Test presentation device, test presentation method, and recording medium
The test presentation device and method enhance test selection and presentation by using medical and past test data, addressing inefficiencies in existing systems and improving disease detection through tailored recommendations.
Patent Information
- Application Number
- JP2022528485
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Priority Date
- 2020-06-04
- Filing Date
- 2021-04-22
- Publication Date
- 2025-01-17
- Estimated Expiration
- 2041-04-22
AI Technical Summary
Existing test presentation devices struggle to appropriately select tests for test subjects based on their medical history and past test data, leading to inefficiencies in disease prevention and early detection.
A test presentation device and method that utilize medical record data and past test data to recommend tests, incorporating machine learning models to enhance the selection process and present relevant information to the test subject or medical personnel.
The system effectively selects and presents appropriate tests, improving early disease detection and prevention by leveraging historical data, and tailoring information presentation to the target audience.
Smart Images

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Abstract
Description
[Technical field]
[0001] The present disclosure relates to the technical field of a test presentation device, a test presentation method, and a recording medium that are capable of selecting tests that are recommended for a test subject to take and presenting the selected tests to a subject. [Background technology]
[0002] There is known a test presentation device that presents to a presentation subject (typically, the test subject) tests that are recommended for the test subject to undergo for the purpose of preventing or detecting diseases in the test subject at an early stage. For example, Patent Document 1 describes a test presentation device that selects tests that the test subject should undergo based on the test subject's past interview results and the test subject's past test results, and displays the selected tests as recommended tests on an electronic terminal.
[0003] Other prior art documents related to the present disclosure include Patent Documents 2 to 5. [Prior art documents] [Patent documents]
[0004] [Patent Document 1] JP 2009-031973 A [Patent Document 2] JP 2017-049985 A [Patent Document 3] International Publication No. 2008 / 068914 Brochure [Patent Document 4] Special Publication No. 2008-521130 [Patent Document 5] JP 2001-118014 A Summary of the Invention [Problem to be solved by the invention]
[0005] It is desirable for the test presentation device to appropriately select a test to recommend to the test subject. Existing test presentation devices, including the test presentation device described in the above-mentioned Patent Document 1, have room for improvement in terms of appropriately selecting a test to recommend to the test subject.
[0006] An object of the present disclosure is to provide a test presentation device, a test presentation method, and a recording medium that can solve the above-mentioned technical problems. As an example, an object of the present disclosure is to provide a test presentation device, a test presentation method, and a recording medium that can appropriately select a test to recommend to a test subject. [Means for solving the problem]
[0007] One aspect of the test presentation device disclosed herein includes a selection means for selecting a test recommended for a test subject as a recommended test based on medical record data including information regarding the medical history of the test subject and past test data including information regarding the test history, and a presentation means for presenting recommended test information including information regarding the item names of the recommended tests to the presentation subject.
[0008] One aspect of the test presentation method disclosed herein selects tests recommended for the test subject as recommended tests based on medical record data including information on the medical history of the test subject and past test data including information on the test history, and presents recommended test information including information on the item names of the recommended tests to the subject.
[0009] One aspect of the recording medium of the present disclosure is a recording medium having recorded thereon a computer program that causes a computer to execute a selection process of selecting a test recommended for the test subject as a recommended test based on medical record data including information regarding the medical treatment history of the test subject and past test data including information regarding the test history, and a presentation process of presenting recommended test information including information regarding the item names of the recommended tests to a subject to be presented with the recommended test information. Effect of the Invention
[0010] According to the above-described test presentation device, test presentation method, and recording medium, it is possible to appropriately select a test to be recommended to a test subject. [Brief description of the drawings]
[0011] [Figure 1] FIG. 1 is a block diagram showing the overall configuration of a test presentation system according to this embodiment. [Diagram 2] FIG. 2 is a block diagram showing the configuration of the test presentation server of this embodiment. [Diagram 3] FIG. 3 is a data structure diagram showing an example of the data structure of the medical record data. [Figure 4] FIG. 4 is a data structure diagram showing an example of the data structure of the past examination data. [Diagram 5] FIG. 5 is a block diagram showing the configuration of an information terminal according to this embodiment. [Figure 6] FIG. 6 is a flowchart showing the flow of the test presentation operation performed by the test presentation server. [Figure 7] FIG. 7 conceptually illustrates the operation of the test selection unit. [Figure 8] FIG. 8 conceptually illustrates the contents of the learning operation for constructing a machine learning model. [Figure 9] FIG. 9 conceptually illustrates the operation of the test selection unit using a machine learning model. [Figure 10] FIG. 10 shows an example of recommended examination information presented to a target person. [Figure 11] FIG. 11 shows another example of recommended examination information presented to a target person. [Figure 12] FIG. 12 shows an example of recommended test information presented to a medical professional. [Figure 13] FIG. 13 shows an example of recommended test information presented to a patient. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0012] Hereinafter, embodiments of a test presentation device, a test presentation method, and a recording medium will be described with reference to the drawings. Hereinafter, a test presentation system SYS to which the embodiments of the test presentation device, the test presentation method, and the recording medium are applied will be described. Such a test presentation system SYS may be adopted, for example, in a medical institution that provides medical care to patients. The medical institution may include, for example, at least one of a hospital, a clinic, a nursing home for the elderly, a dispensing pharmacy, and any other facility that provides medical care (for example, at least one of a facility that performs health checkups and a facility that performs any clinical test).
[0013] (1) Configuration of the test presentation system SYS First, the configuration of the test presentation system SYS of this embodiment will be described.
[0014] (1-1) Overall configuration of the test presentation system SYS First, the overall configuration of the test presentation system SYS of this embodiment will be described with reference to Fig. 1. Fig. 1 is a block diagram showing the overall configuration of the test presentation system SYS of this embodiment.
[0015] The test presentation system SYS selects a test recommended for the test subject (hereinafter, "recommended test") and presents recommended test information indicating at least the item name of the selected recommended test to the presentation subject. The test presentation system SYS may suggest that the presentation subject undergo the recommended test by presenting the recommended test information to the presentation subject. In this embodiment, the "test subject" is any person who is recommended to undergo the recommended test. The test subject may include, for example, a patient who has been treated at a medical institution that employs the test presentation system SYS. In addition, the "test" in this embodiment includes any medical test (for example, a clinical test). The clinical test may include a physiological test (in other words, a physiological function test) that directly examines the body of the test subject, or an antibody test that examines a sample (i.e., a specimen) collected from the body of the test subject. In addition, the "presentation subject" in this embodiment is any person who receives the presentation of the recommended test information. The presentation subject may be, for example, the same person as the test subject. The presentation subject may be, for example, a person different from the test subject (for example, a medical professional). In this embodiment, the term "medical worker" refers to a person who is engaged in medical activities aimed at at least one of treating illness, preventing illness, maintaining health, restoring health, and promoting health. Medical workers may include at least one of doctors, dentists, midwives, and paramedicals (e.g., at least one of nurses, pharmacists, clinical laboratory technicians, radiologists, and physical therapists).
[0016] In order to select a recommended examination and present recommended examination information indicating the selected recommended examination to a recommendation recipient, the examination presentation system SYS includes an examination presentation server 1, which is a specific example of a "examination presentation device", and an information terminal 2, which is a specific example of a "presentation device", as shown in Fig. 1. The examination presentation server 1 and the information terminal 2 are capable of communicating with each other via a communication network 3. The communication network 3 may include a wired communication network or a wireless communication network.
[0017] The test presentation server 1 is an information processing device that can be used by a medical institution where a test subject has received medical treatment. For this reason, the test presentation server 1 is typically installed in a medical institution. In this case, the test presentation server 1 may be installed inside the medical institution (for example, inside a medical facility constituting the medical institution) or outside the medical institution (for example, in a facility installed outside the medical facility constituting the medical institution). The test presentation server 1 performs a test presentation operation. Specifically, the test presentation server 1 may perform an operation of selecting a recommended test as part of the test presentation operation. Furthermore, the test presentation server 1 may perform an operation of presenting recommended test information to a presentation subject using an information terminal 2 capable of presenting any information to the presentation subject as another part of the test presentation operation. In other words, the test presentation server 1 may perform an operation of controlling the information terminal 2 so as to present recommended test information to a presentation subject as another part of the test presentation operation.
[0018] The information terminal 2 is an information processing device that can be used by the presentation target person. The information terminal 2 may be an information processing device (e.g., at least one of a personal computer and a tablet terminal) installed in a medical institution. The information terminal 2 may be an information processing device (e.g., at least one of a tablet terminal) lent by a medical institution to the presentation target person. The information terminal 2 may be an information processing device (e.g., at least one of a personal computer, a tablet terminal, and a smartphone) owned by the presentation target person. As described above, the information terminal 2 presents the recommended test information to the presentation target person under the control of the test presentation server 1. As a result, the presentation target person can recognize the recommended test. In other words, the presentation target person can recognize what test is recommended (in other words, what is recommended or suggested) for the test target person to take.
[0019] (1-2) Configuration of test presentation server 1 Next, the configuration of the test presentation server 1 will be described with reference to Fig. 2. Fig. 2 is a block diagram showing the configuration of the test presentation server 1.
[0020] 2, the test presentation server 1 includes a storage device 11 and a calculation device 12. Furthermore, the test presentation server 1 may include an input device 13 and an output device 14. However, the test presentation server 1 does not have to include at least one of the input device 13 and the output device 14. The storage device 11, the calculation device 12, the input device 13, and the output device 14 may be connected via a data bus 15.
[0021] The storage device 11 can store desired data. For example, the storage device 11 may temporarily store a computer program executed by the arithmetic device 12. The storage device 11 may temporarily store data that is temporarily used by the arithmetic device 12 when the arithmetic device 12 is executing a computer program. The storage device 11 may store data that the test presentation server 1 stores for a long period of time. The storage device 11 may include at least one of a RAM (Random Access Memory), a ROM (Read Only Memory), a hard disk device, a magneto-optical disk device, an SSD (Solid State Drive), and a disk array device. In other words, the storage device 11 may include a non-temporary recording medium.
[0022] In this embodiment, the storage device 11 stores data used by the test presentation server 1 to select a recommended test. Fig. 2 shows a medical record DB (Database) 111 and a past test DB 112 as examples of data used by the test presentation server 1 to select a recommended test. That is, Fig. 2 shows an example in which the storage device 11 stores the medical record DB 111 and the past test DB 112.
[0023] The medical record DB 111 is a database that stores medical record data 1110 of patients who have received medical care (i.e., at least one of examination and treatment) at the medical institution in which the test presentation server 1 is installed. Generally, there are multiple patients who have received medical care at a medical institution. For this reason, the medical record DB 111 typically stores multiple medical record data 1110 corresponding to multiple patients, respectively. Each medical record data 1110 includes at least data regarding the history of medical care that one patient corresponding to each medical record data 1110 has received at the medical institution.
[0024] An example of such medical record data 1110 is shown in Fig. 3. As shown in Fig. 3, the medical record data 1110 may include basic patient information 1111 and medical history information 1112.
[0025] The patient basic information 1111 includes information about an individual patient (typically, personal information). For example, in the example shown in FIG. 3, the patient basic information 1111 includes a patient ID for identifying the patient, information about the patient's name, information about the patient's address, information about the patient's height, information about the patient's weight, and information about the patient's medical history (for example, at least one of a medical history, a medication history, and an allergy history). However, the patient basic information 1111 may not include at least one of these pieces of information. The patient basic information 1111 may include other information in addition to or instead of at least one of the pieces of information shown in FIG. 3. For example, the patient basic information 1111 may include at least one of information about the patient's date of birth, information about the patient's telephone number, information about the patient's place of employment, information about the patient's emergency contact information, information about the patient's social history, information about the patient's family history (i.e., the medical history of the patient's relatives or cohabitants), and information about the patient's genetic sequence.
[0026] The medical history information 1112 includes information on the history of medical treatment received by the patient at the medical institution where the test presentation server 1 is installed (in other words, the progress of medical treatment). For example, in the example shown in FIG. 3, the medical history information 1112 includes information on the main complaint, information on the doctor's examination, information on the treatment policy decided by the doctor, information on the treatment performed by the doctor, information on the medicine prescribed by the doctor, and information on the instructions from the doctor to the patient or medical staff. However, the medical history information 1112 does not need to include at least one of these multiple pieces of information. The medical history information 1112 may include other information in addition to or instead of at least one of the multiple pieces of information shown in FIG. 3. For example, the medical history information 1112 may include at least one of information on the history of informed consent, information on explanations given by the medical staff to the patient, and information on questions given by the patient to the medical staff.
[0027] The patient may be receiving medical treatment at another medical institution other than the one medical institution in addition to or instead of the one medical institution where the test presentation server 1 is installed. In this case, the medical record data 1110 (particularly, the medical history information 1112) may include information on the history of medical treatment received by the patient at the other medical institution in addition to or instead of the information on the history of medical treatment received by the patient at the one medical institution. For example, the medical record data 1110 may include information on the history of medical treatment received by the patient at the other medical institution related to the one medical institution (for example, in the same series). Alternatively, the information on the history of medical treatment received by the patient at the other medical institution may be stored in a storage device installed at the other medical institution in a format that can be appropriately referenced by the test presentation server 1 installed at the one medical institution. In this case, the test presentation server 1 may download or reference the information stored in the storage device installed at the other medical institution via a communication network.
[0028] The past examination DB 112 is a database that stores past examination data 1120 including information on the history of examinations that have been performed in the past at the medical institution where the examination presentation server 1 is installed. Specifically, the past examination DB 112 is a database that stores past examination data 1120 including information on the history of examinations of subjects who have previously undergone examinations at the medical institution where the examination presentation server 1 is installed. Generally, there are a plurality of subjects who have undergone examinations at a medical institution. For this reason, the past examination DB 112 typically stores a plurality of past examination data 1120 corresponding to a plurality of subjects. Each past examination data 1120 includes at least information on the history of examinations that one subject corresponding to each past examination data 1120 has undergone at a medical institution. Furthermore, many of the reasons why subjects undergo examinations at a medical institution are because they receive medical treatment at the medical institution. For this reason, subjects are typically patients who have undergone medical treatment at the medical institution where the examination presentation server 1 is installed. However, subjects do not have to be patients who have undergone medical treatment at the medical institution where the examination presentation server 1 is installed.
[0029] An example of such past test data 1120 is shown in Fig. 4. As shown in Fig. 4, the past test data 1120 may include subject basic information 1121, medical care history information 1122, and test history information 1123. However, the past test data 1120 may not include at least one of the subject basic information 1121 and the medical care history information 1122.
[0030] The subject basic information 1121 may be the same as the patient basic information 1111 including information about an individual patient, in that it includes information about an individual subject (typically, personal information). In other words, the type of information (i.e., items) included in the subject basic information 1121 may be at least partially the same as the type of information (i.e., items) included in the patient basic information 1111. For example, in the example shown in Fig. 4, the subject basic information 1121 includes a subject ID for identifying the subject, information about the subject's name, information about the subject's address, information about the subject's height, information about the subject's weight, and information about the subject's medical history.
[0031] The medical history information 1122 may be the same as the medical history information 1112 including information on the history of medical treatment received by the patient at the medical institution where the test presentation server 1 is installed, in that the medical history information 1122 includes information on the history of medical treatment received by the subject at the medical institution where the test presentation server 1 is installed (in other words, the progress of medical treatment). In other words, the type of information included in the medical history information 1122 (i.e., items) may be at least partially the same as the type of information included in the medical history information 1112 (i.e., items). For example, in the example shown in FIG. 4, the medical history information 1122 includes information on the main complaint, information on the doctor's examination, information on the treatment policy decided by the doctor, information on the treatment performed by the doctor, information on the medicine prescribed by the doctor, and information on the instructions from the doctor to the subject or medical staff.
[0032] As described above, when the subject is a patient, the subject basic information 1121 and medical care history information 1122 included in the past examination data 1120 may match the patient basic information 1111 and medical care history information 1112 included in the medical chart data 1110. In this case, the past examination data 1120 may include pointer data for identifying the patient basic information 1111 and medical care history information 1112 included in the medical chart data 1110, instead of the subject basic information 1121 and medical care history information 1122. In this case, at least a part of the medical chart data 1110 may be used as part of the past examination data 1120.
[0033] The test history information 1123 includes information on the history of tests taken by the subject at the medical institution where the test presentation server 1 is installed. For example, in the example shown in Fig. 4, the test history information 1123 includes information on the name of the test item (i.e., the name), information on the reason for the test, information on the disease related to the test (i.e., the disease to be evaluated by the test), information on the time when the test was performed, and information on the results of the test. However, the test history information 1123 does not have to include at least one of these multiple pieces of information. The test history information 1123 may include other information in addition to or instead of at least one of the multiple pieces of information shown in Fig. 4.
[0034] The subject may have undergone multiple types of tests. In this case, the test history information 1123 may include information on the history of each of the multiple types of tests. For example, if the subject has undergone a first type of test and a second type of test, the test history information 1123 may include information on the history of the first type of test and information on the history of the second type of test.
[0035] The subject may be receiving medical treatment at another medical institution other than the medical institution where the test presentation server 1 is installed, in addition to or instead of the one medical institution where the test presentation server 1 is installed. In this case, the past test data 1120 (particularly, the medical treatment history information 1122) may include information on the history of medical treatment received by the subject at the other medical institution, in addition to or instead of the information on the history of medical treatment received by the subject at the one medical institution, similar to the medical record data 1110. Alternatively, the information on the history of medical treatment received by the patient at the other medical institution may be stored in a storage device installed at the other medical institution in a format that can be appropriately referenced by the test presentation server 1. In this case, the test presentation server 1 may download or reference the information stored in the storage device installed at the other medical institution via a communication network.
[0036] Also, the subject may have undergone a test at another medical institution other than the medical institution where the test presentation server 1 is installed, in addition to or instead of the one medical institution where the test presentation server 1 is installed. In this case, the past test data 1120 (particularly, the test history information 1123) may include information on the history of tests taken by the patient at the other medical institution, in addition to or instead of the information on the history of tests taken by the patient at the one medical institution. For example, the past test data 1120 may include information on the history of tests taken by the subject at other medical institutions related to the one medical institution (e.g., in the same series). Alternatively, the information on the history of tests taken by the subject at other medical institutions may be stored in a storage device installed at the other medical institution in a format that can be appropriately referenced by the test presentation server 1 installed at the one medical institution. In this case, the test presentation server 1 may download or reference the information stored in the storage device installed at the other medical institution via a communication network.
[0037] 2 again, the arithmetic device 12 includes, for example, a CPU (Central Processing Unit). The arithmetic device 12 reads a computer program. For example, the arithmetic device 12 may read a computer program stored in the storage device 11. For example, the arithmetic device 12 may read a computer program stored in a computer-readable and non-transient recording medium using a recording medium reading device (not shown). The arithmetic device 12 may acquire (i.e., download or read) a computer program from a device (not shown) disposed outside the test presentation server 1 via a communication device (not shown). The arithmetic device 12 executes the read computer program. As a result, a logical function block for executing the operation (for example, the above-mentioned test presentation operation) that the test presentation server 1 should perform is realized in the arithmetic device 12. That is, the arithmetic device 12 can function as a controller for realizing a logical function block for executing the operation that the test presentation server 1 should perform.
[0038] FIG. 2 shows an example of a logical functional block realized in the arithmetic device 12 to execute the test presentation operation. As shown in FIG. 2, the arithmetic device 12 realizes a test selection unit 121, which is a specific example of a "selection means", and a test presentation unit 122, which is a specific example of a "presentation means". The operation of the test selection unit 121 and the test presentation unit 122 will be described in detail later with reference to FIG. 6 etc., but will be briefly outlined here. The test selection unit 121 selects a recommended test based on the medical record DB 111 and the past DB 112. The test presentation unit 122 controls the information terminal 2 to present recommended test information indicating at least the item name of the recommended test selected by the test selection unit 121 to the presentation target person.
[0039] The input device 13 is a device that accepts information input to the test presentation server 1 from outside the test presentation server 1 .
[0040] The output device 14 is a device that outputs information to the outside of the test presentation server 1. For example, the output device 14 may output information related to the test presentation operation performed by the test presentation server 1. For example, the output device 14 may output (i.e., transmit) to the information terminal 2 via the communication network 3, control information for controlling the information terminal 2 to present recommended test information.
[0041] (1-3) Configuration of information terminal 2 Next, the configuration of the information terminal 2 will be described with reference to Fig. 5. Fig. 5 is a block diagram showing the configuration of the information terminal 2.
[0042] 5, the information terminal 2 includes a storage device 21, a calculation device 22, and an output device 23. The information terminal 2 may further include an input device 24. However, the information terminal 2 does not necessarily have to include the input device 24. The storage device 21, the calculation device 22, the output device 23, and the input device 24 may be connected via a data bus 25.
[0043] The storage device 21 can store desired data. For example, the storage device 21 may temporarily store a computer program executed by the arithmetic device 22. The storage device 21 may temporarily store data that is temporarily used by the arithmetic device 22 when the arithmetic device 22 is executing a computer program. The storage device 21 may store data that the information terminal 2 stores for a long period of time. The storage device 21 may include at least one of a RAM, a ROM, a hard disk device, a magneto-optical disk device, an SSD, and a disk array device. In other words, the storage device 21 may include a non-temporary recording medium.
[0044] The arithmetic device 22 includes, for example, a CPU. The arithmetic device 22 reads a computer program. For example, the arithmetic device 22 may read a computer program stored in the storage device 21. For example, the arithmetic device 22 may read a computer program stored in a computer-readable and non-transient recording medium using a recording medium reading device (not shown). The arithmetic device 22 may acquire (i.e., download or read) a computer program from a device (not shown) disposed outside the information terminal 2 via a communication device (not shown). The arithmetic device 22 executes the read computer program. As a result, a logical function block for executing the operation to be performed by the information terminal 2 is realized in the arithmetic device 22. In other words, the arithmetic device 22 can function as a controller for realizing a logical function block for executing the operation to be performed by the information terminal 2.
[0045] In this embodiment, the information terminal 2 performs a recommended examination information output operation under the control of the examination presentation server 1 to output the recommended examination information in a format recognizable by the person to whom the information is to be presented. FIG. 5 shows an example of a logical functional block realized in the arithmetic device 22 to perform the recommended examination information output operation. As shown in FIG. 5, an information acquisition unit 221 and an output control unit 222 are realized in the arithmetic device 22. The information acquisition unit 221 acquires control information for controlling the information terminal 2 to present the recommended examination information from the examination presentation server 1. The output control unit 222 controls the output device 23 based on the control information acquired by the information acquisition unit 221 to output the recommended examination information in a format recognizable by the person to whom the information is to be presented.
[0046] The output device 23 is a device that outputs information to the outside of the information terminal 2. For example, the output device 23 may output an image. That is, the output device 23 may include a display device (so-called a display) capable of displaying an image. In this case, the output device 23 may present the recommended examination information to the presentation target person by displaying the recommended examination information as an image. As a result, the presentation target person can recognize the recommended examination information using the sense of sight. For example, the output device 23 may output a sound. That is, the output device 23 may include an audio device (so-called a speaker) capable of outputting a sound. In this case, the output device 23 may present the recommended examination information to the presentation target person by outputting the recommended examination information as a sound. As a result, the presentation target person can recognize the recommended examination information using the sense of hearing. For example, the output device 23 may output information on a paper surface. That is, the output device 23 may include a printing device (so-called a printer) capable of printing desired information on a paper surface. In this case, the output device 23 may present the recommended examination information to the presentation target person by printing the recommended examination information on a paper surface. As a result, the person to whom the information is presented can visually recognize the recommended examination information.
[0047] The input device 24 is a device that accepts information input to the information terminal 2 from outside the information terminal 2 .
[0048] The method of presenting the recommended examination information using the information terminal 2 may be changed according to the presentation target person under the control of the examination presentation unit 122. For example, the method of presenting the recommended examination information may include the presentation location of the recommended examination information. As a specific example, the information terminal 2 may be arranged on the flow line of the presentation target person in the medical institution where the examination presentation server 1 is installed. For example, as described above, when the presentation target person is a test target person (e.g., a patient), the information terminal 2 may be arranged on the flow line of the patient in the medical institution. The flow line of the patient in the medical institution may include the flow line connecting the reception of the medical institution and the waiting room and the examination room. As an example, the information terminal 2 may be arranged at the reception of the medical institution (e.g., a place where a patient who has finished medical treatment pays medical fees). In this case, the patient can recognize the recommended examination selected based on the medical treatment history at the timing of paying the medical fees after receiving medical treatment at the medical institution. As another example, the information terminal 2 may be arranged at the waiting room of the medical institution (e.g., a place where a patient waits for medical treatment or payment of medical fees). In this case, the patient can recognize the recommended examination selected based on the medical treatment history at the timing of waiting for payment of the medical fees after receiving medical treatment at the medical institution. As another specific example, as described above, when the presentation target is a medical professional, the information terminal 2 may be placed in a room (e.g., a medical office) where medical treatment is performed. In this case, the medical professional can recognize the recommended examination while treating the patient (i.e., the test subject). As a result, the medical professional can inform the patient (i.e., the test subject) of the recommended examination while treating the patient.
[0049] Alternatively, when an information processing device owned by the test subject is used as the information terminal 2 as described above, the test subject can view the recommended tests selected based on his / her medical history at a desired location (e.g., the test subject's home, etc.) without visiting a medical institution.
[0050] However, both the medical worker and the patient may use the same information terminal 2 to confirm the recommended examination. For example, when the information terminal 2 is placed in a room where medical treatment is performed, both the medical worker and the patient may use the information terminal 2 to confirm the recommended examination. In other words, the method of presenting the recommended examination information using the information terminal 2 does not need to be changed depending on the person to whom the information is presented. However, due to legal restrictions, some information that can be disclosed to the medical worker may not be disclosed to the patient. For this reason, when both the medical worker and the patient use the same information terminal 2 to confirm the recommended examination, the information terminal 2 may present recommended examination information that does not include information that should not be disclosed to the patient under the control of the examination presentation unit 122. Alternatively, the information terminal 2 may switch between the content presented when presenting the recommended examination information to the patient and the content presented when presenting the recommended examination information to the medical worker under the control of the examination presentation unit 122. For example, if the information terminal 2 is equipped with a display as the output device 23, the information terminal 2 may switch between a display screen used to present recommended test information to a patient that does not include information that should not be disclosed to the patient, and a display screen used to present recommended test information to medical professionals that may include information that should not be disclosed to the patient.
[0051] (2) Examination presentation operation performed by the examination presentation server 1 Next, the test presentation operation performed by the test presentation server 1 will be described with reference to Fig. 6. Fig. 6 is a flowchart showing the flow of the test presentation operation performed by the test presentation server 1.
[0052] As shown in FIG. 6, first, the test selection unit 121 judges whether or not a test presentation request for requesting the test presentation server 1 to execute a test presentation operation has been input to the test presentation server 1 (step S10). The test presentation request may be input to the test presentation server 1 by at least one of the presentation subject and the test subject. For example, if the presentation subject is the same person as the test subject, the presentation subject (i.e., the test subject) may use the input device 24 of the information terminal 2 to transmit (i.e., input) the test presentation request to the test presentation server 1. For example, if the presentation subject is a person (e.g., a medical worker) different from the test subject, the presentation subject (e.g., a medical worker) may use the input device 13 of the test presentation server 1 to input the test presentation request to the test presentation server 1.
[0053] As a result of the determination in step S10, if it is determined that a test presentation request has not been input (step S10: No), the test presentation server 1 may end the test presentation operation shown in Fig. 6. After ending the test presentation operation, the test presentation server 1 may restart the test presentation operation after a certain period of time has elapsed.
[0054] On the other hand, if it is determined that a test presentation request has been input as a result of the determination in step S10 (step S10: Yes), the test selection unit 121 selects a recommended test (steps S11 to S13). Specifically, the test selection unit 121 first identifies a test subject based on information included in the test presentation request (step S11). For this reason, it is preferable that the test presentation request includes information that can identify the test subject. Alternatively, the test selection unit 121 may acquire information that can identify the test subject separately from the test presentation request. After that, the test selection unit 121 acquires the medical record data 1110 corresponding to the test subject identified in step S11 from the medical record DB 111 stored in the storage device 11 (step S12). After that, the test selection unit 121 selects a recommended test based on the medical record data 1110 acquired in step S12 and the past DB 112 stored in the storage device 11 (step S13).
[0055] For example, the examination selection unit 121 may specify, as the recommended examination, at least some of the examinations taken by an examinee, at least a part of whose medical history information 1122 is the same as or similar to at least a part of the medical history information 1112 of the examinee. That is, the examination selection unit 121 may select, as the recommended examination, at least some of the examinations taken by an examinee, at least a part of whose medical history is the same as or similar to that of the examinee. In this case, as shown in FIG. 7 conceptually illustrating the operation of the examination selection unit 121, the examination selection unit 121 may select the recommended examination using a selection engine 123 that, when the medical record data 1110 of the examinee is input, searches a plurality of past examination data 1120 based on the medical record data 1110 to output a recommended examination. The selection engine 123 may be a rule-based engine that selects, as the recommended examination, at least some of the examinations taken by an examinee, at least a part of whose medical history is the same as or similar to that of the examinee.
[0056] Alternatively, for example, the examination selection unit 121 may select a recommended examination using a machine learning model 124 that outputs at least the item name of a recommended examination when the medical record data 1110 of the examination subject is input. The machine learning model 124 may be, for example, a machine learning model using a neural network. In this case, before the examination selection unit 121 selects a recommended examination using the machine learning model 124, it is preferable to perform a learning operation for setting parameters of the machine learning model 124 (for example, at least one of weights and biases of a neural network) using a plurality of past examination data 1120 stored in the past examination DB 112. Specifically, as shown in FIG. 8 conceptually showing the contents of the learning operation for constructing the machine learning model 124, the learning operation may be an operation for setting parameters of the machine learning model 124 so that an error between information on the recommended examination output from the machine learning model 124 when at least the medical history information 1122 included in the past examination data 1120 is input to the machine learning model 124 and information included in the examination history information 1123 included in the past examination data 1120 is reduced. For example, the learning operation may be an operation of setting parameters of the machine learning model 124 so that the error between the item name of the recommended examination output from the machine learning model 124 and the item name of the examination included in the examination history information 1123 included in the past examination data 1120 is reduced. After the learning operation of the machine learning model 124 is completed, the examination selection unit 121 may select a recommended examination by inputting the medical record data 1110 of the examination subject to the machine learning model 124, as shown in FIG. 9 conceptually illustrating the operation content of the examination selection unit 121. In this case, too, since the examination selection unit 121 selects the recommended examination using the machine learning model 124 constructed based on the past examination data 1120, it can be said that the examination selection unit 121 selects the recommended examination based on the past examination data 1120. Note that the examination selection unit 121 does not need to refer to the past examination DB 112 to select a recommended examination using the machine learning model 124. For this reason, the storage device 11 does not necessarily need to store the past examination DB 112.
[0057] In addition to or instead of selecting as recommended tests at least some of the tests taken by subjects whose medical history is the same as or similar to that of the test subject, the test selection unit 121 may select recommended tests in other ways.
[0058] For example, the test selection unit 121 may select, as recommended tests, at least some of the tests taken by a test subject whose at least a part of the test subject basic information 1121 is the same as or similar to at least a part of the patient basic information 1111 of the test subject. As one example, the test selection unit 121 may select, as recommended tests, at least some of the tests taken by a test subject whose at least a part of the medical history is the same as or similar to the test subject. As another example, the test selection unit 121 may select, as recommended tests, at least some of the tests taken by a test subject whose at least a part of the family history is the same as or similar to the test subject. As another example, the test selection unit 121 may select, as recommended tests, at least some of the tests taken by a test subject whose at least a part of the gene sequence is the same as or similar to the test subject.
[0059] For example, the test selection unit 121 may select as recommended tests at least some of the tests taken by a subject who has at least some of the results of a health check that are the same as or similar to those of the test subject. In this case, it is preferable that the medical record data 1110 includes information on the results of the health check taken by the patient, and the past test data 1120 includes information on the results of the health check taken by the subject. Note that the health check in this embodiment may mean a test performed to evaluate the health condition of a patient at a stage when the patient has not yet developed a disease or is unaware of the development of the disease.
[0060] For example, the test selection unit 121 may select as recommended tests at least some of the tests taken by subjects who have at least some of the results of the interview that are the same as or similar to those of the test subject. In this case, it is preferable that the medical record data 1110 includes information on the results of the interview that the patient received from a medical professional, and it is preferable that the past test data 1120 includes information on the results of the medical checkup that the subject received from a medical professional.
[0061] For example, the test selection unit 121 may select, as recommended tests, at least some of the tests taken by a test subject who has at least a part of his / her life log (PHR: Personal Health Record) that is the same as or similar to the test subject. In this case, it is preferable that the medical record data 1110 includes information on the patient's life log, and it is preferable that the past test data 1120 includes information on the test subject's life log. Note that the "life log" in this embodiment may mean data obtained by recording at least one of a person's life and actions in chronological order. Typically, the "life log" in this embodiment may mean data obtained by recording changes in a person's health condition in chronological order.
[0062] For example, the test selection unit 121 may select, as recommended tests, at least some of the tests taken by a test subject who has at least a part of the information about the tests taken in the past that is the same as or similar to the test subject. As one example, the test selection unit 121 may select, as recommended tests, at least some of the tests taken by a test subject who has at least a part of the items (types) of the tests taken in the past that are the same as or similar to the test subject. As another example, the test selection unit 121 may select, as recommended tests, at least some of the tests taken by a test subject who has at least a part of the results of the tests taken in the past that are the same as or similar to the test subject. In this case, it is preferable that the medical record data 1110 includes information about the history of tests taken by the patient in the past (i.e., information similar to the test history information 1123 included in the past test data 1120).
[0063] For example, the test selection unit 121 may select a recommended test based on information on at least one of the weather and climate in the address of the test subject. For example, if the weather in the address of the test subject is weather that may lead to a specific disease, a test for evaluating the specific disease may be selected as a recommended test. For example, if the climate in the address of the test subject is weather that may lead to a specific disease, a test for evaluating the specific disease may be selected as a recommended test.
[0064] For example, the test selection unit 121 may select a recommended test based on information about the address of the test subject. For example, if a specific disease is prevalent or likely to be prevalent in the address of the test subject, a test for evaluating the specific disease may be selected as a recommended test.
[0065] For example, the test selection unit 121 may select a recommended test based on information about medical literature. For example, the test selection unit 121 may analyze the contents of the medical literature and select a recommended test based on the analysis result.
[0066] For example, the test selection unit 121 may select a recommended test so that a specific test recommended by the medical institution in which the test presentation server 1 is installed is more likely to be selected as a recommended test than other tests other than the specific test. For example, when a medical institution is focusing on the prevention or early detection of a specific disease, the test selection unit 121 may select a recommended test so that a specific test for evaluating the specific disease is more likely to be selected as a recommended test than other tests other than the specific test. For example, when a medical institution recognizes the existence of a specific test that is highly important but not many people have taken, the test selection unit 121 may select a recommended test so that the specific test is more likely to be selected as a recommended test than other tests other than the specific test. For example, when a medical institution recognizes that a profit margin of a specific test is relatively good, the test selection unit 121 may select a recommended test so that the specific test is more likely to be selected as a recommended test than other tests other than the specific test. In this case, it is preferable that the past test DB 112 used to select a recommended test includes information on a specific test recommended by the medical institution in which the test presentation server 1 is installed.
[0067] The test selection unit 121 may select each of the multiple tests as a recommended test. That is, the test selection unit 121 may select multiple recommended tests. For example, when there are multiple test subjects whose medical history is at least partially the same as or similar to that of the test subject, the multiple tests taken by each of the multiple test subjects may be selected as recommended tests. For example, when a test subject whose medical history is at least partially the same as or similar to that of the test subject has taken multiple tests, the multiple tests taken by the test subject may be selected as recommended tests.
[0068] In addition to selecting a recommended test, the test selection unit 121 may identify a reason for recommending the recommended test to the test subject. For example, when information on the reason for performing the test is included in the test history information 1123 of the past test data 1120 as described above, the test selection unit 121 may identify at least a part of the reason why a test subject, at least a part of whose medical history is the same as or similar to that of the test subject, performed the test, as a reason for recommending the recommended test to the test subject.
[0069] In addition to selecting a recommended examination, the examination selection unit 121 may also specify whether or not the recommended examination is covered by insurance.
[0070] In addition to selecting a recommended test, the test selection unit 121 may specify a disease to be evaluated (in other words, confirmed) by the recommended test. For example, when information on a disease related to a test is included in the test history information 1123 of the past test data 1120, the test selection unit 121 may specify, as a disease to be evaluated by the recommended test, at least a part of the diseases related to tests taken by a test subject who has at least a part of the medical history that is the same as or similar to the test subject.
[0071] In addition to selecting the recommended test, the test selection unit 121 may calculate the degree of risk (typically, a risk derived from a medical perspective) of the test subject suffering from a disease to be evaluated by the recommended test. The "risk of the test subject suffering from a disease" referred to here may include the risk of the test subject who has never had the disease suffering from the disease suffering from the disease, and may also include the risk of the test subject who has had the disease suffering from the disease suffering from the disease again (so-called recurrence risk). For example, the test selection unit 121 may calculate (i.e., estimate) the risk of the test subject suffering from a disease to be evaluated by the recommended test as the risk of the test subject suffering from a disease to be evaluated by the recommended test, based on the medical history information 1122 of the test subject who has at least a part of the medical history that is the same as or similar to that of the test subject.
[0072] In addition to selecting the recommended test, the test selection unit 121 may specify a time when it is recommended to take the recommended test. For example, when information on the time when the test was performed is included in the test history information 1123 of the past test data 1120 as described above, the test selection unit 121 may specify a time when it is recommended that the test subject take the recommended test, based on the time when a test subject who has at least a part of the medical history that is the same as or similar to the test subject took the test.
[0073] The examination selection unit 121 may calculate the recommendation degree of the recommended examination in addition to selecting the recommended examination. In this embodiment, the recommendation degree of the recommended examination may be distinguished from the above-mentioned risk degree, which may be an index for evaluating whether or not the recommended examination is recommended from a medical viewpoint, in that the recommendation degree of the recommended examination is an index for evaluating whether or not the recommended examination is recommended from a medical viewpoint. For example, the examination selection unit 121 may calculate the recommendation degree of the recommended examination such that the recommendation degree of an examination with a relatively high examination cost is lower than the recommendation degree of an examination with a relatively low examination cost. For example, the examination selection unit 121 may calculate the recommendation degree of the recommended examination such that the recommendation degree of an examination with a relatively high self-paid cost for the examination subject is lower than the recommendation degree of an examination with a relatively low self-paid cost for the examination subject. For example, the test selection unit 121 may calculate the recommendation degree of a recommended test based on the address of the test subject so that the recommendation degree of a test that needs to be taken at a testing facility relatively far from the address of the test subject is lower than the recommendation degree of a test that can be taken at a testing facility relatively close to the address of the test subject.
[0074] In addition to selecting recommended tests, the test selection unit 121 may select non-recommended tests that are not recommended for the test subject to undergo. For example, the test selection unit 121 may select as non-recommended tests tests that have rarely been taken by test subjects who have at least a part of their medical history that is the same as or similar to the test subject. For example, the test selection unit 121 may select as non-recommended tests tests that have been taken by test subjects who have at least a part of their medical history that is the same as or similar to the test subject, but the results of which have not contributed to the subsequent medical care. Furthermore, the test selection unit 121 may also identify the reason for not recommending the non-recommended test.
[0075] The recommended examination selected by the examination selection unit 121 is more likely to be taken by the examination subject. For this reason, the examination selection unit 121 may add information on the selected recommended examination, etc. to the past examination data 1120 (particularly, the examination history information 1123) corresponding to the examination subject. That is, the examination selection unit 121 may update the past examination data 1120 (particularly, the examination history information 1123) corresponding to the examination subject using information on the selected recommended examination, etc. In addition, when a recommended examination is selected using the machine learning model 124 as described above, the learning operation of the machine learning model 124 may be performed again using the updated past examination data 1120. That is, the output of the machine learning model 124 may be used as learning data for performing the learning operation of the machine learning model 124.
[0076] Thereafter, the examination presentation unit 122 controls the information terminal 2 to present the recommended examination information indicating at least the item names of the recommended examinations selected by the examination selection unit 121 in step S13 to the presentation target person (step S14). As a result, the information terminal 2 outputs the recommended examination information in a format recognizable by the presentation target person using the output device 23. For example, when the output device 23 is a display device, the output device 23 may display, as the recommended examination information, a GUI (Graphical User Interface) including a display field 230 indicating the item names of the recommended examinations, as shown in FIG. 10 showing an example of recommended examination information presented to the presentation target person.
[0077] The test presentation unit 122 may start the operation of step S14 when an output request for requesting the output device 23 to actually output the recommended test information is input to the test presentation unit 122. The output request may be input to the test presentation server 1 by at least one of the presentation subject and the test subject. For example, if the presentation subject is the same person as the test subject, the presentation subject (i.e., the test subject) may transmit (i.e., input) the output request to the test presentation server 1 using the input device 24 of the information terminal 2. For example, if the presentation subject is a person different from the test subject (e.g., a medical worker), the presentation subject (e.g., a medical worker) may input the output request to the test presentation server 1 using the input device 13 of the test presentation server 1.
[0078] The output request may include a direct output request for at least one of the presentation target person and the test target person to directly (in other words, actively) request that the output device 23 actually output the recommended examination information. The output request may include an indirect output request for at least one of the presentation target person and the test target person to indirectly (in other words, implicitly or non-actively) request that the output device 23 actually output the recommended examination information. For example, in the case where a patient becomes aware of the recommended examination at the time of paying medical expenses at a medical institution as described above, an operation related to the payment of medical expenses may be used as an indirect output request.
[0079] When multiple recommended examinations are selected by the examination selection unit 121 as described above, the examination presentation unit 122 may control the information terminal 2 to present recommended examination information indicating the item names of the multiple recommended examinations to the presentation target person. For example, the examination presentation unit 122 may control the information terminal 2 to present the item names of the multiple recommended examinations in a list format (i.e., display the item names of the multiple recommended examinations in a list). For example, the examination presentation unit 122 may control the information terminal 2 to present the item names of the multiple recommended examinations in a pop-up format (i.e., display the item names of the multiple recommended examinations in a reduced size and display the item name of at least one recommended examination selected by the presentation target person in an enlarged size). FIG. 10 shows an example of recommended examination information displayed in a list format when each of a colonoscopy and a gastroscopy is selected as a recommended examination.
[0080] As described above, the test selection unit 121 may specify additional information regarding the recommended test in addition to selecting the recommended test. Examples of the additional information include information regarding at least one of the reasons for recommending the recommended test described above, whether the recommended test is covered by insurance, a disease to be evaluated by the recommended test, a risk of the test subject suffering from the disease to be evaluated by the recommended test, a time when the recommended test is recommended to be taken, a recommendation level of the recommended test, and a non-recommended test, as described below. In this case, the test presentation unit 122 may control the information terminal 2 to present the recommended test information including the additional information to the presentation subject, as described below.
[0081] For example, when the test selection unit 121 specifies the reason why the recommended test is recommended to the test subject as additional information as described above, the test presentation unit 122 may control the information terminal 2 to present to the presentation subject recommended test information indicating the reason why the recommended test is recommended to the test subject in addition to the item name of the recommended test. For example, as shown in Fig. 11 showing another example of recommended test information presented to the presentation subject, the output device 23 may display, as part of the recommended test information, a GUI including a display field 231 indicating the reason why the recommended test is recommended to the test subject.
[0082] For example, when the test selection unit 121 specifies whether or not the recommended test is covered by insurance as additional information as described above, the test presentation unit 122 may control the information terminal 2 to present the recommended test information indicating whether or not the recommended test is covered by insurance to the presentation target person in addition to the name of the recommended test. For example, as shown in Fig. 11, the output device 23 may display a GUI including a display field 232 indicating whether or not the recommended test is covered by insurance as part of the recommended test information.
[0083] For example, when the test selection unit 121 specifies a disease to be evaluated by a recommended test as additional information as described above, the test presentation unit 122 may control the information terminal 2 to present the recommended test information indicating the disease to be evaluated by the recommended test in addition to the item name of the recommended test to the presentation target person. For example, as shown in Fig. 11, the output device 23 may display a GUI including a display field 233 indicating the disease to be evaluated by the recommended test as part of the recommended test information.
[0084] For example, when the test selection unit 121 specifies the risk of the test subject contracting a disease to be evaluated by the recommended test as additional information as described above, the test presentation unit 122 may control the information terminal 2 to present to the presentation target the recommended test information indicating the risk of the test subject contracting a disease to be evaluated by the recommended test in addition to the item name of the recommended test. For example, as shown in Fig. 11, the output device 23 may display, as part of the recommended test information, a GUI including a display field 234 indicating the risk of the test subject contracting a disease to be evaluated by the recommended test.
[0085] For example, when the test selection unit 121 specifies the time when it is recommended to take the recommended test as additional information as described above, the test presentation unit 122 may control the information terminal 2 to present to the presentation target person recommended test information indicating the time when it is recommended to take the recommended test in addition to the item name of the recommended test. For example, as shown in Fig. 11, the output device 23 may display, as part of the recommended test information, a GUI including a display field 235 indicating the time when it is recommended to take the recommended test.
[0086] For example, when the test selection unit 121 specifies the recommendation level of the recommended test as additional information as described above, the test presentation unit 122 may control the information terminal 2 to present recommended test information indicating the recommendation level of the recommended test in addition to the item name of the recommended test to the presentation target person. For example, as shown in Fig. 11, the output device 23 may display a GUI including a display field 236 indicating the recommendation level of the recommended test as part of the recommended test information.
[0087] When multiple recommended examinations are selected by the examination selection unit 121 under such a situation where additional information is generated, the examination presentation unit 122 may change the presentation content of the recommended examination information according to the additional information. For example, the examination presentation unit 122 may change the display order of the item names of the multiple recommended examinations according to the additional information. For example, the examination presentation unit 122 may change the display order of the additional information displayed in association with the item names of the multiple recommended examinations according to the additional information. Specifically, for example, the examination presentation unit 122 may display the item name of the recommended examination (or the additional information related to the recommended examination) at a higher position as the degree of recommendation of the recommended examination increases (or as the risk increases or the recommended time is earlier). For example, the examination presentation unit 122 may display one item name of the multiple recommended examinations in a more emphasized manner than the other item names of the multiple recommended examinations according to the additional information. For example, the examination presentation unit 122 may display the additional information related to one recommended examination of the multiple recommended examinations in a more emphasized manner than the additional information related to the other recommended examinations of the multiple recommended examinations according to the additional information. Specifically, the test presentation unit 122 may highlight the name of the recommended test (or additional information regarding the recommended test) the higher the degree of recommendation for the recommended test (or the higher the risk or the earlier the recommended time).
[0088] When the examination selection unit 121 selects a non-recommended examination as described above, the examination presentation unit 122 may control the information terminal 2 to present recommended examination information indicating the item name of the non-recommended examination to the presentation target person in addition to the item name of the recommended examination. For example, as shown in FIG. 11, the output device 23 may display a GUI including a display field 237 indicating the item name of the non-recommended examination as part of the recommended examination information. Furthermore, when the examination selection unit 121 identifies the reason for not recommending the non-recommended examination as described above, the examination presentation unit 122 may control the information terminal 2 to present recommended examination information indicating the reason for not recommending the non-recommended examination to the presentation target person in addition to the item name of the recommended examination. For example, as shown in FIG. 11, the output device 23 may display a GUI including a display field 238 indicating the reason for not recommending the non-recommended examination as part of the recommended examination information.
[0089] The examination presentation unit 122 may change the presentation content of the recommended examination information to be presented depending on the presentation target. For example, as described above, each of the examination target (typically, a patient) and the medical worker (typically, a doctor) can be a presentation target. In this case, the examination presentation unit 122 may control the information terminal 2 so that the presentation content of the recommended examination information for the medical worker is different from the presentation content of the recommended examination information for the patient. In other words, the examination presentation unit 122 may control the information terminal 2 so that the recommended examination information is presented to the medical worker in a first presentation content, while the recommended examination information is presented to the patient in a second presentation content.
[0090] As an example, the information required by a medical professional is generally more than the information required by a patient. For this reason, the examination presentation unit 122 may control the information terminal 2 so that the amount of information of the recommended examination information presented to the patient is less than the amount of information of the recommended examination information presented to the medical professional. The examination presentation unit 122 may control the information terminal 2 so that a part of the recommended examination information presented to the medical professional is presented to the patient, while the remaining part of the recommended examination information presented to the medical professional is not presented to the patient. An example of the recommended examination information presented to the medical professional is shown in FIG. 12, and an example of the recommended examination information presented to the patient is shown in FIG. 13. As shown in FIG. 12, the examination presentation unit 122 may control the information terminal 2 so as to present to the medical professional recommended examination information that is not required by the patient but is required by the medical professional (for example, recommended examination information including a disease to be evaluated by the recommended examination (i.e., a disease that the test subject is at risk of contracting), a reason for the risk (i.e., a reason for recommending the recommended examination), and an item name of the recommended examination). Furthermore, in order to make it easier for the medical staff to reserve an examination facility where the test subject can take the recommended examination, the examination presentation unit 122 may control the information terminal 2 to present candidates of examination facilities where the recommended examination can be taken to the medical staff. In this case, the examination selection unit 121 may select a recommended examination and also select an examination facility where the selected recommended examination can be taken (particularly, an examination facility where the selected recommended examination is recommended to be taken) based on information on the examination facility. On the other hand, as shown in FIG. 13, the examination presentation unit 122 may control the information terminal 2 to present recommended examination information including the item name of the recommended examination and the reason why the recommended examination is recommended to the patient. In this case, considering that the test subject may recognize the recommended examination information using the information terminal 2 at a place other than a medical institution (for example, the test subject's home, etc.), the examination presentation unit 122 may control the information terminal 2 not to present information that should not be presented to the patient under the law in order to satisfy the legal constraints.
[0091] Alternatively, in the example shown in FIG. 13, a part of the recommended examination information presented to the medical worker is the same as the recommended examination information presented to the patient. However, the examination presentation unit 122 may present to the medical worker recommended examination information different from the recommended examination information presented to the patient. For example, the examination presentation unit 122 may present to the medical worker recommended examination information expressed using medical terms that are understandable to the medical worker but difficult for the patient to easily understand. Similarly, for example, the examination presentation unit 122 may present to the patient recommended examination information different from the recommended examination information presented to the medical worker. For example, the examination presentation unit 122 may present to the patient recommended examination information expressed using simple terms that can be easily understood even without medical expertise.
[0092] When the recommended test information is presented to a medical professional, the medical professional may input feedback regarding the appropriateness of the recommended test information to the test presentation server 1. The feedback from the medical professional may be used by the test selection unit 121 to select a recommended test. For example, the feedback from the medical professional may be used to update the selection engine 123 described above. For example, the feedback from the medical professional may be used to learn parameters of the machine learning model 124 described above.
[0093] (3) Technical Effects of the Test Presentation System SYS As described above, the test presentation server 1 of this embodiment can appropriately select a recommended test to be recommended to the test subject and present it to the test subject. In particular, the test presentation server 1 can select a recommended test using not only the medical record data 1110 of the test subject, but also the test history information 1123 related to the history of tests previously performed on multiple test subjects including the test subject or different from the test subject. Therefore, compared to a case where a recommended test is selected without using the test history information 1123, the test presentation server 1 can utilize past knowledge to select a more appropriate recommended test for the test subject.
[0094] As an example, the examination presentation server 1 selects, as a recommended examination if necessary, even an examination that the subject generally does not want to undergo or finds difficult to undergo. For example, an endoscopic examination that is preferable for the subject to undergo in order to detect colon cancer early is often avoided by the subject due to the image that the endoscopic examination is accompanied by pain or fear, or the image that the endoscopic examination is expensive. However, even if the subject avoids an endoscopic examination, the examination presentation server 1 can select the endoscopic examination as a recommended examination if it determines that an endoscopic examination is necessary based on past knowledge (i.e., based on the past examination DB 112). Therefore, the examination presentation server 1 can greatly contribute to the early detection or prevention of colon cancer. In order to appropriately select such an endoscopic examination for the early detection or prevention of colon cancer as a recommended examination, the examination presentation server 1 may select a recommended examination using the medical record data 1110 including information on the results of the interview (e.g., information on lifestyle habits and family history obtained by the interview) and information on the results of the examination (e.g., information on the results of the pathology reading).
[0095] As another example, even if the test presentation server 1 is a test for determining whether or not the test subject is in a frail state, the signs of which are difficult to detect (hereinafter referred to as a "frail test"), if it is determined that a frail test is necessary based on past knowledge (i.e., based on the past test DB 112), the test presentation server 1 can select the frail test as a recommended test. Therefore, the test presentation server 1 can present necessary tests to elderly test subjects in advance so as to reduce the occurrence of nursing care, which is a major social issue in an aging society. In order to appropriately select such a frail test as a recommended test, the test presentation server 1 may select a recommended test using the medical record data 1110 including information on life logs (e.g., information on the amount of exercise), information on the results of the interview (e.g., information on lifestyle habits obtained by the interview), and information on the medical history (i.e., medical history information 1112).
[0096] Furthermore, in addition to selecting a recommended test, the test presentation server 1 can generate additional information that may be presented to the presentation target together with the item name of the recommended test. Examples of the additional information include information on at least one of the reasons for recommending the above-mentioned recommended test, whether or not the recommended test is covered by insurance, the disease to be evaluated by the recommended test, the risk of the test target contracting the disease to be evaluated by the recommended test, the time when the recommended test is recommended to be taken, the degree of recommendation of the recommended test, and non-recommended tests. In this case, the test presentation server 1 can present the presentation target with additional information that is useful for the presentation target to consider whether or not to take the recommended test.
[0097] Furthermore, the examination presentation server 1 can change the presentation content of the recommended examination information depending on the presentation target person. Therefore, the examination presentation server 1 can present the recommended examination information with presentation content suitable for the presentation target person.
[0098] (4) Additional Notes The following supplementary notes are further disclosed regarding the above-described embodiment. [Appendix 1] A selection means for selecting a test recommended for the test subject as a recommended test based on medical record data including information on the medical history of the test subject and past test data including information on the test history; a presentation means for presenting recommended examination information including information on the item names of the recommended examinations to a person to whom the information is to be presented; A test presentation device comprising: [Appendix 2] The presenting means presents the recommended examination information with first presentation content to a first presentation target person, and presents the recommended examination information with second presentation content different from the first presentation content to a second presentation target person different from the first presentation target person. 2. The test presentation device of claim 1. [Appendix 3] The first presentation recipient is a medical professional, The second presentation subject is the test subject. 3. The test presentation device of claim 2. [Appendix 4] The amount of information of the recommended examination information presented by the second presentation content is less than the amount of information of the recommended examination information presented by the first presentation content. 4. The test presentation device of claim 2 or 3. [Appendix 5] The recommended examination information presented by the second presentation content is a part of the recommended examination information presented by the first presentation method. 5. The test presentation device of claim 2. [Appendix 6] The presentation means presents the recommended examination information using a presentation device arranged along the flow line of the examination subject in the medical institution. 6. The test presentation device of claim 1. [Appendix 7] The presentation means presents the recommended examination information using a presentation device disposed in at least one of a reception desk, a waiting room, and a medical examination room of the medical institution. 7. The test presentation device of any one of claims 1 to 6. [Appendix 8] The presenting means presents the recommended test information using at least one of a presentation device owned by a medical institution, a presentation device loaned to the test subject by the medical institution, and a presentation device owned by the test subject. 8. The test presentation device of any one of claims 1 to 7. [Appendix 9] The recommended test information further includes at least one of information on the reason for recommending the recommended test, information on whether the recommended test is covered by insurance, information on a disease to be evaluated by the recommended test, information on the degree of risk of the test subject to the disease to be evaluated by the recommended test, information on the time when it is recommended to take the recommended test, and information on the degree of recommendation of the recommended test. 8. The test presentation device of any one of claims 1 to 7. [Appendix 10] The medical record data further includes at least one of information regarding the results of a medical examination taken by the test subject, information regarding the results of a medical interview with the test subject, information regarding a life log of the test subject, information regarding personal information of the test subject, and information regarding tests taken by the test subject in the past. 10. The test presentation device of any one of claims 1 to 9. [Appendix 11] The past test data further includes at least one of information on the medical history of the subject who underwent a test in the past, information on the results of the medical examination of the subject, information on the results of the interview of the subject, information on the life log of the subject, information on personal information of the subject, and information on tests recommended by a medical institution. 11. The test presentation device of any one of claims 1 to 10. [Appendix 12] Selecting a test recommended for the test subject as a recommended test based on medical record data including information on the medical history of the test subject and past test data including information on the test history; Present recommended examination information including information on the names of the recommended examinations to a person to whom the information is to be presented. Test presentation method. [Appendix 13] On the computer, A selection step of selecting a test recommended for the test subject as a recommended test based on medical record data including information on the medical history of the test subject and past test data including information on the test history; a presentation step of presenting recommended examination information including information on the item names of the recommended examinations to a person to whom the information is to be presented; A recording medium on which a computer program for executing the above is recorded. [Appendix 14] On the computer, A selection step of selecting a test recommended for the test subject as a recommended test based on medical record data including information on the medical history of the test subject and past test data including information on the test history; a presentation step of presenting recommended examination information including information on the item names of the recommended examinations to a person to whom the information is to be presented; A computer program that executes the following:
[0099] The present invention is not limited to the above-described embodiment. The present invention can be modified as appropriate within the scope of the claims and the entire specification without going against the gist or idea of the invention, and the test presentation device, test presentation method, and recording medium that involve such modifications are also included in the technical idea of the present invention.
[0100] This application claims priority based on Japanese Patent Application No. 2020-097582, filed on June 4, 2020, the disclosure of which is incorporated herein in its entirety. In addition, all publications and papers mentioned in this specification are incorporated herein by reference. [Explanation of symbols]
[0101] SYS Inspection Presentation System 1. Test submission server 11 Storage device 111 Medical Record DB 1110 Medical Record Data 1111 Patient basic information 1112 Medical history information 112 Past Inspection DB 1120 Past Inspection Data 1121 Testee basic information 1122 Medical history information 1123 Inspection history information 12 Arithmetic unit 121 Test Selection Section 122 Test Presentation Section 2. Information terminal 22 Arithmetic unit 23 Output Device
Claims
1. A selection means for selecting a test recommended for the test subject as a recommended test based on medical record data including information on the medical history of the test subject and past test data including information on the test history, and for specifying a patient condition to be evaluated by the recommended test; a presentation means for presenting recommended examination information including information on the item names of the recommended examinations to a person to whom the information is to be presented; Equipped with the presenting means presents the recommended examination information to a medical worker in a first presentation content, and presents the recommended examination information to the examination subject in a second presentation content different from the first presentation content; the first presentation includes information regarding a patient condition to be evaluated by the recommended test; The test presentation device, wherein the second presentation does not include information regarding a patient condition to be evaluated by the recommended test.
2. The amount of information of the recommended examination information presented by the second presentation content is smaller than the amount of information of the recommended examination information presented by the first presentation content. The test presentation device of claim 1 .
3. The recommended examination information presented by the second presentation content is a part of the recommended examination information presented by the first presentation content.
3. The test presentation device of claim 1.
4. The presentation means presents the recommended examination information using a presentation device arranged along the flow line of the examination subject in the medical institution. The test presentation device of claim 1 .
5. The presentation means presents the recommended examination information using a presentation device disposed in at least one of a reception desk, a waiting room, and a medical examination room of the medical institution.
5. The test presentation device of claim 1.
6. The presenting means presents the recommended test information using at least one of a presentation device owned by a medical institution, a presentation device loaned to the test subject by the medical institution, and a presentation device owned by the test subject.
6. The test presentation device of claim 1.
7. The recommended test information further includes at least one of information on the reason for recommending the recommended test, information on whether the recommended test is covered by insurance, information on a disease to be evaluated by the recommended test, information on the degree of risk of the test subject to the disease to be evaluated by the recommended test, information on the time when it is recommended to take the recommended test, and information on the degree of recommendation of the recommended test.
7. The test presentation device of claim 1.
8. The medical record data further includes at least one of information regarding the results of a medical examination taken by the test subject, information regarding the results of a medical interview with the test subject, information regarding a life log of the test subject, information regarding personal information of the test subject, and information regarding tests taken by the test subject in the past.
8. The test presentation device of claim 1.
9. The past test data further includes at least one of information on the medical history of the subject who underwent a test in the past, information on the results of the medical examination of the subject, information on the results of the interview of the subject, information on the life log of the subject, information on personal information of the subject, and information on tests recommended by a medical institution.
9. The test presentation device of claim 1.
10. selecting a test recommended for the test subject as a recommended test based on medical record data including information on the medical history of the test subject and past test data including information on the test history, and identifying a patient condition to be evaluated by the recommended test; Present recommended examination information including information on the names of the recommended examinations to a person to whom the information is to be presented. Including, The presenting includes presenting the recommended test information to a medical professional in a first presentation content, and presenting the recommended test information to the test subject in a second presentation content different from the first presentation content, the first presentation includes information regarding a patient condition to be evaluated by the recommended test; The computer-implemented test suggestion method, wherein the second suggestion does not include information regarding a patient condition to be evaluated by the recommended test.
11. On the computer, selecting a test recommended for the test subject as a recommended test based on medical record data including information on the medical history of the test subject and past test data including information on the test history, and identifying a patient condition to be evaluated by the recommended test; Present recommended examination information including information on the names of the recommended examinations to a person to whom the information is to be presented. Including, The presenting includes presenting the recommended test information to a medical professional in a first presentation content, and presenting the recommended test information to the test subject in a second presentation content different from the first presentation content, the first presentation includes information regarding a patient condition to be evaluated by the recommended test; A computer program product for executing a test presentation method, wherein the second presentation content does not include information regarding a patient condition to be evaluated by the recommended test.
Citation Information
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