in the field [Necessity Flag] with data indicating the result.

The server device 11 extracts records from the medical interview table updated as described above, in which the data stored in the field [Necessity Flag] indicates that a question is necessary, and transmits data to the terminal device 12 instructing the display of the question and answer options indicated by the extracted record. The terminal device 12 displays a new medical interview screen in accordance with the data received from the server device 11. Figure 10 is an example of the new medical interview screen displayed on the display of the terminal device 12.

After that, each time the patient selects an answer on the medical interview screen, the answer data is sent from the terminal device 12 to the server device 11, and data instructing the terminal device 12 to display a new medical interview screen is sent from the server device 11, and the new medical interview screen is displayed on the display of the terminal device 12. This series of processes is repeated in the server device 11 until no records related to unanswered questions that require an answer are extracted from the medical interview table.

Figure 11 shows a new medical interview screen that is displayed when, for example, "pulsating pain" is selected on the medical interview screen of Figure 10. Also, Figure 12 shows a new medical interview screen that is displayed when, for example, "throbbing pain" is selected on the medical interview screen of Figure 10. In this way, the questions displayed on the subsequent medical interview screen change depending on the answer selected by the patient on the preceding medical interview screen. As a result, the patient is asked all necessary questions based on symptoms, etc., and no unnecessary questions are asked.

When all questions have been answered on the medical interview screen and no records related to unanswered questions that require an answer can be extracted from the medical interview table, the server device 11 judges the urgency of treatment for the illness based on the conditions indicated by the urgency judgment condition data stored in the urgency table (Figure 3) and the answers indicated by the answer data stored in the answer table. The server device 11 then displays the determined urgency and transmits data to the terminal device 12 instructing it to display a message urging the patient to make a hospital appointment.

The terminal device 12 displays the hospital appointment screen shown in FIG. 13 in accordance with the data received from the server device 11. In the example of FIG. 13, the urgency of treatment for the illness (if there are multiple determined urgency levels, the highest among them) is "medium" based on the results of the interview, and advice according to the urgency is displayed, such as "Wait until tomorrow and if you don't get better, go to the hospital." If the urgency is "high," advice such as "Go to the hospital immediately" is displayed on the hospital appointment screen. If the urgency is "low," advice such as "Wait a week and if you don't get better, go to the hospital" is displayed on the hospital appointment screen.

When a patient selects the department they wish to visit, the area where the hospital is located, the consultation date, and the time slot on the hospital appointment screen, and clicks the "Execute search" button, etc., medical institution condition data indicating the selected department and area, and time slot condition data indicating the selected consultation date and time slot are sent from the terminal device 12 to the server device 11.

When the server device 11 receives the medical institution condition data and the time period condition data, it extracts from the hospital table (Figure 5) records of hospitals that satisfy the conditions (medical department, area) indicated by the medical institution condition data. At that time, the server device 13 reads the patient's home location from the user table (Figure 4) and uses it to calculate the distance from the home to the hospital.

Next, server device 11 obtains the appointment tables (Figure 7) of those hospitals from server device 13 corresponding to each hospital, as available appointment time slot data indicating the time slots during which appointments can be made, according to the appointment table URLs indicated by the data stored in the records extracted from the hospital table. Next, server device 11 extracts records corresponding to available appointment time slots that satisfy the conditions (examination date, time slot) indicated by the time slot condition data from the appointment tables obtained from server device 13, and generates a list showing the time slots indicated by the time slot data stored in those records, together with the hospital name, the area that includes the hospital's address, and the distance from the patient's home to the hospital, for example in ascending order of distance, and transmits data indicating the list to terminal device 12.

The terminal device 12 uses the data received from the server device 11 to display a list of available time slots on the hospital reservation screen. Note that FIG. 13 shows the hospital reservation screen with the list displayed. When the patient selects one of the available hospital time slots included in the list and clicks the "Make reservation" button, the terminal device 12 sends reservation data indicating the name of the hospital and the time slot selected by the patient to the server device 11.

When server device 11 receives the reservation data, it searches the user table (Figure 4) for a record corresponding to the patient, and generates notification data by adding data indicating the user name, health insurance card information, and telephone number stored in the searched record to the reservation data. Next, server device 11 searches the hospital table (Figure 5) for a record corresponding to the hospital name indicated in the reservation data, and sends the notification data to server device 13 corresponding to the hospital selected by the patient on the hospital reservation screen, according to the reservation table URL indicated by the data stored in the searched record. Server device 13 updates the reservation table (Figure 7) according to the notification data received from server device 11. As a result, the hospital reservation is completed.

The above is the operation of the medical interview system 1 when a patient is interviewed.

When the patient then goes to the hospital at the reserved time, a medical staff member at the hospital uses the terminal device 14 to view the data stored in the reservation table (Figure 7) stored in the server device 13 and confirms the reservation of the patient who has come to the hospital. Figure 14 shows the reservation confirmation screen displayed on the terminal device 14. When a patient who has made a reservation comes to the hospital, the medical staff member clicks on the "Visit" column of the patient's row in the list, etc. In response to this operation, the terminal device 14 transmits data indicating, for example, the user name and phone number of this patient to the server device 11 as answer content request data requesting answer content data indicating the results of this patient's medical interview.

The server device 11 reads from memory the patient's answer table (Figure 6) indicated by the received answer content request data, and for each record included in the read answer table, searches the medical interview table (Figure 2) for answer content data indicating the answer content corresponding to the combination of question and answer indicated by the data stored in that record.

The server device 11 searches the hospital table (Figure 5) for a record corresponding to the hospital name of the terminal device 14 that sent the response content request data, and transmits the response content data searched as described above to the server device 13 according to the medical record database URL indicated by the data stored in the searched record. This makes it possible to view the results of the patient's medical interview in a system for viewing the electronic medical records of the hospital the patient visited.

Figure 15 shows an example of the answer content displayed to a doctor or other person in a system for viewing a hospital's electronic card. Note that the underlined parts of the answer content shown in Figure 15 are the parts related to answers that are judged to have a "medium" or "high" urgency.

The above-described operation of the medical interview system 1 is the operation when a patient uses the terminal device 12 to conduct a medical interview, but the medical interview system 1 can also be used when a medical professional interviews a patient at a hospital the patient visits. The medical professional can conduct an appropriate medical interview by accessing the server device 11 using the terminal device 14, asking questions to the patient while looking at the medical interview screen displayed on the terminal device 14, and inputting the answers.

When a medical professional logs in to the medical interview system 1 using the terminal device 14, the medical professional uses a hospital ID and password. This allows the server device 11 to determine whether the user is a patient or a medical professional.

As shown in FIG. 16, an "Explanation" button is displayed on the medical interview screen displayed by the terminal device 14 to the medical professional. When the medical professional clicks the "Explanation" button, an explanation for the question is displayed, as shown in FIG. 17. This explanation is an explanation indicated by the question explanation data stored in the medical interview table (FIG. 2). This explanation allows the medical professional to learn the significance of the question and how to ask an effective question, etc.

Furthermore, when the medical interview is completed, a list of answers as shown in FIG. 18 is displayed on the terminal device 14 instead of the hospital appointment screen (FIG. 13). In this list, an "Explanation" button is displayed for items that are determined to have a "high" or "medium" level of urgency. When the medical professional clicks this "Explanation" button, an explanation of the urgency is displayed, as shown in FIG. 19. This explanation is the explanation indicated by the urgency explanation data stored in the urgency table (FIG. 3). This explanation allows the medical professional to know the points that should be given priority in diagnosis.

[Modification]
The above-described embodiment may be modified in various ways. Examples of such modifications are shown below. Note that two or more of the modifications shown below may be combined as appropriate.

(1) The functions of server device 13 may be provided by server device 11.

(2) The programs executed by a computer to realize server device 11, terminal device 12, server device 13, and terminal device 14 may be downloaded to the computer via a network such as the Internet, or may be read by the computer from a non-volatile recording medium that persistently stores those programs.

1... medical interview system, 11... server device, 12... terminal device, 13... server device, 14... terminal device.

Claims (9)

a database storing, for each of a plurality of questions relating to a plurality of symptoms, question data indicating the question , answer option data indicating a plurality of answer options to the question , necessity condition data indicating conditions for determining whether the question indicated by the question data is necessary based on a user's answers to questions other than the question indicated by the question data , and necessity data indicating that the question is necessary if the question is required by default and indicating that the question is unnecessary if the question is unnecessary by default , and storing answer content data indicating the content of the answer to the option indicated by the answer option data for each of the plurality of answer option data, the database including a table storing records corresponding to each of the plurality of questions including a field for storing the necessity condition data ;
An acquisition means for acquiring symptom data indicating a symptom input by a user;
a display instruction means for causing a display device to display, among the question data stored in the database, a question indicated by question data corresponding to the symptom indicated by the symptom data and answer options indicated by a plurality of answer option data corresponding to the question data,
the acquiring means successively acquires answer data indicating an answer selected by a user from answer options displayed on the display device;
The storage means sequentially stores the answer data sequentially acquired by the acquisition means,
When new answer data is stored in the storage means, the display instruction means determines the necessity of each of the questions indicated by the question data corresponding to the symptom indicated by the symptom data that has not been answered by the user, based on the conditions indicated by the necessity condition data stored in the database and the answers indicated by the answer data stored in the storage means, updates the necessity data stored in the database with necessity data indicating the result of the determination, extracts question data and answer option data related to a question indicating that necessity data is necessary from the database , and displays on the display device the question indicated by the extracted question data and the answer options corresponding to the question indicated by the extracted answer option data ,
an output unit for outputting answer content data corresponding to each of the plurality of answer data stored in the storage unit to an external device. the database stores question explanation data indicating an explanation regarding a question indicated by each of the stored plurality of question data;
The medical interview system according to claim 1 , wherein the display instruction means causes the display device to display an explanation indicated by question explanation data corresponding to question data indicating a question being displayed on the display device. The database stores one or more pieces of urgency determination condition data indicating conditions for determining the urgency of treatment for a disease based on the answer indicated by the answer data;
The medical interview system according to claim 1 or 2, wherein the display instruction means causes the display device to display the urgency of treatment for a disease determined based on the conditions indicated by the urgency determination condition data stored in the database and the answers indicated by the answer data stored in the memory means. the database stores, for each of the one or more pieces of urgency determination condition data stored therein, urgency explanation data indicating an explanation regarding the urgency determined based on the condition indicated by the urgency determination condition data;
The medical interview system according to claim 3 , wherein the display instruction means causes the display device to display an explanation indicated by urgency explanation data corresponding to urgency determination condition data used to determine the urgency displayed on the display device. Each of the plurality of pieces of question data stored in the database includes language-specific question data indicating, for each of a plurality of languages, a text in which a question indicated by the question data is expressed in the language;
Each of the plurality of answer option data stored in the database includes language-specific answer option data indicating text in which an answer option indicated by the answer option data is expressed in the language, for each of the plurality of languages;
the acquiring means acquires language data indicating a language selected by a user from among the plurality of languages;
5. The medical interview system according to claim 1, wherein the display instruction means, when causing the display device to display the question indicated by the question data and the answer options indicated by the plurality of answer option data corresponding to the question data, causes the display device to display text indicated by language-specific question data corresponding to the language indicated by the language data among the plurality of language-specific question data included in the question data, and text indicated by language-specific answer option data corresponding to the language indicated by the language data among the plurality of language-specific answer option data included in each of the plurality of answer option data. The acquiring means acquires medical institution condition data indicating conditions related to a medical institution designated by a user,
The acquisition means acquires, for each medical institution that satisfies the conditions indicated by the medical institution condition data, available appointment time period data indicating a time period during which appointments for medical treatment can be made at the medical institution,
The display instruction means displays on the display device the time periods during which appointments can be made at each medical institution, which are indicated by the available appointment time period data;
The acquisition means acquires reservation data indicating a time period during which a reservation can be made at a medical institution selected by a user from the time periods during which a reservation can be made at each medical institution displayed on the display device,
6. The medical interview system according to claim 1, further comprising a notification unit that notifies the medical institution indicated by the reservation data that a medical appointment has been made for the time period indicated by the reservation data. 7. The medical interview system according to claim 1, wherein the output means outputs answer content data relating to patients receiving medical treatment at a medical institution to a device that stores electronic medical records managed by the medical institution. On the computer,
a process of storing, for each of a plurality of questions relating to each of a plurality of symptoms, question data indicating the question , answer option data indicating a plurality of answer options to the question , necessity condition data indicating conditions for determining whether the question indicated by the question data is necessary based on a user's answers to questions other than the question indicated by the question data , and necessity data indicating that the question is necessary if the question is required by default and indicating that the question is not necessary if the question is unnecessary by default , and storing answer content data indicating the content of the answer to the option indicated by the answer option data for each of the plurality of answer option data, the database including a table storing records corresponding to each of the plurality of questions including a field for storing the necessity condition data ;
obtaining symptom data indicative of symptoms input by a user;
a process of displaying on a display device a question indicated by question data corresponding to the symptom indicated by the symptom data among the question data stored in the database and answer options indicated by a plurality of answer option data corresponding to the question data;
a process of sequentially acquiring answer data indicating an answer selected by a user from among answer options displayed on the display device;
A process of sequentially storing the sequentially acquired answer data;
a process of determining whether each of the questions indicated by the question data corresponding to the symptom indicated by the symptom data that has not been answered by the user is necessary, based on the conditions indicated by the necessity condition data stored in the database and the answers indicated by the stored answer data, updating the necessity data stored in the database with the necessity data indicating the result of the determination, extracting question data and answer option data related to a question indicating that necessity data is necessary from the database , and displaying on the display device the question indicated by the extracted question data and the answer options corresponding to the question indicated by the extracted answer option data ;
and outputting, for each of the plurality of stored answer data, answer content data corresponding to the answer data to an external device. On the computer,
a process of storing, for each of a plurality of questions relating to a plurality of symptoms, question data indicating the question , answer option data indicating a plurality of answer options to the question , necessity condition data indicating conditions for determining whether the question indicated by the question data is necessary based on a user's answers to questions other than the question indicated by the question data , and necessity data indicating that the question is necessary if the question is required by default and indicating that the question is unnecessary if the question is unnecessary by default , and storing answer content data indicating the content of the answer to the option indicated by the answer option data for each of the plurality of answer option data, the database including a table storing records corresponding to each of the plurality of questions including a field for storing the necessity condition data ;
obtaining symptom data indicative of symptoms input by a user;
a process of displaying on a display device a question indicated by question data corresponding to the symptom indicated by the symptom data among the question data stored in the database and answer options indicated by a plurality of answer option data corresponding to the question data;
a process of sequentially acquiring answer data indicating an answer selected by a user from among answer options displayed on the display device;
A process of sequentially storing the sequentially acquired answer data;
a process of determining whether each of the questions indicated by the question data corresponding to the symptom indicated by the symptom data that has not been answered by the user is necessary, based on the conditions indicated by the necessity condition data stored in the database and the answers indicated by the stored answer data, updating the necessity data stored in the database with the necessity data indicating the result of the determination, extracting question data and answer option data related to a question indicating that necessity data is necessary from the database , and displaying on the display device the question indicated by the extracted question data and the answer options corresponding to the question indicated by the extracted answer option data ;
A non-volatile recording medium that continuously records a program for executing the process of: outputting answer content data corresponding to each of the stored multiple answer data to an external device.

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