System

Abstract

To appropriately perform handling by selecting movement means and whether or not to move according to a state of a patient.SOLUTION: A system includes a reception device 100 that can acquire inquiry information to determine a movement propriety from a patient, an information processing device 200 for displaying at least one handling instruction corresponding to the inquiry information acquired by the reception device 100, and a movement auxiliary device 300 which can assist movement of the patient in response to a selection instruction selected from in at least one handling instruction displayed in the information processing device 200.SELECTED DRAWING: Figure 1

Description

Technical Field

[0001] The present invention relates to a system.

Background Art

[0002] As a prior art document disclosing the configuration of a waiting system for examination order, there is Patent No. 3975580 (Patent Document 1). The waiting system for examination order described in Patent Document 1 is composed of an examination management server, an examination card, an examination room terminal device, a reception terminal device, an electric wheelchair device, and a guide post. When a patient undergoes examination reception at the reception terminal device, the examination management server assigns a reception order for each examination department and sends the reception order data to the reception terminal device via a communication line. The reception terminal device issues an examination card based on the reception order data. The patient inserts the examination card into the I / F (interface) means of the electric wheelchair device, and thereby receives data such as the patient's call from the examination management server via the communication line and the guide post, and operates the electric wheelchair means by an operation means to be transported to a desired examination room by the electric wheelchair device.

Prior Art Documents

Patent Documents

[0003]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0004] There is a demand for a system that can appropriately select and respond to moving means and the possibility of movement according to the patient's condition.

[0005] The present invention has been made in view of the above problems, and an object thereof is to provide a system that can appropriately select and respond to moving means and the possibility of movement according to the patient's condition.

Means for Solving the Problems

[0006] The system according to the present invention includes a reception device, an information processing device, and a movement assistance device. The reception device can acquire interview information for determining the feasibility of movement from a patient. At least one corresponding instruction according to the interview information acquired by the reception device is displayed on the information processing device. The movement assistance device can assist the movement of the patient according to a selection instruction selected from the at least one corresponding instruction displayed on the information processing device.

[0007] In one embodiment of the present invention, when the movement assistance device receives the selection instruction to assist the movement of the patient, it automatically travels from the standby position to the reception device.

[0008] In one embodiment of the present invention, the movement assistance device includes an electric wheelchair and an electric walking aid. Either the electric wheelchair or the electric walking aid selected by the selection instruction assists the movement of the patient.

[0009] In one embodiment of the present invention, the movement assistance device has a sensor capable of grasping the state of the patient, and is configured to be able to notify the information processing device when the sensor senses an abnormality of the patient.

[0010] In one embodiment of the present invention, the reception device notifies the patient of an instruction according to the selection instruction.

Advantages of the Invention

[0011] According to the present invention, it is possible to appropriately select and respond to the means of movement and the feasibility of movement according to the state of the patient.

Brief Description of the Drawings

[0012]

Figure 1

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Mode for Carrying Out the Invention

[0013] Hereinafter, a system according to an embodiment of the present invention will be described with reference to the drawings. In the following description of the embodiments, the same or corresponding parts in the figures are denoted by the same reference numerals, and the description thereof will not be repeated. Note that, for specific parameters, when a plurality of upper limit values and lower limit values are described, any upper limit value and lower limit value can be combined to form a suitable numerical range.

[0014] FIG. 1 is a diagram showing a schematic configuration of a system according to an embodiment of the present invention. As shown in FIG. 1, a system 1 according to an embodiment of the present invention includes a reception device 100, an information processing device 200, and a movement assistance device 300. The system 1 may include a plurality of information processing devices 200 and a plurality of movement assistance devices 300. In the present embodiment, the system 1 is a system for receiving a patient 9 and guiding the patient to a bed for performing dialysis treatment at a medical institution that performs dialysis treatment.

[0015] The reception device 100 can acquire interview information for determining the feasibility of movement from the patient 9. At least one corresponding instruction according to the interview information acquired by the reception device 100 is displayed on the information processing device 200. The movement assistance device 300 can assist the movement of the patient 9 according to a selection instruction selected from the at least one corresponding instruction displayed on the information processing device 200.

[0016] The information processing device 200 is realized by a general-purpose tablet, smartphone or smartwatch. A medical staff such as a doctor holds the information processing device 200.

[0017] The movement assistance device 300 according to the present embodiment has the functions of both the electric wheelchair 10 and the electric walking vehicle 20. When the patient 9 uses either the electric wheelchair 10 or the electric walking vehicle 20 selected by the selection instruction, the used electric wheelchair 10 or electric walking vehicle 20 assists the movement of the patient 9.

[0018] Note that, as the movement assistance device 300, the electric wheelchair 10 and the electric walking vehicle 20 may be prepared separately. In this case, the one selected by the selection instruction among the electric wheelchair 10 and the electric walking vehicle 20 is driven to assist the movement of the patient 9, and the one not selected waits.

[0019] When receiving a selection instruction to assist the movement of the patient 9, the movement assistance device 300 self-drives from the standby position to the reception device. The standby position is a place where a plurality of movement assistance devices 300 wait until they receive a selection instruction and operate. The movement assistance device 300 has a sensor for avoiding obstacles while grasping the current position by GPS (Global Positioning System) or the like, and is configured to be able to perform automatic driving to the target position.

[0020] The reception device 100 notifies the patient 9 of the instruction in response to the above selection instruction. Specific instruction contents include, for example, an instruction to guide the bed number where dialysis treatment is performed and require the patient to move to the bed on foot, an instruction to use the mobility assistance device 300 to move to the bed where dialysis treatment is performed, and an instruction to require the patient to wait near the reception device 100 until the medical staff arrives, any of which.

[0021] FIG. 2 is a diagram showing a hardware configuration example of a reception device according to an embodiment of the present invention. As shown in FIGS. 1 and 2, the reception device 100 includes a processor 111, a memory 112, a communication interface 113, a display 114, a microphone 120, a speaker 130, a camera 140, and a weight sensor 150. The processor 111, the memory 112, and the communication interface 113 are typically attached to a motherboard (not shown).

[0022] The memory 112 is composed of storage media such as a ROM (Read Only Memory) 121, a RAM (Random Access Memory) 122, and a flash memory 123. By the processor 111 executing an operating system (not shown) and various application programs (not shown) stored in the memory 112, the reception device 100 executes various operations.

[0023] The communication interface 113 is an interface for communicating with each of the information processing device 200 and the mobility assistance device 300 through a network.

[0024] The display 114 displays various screens based on the output from the processor 111. The content of the interview with the patient 9 is displayed on the display 114 and notified from the speaker 130. The response from the patient 9 to the interview is received by the microphone 120 and input to the memory 112.

[0025] The camera 140 is a thermographic camera that measures the body temperature of patient 9 and inputs the measurement result into the memory 112. The weight sensor 150 measures the weight of patient 9 and inputs the measurement result into the memory 112. The camera 140 may also be able to measure other vital signs of patient 9, such as respiratory rate, pulse, and blood pressure, in addition to body temperature.

[0026] FIG. 3 is a diagram showing a hardware configuration example of an information processing apparatus according to an embodiment of the present invention. As shown in FIG. 3, the information processing apparatus 200 includes a processor 211, a memory 212, a communication interface 213, and a touch screen 214. The processor 211, the memory 212, and the communication interface 213 are typically attached to a motherboard (not shown).

[0027] The memory 212 is composed of storage media such as a ROM 221, a RAM 222, and a flash memory 223. The touch screen 214 includes a touch panel 241 and a display 242. The display 242 displays various screens based on the output from the processor 211.

[0028] The communication interface 213 is an interface for communicating with each of the reception device 100 and the movement assistance device 300 through a network.

[0029] By the processor 211 executing an operating system (not shown) and various application programs (not shown) stored in the memory 212, the information processing apparatus 200 executes various operations.

[0030] FIG. 4 is a diagram showing an example of the hardware configuration of the movement assistance device according to an embodiment of the present invention. As shown in FIG. 4, the movement assistance device 300 includes a control unit 310, a communication interface 313, a display 314, a microphone 320, a speaker 330, a drive unit 340, a sensor 350, and an operation input unit 30. The control unit 310 includes a processor 311 and a memory 312. The processor 311, the memory 312, and the communication interface 313 are typically attached to a motherboard (not shown).

[0031] The memory 312 is composed of storage media such as RAM, ROM, and flash memory. The control unit 310 controls the overall operation of the movement assistance device 300. Specifically, the processor 311 executes an operating system (not shown) and various application programs (not shown) stored in the memory 312, whereby the movement assistance device 300 executes various operations.

[0032] The communication interface 313 is an interface for communicating with each of the receiving device 100 and the information processing device 200 through a network. The movement assistance device 300 can receive a selection instruction transmitted from the information processing device 200 by the communication interface 313.

[0033] The display 314 displays various screens based on the output from the processor 311. On the display 314, a coping operation based on a selection instruction transmitted from the information processing device 200 and received by the communication interface 313 is displayed. Also, the bed number for guiding the patient 9 is displayed on the display 314.

[0034] The drive unit 340 is a motor that drives the movement assistance device 300. The drive unit 45 operates according to a command from the control unit 310. Specifically, according to a command from the control unit 310, driving along a movement route, switching between a driving state and a stop state, etc. are performed.

[0035] The operation input unit 30 receives operation instructions such as stopping the drive of the movement assistance device 300 from the patient 9 or emergency notifications such as abnormalities of the patient 9. A signal corresponding to the received content is sent to the control unit 310.

[0036] When the microphone 320 receives voice regarding an operation instruction for the movement assistance device 300 from the patient 9 or an emergency notification such as an abnormality of the patient 9, a signal corresponding to the received content is sent to the control unit 310.

[0037] The sensor 350 is a sensor capable of grasping the state of the patient 9. In the present embodiment, the sensor 350 is configured to be able to measure at least one of vital signs such as the body temperature, pulse, and oxygen saturation of the patient 9. The measurement result of the sensor 350 is sent to the control unit 310. When an abnormality of the patient 9 is detected from the vital signs of the patient 9, the control unit 310 displays the abnormality of the patient 9 on the display 314, notifies the abnormality of the patient 9 from the speaker 330, and stops the drive unit 340. Further, the control unit 310 notifies the information processing device 200 of the abnormality of the patient 9 through the communication interface 313. The abnormality of the patient 9 is displayed on the display 242 of the information processing device 200 that has received the abnormality of the patient 9.

[0038] FIG. 5 is a flowchart showing the operations from the start of receiving a patient to the implementation of a coping operation based on a selection instruction. FIG. 6 is a diagram showing the schematic configuration of list data regarding coping operations according to the interview information. As shown in FIG. 6, the list data D1 regarding coping operations includes coping operations associated with the interview content and the responses from the patient. The list data D1 is stored in the memory 112.

[0039] As shown in FIG. 5, in step S11, the reception device 100 receives patient information capable of identifying the patient 9. Specifically, the reception device 100 receives identification information of the patient 9 such as the name or patient number obtained from the voice of the patient 9 input to the microphone 120. The reception device 100 reads out the medical record of the patient 9 specified from the identification information of the patient 9.

[0040] In step S12, the weight of patient 9 is measured by the weight sensor 150, and the measured weight of patient 9 is input into the memory 112. The weight of patient 9 is used for setting the conditions of dialysis treatment.

[0041] In step S13, the reception device 100 activates the interview application stored in the memory 112. The interview application executes processing based on the list data D1 shown in FIG. 6. The reception device 100 speaks to patient 9 from the speaker 130, "Is there any change in your physical condition?" as the first interview. At this time, the camera 140 measures the vital signs of patient 9 including the body temperature of patient 9.

[0042] In step S14, the reception device 100 receives the response from patient 9 to the first interview. In step S15, the reception device 100 analyzes the response from patient 9.

[0043] In step S16, the reception device 100 obtains a coping operation for the analyzed response of the patient based on the list data D1. When the analysis result of the response from patient 9 is "no change in the vital signs of patient 9 including the physical condition", and it can be confirmed from the vital signs of patient 9 including the body temperature of patient 9 measured by the camera 140 that patient 9 does not exceed the set range of vital signs such as fever, the coping operation obtained based on the list data D1 is "guide the bed number". Examples of the set range of vital signs include a body temperature range of 35°C or higher and 37.4°C or lower, a pulse rate range of 60 beats / min or higher and 100 beats / min or lower, a respiratory rate range of 11 breaths / min or higher and 24 breaths / min or lower, an oxygen saturation range of 90% or higher and 100% or lower, and a systolic blood pressure range of 80 mmHg or higher and 180 mmHg or lower.

[0044] In step S17, the reception device 100 guides the bed number as a countermeasure operation. Specifically, the bed number of patient 9 is displayed on the display 114 and notified from the speaker 130, and patient 9 is requested to move to the bed on foot.

[0045] In step S18, the reception device 100 checks whether a response instruction has been presented to the medical staff holding the information processing device 200. If the response instruction has not been presented to the medical staff holding the information processing device 200, in step S19, the reception device 100 checks whether the bed number has been guided to patient 9. If the bed number has been guided to patient 9, the reception corresponding to patient 9 is completed. If the bed number has not been guided to patient 9, the process returns to step S13, and the next interview proceeds based on the list data D1.

[0046] In step S15, if the analysis result of the response from patient 9 to "Has there been a change in physical condition?" in interview 1 is "There has been a change in physical condition", then in step S16, the countermeasure operation obtained based on the list data D1 is "Proceed to interview 2".

[0047] In this case, in step S17, the reception device 100 proceeds to interview 2, and in step 13 via steps 18 and 19, as interview 2, the reception device 100 speaks to patient 9 from the speaker 130, asking "What symptoms do you have?".

[0048] In step 16 via steps 14 and 15, if the analysis result of the response from patient 9 is "infectious disease", or if it can be confirmed from the body temperature of patient 9 measured by the camera 140 that patient 9 has a fever, the countermeasure operation obtained by the reception device 100 based on the list data D1 is "Display screen 1".

[0049] FIG. 7 is a diagram showing screen 1 displayed on the touch screen of the information processing apparatus. In step S17, as shown in FIG. 7, on the touch screen 214 of the information processing apparatus 200, the inquiry information acquired by the reception apparatus 100 and the corresponding instruction according to the inquiry information are displayed. Specifically, as the corresponding instruction, a movable button 215 for requesting patient 9 to move to the bed on foot and a standby button 216 for requesting patient 9 to wait near the reception apparatus 100 are displayed. In this case, the reception apparatus 100 proceeds to step S20 via step 18.

[0050] In step S20, when the reception apparatus 100 receives that the medical staff has selected the movable button 215, in step S21, according to the selection instruction, it guides patient 9 to the bed number. Specifically, the bed number of patient 9 is displayed on the display 114 and notified from the speaker 130, and patient 9 is requested to move to the bed on foot. Thereby, the reception response for patient 9 is completed.

[0051] In step S20, when the reception apparatus 100 receives that the medical staff has selected the standby button 216, in step S21, according to the selection instruction, it requests patient 9 to wait near the reception apparatus 100 until the medical staff arrives. Specifically, it is displayed on the display 114 and also notified from the speaker 130 for patient 9 to wait near the reception apparatus 100. Thereby, the reception response for patient 9 is completed.

[0052] In step S15, when the analysis result of the reply from patient 9 to "What symptoms do you have?" in inquiry 2 is "Injury or medical disease", the coping operation acquired based on the list data D1 in step S16 is "Proceed to inquiry 3".

[0053] In this case, in step S17, the reception apparatus 100 proceeds to inquiry 3, and in step 13 via steps 18 and 19, as inquiry 3, it speaks from the speaker 130 to patient 9, "Is face-to-face inquiry necessary?".

[0054] In step 16 after going through step 14 and step 15, when the analysis result of the response from patient 9 is "face-to-face interview is required", the coping operation acquired by the reception device 100 based on the list data D1 is to "display screen 2".

[0055] FIG. 8 is a diagram showing screen 2 displayed on the touch screen of the information processing device. In step S17, as shown in FIG. 8, on the touch screen 214 of the information processing device 200, the interview information acquired by the reception device 100 and the corresponding instruction according to the interview information are displayed. Specifically, as the corresponding instruction, a standby button 216 for asking patient 9 to wait near the reception device 100 is displayed. In this case, the reception device 100 proceeds to step S20 after going through step 18.

[0056] In step S20, when the reception device 100 receives that the medical staff has selected the standby button 216, in step S21, according to the selection instruction, it asks patient 9 to wait near the reception device 100 until the medical staff arrives. Specifically, it is displayed on the display 114 for patient 9 to wait near the reception device 100 and is also notified from the speaker 130. Thereby, the reception correspondence for patient 9 is completed.

[0057] In step S15, when the analysis result of the response from patient 9 to "Is a face-to-face interview required?" in interview 3 is "a face-to-face interview is not required", the coping operation acquired based on the list data D1 in step S16 is to "proceed to interview 4".

[0058] In this case, in step S17, the reception device 100 proceeds to interview 4, and in step 13 after going through step 18 and step 19, as interview 4, it speaks from the speaker 130 to patient 9, asking "Is a mobility assistance device required?".

[0059] In step 16 after steps 14 and 15, when the analysis result of the response from patient 9 is "a mobility assistance device is required", the coping operation acquired by the reception device 100 based on the list data D1 is to "display screen 3".

[0060] Figure 9 is a diagram showing screen 3 displayed on the touch screen of the information processing device. In step S17, as shown in Figure 9, on the touch screen 214 of the information processing device 200, the inquiry information acquired by the reception device 100 and the corresponding instruction according to the inquiry information are displayed. Specifically, as the corresponding instruction, an electric wheelchair button 217 for requesting patient 9 to move to the bed using an electric wheelchair, an electric walking aid button 218 for requesting patient 9 to move to the bed using an electric walking aid, and a standby button 216 for requesting patient 9 to wait near the reception device 100 are displayed. In this case, the reception device 100 proceeds to step S20 via step 18.

[0061] When the reception device 100 receives in step S20 that the medical staff has selected the electric wheelchair button 217, in step S21, according to the selection instruction, it requests patient 9 to move to the bed where dialysis treatment is to be performed using the electric wheelchair 10 of the mobility assistance device 300. Specifically, the identification number of the mobility assistance device 300 is displayed on the display 114 and notified from the speaker 130, and it requests patient 9 to wait until the mobility assistance device 300 arrives, and then move to the bed using the electric wheelchair 10 of the arrived mobility assistance device 300. When the medical staff selects the electric wheelchair button 217, a selection instruction for the mobility assistance device 300 to assist in the movement of patient 9 is transmitted, and the mobility assistance device 300 self-drives from the standby position to the reception device 100. Thereby, the reception correspondence for patient 9 is completed.

[0062] When the reception device 100 receives in step S20 that the medical staff has selected the button 218 of the electric wheelchair, in step S21, in response to the selection instruction, it requests the patient 9 to move to the bed where dialysis treatment is to be performed using the electric wheelchair 20 of the movement assistance device 300. Specifically, the identification number of the movement assistance device 300 is displayed on the display 114 and notified from the speaker 130, and it waits until the movement assistance device 300 arrives at the patient 9, and requests to move to the bed using the electric wheelchair 20 of the arrived movement assistance device 300. When the medical staff selects the button 218 of the electric wheelchair, a selection instruction for assisting the movement of the patient 9 is transmitted to the movement assistance device 300, and the movement assistance device 300 self-drives from the standby position to the reception device 100. Thereby, the reception response for the patient 9 is completed.

[0063] When the reception device 100 receives in step S20 that the medical staff has selected the standby button 216, in step S21, in response to the selection instruction, it requests the patient 9 to wait near the reception device 100 until the medical staff arrives. Specifically, it is displayed on the display 114 and also notified from the speaker 130 for the patient 9 to wait near the reception device 100. Thereby, the reception response for the patient 9 is completed.

[0064] In step S15, when the analysis result of the response from the patient 9 to "Is a movement assistance device required?" in the medical interview 4 is "A movement assistance device is not required", the coping operation obtained based on the list data D1 in step S16 is "Display screen 4".

[0065] FIG. 10 is a diagram showing a screen 4 displayed on the touch screen of the information processing apparatus. In step S17, as shown in FIG. 10, on the touch screen 214 of the information processing apparatus 200, the inquiry information acquired by the reception apparatus 100 and the corresponding instruction according to the inquiry information are displayed. Specifically, as the corresponding instruction, a movable button 215 for requesting the patient 9 to move to the bed on foot and a standby button 216 for requesting the patient 9 to wait near the reception apparatus 100 are displayed. In this case, the reception apparatus 100 proceeds to step S20 via step 18.

[0066] In step S20, when the reception apparatus 100 receives that the medical staff has selected the movable button 215, in step S21, according to the selection instruction, it guides the patient 9 to the bed number. Specifically, the bed number of the patient 9 is displayed on the display 114 and notified from the speaker 130, and the patient 9 is requested to move to the bed on foot. Thereby, the reception response for the patient 9 is completed.

[0067] In step S20, when the reception apparatus 100 receives that the medical staff has selected the standby button 216, in step S21, according to the selection instruction, it requests the patient 9 to wait near the reception apparatus 100 until the medical staff arrives. Specifically, it is displayed on the display 114 and also notified from the speaker 130 for the patient 9 to wait near the reception apparatus 100. Thereby, the reception response for the patient 9 is completed.

[0068] System 1 according to an embodiment of the present invention includes a reception device 100, an information processing device 200, and a movement assistance device 300. The reception device 100 can acquire interview information for determining whether a patient 9 can move. At least one corresponding instruction according to the interview information acquired by the reception device 100 is displayed on the information processing device 200. The movement assistance device 300 can assist the movement of the patient 9 according to a selection instruction selected from the at least one corresponding instruction displayed on the information processing device 200. Thereby, it is possible to appropriately select and respond to the means of movement and the possibility of movement according to the state of the patient. As a result, it is possible to appropriately receive the patient while reducing the labor of medical staff.

[0069] When receiving a selection instruction to assist the movement of the patient 9, the movement assistance device 300 according to an embodiment of the present invention self-drives from the standby position to the reception device. Thereby, it is possible to appropriately move the patient while reducing the labor of medical staff.

[0070] The movement assistance device 300 according to an embodiment of the present invention includes an electric wheelchair 10 and an electric walking aid 20. Either the electric wheelchair 10 or the electric walking aid 20 selected by the selection instruction assists the movement of the patient 9. Thereby, it is possible to assist the movement of the patient 9 according to the walking ability of the patient 9, and it is possible to suppress the muscle strength decline of the patient 9.

[0071] The movement assistance device 300 according to an embodiment of the present invention has a sensor 350 capable of grasping the state of the patient 9, and is configured to be able to notify the information processing device 200 when the sensor 350 senses an abnormality of the patient 9. Thereby, it is possible to quickly detect and deal with an abnormality of the patient 9 during movement using the movement assistance device 300.

[0072] The reception device 100 according to an embodiment of the present invention notifies the patient 9 of an instruction according to the selection instruction. Thereby, it is possible to appropriately convey to the patient 9 whether movement is possible and the means of movement.

[0073] In the above embodiments, the configurations that can be combined with each other may be combined with each other. It should be considered that all the embodiments disclosed this time are illustrative in all respects and not restrictive. The scope of the present invention is shown not by the above description but by the claims, and it is intended that all changes within the meaning and scope equivalent to the claims are included.

Explanation of Signs

[0074] 9 Patient, 10 Electric wheelchair, 20 Electric walking aid, 30 Operation input unit, 45,340 Drive unit, 100 Reception device, 111,211,311 Processor, 112,212,312 Memory, 113,213,313 Communication interface, 114,242,314 Display, 120,320 Microphone, 123,223 Flash memory, 130,330 Speaker, 140 Camera, 150 Weight sensor, 200 Information processing device, 214 Touch screen, 215 Movable button, 216 Standby button, 217 Electric wheelchair button, 218 Electric walking aid button, 221 ROM, 222 RAM, 241 Touch panel, 300 Mobility assistance device, 310 Control unit, 350 Sensor, D1 List data.

Claims

1. A reception device capable of acquiring interview information for determining the feasibility of movement from a patient, An information processing device on which at least one corresponding instruction according to the interview information acquired by the reception device is displayed, A system comprising a movement assistance device capable of assisting the movement of the patient according to a selection instruction selected from the at least one corresponding instruction displayed on the information processing device.

2. The system according to claim 1, wherein when the movement assistance device receives the selection instruction to assist the movement of the patient, it self-drives from a standby position to the reception device.

3. As the movement assistance device, an electric wheelchair and an electric walking aid are provided, The system according to claim 2, wherein either the electric wheelchair or the electric walking aid selected by the selection instruction assists the movement of the patient.

4. The system according to claim 3, wherein the movement assistance device has a sensor capable of grasping the state of the patient, and is configured to be able to notify the information processing device when the sensor senses an abnormality of the patient.

5. The system according to any one of claims 1 to 4, wherein the reception device notifies the patient of an instruction according to the selection instruction.

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