Analysis assistance device, analysis assistance method, analysis assistance program, and analysis assistance terminal

The analysis support device facilitates the systematic recognition of ICF item relationships by designating, extracting, and displaying related ICF items, enhancing the accuracy and objectivity of assessments for users with limited experience.

JP2025153474APending Publication Date: 2025-10-10OMRON CORP
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Patent Information

Application Number
JP2024055972
Authority / Receiving Office
JP · JP
Patent Type
Applications
Current Assignee / Owner
Filing Date
2024-03-29
Publication Date
2025-10-10

AI Technical Summary

Technical Problem

Accurately understanding and applying the relationships between International Classification of Functioning, Disability and Health (ICF) items, including their strengths, has been difficult due to the accumulation of these relationships as tacit knowledge, making it challenging for users to systematically and objectively recognize them.

Method used

An analysis support device that includes a reception unit to designate ICF items, an extraction unit to relate these items based on predefined interrelationships, and a display control unit to visually associate and display related ICF items, facilitating comprehensive understanding of a subject's condition.

Benefits of technology

Enables users with little caregiving experience to accurately assess a subject's condition by recognizing inhibitors and facilitators of disabilities, ensuring objective and accurate assessments through quantified correlations and highlighting relevant ICF items.

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Abstract

To provide an analysis assistance device, etc., with which it is possible for users to appropriately recognize an ICF item associated with a specific ICF item.SOLUTION: An analysis assistance device comprises: a reception unit for receiving designation of at least one first item from a plurality of ICF items belonging to one of six categories consisting of a health state, a mental function and body structure, activity, participation, environment factor, and personal factor that are each classified by ICF; an extraction unit for extracting at least one second item associated with the first item from a plurality of ICF items on the basis of the interrelationship between a plurality of preliminarily adopted ICF items; and a display control unit for causing a display unit to display the first and the second items in association.SELECTED DRAWING: Figure 9
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Description

[Technical Field]

[0001] The present invention relates to an analysis support device, an analysis support method, an analysis support program, and an analysis support terminal. [Background technology]

[0002] To enable elderly people and other such subjects to live their daily lives independently, caregivers interview the subjects, analyze their living situations, identify problems related to daily activities, and provide advice to overcome those problems. Furthermore, the care service support device disclosed in Patent Document 1 provides information on service providers that meet the needs of the person requiring support based on input of information about the person requiring support.

[0003] In assessments, classification based on the ICF (International Classification of Functioning, Disability and Health) functioning model is known as a method for objectively and systematically elucidating the condition of a subject from responses collected through interviews or the like. The ICF is a concept adopted by the World Health Organization (WHO) in 2001 for understanding a person's health condition and factors that affect health, and specifically classifies a person's condition into six categories (health condition, mental and physical functions and structure, activity, participation, environmental factors, and personal factors). When using the ICF classification, analytical support devices that assist in the task of classifying into each ICF category are being developed to prevent variations due to the knowledge and experience of the examiner performing the assessment (e.g., Patent Document 2). [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Japanese Patent Application Publication No. 11-53455 [Patent Document 2] Japanese Patent Publication No. 2022-170117 Summary of the Invention [Problem to be solved by the invention]

[0005] The ICF is divided into six categories, each of which contains a wide variety of items (hereafter referred to as "ICF items") that are systematically organized. ICF items are subdivisions of a subject's condition and the factors that influence that condition. These items include not only direct factors such as physical and mental disabilities, but also indirect factors such as hobbies, preferences, and residential environment. Many ICF items are related to other ICF items, and these relationships may be the cause of a subject's condition or may manifest as a result. Accurately understanding and applying the relationships between ICF items, and the strength of those relationships, has been difficult not only for assessors but also for other users of the ICF classification. In particular, the presence or absence of relationships between ICF items and the strength of those relationships have tended to be accumulated empirically as tacit knowledge, making it difficult for users to systematically and objectively recognize them.

[0006] The present invention has been made to solve such problems, and provides an analysis support device and the like that allows a user to appropriately recognize ICF items related to a specific ICF item. [Means for solving the problem]

[0007] The analysis support device in a first aspect of the present invention includes a reception unit that receives the designation of at least one first item from a plurality of ICF items that belong to one of six categories classified by the ICF: health status, physical and mental functions / structures, activities, participation, environmental factors, and personal factors; an extraction unit that extracts at least one second item related to the first item from the plurality of ICF items based on the interrelationships between the plurality of ICF items that have been established in advance; and a display control unit that associates the first item with the second item and displays them on a display unit.

[0008] In this way, the display unit correlates and displays other ICF items related to the ICF item selected by the user. This allows even users with little caregiving experience to accurately understand the questions to ask the examinee and assess the validity of the examinee's responses. Understanding the correlations between ICF items allows for a comprehensive overview of the examinee's condition and an accurate assessment of their condition. For example, even users with little caregiving experience can be expected to gain new insights into the analysis of the examinee's condition, such as the inhibitors that cause problems and the facilitators that lead to the improvement of problems or the alleviation of disabilities, thereby assisting in the assessment of the examinee's condition. Furthermore, the correlations between ICF items are defined in a database, for example, by aggregating the correlations between ICF items systematically accumulated by the examiner's organization. This ensures objectivity and, as the correlations are updated based on the organization's accumulated experience, their accuracy is expected to improve over time.

[0009] In the analysis support device, the display control unit may display the relationship between the first and second items according to the degree of association defined as the interrelationship. By displaying in this manner, the user can also recognize the strength of the association between the extracted ICF items.

[0010] The extraction unit may also extract the second item from multiple ICF items belonging to a category different from the first category to which the first item belongs among the six categories. Because it is particularly difficult for users to understand the relationship between a certain ICF item and ICF items belonging to different categories, such a restriction by the extraction unit can meet various user needs. For example, if the subject is elderly, it can more intuitively understand how a direct ICF item, such as physical functional disability, is related to ICF items such as hobbies and interests and home environment, which may be indirect factors. The display control unit may also display the first and second items on the display unit together with the categories to which they belong. Displaying the categories together is expected to facilitate user understanding.

[0011] The extraction unit may also extract the second item by taking into account the first assigned score for the first item of the subject, which was assigned based on the results of an assessment conducted on the subject. By extracting the second item in this way while taking into account the results of the assessment of the subject, it is possible to extract ICF items that are highly relevant to the subject, rather than simply focusing on the relationships between the ICF items. In other words, the user can recognize the relationships between the ICF items that correspond to the condition and characteristics of the subject.

[0012] In this case, the extraction unit may calculate a second calculated score for the candidate second item based on the relevance defined as the correlation and the first assigned score, and extract the second item based on the second calculated score. Performing the extraction process by quantifying the scores in this manner ensures higher objectivity. When performing the extraction process by quantifying the scores in this manner, the display control unit may display a warning if there is a difference of a predetermined threshold or more between the second calculated score and the second assigned score for the second item assigned to the subject based on the assessment results. When the warning is displayed in this manner, the examiner can confirm whether the assessment was performed correctly.

[0013] Furthermore, the extraction unit may further extract, from the extracted second items, inferior items for which the second scores assigned to the subject based on the assessment results are lower than a predetermined standard, and the display control unit may display the inferior items in a manner distinguished from the other second items or omit the other second items. Conversely, the extraction unit may further extract, from the extracted second items, superior items for which the second scores assigned to the subject based on the assessment results are higher than a predetermined standard, and the display control unit may display the superior items in a manner distinguished from the other second items or omit the other second items. In this way, by displaying superior items in which the subject is good at something, or conversely, displaying inferior items in which the subject is poor at something, the examiner can not only grasp the subject's condition from a bird's-eye view and use this information for analysis and support, but also provide advice and encouragement in line with the subject's hobbies, tastes, and requests, for example.

[0014] Furthermore, the extraction unit may further extract, from the extracted second items, unassigned items that are not associated with the second assigned score for the subject based on the assessment results, and the display control unit may display the unassigned items in a manner that distinguishes them from the other second items or omits the other second items. By processing in this manner, it is possible to encourage the examiner to conduct an assessment regarding the second items that are highly relevant to the first items.

[0015] On the other hand, the extraction unit may extract the second item based on the second assigned score assigned to the candidate for the second item of the subject based on the assessment results. Extracting the second item by focusing on the second assigned score in this manner is convenient for understanding the condition and characteristics of the subject. In this case, the display control unit may display a warning if there is a difference of a predetermined threshold or more between the second assigned score and the second calculated score calculated based on the relevance defined as the correlation and the first assigned score. When the warning is displayed in this manner, the examiner can confirm whether the assessment was performed correctly.

[0016] The display control unit may also display the first assigned score and the second score associated with the extracted second item. If the display corresponding to the second score is also displayed, the user can easily understand the association with the first item.

[0017] Furthermore, when the receiving unit receives the designation of two or more first items, the extraction unit may extract a second item based on the interrelationships between the two or more first items. Because the relationship between ICF items can vary between one-to-one and many-to-one relationships, performing this processing allows the user to more accurately recognize the interrelationships between the ICF items. In this case, the display control unit may calculate the interrelationships between the two or more first items specified and each of the extracted second items based on the degree of interrelationships defined as interrelationships, and change the display mode of the second items according to the calculated interrelationships. For example, by highlighting second items that are more closely related to multiple first items, the user can more easily recognize more important relationships.

[0018] The extraction unit may also extract at least one third item related to the second item from the multiple ICF items based on the interrelationships, and the display control unit may display the third item in association with the first and second items. By displaying items related in a chain in this way, the user can grasp the overall relationship at a bird's-eye view.

[0019] In addition, an analysis support method according to a second aspect of the present invention includes a receiving step of receiving designation of at least one first item from a plurality of ICF items belonging to one of six categories classified by the ICF: health status, body functions and structure, activity, participation, environmental factors, and personal factors, an extraction step of extracting at least one second item related to the first item from the plurality of ICF items based on predetermined interrelationships between the plurality of ICF items, and a display step of associating the first item with the second item and displaying the association between the first item and the second item on a display unit.In addition, an analysis support program according to a third aspect of the present invention causes a computer to execute a receiving step of receiving designation of at least one first item from a plurality of ICF items belonging to one of six categories classified by the ICF: health status, body functions and structure, activity, participation, environmental factors, and personal factors, an extraction step of extracting at least one second item related to the first item from the plurality of ICF items based on predetermined interrelationships between the plurality of ICF items, and a display step of associating the first item with the second item and displaying the association between the first item and the second item on a display unit. In the second and third aspects, as in the first aspect, the user can properly understand the questions that should be asked of the subject and judge the validity of the subject's answers.

[0020] In addition, an analysis support terminal according to a fourth aspect of the present invention includes a receiving unit that receives designation of at least one first item from a plurality of ICF items, each of which belongs to one of six categories classified by the ICF: health condition, mental and physical functions and structure, activity, participation, environmental factors, and personal factors, a requesting unit that requests at least one second item related to the first item from the plurality of ICF items, and a display unit that displays the second item acquired in response to the request from the requesting unit in association with the first item. Even with this analysis support terminal, as in the first aspect, if information on the second item extracted by the server, for example, is acquired, the user can appropriately understand the matters to be asked of the subject and judge the validity of the subject's answers. [Effects of the Invention]

[0021] The present invention can provide an analysis support device or the like that allows a user to appropriately recognize ICF items related to a specific ICF item. [Brief explanation of the drawings]

[0022] [Figure 1] FIG. 1 is a diagram showing how an analysis support device according to an embodiment of the present invention is used. [Figure 2] FIG. 2 is a diagram illustrating the main hardware configuration of the analysis support server. [Figure 3] FIG. 2 is a diagram illustrating the main hardware configuration of the analysis support terminal. [Figure 4] FIG. 10 is a diagram showing an example of a UI screen for accepting answers to basic questions about daily life. [Figure 5] FIG. 10 is a diagram showing an example of a UI screen for accepting answers to questions about basic body movements. [Figure 6] FIG. 1 is a diagram partially illustrating an example of an item information database that defines each ICF item. [Figure 7] FIG. 10 is a diagram showing an example of an ICF classification display UI screen that displays assessment items on an ICF item basis. [Figure 8] FIG. 1 is a diagram partially illustrating an example of an interrelationship database that defines interrelationships between ICF items. [Figure 9] FIG. 10 is a diagram showing an example of a UI screen on which second and third items related to a specified first item are displayed. [Figure 10] FIG. 10 is a diagram showing an example of a UI screen on which related second and third items are displayed when multiple first items are specified. [Figure 11] FIG. 10 is a diagram showing an example of a UI screen in which accompanying information is superimposed. [Figure 12] FIG. 10 is a diagram illustrating an example of a UI screen when a simple display and an assigned score criterion are specified. [Figure 13] FIG. 10 is a flow chart showing the processing steps of the analysis support server and the analysis support terminal regarding ICF interrelationship display. [Figure 14]FIG. 10 is a diagram showing an example of a UI screen for displaying ICF interrelationships as an application example. [Figure 15] FIG. 10 is a diagram showing an example of a UI screen for displaying ICF interrelationships as a further application example. DETAILED DESCRIPTION OF THE INVENTION

[0023] The present invention will be described below through embodiments of the invention, but the invention according to the claims is not limited to the following embodiments. Furthermore, not all of the configurations described in the embodiments are necessarily essential as means for solving the problems.

[0024] 1 is a diagram showing how an analysis support device according to this embodiment is used. The analysis support device according to this embodiment can be realized by an analysis support server 100, an analysis support terminal 300, or both the analysis support server 100 and the analysis support terminal 300. The analysis support server 100 is connected to a network 900 such as the Internet, and exchanges information and instruction commands with the analysis support terminal 300, which is a tablet terminal of an examiner who is a user of the analysis support device, via the network 900 and a wireless unit 910. The wireless unit 910 is wireless communication equipment installed in an environment where the analysis support terminal 300 is used, such as a wireless LAN (Local Area Network) device.

[0025] In the following, an embodiment will be described in which the analysis support server 100 and the analysis support terminal 300 cooperate to execute display processing for displaying data on the analysis support terminal 300 held by the examiner and acquisition processing for acquiring the subject's assessment results. In such an embodiment, the analysis support server 100 functions as an analysis support device by executing processing according to its role. At this time, the analysis support terminal 300 requests processing from the analysis support server 100 and displays information regarding display control acquired from the analysis support server 100 on a display unit. In addition, the analysis support terminal 300 can be equipped with a database described in the following embodiments, and can also execute processing performed by the analysis support server 100. In such a case, the analysis support terminal 300 itself functions as an analysis support device. In the following embodiments, a server and a tablet terminal will be described as devices that execute various processes, but a PC, smartphone, or the like may also be used.

[0026] The analysis support device in this embodiment supports assessments in which an examiner interviews a subject, analyzes the subject's living situation, and objectively and systematically elucidates the subject's condition so that the subject can live independently in daily life. Here, the examiner is typically a caregiver, physical therapist, care manager, nurse, or other person with specialized knowledge. The subject may be elderly or disabled, who are anxious about living independently in daily life. The examiner interviews the subject according to questions displayed on the analysis support terminal 300, obtains analysis and evaluation results, and can provide the subject with necessary advice or develop a support plan. The assessment items are not limited to interviews by the examiner. For example, the gait and walking speed of the subject walking on a treadmill may be acquired using a sensor or the like to obtain analysis and evaluation results. In this embodiment, to suggest to the examiner who performs the assessment, for example, the priority of items to be asked of the subject and whether there are any excesses or deficiencies, ICF items related to ICF items that have already been assessed are displayed on the display of the analysis support terminal 300. The configurations of the analysis support server 100 and analysis support terminal 300 that realize such a display, examples of user interface (UI) screens, and processing procedures will be explained in order.

[0027] 2 is a diagram showing the main hardware configuration of the analysis support server 100. The analysis support server 100 is mainly composed of a system control unit 110, a communication unit 140, and a storage device 150. In this embodiment, the analysis support server 100 also includes a display monitor 120 and an input device 130 so that the user can directly perform tasks such as inputting information and updating programs into the analysis support server 100.

[0028] The system control unit 110 is a processor (CPU: Central Processing Unit) that controls the analysis support server 100 and executes programs. The processor may be configured to work in conjunction with a processing chip such as an ASIC or GPU. The display monitor 120 is, for example, a monitor equipped with a liquid crystal panel, and visibly displays, for example, personal information of subjects and information sent from the analysis support terminal 300. The input device 130 is, for example, a keyboard or mouse, and accepts inputs for comprehensively managing personal information of multiple subjects.

[0029] The communication unit 140 is configured by, for example, a LAN, and is responsible for connecting to the network 900 and exchanging data with the analysis support terminal 300. The communication unit 140 exchanges instruction commands and information with the network 900 under the control of the system control unit 110.

[0030] The storage device 150 is a non-volatile storage medium and is configured, for example, by an HDD (Hard Disk Drive). In addition to programs that control and execute processing of the analysis support server 100, the storage device 150 also stores various parameters used for control and calculation, personal information of subjects registered as users, etc. The storage device 150 particularly includes an assessment information database 151 (hereinafter referred to as "assessment information DB151"), an item information database 152 (hereinafter referred to as "classification table DB152"), and a mutual relationship database 153 (hereinafter referred to as "mutual relationship DB153").

[0031] The assessment information DB 151 is a database that stores assessment information that has been conducted for each subject, as well as collected and analyzed assessment information. The item information DB 152 is a database that comprehensively manages items prepared for each assessment question and its options. Each item is an ICF item that belongs to one of the six categories classified by the ICF: health status, physical and mental functions / structures, activities, participation, environmental factors, and personal factors, and is associated with codes defined in the ICF. Details of the item information DB 152 will be described later. The interrelationship DB 153 is a database that defines interrelationships between ICF items. An interrelation indicates, for example, the strength of association between one ICF item and another ICF item. Details of the interrelationship DB will be described later. Note that the storage device 150 does not have to be configured as a single piece of hardware; for example, a storage medium for storing a program and a storage medium for storing each database may be configured as separate hardware.

[0032] The system control unit 110 also functions as a functional calculation unit that executes various calculations in response to processing instructed by the analysis support program. The system control unit 110 can function, among other things, as a reception unit 111, extraction unit 112, and display control unit 113. The reception unit 111 mainly receives, in response to a request from the analysis support terminal 300, the designation of at least one first item from multiple ICF items, each of which belongs to one of six categories classified by the ICF: health status, mental and physical functions and structures, activities, participation, environmental factors, and personal factors. The extraction unit 112 mainly extracts at least one second item related to the first item received by the reception unit 111 from the multiple ICF items based on pre-established interrelationships defined in the interrelationship DB 153. The display control unit 113 mainly transmits information to the analysis support terminal 300 via the communication unit 140, for displaying the first item received by the reception unit 111 and the second item extracted by the extraction unit 112 in association with each other on the display unit. The specific calculation processes of these function calculation units will be explained step by step using examples of UI screens displayed on the display panel 320 of the analysis support terminal 300.

[0033] 3 is a diagram showing the main hardware configuration of the analysis support terminal 300. The analysis support terminal 300 is mainly composed of a terminal control unit 310, a display panel 320, a touch panel 330, a communication unit 340, and a storage unit 350. The terminal control unit 310 is a processor (CPU) that controls the analysis support terminal 300 and executes programs. The processor may be configured as an arithmetic processing chip such as an ASIC (Application Specific Integrated Circuit) or a GPU (Graphics Processing Unit). The terminal control unit 310 executes various processes according to instructions from a terminal control program that works in conjunction with the analysis support program.

[0034] The display panel 320 is an example of a display device and includes, for example, a liquid crystal display panel, and visibly displays a user interface screen generated by the terminal control unit 310, moving images explaining how to use the device, etc. The touch panel 330 is an input device superimposed on the display panel 320, and generates an input signal according to the position and movement of a touching fingertip. For example, the touch panel 330 accepts operations such as tapping, swiping, and pinching.

[0035] The communication unit 340 is responsible for connecting to the network 900 and exchanging data with the analysis support server 100, and is configured by, for example, a wireless LAN. The communication unit 340 exchanges instruction commands and information with a wireless unit 910 connected to the network 900 under the control of the terminal control unit 310.

[0036] The storage unit 350 is a non-volatile storage medium, such as a solid state drive. The storage unit 350 stores various parameter values ​​used for control and calculation, as well as programs that control and execute processes on the analysis support terminal 300. In particular, it stores a CG library 351, which is a collection of graphic elements that make up a user interface screen. The graphic elements included in the CG library 351 are read and used as appropriate depending on the UI screen to be displayed.

[0037] The terminal control unit 310 also functions as a functional calculation unit that executes various calculations in response to processing commands from the terminal control program. The terminal control unit 310 can function, among other functions, as a reception unit 311, a request unit 312, and a display control unit 313. The reception unit 311 primarily receives, via tapping on the touch panel 330, the designation of at least one first item from multiple ICF items, each of which belongs to one of six categories classified by the ICF: health status, mental and physical functions and structures, activities, participation, environmental factors, and personal factors. The request unit 312 primarily requests at least one second item related to the first item received by the reception unit 311 from the analysis support server 100 via the communication unit 340. The display control unit 313 primarily associates the first item with the second item and displays them on the display panel 320 in accordance with display information including the second item acquired in response to a request from the request unit 312. The specific calculation processes of these function calculation units will be explained step by step using examples of UI screens displayed on the display panel 320 of the analysis support terminal 300.

[0038] 4 is a diagram showing an example of a UI screen that accepts answers to basic questions about daily life. More specifically, this is the UI screen immediately after the input operation of information about the subject, who is the test subject, has been completed and an assessment regarding the "basic check" has begun.

[0039] The display control unit 313 mainly displays the subject's name 501, which is the input name of the subject, assessment buttons 511, ICF buttons 512, command buttons 513, questions 521 related to the "basic check," and options 522 corresponding to each question on the display panel 320. The assessment buttons 511 are selectable buttons provided for each of the following assessment categories related to daily living functions: "basic check," "health," "basic movements," "ADL," "IADL," "nutrition," and "oral health." The examiner can start the corresponding assessment by tapping any of the assessment buttons 511. The figure shows that "basic check" is selected. For example, ADL (Activities of Daily Living) refers to the minimum activities of daily living required for a person to live a normal life, and includes daily activities such as walking, toileting, eating, bathing, and dressing. IADL (Instrumental Activities of Daily Living) refers to ADLs, which also include complex and advanced daily activities such as cleaning, laundry, shopping, and cooking. The examiner calls up questions prepared for each category and interviews the subject based on those questions.

[0040] The ICF button 512 is a button for switching to a display in which the input answers are classified by ICF categories (hereinafter referred to as "ICF classification display"). The examiner can switch to the ICF classification display by tapping the ICF button 512 not only after all assessments have been completed, but also while performing an assessment of any of the living functions. The command buttons 513 include "Back," "Temporary Save," and "Done," and the examiner can execute each command. Specifically, by tapping "Back," the examiner can return to the input screen for entering subject information; by tapping "Temporary Save," the work history up to that point can be stored in the memory; and by tapping "Done," the assessment process can be terminated.

[0041] In the area below the horizontally arranged assessment buttons 511 and ICF buttons 512, multiple questions 521 related to the selected daily living function and corresponding answer choices 522 for each question 521 are displayed. In the example shown in the figure, five questions for "Basic Daily Living Function," which are provided as the first item in the "Basic Check," and three questions for "Motor Function," which are provided as the second item, are displayed with their corresponding answer choices "Yes" and "No." For example, question 521, "06. Do you climb stairs without holding on to the handrail or wall?", is displayed in a horizontal row with its answer choices "0. Yes" and "1. No." The questions in the "Basic Check" can conform to the Basic Checklist, a form recommended by the Ministry of Health, Labor and Welfare to local governments and businesses for understanding and checking the daily life of test subjects.

[0042] The examiner checks the displayed questions and asks the subject questions in a way that is easy for the subject to answer. Specifically, the examiner rephrases the questions or adjusts the tone of voice depending on the subject's characteristics. The examiner taps one of the options 522 depending on what he or she has heard. The reception unit 311 receives a tap position signal from the touch panel 330, acquires the option corresponding to the tap position, and stores it in the storage unit 350. The display control unit 313 displays an answer indicator 531 superimposed on the selected option. The answer indicator 531 is, for example, a rectangle surrounding the option as shown in the figure. However, it may also be another indicator, a marker, or an enlarged text string of the option, as long as it allows the examiner to visually distinguish the option from other options and recognize that the option has been selected. Graphic elements related to the display of the answer indicator 531 and the like are included in the CG library 351 and are read out as appropriate by the display control unit 313. The figure shows the examiner tapping option "1. No" for question "04. Are you visiting a friend's house?"

[0043] 5 is a diagram showing an example of a UI screen that accepts answers to questions about basic body movements. The examiner can start an assessment related to "basic movements" by tapping "basic movements" among the assessment buttons 511. Similar to the UI screen for "basic check," the UI screen for "basic movements" displays a plurality of questions 521 and options 522 corresponding to each question 521 in an area below the assessment buttons 511 and ICF buttons 512 that are arranged horizontally.

[0044] Here, the options 522 are not "yes" or "no," but options corresponding to the question are provided. For example, for "01. Duration," which is a question about "standing on one leg," three options are provided as options 522: "less than 5 seconds," "5 to 10 seconds," and "more than 10 seconds." When the receiving unit 311 receives a position signal indicating that the examiner has tapped "less than 5 seconds" from the touch panel 330, the receiving unit 311 acquires the content as an answer corresponding to the question "standing on one leg - duration," and stores the content in the storage unit 350.

[0045] Each question set as an assessment of daily living functions is associated with an ICF item belonging to one of six categories classified by the ICF: health status, physical functions and structures, activities, participation, environmental factors, and personal factors. Figure 6 is a diagram partially showing an example of item information DB 152 that defines each ICF item.

[0046] As shown in the figure, the item information DB 152 includes, as assessment information, "items" corresponding to questions and their corresponding "values," which are options for each item. It also includes, as ICF information associated with each piece of assessment information, "ICF codes," "ICF item names," and "ICF evaluation scores." The ICF codes are unique ID numbers, the ICF item names are names that succinctly describe the content of the item, and the ICF evaluation scores, in this embodiment, are assigned scores ranging from 0 to 1. The ICF evaluation scores are defined such that the better the condition, the closer to 0 the score, and the worse the condition, the closer to 1 the score. For example, if the "item" in the question is "1. Standing on one leg" and the input answer is "5 seconds or less," the ICF code is "d4154," the ICF item name is "Maintaining standing position," and the evaluation score is "1." Note that, in this embodiment, the evaluation scores and other numerical values ​​are defined within a range of 0 to 1, but these numerical values ​​are not limited to being defined within this range, and may be defined as discrete values ​​rather than continuous values. For example, in accordance with the definition of the WHO ICF, the evaluation points may be defined as any one of (0, 1, 2, 3, 4, 8, 9). When calculating scores using such evaluation points, the numerical values ​​themselves or the calculation formula may be adjusted appropriately so that the calculation result falls within the specified numerical range.

[0047] 5, for example, when the reception unit 311 receives an input of "5 seconds or less" as an option for the duration of standing on one leg, the information is sent to the analysis support server 100, and the reception unit 111 of the analysis support server 100 receives the information and passes it on to the extraction unit 112. The extraction unit 112 refers to the item information DB 152, converts the information into the ICF item "d4154: maintaining an upright position," and associates "1" as its evaluation point.

[0048] 6 defines each ICF item in correspondence with the ICF code defined by WHO, but the ICF items in item information DB 152 may be defined by arranging the ICF codes defined by WHO, or by expanding the ICF codes defined by WHO to address shortcomings. For example, since the individual factors among the ICF categories are not sufficiently defined as specific items, it is possible to independently set items that subdivide such categories.

[0049] When the collected answers are arranged and displayed by ICF category, the examiner can easily grasp the subject's condition objectively and systematically. By tapping the ICF button 512, the examiner can switch to an ICF classification display, which summarizes the assessment information collected up to that point by ICF category and displays it on an ICF item basis. FIG. 7 is a diagram showing an example of a UI screen for the ICF classification display. When the analysis support server 100 receives a tap on the ICF button 512 on the analysis support terminal 300, it generates display information necessary to generate the UI screen shown in FIG. 7 and returns it to the analysis support terminal 300.

[0050] In the ICF classification display, item boxes 612 corresponding to each of the six categories are arranged on the screen, and each item box 612 is accompanied by a category tab 611 indicating which category it represents. Answered items are then converted into ICF items and arranged as ICF items 613 in the item box 612 of the category to which they belong. If there are too many ICF items 613 to fit all in one item box 612, an expansion indicator 614 appears near each item box 612. The examiner can tap the expansion indicator 614 to expand the item box 612 and display all of the ICF items 613 belonging to that item box 612.

[0051] The ICF items 613 are specified as belonging to a category by the ICF code. Furthermore, the item names displayed in the ICF items 613 do not necessarily have to match the ICF item names, and may be replaced with names that are easier for users, such as examiners, to understand. For example, the ICF item 613, "Standing on one leg for 5 seconds or less," has the ICF code "d4154" as described above. However, since this ICF code is classified as "activity" in the ICF category, it is arranged in the item box 612 corresponding to that category. Furthermore, the item name is "Standing on one leg for 5 seconds or less," which is easier to understand, rather than the ICF item name "Maintaining standing position." Note that values ​​such as "5 seconds or less" may not be displayed depending on the nature of the item. Furthermore, in this embodiment, only ICF items 613 that are considered to be in a state of poor health or that may be a factor in causing such a state are displayed. For example, in the example of FIG. 5, if a response of "backrest: not necessary" is obtained, this indicates a favorable health condition and is therefore excluded from display.

[0052] While displaying assessed ICF items arranged by category in this manner facilitates objective and systematic understanding of a subject's condition, the large number of ICF items available as described above makes it difficult for examiners to accurately recognize the relationships between ICF items. Many ICF items are related to other ICF items, and these relationships may, for example, be the cause of a subject's condition or may manifest as a result. Accurately recognizing the presence or absence of relationships between ICF items and the strength of those relationships contributes to selecting questions to ask the subject and analyzing issues and contributing factors, which are necessary to appropriately understand the subject's condition during assessment. However, accurately recognizing the presence or absence and strength of such relationships between ICF items requires advanced knowledge and experience on the user's part. Therefore, in this embodiment, when a specific ICF item is selected by the examiner, the analysis support terminal 300 displays the selected ICF item along with other related ICF items on the display panel 320, facilitating the examiner's understanding of the relationships between the ICF items.

[0053] FIG. 8 is a diagram partially illustrating an example of the interrelationship DB 153 that defines the interrelationships between ICF items. In the interrelationship DB 153, ICF items are listed in both the column-direction index and the row-direction index, and the degree of interrelationship between a specific ICF item in the column direction and a specific ICF item in the row direction is defined by a numerical value between 0 and 1 in the intersecting cells of the matrix. The degree of interrelationship is assigned a score closer to 0 as the interrelationship is weaker, and a score closer to 1 as the interrelationship is stronger. For example, the ICF item "Sitting," which belongs to the "Activity" category, is assigned a score of "1" indicating a high degree of interrelationship with the ICF item "Weakened Upper Limb Muscle Strength," which belongs to the "Physical Functions and Structures" category. On the other hand, the degree of interrelationship with "Weakened Finger Dexterity" is assigned a score of "0," indicating a low degree of interrelationship.

[0054] If officially recognized or widely accepted numerical values ​​exist, they may be used to determine the correlation between ICF items. However, the correlation between ICF items may vary depending on characteristics such as race or residential area, depending on the ICF item in question. Therefore, it is expected that a correlation between ICF items defined based on tacit knowledge accumulated in each region or organization would be more realistic. That is, although the correlation DB 153 is a pre-defined database, it can be updated as appropriate based on the accumulated experience of the operator and changes in the local environment. In other words, because the correlation between ICF items is determined based on tacit knowledge, it has been difficult for users to understand it systematically and objectively. However, in this embodiment, by preparing such a correlation DB 153 in advance, other ICF items that are highly related to a specified ICF item can be extracted with higher accuracy, and the results are visually presented to facilitate user understanding.

[0055] More specifically, for example, an experienced examiner belonging to such an operating body can directly determine each relevance level based on experience. Alternatively, the relevance level may be determined by, for example, referencing the accumulated assessment information of many examinees and quantifying the correlation between the scores assigned to items through statistical processing. Alternatively, each numerical value may be determined through machine learning using such assessment information as learning data. Furthermore, these methods may be combined. For example, a procedure may be taken in which an experienced examiner modifies the numerical values ​​determined through statistical processing.

[0056] When the examiner taps a specific category tab 611 on the UI screen of the ICF classification display shown in Fig. 7, the UI screen transitions to an ICF interrelation display screen in which the ICF items 613 included in that category are designated as the specified target. Fig. 9 is a diagram showing an example of the UI screen of the ICF interrelation display screen in which second and third items related to the first item, which is the designated ICF item, are displayed.

[0057] For example, when the "Activity" category tab 611 is tapped as shown in FIG. 7, an "Activity" item box 612 located on the left side of the UI screen shown in FIG. 9 is displayed together with the category tab 611a. The item box 612 lists assessed ICF items 613a that are candidates for designation. In addition to the item name, the ICF item 613a includes the ICF evaluation score (hereinafter referred to as the "assigned score") of the subject that was assigned based on the results of the assessment that was conducted. For example, the assigned score of "0.2" is displayed together with the item name of "climbing the steps at the entrance." Note that, although the score is displayed directly as a numerical value in this embodiment, the numerical value may be converted into a level and displayed using a symbol such as "high," "medium," or "low," or a corresponding icon, for example.

[0058] In the ICF classification display, only ICF items 613 that are judged to be conditions that can be considered as disorders or to be factors that can cause such conditions are displayed among the collected responses, but in the ICF correlation display, it is preferable to display not only such ICF items but also all of the assessed ICF items as designation candidates. In the example shown in Fig. 9, for example, even if the subject is not experiencing any problems with the ICF item "swallowing medicine" and a score of "0" is assigned, the examiner may want to check an ICF item that is highly related to the ICF item in question, so it is displayed as ICF item 613a.

[0059] The examiner taps and specifies the ICF item (assumed to be the first item) of the displayed ICF items 613a for which the examiner wants to know the related ICF item. Figure 9 shows the ICF item 613a for "climbing the steps at the entrance" being tapped.

[0060] When the receiving unit 311 receives the designation of a first item, the requesting unit 312 requests the analysis support server 100 to provide information on an ICF item (referred to as a second item) related to the first item via the communication unit 340. When the receiving unit 111 of the analysis support server 100 receives the request, the extracting unit 112 refers to the interrelation DB 153 and extracts a second item related to the first item. The extracting unit 112 may extract the second item based simply on whether the relevance is equal to or greater than a threshold value (e.g., 0.2) without considering the assigned score for the first item. However, in this embodiment, the extracting unit 112 extracts the second item by taking into account the assigned score assigned to the first item (hereinafter referred to as the "first assigned score") in order to extract an ICF item that is highly relevant to the subject to be analyzed as the second item. Specifically, for example, two numerical values, the first assigned score and the relevance specified in the interrelationship DB 153, are input into a normalization function that outputs a value between 0 and 1, and the ICF item whose calculated result (calculated score) is greater than or equal to a threshold value (for example, 0.1) can be designated as the second item.

[0061] 9, the second items extracted are "weakened muscle strength in lower limbs" (calculated score: 0.8) and "weakened muscle strength in trunk" (calculated score: 0.4) belonging to the category of "mental and physical functions and body structure," and "high step at entrance" (calculated score: 0.2) belonging to the category of "environmental factors." The display control unit 113 transmits this information passed from the extraction unit 112 to the analysis support terminal 300 as information for displaying the first and second items in association with each other on the display unit.

[0062] Upon receiving the information sent from the analysis support server 100, the display control unit 313 displays the "Mental and physical functions and structure" item box 612 and the "Environmental factors" item box 612, which are located near the center of the UI screen, along with their respective category tabs 611b. Then, the display control unit 313 displays the ICF items 613b of "Lower limb muscle weakness" and "Trunk muscle weakness" as second items in the "Mental and physical functions and structure" item box 612, and the ICF item 613b of "High entrance step" in the "Environmental factors" item box 612, along with their calculated scores. Furthermore, to easily recognize that these ICF items 613b are related to the specified first item, ICF item 613a, a connection line 621 connecting each ICF item 613b to the ICF item 613a is displayed.

[0063] At this time, it is preferable to highlight the ICF item 613b according to the calculated score, and also highlight the connecting line 621. For example, in the example shown in the figure, the higher the calculated score, the darker the shading of the ICF item 613b and the thicker the connecting line 621. The highlighting is not limited to this mode, and color, animation, etc. may also be used. By employing such highlighting, the examiner can more intuitively understand the relationship between the ICF items.

[0064] In this embodiment, the receiving unit 311 further receives a designation of a specific ICF item related to the second item from the examiner, and the display control unit 313 displays a specific ICF item related to the ICF item as the third item.

[0065] The examiner taps on the ICF item 613b displayed as the second item to specify the related ICF item of interest. Figure 9 shows the ICF item 613b for "Lower limb muscle weakness" being tapped.

[0066] When the receiving unit 311 receives the designation of a specific second item, the requesting unit 312 requests the analysis support server 100 to provide information on ICF items related to the second item (i.e., third items) via the communication unit 340. When the receiving unit 111 of the analysis support server 100 receives the request, the extracting unit 112 refers to the interrelation DB 153 and extracts third items related to the second item. When extracting third items related to the specified second item, the calculated score of the second item may be used as a provisional assigned score to calculate and extract the third item, or the third item may be extracted simply based on whether the relevance is equal to or greater than a threshold value (e.g., 0.2). If an assessment has already been conducted on the second item and an assigned score has been assigned, the third item may be extracted using the assigned score as described above.

[0067] 9, the third item extracted is "inactive lifestyle" (calculated score: 0.7) and "malnutrition" (calculated score: 0.7) belonging to the category of "health condition," and "old age" (calculated score: 0.2) belonging to the category of "personal factors." The display control unit 113 transmits this information passed from the extraction unit 112 to the analysis support terminal 300 as information for displaying the second item and the third item in association with each other on the display unit.

[0068] Upon receiving the information sent from the analysis support server 100, the display control unit 313 displays the "health condition" item box 612 and the "personal factors" item box 612, located on the right side of the UI screen, along with their respective category tabs 611c. The display control unit 313 then displays the ICF items 613c, "inactive lifestyle" and "malnutrition" as third items, in the "health condition" item box 612, and the ICF item 613c, "elderly age" in the "personal factors" item box 612, along with their respective calculated scores. Furthermore, to easily identify that these ICF items 613c are related to the specified second item, ICF item 613b, a connecting line 621 connecting each ICF item 613c to the specified ICF item 613b is displayed. In this case, the ICF items 613c may be highlighted according to their calculated scores, and the connecting line 621 may also be highlighted.

[0069] As shown in FIG. 9, the ICF interrelation display has a display criteria button 651 and a confirmation button 652. Each time the display criteria button 651 is tapped, it switches between "calculated score criteria" and "assigned score criteria," which will be described later. When "calculated score criteria" is displayed, it indicates that the second item has been extracted based on the calculated score calculated using a predetermined formula, as described above. The case where "assigned score criteria" is displayed will be described later. The confirmation button 652 is a button for requesting the display of accompanying information, and when tapped, the accompanying information, which will be described later, is superimposed and displayed.

[0070] The examiner can specify multiple first items by successively tapping the displayed ICF items 613a. Fig. 10 is a diagram showing an example of a UI screen that displays related second and third items when multiple first items are specified. Specifically, following the ICF item 613a of "climb the steps at the entrance" specified in the example of Fig. 9, the ICF items 613a of "climb the stairs" and "walk to the supermarket" are specified as first items.

[0071] When the receiving unit 311 sequentially receives the designation of the second and third first items, the requesting unit 312 requests the analysis support server 100 to provide information on ICF items (second items) related to the first items previously specified. When the receiving unit 111 of the analysis support server 100 receives the request, the extracting unit 112 refers to the interrelation DB 153 to extract second items related to each of the first items, as well as second items related to the multiple first items. Specifically, for example, when extracting second items related to each of the first items, if the extracted second item is related to multiple first items, the second item is recognized as a commonly related second item. In this case, the calculated score of the second item recognized as commonly related can be, for example, the average of the calculated scores calculated between each of the first items and the second item. At this time, adjustments may be made, such as weighting the calculated score calculated between the first specified first item and the second item. Also, after the second item is extracted, the first assigned scores of each of the first items and the relevance between each of the first and second items may be input together into a calculation formula, and the calculation result may be used as the calculated score for the second item.

[0072] 10, the following second items related to the specified multiple first items have been extracted: "Lower limb muscle weakness," "Lower trunk muscle weakness," and "Lower endurance" belonging to the category of "Physical functions and body structure," and "High entrance step," "No handrails on stairs," and "Long distance to supermarket" belonging to the category of "Environmental factors." The display control unit 113 transmits this information passed from the extraction unit 112 to the analysis support terminal 300 as information for displaying the first items and second items in association with each other on the display unit.

[0073] When the display control unit 313 acquires the information sent from the analysis support server 100, it displays the "Mental and Physical Functions / Structures" item box 612 and the "Environmental Factors" item box 612 along with their respective category tabs 611b, as described above, and displays each ICF item 613b related to the second item in the corresponding item box 612. At this time, if one second item is commonly related to multiple first items, the ICF item 613b related to the second item may be highlighted, for example, with a bold frame. For example, the ICF item ICF613b of the second item related to one first item may be displayed with a thin frame, the ICF items ICF613b of the second items related to two first items may be displayed with an even thicker frame, and the ICF items ICF613b of the second items related to three first items may be displayed with an even thicker frame. The degree of emphasis of the ICF item 613b may be changed according to the value of the calculated score of the second item calculated based on the assigned scores of the plurality of first items.

[0074] Then, as described above, connection lines 621 connecting the related ICF items are displayed. The examiner can recognize second items that are commonly related to a plurality of first items by using the connection lines 621 displayed in this way. In the example of Fig. 10, for example, the ICF item 613b of "weakness in lower limbs," which is the second item, is connected to each of the three specified first items, ICF items 613a ("climbing steps at the entrance," "climbing stairs," and "walking to the supermarket"), by connection lines 621, and it can be seen that it is an item commonly related to these first items.

[0075] 9, the receiving unit 311 may further receive from the examiner a designation of a specific ICF item related to the second item, and the display control unit 313 may display the specific ICF item related to the ICF item as the third item. In this case, if the designation of multiple second items is received, it is sufficient to display the third items related to each of the designated second items.

[0076] Furthermore, when multiple second items are extracted by specifying multiple first items, a third item that is commonly related to, for example, two or more of the multiple second items may be automatically extracted and displayed. ICF item 613c shown in Fig. 10 is an item extracted and displayed in this way, and for example, ICF item 613c of "elderly age," which is the third item, is connected by lines 621 to two extracted second items, ICF item 613b ("decreased muscle strength in the lower limbs" and "decreased endurance"), respectively, and it can be seen that it is an item commonly related to these two second items.

[0077] 10, when ICF items 613a related to multiple first items are specified, ICF items 613b related to commonly related second items and ICF items 613b related to only single related second items are connected by lines 621 to display the relationships between them. However, when ICF items 613a related to multiple first items are specified, only ICF items 613b related to second items related to all of the first items may be displayed. Furthermore, when extracting second items related to all such specified first items, the extraction unit 112 may extract the second items using another method. Specifically, the first assigned scores of each specified first item and the relevance between each first item and a specific candidate for the second item may be input together into a normalization function that outputs a value between 0 and 1, and the ICF item whose calculated result (referred to as the calculated score) is equal to or greater than a threshold (e.g., 0.5) may be determined to be the second item.

[0078] The examiner can superimpose the associated information on the ICF correlation display by tapping the confirmation button 652 displayed on the UI screen. Fig. 11 is a diagram showing an example of the UI screen on which the associated information is superimposed.

[0079] As described above, the second item related to the first item is extracted based on the calculated score calculated using the assigned score assigned to the first item and the degree of relevance specified in the correlation DB 153. The calculated score thus calculated represents the degree of relationship between the first item and the second item for the subject, so if an assessment of the ICF item related to the second item has already been conducted, a correlation with the assigned score for the subject should be recognized. Furthermore, by appropriately selecting the normalization function or calculation formula described above, the degree of correlation between the calculated score and the assigned score can be further increased.

[0080] When using a calculated score with such a high degree of correlation, if there is a discrepancy between the calculated score and the assigned score actually assigned as a result of the assessment, some characteristic can be found in the subject's condition. For example, if the calculated score for the second item is 0.5 but the assigned score is 0.9, considering that the worse the condition, the closer to 1 the score is defined, it is estimated that the subject's condition is worse than expected for the ICF item related to that second item. Conversely, if the calculated score for the second item is 0.8 but the assigned score is 0.2, considering that the better the condition, the closer to 0 the score is defined, it is estimated that the subject's condition is better than expected for the ICF item related to that second item.

[0081] In this embodiment, the extracted second items are displayed as attention-grabbing information to prompt the examiner to pay attention to whether the subject's condition is better or worse than expected for the ICF items related to the extracted second items. Specifically, the extraction unit 112 further extracts, from the extracted second items, inferior items for which the assigned scores for the second items, based on the assessment results, are lower than a preset standard. The display control unit 113 generates display information for displaying the extracted inferior items in a manner distinct from the other second items and transmits the display information to the analysis support terminal 300. The extraction unit 112 also further extracts, from the extracted second items, superior items for which the assigned scores for the second items, based on the assessment results, are higher than a preset standard. The display control unit 113 generates display information for displaying the extracted superior items in a manner distinct from the other second items and transmits the display information to the analysis support terminal 300. The preset standard can be defined as a difference between the assigned scores and the calculated scores that is equal to or greater than a preset threshold, as described above.

[0082] In the example of FIG. 11 , the item "Trunk Muscle Weakness" from among the ICF items 613b has been extracted as an inferior item, and the ICF item 613b is highlighted with a bold frame and has a inferior indicator 631 superimposed thereon, indicating that it is an inferior item. The numerical value of the assigned score is also superimposed on the inferior indicator 631. Similarly to the second item, inferior and superior items can also be extracted for the third item. In the example of FIG. 11 , the item "Inactive Life" from among the ICF items 613c has been extracted as a superior item, and the ICF item 613c is highlighted with a bold frame and has a superior indicator 632 superimposed thereon, indicating that it is a superior item. The numerical value of the assigned score is also superimposed on the superior indicator 632.

[0083] Furthermore, rather than focusing on the discrepancy between the calculated score and the assigned score, if the fact that both are higher than a certain threshold is focused on, attention can be drawn more definitively to a poor condition, and similarly, if the fact that both are lower than a certain threshold is focused on, attention can be drawn more definitively to a good condition.In this way, rather than setting a threshold for the difference between the two scores, a threshold may be set for a fixed value that distinguishes between good and bad.

[0084] Furthermore, even if an ICF item is extracted as a second or third item highly relevant to a specified first item, it may not have been assessed yet. Because a wide variety of ICF items are available, it is difficult to assess all of them for each individual subject. Therefore, the examiner must select the items to be assessed based on the characteristics of the subject. However, for example, it is difficult for an inexperienced examiner to adapt flexibly while receiving the examiner's responses. Therefore, in this embodiment, if the second or third item extracted as being highly relevant includes an item that has not been assessed, the item is highlighted as an unassigned item without an assigned score to draw the examiner's attention. In the example of Figure 11, the ICF item 613b, "No handrails on stairs," belonging to the "environmental factors" category, is an unassigned item. The ICF item 613b is highlighted with a thick dotted frame and an unassigned indicator 633 is superimposed on it, indicating that it is an unassigned item.

[0085] Also, in the example of Figure 11, the superior items, inferior items, and unassigned items are highlighted to distinguish them from other items, but these items may be highlighted by omitting (erasing) the display of other items.

[0086] In order to display only the ICF items you want to emphasize, you can set a display reference point for the calculated score and use a simplified display that simply displays only the ICF items whose calculated scores exceed that display reference point. If you use this display mode, for example, in the example of Figure 10, items with a certain level of shading density or higher are extracted and displayed for the ICF item 613b related to the second item and the ICF item 613c related to the third item.

[0087] 9 to 11, the second and third items are extracted based on the calculated score, but if an assessment has already been conducted for the candidates for the second and third items and an assigned score has been assigned, the second and third items may be extracted based on the assigned score. FIG. 12 is a diagram showing an example of a UI screen when simplified display and assigned score criteria are specified. To switch from display based on the calculated score criteria to display based on the assigned score criteria, the examiner taps display criteria button 651.

[0088] When a first item is designated, the extraction unit 112 extracts a second item based on the degree of association defined in the interrelation DB between ICF items and the score assigned to the candidate for the second item of the subject (referred to as the second assigned score). Specifically, for example, two numerical values, the second assigned score and the degree of association defined in the interrelation DB 153, are input to a normalization function that outputs a value between 0 and 1, and the ICF item whose calculated score is equal to or greater than a threshold value (for example, 0.1) can be determined to be the second item.

[0089] When the second item extracted in this way is displayed as ICF item 613b, if the examiner subsequently taps on the ICF item 613b, the same process is performed to extract the third item, and the ICF item 613c related to the third item is displayed. Even when the ICF correlation display is based on the assigned score, if the confirmation button 652 is tapped, the superior and inferior items may be extracted and highlighted as part of a warning. Which item is the superior or inferior item can be determined by comparing the calculated score calculated based on the second assigned score as described above with the first assigned score assigned to the target first item and determining whether there is a difference between them that is equal to or greater than a threshold.

[0090] Next, the main processing steps of the analysis support server 100 and the analysis support terminal 300 regarding the ICF interrelation display will be described. Fig. 13 is a flow diagram showing the main processing steps regarding the ICF interrelation display. The following processing steps start from the state in which the ICF classification display shown in the example of Fig. 7 is displayed. Note that the processing of superimposing and highlighting accompanying information will be omitted.

[0091] In step S301, reception unit 311 of analysis support terminal 300 monitors input on touch panel 330 and determines whether any of six category tabs 611 has been tapped. If it determines that a tap has been made, the process proceeds to step S302.

[0092] In step S302, the request unit 312 requests information about assessed items from the analysis support server 100, out of the ICF items belonging to the category accepted by the acceptance unit 311. In step S101, the acceptance unit 311 of the analysis support server 100 accepts the request from the analysis support terminal 300 and passes it to the extraction unit 112, which then extracts information related to the request by referencing the assessment information DB 151 and the item information DB 152. The display control unit 113 compiles the information extracted by the extraction unit 112 as information about assessed ICF items and transmits it to the analysis support terminal 300.

[0093] In step S303, the reception unit 311 of the analysis support terminal 300 acquires the ICF item information and passes it to the display control unit 313. The display control unit 313 transitions the UI screen to an ICF interrelation display, displays category tabs 611a and item boxes 612, and lists the acquired ICF items 613a in the item boxes 612.

[0094] In step S304, the reception unit 311 monitors the input on the touch panel 330, and if it determines that none of the ICF items 613a have been tapped within a certain period of time, it proceeds to step S307, and if it determines that any of the ICF items 613a have been tapped, it proceeds to step S305.

[0095] In step S305, the request unit 312 requests information on the second item from the analysis support server 100. In step S102, the reception unit 311 of the analysis support server 100 monitors reception from the communication unit 140, and if an information request is received from the analysis support terminal 300, the process proceeds to step S103; if not, the process proceeds to step S106.

[0096] In step S103, the extraction unit 112 calculates a calculated score for each ICF item by referring to the items in the assessment information DB 151 and the interrelationship DB 153. Then, in step S104, the extraction unit 112 extracts the ICF items for which a calculated score equal to or greater than the threshold is calculated as second items, and transfers them to the display control unit 113. In step S105, the display control unit 113 transmits the information transferred from the extraction unit 112 to the analysis support terminal 300 as display information for displaying the first and second items in association with each other on the display unit.

[0097] When the reception unit 311 of the analysis support terminal 300 receives the display information in step S306, it passes it on to the display control unit 313, and the display control unit 313 displays the category tab 611b and the item box 612, and lists the ICF items 613b related to the second item in the item box 612.

[0098] In step S307, the receiving unit 311 checks whether the back button of the command buttons 513 has been tapped. If not, the process returns to step S304 and continues. In this case, if the first item is further tapped in step S304, processing such as extraction of second items related to the multiple first items is performed, as explained with reference to FIG. 10. If the second item is tapped, processing such as extraction of a third item related to the specified second item is performed, as explained with reference to FIG. 9. If the back button has been tapped, the request unit 312 transmits a notification to that effect to the analysis support server 100, and the display control unit 313 transitions the UI screen to an ICF classification display, thereby completing the series of processes.

[0099] In step S106, the receiving unit 311 of the analysis support server 100 ends the series of processes if it receives a notification of a tap on the back button from the analysis support terminal 300. If it has not received such a notification, the process returns to step S102.

[0100] Although the ICF Interrelationship Display has been described above as an example using the examples in Figures 9 to 12, the ICF Interrelationship Display is not limited to this display format and various display formats can be adopted depending on the situation and stage of supporting the assessment. Some application examples are described below.

[0101] 14 is a diagram showing an example of a UI screen for displaying ICF correlations as an application example. Specifically, it shows a UI screen for inputting possible factors for issues that have become apparent during the assessment.

[0102] Specifically, in a selection window 640 for selecting possible factors, the ICF item "Inability to crawl on all fours," which belongs to the ICF category of "activity," is displayed as item title 643. Then, selection items 641 are listed as possible factors for "Inability to crawl on all fours" along with check boxes 542. All of the selection items 641 are associated with other ICF items, and here, the following are listed: "Decreased trunk muscle strength," "Decreased muscle strength and extensibility," "Limited joint range of motion," "Decreased finger dexterity," "Decreased muscle strength and extensibility," "Limited joint range of motion," "Decreased cognitive function," "Decreased energy and motivation," and "Decreased endurance."

[0103] When the analysis support terminal 300 executes display processing to display the selection window 640, the receiving unit 311 receives the ICF item "cannot crawl on all fours" as the first item. The request unit 312 then requests information on a second item related to the first item from the analysis support server 100. When the extraction unit 112 extracts the second item as described above, the display control unit 313 compares the extracted second item with the listed selection items 641 and highlights those selection items 641 that match the second item by superimposing an item box 644 on them.

[0104] In this way, it is possible to support the examiner in making a selection by highlighting options that are highly relevant to the ICF item displayed in the item title 643. Furthermore, the designation of the first item is not limited to direct designation by the examiner, such as by tapping, as explained in the examples of Figures 9 to 12, but may also be automatic designation from the assessment program executed on the analysis support terminal 300 in this way.

[0105] In the above explanation, it is assumed that the processing is executed during the assessment of the examinee, with the aim of presenting auxiliary information to help the examiner perform the assessment well. However, presenting a second item related to a first item is useful not only during the assessment, but also at other stages. Figure 15 shows an example of a UI screen for displaying ICF correlations as a further application example.

[0106] Other stages where the ICF Interrelationships Label is useful include, for example, service provider meetings where support organization staff explain the patient's condition to the patient's family, care meetings where support organization staff develop care plans for patients and receive advice from other staff and professionals (OTs / PTs / speech-language-hearing therapists, etc.) to resolve individual cases and identify and address local issues, and when experienced testers provide training to inexperienced testers.

[0107] Figure 15 shows a screen that is presented to participating staff members of a support organization when they create a care plan for the subject after an assessment has been conducted, and is the UI screen that appears when the item "Estimating daily living functions from influencing factors" shown in selection title 681 is selected.

[0108] The influential factors are the categories of "health status," "environmental factors," and "personal factors," while the functional areas are the categories of "mental and physical functions and structures," "activities," and "participation." Therefore, among the assessed ICF items, items included in the category of influential factors are automatically selected as ICF items 613a related to the first item, and items included in the category of functional areas among the second items related to each first item are presented as ICF items 613b. The relationships between the items are indicated by solid arrowed lines 621a when the correlation is 0.9 or greater, and by dotted arrowed lines 621b when the correlation is 0.75 or greater but less than 0.9.

[0109] By adopting such a display mode, the condition of the subject can be grasped from a bird's-eye view after the assessment is completed, which in turn allows an appropriate care plan to be formulated.

[0110] Although the present embodiment has been described above, the present embodiment is not limited to the above and can be applied in various other ways. For example, in the above embodiment, the second item is extracted from a category different from the category to which the first item belongs, but the same category may also be extracted. Furthermore, in the above embodiment, when an ICF item is displayed, the category to which the ICF item belongs is also displayed as a general rule. However, in cases where the categorization is not important, the display of the category may be omitted. Note that the numerical values ​​such as scores used in the above embodiment are provided as examples for the purpose of explanation and do not necessarily correspond to actual assessments.

[0111] Here, the main configurations of the analysis support program, analysis support method, and analysis support device explained above will be summarized. [Appendix 1] a reception unit that accepts the designation of at least one first item from a plurality of ICF items that belong to one of six categories classified by the ICF (International Classification of Functioning, Disability and Health): health status, physical functions and structures, activities, participation, environmental factors, and personal factors; an extraction unit that extracts at least one second item related to the first item from the plurality of ICF items based on interrelationships between the plurality of ICF items that have been established in advance; a display control unit that associates the first item with the second item and displays them on a display unit; An analysis support device comprising: [Appendix 2] 2. The analysis support device according to claim 1, wherein the display control unit displays the relationship between the first item and the second item according to the degree of association defined as the interrelationship. [Appendix 3] 2. The analysis support device according to claim 1, wherein the extraction unit extracts the second item from the plurality of ICF items that belong to a category among the six categories that is different from the first category to which the first item belongs. [Appendix 4] 2. The analysis support device according to claim 1, wherein the display control unit causes the display unit to display the first item and the second item together with the categories to which they belong. [Appendix 5] The analysis support device described in Appendix 1, wherein the extraction unit extracts the second item by taking into account a first assigned score for the first item assigned to the subject based on the results of an assessment conducted on the subject. [Appendix 6] The analysis support device described in Appendix 5, wherein the extraction unit calculates a second calculated score for the candidate second item based on the relevance defined as the interrelationship and the first assigned score, and extracts the second item based on the second calculated score. [Appendix 7] The analysis support device described in Appendix 6, wherein the display control unit displays a warning when there is a difference between the second calculated score and the second assigned score for the subject for the second item assigned based on the results of the assessment that is greater than or equal to a predetermined threshold. [Appendix 8] The extraction unit further extracts, from the extracted second items, inferior items in which the second assigned score for the subject based on the result of the assessment is inferior to a predetermined standard; The analysis support device according to claim 6, wherein the display control unit displays the subordinate items in a manner distinct from the other second items or by omitting the other second items. [Appendix 9] the extraction unit further extracts, from the extracted second items, superior items for which the second scores assigned to the subject based on the results of the assessment are better than a preset standard; The analysis support device according to claim 6, wherein the display control unit displays the dominant item in a manner that distinguishes it from the other second items or omits the other second items. [Appendix 10] The extraction unit further extracts, from the extracted second items, unassigned items that are not associated with a second assigned score for the subject based on the result of the assessment, and The analysis support device according to claim 6, wherein the display control unit displays the unassigned items in a manner distinct from the other second items or by omitting the other second items. [Appendix 11] The analysis support device according to claim 5, wherein the extraction unit extracts the second item based on a second assigned score for the candidate for the second item of the subject, the second assigned score being assigned based on the results of the assessment. [Appendix 12] The analysis support device described in Appendix 11, wherein the display control unit displays a warning when there is a difference between the second assigned score and a second calculated score calculated based on the relevance defined as the correlation and the first assigned score that is greater than or equal to a predetermined threshold. [Appendix 13] The analysis support device according to claim 5, wherein the display control unit displays the first assigned score and the second score associated with the extracted second item. [Appendix 14] The analysis support device described in Appendix 1, wherein the extraction unit extracts the second item based on the interrelationship with the two or more accepted first items when the acceptance unit accepts the designation of two or more of the first items. [Appendix 15] The analysis support device described in Appendix 14, wherein the display control unit calculates the relevance between two or more of the first items whose designation has been accepted and each of the extracted second items based on the relevance defined as the interrelationship, and changes the display mode of the second items in accordance with the calculated relevance. [Appendix 16] the extraction unit extracts at least one third item related to the second item from the plurality of ICF items based on the interrelationship; 2. The analysis support device according to claim 1, wherein the display control unit displays the third item in association with the first item and the second item. [Appendix 17] a reception step for receiving the designation of at least one first item from a plurality of ICF items belonging to one of six categories classified by the ICF (International Classification of Functioning, Disability and Health): health status, physical functions and structures, activities, participation, environmental factors, and personal factors; an extraction step of extracting at least one second item related to the first item from the plurality of ICF items based on interrelationships between the plurality of ICF items that have been established in advance; a display step of displaying the first item and the second item on a display unit in association with each other; An analysis support method having the above. [Appendix 18] a reception step for receiving the designation of at least one first item from a plurality of ICF items belonging to one of six categories classified by the ICF (International Classification of Functioning, Disability and Health): health status, physical functions and structures, activities, participation, environmental factors, and personal factors; an extraction step of extracting at least one second item related to the first item from the plurality of ICF items based on interrelationships between the plurality of ICF items that have been established in advance; a display step of displaying the first item and the second item on a display unit in association with each other; An analysis support program that runs the above on a computer. [Appendix 19] a reception unit that accepts the designation of at least one first item from a plurality of ICF items that belong to one of six categories classified by the ICF (International Classification of Functioning, Disability and Health): health status, physical functions and structures, activities, participation, environmental factors, and personal factors; a requesting unit that requests at least one second item related to the first item from the plurality of ICF items; a display unit that displays the second item acquired in response to a request from the request unit in association with the first item; An analysis support terminal equipped with the above. [Explanation of symbols]

[0112] 100...analysis support server, 110...system control unit, 111...reception unit, 112...extraction unit, 113...display control unit, 120...display monitor, 130...input device, 140...communication unit, 150...storage device, 151...assessment information DB, 152...item information DB, 153...interrelation DB, 300...analysis support terminal, 310...terminal control unit, 311...reception unit, 312...request unit, 313...display control unit, 320...display panel, 330...touch panel, 340...communication unit, 350...storage unit, 351...CG library, 501...subject's name, 511...assessment button, 512...ICF button, 513 ...Command button, 521...Question, 522...Choices, 531...Answer indicator, 611, 611a, 611b, 611c...Category tab, 612...Item box, 613, 613a, 613b, 613c...ICF item, 614...Expansion indicator, 621, 621a, 621b, 621c...Wiring, 631...Inferior indicator, 632...Dominant indicator, 633...Unassigned indicator, 640...Selection window, 641...Selection item, 643...Item title, 644...Item box, 645...Check box, 651...Display criteria button, 652...Confirm button, 681...Selection title, 900...Network, 910...Wireless unit

Claims

1. a reception unit that receives the designation of at least one first item from a plurality of ICF items that belong to one of six categories of health status, physical functions / physical structure, activity, participation, environmental factors, and personal factors, each of which is classified by the International Classification of Functioning, Disability, and Health (ICF); an extracting unit that extracts at least one second item related to the first item from the plurality of ICF items based on interrelationships between the plurality of ICF items that have been established in advance; a display control unit that associates the first item with the second item and displays them on a display unit; An analysis support device comprising:

2. The analysis support device according to claim 1 , wherein the display control unit displays the relationship between the first item and the second item according to the degree of association defined as the interrelationship.

3. The analysis support device according to claim 1 , wherein the extraction unit extracts the second item from the plurality of ICF items that belong to a category among the six categories that is different from a first category to which the first item belongs.

4. The analysis support device according to claim 1 , wherein the display control unit causes the display unit to display the first item and the second item together with the categories to which they belong.

5. The analysis support device according to claim 1 , wherein the extraction unit extracts the second item by taking into account a first assigned score for the first item of the subject that is assigned based on the results of an assessment conducted on the subject.

6. The analysis support device according to claim 5, wherein the extraction unit calculates a second calculated score for the candidate second item based on the relevance defined as the interrelationship and the first assigned score, and extracts the second item based on the second calculated score.

7. The analysis support device according to claim 6, wherein the display control unit displays a warning when there is a difference of a predetermined threshold or more between the second calculated score and the second assigned score for the subject for the second item assigned based on the results of the assessment.

8. The extraction unit further extracts, from the extracted second items, inferior items in which the second assigned scores for the subject based on the results of the assessment are inferior to a predetermined standard; The analysis support device according to claim 6 , wherein the display control unit displays the subordinate items in a manner that distinguishes them from the other second items, or omits the other second items.

9. the extraction unit further extracts, from the extracted second items, superior items for which the second scores assigned to the subject based on the results of the assessment are superior to a predetermined standard; The analysis support device according to claim 6 , wherein the display control unit displays the dominant item in a manner that distinguishes it from the other second items or omits the other second items.

10. The extraction unit further extracts, from the extracted second items, unassigned items that are not associated with a second assigned score for the second item of the subject that is assigned based on the result of the assessment, and The analysis support device according to claim 6 , wherein the display control unit displays the unassigned items in a manner that distinguishes them from the other second items or omits the other second items.

11. The analysis support device according to claim 5 , wherein the extraction unit extracts the second item based on a second assigned score for the candidate for the second item of the subject, the second assigned score being assigned based on the result of the assessment.

12. The analysis support device according to claim 11, wherein the display control unit displays a warning when there is a difference between the second assigned score and a second calculated score calculated based on the relevance defined as the correlation and the first assigned score that is greater than or equal to a predetermined threshold.

13. The analysis support device according to claim 5 , wherein the display control unit performs display corresponding to each of the first assigned score and the second score associated with the extracted second item.

14. 2. The analysis support device according to claim 1, wherein when the receiving unit receives the designation of two or more of the first items, the extraction unit extracts the second item based on the interrelationship with the two or more received first items.

15. 15. The analysis support device according to claim 14, wherein the display control unit calculates the relevance between the two or more first items whose designation has been accepted and each of the extracted second items based on the relevance defined as the interrelationship, and changes the display mode of the second items in accordance with the calculated relevance.

16. the extraction unit extracts at least one third item related to the second item from the plurality of ICF items based on the interrelationship; The analysis support device according to claim 1 , wherein the display control unit displays the third item in association with the first item and the second item.

17. a receiving step of receiving the designation of at least one first item from a plurality of ICF items belonging to one of six categories of health status, physical functions / physical structure, activity, participation, environmental factors, and personal factors, each of which is classified by the International Classification of Functioning, Disability, and Health (ICF); an extraction step of extracting at least one second item related to the first item from the plurality of ICF items based on interrelationships between the plurality of ICF items that have been established in advance; a display step of displaying the first item and the second item on a display unit in association with each other; An analysis support method having the above.

18. a receiving step of receiving the designation of at least one first item from a plurality of ICF items belonging to one of six categories of health status, physical functions / physical structure, activity, participation, environmental factors, and personal factors, each of which is classified by the International Classification of Functioning, Disability, and Health (ICF); an extraction step of extracting at least one second item related to the first item from the plurality of ICF items based on interrelationships between the plurality of ICF items that have been established in advance; a display step of displaying the first item and the second item on a display unit in association with each other; An analysis support program that runs the above on a computer.

19. a reception unit that receives the designation of at least one first item from a plurality of ICF items that belong to one of six categories of health status, physical functions / physical structure, activity, participation, environmental factors, and personal factors, each of which is classified by the International Classification of Functioning, Disability, and Health (ICF); a requesting unit for requesting at least one second item related to the first item from the plurality of ICF items; a display unit that displays the second item acquired in response to a request from the request unit in association with the first item; An analysis support terminal equipped with the above.

Citation Information

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